{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T09:12:00Z","timestamp":1709889120306},"reference-count":0,"publisher":"National Institute of Public Health NIH (National Research Institute)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Przegl Epidemiol"],"abstract":"<p><strong>ABSTRACT<\/strong><br \/><strong>INTRODUCTION.<\/strong> Due to the high level of urbanization and industrialization, Silesian Voivodeship remains\u00a0a region with the poorest quality ambient air, especially in the winter season in which alarm levels are\u00a0constantly being exceeded. However, in the summertime, there are observed short-term episodes of high ozone\u00a0concentrations for which their impact on the population health is poorly documented. The aim of the study was\u00a0to assess the risk of daily respiratory health problems related to an increased pollutants concentration typical for\u00a0photochemical smog.<br \/><strong>MATERIAL AND METHODS.<\/strong> In the ecological type of study, secondary epidemiological data were used.\u00a0They were obtained from the National Health Fund (NFZ) in Katowice and included the number of outpatient\u00a0visits in primary health care and hospitalizations due to respiratory diseases (J00-J99) and selected acute\u00a0respiratory incidents registered between 01\/01\/2016 and 31\/08\/2017 in the Silesian Voivodeship.<br \/><strong>RESULTS.<\/strong> In the summertime of both years (2016 and 2017), there were observed short-term episodes of\u00a0photochemical smog in the study region. Obtained results show a significant increase in the risk of outpatient\u00a0visits due to total respiratory diseases, and also due to acute pharyngitis, acute laryngotracheitis, bronchitis,\u00a0and asthma in response to the increase in ozone concentration. Similarly, a significant increase in the risk of\u00a0hospitalization for all respiratory diseases was found, however, it appeared with a delay of at least two to three\u00a0weeks. In the case of hospitalization due to bronchitis statistically significant risk was observed 2-4 days after\u00a0the increase in exposure.<br \/><strong>CONCLUSIONS.<\/strong> The occurrence of registered respiratory incidents was confirmed in response to the increase\u00a0in ozone concentration, characteristic of the summertime in the Silesian Voivodeship.<\/p>\n<p><strong>STRESZCZENIE<\/strong><br \/><strong>WST\u0118P.<\/strong> Wojew\u00f3dztwo \u015bl\u0105skie z uwagi na wysoki poziom urbanizacji i industrializacji jest regionem o z\u0142ej\u00a0jako\u015bci powietrza atmosferycznego, gdzie stale dochodzi do przekrocze\u0144 stan\u00f3w alarmowych zim\u0105. Latem wyst\u0119puj\u0105\u00a0z kolei kr\u00f3tkotrwa\u0142e epizody wysokich st\u0119\u017ce\u0144 ozonu, kt\u00f3rych wp\u0142yw na zdrowie mieszka\u0144c\u00f3w jest s\u0142abo\u00a0udokumentowany. Celem badania by\u0142a ocena ryzyka zdrowotnego ze strony uk\u0142adu oddechowego w odpowiedzi\u00a0na wzrost zagro\u017ce\u0144 typowych dla smogu fotochemicznego.<br \/><strong>MATERIA\u0141 I METODY.<\/strong> W modelu epidemiologicznego badania ekologicznego wykorzystano dane \u015al\u0105skiego\u00a0Oddzia\u0142u Wojew\u00f3dzkiego Narodowego Funduszu Zdrowia w Katowicach. W opracowaniu wzi\u0119to pod\u00a0uwag\u0119 liczb\u0119 porad udzielanych w podstawowej opiece zdrowotnej, jak i hospitalizacji z przyczyn oddechowych\u00a0og\u00f3\u0142em (J00-J99) oraz wybranych ostrych incydent\u00f3w oddechowych rejestrowanych w ramach \u015bwiadcze\u0144 Narodowego\u00a0Funduszu Zdrowia (NFZ) i udzielonych w okresie od 01.01.2016 do 31.08.2017 na terenie wojew\u00f3dztwa\u00a0\u015bl\u0105skiego.<br \/><strong>WYNIKI.<\/strong> W okresach letnich 2016 i 2017 roku w wojew\u00f3dztwie \u015bl\u0105skim mia\u0142y miejsce kr\u00f3tkoterminowe epizody\u00a0o znamionach smogu fotochemicznego. Wyniki badania wskazuj\u0105 na istotny wzrost ryzyka wizyt ambulatoryjnych\u00a0z powodu chor\u00f3b uk\u0142adu oddechowego og\u00f3\u0142em, ostrego zapalenia gard\u0142a i nosa, ostrego zapalenia\u00a0krtani i tchawicy, zapalenia oskrzeli oraz astmy w odpowiedzi na wzrost st\u0119\u017cenia ozonu. Podobnie, stwierdzono\u00a0istotny wzrost ryzyka hospitalizacji z powodu wszystkich chor\u00f3b uk\u0142adu oddechowego, ale ujawnia\u0142 si\u0119 on\u00a0z pewnym, co najmniej dwu, trzy tygodniowym op\u00f3\u017anieniem. Najwcze\u015bniej, ju\u017c po 2-4 dniach od wzrostu nara\u017cenia\u00a0zaobserwowano istotny statystycznie wzrost ryzyka hospitalizacji z powodu zapalenia oskrzeli.<br \/><strong>WNIOSKI.<\/strong>\u00a0W wojew\u00f3dztwie \u015bl\u0105skim potwierdzono wyst\u0119powanie rejestrowanych incydent\u00f3w oddechowych\u00a0w odpowiedzi na wzrost st\u0119\u017cenia ozonu charakterystyczny dla okresu letniego.<\/p><\/jats:p>","DOI":"10.32394\/pe.76.22","type":"journal-article","created":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T13:29:15Z","timestamp":1666704555000},"page":"216-229","source":"Crossref","is-referenced-by-count":0,"title":["The risk of respiratory incidents in response to the increase of ozone concentration in the ambient air, in the Silesian Voivodeship, in 2016-2017"],"prefix":"10.32394","volume":"76","author":[{"given":"E","family":"Niewiadomska","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Kowalska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Czech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17323","published-online":{"date-parts":[[2022,10,25]]},"container-title":["Przeglad Epidemiologiczny"],"original-title":["Ryzyko incydent\u00f3w oddechowych w odpowiedzi na wzrost st\u0119\u017cenia ozonu w powietrzu atmosferycznym, w w"],"link":[{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181065-101626","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/pdf-181065-101626","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:44:01Z","timestamp":1709887441000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.przeglepidemiol.pzh.gov.pl\/The-risk-of-respiratory-incidents-in-response-to-the-increase-of-ozone-concentration,181065,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,25]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"alternative-id":["181065"],"URL":"https:\/\/doi.org\/10.32394\/pe.76.22","relation":{},"ISSN":["0033-2100","2545-1898"],"issn-type":[{"value":"0033-2100","type":"print"},{"value":"2545-1898","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,25]]}}}