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Single already have feelings liberian him and the two of you have not even monrovia anything yet. Daily mortality data of residents living in the urban areas of Shenyang were collected from the death registration system of Shenyang Center for Disease Control and Prevention during the same period. Causes of deaths were coded according to the International Classification of Diseases, 10th Revision ICD ; respiratory deaths were classified under codes JJ99, and lung cancer under codes CC In this study, death counts for a combined number of respiratory diseases JJ99 , lung cancer CC34 , and three common respiratory diseases chronic lower respiratory disease [CLRD, JJ47], pneumonia [J18], and pneumoconiosis [JJ62] were analyzed.
Mortality rates were age-standardized using the direct method based on the Chinese standard population of A time-stratified case-crossover design was used to evaluate the associations between the daily mean concentration of pollutants and the daily mortality count of each outcome, with adjustment for same-day meteorological factors including daily average temperature and relative humidity introduced as concomitant variables and considering the lag effects of air pollutant increments.
Control days were chosen such that cases and controls were matched on the calendar month and day of the week. Multiple-pollutant models in which three pollutants of PM2. PM10 and CO were excluded from the multiple-pollutant models due to their high correlation with other pollutants. The regression model was modified by a quasi-Poisson model, which accounted for over dispersion in utilizing the GLM function of R3.
The demographic characteristics of the study population for respiratory deaths are shown in Table 1.
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From 1 January to 31 December , a total of 29, respiratory deaths and 29, lung cancer deaths were recorded. Pneumonia and CLRD accounted for Death rates were age-standardized based on the Chinese standard population of the Sixth National Population Census. The age-standardized mortality rates per , per year of a combined number of respiratory diseases decreased from Despite decreases in age-standardized death rates, the absolute number of respiratory deaths, occurring more frequently at older ages, continues to increase.
The number of deaths from pneumonia increased more than twofold during the same period, but a non-significantly increased age-standardized rate was found 1. From to , a daily average of 8. During the study period, the average concentration of PM2. All five pollutants PM2.
The effect estimates of each air pollutant on daily respiratory mortality after controlling for meteorological and seasonal influences are shown in Table 5.
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Increased mortality was observed to be associated with elevated concentrations of PM2. Moreover, with a h lag period, associations between mortality and PM2. In addition, increments in SO 2 exposure with a 1-day lag were associated with overall respiratory mortality, with an OR of 5. Same-day PM2. For death counts attributed to respiratory diseases, CO exposure with a 1-day lag showed a significant association, with an elevated OR of 3.
Lung cancer mortality was also associated with PM10 and SO 2 with 7. For multiple-pollutant adjusted for SO 2 and NO 2 models, increased mortality of lung cancer and the overall respiratory mortality were significantly associated with PM2. SO 2 also had certain effects on overall respiratory mortality with evident lag effects. As shown in Fig. The results also showed a significant association of respiratory diseases with CO exposure in men with OR of 1. An estimated increase of 7. Our results suggest the effects of air pollution exposure on the number of deaths due to respiratory illness and lung cancer on subsequent days.
We found a statistically significant increase in lung cancer mortality of 8. For deaths due to respiratory diseases, the effect estimates were 4.
Air pollution levels in China have been increasing rapidly. Studies have investigated the short-term associations between daily increases in PM PM2. In this present study, we observed an elevated risk of dying from respiratory diseases associated with a high PM2. Our findings also provided some evidence for an increased risk of lung cancer mortality caused by PM2. A meta-analysis indicated that the meta-estimate for lung cancer mortality associated with PM2. Similarly, our study demonstrated a positive relationship between PM2.
Our findings here corroborated the findings in previous studies Crouse et al. Although ambient PM10 was significantly and positively associated with PM2. Some studies in China obtained significant associations relating respiratory diseases risk to PM10; whereas, some studies conducted in city nearby Shenyang did not find the same association Chen et al. Similar results were obtained in a study of , population, suggesting that expected short-term exposure to PM10 appears to have a limited impact on mortality Carugno et al.
Meanwhile, it has been reported that PM exposure tends to increase the natural death risk among people with chronic morbidity but has no significant risk among healthy persons Alessandrini et al. RRs of lung cancer mortality were reported increases substantially among men in relation to long-term ambient concentrations of PM10 in a non-smoking cohort Abbey et al. In our study, the mean PM10 concentration was not associated with lung cancer mortality in men or women.
Since limited individual data were collected in this study, further research is needed to identify subgroups susceptible to elevated PM10 exposure.