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PubMed1984

The epidemiological approach to cadmium pollution in Japan.

The study of health problems due to cadmium pollution in Japan originated from an endemic episode of Itai-itai disease in a rural area in north-central Japan after World War II. The disease was defined as osteomalacia with tubular changes in the kidney and considered to be associated with excess intake of cadmium. This episode motivated the Japanese Government to conduct health examinations on the general population in cadmium-polluted and non-polluted areas throughout the country since 1969. Although Itai-itai disease-like bone changes were rarely found, these studies revealed a higher prevalence of renal tubular dysfunction among elderly people in the cadmium-polluted areas. No significant difference was noted in cancer mortality, but mortality from cardiovascular diseases and all causes tended to be lower in cadmium-polluted areas. Clinical and pathological studies in man as well as experiments on primates have recently been made to elucidate the pathogenesis of Itai-itai disease and the health effects of cadmium. The lack of knowledge on the ecological and biological complex of cadmium resulted in the impediment of studies on this problem. The lesson from this experience is that basic research is essential for promoting the study of pollutants such as heavy metals, though pollution problems usually require urgent solutions.

Adult↗
PubMed1984

The low-technology monitoring of atmospheric metal pollution in central Scotland.

In epidemiological studies covering relationships of disease patterns and patterns of atmospheric pollution, conventional filtering equipment is normally used for monitoring the pollution. For various reasons, however, this type of approach often results in levels of pollution being obtained for only a few sites within an extensive fieldwork area. Hence, alternative monitoring techniques, which allow a high density of sampling sites in an area, have been of interest to an increasing number of investigators. The monitors used, known as low-technology monitors, fall into two main categories; indigenous; and transplants. In our own surveys of atmospheric metal pollutants in industrial communities in Scotland, the indigenous sample materials have included: Hypnum cupressiforme, Lecanora conizaeoides, Agropyron repens and surface soils. In our transplant surveys a variety of different low-technology samplers have been deployed, the most frequently used being: spherical and flat moss bags, Hypogymnia physodes, 'Tak' (synthetic fabric), and total deposition collectors. The data obtained from the various surveys have been plotted on a variety of types of computer map to minimize any systematic bias resulting from the use of a single technique. The pollution patterns found in one particular town were partly unexpected, in view of the dominant wind direction in the locality concerned. Hence it was decided to carry out a wind tunnel experiment to investigate the situation further. The wind tunnel experiment produced results which were consistent with the patterns of pollution derived from the metal surveys, and revealed that the meteorological dispersal of the pollution was unexpectedly influenced by local topography. Because pulmonary pathology was the main focus of the complementary epidemiological study, an investigation of the size, shape and roughness of the metal particles was considered relevant. This investigation involved the examination of samplers and their particles by means of the electron microscope. To complete the study of the methodology of low-technology samplers in this town, their uptake is also being compared to that of filtering equipment (high-technology samplers). The information gained from the present survey at this early stage has indicated that several of the low-technology monitors could have considerable value in the provision of continuous, but low-cost, surveillance of the air quality of wide areas of industrial communities.

Air Pollutants↗
PubMed1983

[Atmospheric pollution. Biological aspects and role of meteorologic factors in the distribution of respiratory hazards in the environment and relative prognostic and preventive measures].

The biometeorological factors underlying atmospheric pollution are discussed, together with its biological effects and its direct and indirect damage to human health. Damage is particularly likely when particularly adverse ambient and climatological conditions result in a massive and persistent concentration of contaminants in the ambient air. In this case, since the highly biologically interesting phenomenon of physicochemical reaction between pollutants and atmospheric components prevails over that of the dilution and dispersion of such contaminants, nature's major processes of removal and self-purification may be rendered nugatory and insufficiently prompt. The effects of atmospheric pollution, primarily with respect to urban background pollution, on human health make their appearance in the respiratory system, where there is a continuous relation between man and his environment throughout his life, in the form of immediate or short, medium and long-term damage. The desirability of preparing a meteorological map showing the distribution of the risk of atmospheric pollution is discussed. For this purpose, use could be made of meteorological data, and the hi-tech observations now made possible, inter alia, by the employment of satellites and aerospace data. A map of this kind would give more precise information concerning the part played by the weather in distributing the risk of respiratory damage caused by environmental pollution. It would also provide the knowledge required for the purpose of prediction and prevention in an organised struggle against such pollution. This would be of great social significance and value. Its practical applications could be enormous consequence to humanity.

Air Pollutants↗
PubMedDate not supplied

[Morphological features of the nasal mucosa in healthy children exposed to different concentrations of atmospheric pollution].

OBJECTIVE: During the last decades the impact of pollution in big cities on the upper respiratory tract of children has become an issue of interest. The purpose of the present study was to determine if exposure of healthy children to different concentrations of atmospheric pollution alters morphologically the nasal respiratory epithelium. MATERIAL AND METHODS: In this randomised, prospective, open clinical trial we included 71 healthy children matched for age and sex and divided them into 3 groups: Group I, 31 children from Mexico City. Group II, 21 children from Tula, Hidalgo a moderate polluted area, and Group III, 19 children from Contepec, Michoacán, a rural non-polluted area. We took a nasal biopsy from the lower turbinate and performed nasal cytology in all children. The samples were examined twice by a pathologist with a double-blind technique. Ozone measurements were taken during 1992. RESULTS: Nasal symptoms (nasal obstruction, pruritus and dryness) were present in 96.8%, 71.4% and 52.6% of patients in groups I, II and III respectively (p = 0.001). We also found bilateral hypertrophy turbinates in 100% of children in group I versus 81% and 73% in groups II and III (p = 0.009). Citologic examination disclosed no significant differences among the study groups, although p values were 0.06 respecting inflammation and abnormal goblet cells when we compared group I versus group II and III. Respecting histological examination we found significant differences when comparing group I versus II and III in squamous metaplasia (p = 0.02) and pseudoepitheliomatous hyperplasia (p = 0.003), with not significant differences among keratinization (p = 0.06) and dysplasia (p = 0.06). CONCLUSIONS: The results of this study indicate that exposure to a polluted atmosphere is followed by severe changes in the histology and cytology of the nasal mucosa in healthy children, with these changes being more frequent and severe in the more polluted areas. These findings implicate that we must put more attention on the long term effects of atmospheric pollution in order to establish stronger control measures.

Adolescent↗
PubMed1984

Chemicals, man and the environment: a historic perspective of pollution and related topics.

The interaction of chemicals with biological organisms is as old as life itself. Chemical pollution is usually considered to be human interference with natural chemical cycles and the release of man-made, unnatural compounds. The article traces five areas of chemical pollution and health hazards: air pollution, water pollution, occupational exposure, pollution from agricultural practices and contamination of food. It is suggested that historic perspective can aid in rational and prudent evaluation of present-day pollution problems.

Agriculture↗
PubMed2001

Health effects of air pollution exposure on children and adolescents in São Paulo, Brazil.

Children and adolescents have been considered more susceptible to the effects of air pollution than adults. In order to investigate the responses of children of different ages to air pollution exposure, daily records of hospital admissions for children in five age groups (equal or less than 2 years of age, 3-5, 6-13, 14-19, and all ages together, i.e., from 0-19 years of age) were obtained from January 1993 to November 1997 in São Paulo, Brazil, and were compared to daily records of PM10, O3, SO2, CO and NO2 concentrations in ambient air. For each age group a generalized additive Poisson regression was fitted controlling for smooth functions of time, temperature, humidity, and days of the week, with an additional indicator for holidays. Polynomial distributed lag models were used to estimate the 7-day cumulative effect of each pollutant. Children 2 years or less were the most susceptible to the effects of all five pollutants with an increase of 9.4% (95% CI: 7.9,10.9) in respiratory admissions associated with each interquartile range increase in PM10. The oldest group was the second most susceptible to air pollutants, with each interquartile range increase in PM10 associated with a 5.1% (95% CI: 0.3,9.8) increase in respiratory admissions. An interquartile range increase in CO was associated with an 11.3% (95% CI: 5.9,16.8) increase in respiratory hospitalizations. When a multipollutant model was used, the effect of PM10 on respiratory admissions for all ages together was unchanged, while the SO2 and the other pollutants effect was substantially reduced. This study showed that daily respiratory hospital admissions for children and adolescents in São Paulo increased with air pollution, and that the largest effects were found for the youngest (2 years or less) and oldest (14-19 years) age groups.

Adolescent↗
PubMed1984

Adaptation of plants to atmospheric pollutants.

Man-made air pollutants are a recent phenomenon in the evolutionary experience of plants and animals although natural air pollutants from volcanic eruptions, forest fires and dust storms have accompanied evolution for geological eras. Plants have responded to increasing concentrations of such pollutants as sulphur dioxide, fluorides, photochemical oxidants and acid rain at the community, species, population and individual levels. The lichens and bryophytes have shown particularly dramatic changes in urban and industrial areas. Many species have had their distribution severely limited. Tolerances to sulphur dioxide have evolved in populations of a number of grasses and herbs, and some sulphur dioxide-tolerant lichens have invaded inner city areas. Sensitivity to pollutants is partly a function of substrate chemistry. Synergistic interactions occur between various pollutants and also between pollutants and pathogens. A good deal of genetic variation occurs within crops, and this allows for selection of pollution-tolerant varieties. The nature of specific adaptations is not generally well known although, for sulphur dioxide, recent studies in poplar and spinach strongly suggest that increased production of the enzyme superoxide dismutase may be a key factor. In other adaptations, morphological and anatomical features play a part.

Adaptation, Biological↗
PubMed2003

Peroxisome proliferation as a biomarker in environmental pollution assessment.

Peroxisome proliferators comprise a heterogeneous group of compounds known for their ability to cause massive proliferation of peroxisomes and liver carcinogenesis in rodents. In recent years it has become evident that other animals may be threatened by peroxisome proliferators, in particular aquatic organisms living in coastal and estuarine areas. These animals are exposed to a variety of pollutants of industrial, agricultural and urban origin which are potential peroxisome proliferators. Both laboratory and field studies have shown that phthalate ester plasticizers, PAHs and oil derivatives, PCBs, certain pesticides, bleached kraft pulp and paper mill effluents, alkylphenols and estrogens provoke peroxisome proliferation in different fish or bivalve mollusc species. The response appears to be mediated by peroxisome-proliferator activated receptors, members of the nuclear receptor family, recently cloned in fish. Based on these results it is proposed that peroxisome proliferation could be used as a biomarker of exposure to a variety of pollutants in environmental pollution assessment. This is illustrated by a case study in which mussels, used worldwide as sentinels of environmental pollution, were transplanted from reference to contaminated areas and vice versa. In mussels native to an area polluted with PAHs and PCBs, peroxisomal acyl-CoA oxidase (AOX) activity and peroxisomal volume density were 2-3 fold and 5-fold higher, respectively, compared to the reference site. When animals were transplanted to the polluted station, with increased concentration of organic xenobiotics, a concomitant significant increase of AOX was recorded. Conversely, in animals transplanted to the cleaner station, AOX activity and peroxisomal volume density decreased significantly. These results indicate that peroxisome proliferation is a rapid (i.e., two days) and reversible response to pollution in mussels. Before peroxisome proliferation can be implemented as a biomarker in biomonitoring programs, a well-defined protocol should be established and validated in intercalibration and quality assurance programmes. Furthermore, the influence of biotic and abiotic factors, some of which are known to affect peroxisome proliferation (season, tide level, interpopulation and interindividual variability), should be taken into consideration. The possible hepatocarcinogenic effects as well as the potential adverse effects on reproduction, development, and growth of peroxisome proliferators are unknown in aquatic organisms, thus providing a challenge for future investigations.

Acyl-CoA Oxidase↗
PubMed1993

Review of air pollution and its health impact in Indonesia.

Air quality monitoring is part of the initial strategy in the pollution prevention program in Indonesia. Since 1978, the government of Indonesia has had a commitment to the World Health Organization (WHO) to provide air quality data for the Global Environmental Monitoring System (GEMS Programme)--The WHO/UNEP Project, in which certain cities from all over the world have been selected. Air quality as part of the WHO/UNEP project is monitored with respect to pollutants like SPM, SO2 and NOx. The result of the monitoring indicates that SPM and NOx are the predominant pollutants. Other pollutants such as O(x), H2S, NH3, and CO are also monitored in several big cities in Indonesia. The air pollution mainly comes from land transportation, industrial emissions, and a densely populated residential area where most people perform their activities. Review of the air pollution in Indonesia was based on the reports of the air quality monitoring in several large cities in Indonesia which covered air pollutants such as SPM, SO2, NOx, CO, O(x), and NH3 from 1978 until the latest available data in 1989. This review also discusses health impact investigations conducted in the community, especially from the exposure to SPM, CO, and lead from motor vehicle exhaust.

Air Pollution↗
PubMed1995

Short-term effects of air pollution on hospital emergency outpatient visits and admissions in the greater Athens, Greece area.

The short-term effects of air pollution on morbidity in the Athens population were studied. Data were collected on the daily number of emergency outpatient visits and admissions for cardiac and respiratory causes (diagnoses at time of admission) to all major hospitals in the greater Athens area during 1988. Measurements of air pollution made by the Ministry of the Environment monitoring network included values for smoke, carbon monoxide, and nitrogen dioxide. Statistical analysis was done using multiple linear regression models controlling for potential confounding effects of meteorological and chronological variables, separately for winter (1/1-3/21 and 9/22-12/31) and summer (3/22-9/21). It was found that the daily number of emergency visits was related positively with the levels of air pollution, but this association did not reach the nominal level of statistical significance for most pollutants. The number of emergency admissions for cardiac and respiratory causes was related to a statistically significant degree with all indices of air pollution during the winter. Thus, the average adjusted increase in the daily number of cardiac admissions corresponding to an increase from the 5th to the 95th percentile of the season-specific distribution of each pollutant ranges from 15 to 17% or from 11 to 12.5 admissions per day, and for the daily number of respiratory admissions from 20 to 29% or from 8.3 to 12.1 admissions. The results of the present study indicate that air pollution in the Athens area has short-term effects on morbidity in the population.

Air Pollution↗
PubMed1998

Does weather confound or modify the association of particulate air pollution with mortality? An analysis of the Philadelphia data, 1973-1980.

Because weather has the potential to confound or modify the pollution-mortality relationship, researchers have developed several approaches for controlling it in estimating the independent effect of air pollution on mortality. This report considers the consequences of using alternative approaches to controlling for weather and explores modification of air pollution effects by weather, as weather patterns could plausibly alter air pollution's effect on health. We analyzed 1973-1980 total mortality data for Philadelphia using four weather models and compared estimates of the effects of TSP and SO2 on mortality using a Poisson regression model. Two synoptic categories developed by Kalkstein were selected--the Temporal Synoptic Index (TSI) and the Spatial Synoptic Classification (SSC)--and compared with (1) descriptive models developed by Schwartz and Dockery (S-D); and (2) LOESS, a non-parametric function of the previous day's temperature and dew point. We considered model fit using Akaike's Information Criterion (AIC) and changes in the estimated effects of TSP and SO2. In the full-year analysis, S-D is better than LOESS at predicting mortality, and S-D and LOESS are better than TSI, as measured by AIC. When TSP or SO2 was fit alone, the results were qualitatively similar, regardless of how weather was controlled; when TSP and SO2 were fit simultaneously, the S-D and LOESS models give qualitatively different results than TSI, which attributes more of the pollution effect to SO2 than to TSP. Model fit is substantially poorer with TSI. This pattern was repeated in analyses of summer and winter months, which included SSC. In summary, using synoptic weather categories in regression models does not meaningfully change the association between mortality and air pollution indexes. We also found little evidence that weather conditions modified the effect of pollution, regardless of the approach used to represent weather.

Air Pollution↗
PubMed1999

An analysis of subjective complaints in a population living in a methylmercury-polluted area.

The aim of this study is to document subjective complaints, to analyze the structure of a population living in a methylmercury-polluted area, and to investigate the relationship between the subjective complaints and methylmercury pollution. A total of 1304 adults in the polluted area, who were living in the methylmercury-polluted area near Minamata City in Kumamoto Prefecture, Japan, and 446 age-matched adults in a nonpolluted area were interviewed. Comparison of prevalence, factor analysis, and cluster analysis were conducted using data drawn from a questionnaire survey about 64 subjective complaints. The population in the polluted area had more various complaints than that living in the nonpolluted area. The factor analysis proposed four factors: nonspecific, sensory, arthritic, and muscular. Each of the four factor scores was significantly higher in the population in the polluted area. Subjects who had more complaints were classified into three clusters using cluster analysis. It is possible that not only neurological subjective complaints but also nonspecific complaints of the population in the polluted area might be influenced by past methylmercury exposure.

Adult↗
PubMed1999

Short-term effects of air pollution on childhood respiratory illness in Piraeus, Greece, 1987-1992: nonparametric stochastic dynamic analysis.

The short-term effects of air pollution on childhood respiratory illness are analyzed for the city of Piraeus, Greece during the 1987-1992 period using a distinct, nonparametric, stochastic dynamical system approach. This approach accounts for the time continuity of the phenomenon, including contemporaneous, lagged, and unstructured cumulative effects. It also accounts for the presence of autocorrelation and nonstationary structures in the series and aims at revealing the potentially subtle relationships among the examined pollutants (smoke, CO, SO(2), NO(2), O(3)), meteorological factors (temperature, humidity), and hospital admissions. The approach is also capable of assessing the individual effects of any isolated pollutant, as well as the total effects of all measured pollutants. The study is based upon 4042 hospital admissions, and its results indicate statistically significant effects of each individual pollutant, as well as meteorological factor, on hospital admissions. It is interesting that these effects appear stronger for the second half of the examined period, despite declines in the observed mean concentrations for most pollutants. The total effects of the four pollutants (excluding O(3)) are characterized by multiple coherence measures of 18.37 and 21.66% in the first and second halves of the examined period, respectively, and are confirmed as statistically significant.

Air Pollution↗
PubMed2002

The toxicity and fate of phenolic pollutants in the contaminated soils associated with the oil-shale industry.

Phenol, cresols, dimethylphenols and resorcinols considered major pollutants in the oil-shale semi-coke dump leachates (up to 380 mg phenols/L) that contaminate the surrounding soils and pose a threat to the groundwater in the North-East of Estonia. However; despite high residual concentrations of polyaromatic hydrocarbons (PAHs) and oil products in these soils, the concentration of phenols (especially their water-extractable fraction) was low, not exceeding 0.7 mg/kg dwt. The aim of the current study was to evaluate the role of biodegradation and aging on the decrease of hazard caused by phenolic pollution. The extractability of phenols (phenol, cresols, dimethylphenols and resorcinols) and their biodegradability by the microbial population was studied in the 13 soils sampled from the Estonian oil-shale region, territories of former gas stations, and from presumably non-polluted areas. Phenol, 5-methylresorcinol, p-cresol and resorcinol could be considered easily degradable in the soils as the microbial populations from majority of the soils studied were able to grow on mineral medium supplemented with these phenols as a single source of carbon. 2,3- and 2,4- and 3,4-dimethylphenols could be considered less easily biodegradable. The semi-coke dump leachate polluted soil (containing no dibasic phenols, 43 mg of monobasic phenols, 1348 mg of oil products and 35 mg of PAHs per g dwt) was analyzed chemically (HPLC) and toxicologically (Flash-Assay using Vibrio fischeri) for the leaching of phenols during shaking of soil-water slurries for 24 h. Only 5.8% of the total concentration of phenols was water-extractable, whereas about 50% of the leached amount was biodegraded by the soil microorganisms. Phenol and cresols were biodegraded by 80%, but the concentration of dimethylphenols practically did not change. The pollutants (measured as total water-extractable toxicity) were desorbed from the soil particles by the 8th h of extraction, whereas the toxicity of the aqueous phase continued to increase, probably due to the formation of toxic metabolites. The concentration of water-extractable phenols was too low to explain the toxicity of the extract. Also the impact of PAHs and oil products was excluded. Thus, the relatively low concentration of phenols in the oil-shale region soils is most probably the reflection of both natural attenuation and pollution aging. Therefore, the impact of phenolic compounds to the net bioavailable hazard is probably not so remarkable as has been considered. The actual pollutants causing the soils from the oil-shale region, however, need to be elucidated.

Biodegradation, Environmental↗
PubMed2000

Can excrement and feathers of nestling songbirds be used as biomonitors for heavy metal pollution?

Although birds have been frequently used as indicators of heavy metal pollution, few studies have examined pollutant levels in nestling passerines. In this paper we determined the levels of two essential (zinc and copper) and three nonessential heavy metals (lead, cadmium, and arsenic) in the excrement and feathers of great (Parus major) and blue tit (Parus caeruleus) nestlings at a polluted site (near a metallurgic factory) and a reference site (4 km farther east). The excrement of both great and blue tit nestlings contained significantly higher concentrations of arsenic, cadmium, copper, and lead at the polluted site. Zinc concentrations did not differ significantly between sites for both species. The feathers of great and blue tit nestlings accumulated significantly higher concentrations of lead at the polluted site than at the reference site. Zinc levels in the feathers of great tit nestlings were significantly higher at the reference site than at the polluted site. For all other elements considered, concentrations did not differ significantly between the two sites. There were no interspecific differences in metal levels between great and blue tits in both excrement and feathers. There was a significant positive correlation between the lead concentration in the excrement and feathers for both great and blue tits. We therefore conclude that excrement of great and blue tit nestlings can be used as a biomonitor for heavy metals (lead, cadmium, arsenic, and copper), whereas feathers appear only to be suitable as a biomonitor for lead pollution.

Animals↗
PubMed2006

Relationships between sediment microbial communities and pollutants in two California salt marshes.

Salt marshes are important ecosystems whose plant and microbial communities can alter terrestrially derived pollutants prior to coastal water discharge. However, knowledge regarding relationships between anthropogenic pollutant levels and salt marsh microbial communities is limited, and salt marshes on the West Coast of the United States are rarely examined. In this study, we investigated the relationships between microbial community composition and 24 pollutants (20 metals and 4 organics) in two California salt marshes. Multivariate ordination techniques were used to assess how bacterial community composition, as determined by terminal restriction fragment length polymorphism and phospholipid fatty acid analyses, was related to pollution. Sea urchin embryo toxicity measurements and plant tissue metabolite profiles were considered two other biometrics of pollution. Spatial effects were strongly manifested across marshes and across channel elevations within marshes. Utilizing partial canonical correspondence analysis, an ordination technique new to microbial ecology, we found that several metals were strongly associated with microbial community composition after accounting for spatial effects. The major patterns in plant metabolite profiles were consistent with patterns across microbial community profiles, but sea urchin embryo assays, which are commonly used to evaluate ecological toxicity, had no identifiable relationships with pollution. Whereas salt marshes are generally dynamic and complex habitats, microbial communities in these marshes appear to be relatively sensitive indicators of toxic pollutants.

Animals↗
PubMed2001

Surface water pollution in three urban territories of Nepal, India, and Bangladesh.

In South Asian countries such as Nepal, India, and Bangladesh, pollution of rivers is more severe and critical near urban stretches due to huge amounts of pollution load discharged by urban activities. The Bagmati River in the Kathmandu valley, the Yamuna River at Delhi, and peripheral rivers (mainly Buriganga River) of Dhaka suffer from severe pollution these days. The observed dry season average of biochemical oxygen demand (BOD) in all these rivers is in the range of 20-30 mg/liter and total coliform are as high as 104-105 MPN/100 ml. Per capita pollution load discharge of urban areas has been estimated to be about 31, 19, and 25 g BOD/capita/day in Bagmati, Yamuna, and the rivers of Dhaka, respectively. Regression analysis reveals pollution loads steadily increasing nearly in step with the trend in urbanization. The dissolved oxygen (DO) level of the Bagmati and Buriganga rivers is declining at an average annual rate of nearly 0.3 mg/liter/year. Unplanned urbanization and industrialization occurring in these cities may be largely responsible for this grave situation. Inadequate sewerage, on-site sanitation, and wastewater treatment facilities in one hand, and lack of effective pollution control measures and their strict enforcement on the other are the major causes of rampant discharge of pollutants in the aquatic systems.

Agriculture↗
PubMed1999

Modeling of air pollution and its relationship with mortality and morbidity in Madrid, Spain.

OBJECTIVE: Evaluation of the association between air pollution and mortality and morbidity is becoming ever more complex owing to changes in inner-city air pollution, marked by decreasing values for all main pollutants save those associated with traffic. This has led to the need for the study of new epidemiological scenarios in which most pollutants are below guideline values. Nonetheless, the health effects are significant. METHODS: This report presents the results of a statistically based model for real-time forecasting of mortality and morbidity in Madrid, with meteorological and pollution series serving as inputs. RESULTS AND CONCLUSIONS: Not only did the models perform well with correlation coefficients between predicted and observed values (r = 0.683 for mortality, r = 0.681 for morbidity), but they enabled quantification of the impact of air pollution on mortality and morbidity (with increases ranging from 1. 8% to 12% for mortality and from 2.3% to 18% for morbidity for a 25-microg/m(3) increase in pollutants). Moreover, attention should be drawn to the observation that the model proved to be easy to implement and operate on a routine basis.

Air Pollution↗