a Faculty of Engineering and Technology , Jamia Millia Islamia (Central University) , New Delhi , India.
b Department of Biostatistics , St. Johns Medical College , Bangalore , India.
Int J Environ Health Res. 2018 Oct;28(5):471-490. doi: 10.1080/09603123.2018.1487045. Epub 2018 Jul 2.
The present study reports short-term impact of poor air quality on cardiovascular and respiratory morbidity rate in Delhi. The data on monthly count of patients visiting Out Patient Department (OPD) and hospital admission due to respiratory and cardiovascular illnesses from hospitals along with daily air quality data from air quality monitoring stations of Central Pollution Control Board (CPCB), Government of India, across Delhi were collected for the period 2008 to 2012. A semi-parametric Quasi-Poisson regression model was used to examine the association of high pollution episodes with relative risk of hospital OPD visit and hospital admission due to respiratory and cardiovascular diseases. This study has confirmed the substantial adverse health effects due to air pollution across criterion air pollutants. The study reports the short-term effects of air pollution on morbidity from a time-series study first time in India. The study findings illustrate the evidence of adverse health impact of air pollution from India to the global pool and can influence the policy makers to implement better air quality management system for Indian cities.
OPD: Out Patient Department; IPD: Inpatient Department; RD: Respiratory Disease; CVD: Cardiovascular Disease; COPD: Chronic Obstructive Pulmonary Disease; CPCB: Central Pollution Control Board; NAAQMP: National Ambient Air Quality Monitoring Programme; NAAQS: National Ambient Air Quality Standards; RR; Relative Risk; IMD: Indian Meteorological Department; PM: Particulate Matter less than 10 μm in aerodynamic diameter; SO: Sulphur dioxide; NO: Nitrogen dioxide; CO: Carbon Monoxide; O: Ozone; DCE: Delhi College of Engineering; GTB Hospital: Guru Teg Bahadur Hospital; VPCH: Vallabhbhai Patel Chest Hospital; RMLH: Ram Manohar Lohia Hospital; SJH: Safdarjung Hospital; LNJPH: Lok Narayan Jai Prakash Hospital; GTBH: Guru Teg Bahadur Hospital; AH: Ambedkar Hospital; HRH: Hindu Rao Hospital; ESIH: ESI Hospital; SGRH: Sir Ganga Ram Hospital.
本研究报告了短期空气质量差对德里心血管和呼吸系统发病率的影响。收集了 2008 年至 2012 年期间来自德里各医院的门诊（OPD）和因呼吸及心血管疾病住院的患者每月就诊次数数据，以及印度中央污染控制委员会（CPCB）空气质量监测站的每日空气质量数据。采用半参数拟泊松回归模型，检验了高污染期与因呼吸和心血管疾病住院的 OPD 就诊和住院的相对风险之间的关联。这项研究证实了各种空气污染物对健康造成的实质性不良影响。这是印度首次进行的一项时间序列研究，报告了空气污染对发病率的短期影响。研究结果说明了空气污染对印度健康的不良影响的证据，并可能影响决策者在印度城市实施更好的空气质量管理制度。
OPD：门诊；IPD：住院；RD：呼吸疾病；CVD：心血管疾病；COPD：慢性阻塞性肺疾病；CPCB：中央污染控制委员会；NAAQMP：国家环境空气质量监测计划；NAAQS：国家环境空气质量标准；RR：相对风险；IMD：印度气象局；PM：空气动力学直径小于 10 μm 的颗粒物；SO：二氧化硫；NO：二氧化氮；CO：一氧化碳；O：臭氧；DCE：德里工程学院；GTB 医院：古鲁特格巴哈杜尔医院；VPCH：瓦拉巴伊·帕特尔胸科医院；RMLH：拉姆·马诺哈尔·洛希亚医院；SJH：萨夫达容医院；LNJPH：洛克纳拉扬·贾伊·普拉卡什医院；GTBH：古鲁特格巴哈杜尔医院；AH：安贝德卡医院；HRH：印度教罗摩克里希纳医院；ESIH：ESI 医院；SGRH：西加甘纳拉扬医院。
