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Title: Ozone and daily mortality in Shanghai, China

Journal Article · · Environmental Health Perspectives
DOI:https://doi.org/10.1289/ehp.9014· OSTI ID:20790722

Given the changes in types of air pollution from conventional coal combustion to the mixed coal combustion/motor vehicle emissions in China's large cities, it is worthwhile to investigate the acute effect of O{sub 3} on mortality outcomes in the country. We conducted a time-series study to investigate the relation between O{sub 3} and daily mortality in Shanghai using 4 years of daily data (2001-2004). O{sub 3} was found to be significantly associated with total and cardiovascular mortality in the cold season but not in the warm season. In the whole-year analysis, an increase of 10 pg/m{sup 3} of 2-day average O{sub 3} corresponds to 0.45% (95% confidence interval (CI), 0.16-0.73%), 0.53% (95% CI, 0.10-0.96%), and 0.35% (95% CI, -0.40 to 1.09%) increase of total nonaccidental, cardiovascular, and respiratory mortality, respectively. In the cold season, the estimates increased to 1.38% (95% CI , 0.68-2.07%), 1.53% (95% CI, 0.54-2.52%), and 0.95% (95% CI, -0.71 to 2.60%), respectively. In the warm season, we did not observe significant associations for both total and causespecific mortality. The results were generally insensitive to model specifications such as lag structure of O{sub 3} concentrations and degree of freedom for time trend. Multipoflutant models indicate that the effect of O{sub 3} was not confounded by particulate matter {<=} 10 {mu} m in diameter (PM10) or by sulfur dioxide; however, after adding nitrogen dioxide into the model, the association of O{sub 3} with total and cardiovascular mortality became statistically insignificant.

OSTI ID:
20790722
Journal Information:
Environmental Health Perspectives, Vol. 114, Issue 8; ISSN 0091-6765
Country of Publication:
United States
Language:
English

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