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  Short term association between ozone and mortality: global two stage time series study in 406 locations in 20 countries

Vicedo-Cabrera, A. M., Sera, F., Liu, C., Armstrong, B., Milojevic, A., Guo, Y., Tong, S., Lavigne, E., Kyselý, J., Urban, A., Orru, H., Indermitte, E., Pascal, M., Huber, V., Schneider, A., Katsouyanni, K., Samoli, E., Stafoggia, M., Scortichini, M., Hashizume, M., Honda, Y., Ng, C. F. S., Hurtado-Diaz, M., Cruz, J., Silva, S., Madureira, J., Scovronick, N., Garland, R. M., Kim, H., Tobias, A., Íñiguez, C., Forsberg, B., Åström, C., Ragettli, M. S., Röösli, M., Guo, Y.-L.-L., Chen, B.-Y., Zanobetti, A., Schwartz, J., Bell, M. L., Kan, H., Gasparrini, A. (2020): Short term association between ozone and mortality: global two stage time series study in 406 locations in 20 countries. - BMJ: British Medical Journal, 368, m108.
https://doi.org/10.1136/bmj.m108

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 Creators:
Vicedo-Cabrera, Ana M1, Author
Sera, Francesco1, Author
Liu, Cong1, Author
Armstrong, Ben1, Author
Milojevic, Ai1, Author
Guo, Yuming1, Author
Tong, Shilu1, Author
Lavigne, Eric1, Author
Kyselý, Jan1, Author
Urban, Aleš1, Author
Orru, Hans1, Author
Indermitte, Ene1, Author
Pascal, Mathilde1, Author
Huber, Veronika2, Author              
Schneider, Alexandra1, Author
Katsouyanni, Klea1, Author
Samoli, Evangelia1, Author
Stafoggia, Massimo1, Author
Scortichini, Matteo1, Author
Hashizume, Masahiro1, Author
Honda, Yasushi1, AuthorNg, Chris Fook Sheng1, AuthorHurtado-Diaz, Magali1, AuthorCruz, Julio1, AuthorSilva, Susana1, AuthorMadureira, Joana1, AuthorScovronick, Noah1, AuthorGarland, Rebecca M.1, AuthorKim, Ho1, AuthorTobias, Aurelio1, AuthorÍñiguez, Carmen1, AuthorForsberg, Bertil1, AuthorÅström, Christofer1, AuthorRagettli, Martina S1, AuthorRöösli, Martin1, AuthorGuo, Yue-Liang Leon1, AuthorChen, Bing-Yu1, AuthorZanobetti, Antonella1, AuthorSchwartz, Joel1, AuthorBell, Michelle L1, AuthorKan, Haidong1, AuthorGasparrini, Antonio1, Author more..
Affiliations:
1External Organizations, ou_persistent22              
2Potsdam Institute for Climate Impact Research, ou_persistent13              

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 Abstract: A total of 45 165 171 deaths were analysed in the 406 cities. On average, a 10 µg/m3 increase in ozone during the current and previous day was associated with an overall relative risk of mortality of 1.0018 (95% confidence interval 1.0012 to 1.0024). Some heterogeneity was found across countries, with estimates ranging from greater than 1.0020 in the United Kingdom, South Africa, Estonia, and Canada to less than 1.0008 in Mexico and Spain. Short term excess mortality in association with exposure to ozone higher than maximum background levels (70 µg/m3) was 0.26% (95% confidence interval 0.24% to 0.28%), corresponding to 8203 annual excess deaths (95% confidence interval 3525 to 12 840) across the 406 cities studied. The excess remained at 0.20% (0.18% to 0.22%) when restricting to days above the WHO guideline (100 µg/m3), corresponding to 6262 annual excess deaths (1413 to 11 065). Above more lenient thresholds for air quality standards in Europe, America, and China, excess mortality was 0.14%, 0.09%, and 0.05%, respectively. Conclusions: Results suggest that ozone related mortality could be potentially reduced under stricter air quality standards. These findings have relevance for the implementation of efficient clean air interventions and mitigation strategies designed within national and international climate policies.

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 Dates: 2020-02-102020-02-10
 Publication Status: Finally published
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Type: Peer
 Identifiers: DOI: 10.1136/bmj.m108
MDB-ID: No data to archive
PIKDOMAIN: RD3 - Transformation Pathways
Organisational keyword: RD3 - Transformation Pathways
Working Group: Data-Centric Modeling of Cross-Sectoral Impacts
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Title: BMJ: British Medical Journal
Source Genre: Journal, SCI, Scopus
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Pages: - Volume / Issue: 368 Sequence Number: m108 Start / End Page: - Identifier: CoNE: https://publications.pik-potsdam.de/cone/journals/resource/british-medical-journal
Publisher: British Medical Association (BMA)