Effect of ambient air pollutants on frequency of stenosing laryngotracheitis and recurrent stenosing laryngotracheitis in children

Authors

  • L. M. Stanislavchuk National Pirogov Memorial Medical University, Vinnytsia, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2017.5.110109

Keywords:

laryngotracheitis, recurrenсе, children, air pollution

Abstract

Objective of the research was to study the frequency of stenosing laryngotracheitis (LT) and recurrent stenosing laryngotracheitis (RLT) incidences in children depending on ambient air pollutants concentration.

Methods. The concentrations of suspended sediments, sulfur dioxide, carbon monoxide, nitrogen dioxide, hydrogen fluoride, ammonia, and formaldehyde in Vinnytsia within 1508 days (2000–2004) have been analyzed. All medical emergency calls caused by LT diagnosis (1–3 episodes of the disease) and RLT diagnosis (4 and > episodes of the disease) in children aged 0–14 years have been studied.

Results. It has been established that a level of the atmospheric air pollution in Vinnytsia had been consistently high mainly due to formaldehyde, hydrogen fluoride and suspended sediments. The 1178 incidences of LT and 72 incidences of RLT were registered. The number of daily incidences of LT and RLT ranged from 0 to 6 and from 0 to 2, respectively. The average daily concentrations and daily 20-minute maximum concentrations of nitrogen dioxide and hydrogen fluoride in air were higher on days with LT incidences than on days without LT incidences. The average concentrations of nitrogen dioxide and hydrogen fluoride during the observation period exceeded the maximum permissible average daily concentrations. The average of 20-minute maximum of nitrogen dioxide and hydrogen fluoride concentrations during the observation period did not exceed the maximum permissible single exposure concentrations. Direct weak correlations have been revealed between LT incidences in children and daily average concentrations and 20-minute maximum concentrations of nitrogen dioxide and hydrogen fluoride in air. It hasn’t been revealed correlations between LT incidences and ambient air pollution by suspended sediments, sulfur dioxide, carbon monoxide, ammonia and formaldehyde. There were no significant differences in average concentrations and 20-minute maximum concentrations of air pollutants between days with RLT incidences and days without RLT incidences.

Conclusions. The correlations between LT and ambient air pollution by nitrogen dioxide and hydrogen fluoride have been established. No correlation between RLT and air pollutants has been revealed.

References

World Health Organization (2006). Air quality guidelines. Global update 2005. Particulate matter, ozone, nitrogen dioxide and sulfur dioxide. World Health Organization Regional Office for Europe, Copenhagen. Retrieved from http://whqlibdoc.who.int/ hq/2006/WHO_SDE_PHE_OEH_06.02_eng.pdf.

World Health Organization (2016). Ambient (outdoor) air quality and health . Fact sheet No.313, Updated September 2016. Retrieved from http://www.who.int/mediacentre/factsheets/fs313/en/

Clark, N. A., Demers, P. A., Karr, C. J., Koehoorn, M., Lencar, C., Tamburic, L., & Brauer, M. (2010). Effect of early life exposure to air pollution on development of childhood asthma. Environ Health Perspect, 118(2), 284–90. doi: 10.1289/ehp.0900916.

Johnson, D. W. (2014). Croup. BMJ Clin Evid., pii: 0321.

Van Bever, H. P., Wieringa, M. H., Weyler, J. J., Nelen, V .J., Fortuin, M., & Vermeire, P. A. (1999). Croup and recurrent croup: their association with asthma and allergy. An epidemiological study on 5-8-year-old children. Eur J Pediatr., 158(3), 253–257. doi: 10.1007/s004310051062.

Chun, R., Preciado, D. A., Zalzal, G. H., & Shah, R. K. (2009). Utility of bronchoscopy for recurrent croup. Ann Otol Rhinol Laryngol., 118(7), 495–499. doi: 10.1177/000348940911800707.

Hoa, M., Kingsley, E. L., & Coticchia, J. M. (2008). Correlating the clinical course of recurrent croup with endoscopic findings: a retrospective observational study. Ann Otol Rhinol Laryngol., 117(6), 464–9. DOI: 10.1177/000348940811700610.

Karavayev, V. Ye., Orlova, S. N., Alenina, Т. M., Alper, I. A., & Kozyreva, I. I. (2007). Vliyaniye e´kologo-klimaticheskikh faktorov na chastotu i techeniye stenoziruyushchikh laringotrakheitov pri ORZ u detej [Influence of environmental and climatic factors on the incidence and course of stenosing laryngotrachei-tis in children with acute respiratory diseases]. Gigiena i sanitariya, 2, 7–9. [in Russian].

Macintyre, E. A., Gehring, U., Mölter, A., Fuertes, E., Klümper, C., Krämer, U., et al. (2014). Air Pollution and Respiratory Infections during Early Childhood: An Analysis of 10 European Birth Cohorts within the ESCAPE Project. Environ Health Perspect, 122, 107–113. doi: 10.1289/ehp.1306755.

(2006). Rukovodyashchij dokument 52.04.667-2005. Dokumenty o sostoyanii zagryazneniya atmosfery v gorodakh dlya informirovaniya gosudarstvennykh organov, obshchestvennosti i naseleniya. Obshchiye trebovaniya k razrabotke, postroeniyu, izlozheniyu, soderzhaniyu [Documents on ambient air pollution in urban areas for informing of state authorities and public. General requirements for the development, structure, presentation and content]. Moscow: Meteoagenstvo Rosgidrometa [in Russian].

Stanislavchuk, L. M. (2016). Analiz sopryazhennosti mezhdu atmosfernymi zagryazneniyami i razvitiyem stenoziruyushchego laringotrakheita u detej [Analysis of and the development of laryngotracheitis the association between air pollution in children]. Molekulyarnaya medicina, 14(2), 50–55. [in Russian].

World Health Organization. (2001). Air quality guidelines for Europe. 2nd edition, 2000 // World Health Organization Regional Office for Europe, Copenhagen. Retrieved from http://www.euro.who.int/en/health-topics/environment-and-health/air-quality/publications/pre2009/who-air-quality-guidelines-for-europe,-2nd-edition,-2000-cd-rom-version.

Rukovodyashchij dokument 52.04.186-89. (1991). Rukovodstvo po kontrolyu zagryazneniya atmosfery [Guidelines for control of ambient air]. Moscow. Retrieved from http://www.gosthelp.ru/text/RD520418689Rukovodstvopok.html. [in Russian].

Stanislavchuk, L. M. (2016). Rasprostranennost´ stenoziruyushchego laringotrakheita sredi detej, prozhivayushchikh na ulicakh s raznoj transportnoj nagruzkoj [Prevalence of stenosing laryngotracheitis among children residing on streets with different traffic load]. Problemy zdorov´ya i e´kologii, 3(49), 48–52. [in Russian].

How to Cite

1.
Stanislavchuk LM. Effect of ambient air pollutants on frequency of stenosing laryngotracheitis and recurrent stenosing laryngotracheitis in children. Zaporozhye medical journal [Internet]. 2017Oct.17 [cited 2024Apr.20];(5). Available from: http://zmj.zsmu.edu.ua/article/view/110109

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Section

Original research