Impact of Criteria Air Pollutants on Respiratory Health: A Case Study of Kano Metropolis
Main Article Content
Abstract
Air pollution is a significant public health concern in urban environments worldwide. This paper investigates the relationship between Criteria Air Pollutants (CAPs) and respiratory health outcomes in the Kano metropolis. Using Aeroqual Portable Monitor S500 V6 ENV and HoldPeak Aerosol Mass Monitor, ambient concentrations of CAPs were measured at 34 randomly sampled locations monthly for
12 months. Additionally, medical records on lung cancer, asthma, upper respiratory tract infections (URTIs), pneumonia, and chronic obstructive pulmonary disease (COPD) were collected from the four public specialist hospitals in the study area. The data were analysed using a stepwise multiple regression model. Results revealed that the prevalence of asthma significantly correlated (R2=0.92, p<0.05) with PM2.5. The COPD was significantly influenced (R2=0.84, p<0.05) by CO and O3, and the occurrence of pneumonia by NO2 (R2=0.700, p<0.05). Likewise, cases of URTIs were associated (R2=0.890, p<0.05) with PM2.5 and SO2 and lung cancer was significantly linked (R2=0.967, p<0.05) to PM2.5. This underscores the critical need for air quality interventions in the Kano metropolis to mitigate the adverse health impacts of pollution. The paper advocates for the enactment of public health policy initiatives aimed at reducing pollutant levels to prevent respiratory illnesses and improve overall community health.
Article Details
References
AEAT (1997) The Chemistry of Atmospheric Pollutants. National Environmental Technology Centre (NETCEN), Atomic Energy Authority Technology (AEAT), Oxfordshire, Harwell
Antwi, H.A., Zhou, L., Xu, X. & Mustafa, T., (2021). Progressing towards environmental health targets in China: an integrative review of achievements in air and water pollution under the “ecological civilisation and the beautiful China” Dream. Sustainability, 13(7), 3664.
Bikis, A. (2023). Urban air pollution and greenness in relation to public health. Journal of Environmental and Public Health, 2023(1), 8516622.
Boko, G. M. J. (2003) “Air Pollution And Respiratory Diseases In African Big Cities: The Case Of Cotonou In Benin” in Martin, J. B., V. Madha S. and Kumaran,T. V. eds., Proceedings of the Third International Conference on Environment and Health, Chennai, India,15-17 December, 2003.
Chennai: Department of Geography, University of Madras and Faculty of Environmental Studies, York University. Pages 32 -43.
Chaitanya, M. V. N. L., Arora, S., Pal, R. S., Ali, H. S., El Haj, B. M., & Logesh, R. (2024). Assessment of environmental pollutants for their toxicological effects of human and animal health. In Organic micropollutants in aquatic and terrestrial environments (pp. 67-85). Cham: Springer Nature Switzerland.
Chen, F., Zhang, W., Mfarrej, M. F. B., Saleem, M. H., Khan, K. A., Ma, J., Raposo, A., & Han, H. (2024). Breathing in danger: Understanding the multifaceted impact of air pollution on health impacts. Ecotoxicology and Environmental Safety, 280, 116532.
Croft, D.P., Zhang, W., Lin, S., Thurston, S.W., Hopke, P.K., Masiol, M., Squizzato, S., van Wijngaarden, E., Utell, M.J. and Rich, D.Q. (2019). The association between respiratory infection and air pollution in the setting of air quality policy and economic change. Annals of the American Thoracic Society, 16(3), 321–330.
de Bont, J., Jaganathan, S., Dahlquist, M., Persson, Å., Stafoggia, M., & Ljungman, P. (2022). Ambient air pollution and cardiovascular diseases: An umbrella review of systematic reviews and meta-analyses. Journal of internal medicine, 291(6), 779–800.
Doiron, D., de Hoogh, K., Probst-Hensch, N., Fortier, I., Cai, Y., De Matteis, S., & Hansell, A. L. (2019). Air pollution, lung function and COPD: results from the population-based UK Biobank study. The European Respiratory Journal, 54(1). https://doi.org/10.1183/13993003.02140-2018
EEA (2007) Air Pollution in Europe 1990-2004. Office for Official Publications of the European Communities (OPOCE). EEA Report No 2 of 2007. European Environmental Agency (EEA).
Golzary, A., Nematollahi, H., & Tuysserkani, M. (2024). Assessment and pathways for improving municipal solid waste management in rapidly urbanizing Tehran, Iran. Clean Technologies and Environmental Policy, 26(6), 1901-1917.
Guarnieri, M., & Balmes, J. R. (2014). Outdoor air pollution and asthma. The Lancet, 383(9928), 1581-1592.
Henning, R.J. (2024). Particulate matter air pollution is a significant risk factor for cardiovascular disease. Current Problems in Cardiology, 49(1), 102094.
Humbal, A., Chaudhary, N., & Pathak, B. (2023). Urbanization trends, climate change, and environmental sustainability. In Climate Change and Urban Environment Sustainability (pp. 151-166). Singapore: Springer Nature Singapore.
Khaniabadi, Y. O., Hopke, P. K., Goudarzi, G., Daryanoosh, S. M., Jourvand, M., & Basiri, H. (2017). Cardiopulmonary mortality and COPD attributed to ambient ozone. Environmental Research, 152(October 2016), 336–341. https://doi.org/10.1016/j.envres.2016.10.008
Khatib, I. A. (2011) Municipal Solid Waste Management in Developing Countries: Future Challenges and Possible Opportunities. In Kumar, S. (ed) Integrated Waste Management Vol II. Rijeka, Croatia, In-Tech Education and Publishing
Khreis, H., Cirach, M., Mueller, N., de Hoogh, K., Hoek, G., Nieuwenhuijsen, M. J., & Rojas- Rueda, D. (2019). Outdoor air pollution and the burden of childhood asthma across Europe. The European Respiratory Journal, 54(4). https://doi.org/10.1183/13993003.02194-2018
Konduracka, E.& Rostoff, P. (2022). Links between chronic exposure to outdoor air pollution and cardiovascular diseases: a review. Environ Chem Lett 20, 2971–2988.
Kulhánová, I., Morelli, X., Le Tertre, A., Loomis, D., Charbotel, B., Medina, S., ... Soerjomataram, I. (2018). The fraction of lung cancer incidence attributable to fine particulate air pollution in France: Impact of spatial resolution of air pollution models. Environment International, (September), 1079–1086. https://doi.org/10.1016/j.envint.2018.09.055
Lelieveld, J., Klingmüller, K., Pozzer, A., Pöschl, U., Fnais, M., Daiber, A. & Münzel, T. (2019). Cardiovascular disease burden from ambient air pollution in Europe reassessed using novel hazard ratio functions. European heart journal, 40(20), 1590-1596.
Lelieveld, J., Pozzer, A., Pöschl, U., Fnais, M., Haines, A. and Münzel, T. (2020). Loss of life expectancy from air pollution compared to other risk factors: a worldwide perspective. Cardiovascular research, 116(11), 1910-1917.
Li, L., Yang, J., Song, Y. F., Chen, P. Y., & Ou, C. Q. (2016). The burden of COPD mortality due to ambient air pollution in Guangzhou, China. Scientific Reports, 6(2), 1–7. https://doi.org/10.1038/srep25900
Li, S., Wei, J., Hu, Y., Liu, Y., Hu, M., Shi, Y., Xue, Y., Liu, M., Xie, W., Guo, X. & Liu, X., (2023). Long-term effect of intermediate particulate matter (PM1–2.5) on incident asthma among middle-aged and elderly adults: A national population-based longitudinal study. Science of The Total
Environment, 859, 160204.
Li, Y. R., Xiao, C. C., Li, J., Tang, J., Geng, X. Y., Cui, L. J., & Zhai, J. X. (2018). Association between air pollution and upper respiratory tract infection in hospital outpatients aged 0–14 years in Hefei, China: a time series study. Public Health, 156, 92–100. https://doi.org/10.1016/j.puhe.2017.12.006
Liu, Jinyue, Li, Y., Li, J., Liu, Y., Tao, N., Song, W. & Li, H. (2019). Association between ambient PM2.5 and children’s hospital admissions for respiratory diseases in Jinan, China. Environmental Science and Pollution Research, 26(23), 24112–24120. https://doi.org/10.1007/s11356-01905644-7
Liwsrisakun, C., Chaiwong, W., Bumroongkit, C., Deesomchok, A., Theerakittikul, T., Limsukon, A., Trongtrakul, K., Tajarernmuang, P., Niyatiwatchanchai, N. & Pothirat, C., (2023). Influence of particulate matter on asthma control in adult asthma. Atmosphere, 14(2), 410.
Lu, Y., Jie, X., Zou, F., Wang, D., Da, H., Li, H., Zhao, H., He, J., Liu, J., Fan, X. & Liu, Y., (2024). Investigation analysis of the acute asthma risk factor and phenotype based on relational analysis with outdoor air pollutants in Xi’an, China. Environmental geochemistry and health, 46(3), 75.
Luca, D., Terrero-Davila, J., Stein, J., & Lee, N. (2023). Progressive cities: Urban–rural polarisation of social values and economic development around the world. Urban Studies, 60(12), 2329-2350.
Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental and health impacts of air pollution: a review. Frontiers in public health, 8, 14.
Meo, S.A., Salih, M.A., Alkhalifah, J.M., Alsomali, A.H. & Almushawah, A.A., (2024). Environmental pollutants particulate matter (PM2. 5, PM10), Carbon Monoxide (CO), Nitrogen dioxide (NO2), Sulfur dioxide (SO2), and Ozone (O3) impact on lung functions. Journal of King Saud University-Science, 103280.
Myers, R., Brauer, M., Ladhar, S., Atkar-Khattra, S., Yee, J., Ho, C. ... & Sun, S. (2018). Association between outdoor air pollution and lung cancer in female never smokers. Journal of Thoracic Oncology, 13(10), S342.
Nafstad, P., Håheim, L. L., Oftedal, B., Gram, F., Holme, I., Hjermann, I., & Leren, P. (2003). Lung cancer and air pollution: A 27 year follow up of 16 209 Norwegian men. Thorax, 58(12), 1071–1076. https://doi.org/10.1136/thorax.58.12.1071
NPC (2006). 2006 Population and Housing Census of the Federal Republic of Nigeria: Priority Tables. Abuja: National Population Commission.
Ojima, K., Yoda, Y., Araki, S., Shimadera, H., Tokuda, N., Takeshima, Y. & Shima, M., (2024). Exposure to ambient fine particulate matter components during pregnancy and early childhood and its association with asthma, allergies, and sensitization in school-age children. Environmental Health and Preventive Medicine, 29, 34-34.
Pai, S.J., Carter, T.S., Heald, C.L. & Kroll, J.H. (2022). Updated World Health Organization air quality guidelines highlight the importance of non-anthropogenic PM2.5. Environmental science & technology letters, 9(6), 501-506.
Peláez, L.M.G., Santos, J.M., de Almeida Albuquerque, T.T., Reis Jr, N.C., Andreão, W.L. & de Fátima Andrade, M. (2020). Air quality status and trends over large cities in South America. Environmental Science & Policy, 114, 422-435.
Pirozzi, C. S., Jones, B. E., Van Derslice, J. A., Zhang, Y., Paine, R., & Dean, N. C. (2018). Short-term air pollution and incident pneumonia a case-crossover study. Annals of the American Thoracic Society, 15(4), 449–459. https://doi.org/10.1513/AnnalsATS.201706-495OC
Rana, J., Uddin, J., Peltier, R., & Oulhote, Y. (2019). Associations between indoor air pollution and acute respiratory infections among under-five children in Afghanistan: Do SES and sex matter? International Journal of Environmental Research and Public Health,
(16). https://doi.org/10.3390/ijerph16162910
Rashed, A.H. (2023). The impacts of unsustainable urbanization on the environment. In Sustainable regional planning. IntechOpen.
Rentschler, J., Avner, P., Marconcini, M., Su, R., Strano, E., Vousdoukas, M., & Hallegatte, S. (2023). Global evidence of rapid urban growth in flood zones since 1985. Nature, 622(7981), 87-92.
Rentschler, J., & Leonova, N. (2023). Global air pollution exposure and poverty. Nature communications, 14(1), 4432.
Sadik, N. (1991) Safeguarding the Furture. UNFPA, New-York.
Sakketa, T. G. (2023). Urbanisation and rural development in sub-Saharan Africa: A review of pathways and impacts. Research in Globalization, 6, 100133.
Schwela, D. (2012) Review of Urban Air Quality in Sub-Saharan Africa region - Air Quality Profile of Sub-Saharan Africa Countries. Washington, DC: World Bank. Online: http://documents.worldbank.org/curated/en/2012/03/16193871/review-urban-air-quality-sub-saharan-africa-region-air-quality-profile-ssa-countries
Scimeca, M., Palumbo, V., Giacobbi, E., Servadei, F., Casciardi, S., Cornella, E., Cerbara, F., Rotondaro, G., Seghetti, C., Scioli, M. P., Montanaro, M., Barillà, F., Sisto, R., Melino, G., Mauriello, A., & Bonfiglio, R. (2024). Impact of the environmental pollution on cardiovascular diseases: From
epidemiological to molecular evidence.
Heliyon, 10(18), e38047. Sicard, P., Agathokleous, E., Anenberg, S. C., De Marco, A., Paoletti, E., & Calatayud, V. (2023). Trends in urban air pollution over the last two decades: A global perspective. Science of The Total Environment, 858, 160064.
Soubbotina, T. P. and Sheram, K. A. (2000) Beyond Economic Growth: Meeting the Challenges of Global Development. The International Bank for Reconstruction and Development/the World Bank, Washington D. C., USA.
Sun, S., Tian, L., Cao, W., Lai, P. C., Wong, P. P. Y., Lee, R. S. Y., Mason, T.G., Krämer, A. & Wong, C. M. (2019). Urban climate modified short-term association of air pollution with pneumonia mortality in Hong Kong. Science of the Total Environment, 646, 618-624. https://doi.org/10.1016/j.scitotenv.2018.07.311
Sun, S., Tian, L., Cao, W., Lai, P. C., Wong, P. P. Y., Lee, R. S. Y., Mason, T.G., Krämer, A. & Wong, C. M. (2019). Urban climate modified short-term association of air pollution with pneumonia mortality in Hong Kong. Science of the Total Environment, 646, 618-624. https://doi.org/10.1016/j.scitotenv.2018.07.311
Tolba, M. K., Osama, A. E., El-Hinnaw, E., Holdgate, M. W., McMichael, D. F. and Munn, R. E. (1992) The World Environment 1972-1992: Two Decades of Challenge. London, Chapman and Hall.
Tsai, Y. G., Chio, C. P., Yang, K. D., Lin, C. H., Yeh, Y. P., Chang, Y. J., ... & Chan, C. C. (2024). Long-term PM2. 5 exposure is associated with asthma prevalence and exhaled nitric oxide levels in children. Pediatric Research, 1-8.
Turner, M. C., Gracia-Lavedan, E., Cirac, M., Castaño-Vinyals, G., Malats, N., Tardon, A., Kogevinas, M. (2019). Ambient air pollution and incident bladder cancer risk: Updated analysis of the Spanish Bladder Cancer Study. International Journal of Cancer, 145(4), 894–900. https://doi.org/10.1002/ijc.32136
UNEP (2023). Pollution Action Note – Data you need to know. United Nations Environment Programme Online: https://www.unep.org/interactives/air-pollution-note/
UNESCAP (2010) World Urbanization Prospects: The 2010 Revision. World Population Prospects. United Nations Department of Economic and Social Affairs, Population Division. Online: www.unescap.org/stat/data/syb2011/I-People/Urbanization.asp
USEPA (2015) Criteria Air Pollutants, Environments and Contaminants for America’s Children and the Environment (Third Edition, Updated October 2015). Environmental Protection Agency, United State of America. Online: http://www.epa.gov/air/criteria.html
Van Zanten, J.A. & van Tulder, R., (2021). Towards nexus-based governance: defining interactions between economic activities and Sustainable Development Goals (SDGs). International Journal of Sustainable Development & World Ecology, 28(3), 210-226.
Varghese, D., Ferris, K., Lee, B., Grigg, J., Pinnock, H., & Cunningham, S. (2024). Outdoor air pollution and near‐fatal/fatal asthma attacks in children: A systematic review. Pediatric Pulmonology, 59(5), 1196-1206.
Vohra, K., Marais, E.A., Bloss, W.J., Schwartz, J., Mickley, L.J., Van Damme, M., Clarisse, L. & Coheur, P.F. (2022). Rapid rise in premature mortality due to anthropogenic air pollution in fast-growing tropical cities from 2005 to 2018. Science advances, 8(14), eabm4435.
Vohra, K., Vodonos, A., Schwartz, J., Marais, E.A., Sulprizio, M.P. & Mickley, L.J. (2021). Global mortality from outdoor fine particle pollution generated by fossil fuel combustion: Results from GEOS-Chem. Environmental research, 195, 10754.
Wambebe, N.M. & Duan, X. (2020). Air quality levels and health risk assessment of particulate matters in Abuja municipal area, Nigeria. Atmosphere, 11(8), 817.
Wang, J., Cao, H., Sun, D., Qi, Z., Guo, C., Peng, W. & Zhang, L. (2019). Associations between ambient air pollution and mortality from all causes, pneumonia, and congenital heart diseases among children aged under 5 years in Beijing, China: A population-based time series study. Environmental Research, 176(June), 108531.
Wang, J., Li, D., Ma, Y., Tang, L., Xie, J., Hu, Y. & Tian, Y., (2023). Long-term exposure to ambient air pollutants and increased risk of pneumonia in the UK Biobank. Chest, 164(1), 39-52.
Wei, T., Chen, C., Yang, Y., Li, L., Wang, J., Ye, M., Kan, H., Yang, D., Song, Y., Cai, J. & Hou, D., (2023). Associations between short-term exposure to ambient air pollution and lung function in adults. Journal of Exposure Science & Environmental Epidemiology, 1-9.
WHO (2000). Air Quality Guidelines for Europe, (Second Edition). WHO Regional Publication, European Series, No. 91. World Health Organization Regional Office for Europe, Copenhagen, Denmark
WHO (2005) WHO Air Quality Guidelines Global Update 2005-Particullate Matter, Ozone Nitrogen dioxide and Sulphur dioxide. World Health Organization Regional Office for Europe, Copenhagen.
WHO (2006). Air quality guidelines: global update 2005: particulate matter, ozone, nitrogen dioxide, and sulphur dioxide. Geneva: World Health Organization.
WHO (2014). Air Quality and Health. World Health Organization Factsheet No. 313. Geneva: World Health Organization
WHO (2018a). “Air Pollution”. World Health Organization Online: https://www.who.int/news-room/fact-sheets/detail/ambient-(outdoor)-air-quality-and-health. Retrieved 22nd November 2019
WHO (2018b). “9 out of 10 people worldwide breathe polluted air, but more countries are taking action”. World Health Organization News Release Online: https://www.who.int/news-room/detail/02-05-2018-9-out-of-10-people-worldwide-breathe-polluted-air-but-more-countries-
are-taking-action. Retrieved 30 November 2019.
WHO (2019). “Pneumonia”. World Health Organization Online: https://www.who.int/news-room/fact-sheets/detail/pneumonia. Retrieved 22nd November 2019
World Health Organization. (2016). Ambient Air Pollution: A global assessment of exposure and burden of disease. World Health Organization, 1–131. https://doi.org/9789241511353
Wu, J., Zhong, T., Zhu, Y., Ge, D., Lin, X., & Li, Q. (2019). Effects of particulate matter (PM) on childhood asthma exacerbation and control in Xiamen, China. BMC Paediatrics, 19(1), 1–11. https://doi.org/10.1186/s12887-019-1530-7
Xiang, J., Weschler, C. J., Zhang, J., Zhang, L., Sun, Z., Duan, X., & Zhang, Y. (2019). Ozone in urban China: Impact on mortalities and approaches for establishing indoor guideline concentrations. Indoor Air, 29(4), 604–615. https://doi.org/10.1111/ina.12565
Xu, H., Jia, Y., Sun, Z., Su, J., Liu, Q. S., Zhou, Q., & Jiang, G. (2022). Environmental pollution, a hidden culprit for health issues. Eco-Environment & Health, 1(1), 31-45.
Xu, J., Shi, Y., Chen, G., Guo, Y., Tang, W., Wu, C., Liang, S., Huang, Z., He, G., Dong, X. & Cao, G., (2023). Joint effects of long-term exposure to ambient fine particulate matter and ozone on asthmatic symptoms: prospective cohort study. JMIR Public Health and Surveillance, 9, e47403.
Zhang, D., Tian, Y., Zhang, Y., Cao, Y., Wang, Q., & Hu, Y. (2019). Fine particulate air pollution and hospital utilization for upper respiratory tract infections in Beijing, China. International Journal of Environmental Research and Public Health, 16(4). https://doi.org/10.3390/ijerph16040533
Zhong, C., Guo, H., Swan, I., Gao, P., Yao, Q., & Li, H. (2023). Evaluating trends, profits, and risks of global cities in recent urban expansion for advancing sustainable development. Habitat International, 138, 102869.
Zhu, F., Ding, R., Lei, R., Cheng, H., Liu, J., Shen, C., Cao, J. (2019). The short-term effects of air pollution on respiratory diseases and lung cancer mortality in Hefei: A time-series analysis. Respiratory Medicine, 146(April 2018), 57–65. https://doi.org/10.1016/j.rmed.2018.11.019