Skip to main content

Weather, Ambient Air Pollution and Bronchial Asthma in Athens, Greece

  • Chapter

Part of the book series: Advances in Global Change Research ((AGLO,volume 30))

Abstract

The associations between various meteorological parameters, concentrations of PM10, SO2, and O3 pollutants and bronchial asthma of residents of the wider region of Athens are examined in this study. For this purpose, 1,288 patients’ admissions (412 males and 876 females) recorded in 13 pneumonological clinics of Sotiria Hospital, which is the major Hospital for respiratory diseases in Athens, were analyzed for the period 1/1/2001–31/12/2002. The meteorological data were available by the National Observatory of Athens and the concentrations of PM10, SO2, and O3 pollutants were obtained by the air pollution network of 10 stations of the Ministry of Environment (Directorate of Air and Noise pollution Control).

The evaluation of the possible relationship between the bronchial asthma admissions (BAA) and the meteorological variables was achieved by the application of Generalized Linear Models with Poisson distribution, because the medical dataset presents large divergence from a Gaussian distribution. The results showed that a statistically significant (p<0.01) negative correlation between all examined air temperature variables, water vapor pressure, evaporation, sunshine, total solar irradiance, and BAA exists. Moreover, the findings of the analysis showed that a statistically significant relationship between the examined pollutants and BAA on the same day does not exist, with the exception of O3, which is correlated negatively (p<0.0l) with BAA. Nevertheless, there is a statistically significant lag effect (7–8 days) between the increase in BAA and the peak in the concentrations of PM10, SO2, and O3 pollutants. During the cold period of the year (October–April), BAA is significantly associated with O3 lag 2 day.

The interannual variation of bronchial asthma admissions (BAA) reveals peaks within the transitional seasons of the year (spring and autumn), while the main minimum is apparent during summer period and especially in August.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Bartzokas, A., Kassomenos, P., Petrakis, M., Celesides, C. (2003) The effect of meteorological and pollution parameters on the frequency of hospital admissions for cardiovascular and respiratory problems in Athens. Indoor Built Environ., 13, 271–275.

    Article  Google Scholar 

  • Bascom, R. (1996) Health effects of outdoor air pollution. Am. J. Respir. Crit. Care Med., 153, 3–50.

    Google Scholar 

  • Bates, D.V., Caton, R.B. (2002) A citizen’s guide to air pollution. David Suzuki Foundation. Pittsburgh: Dorrance Publishing.

    Google Scholar 

  • Berktas, B.M., Bircan, A. (2003) Effects of atmospheric sulphur dioxide and particulate matter concentrations on emergency room admissions due to asthma in Ankara. Tuberk Toraks, 51(3), 231–238.

    PubMed  Google Scholar 

  • Braun-Fahrlander, C., Ackermann-Liebrich, U., Schwartz, J., Gnehm, H.P., Rutishauser, M., Wanner, H.U. (1992) Air pollution and respiratory symptoms in preschool children. Am. Rev. Respir. Dis., 145, 42–47.

    CAS  PubMed  Google Scholar 

  • Burnett, R.T., Dales, R.E., Raizenne, M.E., Krewski, D., Summers, P.W., Roberts, G.R., Raad-Young, M., Dann, T., Brooke, T. (1994) Effects of low ambient levels of ozone and sulfates on the frequency of respiratory admissions to Ontario hospitals. Environ. Res., 65, 172–194.

    Article  CAS  PubMed  Google Scholar 

  • Delfino, R.J., Murphy-Moulton, A.M., Burnett, R.T., Brook, J.R., Becklake, M.R. (1997) Effects of air pollution on emergency room visits for respiratory illness in Montreal, Quebec. (1997) Am. J. Respir. Crit. Care Med., 155, 568–576.

    CAS  PubMed  Google Scholar 

  • Dockery D.W., Pope III C.A. (1994) Acute respiratory effects of particulate air pollution Annu. Rev. Publ Health, 15, 107–132.

    Article  CAS  Google Scholar 

  • EPA (2006) Guideline for Reporting of Daily Air Quality–Air Quality Index (AQI). US Environmental Protection Agency, Office of Air Quality Planning and Standards, Research Triangle Park, North Carolina 27711, EPA-454/B-06–001.

    Google Scholar 

  • Galán, I., Tobías, A., Banegas, J.R. (2003) Short-term effects of air pollution on daily asthma emergency room admissions. Eur. Respir. J., 22, 802–808.

    Article  PubMed  Google Scholar 

  • Goldstein, I.F. (1980) Weather patterns and asthma epidemics in New York City and New Orleans, USA. Int. J. Biometeorol., 24(4), 329–339.

    Article  CAS  PubMed  Google Scholar 

  • Gratziou, C., Katsouyanni, K., Gratziou, M., Manalis, N., Kalandidi, A., Roussos, C. et al. (2001) Air pollution short term effects on respiratory health of children living in Athens. Proceedings of the 7th International Conference on Environmental Science and Technology, Ermoupolis, Syros island, Greece, pp. 291–294.

    Google Scholar 

  • Grech, V., Balzan, M., Asciak, R.P., Buhagiar, A. (2002) Seasonal variations in hospital admissions for asthma in Malta. J. Asthma, 39(3), 263–268.

    Article  PubMed  Google Scholar 

  • Greenburg, L., Field, F., Reed, J.I., Erhardt, C.L. (1966) Asthma and temperature range.II. 1964 and 1965 epidemiodological studies of emergency clinic visits for asthma in three large New York City hospitals. Arch. Environ. Health, 12, 561–563.

    Google Scholar 

  • Hajat, S., Bird, W., Haines, A. (2004) Cold weather and GP consultations for respiratory conditions by elderly people in 16 locations in the UK. Eur. J. Epidemiol., 19(10), 959–968.

    Article  PubMed  Google Scholar 

  • Hashimoto, M., Fukuda, T., Shimizu, T., Watanabe, S., Watanuki, S., Eto, Y., Urashima, M. (2004) Influence of climate factors on emergency visits for childhood asthma attack. Pediatr. Int., 46(1), 48–52.

    Article  PubMed  Google Scholar 

  • Hoek, G., Brunekreef, B. (1995) Effect of photochemical air pollution on acute respiratory symptoms in children. Am. J. Respir. Crit. Care Med., 151, 27–32.

    CAS  PubMed  Google Scholar 

  • IPCC (2001) Climate Change 2001: Impacts, Adaptation and Vulnerability. Technical Summary.

    Google Scholar 

  • Jaffe, D.H., Singer, M.E., Rimm, A.A. (2003) Air pollution and emergency department visits for asthma among Ohio Medicaid recipients, 1991–1996. Environ. Res., 91, 21–28.

    Article  CAS  PubMed  Google Scholar 

  • Jalaludin, B.B., O’Toole, B.I., Leedor, S.R. (2004) Acute effects of urban ambient air pollution on respiratory symptoms, asthma medication use, and doctor visits for asthma in a cohort of Australian children. Environ. Res., 95(1), 32–42.

    Article  CAS  PubMed  Google Scholar 

  • Karalis, J.D. (1969) Types of weather in Greece, Ph.D. thesis, University of Athens, Athens, pp. 32–54, 76.

    Google Scholar 

  • Kashiwabara, K., Kohrogi, H., Ota, K., Moroi, T. (2002) High frequency of emergency room visits of asthmatic children on misty or foggy nights. J Asthma 39, 711–717.

    Article  PubMed  Google Scholar 

  • Kotinis-Zambakas, S. (1983) Contribution to the study of the climate of Greece. Normal weather per month. Research Center for Atmospheric Physics and Climatology, Academy of Athens, Publication 8, pp. 99–127.

    Google Scholar 

  • Lipfert, F.W. (1993) A critical review of studies of the association between demands for hospital services and air pollution. Environ. Health Perspect., 101, 229–268.

    Article  PubMed  Google Scholar 

  • McGullagh, P., Nelder, J.A. (1997) Generalized Linear Models, 2nd Edition, London: Chapman & Hall, p. 450.

    Google Scholar 

  • Nedler, J.A, Wedderburn, R.M. (1972) Generalized linear models, J. Roy. Stat. Soc. Ser A 135, 370–384.

    Article  Google Scholar 

  • Neuberger, M., Schimek, M., Horak, F., Moshammer, H., Kundi, M., Frischer, T., Gomiscek, B., Puxbaum, H., Hauck, H., AUPHEP-Team (2004) Acute effects of particulate matter on respiratory diseases, symptoms and functions: epidemiological results of the Austrian Project on Health Effects of Particulate Matter (AUPHEP). Atmos. Environ., 38, 3971–3981.

    Article  CAS  Google Scholar 

  • Ostro, B.D., Eskeland, G.S., Sanchez, J.M., Feyzioglu, T. (1999) Air pollution and health effects: a study of medical visits among children in Santiago, Chile. Environ. Health Perspect., 107, 69–73.

    Article  CAS  PubMed  Google Scholar 

  • Schwartz, J., Slater, D., Larson, T.V., Pierson, W.E., Koenig, J.Q. (1993) Particulate air pollution and hospital emergency room visits for asthma in Seattle. Am. Rev. Respir. Dis., 147, 826–831.

    CAS  PubMed  Google Scholar 

  • Timonen, K.L., Pekkanen, J. (1997) Air pollution and respiratory health among children with asthmatic or cough symptoms. Am. J. Respir. Crit. Care Med., 156, 546–552.

    CAS  PubMed  Google Scholar 

  • Trasande, L., Thurston, G.D. (2005) The role of air pollution in asthma and other pediatric morbidities. J. Allergy Clin. Immunol., 115, 689–699.

    Article  CAS  PubMed  Google Scholar 

  • US Environmental Protection Agency (US EPA) (1996). Air Quality Criteria for Ozone and Related Photochemical Oxidants. EPA/600/ P-93/004cF. US Environmental Protection Agency, Research Triangle Park, NC. Environ. Res., 65, 56–68.

    Google Scholar 

  • Walters, S., Griffiths, R.K., Ayers, J.G. (1994) Temporal association between hospital admissions for asthma in Birmingham and ambient levels of sulphur dioxide and smoke. Thorax, 49, 133–140.

    Article  CAS  PubMed  Google Scholar 

  • Weiland, S.K., Husing, A., Strachan, D.P., Rzehak, P., Pearce, N. (2004) Climate and the prevalence of symptoms of asthma, allergic rhinitis, and atopic eczema in children. J. Occup. Environ. Med., 61(7), 609–615.

    Article  CAS  Google Scholar 

  • WHO (2000) Air Quality Guidelines for Europe, 2nd edn. WHO Regionalm Publications, European series, No 91.

    Google Scholar 

  • Yuksel, H., Tanac, R., Tez, E., Demir, E., Coker, M. (1996) Childhood asthma and atmospheric conditions. Acta Paediatr. Jpn. (Overseas Edition), 38(6), 606–610.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer Science + Business Media B.V

About this chapter

Cite this chapter

Nastos, P.T. (2008). Weather, Ambient Air Pollution and Bronchial Asthma in Athens, Greece. In: Thomson, M.C., Garcia-Herrera, R., Beniston, M. (eds) Seasonal Forecasts, Climatic Change and Human Health. Advances in Global Change Research, vol 30. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-6877-5_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4020-6877-5_11

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-1-4020-6876-8

  • Online ISBN: 978-1-4020-6877-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics