Components of Particulate Air Pollution and Emergency Department Visits in Chile

ABSTRACT

The objective of the present study was to determine the association between several elements of particulates and Emergency Department (ED) visits in a general population sample. Daily time-series analyses tested the association between daily ED visit and air pollutants and components of particulates measured in Santiago Centro, a municipality, which includes downtown Santiago during the period from 2001 to 2006. The strongest individual effect was seen for elemental carbon. A 4.76 μg/m³ increase was associated with a relative risk (RR) of 1.12 (95% confidence interval [CI] = 1.10–1.14) increase in total ED visits, and a RR of 1.18 (95% CI = 1.16–1.21) for respiratory ED visit. Using factor analysis, the authors determined that traffic combustion-related particulates were significantly associated with ED visits. Among all the sources identified, traffic combustion-related particulates had the strongest association with ED visits. A factor indicating soil-sourced particles had a weaker but statistically significant observed morbidity effect. Of the many components of particulate air pollution, those from motor vehicle exhaust had the greatest observed effect on morbidity.

KEYWORDS:

• air pollution
• elderly
• environment
• epidemiology
• infants
• morbidity

Notes

*Lower 95th percentile confidence interval remained greater than one after adjustment for the other elements in the Table, plus gases.

**Optimal lags determined by AIC.