Developing consistent data and methods to measure the public health impacts of ambient air quality for Environmental Public Health Tracking: progress to date and future directions.

Air Quality, Atmosphere, & Health
Thomas O TalbotJudy Rager

Abstract

Environmental Public Health Tracking (EPHT) staff at the state and national levels are developing nationally consistent data and methods to estimate the impact of ozone and fine particulate matter on hospitalizations for asthma and myocardial infarction. Pilot projects have demonstrated the feasibility of pooling state hospitalization data and linking these data to The United States Environmental Protection Agency (EPA) statistically based ambient air estimates for ozone and fine particulates. Tools were developed to perform case-crossover analyses to estimate concentration-response (C-R) functions. A weakness of analyzing one state at a time is that the effects are relatively small compared to their confidence intervals. The EPHT program will explore ways to statistically combine the results of peer-reviewed analyses from across the country to provide more robust C-R functions and health impact estimates at the local level. One challenge will be to routinely share data for these types of analyses at fine geographic and temporal scales without disclosing confidential information. Another challenge will be to develop C-R estimates which take into account time, space, or other relevant effect modifiers.

References

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Citations

Jan 26, 2010·Air Quality, Atmosphere, & Health·Thomas D MatteNicholas Jones
Oct 31, 2015·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Nathan ByersFuyuen Yip
Jul 21, 2014·Environmental Research·Heather StrosniderJudith Qualters
Jan 27, 2015·Journal of Public Health Management and Practice : JPHMP·Gregory D KearneyEvelyn O Talbott
Dec 12, 2017·Journal of Public Health Management and Practice : JPHMP·Angela K WernerUNKNOWN Sub-County Data Project Workgroup
Dec 8, 2017·European Respiratory Review : an Official Journal of the European Respiratory Society·Sarah BarbaraSinthia Bosnic-Anticevich
Aug 6, 2016·The European Respiratory Journal·Kim de JongUNKNOWN LifeLines Cohort Study Group
Aug 9, 2008·Environmental Monitoring and Assessment·R T O'Donoghue, B M Broderick
May 30, 2013·Journal of Public Health Management and Practice : JPHMP·Rachael M JonesLeslie T Stayner

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Software Mentioned

PHASE
EPHT
CMAQ
Case - Crossover Analysis Tool (
AQS
C - CAT )

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