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The effect of large-scale firework events on urban background trace metal concentrations was investigated using 24 hr data collected over 3 days at three sites in Busan Metropolitan City, Republic of Korea, during the falls (Oct.) of 2011–2013. The firework events increased local background concentrations of trace metals as follows: K (1.72 times), Sr (2.64 times), As (2.86 times), Pb (2.91 times), and Al (5.44 times). The levels of some metals did not always drop to background level one day after the firework event. The contribution of fireworks to trace metal concentration levels (and emissions) for 2011 event was negligible compared to 2012 and 2013 events due to different meteorological conditions (precipitation). In addition, the impact of firework events on the ambient concentration levels of trace metals was likely to be different depending on their chemical speciation. The impact of firework events in Busan on urban air quality (trace metal) was less intense compared to other similar festivals worldwide. The largest emission of trace metals and elements from firework burning was represented by K (128–164 kg), followed by Pb, Cd, Cu, Mg, Ba, As, Al, Ga, Co, and Na.

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Background/Aims: Weather and air pollution are associated with the exacerbation of respiratory diseases. We investigated patterns of medical care use according to meteorological factors and air pollution in patients with asthma or chronic obstructive pulmonary disease (COPD). Methods: We analyzed the medical care utilization patterns of patients with asthma or COPD registered in the Korea Health Insurance Review and Assessment database for the period 2007 to 2013. The patterns were divided into hospitalization and emergency department (ED) use. Results:The medical care use of patients with asthma or COPD increased when the mean temperature and relative humidity were lower, and the temperature difference and atmospheric pressure were greater. Medical care use increased with the concentrations of particulate matter and ozone. Among age groups, sensitivity to pollutants was greatest in patients aged ≥ 65 years. The effect of being elderly was greater for asthma than for COPD, with a higher hospitalization rate. ED utilization affected by environmental factors was significantly greater for females and hospitalization was significantly more common for males. Conclusions: Meteorological factors and air pollutants were shown to contribute to increased medical care utilization by patients with asthma and COPD, particularly elderly patients. The overall effect was greater for COPD, but the effect in elderly patients was greater for asthma. In addition, the patterns of change in medical care use due to environmental factors differed according to sex.