Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2

Translated title of the contribution: Short-term impact of air pollution among Italian cities covered by the EpiAir2 project

Michela Baccini, Annibale Biggeri, Gabriele Accetta, Ester Rita Alessandrini, Paola Angelini, Lorenzo Angiuli, Antonello Antonelli, Pasquale Arena, Giorgio Assennato, Flavia Baldacchini, Sandra Baldacci, Marco Baldini, Vincenzo Baldo, Giuseppe Ballarino, Daniela Balzi, Ingrid Barban, Giulia Barbati, Fabio Barbone, Alessandro Barchielli, Simona BaroniRoberta Barontini, Silvia Bartolacci, Sabina Bellodi, Massimo Berico, Giovanna Berti, Luigi Bisanti, Marina Bonfanti, Anna Bonomolo, Laura Bonvicini, Matteo Bovenzi, Cecilia Brescianini, Serena Broccoli, Antonella Bruni, Ennio Cadum, Salvatore Caldara, Roberta Calzolari, Enrica Canossa, Cristina Canova, Gianluca Caramia, Giulia Carreras, Giovanna Casale, Patrizia Casale, Claudia Casella, Anica Casetta, Giorgio Cattani, Achille Cernigliaro, Sonia Cerrai, Marco Cervino, Laura Cestari, Elisabetta Chellini, Monica Chiusolo, Giovanni Ciaccia, Fabio Cibella, Silvia Cocchio, Laura Crosetto, Francesco Cuccaro, Fulvio Daris, Francesca De Donato, Gianfranco De Girolamo, Aldo De Togni, Katiuscia Di Biagio, Anna Di Leo, Sara Di Lonardo, M. Patrizia Dessì, Andrea Evangelista, Fabio Faccini, Gaia Fallani, Annunziata Faustini, Francesco Forastiere, Roberto Fruzzetti, Claudia Galassi, Giovanni Gallo, Lorenza Gallo, Martina Gandini, Angela Ganzi, Elsa Garrone, Giulia Gatti, Bianca Gherardi, Emilio A L Gianicolo, Simone Giannini, Roberto Giua, Carlo Alberto Goldoni, Daniele Grechi, Mauro Grosa, Nicola Guerrini, Maurizio Impallomeni, Claudia Iuzzolino, Teresa La Torretta, Guido Lanzani, Paolo Lauriola, Paola Leuci, Fernando Luberto, Andrea Lupi, Giuseppe Madonia, Sara Maio, Antonella Malaguti, Cristina Mangia, Stefano Marchesi, Mauro Mariottini, Marika Mariuz, Alfredo Marotta, Andrea Martini, Micaela Menegotto, Fabrizio Merlo, Enrica Migliore, Sante Minerba, Fabrizio Minichilli, Mihaela Mircea, Caterina Morassuto, Alessandra Nocioni, Daniela Nuvolone, Roberto Nuzzi, Giuseppe Onorati, Gabriella Padolecchia, Barbara Palazzi, Paolo Pandolfi, Stefano Parodi, Paolo Pasetti, Alessandro Pensato, Antonio Piersanti, Cinzia Piovesan, Silvia Pistollato, Lorenzo Pizzi, Renato Pizzuti, Sebastiano Pollina Addario, Loredana Porcaro, Mariangela Protti, Antonella Puppo, Mauro Raciti, Giorgia Randi, Andrea Ranzi, Maria Rosa, Giovanna Rubini, Fabrizio Sacco, Michele Santoro, Giuseppe Sarno, Danila Scala, Cecilia Scarinzi, Salvatore Scondotto, Vittorio Selle, Maria Serinelli, Rita Simeoni, Lorenzo Simonato, Marzia Simoni, Giuseppe Spagnolo, Massimo Stafoggia, Emanuele Stagnaro, Gianpiero Starnino, Elisa Stivanello, Riccardo Tominz, Francesco Troiano, Marina Vercelli, Luisa Vianello, Giovanni Viegi, Maria Angela Vigotti, Cristina Volta, Gabriele Zanini, Stefano Zauli-Sajani, Francesco Zero

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

OBJECTIVES: to estimate the short-term impact of air pollutants on adult population of 23 Italian cities on the calendar period 2006-2009 as part of the EpiAir2 project. DESIGN, MATERIALS AND METHODS: for each city, the short-term impact of air pollution on mortality was estimated. In particular, it was calculated the number of deaths attributable to particulate matter levels (PM10 and PM2.5) exceeding different thresholds deriving from the European Union legislation and the World Health Organization guidelines (PM10: 20 and 40 μg/m3, reduction of 20% up to 20 μg/m3 and more than 35 days per year with daily average above 50 μg/m3; PM2.5: 10, 18 and 25 μg/m3, reduction of 20% up to 18 μg/m3). The impact evaluation was done combining the effect estimates of air pollutant, the observed mortality level and the air pollution concentration measured by the ambient monitors. Regarding effects, the posterior city-specific distributions arising from a Bayesian metanalysis was employed. Uncertainty around the impact estimates was obtained by Monte Carlo methods. RESULTS: overall, in the 23 cities considered in the present study attributable deaths to short-term effects of PM10 concentrations above 20 μg/m3 as annual average and of PM 2.5 concentrations above 10 μg/m3 on the period 2006-2009 was respectively 0.9% (assuming independence among cities the 80% credibility interval is 0.4-1.4) and 0.8% (80%CrI 0.2-1.3) of natural mortality. The impact was larger for the cities of the river Po valley, the Florence area and the large conurbations of Rome, Naples and Palermo: considering PM 10 1.0% (80%CrI 0.4-1.5) vs. 0.4% (80%CrI 0.2-0.7) of natural deaths among the other cities in the study. Pollution reduction actions as prescribed by the European Union legislation, i.e. a 20% reduction up to 20 μg/m 3 for PM10 and up to 18 μg/m3 for PM 2.5, would have saved, over all the cities covered by this study, 42% and 51% of all attributable deaths, respectively. CONCLUSIONS: during the study period, air pollution exposure was responsible for a relevant impact on mortality in the enrolled cities. Policies based on percent reduction of PM 10 and PM2.5 as prescribed by the European Union could substantially reduce the short term impact on population mortality.

Original languageItalian
Pages (from-to)252-262
Number of pages11
JournalEpidemiologia e prevenzione
Volume37
Issue number4-5
Publication statusPublished - Jul 2013

Fingerprint

Air Pollution
European Union
Mortality
Air Pollutants
Legislation
Monte Carlo Method
Particulate Matter
Rivers
Population
Uncertainty
Guidelines

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Baccini, M., Biggeri, A., Accetta, G., Alessandrini, E. R., Angelini, P., Angiuli, L., ... Zero, F. (2013). Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2. Epidemiologia e prevenzione, 37(4-5), 252-262.

Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2. / Baccini, Michela; Biggeri, Annibale; Accetta, Gabriele; Alessandrini, Ester Rita; Angelini, Paola; Angiuli, Lorenzo; Antonelli, Antonello; Arena, Pasquale; Assennato, Giorgio; Baldacchini, Flavia; Baldacci, Sandra; Baldini, Marco; Baldo, Vincenzo; Ballarino, Giuseppe; Balzi, Daniela; Barban, Ingrid; Barbati, Giulia; Barbone, Fabio; Barchielli, Alessandro; Baroni, Simona; Barontini, Roberta; Bartolacci, Silvia; Bellodi, Sabina; Berico, Massimo; Berti, Giovanna; Bisanti, Luigi; Bonfanti, Marina; Bonomolo, Anna; Bonvicini, Laura; Bovenzi, Matteo; Brescianini, Cecilia; Broccoli, Serena; Bruni, Antonella; Cadum, Ennio; Caldara, Salvatore; Calzolari, Roberta; Canossa, Enrica; Canova, Cristina; Caramia, Gianluca; Carreras, Giulia; Casale, Giovanna; Casale, Patrizia; Casella, Claudia; Casetta, Anica; Cattani, Giorgio; Cernigliaro, Achille; Cerrai, Sonia; Cervino, Marco; Cestari, Laura; Chellini, Elisabetta; Chiusolo, Monica; Ciaccia, Giovanni; Cibella, Fabio; Cocchio, Silvia; Crosetto, Laura; Cuccaro, Francesco; Daris, Fulvio; De Donato, Francesca; De Girolamo, Gianfranco; De Togni, Aldo; Di Biagio, Katiuscia; Di Leo, Anna; Di Lonardo, Sara; Dessì, M. Patrizia; Evangelista, Andrea; Faccini, Fabio; Fallani, Gaia; Faustini, Annunziata; Forastiere, Francesco; Fruzzetti, Roberto; Galassi, Claudia; Gallo, Giovanni; Gallo, Lorenza; Gandini, Martina; Ganzi, Angela; Garrone, Elsa; Gatti, Giulia; Gherardi, Bianca; Gianicolo, Emilio A L; Giannini, Simone; Giua, Roberto; Goldoni, Carlo Alberto; Grechi, Daniele; Grosa, Mauro; Guerrini, Nicola; Impallomeni, Maurizio; Iuzzolino, Claudia; La Torretta, Teresa; Lanzani, Guido; Lauriola, Paolo; Leuci, Paola; Luberto, Fernando; Lupi, Andrea; Madonia, Giuseppe; Maio, Sara; Malaguti, Antonella; Mangia, Cristina; Marchesi, Stefano; Mariottini, Mauro; Mariuz, Marika; Marotta, Alfredo; Martini, Andrea; Menegotto, Micaela; Merlo, Fabrizio; Migliore, Enrica; Minerba, Sante; Minichilli, Fabrizio; Mircea, Mihaela; Morassuto, Caterina; Nocioni, Alessandra; Nuvolone, Daniela; Nuzzi, Roberto; Onorati, Giuseppe; Padolecchia, Gabriella; Palazzi, Barbara; Pandolfi, Paolo; Parodi, Stefano; Pasetti, Paolo; Pensato, Alessandro; Piersanti, Antonio; Piovesan, Cinzia; Pistollato, Silvia; Pizzi, Lorenzo; Pizzuti, Renato; Addario, Sebastiano Pollina; Porcaro, Loredana; Protti, Mariangela; Puppo, Antonella; Raciti, Mauro; Randi, Giorgia; Ranzi, Andrea; Rosa, Maria; Rubini, Giovanna; Sacco, Fabrizio; Santoro, Michele; Sarno, Giuseppe; Scala, Danila; Scarinzi, Cecilia; Scondotto, Salvatore; Selle, Vittorio; Serinelli, Maria; Simeoni, Rita; Simonato, Lorenzo; Simoni, Marzia; Spagnolo, Giuseppe; Stafoggia, Massimo; Stagnaro, Emanuele; Starnino, Gianpiero; Stivanello, Elisa; Tominz, Riccardo; Troiano, Francesco; Vercelli, Marina; Vianello, Luisa; Viegi, Giovanni; Vigotti, Maria Angela; Volta, Cristina; Zanini, Gabriele; Zauli-Sajani, Stefano; Zero, Francesco.

In: Epidemiologia e prevenzione, Vol. 37, No. 4-5, 07.2013, p. 252-262.

Research output: Contribution to journalArticle

Baccini, M, Biggeri, A, Accetta, G, Alessandrini, ER, Angelini, P, Angiuli, L, Antonelli, A, Arena, P, Assennato, G, Baldacchini, F, Baldacci, S, Baldini, M, Baldo, V, Ballarino, G, Balzi, D, Barban, I, Barbati, G, Barbone, F, Barchielli, A, Baroni, S, Barontini, R, Bartolacci, S, Bellodi, S, Berico, M, Berti, G, Bisanti, L, Bonfanti, M, Bonomolo, A, Bonvicini, L, Bovenzi, M, Brescianini, C, Broccoli, S, Bruni, A, Cadum, E, Caldara, S, Calzolari, R, Canossa, E, Canova, C, Caramia, G, Carreras, G, Casale, G, Casale, P, Casella, C, Casetta, A, Cattani, G, Cernigliaro, A, Cerrai, S, Cervino, M, Cestari, L, Chellini, E, Chiusolo, M, Ciaccia, G, Cibella, F, Cocchio, S, Crosetto, L, Cuccaro, F, Daris, F, De Donato, F, De Girolamo, G, De Togni, A, Di Biagio, K, Di Leo, A, Di Lonardo, S, Dessì, MP, Evangelista, A, Faccini, F, Fallani, G, Faustini, A, Forastiere, F, Fruzzetti, R, Galassi, C, Gallo, G, Gallo, L, Gandini, M, Ganzi, A, Garrone, E, Gatti, G, Gherardi, B, Gianicolo, EAL, Giannini, S, Giua, R, Goldoni, CA, Grechi, D, Grosa, M, Guerrini, N, Impallomeni, M, Iuzzolino, C, La Torretta, T, Lanzani, G, Lauriola, P, Leuci, P, Luberto, F, Lupi, A, Madonia, G, Maio, S, Malaguti, A, Mangia, C, Marchesi, S, Mariottini, M, Mariuz, M, Marotta, A, Martini, A, Menegotto, M, Merlo, F, Migliore, E, Minerba, S, Minichilli, F, Mircea, M, Morassuto, C, Nocioni, A, Nuvolone, D, Nuzzi, R, Onorati, G, Padolecchia, G, Palazzi, B, Pandolfi, P, Parodi, S, Pasetti, P, Pensato, A, Piersanti, A, Piovesan, C, Pistollato, S, Pizzi, L, Pizzuti, R, Addario, SP, Porcaro, L, Protti, M, Puppo, A, Raciti, M, Randi, G, Ranzi, A, Rosa, M, Rubini, G, Sacco, F, Santoro, M, Sarno, G, Scala, D, Scarinzi, C, Scondotto, S, Selle, V, Serinelli, M, Simeoni, R, Simonato, L, Simoni, M, Spagnolo, G, Stafoggia, M, Stagnaro, E, Starnino, G, Stivanello, E, Tominz, R, Troiano, F, Vercelli, M, Vianello, L, Viegi, G, Vigotti, MA, Volta, C, Zanini, G, Zauli-Sajani, S & Zero, F 2013, 'Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2', Epidemiologia e prevenzione, vol. 37, no. 4-5, pp. 252-262.
Baccini M, Biggeri A, Accetta G, Alessandrini ER, Angelini P, Angiuli L et al. Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2. Epidemiologia e prevenzione. 2013 Jul;37(4-5):252-262.
Baccini, Michela ; Biggeri, Annibale ; Accetta, Gabriele ; Alessandrini, Ester Rita ; Angelini, Paola ; Angiuli, Lorenzo ; Antonelli, Antonello ; Arena, Pasquale ; Assennato, Giorgio ; Baldacchini, Flavia ; Baldacci, Sandra ; Baldini, Marco ; Baldo, Vincenzo ; Ballarino, Giuseppe ; Balzi, Daniela ; Barban, Ingrid ; Barbati, Giulia ; Barbone, Fabio ; Barchielli, Alessandro ; Baroni, Simona ; Barontini, Roberta ; Bartolacci, Silvia ; Bellodi, Sabina ; Berico, Massimo ; Berti, Giovanna ; Bisanti, Luigi ; Bonfanti, Marina ; Bonomolo, Anna ; Bonvicini, Laura ; Bovenzi, Matteo ; Brescianini, Cecilia ; Broccoli, Serena ; Bruni, Antonella ; Cadum, Ennio ; Caldara, Salvatore ; Calzolari, Roberta ; Canossa, Enrica ; Canova, Cristina ; Caramia, Gianluca ; Carreras, Giulia ; Casale, Giovanna ; Casale, Patrizia ; Casella, Claudia ; Casetta, Anica ; Cattani, Giorgio ; Cernigliaro, Achille ; Cerrai, Sonia ; Cervino, Marco ; Cestari, Laura ; Chellini, Elisabetta ; Chiusolo, Monica ; Ciaccia, Giovanni ; Cibella, Fabio ; Cocchio, Silvia ; Crosetto, Laura ; Cuccaro, Francesco ; Daris, Fulvio ; De Donato, Francesca ; De Girolamo, Gianfranco ; De Togni, Aldo ; Di Biagio, Katiuscia ; Di Leo, Anna ; Di Lonardo, Sara ; Dessì, M. Patrizia ; Evangelista, Andrea ; Faccini, Fabio ; Fallani, Gaia ; Faustini, Annunziata ; Forastiere, Francesco ; Fruzzetti, Roberto ; Galassi, Claudia ; Gallo, Giovanni ; Gallo, Lorenza ; Gandini, Martina ; Ganzi, Angela ; Garrone, Elsa ; Gatti, Giulia ; Gherardi, Bianca ; Gianicolo, Emilio A L ; Giannini, Simone ; Giua, Roberto ; Goldoni, Carlo Alberto ; Grechi, Daniele ; Grosa, Mauro ; Guerrini, Nicola ; Impallomeni, Maurizio ; Iuzzolino, Claudia ; La Torretta, Teresa ; Lanzani, Guido ; Lauriola, Paolo ; Leuci, Paola ; Luberto, Fernando ; Lupi, Andrea ; Madonia, Giuseppe ; Maio, Sara ; Malaguti, Antonella ; Mangia, Cristina ; Marchesi, Stefano ; Mariottini, Mauro ; Mariuz, Marika ; Marotta, Alfredo ; Martini, Andrea ; Menegotto, Micaela ; Merlo, Fabrizio ; Migliore, Enrica ; Minerba, Sante ; Minichilli, Fabrizio ; Mircea, Mihaela ; Morassuto, Caterina ; Nocioni, Alessandra ; Nuvolone, Daniela ; Nuzzi, Roberto ; Onorati, Giuseppe ; Padolecchia, Gabriella ; Palazzi, Barbara ; Pandolfi, Paolo ; Parodi, Stefano ; Pasetti, Paolo ; Pensato, Alessandro ; Piersanti, Antonio ; Piovesan, Cinzia ; Pistollato, Silvia ; Pizzi, Lorenzo ; Pizzuti, Renato ; Addario, Sebastiano Pollina ; Porcaro, Loredana ; Protti, Mariangela ; Puppo, Antonella ; Raciti, Mauro ; Randi, Giorgia ; Ranzi, Andrea ; Rosa, Maria ; Rubini, Giovanna ; Sacco, Fabrizio ; Santoro, Michele ; Sarno, Giuseppe ; Scala, Danila ; Scarinzi, Cecilia ; Scondotto, Salvatore ; Selle, Vittorio ; Serinelli, Maria ; Simeoni, Rita ; Simonato, Lorenzo ; Simoni, Marzia ; Spagnolo, Giuseppe ; Stafoggia, Massimo ; Stagnaro, Emanuele ; Starnino, Gianpiero ; Stivanello, Elisa ; Tominz, Riccardo ; Troiano, Francesco ; Vercelli, Marina ; Vianello, Luisa ; Viegi, Giovanni ; Vigotti, Maria Angela ; Volta, Cristina ; Zanini, Gabriele ; Zauli-Sajani, Stefano ; Zero, Francesco. / Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2. In: Epidemiologia e prevenzione. 2013 ; Vol. 37, No. 4-5. pp. 252-262.
@article{bddf6b3034344a128d2780d0b728b037,
title = "Impatto a breve termine dell'inquinamento dell'aria nelle citt{\`a} coperte dalla sorveglianza epidemiologica EpiAir2",
abstract = "OBJECTIVES: to estimate the short-term impact of air pollutants on adult population of 23 Italian cities on the calendar period 2006-2009 as part of the EpiAir2 project. DESIGN, MATERIALS AND METHODS: for each city, the short-term impact of air pollution on mortality was estimated. In particular, it was calculated the number of deaths attributable to particulate matter levels (PM10 and PM2.5) exceeding different thresholds deriving from the European Union legislation and the World Health Organization guidelines (PM10: 20 and 40 μg/m3, reduction of 20{\%} up to 20 μg/m3 and more than 35 days per year with daily average above 50 μg/m3; PM2.5: 10, 18 and 25 μg/m3, reduction of 20{\%} up to 18 μg/m3). The impact evaluation was done combining the effect estimates of air pollutant, the observed mortality level and the air pollution concentration measured by the ambient monitors. Regarding effects, the posterior city-specific distributions arising from a Bayesian metanalysis was employed. Uncertainty around the impact estimates was obtained by Monte Carlo methods. RESULTS: overall, in the 23 cities considered in the present study attributable deaths to short-term effects of PM10 concentrations above 20 μg/m3 as annual average and of PM 2.5 concentrations above 10 μg/m3 on the period 2006-2009 was respectively 0.9{\%} (assuming independence among cities the 80{\%} credibility interval is 0.4-1.4) and 0.8{\%} (80{\%}CrI 0.2-1.3) of natural mortality. The impact was larger for the cities of the river Po valley, the Florence area and the large conurbations of Rome, Naples and Palermo: considering PM 10 1.0{\%} (80{\%}CrI 0.4-1.5) vs. 0.4{\%} (80{\%}CrI 0.2-0.7) of natural deaths among the other cities in the study. Pollution reduction actions as prescribed by the European Union legislation, i.e. a 20{\%} reduction up to 20 μg/m 3 for PM10 and up to 18 μg/m3 for PM 2.5, would have saved, over all the cities covered by this study, 42{\%} and 51{\%} of all attributable deaths, respectively. CONCLUSIONS: during the study period, air pollution exposure was responsible for a relevant impact on mortality in the enrolled cities. Policies based on percent reduction of PM 10 and PM2.5 as prescribed by the European Union could substantially reduce the short term impact on population mortality.",
keywords = "Air pollution, Bayesian metanalysis, Health impact assessment, Particulate matter, Shrunken estimator",
author = "Michela Baccini and Annibale Biggeri and Gabriele Accetta and Alessandrini, {Ester Rita} and Paola Angelini and Lorenzo Angiuli and Antonello Antonelli and Pasquale Arena and Giorgio Assennato and Flavia Baldacchini and Sandra Baldacci and Marco Baldini and Vincenzo Baldo and Giuseppe Ballarino and Daniela Balzi and Ingrid Barban and Giulia Barbati and Fabio Barbone and Alessandro Barchielli and Simona Baroni and Roberta Barontini and Silvia Bartolacci and Sabina Bellodi and Massimo Berico and Giovanna Berti and Luigi Bisanti and Marina Bonfanti and Anna Bonomolo and Laura Bonvicini and Matteo Bovenzi and Cecilia Brescianini and Serena Broccoli and Antonella Bruni and Ennio Cadum and Salvatore Caldara and Roberta Calzolari and Enrica Canossa and Cristina Canova and Gianluca Caramia and Giulia Carreras and Giovanna Casale and Patrizia Casale and Claudia Casella and Anica Casetta and Giorgio Cattani and Achille Cernigliaro and Sonia Cerrai and Marco Cervino and Laura Cestari and Elisabetta Chellini and Monica Chiusolo and Giovanni Ciaccia and Fabio Cibella and Silvia Cocchio and Laura Crosetto and Francesco Cuccaro and Fulvio Daris and {De Donato}, Francesca and {De Girolamo}, Gianfranco and {De Togni}, Aldo and {Di Biagio}, Katiuscia and {Di Leo}, Anna and {Di Lonardo}, Sara and Dess{\`i}, {M. Patrizia} and Andrea Evangelista and Fabio Faccini and Gaia Fallani and Annunziata Faustini and Francesco Forastiere and Roberto Fruzzetti and Claudia Galassi and Giovanni Gallo and Lorenza Gallo and Martina Gandini and Angela Ganzi and Elsa Garrone and Giulia Gatti and Bianca Gherardi and Gianicolo, {Emilio A L} and Simone Giannini and Roberto Giua and Goldoni, {Carlo Alberto} and Daniele Grechi and Mauro Grosa and Nicola Guerrini and Maurizio Impallomeni and Claudia Iuzzolino and {La Torretta}, Teresa and Guido Lanzani and Paolo Lauriola and Paola Leuci and Fernando Luberto and Andrea Lupi and Giuseppe Madonia and Sara Maio and Antonella Malaguti and Cristina Mangia and Stefano Marchesi and Mauro Mariottini and Marika Mariuz and Alfredo Marotta and Andrea Martini and Micaela Menegotto and Fabrizio Merlo and Enrica Migliore and Sante Minerba and Fabrizio Minichilli and Mihaela Mircea and Caterina Morassuto and Alessandra Nocioni and Daniela Nuvolone and Roberto Nuzzi and Giuseppe Onorati and Gabriella Padolecchia and Barbara Palazzi and Paolo Pandolfi and Stefano Parodi and Paolo Pasetti and Alessandro Pensato and Antonio Piersanti and Cinzia Piovesan and Silvia Pistollato and Lorenzo Pizzi and Renato Pizzuti and Addario, {Sebastiano Pollina} and Loredana Porcaro and Mariangela Protti and Antonella Puppo and Mauro Raciti and Giorgia Randi and Andrea Ranzi and Maria Rosa and Giovanna Rubini and Fabrizio Sacco and Michele Santoro and Giuseppe Sarno and Danila Scala and Cecilia Scarinzi and Salvatore Scondotto and Vittorio Selle and Maria Serinelli and Rita Simeoni and Lorenzo Simonato and Marzia Simoni and Giuseppe Spagnolo and Massimo Stafoggia and Emanuele Stagnaro and Gianpiero Starnino and Elisa Stivanello and Riccardo Tominz and Francesco Troiano and Marina Vercelli and Luisa Vianello and Giovanni Viegi and Vigotti, {Maria Angela} and Cristina Volta and Gabriele Zanini and Stefano Zauli-Sajani and Francesco Zero",
year = "2013",
month = "7",
language = "Italian",
volume = "37",
pages = "252--262",
journal = "Epidemiologia e prevenzione",
issn = "1120-9763",
publisher = "Zadig s.r.l",
number = "4-5",

}

TY - JOUR

T1 - Impatto a breve termine dell'inquinamento dell'aria nelle città coperte dalla sorveglianza epidemiologica EpiAir2

AU - Baccini, Michela

AU - Biggeri, Annibale

AU - Accetta, Gabriele

AU - Alessandrini, Ester Rita

AU - Angelini, Paola

AU - Angiuli, Lorenzo

AU - Antonelli, Antonello

AU - Arena, Pasquale

AU - Assennato, Giorgio

AU - Baldacchini, Flavia

AU - Baldacci, Sandra

AU - Baldini, Marco

AU - Baldo, Vincenzo

AU - Ballarino, Giuseppe

AU - Balzi, Daniela

AU - Barban, Ingrid

AU - Barbati, Giulia

AU - Barbone, Fabio

AU - Barchielli, Alessandro

AU - Baroni, Simona

AU - Barontini, Roberta

AU - Bartolacci, Silvia

AU - Bellodi, Sabina

AU - Berico, Massimo

AU - Berti, Giovanna

AU - Bisanti, Luigi

AU - Bonfanti, Marina

AU - Bonomolo, Anna

AU - Bonvicini, Laura

AU - Bovenzi, Matteo

AU - Brescianini, Cecilia

AU - Broccoli, Serena

AU - Bruni, Antonella

AU - Cadum, Ennio

AU - Caldara, Salvatore

AU - Calzolari, Roberta

AU - Canossa, Enrica

AU - Canova, Cristina

AU - Caramia, Gianluca

AU - Carreras, Giulia

AU - Casale, Giovanna

AU - Casale, Patrizia

AU - Casella, Claudia

AU - Casetta, Anica

AU - Cattani, Giorgio

AU - Cernigliaro, Achille

AU - Cerrai, Sonia

AU - Cervino, Marco

AU - Cestari, Laura

AU - Chellini, Elisabetta

AU - Chiusolo, Monica

AU - Ciaccia, Giovanni

AU - Cibella, Fabio

AU - Cocchio, Silvia

AU - Crosetto, Laura

AU - Cuccaro, Francesco

AU - Daris, Fulvio

AU - De Donato, Francesca

AU - De Girolamo, Gianfranco

AU - De Togni, Aldo

AU - Di Biagio, Katiuscia

AU - Di Leo, Anna

AU - Di Lonardo, Sara

AU - Dessì, M. Patrizia

AU - Evangelista, Andrea

AU - Faccini, Fabio

AU - Fallani, Gaia

AU - Faustini, Annunziata

AU - Forastiere, Francesco

AU - Fruzzetti, Roberto

AU - Galassi, Claudia

AU - Gallo, Giovanni

AU - Gallo, Lorenza

AU - Gandini, Martina

AU - Ganzi, Angela

AU - Garrone, Elsa

AU - Gatti, Giulia

AU - Gherardi, Bianca

AU - Gianicolo, Emilio A L

AU - Giannini, Simone

AU - Giua, Roberto

AU - Goldoni, Carlo Alberto

AU - Grechi, Daniele

AU - Grosa, Mauro

AU - Guerrini, Nicola

AU - Impallomeni, Maurizio

AU - Iuzzolino, Claudia

AU - La Torretta, Teresa

AU - Lanzani, Guido

AU - Lauriola, Paolo

AU - Leuci, Paola

AU - Luberto, Fernando

AU - Lupi, Andrea

AU - Madonia, Giuseppe

AU - Maio, Sara

AU - Malaguti, Antonella

AU - Mangia, Cristina

AU - Marchesi, Stefano

AU - Mariottini, Mauro

AU - Mariuz, Marika

AU - Marotta, Alfredo

AU - Martini, Andrea

AU - Menegotto, Micaela

AU - Merlo, Fabrizio

AU - Migliore, Enrica

AU - Minerba, Sante

AU - Minichilli, Fabrizio

AU - Mircea, Mihaela

AU - Morassuto, Caterina

AU - Nocioni, Alessandra

AU - Nuvolone, Daniela

AU - Nuzzi, Roberto

AU - Onorati, Giuseppe

AU - Padolecchia, Gabriella

AU - Palazzi, Barbara

AU - Pandolfi, Paolo

AU - Parodi, Stefano

AU - Pasetti, Paolo

AU - Pensato, Alessandro

AU - Piersanti, Antonio

AU - Piovesan, Cinzia

AU - Pistollato, Silvia

AU - Pizzi, Lorenzo

AU - Pizzuti, Renato

AU - Addario, Sebastiano Pollina

AU - Porcaro, Loredana

AU - Protti, Mariangela

AU - Puppo, Antonella

AU - Raciti, Mauro

AU - Randi, Giorgia

AU - Ranzi, Andrea

AU - Rosa, Maria

AU - Rubini, Giovanna

AU - Sacco, Fabrizio

AU - Santoro, Michele

AU - Sarno, Giuseppe

AU - Scala, Danila

AU - Scarinzi, Cecilia

AU - Scondotto, Salvatore

AU - Selle, Vittorio

AU - Serinelli, Maria

AU - Simeoni, Rita

AU - Simonato, Lorenzo

AU - Simoni, Marzia

AU - Spagnolo, Giuseppe

AU - Stafoggia, Massimo

AU - Stagnaro, Emanuele

AU - Starnino, Gianpiero

AU - Stivanello, Elisa

AU - Tominz, Riccardo

AU - Troiano, Francesco

AU - Vercelli, Marina

AU - Vianello, Luisa

AU - Viegi, Giovanni

AU - Vigotti, Maria Angela

AU - Volta, Cristina

AU - Zanini, Gabriele

AU - Zauli-Sajani, Stefano

AU - Zero, Francesco

PY - 2013/7

Y1 - 2013/7

N2 - OBJECTIVES: to estimate the short-term impact of air pollutants on adult population of 23 Italian cities on the calendar period 2006-2009 as part of the EpiAir2 project. DESIGN, MATERIALS AND METHODS: for each city, the short-term impact of air pollution on mortality was estimated. In particular, it was calculated the number of deaths attributable to particulate matter levels (PM10 and PM2.5) exceeding different thresholds deriving from the European Union legislation and the World Health Organization guidelines (PM10: 20 and 40 μg/m3, reduction of 20% up to 20 μg/m3 and more than 35 days per year with daily average above 50 μg/m3; PM2.5: 10, 18 and 25 μg/m3, reduction of 20% up to 18 μg/m3). The impact evaluation was done combining the effect estimates of air pollutant, the observed mortality level and the air pollution concentration measured by the ambient monitors. Regarding effects, the posterior city-specific distributions arising from a Bayesian metanalysis was employed. Uncertainty around the impact estimates was obtained by Monte Carlo methods. RESULTS: overall, in the 23 cities considered in the present study attributable deaths to short-term effects of PM10 concentrations above 20 μg/m3 as annual average and of PM 2.5 concentrations above 10 μg/m3 on the period 2006-2009 was respectively 0.9% (assuming independence among cities the 80% credibility interval is 0.4-1.4) and 0.8% (80%CrI 0.2-1.3) of natural mortality. The impact was larger for the cities of the river Po valley, the Florence area and the large conurbations of Rome, Naples and Palermo: considering PM 10 1.0% (80%CrI 0.4-1.5) vs. 0.4% (80%CrI 0.2-0.7) of natural deaths among the other cities in the study. Pollution reduction actions as prescribed by the European Union legislation, i.e. a 20% reduction up to 20 μg/m 3 for PM10 and up to 18 μg/m3 for PM 2.5, would have saved, over all the cities covered by this study, 42% and 51% of all attributable deaths, respectively. CONCLUSIONS: during the study period, air pollution exposure was responsible for a relevant impact on mortality in the enrolled cities. Policies based on percent reduction of PM 10 and PM2.5 as prescribed by the European Union could substantially reduce the short term impact on population mortality.

AB - OBJECTIVES: to estimate the short-term impact of air pollutants on adult population of 23 Italian cities on the calendar period 2006-2009 as part of the EpiAir2 project. DESIGN, MATERIALS AND METHODS: for each city, the short-term impact of air pollution on mortality was estimated. In particular, it was calculated the number of deaths attributable to particulate matter levels (PM10 and PM2.5) exceeding different thresholds deriving from the European Union legislation and the World Health Organization guidelines (PM10: 20 and 40 μg/m3, reduction of 20% up to 20 μg/m3 and more than 35 days per year with daily average above 50 μg/m3; PM2.5: 10, 18 and 25 μg/m3, reduction of 20% up to 18 μg/m3). The impact evaluation was done combining the effect estimates of air pollutant, the observed mortality level and the air pollution concentration measured by the ambient monitors. Regarding effects, the posterior city-specific distributions arising from a Bayesian metanalysis was employed. Uncertainty around the impact estimates was obtained by Monte Carlo methods. RESULTS: overall, in the 23 cities considered in the present study attributable deaths to short-term effects of PM10 concentrations above 20 μg/m3 as annual average and of PM 2.5 concentrations above 10 μg/m3 on the period 2006-2009 was respectively 0.9% (assuming independence among cities the 80% credibility interval is 0.4-1.4) and 0.8% (80%CrI 0.2-1.3) of natural mortality. The impact was larger for the cities of the river Po valley, the Florence area and the large conurbations of Rome, Naples and Palermo: considering PM 10 1.0% (80%CrI 0.4-1.5) vs. 0.4% (80%CrI 0.2-0.7) of natural deaths among the other cities in the study. Pollution reduction actions as prescribed by the European Union legislation, i.e. a 20% reduction up to 20 μg/m 3 for PM10 and up to 18 μg/m3 for PM 2.5, would have saved, over all the cities covered by this study, 42% and 51% of all attributable deaths, respectively. CONCLUSIONS: during the study period, air pollution exposure was responsible for a relevant impact on mortality in the enrolled cities. Policies based on percent reduction of PM 10 and PM2.5 as prescribed by the European Union could substantially reduce the short term impact on population mortality.

KW - Air pollution

KW - Bayesian metanalysis

KW - Health impact assessment

KW - Particulate matter

KW - Shrunken estimator

UR - http://www.scopus.com/inward/record.url?scp=84892520263&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84892520263&partnerID=8YFLogxK

M3 - Articolo

C2 - 24293490

AN - SCOPUS:84892520263

VL - 37

SP - 252

EP - 262

JO - Epidemiologia e prevenzione

JF - Epidemiologia e prevenzione

SN - 1120-9763

IS - 4-5

ER -