The role of burden of disease assessment in tracking progress towards achieving WHO global air quality guidelines.

The role of burden of disease assessment in tracking progress towards achieving WHO global air quality guidelines.
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DOI:
10.1007/s00038-020-01479-z
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发表时间:
2020-11
影响因子:
4.6
通讯作者:
Künzli N
Künzli N
中科院分区:
医学3区
文献类型:
--
作者:
Evangelopoulos D;Perez-Velasco R;Walton H;Gumy S;Williams M;Kelly FJ;Künzli N

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全球90%以上的人口生活在PM2.5空气质量指南(AQG)超标的地区。我们提供了一个概述的环境PM2.5相关的疾病负担(BOD)的研究沿着情景分析的框架下,世界卫生组织空气质量目标更新的估计减少在BOD,如果全球实现空气质量目标。我们回顾了大规模研究的文献归因于环境PM2.5的生化需氧量。此外,我们采用世卫组织的最新统计数据,计算现时水平的每日身体消耗量,以及与中期目的和空气质量指标水平接轨的情况。最近的BoD研究(2010年以后)采用了类似的方法,但输入数据存在差异,影响了可归因死亡的估计数(每年290万至890万例死亡)。此外,我们发现,如果实现了AQG,估计的BOD将减少全球总死亡人数的50%。了解各国的BOD,特别是那些不符合AQGs的国家,对于为全球减少空气污染的行动提供信息至关重要。
More than 90% of the global population live in areas exceeding the PM2.5 air quality guidelines (AQGs). We provide an overview of the ambient PM2.5-related burden of disease (BoD) studies along with scenario analysis in the framework of the WHO AQG update on the estimated reduction in the BoD if AQGs were achieved globally. We reviewed the literature for large-scale studies for the BoD attributed to ambient PM2.5. Moreover, we used the latest WHO statistics to calculate the BoD at current levels and the scenarios of aligning with interim targets and AQG levels. The most recent BoD studies (2010 onwards) share a similar methodology, but there are differences in the input data which affect the estimates for attributable deaths (2.9–8.9 million deaths annually). Moreover, we found that if AQGs were achieved, the estimated BoD would be reduced by up to 50% in total deaths worldwide. Understanding the BoD across countries, especially in those that do not align with the AQGs, is essential in order to inform actions to reduce air pollution globally.
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