Comparison of child morbidity in regions of Ostrava, Czech Republic, with different degrees of pollution: a retrospective cohort study
Comparison of child morbidity in regions of Ostrava, Czech Republic, with different degrees of pollution: a retrospective cohort study
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DOI：
10.1186/1476-069x-12-74
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发表时间：
2013-09-03
影响因子：
6
通讯作者：
Sram, Radim J.
中科院分区：
文献类型：
--
作者：
Dostal, Miroslav;Pastorkova, Anna;Sram, Radim J.
背景：为了证实或反驳这样的假设：在捷克共和国俄斯特拉发东部污染严重（PM10、苯并[a]芘）的东部地区出生和生活的儿童（自出生至5岁）发病率高于该市其他地区的儿童发病率。方法：俄斯特拉发5个区的10名儿科医生提取了2001-2004年出生的1878名儿童的医疗记录，列出ICD-10 代码中每个孩子的所有疾病。孩子们根据出生时及出生后的居住地被分为四组。东部地区的大多数儿童居住在Radvanice 和Bartovice 城区。 结果：我们报告了1535 名捷克裔儿童在生命的前5 年内急性疾病的发病率。最常见的急性疾病（超过所有诊断的 45%）是上呼吸道感染（URI：J00-J02、J06）。在东部地区的 183 名儿童出生后第一年，URI 的发病率（每 100 名儿童每年 372 例）是其他 3 个地区（总共 1,352 名儿童）的两倍多。从出生到5岁，居住在俄斯特拉发东部地区的儿童，肺炎、扁桃体炎、病毒感染（ICD-10代码B34）和肠道传染病的发病率也高出数倍。生活在该市污染较轻的西部地区的儿童发病率最低。结论：在俄斯特拉发市东部出生和生活的儿童从出生到5年内的急性疾病发病率明显高于俄斯特拉发其他地区的儿童。他们的喘息、特应性皮炎和过敏性鼻炎的患病率也较高。
Background: To confirm or refute the hypothesis that the morbidity of children (since birth to age 5) born and living in the heavily polluted (PM10, benzo[a]pyrene) eastern part of Ostrava, Czech Republic, was higher than the morbidity of children living in other parts of the city.Methods: Ten pediatricians in 5 districts of Ostrava abstracted the medical records of 1878 children born in 2001-2004 to list all illnesses of each child in ICD-10 codes. The children were divided into four groups according to their residence at birth and thereafter. Most of the children in the eastern area were living in the city district Radvanice and Bartovice.Results: We report on the incidence of acute illnesses in 1535 children of Czech ethnicity in the first 5 years of life. The most frequent acute illnesses (over 45% of all diagnoses) were upper respiratory infections (URI: J00-J02, J06). In the first year of life, the incidence of URI in 183 children in the eastern area - 372 illnesses/100 children/year - was more than twice as high as in the other 3 areas with a total number of 1352 children. From birth to the age of 5 years, the incidences of pneumonia, tonsillitis, viral infections (ICD-10 code B34) and intestinal infectious diseases were also several times higher in children living in the eastern part of Ostrava. The lowest morbidity was found in children living in the less polluted western part of the city.Conclusions: The children born and living in the eastern part of the city of Ostrava had from birth through 5 years significantly higher incidence rates of acute illnesses than children in other parts of Ostrava. They also had a higher prevalence of wheezing, atopic dermatitis and allergic rhinitis.