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All-cause, cardiova...
All-cause, cardiovascular, and respiratory mortality and wildfire-related ozone : a multicountry two-stage time series analysis
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- Chen, Gongbo (author)
- School of Public Health and Preventive Medicine, Monash University, VIC, Melbourne, Australia
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- Guo, Yuming (author)
- School of Public Health and Preventive Medicine, Monash University, VIC, Melbourne, Australia
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- Yue, Xu (author)
- Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science and Technology, Nanjing, China
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- Xu, Rongbin (author)
- School of Public Health and Preventive Medicine, Monash University, VIC, Melbourne, Australia
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- Yu, Wenhua (author)
- School of Public Health and Preventive Medicine, Monash University, VIC, Melbourne, Australia
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- Ye, Tingting (author)
- School of Public Health and Preventive Medicine, Monash University, VIC, Melbourne, Australia
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- Tong, Shilu (author)
- National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China; School of Public Health and Social Work, Queensland University of Technology, QLD, Brisbane, Australia
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- Gasparrini, Antonio (author)
- Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom
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- Bell, Michelle L. (author)
- School of the Environment, Yale University, CT, New Haven, United States; School of Health Policy and Management, College of Health Sciences, Korea University, Seoul, South Korea
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- Armstrong, Ben (author)
- Department of Public Health Environments and Society, London School of Hygiene & Tropical Medicine, London, United Kingdom
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- Schwartz, Joel (author)
- Department of Environmental Health, Harvard T H Chan School of Public Health, Harvard University, MA, Boston, United States
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- Jaakkola, Jouni J. K. (author)
- Center for Environmental and Respiratory Health Research, University of Oulu, Oulu, Finland; Medical Research Center Oulu, OuluUniversity Hospital and University of Oulu, Oulu, Finland; Finnish Meteorological Institute, Helsinki, Finland
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- Lavigne, Eric (author)
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, ON, Ottawa, Canada; Environmental Health Science and Research Bureau, Health Canada, ON, Ottawa, Canada
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- Saldiva, Paulo Hilario Nascimento (author)
- INSPER, São Paulo, Brazil
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- Kan, Haidong (author)
- Department of Environmental Health, School of Public Health, Fudan University, Shanghai, China
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- Royé, Dominic (author)
- Department of Geography, University of Santiago de Compostela, Santiago de Compostela, Spain; CIBER Epidemiology and Public Health, Madrid, Spain
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- Urban, Aleš (author)
- Institute of Atmospheric Physics, Academy of Sciences of the Czech Republic, Prague, Czech Republic; Faculty of Environmental Sciences, Czech University of Life Sciences, Prague, Czech Republic
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- Vicedo-Cabrera, Ana Maria (author)
- Institute of Social and Preventive Medicine and Oeschger Center for Climate Change Research, University of Bern, Bern, Switzerland
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- Tobias, Aurelio (author)
- Institute of Environmental Assessment and Water Research, Spanish Council for Scientific Research, Barcelona, Spain; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
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- Forsberg, Bertil, professor, 1956- (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin
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- Sera, Francesco (author)
- Department of Statistics, Computer Science and Applications “G Parenti”, University of Florence, Florence, Italy
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- Lei, Yadong (author)
- State Key Laboratory of Severe Weather and Key Laboratory of Atmospheric Chemistry of China Meteorological Administration, Chinese Academy of Meteorological Sciences, Beijing, China
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- Abramson, Michael J. (author)
- School of Public Health and Preventive Medicine, Monash University, VIC, Melbourne, Australia
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- Li, Shanshan (author)
- School of Public Health and Preventive Medicine, Monash University, VIC, Melbourne, Australia
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(creator_code:org_t)
- Elsevier, 2024
- 2024
- English.
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In: The Lancet Planetary Health. - : Elsevier. - 2542-5196. ; 8:7, s. e452-e462
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https://umu.diva-por... (primary) (Raw object)
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Abstract
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- Background: Wildfire activity is an important source of tropospheric ozone (O3) pollution. However, no study to date has systematically examined the associations of wildfire-related O3 exposure with mortality globally.Methods: We did a multicountry two-stage time series analysis. From the Multi-City Multi-Country (MCC) Collaborative Research Network, data on daily all-cause, cardiovascular, and respiratory deaths were obtained from 749 locations in 43 countries or areas, representing overlapping periods from Jan 1, 2000, to Dec 31, 2016. We estimated the daily concentration of wildfire-related O3 in study locations using a chemical transport model, and then calibrated and downscaled O3 estimates to a resolution of 0·25° × 0·25° (approximately 28 km2 at the equator). Using a random-effects meta-analysis, we examined the associations of short-term wildfire-related O3 exposure (lag period of 0–2 days) with daily mortality, first at the location level and then pooled at the country, regional, and global levels. Annual excess mortality fraction in each location attributable to wildfire-related O3 was calculated with pooled effect estimates and used to obtain excess mortality fractions at country, regional, and global levels.Findings: Between 2000 and 2016, the highest maximum daily wildfire-related O3 concentrations (≥30 μg/m3) were observed in locations in South America, central America, and southeastern Asia, and the country of South Africa. Across all locations, an increase of 1 μg/m3 in the mean daily concentration of wildfire-related O3 during lag 0–2 days was associated with increases of 0·55% (95% CI 0·29 to 0·80) in daily all-cause mortality, 0·44% (–0·10 to 0·99) in daily cardiovascular mortality, and 0·82% (0·18 to 1·47) in daily respiratory mortality. The associations of daily mortality rates with wildfire-related O3 exposure showed substantial geographical heterogeneity at the country and regional levels. Across all locations, estimated annual excess mortality fractions of 0·58% (95% CI 0·31 to 0·85; 31 606 deaths [95% CI 17 038 to 46 027]) for all-cause mortality, 0·41% (–0·10 to 0·91; 5249 [–1244 to 11 620]) for cardiovascular mortality, and 0·86% (0·18 to 1·51; 4657 [999 to 8206]) for respiratory mortality were attributable to short-term exposure to wildfire-related O3.Interpretation: In this study, we observed an increase in all-cause and respiratory mortality associated with short-term wildfire-related O3 exposure. Effective risk and smoke management strategies should be implemented to protect the public from the impacts of wildfires.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
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- By the author/editor
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Chen, Gongbo
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Guo, Yuming
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Yue, Xu
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Xu, Rongbin
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Yu, Wenhua
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Ye, Tingting
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Tong, Shilu
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Gasparrini, Anto ...
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Bell, Michelle L ...
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Armstrong, Ben
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Schwartz, Joel
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Jaakkola, Jouni ...
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Lavigne, Eric
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Saldiva, Paulo H ...
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Kan, Haidong
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Royé, Dominic
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Urban, Aleš
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Vicedo-Cabrera, ...
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Tobias, Aurelio
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Forsberg, Bertil ...
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Sera, Francesco
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Lei, Yadong
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Abramson, Michae ...
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Li, Shanshan
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