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

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.

Translated title of the contributionShort-term impact of air pollution among Italian cities covered by the EpiAir2 project
Original languageItalian
Pages (from-to)252-262
Number of pages11
JournalEpidemiologia e prevenzione
Volume37
Issue number4-5
Publication statusPublished - Jul 2013

ASJC Scopus subject areas

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

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    Baccini, M., Biggeri, A., Accetta, G., Alessandrini, E. R., 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., ... 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.