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Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire

BACKGROUND: Cardiovascular health effects of fine particulate matter (PM(2.5)) exposure from wildfire smoke are neither definitive nor consistent with PM(2.5) from other air pollution sources. Non-comparability among wildfire health studies limits research conclusions. METHODS: We examined cardiovas...

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Autores principales: Tinling, Melissa A., West, J. Jason, Cascio, Wayne E., Kilaru, Vasu, Rappold, Ana G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728755/
https://www.ncbi.nlm.nih.gov/pubmed/26818940
http://dx.doi.org/10.1186/s12940-016-0093-4
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author Tinling, Melissa A.
West, J. Jason
Cascio, Wayne E.
Kilaru, Vasu
Rappold, Ana G.
author_facet Tinling, Melissa A.
West, J. Jason
Cascio, Wayne E.
Kilaru, Vasu
Rappold, Ana G.
author_sort Tinling, Melissa A.
collection PubMed
description BACKGROUND: Cardiovascular health effects of fine particulate matter (PM(2.5)) exposure from wildfire smoke are neither definitive nor consistent with PM(2.5) from other air pollution sources. Non-comparability among wildfire health studies limits research conclusions. METHODS: We examined cardiovascular and respiratory health outcomes related to peat wildfire smoke exposure in a population where strong associations were previously reported for the 2008 Evans Road peat wildfire. We conducted a population-based epidemiologic investigation of associations between daily county-level modeled wildfire PM(2.5) and cardiopulmonary emergency department (ED) visits during the 2011 Pains Bay wildfire in eastern North Carolina. We estimated changes in the relative risk cumulative over 0–2 lagged days of wildfire PM(2.5) exposure using a quasi-Poisson regression model adjusted for weather, weekends, and poverty. RESULTS: Relative risk associated with a 10 μg/m(3) increase in 24-h PM(2.5) was significantly elevated in adults for respiratory/other chest symptoms 1.06 (1.00–1.13), upper respiratory infections 1.13 (1.05–1.22), hypertension 1.05 (1.00–1.09) and ‘all-cause’ cardiac outcomes 1.06 (1.00–1.13) and in youth for respiratory/other chest symptoms 1.18 (1.06–1.33), upper respiratory infections 1.14 (1.04–1.24) and ‘all-cause’ respiratory conditions 1.09 (1.01–1.17). CONCLUSIONS: Our results replicate evidence for increased risk of cardiovascular outcomes from wildfire PM(2.5) and suggest that cardiovascular health should be considered when evaluating the public health burden of wildfire smoke. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12940-016-0093-4) contains supplementary material, which is available to authorized users.
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spelling pubmed-47287552016-01-27 Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire Tinling, Melissa A. West, J. Jason Cascio, Wayne E. Kilaru, Vasu Rappold, Ana G. Environ Health Research BACKGROUND: Cardiovascular health effects of fine particulate matter (PM(2.5)) exposure from wildfire smoke are neither definitive nor consistent with PM(2.5) from other air pollution sources. Non-comparability among wildfire health studies limits research conclusions. METHODS: We examined cardiovascular and respiratory health outcomes related to peat wildfire smoke exposure in a population where strong associations were previously reported for the 2008 Evans Road peat wildfire. We conducted a population-based epidemiologic investigation of associations between daily county-level modeled wildfire PM(2.5) and cardiopulmonary emergency department (ED) visits during the 2011 Pains Bay wildfire in eastern North Carolina. We estimated changes in the relative risk cumulative over 0–2 lagged days of wildfire PM(2.5) exposure using a quasi-Poisson regression model adjusted for weather, weekends, and poverty. RESULTS: Relative risk associated with a 10 μg/m(3) increase in 24-h PM(2.5) was significantly elevated in adults for respiratory/other chest symptoms 1.06 (1.00–1.13), upper respiratory infections 1.13 (1.05–1.22), hypertension 1.05 (1.00–1.09) and ‘all-cause’ cardiac outcomes 1.06 (1.00–1.13) and in youth for respiratory/other chest symptoms 1.18 (1.06–1.33), upper respiratory infections 1.14 (1.04–1.24) and ‘all-cause’ respiratory conditions 1.09 (1.01–1.17). CONCLUSIONS: Our results replicate evidence for increased risk of cardiovascular outcomes from wildfire PM(2.5) and suggest that cardiovascular health should be considered when evaluating the public health burden of wildfire smoke. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12940-016-0093-4) contains supplementary material, which is available to authorized users. BioMed Central 2016-01-27 /pmc/articles/PMC4728755/ /pubmed/26818940 http://dx.doi.org/10.1186/s12940-016-0093-4 Text en © Tinling et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Tinling, Melissa A.
West, J. Jason
Cascio, Wayne E.
Kilaru, Vasu
Rappold, Ana G.
Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire
title Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire
title_full Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire
title_fullStr Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire
title_full_unstemmed Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire
title_short Repeating cardiopulmonary health effects in rural North Carolina population during a second large peat wildfire
title_sort repeating cardiopulmonary health effects in rural north carolina population during a second large peat wildfire
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728755/
https://www.ncbi.nlm.nih.gov/pubmed/26818940
http://dx.doi.org/10.1186/s12940-016-0093-4
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