TY - JOUR
TI - Short-term effects of particulate matter on mortality during forest fires in Southern Europe: Results of the MED-PARTICLES project
AU - Faustini, A.
AU - Alessandrini, E.R.
AU - Pey, J.
AU - Perez, N.
AU - Samoli, E.
AU - Querol, X.
AU - Cadum, E.
AU - Perrino, C.
AU - Ostro, B.
AU - Ranzi, A.
AU - Sunyer, J.
AU - Stafoggia, M.
AU - Forastiere, F.
AU - Angelini, P.
AU - Berti, G.
AU - Bisanti, L.
AU - Catrambone, M.
AU - Chiusolo, M.
AU - Davoli, M.
AU - De'donato, F.
AU - Demaria, M.
AU - Gandini, M.
AU - Grosa, M.
AU - Ferrari, S.
AU - Pandolfi, P.
AU - Pelosini, R.
AU - Pietrodangelo, A.
AU - Pizzi, L.
AU - Poluzzi, V.
AU - Priod, G.
AU - Randi, G.
AU - Rowinski, M.
AU - Scarinzi, C.
AU - Stivanello, E.
AU - Zauli-Sajani, S.
AU - Dimakopoulou, K.
AU - Elefteriadis, K.
AU - Katsouyanni, K.
AU - Kelessis, A.
AU - Maggos, T.
AU - Michalopoulos, N.
AU - Pateraki, S.
AU - Petrakakis, M.
AU - Rodopoulou, S.
AU - Sypsa, V.
AU - Agis, D.
AU - Artiñano, B.
AU - Barrera-Gómez, J.
AU - Basagaña, X.
AU - De La Rosa, J.
AU - Diaz, J.
AU - Fernandez, R.
AU - Jacquemin, B.
AU - Karanasiou, A.
AU - Linares, C.
AU - Sanchez, A.M.
AU - Tobias, A.
AU - Bidondo, M.
AU - Declercq, C.
AU - Le Tertre, A.
AU - Lozano, P.
AU - Medina, S.
AU - Pascal, L.
AU - Pascal, M.
JO - Annals of Occupational and Environmental Medicine
PY - 2015
VL - 72
TODO - 5
SP - 323-329
PB - BMJ Publishing Group
SN - 2052-4374
TODO - 10.1136/oemed-2014-102459
TODO - Article;  cardiovascular mortality;  city;  combustion;  fire;  human;  mortality;  particulate matter;  priority journal;  respiratory tract disease;  seasonal variation;  sensitivity analysis;  smoke;  Southern Europe;  adverse effects;  air pollutant;  air pollution;  cardiovascular disease;  dust;  environmental exposure;  epidemiology;  Europe;  forest;  particulate matter;  season, air pollutant;  dust;  particulate matter;  smoke, Air Pollutants;  Air Pollution;  Cardiovascular Diseases;  Cities;  Dust;  Environmental Exposure;  Europe;  Fires;  Forests;  Humans;  Mediterranean Region;  Particulate Matter;  Respiratory Tract Diseases;  Seasons;  Smoke
TODO - Background: An association between occurrence of wildfires and mortality in the exposed population has been observed in several studies with controversial results for cause-specific mortality. In the Mediterranean area, forest fires usually occur during spring-summer, they overlap with Saharan outbreaks, are associated with increased temperature and their health effects are probably due to an increase in particulate matter. Aim and methods: We analysed the effects of wildfires and particulate matter (PM10) on mortality in 10 southern European cities in Spain, France, Italy and Greece (2003-2010), using satellite data for exposure assessment and Poisson regression models, simulating a case-crossover approach. Results: We found that smoky days were associated with increased cardiovascular mortality (lag 0-5, 6.29%, 95% CIs 1.00 to 11.85). When the effect of PM10 (per 10 mg/m3) was evaluated, there was an increase in natural mortality (0.49%), cardiovascular mortality (0.65%) and respiratory mortality (2.13%) on smoke-free days, but PM10-related mortality was higher on smoky days (natural mortality up to 1.10% and respiratory mortality up to 3.90%) with a suggestion of effect modification for cardiovascular mortality (3.42%, p value for effect modification 0.055), controlling for Saharan dust advections. Conclusions: Smoke is associated with increased cardiovascular mortality in urban residents, and PM10 on smoky days has a larger effect on cardiovascular and respiratory mortality than on other days.
ER -