Journal of Environmental Health Sciences (한국환경보건학회지)

Korean Society of Environmental Health (한국환경보건학회)
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Concentration Response Functions for Particulate Matter related Health Risk Assessment in South Korea

입자상 대기오염물질의 건강 위해성 평가를 위한 국내 농도반응함수 도출

  • Ha, Jongsik (Environmental Assessment Group, Korea Environment Institute)
  • Received : 2017.03.05
  • Accepted : 2017.06.02
  • Published : 2017.06.28
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Abstract

Objectives: HRA (Health Risk Assessment) is an important tool for measuring the health impacts of air pollution. HRA is already being used widely as an important reference for crafting air pollution policies. However, the absence of a domestic CRF (Concentration Response Function) standard, which is a main component for HRA, could cause confusion amongst policy-makers. The purpose of this study is to tabulate a domestic CRF standard for a PM (Particulate Matter)-related HRA. Methods: This study suggested a domestic CRF standard for HRA thorough a literature review. The literature review for meta-analysis was limited to the English language for epidemiological studies published from January 1980 to March 2016. This meta-analysis was conducted by assuming both fixed- and random-effects of CRF. In addition, studies that reported HRA of air pollution for WHO (World Health Organization), the EC (European Commission), and the EPA (Environmental Protection Agency) were reviewed to compare the CRFs of South Korea to the recommended CRFs of WHO, the EC, or the EPA. Additionally, a domestic CRF standard was supplemented by these. Results: Nineteen studies were selected for the CRF for South Korea. Fifty-three CRFs were derived for meta-analysis. CRFs with a standard for PM-related HRA were divided according to the following four criteria: air pollution, exposure characteristics, type of health impact, and age group. Finally, a domestic CRF standard was created comprised of 21 CRFs. Among these, six CRFs were derived from the results of foreign HRA studies. Conclusions: This study is important in that a domestic CRF standard is first suggested. In addition, this study suggests a further area of study for using HRA as a policy tool and a direction of epidemiological study.

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References

  1. World Health Organization. Health risk assessment of air pollution-General principles; 2016.
  2. Environmental Protection Agency. The Benefits and Costs of the Clean Air Act from 1990 to 2020; 2011.
  3. Ministry of Environment. The Second Basic Plan on the Metropolitan Area Air Quality Management(2015-2024); 2013 (Korean).
  4. Lelieveld J et al. The contribution of outdoor air pollution sources to premature mortality on a global scale. NATURE. 2015;525:367-371. https://doi.org/10.1038/nature15371
  5. Zhang Q et al. Transboundary health impacts of transported blobal air pollution and international trade. NATURE. 2017;543:705-709. https://doi.org/10.1038/nature21712
  6. Ministry of Environment. A Study on the Establishment and Application of Health Evaluation Model for Reduction of Environmental Pollution Control Policy; 2007 (Korean).
  7. Ministry of Environment. The study of setting policy direction for risk management of air pollution; 2013 (Korean).
  8. Ha J and Moon N. Uncertainty and estimation of health burden from particulate matter in Seoul metropolitan region. Journal of Korean Society for Atmospheric Environment. 2013;29:275-286 (Korean). https://doi.org/10.5572/KOSAE.2013.29.3.275
  9. Ha J. Applying policy and health effects of air pollution in South Korea: focus on ambient air quality standards. Environmental Health and Toxicology. 2014;29:e2014011. https://doi.org/10.5620/eht.e2014011
  10. Gordis L. Epidemiology, 4th ed; 2008.
  11. Kunzil N et al. Assessment of deaths attributable to air pollution: should we use risk estimates based on time series or on cohort studies? American Journal of Epidemiology. 2001;153:1050-1055. https://doi.org/10.1093/aje/153.11.1050
  12. DerSimonian R and Laird N. Meta-analysis in clinical trials. Controlled Clinical Trials. 1986;7:177-187. https://doi.org/10.1016/0197-2456(86)90046-2
  13. US EPA. BenMAP: User's Manual, Appendices; 2015.
  14. WHO. Health Risks of Air Pollution in Europe-HRAPIE Project. Regional Office for Europe; 2013.
  15. Burnett RT et al. An Integrated Risk Function for Estimating the Global Burden of Disease Attributable to Ambient Fine Particulate Matter Exposure. Environmental Health Perspectives. 2014;122(4): 397-403. https://doi.org/10.1289/ehp.1307049
  16. Pascal M. Assessing the public health impacts of urban air pollution in 25 European cities: results of the Aphekom project. Science of the Total Environment. 2013;449:390-400. https://doi.org/10.1016/j.scitotenv.2013.01.077
  17. Kim H et al. Effects of ambient air particles on mortality in Seoul: Have the effects changed over time? Environmental Research. 2015;140:684-690. https://doi.org/10.1016/j.envres.2015.05.029
  18. Bae HJ and Park J. Health benefits of improving air quality in the rapidly aging Korean society. Science of the Total Environment. 2009;407(23):5971-5977. https://doi.org/10.1016/j.scitotenv.2009.08.022
  19. Cho YS et al. Relationship between particulate matter measured by optical particle counter and mortality in Seoul, Korea, during 2001. Journal of Environmental Health. 2008;71(2):37-43.
  20. Son JY et al. The relationships between short-term exposure to particulate matter and mortality in Korea: Impact of particulate matter exposure metrics for sub-daily exposures. Environmental Research Letters. 2013;8:014015. https://doi.org/10.1088/1748-9326/8/1/014015
  21. Kim H et al. The lag-effect pattern in the relationship of particulate air pollution to daily mortality in Seoul, Korea. International Journal of Biometeorology. 2003;48:25-30. https://doi.org/10.1007/s00484-003-0176-0
  22. Kim H et al. Evaluating the effect of daily PM10 variation on mortality. Inhalation Toxicology. 2004; 16:55-58. https://doi.org/10.1080/08958370490443042
  23. Kwon HJ et al. Effects of ambient air pollution on daily mortality in a cohort of patients with congestive heart failure. Epidemiology. 2001;12:413-419. https://doi.org/10.1097/00001648-200107000-00011
  24. Lee JT et al. A comparison of mortality related to urban air particles between periods with Asian dust days and without Asian dust days in Seoul, Korea, 2000-2004. Environmental Research. 2007;105: 409-413. https://doi.org/10.1016/j.envres.2007.06.004
  25. Hong YC et al. PM10 Exposure, Gaseous Pollutants, and Daily Mortality in Inchon, South Korea. Environmental Health Perspectives. 1999;107:873-878. https://doi.org/10.1289/ehp.99107s6873
  26. Hong YC et al. Air Pollution and Daily Mortality in Inchon, Korea. J Korean Med Sci. 1999;14:239-244. https://doi.org/10.3346/jkms.1999.14.3.239
  27. Park AK et al. Effect of changes in season and temperature on mortality associated with air pollution in Seoul, Korea. J Epidemiol Community Health. 2011;65:368-375. https://doi.org/10.1136/jech.2009.089896
  28. Ha EH et al. Infant Susceptibility of Mortality to Air Pollution in Seoul, South Korea. Pediatrics. 2003;111:284-290. https://doi.org/10.1542/peds.111.2.284
  29. Kim J and Yang HE. Generalized Additive Model of Air Pollution to Daily Mortality. Key Eng Mater. 2005;277-279:487-491. https://doi.org/10.4028/www.scientific.net/KEM.277-279.487
  30. Son JY et al. Effects of Air Pollution on Postneonatal Infant Mortality Among Firstborn Infants in Seoul, Korea: Case-Crossover and Time-Series Analysis. Archives of Environmental & Occupational Health. 2008;63(3):108-113. https://doi.org/10.3200/AEOH.63.3.108-113
  31. Hong YC et al. Effects of air pollutants on acute stroke mortality. Environmental Health Perspective. 2002;110:187-191. https://doi.org/10.1289/ehp.02110187
  32. Son JY et al. Short-Term Effects of Air Pollution on Hospital Admissions in Korea. Epidemiology. 2013:24(4):545-554. https://doi.org/10.1097/EDE.0b013e3182953244
  33. Lee JT et al. Air pollution and hospital admissions for ischemic heart diseases among individuals 64+ years of age residing in Seoul, Korea. Arch Environ Health. 2003;58:617-623. https://doi.org/10.3200/AEOH.58.10.617-623
  34. Son JY et al. Survival analysis of long-term exposure to different sizes of airborne particulate matter and risk of infant mortality using a birth cohort in Seoul, Korea. Environment Health Perspective. 2011;119:725-730.
  35. Heo J et al. Fine Particle Air Pollution and Mortality: Importance of Specific Sources and Chemical Species. Epidemiology. 2014;25(3):379-388. https://doi.org/10.1097/EDE.0000000000000044
  36. Moolgavkar SH. Air Pollution and Daily Deaths and Hospital Admissions in Los Angeles and Cook Counties. In: Revised Analyses of Time-Series Studies of Air Pollution and Health. Health Effects Institute. Boston, MA. May; 2003.
  37. Zanobetti A et al. Fine particulate air pollution and its components in association with cause-specific emergency admissions. Environmental Health. 2009;8:58-60. https://doi.org/10.1186/1476-069X-8-58
  38. Hoek G et al. Long-term air pollution exposure and cardio-respiratory mortality: a review. Environmental Health. 2013;12:43. https://doi.org/10.1186/1476-069X-12-43
  39. Pope III CA et al. Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution. JAMA. 2002;287:1132-1141. https://doi.org/10.1001/jama.287.9.1132
  40. WHO. Environmental Burden of Disease Series; 2008.
  41. Knol AB et al. Dealing with uncertainties in environmental burden of disease assessment. Environmental Health. 2009;8:21. https://doi.org/10.1186/1476-069X-8-21