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Air pollution is emerging as a risk factor for human health like cancer and other health outcomes in developing countries, especially Iran where air pollutant concentrations are elevated. Additionally, some of the crucial environmental problems are caused by air pollution. Nevertheless, the data on health effects of air pollution are limited. The main objective of this study was to assess the health impacts attributed to particulate matter less than 10 μg/m (PM), nitrogen dioxide (NO), and ozone (O) in Kermanshah City (Iran). The diurnal averages of PM and NO levels and 1-h averages of O concentrations were applied to assess the cardiovascular mortality due to exposure to these pollutants during the years 2014 and 2015. The excess number of cardiovascular mortality was estimated by relative risk (RR) and baseline incidence (BI) defined by the World Health Organization (WHO). The excess in mortality risk for cardiovascular diseases is of 188 premature deaths related to PM, 33 related to NO, and 83 related to O, respectively. The results indicate that a 10-μg/m change in PM, NO, and O generates a relative risk of 1.066, 1.012, and 1.020, respectively. The excess of relative risk is of 6.6, 1.2, and 2.0%, respectively. Immediate policies and actions are needed to reduce the various sources of these pollutants from transport and energy manufacture facilities in Kermanshah.

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International audienceAir pollution is emerging as a significant risk factor for human health in developing countries, particularly in Iran where air pollutant concentrations are elevated. Currently, knowledge of health effects of air pollution in developing countries is limited. The objective of this study was to estimate the excess number of hospitalizations for Chronic Obstructive Pulmonary Disease (COPD) and the number of excess cases of Respiratory Mortality (RM) associated with daily averages levels of particulate matter less than 10 μm in diameter (PM10) in Ilam (Iran) over 1-year period (2015–2016). The excess instances of COPD and RM were estimated based on relative risk (RR) and baseline incidence (BI). The numbers of excess cases for COPD and RM during normal, dusty and Middle Eastern Dust (MED) storm days were 60 and 5, 200 and 15, and 78 and 6 persons, respectively. The results also showed that about 4.9% (95% CI: 3.0–6.8%) of hospital visits for COPD and 7.3% (CI: 4.9–19.5%) of RM could be attributed to 10 μg/m3 increase in PM10 concentration, respectively. It was found that a higher number of people were admitted to hospital when PM10 concentrations exceed 200 μg/m3 related to the MED events. Significant exposure to air pollutants, particularly during MED event, led to an excess of hospital admissions for COPD and an excess of the respiratory mortality. Several immediate actions such as strategic management of water bodies or planting of tree species in suburbs particularly bare area around the city could be effective to mitigate the impact of desert dust on respiratory illness

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