Abstract
From a public health point of view, years of life lost (YLL) is a more important index than the number of deaths to evaluate the effect of risk factors. The objective of the present study was to estimate the burden of disease including years of life lost (YLL) and expected life remaining (ELR) attributed to long-term exposure to PM2.5 in Ahvaz, one of the most polluted cities of the world, during March 2014 through March 2017. AirQ + software was used for the estimation of YLL and ELR due to all natural causes of death. Hourly concentrations of PM2.5 were acquired from the Department of Environment (DoE) of Ahvaz. Several steps were performed to validate the raw air quality data. Only the monitors were included that had minimum data completeness of 75%. Two age groups were selected for this study, including 0–64 and 65 < years. The life table approach was used to estimate YLL and ELR. Annual averages of PM2.5 were 5.2–8 times higher than the air quality guideline (10 μg/m3) set by WHO for long-term exposure to PM2.5. In total, PM2.5 has caused 234,041 years of life lost due to mortality. About 84% of YLLs were attributed to people older than 65 years old. The YLLs of men were higher than those for women. The YLLs in the third year were greater than the first two years. PM2.5 has caused the average age of total population, people aged 0–64 years old, and people > 65 years old decreased by 2.5, 3, and 1.6 years, respectively. These studies indicated that people in a city that the air quality is highly affected by dust storms, industrial emissions, and urban air pollution are significantly at risk. Air pollution control strategies and actions should be designed and executed to improve the quality of ambient air.
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References
Ashrafi, K., Fallah, R., Hadei, M., Yarahmadi, M., & Shahsavani, A. (2018). Source apportionment of total suspended particles (TSP) by positive matrix factorization (PMF) and chemical mass balance (CMB) modeling in Ahvaz, Iran. Archives of Environmental Contamination Toxicology, 75, 278–294. https://doi.org/10.1007/s00244-017-0500-z.
Beelen, R., et al. (2014). Effects of long-term exposure to air pollution on natural-cause mortality: An analysis of 22 European cohorts within the multicentre ESCAPE project. The Lancet, 383, 785–795. https://doi.org/10.1016/S0140-6736(13)62158-3.
Dastoorpoor, M., et al. (2018). Acute effects of air pollution on spontaneous abortion, premature delivery, and stillbirth in Ahvaz, Iran: A time-series study. Environmental Science and Pollution Research, 25(6), 5447–5458.
Dianat, M., et al. (2016). The effects of PM10 on electrocardiogram parameters, blood pressure and oxidative stress in healthy rats: The protective effects of vanillic acid. Environmental Science and Pollution Research, 23(19), 19551–19560.
Farsani, M. H., et al. (2018). Evaluation of the relationship between PM10 concentrations and heavy metals during normal and dusty days in Ahvaz, Iran. Aeolian Research, 33, 12–22. https://doi.org/10.1016/j.aeolia.2018.04.001.
Forouzanfar, M. H., et al. (2016). Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388, 1659–1724.
Goudarzi, G., Shirmardi, M., Naimabadi, A., Ghadiri, A., & Sajedifar, J. (2019). Chemical and organic characteristics of PM2.5 particles and their in-vitro cytotoxic effects on lung cells: The Middle East dust storms in Ahvaz, Iran. Science of the Total Environment, 655, 434–445. https://doi.org/10.1016/j.scitotenv.2018.11.153.
Guo, Y., Li, S., Tian, Z., Pan, X., Zhang, J., & Williams, G. J. B. (2013). The burden of air pollution on years of life lost in Beijing, China, 2004-08: Retrospective regression analysis of daily deaths. BMJ, 347, 7139.
Hadei, M., Hashemi Nazari, S. S., Yarahmadi, M., Kermani, M., Farhadi, M., & Shahsavani, A. (2017). Estimation of gender-specific lung cancer deaths due to exposure to PM2.5 in 10 cities of Iran during 2013–2016: A modeling approach. International Journal of Cancer Management, 10, 13–21. https://doi.org/10.5812/ijcm.10235.
He, T., et al. (2016). Ambient air pollution and years of life lost in Ningbo. China, 6, 22485.
Hopke, P. K., Hashemi Nazari, S. S., Hadei, M., Yarahmadi, M., Kermani, M., Yarahmadi, E., & Shahsavani, A. (2018). Spatial and temporal trends of short-term health impacts of PM2.5 in Iranian Cities; a modelling approach. Aerosol and Air Quality Research. https://doi.org/10.4209/aaqr.2017.09.0325.
Huang, J., et al. (2018). The burden of ozone pollution on years of life lost from chronic obstructive pulmonary disease in a city of Yangtze River Delta. China, 242, 1266–1273.
Karimi, A., Shirmardi, M., Hadei, M., Birgani, Y. T., Neisi, A., Takdastan, A., & Goudarzi, G. (2019). Concentrations and health effects of short- and long-term exposure to PM2.5, NO2, and O3 in ambient air of Ahvaz city Iran (2014–2017). Ecotoxicology Environmental Safety, 180, 542–548. https://doi.org/10.1016/j.ecoenv.2019.05.026.
Khaniabadi, Y. O., et al. (2017). Human health risk assessment due to ambient PM10 and SO2 by an air quality modeling technique. Process Safety and Environmental Protection, 111, 346–354.
Lehtomäki, H., et al. (2018). Health impacts of ambient air pollution in Finland. International Journal of Environmental Research and Public Health, 15, 736. https://doi.org/10.3390/ijerph15040736.
Marzouni, M. B., et al. (2017). Health benefits of PM 10 reduction in Iran. International Journal of Biometeorology, 61(8), 1389–1401.
Naimabadi, A., et al. (2018). On the chemical nature of precipitation in a populated Middle Eastern Region (Ahvaz, Iran) with diverse sources. Ecotoxicology and Environmental Safety, 163, 558–566. https://doi.org/10.1016/j.ecoenv.2018.07.103.
Neisi, A., et al. (2017). Comparison of normal and dusty day impacts on fractional exhaled nitric oxide and lung function in healthy children in Ahvaz, Iran. Environmental Science and Pollution Research, 24(13), 12360–12371.
Neisi, A., et al. (2018). Concentration of air pollutants as toxic matter in urban and rural areas of Ahvaz. Toxin Reviews, 37, 243–250. https://doi.org/10.1080/15569543.2017.1337796.
Nie, D., Chen, M., Wu, Y., Ge, X., Hu, J., Zhang, K., & Ge, P. (2018). Characterization of fine particulate matter and associated health burden in Nanjing. International Journal of Environmental Research and Public Health, 15, 602. https://doi.org/10.3390/ijerph15040602.
Pierpaolo Mudu CG, Maria Dunbar (2016) AirQ+ 1.0 example of calculations. World Health Organization
Rabl, A. (2003). Interpretation of air pollution mortality: number of deaths or years of life lost? Journal of the Air and Waste Management Association, 53(1), 41–50.
Shahsavani, A., et al. (2012). The evaluation of PM10, PM2.5, and PM1 concentrations during the Middle Eastern Dust (MED) events in Ahvaz, Iran from april through September 2010. Journal of Arid Environments, 77, 72–83. https://doi.org/10.1016/j.jaridenv.2011.09.007.
Villeneuve, P. J., et al. (2015). Long-term exposure to fine particulate matter air pollution and mortality among Canadian women. Epidemiology, 26, 536–545. https://doi.org/10.1097/EDE.0000000000000294.
WHO. (2014). Ambient (outdoor) air pollution in cities database. Geneva: World Health Organization.
WHO. (2016). Ambient air pollution: A global assessment of exposure and burden of disease. Geneva: Switzerland.
WHO (2018) Ambient air pollution: Health impacts. World Health Organization. https://www.who.int/airpollution/ambient/health-impacts/en/.
WHO Regional Office for Europe (2016) AirQ+: key features. WHO Regional Office for Europe
Wolf, K., et al. (2015). Long-term exposure to particulate matter constituents and the incidence of coronary events 11 in European cohorts. Epidemiology, 26, 565–574. https://doi.org/10.1097/ede.0000000000000300.
Yarahmadi, M., Hadei, M., Nazari, S. S. H., Conti, G. O., Alipour, M. R., Ferrante, M., & Shahsavani, A. (2018). Mortality assessment attributed to long-term exposure to fine particles in ambient air of the megacity of Tehran, Iran. Environmental Science and Pollution Research, 25, 14254–14262.
Zhou, M., Liu, Y., Wang, L., Kuang, X., Xu, X., & Kan, H. (2014). Particulate air pollution and mortality in a cohort of Chinese men. Environmental Pollution, 186, 1–6. https://doi.org/10.1016/j.envpol.2013.11.010.
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GG acknowledges support from Grant 971504 from the National Institute for Medical Research Development (NIMAD).
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Moradi, M., Hadei, M., Yazdani, M. et al. Effect of long-term exposure to PM2.5 on years of life lost in a populated Middle Eastern city. Environ Geochem Health 43, 3229–3235 (2021). https://doi.org/10.1007/s10653-021-00827-z
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DOI: https://doi.org/10.1007/s10653-021-00827-z