在韩国COVID-19期间的大气颗粒物和呼吸道疾病
Ji Young Hong1, Taemo Bang2, Sun Bean Kim3
1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Chuncheon Sacred Heart Hospital, Hallym University Medical Center, Chuncheon-si, Gangwon-do, 24253, Republic of Korea.
Scientific reports
|May 2, 2024
概括
COVID-19非药物干预 (NPI) 改变了空气污染.
科学领域:
- 环境健康科学 环境健康科学
- 流行病学 流行病学
- 公共卫生政策 公共卫生政策
背景情况:
- 空气污染,特别是颗粒物 (PM10和PM2.5),是已知的呼吸道疾病的风险因素.
- 在COVID-19大流行期间实施的非药物干预措施 (NPIs) 旨在减少疾病传播,但可能也影响了环境暴露.
- 了解公共卫生危机期间空气质量和健康结果之间的相互作用对于政策制定至关重要.
研究的目的:
- 调查COVID-19 NPIs对PM10和PM2.5水平以及呼吸道和非呼吸道疾病的住院患者之间的关联的影响.
- 为了比较这些协会在六个韩国大都会城市的COVID-19大流行前和期间.
- 根据不同的NPI情景,评估极端空气污染水平对疾病接收的影响.
主要方法:
- 利用分布式滞后非线性模型 (DLNMs) 来分析时间序列数据.
- 对比了PM10,PM2.5和2016-2019年 (COVID-19前) 和2020年 (COVID-19 NPI期间) 的呼吸道和非呼吸道疾病的住院患者之间的关联.
- 研究了空气污染物的高和低水平对吸收风险的影响.
主要成果:
- 在COVID-19之前,PM10和PM2.5显示出复杂的,通常是反向的U形或S形,与喘和COPD入院的关联.
- 在COVID-19大流行期间,PM10,PM2.5和呼吸道疾病入院之间的关系发生了重大变化.
- 在这两个时期中,PM10,PM2.5和非呼吸系统疾病入院之间没有发现显著的关联.
结论:
- COVID-19 NPIs显然改变了空气污染和呼吸系统住院患者之间的关系.
- 在大流行期间减少对PM10和PM2.5的暴露,可能有NPI的帮助,可能有助于减少因环境相关呼吸道疾病住院的病例.
- 这些发现强调了空气质量改善的潜在公共卫生益处,即使是在卫生紧急情况下偶然实现的改善.
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