Universidad Peruana Cayetano Heredia

Association of PM(2.5) concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru

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dc.contributor.author Davila Cordova, Jennifer Estefanía
dc.contributor.author Tapia Aguirre, Vilma
dc.contributor.author Vasquez Apéstegui, Bertha Vanessa
dc.contributor.author Ordoñez Ibarguen, Luis
dc.contributor.author Vu, Bryan N.
dc.contributor.author Steenland, Kyle
dc.contributor.author Gonzales Rengifo, Gustavo Francisco
dc.date.accessioned 2020-07-14T00:01:06Z
dc.date.available 2020-07-14T00:01:06Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8273
dc.description.abstract BACKGROUND: Lima is one of the more polluted cities in Latin America. High levels of PM(2.5) have been shown to increase health center outpatient visits of respiratory diseases. METHODS: Health center outpatient visits for children < 5 years for childhood respiratory disease (acute lower respiratory infections (ALRI), pneumonia and acute bronchiolitis/asthma) from 498 public clinics in Lima were available on a weekly basis from 2011 to 2015 from Peru's Ministry of Health (MINSA). The association between the average weekly concentrations of PM(2.5) was evaluated in relation to the number of weekly health center outpatient visits for children. Weekly PM(2.5) values were estimated using a recently developed model that combined data observed from ground monitors, with data from space satellite and meteorology. Ground monitoring data came from 10 fixed stations of the Peruvian National Service of Meteorology and Hydrology (SENAMHI) and from 6 mobile stations located in San Juan de Miraflores by Johns Hopkins University. We conducted a time-series analysis using a negative binomial model. RESULTS: We found a significant association between exposure to PM(2.5) and all three types of respiratory diseases, across all age groups. For an interquartile increase in PM(2.5), we found an increase of 6% for acute lower respiratory infections, an increase of 16-19% for pneumonia, and an increase of 10% for acute bronchiolitis / asthma. CONCLUSIONS: Higher emissions of environmental pollutants such as PM(2,5) could be a trigger for the increase of health center outpatients visits for respiratory diseases (ALRI, pneumonia and asthma), which are themselves risk factors for mortality for children in Lima province, Peru. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries Environmental Health: A Global Access Science Source
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Peru en_US
dc.subject mortality en_US
dc.subject Article en_US
dc.subject controlled study en_US
dc.subject human en_US
dc.subject priority journal en_US
dc.subject lower respiratory tract infection en_US
dc.subject child en_US
dc.subject Lima [Peru] en_US
dc.subject concentration (parameter) en_US
dc.subject health risk en_US
dc.subject asthma en_US
dc.subject age distribution en_US
dc.subject acute disease en_US
dc.subject air pollution en_US
dc.subject atmospheric pollution en_US
dc.subject bronchiolitis en_US
dc.subject child health en_US
dc.subject concentration (composition) en_US
dc.subject environmental exposure en_US
dc.subject health care organization en_US
dc.subject health center en_US
dc.subject hydrology en_US
dc.subject meteorology en_US
dc.subject outpatient en_US
dc.subject particle size en_US
dc.subject particulate matter en_US
dc.subject pneumonia en_US
dc.subject pollutant en_US
dc.subject respiratory disease en_US
dc.subject respiratory tract disease en_US
dc.subject satellite imagery en_US
dc.subject time series analysis en_US
dc.title Association of PM(2.5) concentration with health center outpatient visits for respiratory diseases of children under 5 years old in Lima, Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12940-020-0564-5
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.relation.issn 1476-069X


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