Effect of Ambient Temperature on Daily Nebulized Asthma Hospital Visits in a Tropical City of Dhaka, Bangladesh

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2021 Jan 27

PMID 33498592

Citations 3

Authors

Ayesha Ferdosi Kabir

Chris Fook Sheng Ng

Shinya Yasumoto

Taiichi Hayashi

Chiho Watanabe

Affiliations

Soon will be listed here.

Abstract

The acute effect of temperature on asthma morbidity in Bangladesh is not well understood. As climate varies extensively in different parts of the world, the relation between temperature and asthma might also differ. We investigated the association between temperature and asthma-related hospital visits in the tropical city of Dhaka. We analyzed information from a total of 5989 asthma patients who received ambulatory care in the form of nebulized medication at the National Asthma Center in Mohakhali, Dhaka from February to November 2013. A time-stratified case-crossover study was conducted to estimate the effect of daily temperature, with consideration of delayed effects and possible confounders such as relative humidity and political strikes. An inverse association was observed between temperature and the number of hospital visits. The effect was delayed for approximately a week. A degree centigrade decrease in mean temperature (averaged across lags 0-6) was associated with an increase of approximately 4.5% (95% CI 1.5, 7.5) in all asthma visits. The association was evident in adult males but marginal in elderly males. A positive association (lag 0) was observed among adult females, whereas no association was observed among children. Strikes significantly modified the effect among the elderly. Findings suggest temperature declines affect asthma outcomes in a warm climate, and this effect can be delayed and vary by sex and age group.

Citing Articles

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References

Eder W, Ege M, von Mutius E . The asthma epidemic. N Engl J Med. 2006; 355(21):2226-35. DOI: 10.1056/NEJMra054308. View

Guo Y, Jiang F, Peng L, Zhang J, Geng F, Xu J . The association between cold spells and pediatric outpatient visits for asthma in Shanghai, China. PLoS One. 2012; 7(7):e42232. PMC: 3404967. DOI: 10.1371/journal.pone.0042232. View

Hashizume M, Wagatsuma Y, Hayashi T, Saha S, Streatfield K, Yunus M . The effect of temperature on mortality in rural Bangladesh--a population-based time-series study. Int J Epidemiol. 2009; 38(6):1689-97. DOI: 10.1093/ije/dyn376. View

Din M, Lee Y, Ponraj M, Ossen D, Iwao K, Chelliapan S . Thermal comfort of various building layouts with a proposed discomfort index range for tropical climate. J Therm Biol. 2014; 41:6-15. DOI: 10.1016/j.jtherbio.2014.01.004. View

Buckley J, Richardson D . Seasonal modification of the association between temperature and adult emergency department visits for asthma: a case-crossover study. Environ Health. 2012; 11:55. PMC: 3489538. DOI: 10.1186/1476-069X-11-55. View

Makinen T, Juvonen R, Jokelainen J, Harju T, Peitso A, Bloigu A . Cold temperature and low humidity are associated with increased occurrence of respiratory tract infections. Respir Med. 2008; 103(3):456-62. DOI: 10.1016/j.rmed.2008.09.011. View

Priftis K, Paliatsos A, Panagiotopoulou-Gartagani P, Tapratzi-Potamianou P, Zachariadi-Xypolita A, Nicolaidou P . Association of weather conditions with childhood admissions for wheezy bronchitis or asthma in Athens. Respiration. 2006; 73(6):783-90. DOI: 10.1159/000093817. View

Carracedo-Martinez E, Taracido M, Tobias A, Saez M, Figueiras A . Case-crossover analysis of air pollution health effects: a systematic review of methodology and application. Environ Health Perspect. 2010; 118(8):1173-82. PMC: 2920078. DOI: 10.1289/ehp.0901485. View

Masoli M, Fabian D, Holt S, Beasley R . The global burden of asthma: executive summary of the GINA Dissemination Committee report. Allergy. 2004; 59(5):469-78. DOI: 10.1111/j.1398-9995.2004.00526.x. View

10.

Heymann P, Carper H, Murphy D, Platts-Mills T, Patrie J, McLaughlin A . Viral infections in relation to age, atopy, and season of admission among children hospitalized for wheezing. J Allergy Clin Immunol. 2004; 114(2):239-47. PMC: 7185400. DOI: 10.1016/j.jaci.2004.04.006. View

11.

Singh U, Levin L, Grinshpun S, Schaffer C, Adhikari A, Reponen T . Influence of home characteristics on airborne and dustborne endotoxin and β-D-glucan. J Environ Monit. 2011; 13(11):3246-53. DOI: 10.1039/c1em10446b. View

12.

Cesaroni G, Farchi S, Davoli M, Forastiere F, Perucci C . Individual and area-based indicators of socioeconomic status and childhood asthma. Eur Respir J. 2003; 22(4):619-24. DOI: 10.1183/09031936.03.00091202. View

13.

Price J, Bohara A . Maternal health care amid political unrest: the effect of armed conflict on antenatal care utilization in Nepal. Health Policy Plan. 2012; 28(3):309-19. DOI: 10.1093/heapol/czs062. View

14.

Maclure M . The case-crossover design: a method for studying transient effects on the risk of acute events. Am J Epidemiol. 1991; 133(2):144-53. DOI: 10.1093/oxfordjournals.aje.a115853. View

15.

Damia A, Fabregas M, Perpina Tordera M, Compte Torrero L . Effects of air pollution and weather conditions on asthma exacerbation. Respiration. 1999; 66(1):52-8. DOI: 10.1159/000029337. View

16.

Deng L, Ma P, Wu Y, Ma Y, Yang X, Li Y . High and low temperatures aggravate airway inflammation of asthma: Evidence in a mouse model. Environ Pollut. 2019; 256:113433. DOI: 10.1016/j.envpol.2019.113433. View

17.

Hervas D, Utrera J, Hervas-Masip J, Hervas J, Garcia-Marcos L . Can meteorological factors forecast asthma exacerbation in a paediatric population?. Allergol Immunopathol (Madr). 2013; 43(1):32-6. DOI: 10.1016/j.aller.2013.07.004. View

18.

Donaldson G, Seemungal T, Jeffries D, Wedzicha J . Effect of temperature on lung function and symptoms in chronic obstructive pulmonary disease. Eur Respir J. 1999; 13(4):844-9. DOI: 10.1034/j.1399-3003.1999.13d25.x. View

19.

Li M, Li Q, Yang G, Kolosov V, Perelman J, Zhou X . Cold temperature induces mucin hypersecretion from normal human bronchial epithelial cells in vitro through a transient receptor potential melastatin 8 (TRPM8)-mediated mechanism. J Allergy Clin Immunol. 2011; 128(3):626-34.e1-5. DOI: 10.1016/j.jaci.2011.04.032. View

20.

Lin S, Luo M, Walker R, Liu X, Hwang S, Chinery R . Extreme high temperatures and hospital admissions for respiratory and cardiovascular diseases. Epidemiology. 2009; 20(5):738-46. DOI: 10.1097/EDE.0b013e3181ad5522. View