Health effects of home energy efficiency interventions in England: a modelling study.
Health effects of home energy efficiency interventions in England: a modelling study.
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DOI：
10.1136/bmjopen-2014-007298
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发表时间：
2015-04-27
期刊：
影响因子：
2.9
通讯作者：
Wilkinson P
中科院分区：
文献类型：
--
作者：
Hamilton I;Milner J;Chalabi Z;Das P;Jones B;Shrubsole C;Davies M;Wilkinson P
旨在评估英国住宅为实现 2030 年碳减排目标而进行的能源效率改造导致室内空气质量和温度变化对公共健康的潜在影响。健康影响建模研究。英格兰。英国家庭人口。模拟了三种改造方案：(1) 假设满足建筑法规，安装织物和通风改造； (2) 与情景 (1) 相同，但对存在通风不良风险的家庭进行额外通风； (3) 与场景 (1) 相同，但没有额外通风，以说明法规薄弱和不合规的潜在风险。主要结果是由于室内空气污染物（包括二手烟草烟雾、室内外来源的 PM2.5、氡气、霉菌和室内冬季温度）的变化，导致 50 年来心肺疾病、肺癌、哮喘和常见精神障碍导致的质量调整生命年 (QALY) 的变化。模型研究估计表明，尽管室外产生的直径为 2.5 μm 或更小的颗粒物的暴露量有所增加，但由于温度改善和室内污染物暴露减少，情景 (1) 在 50 年随访中对每 10 000 人的净死亡率和发病率产生了积极影响，为 2241 人（95% 可信区间 (CI) 2085 至 2397）QALY （PM2.5）。由于室内污染物暴露总体增加，情景 (2) 在 50 年间导致每 10 000 人 -728 (95% CI -864 至 -592) QALY 的负面影响。尽管针对污染物，但由于室内暴露增加，情景 (3) 在 50 年的随访中导致每 10 000 人的 QALY 为 -539（95% CI -678 至 -399）。如果与通风一起正确实施，住房能源效率改造可以通过减少接触寒冷和空气污染物来改善健康。最大限度地提高健康效益需要仔细了解污染物暴露变化的平衡，强调通风对于减轻室内空气质量不良风险的重要性。
To assess potential public health impacts of changes to indoor air quality and temperature due to energy efficiency retrofits in English dwellings to meet 2030 carbon reduction targets. Health impact modelling study. England. English household population. Three retrofit scenarios were modelled: (1) fabric and ventilation retrofits installed assuming building regulations are met; (2) as with scenario (1) but with additional ventilation for homes at risk of poor ventilation; (3) as with scenario (1) but with no additional ventilation to illustrate the potential risk of weak regulations and non-compliance. Primary outcomes were changes in quality adjusted life years (QALYs) over 50 years from cardiorespiratory diseases, lung cancer, asthma and common mental disorders due to changes in indoor air pollutants, including secondhand tobacco smoke, PM2.5 from indoor and outdoor sources, radon, mould, and indoor winter temperatures. The modelling study estimates showed that scenario (1) resulted in positive effects on net mortality and morbidity of 2241 (95% credible intervals (CI) 2085 to 2397) QALYs per 10 000 persons over 50 years follow-up due to improved temperatures and reduced exposure to indoor pollutants, despite an increase in exposure to outdoor-generated particulate matter with a diameter of 2.5 μm or less (PM2.5). Scenario (2) resulted in a negative impact of −728 (95% CI −864 to −592) QALYs per 10 000 persons over 50 years due to an overall increase in indoor pollutant exposures. Scenario (3) resulted in −539 (95% CI −678 to -399) QALYs per 10 000 persons over 50 years follow-up due to an increase in indoor exposures despite the targeting of pollutants. If properly implemented alongside ventilation, energy efficiency retrofits in housing can improve health by reducing exposure to cold and air pollutants. Maximising the health benefits requires careful understanding of the balance of changes in pollutant exposures, highlighting the importance of ventilation to mitigate the risk of poor indoor air quality.
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影响因子：
168.9
作者：
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