Anbari Khatereh, Sicard Pierre, Omidi Khaniabadi Yusef, Raja Naqvi Hasan, Rashidi Rajab
Social Determinants of Health Research Center, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
ARGANS, Route Du Pin Montard, Biot, France.
Int J Environ Health Res. 2023 Dec;33(12):1716-1727. doi: 10.1080/09603123.2022.2120967. Epub 2022 Sep 13.
The aimsof this study were to assess the spatial variation of PM, NO, and O between 2019 (before) and 2020 (during COVID-19 pandemic); and calculation the health outcomes of exposure to these pollutants. The daily PM, NO, and O concentrations were applied to assess health effects by relative risk, and baseline incidence. The annual PM and NO mean concentrations exceeded the WHO guideline values, while O did not exceed. The restrictive measures associated to COVID-19 led to reduction at the annual means of PM and NO by -25.5% and -23.1%, respectively, while the annual mean of O increased by +7.9%. The number of -CVD and -RD (-25.6%, -26.1%) related to PM exposure, and HA-COPD and HA-RD >65 years old (-21% and -3.84%) related to NO exposure were reduced in 2020, and O exposure-related -CVD (+30.1%) and HA-RD >65 years old (+23.4%) increased compared to the previous year 2019.
本研究的目的是评估2019年（之前）和2020年（新冠疫情期间）细颗粒物（PM）、氮氧化物（NO）和臭氧（O）的空间变化；并计算接触这些污染物对健康的影响。通过相对风险和基线发病率，利用每日的PM、NO和O浓度来评估健康影响。PM和NO的年平均浓度超过了世界卫生组织的指导值，而O未超过。与新冠疫情相关的限制措施使PM和NO的年平均值分别降低了25.5%和23.1%，而O的年平均值增加了7.9%。2020年，与PM暴露相关的心血管疾病（-CVD）和呼吸道疾病（-RD）病例数（-25.6%，-26.1%），以及与NO暴露相关的65岁以上慢性阻塞性肺疾病（HA-COPD）和呼吸道疾病（HA-RD）病例数（-21%和-3.84%）减少，与O暴露相关的-CVD病例数（+30.1%）和65岁以上HA-RD病例数（+23.4%）相比2019年有所增加。
