Respiratory Health Effects of Fine Particles(PM2.5) in Seoul

서울시 미세입자(PM2.5)의 호흡기질환 사망과의 연관성 연구

  • Kang, Choong-Min (Department of Environmental Health, School of Public Health, Harvard University) ;
  • Park, Sung-Kyun (Department of Environmental Health, School of Public Health, Harvard University) ;
  • SunWoo, Young (Department of Environmental Engineering, Konkuk University) ;
  • Kang, Byung-Wook (Division of Environmental Engineering, Chungju National University) ;
  • Lee, Hak-Sung (Department of Environmental, Civil and Information System, Seowon University)
  • Published : 2006.10.31

Abstract

Numerous epidemiological studies have shown stronger associations between $PM_{2.5}$ and both mortality and morbidity than $PM_{10}$. The association of $PM_{2.5}$ with respiratory mortality was examined in Seoul, during the period of $1996{\sim}2002$. Because $PM_{2.5}$ data were available for only 10% of this time period, a prediction regression model was developed to estimate $PM_{2.5}$ concentration. Death count due to respiratory-related diseases(total respiratory mortality; ICD-10, J00-J98) and death counts(cause-specific mortality) due to pneumonia(ICD-10, J12-J18), COPD(ICD-10, J40-J44) and asthma(ICD-10, J45-J46) were considered in this study. Averaged daily mortality was 5.6 for total respiratory mortality and 1.1 to 1.6 for cause-specific mortality. Generalized additive Poisson models controlling for confounders were used to evaluate the acute effects of particle exposures on total respiratory mortality and cause-specific mortality. An IQR increase in 5-day moving average of $PM_{2.5}(22.6{\mu}g/m^3)$ was associated with an 8.2%(95% CI: 4.5 to 12.1%) increase in total respiratory mortality The association of $PM_{2.5}$ was stronger for the elderly ($\geq$65 years old, 10.1%, 95% CI: 5.8 to 14.5%) and for males(8.9%, 95% CI: 2.1 to 11.3%). A $10{\mu}g/m^3$ increase in 5-day moving average of $PM_{2.5}$ was strongly associated with total respiratory mortality in winter(9.5%, 95% CI: 6.6 to 12.4%), followed by spring(3.1%, 95% CI: -1.2 to 7.5%), which was a different pattern with the finding in North American cities. However, our results are generally consistent with those observed in recent epidemiological studies, and suggest that $PM_{2.5}$ has a stronger effect on respiratory mortality in Seoul.

Keywords

References

  1. 권호장, 조수헌, 김선민, 하미나, 한상환(1994) 설문지에 의한 대기오염의 호흡기계 증상 발현에 관한 조사연구, 예방의학회지, 27(2), 313-325
  2. 이학성, 강충민, 강병욱, 이상권(2005) 수용모델을 이용한 서울지역 미세입자($PM_{2.5}$)에 영향을 미치는 배출원특성에 관한 연구, 한국대기환경학회지, 21(3), 329-341
  3. KOSEF (2003) 도시지역 미세입자($PM_{2.5}$) 저감을 위한 미세입자 배출원 특성 및 배출원 기여도 규명에 관한 연구, 한국과학재단, 연구보고서 (R01-2000-000-00340-0), 80 pp
  4. Abt, E., H.H. Suh, G. Allen, and P. Koutrakis (2000). Characterization of indoor particle sources: A study conducted in the metropolitan Boston area, Environ. Health Perspect., 108, 35-44 https://doi.org/10.2307/3454293
  5. Bates, D.V. (1992) Health indices of the adverse effects of air pollution: The question of coherence, Environ. Res., 59, 336-349 https://doi.org/10.1016/S0013-9351(05)80040-4
  6. Dockery, D.W. and C.A. Pope III (1994) Acute respiratory effects of particulate air pollution, Annu. Rev. Public. Health, 15, 107-132 https://doi.org/10.1146/annurev.pu.15.050194.000543
  7. Dockery, D.W. and C.A. Pope III, X. Xu, J.D. Spengler, J.H. Ware, and M.E. Fay (1993) An association between air pollution and mortality in six U.S. Cities, N. Engl. J. Med., 329, 1753-1759 https://doi.org/10.1056/NEJM199312093292401
  8. Dockery, D.W., J. Schwartz, and J.D. Spengler (1992) Air pollution and daily mortality: Associations with particulates and acid aerosols, Environ. Res., 59, 362-373 https://doi.org/10.1016/S0013-9351(05)80042-8
  9. Goldberg, M.S., R.T. Burnett, J.C. Bailar III, J. Brook, Y. Bonvalot, and R. Tamblyn (2001) The association between daily mortality and ambient air particle pollution in Montreal, Quebec. 2. Cause-specific mortality, Environ. Res. 86, 26-36 https://doi.org/10.1006/enrs.2001.4243
  10. Hong, Y.C., J.H. Leem, E.H. Ha, and D.C. Christiani (1999) $PM_{10}$ exposure, gaseous pollutants, and daily mortality in Inchon, South Korea, Environ. Health Perspect., 107, 873-878 https://doi.org/10.1289/ehp.99107s6873
  11. Kang, C.M., B.W. Kang, and H.S. Lee (2006) Source identification and trends in concentrations of gaseous and PM2.5 principal species in Seoul, South Korea, J. Air & Waste Manag. Assoc., 56, 911-921 https://doi.org/10.1080/10473289.2006.10464506
  12. Kang, C.M., H.S. Lee, B.W. Kang, S.K. Lee, and Y. Sunwoo (2004a) Chemical characteristics of acidic gas pollutants and $PM_{2.5}$ species during hazy episodes in Seoul, South Korea, Atmos. Environ., 38, 4749-4760 https://doi.org/10.1016/j.atmosenv.2004.05.007
  13. Kang, C.M., Y. Sunwoo, H.S. Lee, B.W. Kang, and S.K. Lee (2004b) Atmospheric concentrations of $PM_{2.5}$ trac elements in the Seoul urban area of South Korea, J. Air Waste Manag. Assoc., 54, 432-439 https://doi.org/10.1080/10473289.2004.10470916
  14. Klemm, R.J., R.M. Mason Jr., C.M. Heilig, L.M. Neas, and D.W. Dockery (2000) Is daily mortality associated specifically with fine particles? Data reconstruction and replication of analyses, J. Air Waste Manag. Assoc., 50, 1215-1222 https://doi.org/10.1080/10473289.2000.10464149
  15. Koutrakis, P., S. Briggs, and B. Leaderer (1992) Source apportionment of indoor aerosols in Suffolk and Onondaga counties, New York, Environ. Sci. Technol., 26, 521-527 https://doi.org/10.1021/es00027a012
  16. Lee, H.S., C.M. Kang, B.W. Kang, and H.K. Kim (1999a) Seasonal variations of acidic air pollutants in Seoul, South Korea, Atmos. Environ., 33, 3143-3152 https://doi.org/10.1016/S1352-2310(98)00382-3
  17. Lee, J.T., H. Kim, Y.C. Hong, H.J. Kwon, J. Schwartz, and D.C. Christiani (2000) Air pollution and daily mortality in seven major cities of Korea, 1991-997, Environ. Res., 84, 247-254 https://doi.org/10.1006/enrs.2000.4096
  18. Lee, J.T., D. Shin, and Y. Chung (1999b) Air pollution and daily mortality in Seoul and Ulsan, Korea, Environ. Health Perspect., 107, 149-154 https://doi.org/10.2307/3434372
  19. Liabaca, M., I. Olaeta, E. Campos, J. Villaire, M. Tellez-Rojo, and I. Romieu (1999) Association between levels of fine particulate and emergency visits for pneumonia and other respiratory illnesses among children in Satiago, Chile, J. Air Waste Manag. Assoc., 49, 154-163 https://doi.org/10.1080/10473289.1999.10463879
  20. Lighty, J.S., J.M. Veranth, and A.F. Sarofim (2000) Combustion aerosols: Factors governing their size and composition and implications to human health, J. Air Waste Manag. Assoc., 50, 1565-1618 https://doi.org/10.1080/10473289.2000.10464197
  21. Mokdad, A.H., J.S. Marks, D.E. Stroup, and J.L. Gerberding (2004) Actual causes of death in the United States, 2000, J. Am. Med. Assoc., 291, 1238-1245 https://doi.org/10.1001/jama.291.10.1238
  22. Ostro, B., L. Chestnut, N. Vichit-Vadakan, and A. Laixuthai (1999) The impact of particulate matter on daily mortality in Bangkok, Thailand, J. Air Waste Manag. Assoc., 49, 100-107 https://doi.org/10.1080/10473289.1999.10463875
  23. Ostro, B. (1995) Fine particulate air pollution and mortality in two Southern California Counties, Environ. Res., 70, 98-104 https://doi.org/10.1006/enrs.1995.1053
  24. Peng, R.D., F. Dominici, R. Pastor-Barriuso, S.L. Zeger, and J.M. Samet (2005) Seasonal analyses of air pollution and mortality in 100 US cities, Am. J. Epidemiol., 161, 585-594 https://doi.org/10.1093/aje/kwi075
  25. Schwartz, J., D.W. Dockery, and L.M. Neas (1996) Is daily mortality associated specifically with fine particles?, J. Air Waste Manag. Assoc., 46, 927-939 https://doi.org/10.1080/10473289.1996.10467528
  26. Schwartz, J. (1994a) Air pollution and hospital admissions for the elderly in Detroit, Michigan, Am. J. Respir. Crit. Care. Med., 150, 648-655 https://doi.org/10.1164/ajrccm.150.3.8087333
  27. Schwartz, J. (1994b) What are people dying of on high air pollution days?, Environ. Res., 64, 26-35 https://doi.org/10.1006/enrs.1994.1004
  28. Zorrilla-Torras, B., N. Garcia-Marin, I. Galan-Labaca, and A. Gandarillas-Grande (2005) Smoking attributable mortality in the community of Madrid: 1992-1998, Eur. J. Public Health, 15, 43-50