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[重度雾霾天连续高浓度暴露期间北京居民与PM2.5相关的健康风险及受损值评估]

[An assessment of PM2.5 related health risks and impaired values of Beijing residents in a consecutive high-level exposure during heavy haze days].

作者信息

Xie Yuan-Bo, Chen Juan, Li Wei

出版信息

Huan Jing Ke Xue. 2014 Jan;35(1):1-8.

Abstract

It has important scientific value and practical significance for urban atmospheric air pollution control and people health protection to carry out health risk assessment as well as impaired value assessment of short-term high concentrations of air pollution. Using the Poisson regression model and environmental valuation method, this study estimated the health risks and impaired values of Beijing residents in a consecutive high-level PM2.5 exposure during the heavy haze pollution occurred from January 10th to 15th, 2013. The results show that, substantial health risks due to PM2.5 air pollution were occurred in six pollution days, including 201 cases of premature deaths, 1,056 and 545 cases of hospital admissions for respiratory and cardiovascular diseases, 7,094 and 16,881 cases of pediatric and internal outpatients each, 10,132 cases of acute bronchitis and 7643 cases of asthma respectively. Correspondingly, approximate 489 (95% CI: 204-749) million RMB health-related economic loss was evaluated, of which more than 90% was attributable to premature deaths, acute bronchitis and asthma. It is recommended that health risks and economic losses can be reduced through early health warning and timely medical intervention for various groups of people with different health endpoints.

摘要

开展短期高浓度空气污染的健康风险评估和损害价值评估,对于城市大气污染控制和人群健康保护具有重要的科学价值和现实意义。本研究运用泊松回归模型和环境价值评估方法,对2013年1月10日至15日重度雾霾污染期间北京市居民连续处于高水平PM2.5暴露状态下的健康风险和损害价值进行了估算。结果显示,在6个污染日中,PM2.5空气污染导致了较大的健康风险,包括201例过早死亡、1056例和545例因呼吸系统和心血管疾病住院、儿科门诊7094例和内科门诊16881例、急性支气管炎10132例以及哮喘7643例。相应地,评估出与健康相关的经济损失约为4.89(95%CI:2.04 - 7.49)亿元人民币,其中超过90%归因于过早死亡、急性支气管炎和哮喘。建议通过对不同健康终点的各类人群进行早期健康预警和及时的医疗干预,以降低健康风险和经济损失。

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