Estimating the health effects of PM10 on human in Sanandaj City during 2010-2014 using AirQ model

Document Type : Original Article


1 Department of Environmental Health Engineering, Environmental Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran

2 Kurdistan Agricultural and Natural Resources Research and Education Center, AREEO, Sanandaj, Iran

3 Department of Environmental, Kurdistan Province, Sanandaj, Iran

4 Department of Water and Health, Faculty of Life Sciences, J.S.S University, Sri Shivarathreshwara Nagara, Mysore-570015, Karnataka, India


One of the air pollutant indices includes particulate matter with aerodynamic diameter less than or equal to 10 μg/m3 (PM10). Particulate matter has extensive effects on the respiratory and cardiovascular systems. Dissemination of such particles for a longer period can lead to increased mortality and hospitalization. In this study, the data of PM10 pollutant were gathered from the Kurdistan Department of Environment. Furthermore, PM10 effects on the total mortalities, cardiovascular mortalities, respiratory mortalities, and hospitalizations caused by respiratory and cardiovascular diseases were analyzed using AirQ software. The results reported the highest mean concentration of PM10 in 2014. This software predicted a total death toll of 57, 60, 57, 51, and 55 cases per 100,000 people during 2010–2014, respectively. Moreover, it was estimated that 3.4, 8, 1.2, 10.8, and 11.5 percent of all deaths could be attributed to the concentrations >20 μg/m3 of PM10. Due to the lack of suitable database for recording death toll attributable to air pollutants, this software could be considered as an alternative for estimating the health effects of air pollutants.


1.         Zhou M, He G, Liu Y, Yin P, Li Y, Kan H, et al. The associations between ambient air pollution and adult respiratory mortality in 32 major Chinese cities, 2006–2010. Environmental research 2015; 137: 278-86.
2.         KuÈnzli N, Kaiser R, Medina S, Studnicka M, Chanel O, Filliger P, et al. Public-health impact of outdoor and traffic-related air pollution: a European assessment. The Lancet 2000; 356(9232): 795-801.
3.         Amini H, Taghavi-Shahri SM, Henderson SB, Naddafi K, Nabizadeh R, Yunesian M. Land use regression models to estimate the annual and seasonal spatial variability of sulfur dioxide and particulate matter in Tehran, Iran. Science of the Total Environment 2014; 488: 343-53.
4.         Wang S, Wang J, Zhou Z, Shang K. Regional characteristics of three kinds of dust storm events in China. Atmospheric Environment 2005; 39(3): 509-20.
5.         Kurosaki Y, Mikami M. Recent frequent dust events and their relation to surface wind in East Asia. Geophysical Research Letters 2003; 30(14):1736-1739.
6.         Moulin C, Lambert CE, Dulac F, Dayan U. Control of atmospheric export of dust from North Africa by the North Atlantic Oscillation. Nature 1997; 387(6634): 691-4.
7.         World Health Organization, Europe WHOROf. Air quality guidelines: global update 2005: particulate matter, ozone, nitrogen dioxide, and sulfur dioxide: WHO; 2006.
8.         López J, Callén M, Murillo R, Garcia T, Navarro M, De la Cruz M, et al. Levels of selected metals in ambient air PM10 in an urban site of Zaragoza (Spain). Environmental research 2005; 99(1): 58-67.
9.         Maheswaran R, Haining RP, Brindley P, Law J, Pearson T, Fryers PR, et al. Outdoor air pollution, mortality, and hospital admissions from coronary heart disease in Sheffield, UK: a small-area level ecological study. European heart journal 2005; 26(23): 2543-9.
10.       Pisoni E, Volta M. Modeling Pareto efficient PM10 control policies in Northern Italy to reduce health effects. Atmospheric Environment 2009;4 3(20): 3243-8.
11.       Wang S, Feng X, Zeng X, Ma Y, Shang K. A study on variations of concentrations of particulate matter with different sizes in Lanzhou, China. Atmospheric Environment 2009; 43(17): 2823-8.
12.       Gharehchahi E, Mahvi AH, Amini H, Nabizadeh R, Akhlaghi AA, Shamsipour M, et al. Health impact assessment of air pollution in Shiraz, Iran: a two-part study. J Environ Health Sci Eng 2013; 11(1): 11.
13.       Meng Z, Lu B. Dust events as a risk factor for daily hospitalization for respiratory and cardiovascular diseases in Minqin, China. Atmospheric Environment 2007; 41(33): 7048-58.
14.       Brook RD. Is air pollution a cause of cardiovascular disease? Updated review and controversies. Rev Environ Health 2007; 22(2): 115-38.
15.       Rückerl R, Schneider A, Breitner S, Cyrys J, Peters A. Health effects of particulate air pollution: a review of epidemiological evidence. Inhalation toxicology 2011; 23(10): 555-92.
16.       Zanobetti A, Baccarelli A, Schwartz J. Gene–Air pollution interaction and cardiovascular disease: a review. Progress in cardiovascular diseases 2011; 53(5): 344-52.
17.       Gao Y, Chan EY, Zhu Y, Wong TW. Adverse effect of outdoor air pollution on cardiorespiratory fitness in Chinese children. Atmospheric Environment 2013; 64: 10-7.
18.       Pope III CA, Dockery DW. Health effects of fine particulate air pollution: lines that connect. Journal of the air & waste management association 2006; 56(6): 709-42.
19.       Brook RD, Rajagopalan S, Pope CA, Brook JR, Bhatnagar A, Diez-Roux AV, et al. Particulate matter air pollution and cardiovascular disease: an update to the scientific statement from the American Heart Association. Circulation 2010; 121(21): 2331-78.
20.       Furman HKH. Dust storms in the Middle East: sources of origin and their temporal characteristics. Indoor and Built Environment 2003; 12(6): 419-26.
21.       Hosseini G, Maleki A, Amini H, Mohammadi S, Hassanvand MS, Giahi O, et al. Health impact assessment of particulate matter in Sanandaj, Kurdistan, Iran. Journal of Advances in Environmental Health Research 2014; 2(1): 54-62.
22.       Ostro B, Feng W-Y, Broadwin R, Green S, Lipsett M. The effects of components of fine particulate air pollution on mortality in California: results from CALFINE. Environmental health perspectives 2007: 13-9.
23.       Rodopoulou S, Chalbot M-C, Samoli E, DuBois DW, San Filippo BD, Kavouras IG. Air pollution and hospital emergency room and admissions for cardiovascular and respiratory diseases in Dona Ana County, New Mexico. Environmental research 2014; 129: 39-46.
24.       Tao Y, Mi S, Zhou S, Wang S, Xie X. Air pollution and hospital admissions for respiratory diseases in Lanzhou, China. Environmental pollution 2014; 185: 196-201.
25.       Goudarzi G, Zallaghi E, Neissi A, Ankali KA, Saki A, Babaei AA, et al. Cardiopulmonary mortalities and chronic obstructive pulmonary disease attributed to ozone air pollution. Archives of Hygiene sciences 2013; 2(2):62-72.
26.       Tominz R, Mazzoleni B, Daris F. Estimate of potential health benefits of the reduction of air pollution with PM10 in Trieste, Italy. Epidemiologia e prevenzione 2004; 29(3-4): 149-55.
27.       Goudarzi G, Naddafi K, Mesdaghinia A. Quantifying the health effects of air pollution in Tehran and determines the third axis of the comprehensive plan to reduce air pollution in Tehran. 2007 National Conference of the Air Pollution, Tehran, Iran: Tehran University of Medical Sciences.
28.       Atkinson RW, Ross Anderson H, Sunyer J, Ayres J, Baccini M, Vonk JM, et al. Acute effects of particulate air pollution on respiratory admissions: results from APHEA 2 project. American journal of respiratory and critical care medicine 2001; 164(10): 1860-6.
29.       Moolgavkar SH, Luebeck EG, Anderson EL. Air pollution and hospital admissions for respiratory causes in Minneapolis-St. Paul and Birmingham. Epidemiology 1997: 364-70.
30.       Wordley J, Walters S, Ayres JG. Short term variations in hospital admissions and mortality and particulate air pollution. Occupational and environmental medicine 1997; 54(2): 108-16.
31.       Sracic MK. Modeled regional airway deposition of inhaled particles in athletes at exertion. Journal of Aerosol Science 2016; 99: 54-63.
32.       Cascio WE. Proposed pathophysiologic framework to explain some excess cardiovascular death associated with ambient air particle pollution: Insights for public health translation. Biochim Biophys Acta 2016; 1860(12): 2869-79.
33.       Ferreira S, Akay A, Brereton F, Cuñado J, Martinsson P, Moro M, et al. Life satisfaction and air quality in Europe. Ecological Economics 2013; 88: 1-10.
34.       Katsouyanni K, Touloumi G, Samoli E, Gryparis A, Le Tertre A, Monopolis Y, et al. Confounding and effect modification in the short-term effects of ambient particles on total mortality: results from 29 European cities within the APHEA2 project. Epidemiology 2001; 12(5): 521-31.
35.       Samet JM, Zeger SL, Dominici F, Curriero F, Coursac I, Dockery DW, et al. The national morbidity, mortality, and air pollution study. Part II: morbidity and mortality from air pollution in the United States. Res Rep Health Eff Inst 2000; 94(pt 2): 5-70.