Associations between Pollen Counts, Pollutants, and Asthma-Related Hospital Admissions in a High-Density Indian Metropolis
| Autor: | Shaonli Das, Indrani Roy, Debajyoti Ghosh, Ashis Biswas, Swati Gupta-Bhattacharya, Pampa Chakraborty, Jayanta Gupta |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Spores Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Urban Population India medicine.disease_cause symbols.namesake Environmental health Pollen medicine Humans Immunology and Allergy Poisson regression Asthma Pollutant Air Pollutants Adult patients business.industry Allergens medicine.disease Hospitalization Case-Control Studies Pediatrics Perinatology and Child Health symbols Regression Analysis Female West bengal Seasons business |
| Zdroj: | Journal of Asthma. 49:792-799 |
| ISSN: | 1532-4303 0277-0903 |
| Popis: | The seasonal pattern of asthma-related hospitalization has often been correlated with ambient allergen/pollutant levels.To examine the relationship between asthma-related hospital admissions (ARHA) and outdoor pollen, spore, and pollutant levels for adult patients in a densely populated Indian megacity Kolkata.ARHA data were obtained from two major teaching hospitals of the city. Pollen and spores causing allergic sensitization were identified by skin prick tests (SPTs) among respiratory allergic subjects (N = 1353). Outdoor concentrations of aeroallergens were determined using a Burkard sampler for five consecutive years (2004-2009). Levels of NO(2), SO(2), suspended particulate matters (SPMs), and respirable particulate matters (RPMs) were made available by West Bengal Pollution Control Board (WBPCB, Government of West Bengal). Poisson multivariate Poisson regression (with adjustments for overdispersion) was used to model the data. Results. We found that ARHA in Kolkata increased with predictable regularity in March and September, while remaining low in January and July. SPT showed highly positive skin reactions with grass/weed and palm pollens in respiratory allergic patients, while Aspergilli spores also evoked good sensitivity. In our regression model, the airborne pollen types, Cheno-Amaranthaceae and Cyperaceae, and the inorganic pollutant, SO(2) and RPM, were significantly associated with ARHA (p.05).ARHA in the megacity of Kolkata shows two seasonal peaks that can be correlated with outdoor grass/weed pollen and RPM concentrations. In contrast, the city's ambient fungal spore counts were not found to be significantly associated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|