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  • Systematic review of Chines...
    Shang, Yu; Sun, Zhiwei; Cao, Junji; Wang, Xinming; Zhong, Liuju; Bi, Xinhui; Li, Hong; Liu, Wenxin; Zhu, Tong; Huang, Wei

    Environment international, 04/2013, Letnik: 54
    Journal Article

    Health effects attributable to air pollution exposure in Chinese population have been least understood. The authors conducted a meta-analysis on 33 time-series and case-crossover studies conducted in China to assess mortality effects of short-term exposure to particulate matter with aerodynamic diameters less than 10 and 2.5μm (PM10 and PM2.5), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3) and carbon monoxide (CO). Significant associations between air pollution exposure and increased mortality risks were observed in the pooled estimates for all pollutants of interest. In specific, each 10μg/m3 increase in PM2.5 was associated with a 0.38% (95% Confidence Interval, CI: 0.31, 0.45) increase in total mortality, a 0.51% (95% CI: 0.30, 0.73) in respiratory mortality, and a 0.44% (95% CI: 0.33, 0.54) in cardiovascular mortality. When current annual PM2.5 levels in mega-Chinese cities to be reduced to the WHO Air Quality Guideline (AQG) of 10μg/m3, mortality attributable to short-term exposure to PM2.5 could be reduced by 2.7%, 1.7%, 2.3%, and 6.2% in Beijing, Shanghai, Guangzhou and Xi'an, respectively. The authors recommend future studies on the nature of air pollution concentration and health effect relationships in Chinese population to support setting stringent air quality standards to improve public health. ► Understanding on the health effects attributable to air pollution exposure in Chinese population is limited. ► Significant mortality risks were found associated with increased acute exposure to air pollution in this study. ► Significant improvement in ambient air quality has substantial and measurable public health benefits. ► The exposure-response coefficients derived from long-term exposure to air pollution are urgently needed in China.