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dc.contributor.authorIzquierdo Miguel, Rebeca 
dc.contributor.authorGarcia Dos Santos-Alves, Saul 
dc.contributor.authorBorge, Rafael
dc.contributor.authorPaz, David de la
dc.contributor.authorSarigiannis, Denis
dc.contributor.authorGotti, Alberto
dc.contributor.authorBoldo, Elena 
dc.date.accessioned2020-02-17T08:08:11Z
dc.date.available2020-02-17T08:08:11Z
dc.date.issued2020-04
dc.identifier.citationEnviron Res. 2020 Apr;183:109021.es_ES
dc.identifier.issn0013-9351es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/9100
dc.description.abstractOBJECTIVES: Air pollutant concentrations in many urban areas are still above the legal and recommended limits that are set to protect the citizens' health. Madrid is one of the cities where traffic causes high NO2 levels. In this context, Madrid City Council launched the Air Quality and Climate Change Plan for the city of Madrid (Plan A), a local strategy approved by the previous government in 2017. The aim of this study was to conduct a quantitative health impact assessment to evaluate the number of premature deaths that could potentially be prevented by the implementation of Plan A in Madrid in 2020, at both citywide and within-city level. The main purpose was to support decision-making processes in order to maximize the positive health impacts from the implementation of Plan A measures. METHODS: The Regional Statistical Office provided information on population and daily mortality in Madrid. For exposure assessment, we estimated PM2.5, NO2 and O3 concentration levels for Madrid city in 2012 (baseline air-quality scenario) and 2020 (projected air-quality scenario based on the implementation of Plan A), by means of an Eulerian chemical-transport model with a spatial resolution of 1 km × 1 km and 30 vertical levels. We used the concentration-response functions proposed by two relevant WHO projects to calculate the number of attributable annual deaths corresponding to all non-accidental causes (ICD-10: A00-R99) among all-ages and the adult population (>30 years old) for each district and for Madrid city overall. This health impact assessment was conducted dependant on health-data availability. RESULTS: In 2020, the implementation of Plan A would imply a reduction in the Madrid citywide annual mean PM2.5 concentration of 0.6 μg/m3 and 4.0 μg/m3 for NO2. In contrast, an increase of 1 μg/m3 for O3 would be expected. The annual number of all-cause deaths from long-term exposure (95% CI) that could be postponed in the adult population by the expected air-pollutant concentration reduction was 88 (57-117) for PM2.5 and 519 (295-750) for NO2; short-term exposure accounted for 20 (7-32) for PM2.5 and 79 (47-111) for NO2 in the total population. According to the spatial distribution of air pollutants, the highest mortality change estimations were for the city centre - including Madrid Central and mainly within the M-30 ring road -, as compared to peripheral districts. The positive health impacts from the reductions in PM2.5 and NO2 far exceeded the adverse mortality effects expected from the increase in O3. CONCLUSIONS: Effective implementation of Plan A measures in Madrid city would bring about an appreciable decline in traffic-related air-pollutant concentrations and, in turn, would lead to significant health-related benefits.es_ES
dc.description.sponsorshipThis HIA study was funded by the European Project ICARUS (Integrated Climate forcing and Air pollution Reduction in Urban Systems; Horizon 2020, GA N° 690105) and by SaludAire-España (Contaminación atmosférica y salud en España: morbilidad en atención primaria y mortalidad; Carlos III Health Institute, AESI grant PI18CIII/00022). Air-quality modelling was funded by the Madrid City Council (Environment and Mobility Division of the General Directorate of Sustainability and Environmental Control) within the framework for the development and assessment of Plan A.es_ES
dc.language.isoenges_ES
dc.publisherElsevier es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAir-quality policieses_ES
dc.subjectHealth impact assessmentes_ES
dc.subjectMadrides_ES
dc.subjectMadrid centrales_ES
dc.subjectMortalityes_ES
dc.subjectNO(2)es_ES
dc.titleHealth impact assessment by the implementation of Madrid City air-quality plan in 2020es_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.identifier.pubmedID32044574es_ES
dc.format.volume183es_ES
dc.format.page109021es_ES
dc.identifier.doi10.1016/j.envres.2019.109021es_ES
dc.contributor.funderUnión Europea 
dc.contributor.funderInstituto de Salud Carlos III 
dc.contributor.funderAyuntamiento de Madrid (España) 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1096-0953es_ES
dc.relation.publisherversionhttps://doi.org/10.1016/j.envres.2019.109021es_ES
dc.identifier.journalEnvironmental researches_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.repisalud.centroISCIII::Centro Nacional de Sanidad Ambientales_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/EC/H2020/690105/EU
dc.rights.accessRightsopen accesses_ES
dc.relation.projectFISinfo:fis/Instituto de Salud Carlos III/Programa Estatal de Fomento de la Investigación Científica y Técnica de Excelencia/Subprograma Estatal de Generación de Conocimiento/PI18-ISCIII Modalidad Proyectos de Investigacion en Salud Intramurales. (2018)/PI18CIII/00022


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Este Item está sujeto a una licencia Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 Internacional