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符合世界卫生组织关于九个主要拉丁美洲城市颗粒物空气质量准则的健康和经济效益。

Health and Economic Benefits of Complying With the World Health Organization Air Quality Guidelines for Particulate Matter in Nine Major Latin American Cities.

机构信息

School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.

Departamento de Ingeniería, Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Int J Public Health. 2024 May 30;69:1606909. doi: 10.3389/ijph.2024.1606909. eCollection 2024.

Abstract

OBJECTIVES

This study aims to estimate the short-term preventable mortality and associated economic costs of complying with the World Health Organization (WHO) air quality guidelines (AQGs) limit values for PM and PM in nine major Latin American cities.

METHODS

We estimated city-specific PM-mortality associations using time-series regression models and calculated the attributable mortality fraction. Next, we used the value of statistical life to calculate the economic benefits of complying with the WHO AQGs limit values.

RESULTS

In most cities, PM concentrations exceeded the WHO AQGs limit values more than 90% of the days. PM was found to be associated with an average excess mortality of 1.88% with concentrations above WHO AQGs limit values, while for PM it was 1.05%. The associated annual economic costs varied widely, between US$ 19.5 million to 3,386.9 million for PM, and US$ 196.3 million to 2,209.6 million for PM.

CONCLUSION

Our findings suggest that there is an urgent need for policymakers to develop interventions to achieve sustainable air quality improvements in Latin America. Complying with the WHO AQGs limit values for PM and PM in Latin American cities would substantially benefits for urban populations.

摘要

目的

本研究旨在估算 9 个拉丁美洲主要城市遵守世界卫生组织(WHO)空气质量指南(AQG)对 PM2.5 和 PM10 的限值所带来的短期可预防死亡率及其相关经济成本。

方法

我们使用时间序列回归模型估算了各城市特定的 PM 与死亡率之间的关系,并计算了归因死亡率比例。然后,我们使用生命统计价值来计算遵守 WHO AQG 限值的经济效益。

结果

在大多数城市,PM 浓度超过 WHO AQG 限值的天数超过 90%。研究发现,PM 浓度超过 WHO AQG 限值时,平均超额死亡率为 1.88%,而 PM10 时为 1.05%。相关的年经济成本差异很大,PM2.5 为 1950 万美元至 33.87 亿美元,PM10 为 1.963 亿美元至 22.096 亿美元。

结论

我们的研究结果表明,拉丁美洲的政策制定者迫切需要制定干预措施,以实现可持续的空气质量改善。拉丁美洲城市遵守 WHO AQG 对 PM2.5 和 PM10 的限值将为城市人口带来巨大益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6224/11176932/33ccd89d9c66/ijph-69-1606909-g001.jpg

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