Edirne ili merkez ilçede 2014 yılı meteorolojik verilerinin, hava kalitesi ölçümlerinin 2. basamaktaki ilgili poliklinik başvuruları ile ilişkisinin değerlendirilmesi
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Date
2019
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Trakya Üniversitesi Tıp Fakültesi
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info:eu-repo/semantics/embargoedAccess
Abstract
Hava kirliliği küresel düzeyde mortalite ve morbiditenin önemli nedenlerinden biridir ve sağlık için en büyük çevresel riski temsil etmektedir. Küresel ısınmaya katkı sağlayarak dünya iklimini ve ekosistemleri etkilemekte, bunlara bağlı sağlık sorunlarını beraberinde getirmektedir. Yapılan çalışmalar hava kirliliğinin ülkemizde hemen tüm illerimizin sorunu olduğunu göstermektedir. Bu çalışmayla Edirne merkez ilçede 2014 yılındaki meteorolojik veriler ve hava kalitesi ölçümleri ile kamuya ait 2.basamaktaki ilgili polikliniklere yapılan başvurular ve nedenleri arasında bir ilişki ya da eşzamanlı değişim olup olmadığını ortaya koymak amaçlanmıştır. Çalışmamız tanımlayıcı ve kesitsel nitelikte olup, 01.01.2014- 31.12.2014 tarihleri arasındaki meteorolojik veriler ve hava kalitesi ölçümleri ile 2.basamaktaki ilgili polikliniklere yapılan başvurular değerlendirilmiş, korelasyon ve çoklu lineer regresyon analizleri ile aralarındaki ilişkiler tespit edilmiştir. PM10 sıcaklıkla zayıf, rüzgar hızı ile orta negatif, nem ile zayıf pozitif yönde solunum yolu hastalık başvuruları ile zayıf, kardiyovasküler, nörolojik ve psikiyatrik hastalık başvuruları ile çok zayıf pozitif yönde korelasyon göstermiştir. SO2 sıcaklıkla orta, rüzgar hızı ile çok zayıf negatif, nem ve basınçla zayıf pozitif, solunum yolu hastalık başvuruları ile zayıf, kardiyovasküler ve nörolojik hastalık başvuruları ile çok zayıf pozitif korelasyon göstermiştir. Solunum yolu hastalık başvuruları ayrıca sıcaklıkla zayıf, rüzgar hızı ile çok zayıf negatif, nemle zayıf, basınç ile çok zayıf negatif yönlü korelasyon göstermiştir (p<0,05). Regresyon analizi sonucunda PM10’daki 10 µg/m3 artışın solunum yolu hastalık başvurularında 16, kardiyovasküler ve psikiyatrik hastalık başvurularında 4 ve nörolojik hastalık başvurularında 1 birim artışa yol açtığı bulunmuştur. SO2’deki 10 µg/m3 artışın solunum yolu hastalık başvurularında 12 birim artışa yol açtığı bulunmuştur (p<0,05). Sıcaklık ve rüzgar hızındaki 1 birim artışın PM10’da sırasıyla 0,5 ve 18,3 birim azalmaya, nemdeki 1 birim artışın 0,3 birim artışa neden olduğu görülmüştür. Sıcaklık ve rüzgar hızındaki 1 birim artışın SO2’de sırasıyla 2,9 ve 12,2 birim azalmaya, nemdeki 1 birim artışın 0,3 birim artışa neden olduğu görülmüştür (p<0,05). Hava kirliliği ve meteorolojik faktörler, hem kendi aralarındaki etkileşimleri, hem de sağlık üzerine olan etkileri nedeniyle önemlidir. Toplumun sağlık sorunlarının önemli nedenlerinden olan çevresel faktörlerden korunabilmesi için, ilgili tüm kurumlarca gerekli tedbirlerin alınması, bireylerin kendilerini korumak için gereken önlemleri alması yanında bu alanda yapılacak yeni çalışmalara ihtiyaç vardır.
Air pollution is one of the major causes of mortality and morbidity at global level and represents the greatest environmental risk for health. It affects climates and ecosystems by contributing to global warming, and therefore leads to health problems related to them. Studies show that air pollution is a serious problem of almost all provinces in our country. In this study, the aim was to determine whether there is a correlation between admissions to some related outpatient clinics in a public secondary care hospital with their admission reasons and meteorological data with weather quality measurements of central county in Edirne in 2014. The design of our study was descriptive and cross-sectional. The meteorological data and air quality measurements and admissions to related outpatient clinics in a public secondary care hospital between 01.01.2014 and 31.12.2014 were evaluated, relationships between them were determined with correlation and multiple linear regression analyzes. PM10 showed weak correlation with temperature, moderate negative correlation with wind speed, weak positive correlation with humidity, weak correlation with respiratory disease admissions, very weak positive correlation with cardiovascular, neurologic and psychiatric disease admissions. SO2 showed moderate correlation with temperature, very weak negative correlation with wind speed, weak positive correlation with humidity and presssure, weak correlation with respiratory disease admissions, very weak positive correlation with cardiovascular and neurological disease admissions. Respiratory disease admissions also showed weak correlation with temperature, very weak negative correlation with wind speed, weak correlation with humidity, very weak negative correlation with pressure (p<0.05). According to regression analysis results, 10 µg / m3 increase in PM10 was found to cause 16 units increase in respiratory disease admissions, 4 units increase in cardiovascular and psychiatric disease admissions and 1 unit increase in neurological disease admissions. It was found that a 10 µg / m3 increase in SO2 cause 12 units increase in respiratory disease admissions (p <0.05). It was found that a 1 unit increase in temperature and wind speed caused 0.5 and 18.3 units decreases in PM10, respectively and 1 unit increase in humidity caused a 0.3 unit increase in PM10. It was found that 1 unit increase in temperature and wind speed caused 2.9 and 12.2 units decreases in SO2, respectively and 1 unit increase in humidity caused 0.3 unit increase in SO2 (p<0.05). Air pollution and meteorological factors are important both because of their interactions and health effects. In order to protect the community from environmental factors which are important causes of health problems, all the relevant institutions need to take necessary precautions, individuals need to take necessary measures to protect themselves and new studies need to be done on this area.
Air pollution is one of the major causes of mortality and morbidity at global level and represents the greatest environmental risk for health. It affects climates and ecosystems by contributing to global warming, and therefore leads to health problems related to them. Studies show that air pollution is a serious problem of almost all provinces in our country. In this study, the aim was to determine whether there is a correlation between admissions to some related outpatient clinics in a public secondary care hospital with their admission reasons and meteorological data with weather quality measurements of central county in Edirne in 2014. The design of our study was descriptive and cross-sectional. The meteorological data and air quality measurements and admissions to related outpatient clinics in a public secondary care hospital between 01.01.2014 and 31.12.2014 were evaluated, relationships between them were determined with correlation and multiple linear regression analyzes. PM10 showed weak correlation with temperature, moderate negative correlation with wind speed, weak positive correlation with humidity, weak correlation with respiratory disease admissions, very weak positive correlation with cardiovascular, neurologic and psychiatric disease admissions. SO2 showed moderate correlation with temperature, very weak negative correlation with wind speed, weak positive correlation with humidity and presssure, weak correlation with respiratory disease admissions, very weak positive correlation with cardiovascular and neurological disease admissions. Respiratory disease admissions also showed weak correlation with temperature, very weak negative correlation with wind speed, weak correlation with humidity, very weak negative correlation with pressure (p<0.05). According to regression analysis results, 10 µg / m3 increase in PM10 was found to cause 16 units increase in respiratory disease admissions, 4 units increase in cardiovascular and psychiatric disease admissions and 1 unit increase in neurological disease admissions. It was found that a 10 µg / m3 increase in SO2 cause 12 units increase in respiratory disease admissions (p <0.05). It was found that a 1 unit increase in temperature and wind speed caused 0.5 and 18.3 units decreases in PM10, respectively and 1 unit increase in humidity caused a 0.3 unit increase in PM10. It was found that 1 unit increase in temperature and wind speed caused 2.9 and 12.2 units decreases in SO2, respectively and 1 unit increase in humidity caused 0.3 unit increase in SO2 (p<0.05). Air pollution and meteorological factors are important both because of their interactions and health effects. In order to protect the community from environmental factors which are important causes of health problems, all the relevant institutions need to take necessary precautions, individuals need to take necessary measures to protect themselves and new studies need to be done on this area.
Description
Keywords
Hava Kirliliği, Meteoroloji, Hastane Başvuruları, PM10, SO2, Air Pollution, Meteorology, Hospital Admissions, PM10, SO2
