Journal article
Association between ambient air pollution and respiratory health in Kampala, Uganda: Implications for policy and practice
Urban climate, v 58, 102128
Nov 2024
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Ambient air pollution and weather have an impact on respiratory diseases. This study analysed effects of fine particulate matter (PM2.5) on monthly respiratory-related healthcare facility visits and admissions (herein referred to as events) in Kampala, whilst considering meteorological factors.
Monthly healthcare facility events for neonatal pneumonia, asthma, pneumonia and COPD between 2019 and 2020 were retrospectively extracted from the District Health Information Software 2. PM2.5 and meteorological data were obtained from 45 monitoring stations and 5 weather stations in Kampala. Associations between air pollution and healthcare facility events were examined using generalised additive models (GAM) adjusted for rainfall, temperature and humidity.
Multivariate analysis showed positive association between monthly PM2.5 with healthcare facility visits due to asthma (incident rate ratio-IRR = 1.007, 95 % CI: 1.002–1.013; p < 0.05) and admissions due to pneumonia (IRR = 1.007, 95 % CI: 1.001–1.013; p < 05). Healthcare facility events were associated with PM2.5 (IRR = 1.005; 95 % CI: 1.002–1.009; p < 0.05) and relative humidity (EDF = 1.000; p < 0.05).
PM2.5 impacted on healthcare facility events in Kampala and association was influenced by meteorological factors. However, lack of data for daily healthcare facility events could have affected accuracy of the impact therefore further analyses are needed. Our characterisation could support facilities in development of early warning tools for air pollution events.
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•PM2.5 impacted on healthcare facility visits and admissions in Kampala.•Overall healthcare facilities events included 83 % visits and 17 % admissions.•Results highlight likely role of PM2.5 in healthcare facility visits and admissions.•Results could support healthcare facilities in respiratory health management.•Results can help in developing early warning tools for air quality related events.
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Details
- Title
- Association between ambient air pollution and respiratory health in Kampala, Uganda: Implications for policy and practice
- Creators
- Gabriel Okello - University of CambridgeRebecca Nantanda - Makerere UniversityLambed Tatah - University of CambridgeRichard Sserunjogi - Makerere UniversityOlatunji Johnson - Department of Mathematics, Manchester University, United KingdomBabatunde Awokola - Liverpool School of Tropical MedicineDeo Okure - Makerere UniversityMeelan Thondoo - University of CambridgePaul Green - Makerere UniversityOpeyemi Babajide - Drexel UniversityTolu Oni - University of Cambridge
- Publication Details
- Urban climate, v 58, 102128
- Publisher
- Elsevier
- Number of pages
- 14
- Grant note
- AstraZeneca: G111521
Gabriel Okello is a Prince of Wales fellow leading the Air Quality and NCDs fellowship supported by a philanthropic gift from AstraZeneca, Grant No G111521. The views expressed in this publication are those of the author(s) and not necessarily those of AstraZeneca.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative
- Web of Science ID
- WOS:001316378600001
- Scopus ID
- 2-s2.0-85203656826
- Other Identifier
- 991021903359204721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Environmental Sciences
- Meteorology & Atmospheric Sciences