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首页> 外文期刊>Environmental research >Ambient air pollution and health in Sub-Saharan Africa: Current evidence, perspectives and a call to action.
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Ambient air pollution and health in Sub-Saharan Africa: Current evidence, perspectives and a call to action.

机译:撒哈拉以南非洲地区的环境空气污染与健康:最新证据,观点和行动呼吁。

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摘要

Background: People from low- and middle-income countries are disproportionately affected by the global burden of adverse health effects caused by ambient air pollution (AAP). However, data from Sub-Saharan Africa (SSA) are still scarce. We systematically reviewed the literature to describe the existing knowledge on AAP and health outcomes in SSA.Methods: We searched PubMed, Medline-OVID, EMBASE and Scopus databases to identify studies of AAP and health outcomes published up to November 15, 2017. We used a systematic review approach to critically analyze and summarize levels of outdoor air pollutants, and data on health effects associated with AAP. We excluded occupational and indoor exposure studies.Results: We identified 60 articles, with 37 only describing levels of AAP and 23 assessing the association between air pollution and health outcomes. Most studies (75%) addressing the relation between AAP and disease were cross-sectional. In general, exposure data were only obtained for selected cities in the framework of temporary international collaborative research initiatives without structural long-term continuation. Measurements of AAP revealed 10-20 fold higher levels than WHO standards. Of the 23 studies reporting health effects, 14 originated from South Africa, and most countries within SSA contributed no data at all. No studies, except from South Africa, were based on reliable morbidity or mortality statistics at regional or country level. The majority of studies investigated self-reported respiratory symptoms. Children and the elderly were found to be more susceptible to AAP.Conclusion: AAP and its negative health effects have been understudied in SSA compared with other continents. The limited direct measurements of air pollutants indicate that AAP in SAA cities is high compared with international standards. Efforts are needed to monitor AAP in African cities, to identify its main sources, and to reduce adverse health effects by enforcing legislation.
机译:背景:来自中低收入国家的人们受到环境空气污染(AAP)造成的不利健康影响的全球负担的影响最大。但是,来自撒哈拉以南非洲(SSA)的数据仍然很少。我们系统地回顾了文献以描述SSA中有关AAP和健康结局的现有知识。方法:我们检索了PubMed,Medline-OVID,EMBASE和Scopus数据库,以确定截至2017年11月15日发表的AAP和健康结局的研究。一种系统的审查方法,可以严格地分析和总结室外空气污染物的水平,以及与AAP相关的健康影响的数据。结果:我们确定了60篇文章,其中37篇仅描述了AAP的水平,而23篇评估了空气污染与健康结果之间的关系。大部分针对AAP与疾病之间关系的研究(75%)是横断面的。通常,仅在临时国际合作研究计划的框架内获得选定城市的暴露数据,而没有结构性的长期延续。对AAP的测量表明其水平比WHO标准高10-20倍。在23项报告有健康影响的研究中,有14项来自南非,而SSA内的大多数国家根本没有提供任何数据。除南非以外,没有任何研究基于地区或国家/地区的可靠发病率或死亡率统计数据。大多数研究调查了自我报告的呼吸道症状。结论:与其他大洲相比,SSA对AAP及其负面健康影响的研究还比较少。有限的直接测量空气污染物表明,与国际标准相比,南非航空城市的AAP较高。需要努力监测非洲城市中的AAP,确定其主要来源,并通过执行立法减少不良健康影响。

著录项

  • 来源
    《Environmental research》 |2019年第6期|174-188|共15页
  • 作者单位

    Katholieke Univ Leuven, Ctr Environm & Hlth, Dept Publ Hlth & Primary Care, Herestr 49 706, B-3000 Leuven, Belgium|Catholic Univ Bukavu, Dept Internal Med, Fac Med, Bukavu, DEM REP CONGO|Catholic Univ Bukavu, Expertise Ctr Min Governance CEGEMI, Bukavu, DEM REP CONGO;

    Univ KwaZulu Natal, Dept Pediat, Fac Med & Hlth Sci, Durban, South Africa;

    Stellenbosch Univ, Div Epidemiol & Biostat, Dept Global Hlth, Fac Med & Hlth Sci, Cape Town, South Africa;

    Stellenbosch Univ, Div Epidemiol & Biostat, Dept Global Hlth, Fac Med & Hlth Sci, Cape Town, South Africa|Kenya Govt Med Res Ctr, Nairobi, Kenya;

    Stellenbosch Univ, Div Med Physiol, Dept Biomed Sci, Fac Med & Hlth Sci, Cape Town, South Africa;

    Med Univ Graz, Dept Physiol, Graz, Austria|Med Univ Graz, Otto Loewi Res Ctr, Graz, Austria;

    Flemish Inst Technol Res VITO, Environm Risk & Hlth Unit, Mol, Belgium|Hasselt Univ, Ctr Environm Sci, Hasselt, Belgium;

    Katholieke Univ Leuven, Ctr Environm & Hlth, Dept Publ Hlth & Primary Care, Herestr 49 706, B-3000 Leuven, Belgium|Hasselt Univ, Ctr Environm Sci, Hasselt, Belgium;

    Katholieke Univ Leuven, Ctr Environm & Hlth, Dept Publ Hlth & Primary Care, Herestr 49 706, B-3000 Leuven, Belgium;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Outdoor air pollution; Urban health; Cardio-respiratory diseases; Environmental justice; Global health;

    机译:室外空气污染;城市卫生;心肺疾病;环境司法;全球卫生;

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