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Air pollution and cause specific mortality in Athens.

K Katsouyanni1, A Karakatsani, I Messari

  • 1Department of Hygiene and Epidemiology, University of Athens Medical School, Greece.

Journal of Epidemiology and Community Health
|December 1, 1990
PubMed
Summary

Air pollution significantly increases mortality in Athens, particularly for respiratory conditions. This study suggests a likely causal link between short-term air pollution exposure and increased deaths, especially respiratory deaths.

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Area of Science:

  • Environmental epidemiology
  • Public health
  • Toxicology

Background:

  • Air pollution is a significant environmental hazard with potential health impacts.
  • Previous studies suggest a link between air pollution and mortality, but specific cause-specific associations require further investigation.

Purpose of the Study:

  • To investigate the association between air pollution and cause-specific mortality in Athens.
  • To determine if air pollution levels correlate with increased deaths from specific causes.

Main Methods:

  • A case-control study comparing 199 high air pollution days with 398 low pollution days in Athens (1975-1982).
  • Cause-specific mortality data for 25,138 deaths were analyzed using analysis of variance for randomized blocks, accounting for confounding factors.

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Main Results:

  • Overall mortality was higher on high pollution days.
  • A more pronounced and significant increase in mortality was observed for respiratory conditions compared to cardiac and other causes.

Conclusions:

  • A short-term, likely causal association exists between air pollution and overall mortality in Athens.
  • The association is particularly strong for respiratory conditions, supporting a plausible biological link to air pollution.