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Did a ban on diesel-fuel reduce emergency respiratory admissions for children?

Show simple item record El-Zein A. Nuwayhid I. El-Fadel M. Mroueh S.
dc.contributor.editor Oct-2007 2017-10-05T16:01:29Z 2017-10-05T16:01:29Z 2007
dc.identifier 10.1016/j.scitotenv.2007.06.005
dc.identifier.issn 00489697
dc.description.abstract This paper assesses whether a ban on diesel-powered motor vehicles in Lebanon has reduced emergency respiratory admissions for children less than 17 years of age in Beirut. Monthly admissions for total respiratory complaints, asthma, bronchitis, pneumonia, and upper respiratory tract infections, from October to February, were compared before and after the ban, using Poisson regression models and adjusting for rainfall, humidity and temperature. Analyses were repeated excluding the flu months of January and February. A test of significance of p ≤ 0.05 was used. Air pollution is not systematically monitored in Lebanon and no ambient particulate concentration data were available. A significant drop in admissions for respiratory symptoms (p ≤ 0.05) and upper respiratory tract infection (p ≤ 0.001) from 1 year pre-ban to 1 year post-ban has been recorded. When flu months are excluded, a significant drop (p ≤ 0.001) in admissions for all studied categories, except pneumonia, is observed. The effect of the ban however was negligible in the second year. When 2 year pre-ban versus 2 year post-ban are considered excluding flu months, statistically non-significant reductions are recorded for asthma and upper respiratory tract infection (p ≤ 0.1). The study hence suggests an impact of the diesel ban on respiratory health only during the first year after the ban. This finding is weakened by the absence of supporting evidence from air quality monitoring and speciation of particulate matter, which are lacking in Lebanon and most developing countries. © 2007 Elsevier B.V. All rights reserved.
dc.format.extent Pages: (134-140)
dc.language English
dc.publisher AMSTERDAM
dc.relation.ispartof Publication Name: Science of the Total Environment; Publication Year: 2007; Volume: 384; no. 41642; Pages: (134-140);
dc.source Scopus
dc.title Did a ban on diesel-fuel reduce emergency respiratory admissions for children?
dc.type Article
dc.contributor.affiliation El-Zein, A., School of Civil Engineering, University of Sydney, Australia
dc.contributor.affiliation Nuwayhid, I., Department of Environmental Health, American University of Beirut, Lebanon
dc.contributor.affiliation El-Fadel, M., Department of Civil and Environmental Engineering, American University of Beirut, Lebanon
dc.contributor.affiliation Mroueh, S., Department of Pediatrics, American University of Beirut, Lebanon
dc.contributor.authorAddress El-Zein, A.; School of Civil Engineering, University of SydneyAustralia; email:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Pediatrics and Adolescent Medicine;
dc.contributor.authorDepartment Pediatrics and Adolescent Medicine
dc.contributor.faculty Faculty of Medicine
dc.contributor.authorInitials El-Zein, A
dc.contributor.authorInitials Nuwayhid, I
dc.contributor.authorInitials El-Fadel, M
dc.contributor.authorInitials Mroueh, S
dc.contributor.authorReprintAddress El-Zein, A (reprint author), Univ Sydney, Sch Civil Engn, Sydney, NSW 2006, Australia.
dc.contributor.authorResearcherID El-Zein, Abbas-E-5811-2011
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 8
dc.description.citedTotWOSCount 10
dc.description.citedWOSCount 10
dc.format.extentCount 7
dc.identifier.coden STEVA
dc.identifier.pubmedID 17659765
dc.identifier.scopusID 34548051050
dc.publisher.address PO BOX 211, 1000 AE AMSTERDAM, NETHERLANDS
dc.relation.ispartOfISOAbbr Sci. Total Environ.
dc.relation.ispartOfIssue 41642
dc.relation.ispartofPubTitle Science of the Total Environment
dc.relation.ispartofPubTitleAbbr Sci. Total Environ.
dc.relation.ispartOfVolume 384
dc.source.ID WOS:000250063700010
dc.type.publication Journal
dc.subject.otherAuthKeyword Air pollution
dc.subject.otherAuthKeyword Children health
dc.subject.otherAuthKeyword Diesel emissions
dc.subject.otherAuthKeyword Mediterrenean region
dc.subject.otherAuthKeyword Respiratory health
dc.subject.otherChemCAS diesel fuel, 68334-30-5
dc.subject.otherChemCAS Air Pollutants
dc.subject.otherChemCAS Gasoline
dc.subject.otherChemCAS Particulate Matter
dc.subject.otherChemCAS Vehicle Emissions
dc.subject.otherIndex Diesel fuels
dc.subject.otherIndex Health hazards
dc.subject.otherIndex Particulate emissions
dc.subject.otherIndex Pulmonary diseases
dc.subject.otherIndex Children health
dc.subject.otherIndex Diesel emissions
dc.subject.otherIndex Respiratory health
dc.subject.otherIndex Air pollution
dc.subject.otherIndex diesel fuel
dc.subject.otherIndex air quality
dc.subject.otherIndex atmospheric pollution
dc.subject.otherIndex child health
dc.subject.otherIndex diesel engine
dc.subject.otherIndex emission control
dc.subject.otherIndex numerical model
dc.subject.otherIndex regression analysis
dc.subject.otherIndex respiratory disease
dc.subject.otherIndex traffic emission
dc.subject.otherIndex air pollution
dc.subject.otherIndex article
dc.subject.otherIndex asthma
dc.subject.otherIndex bronchitis
dc.subject.otherIndex child
dc.subject.otherIndex childhood disease
dc.subject.otherIndex comparative study
dc.subject.otherIndex controlled study
dc.subject.otherIndex developing country
dc.subject.otherIndex environmental monitoring
dc.subject.otherIndex female
dc.subject.otherIndex health care policy
dc.subject.otherIndex health program
dc.subject.otherIndex hospital admission
dc.subject.otherIndex human
dc.subject.otherIndex humidity
dc.subject.otherIndex influenza
dc.subject.otherIndex Lebanon
dc.subject.otherIndex major clinical study
dc.subject.otherIndex male
dc.subject.otherIndex motor vehicle
dc.subject.otherIndex particulate matter
dc.subject.otherIndex pneumonia
dc.subject.otherIndex Poisson distribution
dc.subject.otherIndex priority journal
dc.subject.otherIndex quality control
dc.subject.otherIndex regression analysis
dc.subject.otherIndex respiratory tract disease
dc.subject.otherIndex statistical significance
dc.subject.otherIndex temperature dependence
dc.subject.otherIndex upper respiratory tract infection
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Air Pollutants
dc.subject.otherIndex Child
dc.subject.otherIndex Emergency Service, Hospital
dc.subject.otherIndex Environmental Monitoring
dc.subject.otherIndex Gasoline
dc.subject.otherIndex Humans
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Particulate Matter
dc.subject.otherIndex Patient Admission
dc.subject.otherIndex Respiratory Tract Diseases
dc.subject.otherIndex Vehicle Emissions
dc.subject.otherIndex Asia
dc.subject.otherIndex Beirut
dc.subject.otherIndex Beyrouth
dc.subject.otherIndex Eurasia
dc.subject.otherIndex Lebanon
dc.subject.otherIndex Middle East
dc.subject.otherKeywordPlus AIR-POLLUTION
dc.subject.otherKeywordPlus EXHAUST EXPOSURE
dc.subject.otherKeywordPlus SYMPTOMS
dc.subject.otherKeywordPlus HEALTH
dc.subject.otherKeywordPlus COHORT
dc.subject.otherKeywordPlus LEAD
dc.subject.otherWOS Environmental Sciences

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