Short-Term Associations between Morbidity and Air Pollution in Metropolitan Area of Monterrey, Mexico

Abstract

Short-term effects of air pollution on the number of hospital admissions in eight municipalities of the Metropolitan Area of Monterrey, Mexico, were assessed from 2016 to 2019 using a time-series approach. Air quality data were obtained from the Atmospheric Monitoring System of Nuevo Leon State (SIMA) which belongs to SINAICA (National System of Air Quality Information), providing validated data for this study. Epidemiological data were provided by SINAIS (National System of Health Information), considering admission by all causes and specific causes, gender and different age groups. Guadalupe had the highest mean concentrations for SO2, CO and O3; whereas Santa Catarina showed the highest NO2 concentrations. Escobedo and Garcia registered the highest levels for PM10. Only PM10 and O3 exceeded the permissible maximum values established in Mexican official standards. A basal Poisson model was constructed to assess the association between daily morbidity and air pollutants, from this, a second scenario in which daily mean concentrations of air pollutant criteria increase by 10% was considered. Most of pollutants and municipalities studied showed a great number of associations between an increase of 10% in their current concentrations and morbidity, especially for the age group between 5 and 59 years during cold months, excepting ozone which showed a strongest correlation during summer. Results were comparable to those reported by other authors around the world, however, in spite of relative risk index (RRI) values being low, they are of public concern. This study demonstrated that considering the nature of their activities, economically active population and students, they could be more vulnerable to air pollution effects. Results found in this study can be used by decision makers to develop public policies focused on protecting this specific group of the population in metropolitan areas in Mexico.