Assessment of health impacts attributed to PM10 exposure during 2011 in Kermanshah City, Iran

Document Type : Original Article


1 Applied Science Training Center, Ahvaz Municipality, Ahvaz, Iran

2 Department of Environmental Health Engineering, School of Public Health AND Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Department of Environmental Health Engineering, School of Public Health and Paramedical, Semnan University of Medical Sciences, Semnan, Iran

4 Environmental Technologies Research Center (ETRC), Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

5 MSC of Environmental Health. Department of Environmental Health Engineering. School of Health, Ahvaz University of Medical Sciences. Member of student Research Committee of Ahvaz Jundishapur University of Medical Sciences

6 Department of Environmental Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

7 Department of Parasitology and Mycology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Arvand Branch, Abadan, Iran


The main aim of this study was to evaluate cardiovascular and respiratory outcomes attributed to PM10 in Kermanshah, Iran. In order to gather data, an Environmental Dust Monitor instrument was used at 3 stations throughout the city at a height of at least 3 m above the ground. We obtained an input file for the model from crude data and quantified PM10 using the AirQ model. Our estimation showed that 80% of cardiovascular deaths occurred on days with PM10 concentrations of less than 170 μgm-3. The number of respiratory deaths due to PM10 was estimated to be 46 people in 2011, showing a 48% reduction in such deaths compared to 2010. The number of patients with respiratory problems attributed to PM10 exposure comprised 5.61% of the total number of patients admitted to hospitals due to respiratory diseases. This lower percentage of morbidity and mortality attributed to suspended particles in Kermanshah in 2011, in comparison with 2010, was due to the higher exposure days with PM10 concentration of 200-250 μgm-3 in 2010. Every 10 μgm-3 increase in the concentration of suspended particles led to a 0.8 and 1.2% rise in the mortality rate due to cardiovascular and respiratory diseases, respectively. Additionally, the rates of heart and respiratory problems increased by 0.9 and 0.8%, respectively. 


  1. 1. Goudarzi Gh, Zallaghi E, Neissi A, Ahmadi Ankali K, Saki A, Babaei AA, et al. Cardiopulmonary mortalities and chronic obstructive pulmonary disease attributed to ozone air pollution. Arch Hyg Sci 2013; 2(2):
    62- 72.
    2. Goudarzi Gh, Mohammadi MJ, Angali K, Neisi AK, Babaei AA, Mohammadi B, et al. Estimation of health effects attributed to no2 exposure using airq model. Arch Hyg Sci 2012; 1(2): 59-66.
    3. Naddafi K, Hassanvand MS, Yunesian M, Momeniha F, Nabizadeh R, Faridi S, et al. Health impact assessment of air pollution in megacity of Tehran, Iran. Iran J Environ Health Sci Eng 2012; 9(1): 28.
    4. Zolghi A, Godarzi Gh, Gravandi S, Mohamadi M, Vosoghi Nayeri M, Visi E, et al. Estimate of cardiovascular and respiratory diseases related to particle matter pollutant in Tabriz air, northwest of Iran, 2011. J Ilam Univ Med Sci 2014; 22(1): 84-91.[In Persian]. 

    5. Chow JC. Measurement methods to determine compliance with ambient air quality standards for suspended particles. J Air Waste Manag Assoc 1995; 45(5): 320-82.
    6. Colls J, Tiwary A. Air Pollution: Measurement, Modelling and Mitigation. 3rd ed. New York, NY: CRC Press; 2009.
    7. Janssen NA, Schwartz J, Zanobetti A, Suh HH. Air conditioning and source-specific particles as modifiers of the effect of PM(10) on hospital admissions for heart and lung disease. Environ Health Perspect 2002; 110(1): 43-9.
    8. Fanger PO. Thermal comfort: Analysis and applications in environmental engineering. New York, NY: McGraw-Hill; 1970.
    9. World Health Organization. Air Quality Guidelines: Global Update 2005: Particulate Matter, Ozone, Nitrogen Dioxide, and Sulfur Dioxide. Geneva, Switzerland: World Health Organization; 2006.
    10. Lippmann M. Environmental Toxicants: Human Exposures and Their Health Effects. New Jersey, NJ: John Wiley & Sons, 2000.
    11. Mage D, Ozolins G, Peterson P, Webster A, Orthofer R, Vandeweerd V, et al. Urban air pollution in megacities of the world. Atmospheric Environment 1996; 30(5): 681-6.
    12. Panyacosit L. A Review of Particulate Matter and Health: Focus on Developing Countries [Online]. [cited 2000]; Available from: URL:
    13. Kermanshah Department of Environment. Goegrafical location of Kermanshah Province [Online]. [cited 2014]; Available from: URL: 

    14. Viana M, Kuhlbusch TAJ, Querol X, Alastuey A, Harrison RM, Hopke PK, et al. Source apportionment of particulate matter in Europe: A review of methods and results. Journal of Aerosol Science 2008; 39(10):
    827- 49.
    15. Lodge JP. Methods of Air Sampling and Analysis. New York, NY: CRC Press; 1988.
    16. Zallaghi A. Quantification and health effects comparison of criteria air pollutants in southwest of Iran (Ahvaz-Kermanshah-Bushehr) by using of AIR Q Model [MSc Thesis]. Ahvaz, Iran: Islamic Azad University, Science and Research Branch; 2010. [In Persian].
    17. Tominz R, Mazzoleni B, Daris F. Estimate of potential health benefits of the reduction of air pollution with PM10 in Trieste, Italy. Epidemiol Prev 2005; 29(3-4):
    149- 55.
    18. Goudarzi G. Quantifying the health effects of air pollution in Tehran and determines the third axis of the comprehensive plan to reduce air pollution in Tehran [PhD Thesis]. Tehran, Iran: Tehran University of Medical Sciences; 2009. [In Persian].
    19. Yavari AR, Sotoudeh A, Parivar P. Urban Environmental Quality and Landscape Structure in Arid Mountain Environment. International Journal of Environmental Research 2007; 1(4): 325-40.
    20. Ostro B, Sanchez JM, Aranda C, Eskeland GS. Air pollution and mortality: results from a study of Santiago, Chile. J Expo Anal Environ Epidemiol 1996; 6(1): 97-114.
    21. Schwartz J. The distributed lag between air pollution and daily deaths. Epidemiology 2000; 11(3): 320-6.