Air pollutants and risk of death due to COVID-19 in Italy

Dettori, Marco; Deiana, Giovanna; Balletto, Ginevra; Borruso, Giuseppe; Murgante, Beniamino; Arghittu, Antonella; Azara, Antonio; Castiglia, Paolo

doi:10.1016/j.envres.2020.110459

Cited by 52 publications

(46 citation statements)

References 25 publications

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“…Several studies previously investigated on the association between air pollution and Covid-19 spread and adverse outcomes in Italy [ 4 , 8 , 10 , 11 , 13 – 15 , 29 , 30 , 35 , 36 , 40 , 44 , 46 ]. A study by Conticini and colleagues focused on two Northern Italy Regions, Lombardy and Emilia Romagna, which are part of the Padan plain.…”

Section: Discussionmentioning

confidence: 99%

“…A growing body of evidences is showing that some countries were subject to a greater spread of Covid-19 and suffered higher lethality, and this undoubtably captured researchers attention [ 11 ]. As a consequence, several studies have been focusing on the potential role of atmospheric pollutants, particularly PM, in the diffusion of Covid-19 both in the short- and the long-term, as well as in the impact of the virus on human health [ 5 , 11 – 46 ]. One of the ideas underneath the potential relationship between airborne PM and Covid-19 diffusion is that the atmospheric PM might exercise a carrier action along with the virus [ 5 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

“…Setti and colleagues recently demonstrated the presence of the SARS-CoV-2 RNA on PM [ 47 ]. Furthermore, it has been hypothesised that the presence of air-related pollutants can put pressure on the health conditions of the populations at risk, thus offering preconditions for the development of Covid-19 and its complications, including life-threatening ones [ 11 ]. Almost all of the studies so far performed succeeded in finding a positive association between air pollution and Covid-19 diffusion and its health-related outcomes.…”

Section: Introductionmentioning

confidence: 99%

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An Italian individual-level data study investigating on the association between air pollution exposure and Covid-19 severity in primary-care setting

Pégoraro¹,

Heiman²,

Levante³

et al. 2021

BMC Public Health

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Background Several studies have been focusing on the potential role of atmospheric pollutants in the diffusion and impact on health of Covid-19. This study’s objective was to estimate the association between ≤10 μm diameter particulate matter (PM10) exposure and the likelihood of experiencing pneumonia due to Covid-19 using individual-level data in Italy. Methods Information on Covid-19 patients was retrieved from the Italian IQVIA® Longitudinal Patient Database (LPD), a computerized network of general practitioners (GPs) including anonymous data on patients’ consultations and treatments. All patients with a Covid-19 diagnosis during March 18th, 2020 – June 30th, 2020 were included in the study. The date of first Covid-19 registration was the starting point of the 3-month follow-up (Index Date). Patients were classified based on Covid-19-related pneumonia registrations on the Index date and/or during follow-up presence/absence. Each patient was assigned individual exposure by calculating average PM10 during the 30-day period preceding the Index Date, and according to GP’s office province. A multiple generalized linear mixed model, mixed-effects logistic regression, was used to assess the association between PM10 exposure tertiles and the likelihood of experiencing pneumonia. Results Among 6483 Covid-19 patients included, 1079 (16.6%) had a diagnosis of pneumonia. Pneumonia patients were older, more frequently men, more health-impaired, and had a higher individual-level exposure to PM10 during the month preceding Covid-19 diagnosis. The mixed-effects model showed that patients whose PM10 exposure level fell in the second tertile had a 30% higher likelihood of having pneumonia than that of first tertile patients, and the risk for those who were in the third tertile was almost doubled. Conclusion The consistent findings toward a positive association between PM10 levels and the likelihood of experiencing pneumonia due to Covid-19 make the implementation of new strategies to reduce air pollution more and more urgent.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Italian individual-level data study investigating on the association between air pollution exposure and Covid-19 severity in primary-care setting

Pégoraro¹,

Heiman²,

Levante³

et al. 2021

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…(9) A growing body of evidences is showing that some countries were subject to a greater spread of and suffered higher lethality, and this undoubtably captured researchers attention. (10) As a consequence, several studies have been focusing on the potential role of atmospheric pollutants, particularly PM, in the diffusion of Covid-19 both in the short-and the long-term, as well as in the impact of the virus on human health. (4) (10)- (46) One of the ideas underneath the potential relationship between airborne PM and Covid-19 diffusion is that the atmospheric PM might exercise a carrier action along with the virus.…”

mentioning

confidence: 99%

“…(47) Furthermore, it has been hypothesised that the presence of air-related pollutants can put pressure on the health conditions of the populations at risk, thus offering preconditions for the development of Covid-19 and its complications, including life-threatening ones. (10) Almost all of the studies so far performed succeeded in nding a positive association between air pollution and Covid-19 diffusion and its healthrelated outcomes. However, it is worth mentioning that most of them were ecological studies, thus relied on aggregated data only.…”

mentioning

confidence: 99%

An Italian individual-level data study investigating on the association between air pollution exposure and Covid-19 severity in primary-care setting

Pégoraro¹,

Heiman²,

Levante³

et al. 2021

Preprint

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BACKGROUND: Several studies have been focusing on the potential role of atmospheric pollutants in the diffusion and impact on health of Covid-19. This study’s objective was to estimate the association between ≤10 micrometers diameter particulate matter (PM10) exposure and the likelihood of experiencing pneumonia due to Covid-19 using individual-level data in Italy.METHODS: Information on Covid-19 patients was retrieved from the Italian IQVIA® Longitudinal Patient Database (LPD), a computerized network of general practitioners (GPs) including anonymous data on patients’ consultations and treatments. All patients with a Covid-19 diagnosis during March 18th, 2020 – June 30th, 2020 were included in the study. The date of first Covid-19 registration was the starting point of the 3-month follow-up (Index Date). Patients were classified based on Covid-19-related pneumonia registrations on the Index date and/or during follow-up presence/absence. Each patient was assigned individual exposure by calculating average PM10 during the 30-day period preceding the Index Date, and according to GP’s office province. A multiple generalized linear mixed model, mixed-effects logistic regression, was used to assess the association between PM10 exposure tertiles and the likelihood of experiencing pneumonia.RESULTS: Among 6,483 Covid-19 patients included, 1,079 (16.6%) had a diagnosis of pneumonia. Pneumonia patients were older, more frequently men, more health-impaired, and had a higher individual-level exposure to PM10 during the month preceding Covid-19 diagnosis. The mixed-effects model showed that patients whose PM10 exposure level fell in the second tertile had a 30% higher likelihood of having pneumonia than that of first tertile patients, and the risk for those who were in the third tertile was almost doubled.CONCLUSION: The consistent findings toward a positive association between PM10 levels and the likelihood of experiencing pneumonia due to Covid-19 make the implementation of new strategies to reduce air pollution more and more urgent.

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Destroying Lives and Evidenced in Plain Sight

2022

Air Pollution, Clean Energy and Climate Change

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Air pollutants and risk of death due to COVID-19 in Italy

Cited by 52 publications

References 25 publications

An Italian individual-level data study investigating on the association between air pollution exposure and Covid-19 severity in primary-care setting

An Italian individual-level data study investigating on the association between air pollution exposure and Covid-19 severity in primary-care setting

An Italian individual-level data study investigating on the association between air pollution exposure and Covid-19 severity in primary-care setting

Destroying Lives and Evidenced in Plain Sight

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