Cent Eur J Public Health 2014, 22(1):3-11 | DOI: 10.21101/cejph.a3950

Differences Between the Spectra of Respiratory Illnesses in Children Living in Urban and Rural Environments

Miroslav Dostál1, Miroslav Průcha2, Eva Rychlíková3, Anna Pastorková1, Radim J. ©rám1
1 Institute of Experimental Medicine AS CR, Prague, Czech Republic
2 Na Homolce Hospital, Prague, Czech Republic
3 Public Health Institute in Ústí nad Labem, Czech Republic

A longitudinal study launched in 1994 within the framework of the Teplice Programme aimed at comparing the respiratory morbidity in children born (1994-1998) and living in the districts of Teplice (TE) and Prachatice (PRA) in the Czech Republic. Lists of all illnesses of 960 children from birth to 10 years of age were obtained from paediatric medical records. From 26,471 diagnoses (in ICD-10 codes), 34.7% were diagnoses of upper respiratory infections (URI, J00-02, J06), 11.3% of tonsillitis, 10.2% of influenza, 9.4% of bronchitis, 8.9% of laryngitis/tracheitis (J04), 2.7% of otitis media, and 0.5% of pneumonia. The more polluted district of Teplice was divided into two parts: the town itself (TE-town) and the rest of the district (TE-district). The cumulative incidence rates of the above respiratory illnesses per 100 children per 10 years were 2,212 in TE-town, 2,192 in PRA and 1,985 in TE-district. In the first two years of life, the children from TE-town had a significantly higher incidence of laryngitis/tracheitis, influenza, otitis media, and pneumonia and significantly lower incidence of bronchitis and tonsillitis than children living in PRA. The incidence rates of laryngitis/tracheitis and influenza in TE-town persisted as the highest among the three regions till the age of 10 years. The incidence rates of bronchitis (from the 1st to 5th year) and URI (from 4th to 10th year) were highest in children living in PRA. When compared to TE-town, children in TE-district had a higher incidence of upper respiratory infections (1-8 years) and lower incidence of bronchitis (6-8 years). Children in the district of Prachatice had a significantly higher prevalence of allergic rhinitis and a lower prevalence of wheezing than children in the district of Teplice. Thus, the three regions differed by the spectra of respiratory illnesses rather than by overall morbidity and, hypothetically, the effects of air pollution were obscurred by differences in the degree of urbanization.

Klíčová slova: children, respiratory morbidity, incidence, allergic rhinitis

Vloľeno: 29. srpen 2013; Revidováno: 31. leden 2017; Přijato: 31. leden 2017; Zveřejněno: 1. březen 2014  Zobrazit citaci

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Dostál M, Průcha M, Rychlíková E, Pastorková A, ©rám RJ. Differences Between the Spectra of Respiratory Illnesses in Children Living in Urban and Rural Environments. Cent Eur J Public Health. 2014;22(1):3-11. doi: 10.21101/cejph.a3950. PubMed PMID: 24844098.
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    Reference

    1. Donnelly KC. Children, health and their environment. In: Donnelly KC, Cizmas LH, editors. Environmental health in Central and Eastern Europe. Dordrecht: Springer; 2006. p. 221-30. Přejít k původnímu zdroji...
    2. Dejmek J, Selevan SG, Beneą I, Solanský I, ©rám RJ. Fetal growth and maternal exposure to particulate matter during pregnancy. Environ Health Perspect. 1999 Jun;107(6):475-80. Přejít k původnímu zdroji... Přejít na PubMed...
    3. ©rám RJ, Binková B, Dejmek J, Bobak M. Ambient air pollution and pregnancy outcomes: a review of the literature. Environ Health Perspect. 2005 Apr;113(4):375-82. Přejít k původnímu zdroji... Přejít na PubMed...
    4. Hertz-Picciotto I, Herr CEW,Yap PS, Dostál M, Shumway RH,Ashwood P, et al. Air pollution and lymphocyte phenotype proportions in cord blood. Environ Health Perspect. 2005 Oct;113(10):1391-8. Přejít k původnímu zdroji... Přejít na PubMed...
    5. Herr CEW, Dostal M, Ghosh R, Ashwood P, Lipsett M, Pinkerton KE, et al. Air pollution exposure during critical time periods in gestation and alterations in cord blood lymphocyte distribution: a cohort of livebirths. Environ Health. 2010 Aug 2;9:46. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Herr CEW, Ghosh R, Dostal M, Skokanova V, Ashwood P, Lipsett M, et al. Exposure to air pollution in critical prenatal time windows and IgE levels in newborns. PediatrAllergy Immunol. 2011 Feb;22(1 Pt 1):75-84. Přejít k původnímu zdroji... Přejít na PubMed...
    7. Hertz-Picciotto I, Baker RJ, Yap PS, Dostál M, Joad JP, Lipsett M, et al. Early childhood lower respiratory illness and air pollution. Environ Health Perspect. 2007 Oct;115(10):1510-8. Přejít k původnímu zdroji... Přejít na PubMed...
    8. Baker RJ, Hertz-Picciotto I, Dostál M, Keller JA, Noľička J, Kotěąovec F, et al. Coal home heating and environmental tobacco smoke in relation to lower respiratory illness in Czech children, from birth to 3 years of age. Environ Health Perspect. 2006 Jul;114(7):1126-32. Přejít k původnímu zdroji... Přejít na PubMed...
    9. Hertz-Picciotto I, Topinka J, Dostal M, Joad JP, Yap PS, Greenfield T, et al. XPD gene polymorphisms, air pollution, and bronchitis in early childhood. Epidemiology. 2006 Nov; 17(6 Suppl):S25. Přejít k původnímu zdroji...
    10. Ghosh R, Topinka J, Joad JP, Dostal M, Sram RJ, Hertz-Picciotto I. Air pollutants, genes and early childhood acute bronchitis. Mutat Res. 2013 Sep;749(1-2):80-6. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Schmuczerova J, Brdicka R, Dostal M, Sram RJ, Topinka J. Genetic variability of HVRII mtDNA in cord blood and respiratory morbidity in children. Mutat Res. 2009 Jun 18;666(1-2):1-7. Přejít k původnímu zdroji... Přejít na PubMed...
    12. Dostál M, Hertz-Picciotto I, James R, Keller J, Dejmek J, Selevan S, et al. Childhood morbidity and air pollution in the Teplice program. Cas Lek Cesk. 2001 Oct 25;140(21):658-61. Přejít na PubMed...
    13. Berk R, MacDonald J. Overdispersion and poisson regression [Internet]. University of Pennsylvania; 2007 [cited 2014 Mar 18]. Available from: http://www.udel.edu/soc/faculty/parker/SOCI836_S08_files/Berk&MacDonald_JQCF.pdf.
    14. Greenland S. Modeling and variable selection in epidemiologic analysis. Am J Public Health. 1989 Mar;79(3):340-9. Přejít k původnímu zdroji...
    15. Dostal M, Topinka J, Sram RJ. Comparison of the health of Roma and non-Roma children living in the district of Teplice. Int J Public Health. 2010 Oct;55(5):435-41. Přejít k původnímu zdroji... Přejít na PubMed...
    16. von Mutius E, Nicolai T, Lehmacher W, Reitmeir P, Stiepel E. Are there risk factors for stenosing laryngitis? Results of the Southern Bavaria pseudo-croup study. Monatsschr Kinderheilkd. 1989 Nov;137(11):71621. (In German.)
    17. Severien C, Mietens C. Effect of nitrogen oxides and suspended dust in the air on the incidence of inpatient treatment of children with stenosing laryngotracheitis (pseudocroup). Results of an 8-year epidemiologic retrospective study based on inpatient case figures and area-related data of air measurements in the Bochum city district. Monatsschr Kinderheilkd. 1987 Oct;135(10):686-91. (In German.)
    18. Rebmann H, Huenges R, Wichmann HE, Malin EM, Hübner HR, Röll A, et al. Croup and air-pollution: results of a two-years prospective longitudinal study. Zentralbl Hyg Umweltmed. 1991 Sep;192(2):104-15. (In German.) Přejít na PubMed...
    19. Wichmann HE, Hübner HR, Malin E, Köhler B, Hippke G, Fischer D, et al. The significance of health risks caused by outdoor pollution, demonstrated by cross-sectional studies of pseudocroup in Baden-Württemberg. Offentl Gesundheitswes. 1989 Aug-Sep;51(8-9):414-20. (In German.) Přejít na PubMed...
    20. Schwartz J, Spix C, Wichmann HE, Malin E. Air pollution and acute respiratory illness in five German communities. Environ Res. 1991 Oct;56(1):1-14. Přejít k původnímu zdroji... Přejít na PubMed...
    21. Ghosh R, Joad J, Benes I, Dostal M, Sram RJ, Hertz-Picciotto I. Ambient nitrogen oxides exposure and early childhood respiratory illnesses. Environ Int. 2012 Feb;39(1):96-102. Přejít k původnímu zdroji... Přejít na PubMed...
    22. Levy JI, Lee K, Spengler JD,YanagisawaY. Impact of residential nitrogen dioxide exposure on personal exposure: an international study. JAir Waste Manag Assoc. 1998 Jun;48(6):553-60. Přejít k původnímu zdroji...
    23. Nitrogen dioxide. In: WHO guidelines for indoor air quality: selected pollutants. Copenhagen: WHO Regional Office for Europe; 2010. p. 201-87.
    24. Beneą I, Skorkovský J, Novák J, ©rám RJ.Air pollution in Prague, Teplice and Prachatice in the last 15 years. Comparison of data and discussion on changes and trends. Ochrana ovzduąí. 2010;(5-6):18-23. (In Czech.)
    25. Dostál M, Pastorková A, Lochmanová A, ©rám RJ. Incidence of otitis media in children living in heavy polluted environment. Ochrana ovzduąí. 2012;(5):20-5. (In Czech.)
    26. Rovers MM, de Kok IM, Schilder AG. Risk factors for otitis media: an international perspective. Int J Pediatr Otorhinolaryngol. 2006 Jul;70(7):1251-6. Přejít k původnímu zdroji... Přejít na PubMed...
    27. Heinrich J, Raghuyamshi VS. Air pollution and otitis media: a review of evidence from epidemiologic studies. Curr Allergy Asthma Rep. 2004 Jul;4(4):302-9. Přejít k původnímu zdroji... Přejít na PubMed...
    28. Worrall G. Influenza. Can Fam Physician. 2008 Mar;54(3):415-6. Přejít na PubMed...
    29. Brauer M, Hoek G, Smit HA, de Jongste JC, Gerritsen J, Postma DS, et al. Air pollution and development of asthma, allergy and infections in a birth cohort. Eur Respir J. 2007 May;29(5):879-88. Přejít k původnímu zdroji... Přejít na PubMed...
    30. Barnett AG, Williams GM, Schwartz J, Neller AH, Best TL, Petroeschevsky AL, et al. Air pollution and child respiratory health: a casecrossover study in Australia and New Zealand. Am J Respir Crit Care Med. 2005 Jun 1;171(11):1272-8. Přejít k původnímu zdroji... Přejít na PubMed...
    31. Gouveia N, Fletcher T. Respiratory diseases in children and outdoor air pollution in São Paulo, Brazil: a time series analysis. Occup Environ Med. 2000 Jul;57(7):477-83. Přejít k původnímu zdroji...
    32. Ilabaca M, Olaeta I, Campos E, Villaire J, Tellez-Rojo MM, Romieu I. Association between levels of fine particulate and emergency visits for pneumonia and other respiratory illnesses among children in Santiago, Chile. J Air Waste Manag Assoc. 1999 Sep;49(9 Spec No):154-63. Přejít k původnímu zdroji...
    33. Peel JL, Tolbert PE, Klein M, Metzger KB, Flanders WD, Todd K, et al. Ambient air pollution and respiratory emergency department visits. Epidemiology. 2005 Mar;16(2):164-74. Přejít k původnímu zdroji... Přejít na PubMed...
    34. Freid VM, Makuc DM, Rooks RN. Ambulatory health care visits by children: principal diagnosis and place of visit. Vital Health Stat 13. 1998 May;(137):1-23.
    35. Dostál M, Pastorková A, Rychlík ©, ©vecová V, Rychlíková E, ©rám RJ. Morbidity of children in Ostrava 2001 - 2009. Ochrana ovzduąí. 2011;(56):7-12. (In Czech.)
    36. Bacharier LB, Boner A, Carlsen KH, Eigenmann PA, Frischer T, Götz M, et al.; European Pediatric Asthma Group. Diagnosis and treatment of asthma in childhood: a PRACTALL consensus report. Allergy. 2008 Jan;63(1):5-34. Accepted in January 31, 2014 Přejít k původnímu zdroji... Přejít na PubMed...

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