Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, Chile

Background: In southern Chile cities, the emission of air pollutants, especially the use of firewood for heating is restricted during critical air pollution periods. Aim: To analyze how restrictions applied during the management of air pollution critical episodes have contributed to reduce emergen...

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Autores principales: Henríquez,Felipe, Mardones,Cristian
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600856
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spelling oai:scielo:S0034-988720210006008562021-11-03Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, ChileHenríquez,FelipeMardones,Cristian Air Pollution Particulate Matter Respiratory Tract Diseases Background: In southern Chile cities, the emission of air pollutants, especially the use of firewood for heating is restricted during critical air pollution periods. Aim: To analyze how restrictions applied during the management of air pollution critical episodes have contributed to reduce emergency room admissions for respiratory diseases in two Chilean cities between 2013 and 2019. Material and Methods: Poisson regression models were estimated with daily data including explanatory variables, such as the daily and lag concentration of respirable particulate material (PM10), temperature, relative humidity, rainfall, wind speed, seasonal factors, and implementation of different types of critical episodes. Results: The implementation of restrictions during the management of critical pollution episodes decreased emergency room admissions for upper respiratory infections and bronchial obstructive crises, especially when an environmental emergency was decreed during the critical episode. However, the effect on each group of respiratory diseases was heterogeneous between cities, which could be related to avoidance behavior, indoor air pollution, the composition of PM10, or the presence of other pollutants, and not just a reduction in the daily concentration of PM10. Conclusions: The management of critical pollution episodes with restrictions to pollutant emissions is a useful measure to improve population health in cities that have implemented environmental decontamination plans.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.6 20212021-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600856es10.4067/s0034-98872021000600856
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Air Pollution
Particulate Matter
Respiratory Tract Diseases
spellingShingle Air Pollution
Particulate Matter
Respiratory Tract Diseases
Henríquez,Felipe
Mardones,Cristian
Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, Chile
description Background: In southern Chile cities, the emission of air pollutants, especially the use of firewood for heating is restricted during critical air pollution periods. Aim: To analyze how restrictions applied during the management of air pollution critical episodes have contributed to reduce emergency room admissions for respiratory diseases in two Chilean cities between 2013 and 2019. Material and Methods: Poisson regression models were estimated with daily data including explanatory variables, such as the daily and lag concentration of respirable particulate material (PM10), temperature, relative humidity, rainfall, wind speed, seasonal factors, and implementation of different types of critical episodes. Results: The implementation of restrictions during the management of critical pollution episodes decreased emergency room admissions for upper respiratory infections and bronchial obstructive crises, especially when an environmental emergency was decreed during the critical episode. However, the effect on each group of respiratory diseases was heterogeneous between cities, which could be related to avoidance behavior, indoor air pollution, the composition of PM10, or the presence of other pollutants, and not just a reduction in the daily concentration of PM10. Conclusions: The management of critical pollution episodes with restrictions to pollutant emissions is a useful measure to improve population health in cities that have implemented environmental decontamination plans.
author Henríquez,Felipe
Mardones,Cristian
author_facet Henríquez,Felipe
Mardones,Cristian
author_sort Henríquez,Felipe
title Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, Chile
title_short Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, Chile
title_full Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, Chile
title_fullStr Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, Chile
title_full_unstemmed Aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de Los Ángeles y Chillán, Chile
title_sort aporte de la gestión de episodios críticos a la reducción de enfermedades respiratorias en las ciudades de los ángeles y chillán, chile
publisher Sociedad Médica de Santiago
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000600856
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