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Respiratory hospital admission risk near large composting facilities

Douglas, Philippa and Bakolis, Ioannis and Fecht, Daniela and Pearson, Clare and Leal Sanchez, Maria and Kinnersley, Rob and de Hoogh, Kees and Hansell, Anna L.. (2016) Respiratory hospital admission risk near large composting facilities. International journal of hygiene and environmental health, 219 (4-5). pp. 372-379.

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Official URL: http://edoc.unibas.ch/44519/

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Abstract

Large-scale composting can release bioaerosols in elevated quantities, but there are few studies of health effects on nearby communities.; A cross-sectional ecological small area design was used to examine risk of respiratory hospital admissions within 2500m of all 148 English large-scale composting facilities in 2008-10. Statistical analyses used a random intercept Poisson regression model at Census Output Area (COA) level (mean population 310). Models were adjusted for age, sex, deprivation and tobacco sales.; Analysing 34,963 respiratory hospital admissions in 4656 COAs within 250-2500m of a site, there were no significant trends using pre-defined distance bands of >250-750m, >750-1500m and >1500-2500m. Using a continuous measure of distance, there was a small non-statistically significant (p=0.054) association with total respiratory admissions corresponding to a 1.5% (95% CI: 0.0-2.9%) decrease in risk if moving from 251m to 501m. There were no significant associations for subgroups of respiratory infections, asthma or chronic obstructive pulmonary disease.; This national study does not provide evidence for increased risks of respiratory hospital admissions in those living beyond 250m of an outdoor composting area perimeter. Further work using better measures of exposure and exploring associations with symptoms and disease prevalence, especially in vulnerable groups, is recommended to support regulatory approaches.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Environmental Exposures and Health > Exposure Science (Tsai)
UniBasel Contributors:de Hoogh, Kees
Item Type:Article, refereed
Publisher:Elsevier
ISSN:1438-4639
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:28 Nov 2016 12:30
Deposited On:28 Nov 2016 12:30

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