Forest fires are associated with elevated mortality in a dense urban setting
Forest fires are associated with elevated mortality in a dense urban setting
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DOI：
10.1136/oem.2010.064238
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发表时间：
2012-03-01
影响因子：
4.9
通讯作者：
Katsouyanni, Klea
中科院分区：
文献类型：
--
作者：
Analitis, Antonis;Georgiadis, Ioannis;Katsouyanni, Klea
大雅典地区（人口超过300万）的气候和植被使森林火灾在夏季对环境构成真实的威胁。一些研究报告了森林火灾对健康的不利影响，主要使用发病率结果。研究了1998- 2004年希腊雅典森林火灾对居民非意外死亡的短期影响。方法采用广义加性模型研究了森林火灾对居民日死亡率的影响，调整了时间趋势和气象变量，并考虑了固定监测仪测量的空气污染。结果小火对死亡率无影响。中型火灾与每日总死亡人数增加4.9%（95% CI 0.3%至9.6%）、心血管死亡人数增加6.0%（95% CI -0.3%至12.6%）和呼吸道死亡人数增加16.2%（95% CI 1.3%至33.4%）相关。老年人的心血管影响更大
Objectives The climate and vegetation of the greater Athens area (population over three million) make forest fires a real threat to the environment during the summer. A few studies have reported the adverse health effects of forest fires, mainly using morbidity outcomes. The authors investigated the short-term effects of forest fires on non-accidental mortality in the population of Athens, Greece, during 1998-2004.Methods The authors used generalised additive models to investigate the effect of forest fires on daily mortality, adjusting for time trend and meteorological variables, taking into account air pollution as measured from fixed monitors. Forest fires were classified by size according to the area burnt.Results Small fires do not have an effect on mortality. Medium sized fires are associated with an increase of 4.9% (95% CI 0.3% to 9.6%) in the daily total number of deaths, 6.0% (95% CI -0.3% to 12.6%) in the number of cardiovascular deaths and 16.2% (95% CI 1.3% to 33.4%) in the number of respiratory deaths. Cardiovascular effects are larger in those aged