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Concepts in developing health-based indicators for ozone.

Clifford P Weisel1, Ronald P Cody, Panos G Georgopoulos

  • 1Environmental & Occupational Health Sciences Institute, 170 Frelinghuysen Road, Piscataway, NJ 08854, USA. weisel@eohsi.rutgers.edu

International Archives of Occupational and Environmental Health
|June 19, 2002
PubMed
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Asthma emergency room visits and hospital admissions can serve as health indicators for ozone exposure. This study found a relationship between ozone levels and asthma-related ER visits and hospitalizations, supporting their use in public health assessments.

Area of Science:

  • Environmental Health
  • Public Health
  • Epidemiology

Background:

  • Evaluating regulatory controls for environmental pollutants traditionally relies on comparing pollutant concentrations to standards.
  • A complementary approach involves monitoring health-based indicators, such as adverse health outcomes linked to pollutant exposure.
  • This study explores the use of asthma emergency room (ER) visits and hospital admissions as health indicators for ozone.

Purpose of the Study:

  • To assess the feasibility of using asthma ER visits and hospital admissions as health-based indicators for ozone.
  • To establish the relationship between ozone concentrations and asthma-related healthcare utilization.
  • To identify potential confounders in this relationship.

Main Methods:

  • Compared daily ozone concentrations with asthma ER visits and hospital admissions in New Jersey during 1995.

Related Experiment Videos

  • Developed a mathematical model to describe the relationship between ozone levels and asthma-related healthcare utilization.
  • Investigated the impact of potential confounders, such as pollen.

    • Main Results:

    • A coherent relationship was established between same-day ozone concentrations and asthma ER visits.
    • A 2-day time-lagged association was found between ambient ozone and asthma hospital admissions.
    • Pollen was identified as a confounder, and the ozone-ER visit association was consistent with previous findings from 1986-1990.

    Conclusions:

    • Existing databases for asthma ER visits and hospital admissions are sufficient for use as health-based indicators.
    • These health indicators can complement traditional air-monitoring data.
    • Utilizing these indicators can help assess the public health impact of reduced ozone precursor emissions.