Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.

<h4>Background</h4>This study estimates the potential health gains achievable in the United Arab Emirates (UAE) with improved controls on environmental pollution. The UAE is an emerging economy in which population health risks have shifted rapidly from infectious diseases to chronic cond...

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Autores principales:	Jacqueline MacDonald Gibson, Jens Thomsen, Frederic Launay, Elizabeth Harder, Nicholas DeFelice
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6f19b1b07f1144419a761d2b4ceff747
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spelling	oai:doaj.org-article:6f19b1b07f1144419a761d2b4ceff7472021-11-18T07:55:08ZDeaths and medical visits attributable to environmental pollution in the United Arab Emirates.1932-620310.1371/journal.pone.0057536https://doaj.org/article/6f19b1b07f1144419a761d2b4ceff7472013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23469200/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>This study estimates the potential health gains achievable in the United Arab Emirates (UAE) with improved controls on environmental pollution. The UAE is an emerging economy in which population health risks have shifted rapidly from infectious diseases to chronic conditions observed in developed nations. The UAE government commissioned this work as part of an environmental health strategic planning project intended to address this shift in the nature of the country's disease burden.<h4>Methods and findings</h4>We assessed the burden of disease attributable to six environmental exposure routes outdoor air, indoor air, drinking water, coastal water, occupational environments, and climate change. For every exposure route, we integrated UAE environmental monitoring and public health data in a spatially resolved Monte Carlo simulation model to estimate the annual disease burden attributable to selected pollutants. The assessment included the entire UAE population (4.5 million for the year of analysis). The study found that outdoor air pollution was the leading contributor to mortality, with 651 attributable deaths (95% confidence interval [CI] 143-1,440), or 7.3% of all deaths. Indoor air pollution and occupational exposures were the second and third leading contributors to mortality, with 153 (95% CI 85-216) and 46 attributable deaths (95% CI 26-72), respectively. The leading contributor to health-care facility visits was drinking water pollution, to which 46,600 (95% CI 15,300-61,400) health-care facility visits were attributed (about 15% of the visits for all the diseases considered in this study). Major study limitations included (1) a lack of information needed to translate health-care facility visits to quality-adjusted-life-year estimates and (2) insufficient spatial coverage of environmental data.<h4>Conclusions</h4>Based on international comparisons, the UAE's environmental disease burden is low for all factors except outdoor air pollution. From a public health perspective, reducing pollutant emissions to outdoor air should be a high priority for the UAE's environmental agencies.Jacqueline MacDonald GibsonJens ThomsenFrederic LaunayElizabeth HarderNicholas DeFelicePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e57536 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jacqueline MacDonald Gibson Jens Thomsen Frederic Launay Elizabeth Harder Nicholas DeFelice Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.
description	<h4>Background</h4>This study estimates the potential health gains achievable in the United Arab Emirates (UAE) with improved controls on environmental pollution. The UAE is an emerging economy in which population health risks have shifted rapidly from infectious diseases to chronic conditions observed in developed nations. The UAE government commissioned this work as part of an environmental health strategic planning project intended to address this shift in the nature of the country's disease burden.<h4>Methods and findings</h4>We assessed the burden of disease attributable to six environmental exposure routes outdoor air, indoor air, drinking water, coastal water, occupational environments, and climate change. For every exposure route, we integrated UAE environmental monitoring and public health data in a spatially resolved Monte Carlo simulation model to estimate the annual disease burden attributable to selected pollutants. The assessment included the entire UAE population (4.5 million for the year of analysis). The study found that outdoor air pollution was the leading contributor to mortality, with 651 attributable deaths (95% confidence interval [CI] 143-1,440), or 7.3% of all deaths. Indoor air pollution and occupational exposures were the second and third leading contributors to mortality, with 153 (95% CI 85-216) and 46 attributable deaths (95% CI 26-72), respectively. The leading contributor to health-care facility visits was drinking water pollution, to which 46,600 (95% CI 15,300-61,400) health-care facility visits were attributed (about 15% of the visits for all the diseases considered in this study). Major study limitations included (1) a lack of information needed to translate health-care facility visits to quality-adjusted-life-year estimates and (2) insufficient spatial coverage of environmental data.<h4>Conclusions</h4>Based on international comparisons, the UAE's environmental disease burden is low for all factors except outdoor air pollution. From a public health perspective, reducing pollutant emissions to outdoor air should be a high priority for the UAE's environmental agencies.
format	article
author	Jacqueline MacDonald Gibson Jens Thomsen Frederic Launay Elizabeth Harder Nicholas DeFelice
author_facet	Jacqueline MacDonald Gibson Jens Thomsen Frederic Launay Elizabeth Harder Nicholas DeFelice
author_sort	Jacqueline MacDonald Gibson
title	Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.
title_short	Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.
title_full	Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.
title_fullStr	Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.
title_full_unstemmed	Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.
title_sort	deaths and medical visits attributable to environmental pollution in the united arab emirates.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/6f19b1b07f1144419a761d2b4ceff747
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Deaths and medical visits attributable to environmental pollution in the United Arab Emirates.

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