著者

橋爪 真弘 上田 佳代 西脇 祐司 道川 武紘 小野塚 大介

出版者

日本衛生学会

雑誌

日本衞生學雜誌 (ISSN:00215082)

巻号頁・発行日

vol.65, no.3, pp.413-421, 2010-05-15

被引用文献数

66

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Asian dust, called 'kosa' in Japan, is the long-range transport of atmospheric pollutants originating from the desert areas of China and Mongolia. Although Asian dust has a long history of appearing in Japan, it is only quite recently that there is increasing concern for its possible adverse health effects. We reviewed the epidemiologic evidence of potential health effects of Asian dust events. PubMed was used to search for the following keywords: Asian dust, yellow sand, desert dust, dust storm, sandstorm, mortality, death, morbidity, hospitalization, hospital admission, health, pulmonary and respiratory. The search was limited to the epidemiologic studies published between January 1980 and May 2009. JMEDPlus was used to search for Japanese literature. Seventeen studies were retrieved from PubMed and one study from JMEDPlus. In addition, one study was identified for reviewing from the references of another study. In total, we identified 19 epidemiologic studies (3 for mortality, 13 for hospital visits or admissions and 3 for respiratory functions or symptoms) mainly from Taiwan and Korea. There were many combinations of outcomes and lagged exposures examined, and some suggested possible associations of dust exposure with an increase in mortality and hospital visits and admissions due to cardiovascular and respiratory diseases, whereas the rest of the studies did not show statistically significant associations. The evidence from these studies was limited because exposure assessments were inadequately described and potential confounders were insufficiently controlled. Well-designed epidemiological studies are required to clarify any potential health effects of Asian dust events in Japan.<br>

著者

橋爪 真弘 上田 佳代 西脇 祐司 道川 武紘 小野塚 大介

出版者

一般社団法人日本衛生学会

雑誌

日本衛生学雑誌 (ISSN:00215082)

巻号頁・発行日

vol.65, no.3, pp.413-421, 2010 (Released:2010-05-27)

参考文献数

31

被引用文献数

64 66

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Asian dust, called ‘kosa’ in Japan, is the long-range transport of atmospheric pollutants originating from the desert areas of China and Mongolia. Although Asian dust has a long history of appearing in Japan, it is only quite recently that there is increasing concern for its possible adverse health effects. We reviewed the epidemiologic evidence of potential health effects of Asian dust events. PubMed was used to search for the following keywords: Asian dust, yellow sand, desert dust, dust storm, sandstorm, mortality, death, morbidity, hospitalization, hospital admission, health, pulmonary and respiratory. The search was limited to the epidemiologic studies published between January 1980 and May 2009. JMEDPlus was used to search for Japanese literature. Seventeen studies were retrieved from PubMed and one study from JMEDPlus. In addition, one study was identified for reviewing from the references of another study. In total, we identified 19 epidemiologic studies (3 for mortality, 13 for hospital visits or admissions and 3 for respiratory functions or symptoms) mainly from Taiwan and Korea. There were many combinations of outcomes and lagged exposures examined, and some suggested possible associations of dust exposure with an increase in mortality and hospital visits and admissions due to cardiovascular and respiratory diseases, whereas the rest of the studies did not show statistically significant associations. The evidence from these studies was limited because exposure assessments were inadequately described and potential confounders were insufficiently controlled. Well-designed epidemiological studies are required to clarify any potential health effects of Asian dust events in Japan.

著者

小野塚 大介 萩原 明人

出版者

国立研究開発法人国立循環器病研究センター

雑誌

基盤研究(C)

巻号頁・発行日

2018-04-01

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本研究は、日本全国47都道府県のインフルエンザ患者1,851万人、感染性胃腸炎患者1,598万人、救急搬送患者3,552万人、病院外心肺停止患者約118万人を対象とし、気候変動による脆弱性が、地域や個人の効果修飾因子によってどのように異なるかについて、環境疫学的手法と社会疫学的手法を融合して解明することを目的とする。本研究により、効果修飾因子による気候変動への脆弱性の違いを全国規模で定量的に推定することが可能となり、地域や個人の特性に応じた気候変動-疾患発症予測モデルの構築、早期警報システムへの応用、疾病予防管理プログラムの改善、医療機関における医療従事者の確保や設備整備等、日本における気候変動適応策を進める上で重要な意義があると考えられる。研究2年目である令和元年度については、(1)文献レビューによる先行知見の整理、(2)データの取得、データクリーニング、データセットの突合、データベースの構築、(3)統計解析及び論文化、を行った。文献レビューによる先行知見の整理については、気候変動による健康影響(感染症、救急搬送、病院外心肺停止)について、国際誌を中心とした文献レビューを行い、先行知見について整理した。また、気候変動の指標として、地域の気象変化(気温、相対湿度、降水量等)のデータを、アウトカムの指標として、感染症発生動向調査に基づく患者情報、全国救急業務実施状況調査に基づく救急搬送データ、ウツタイン調査に基づく病院外心肺停止データをそれぞれ入手し、データベースを構築した。さらに、文献レビューの結果をもとに、研究デザイン、研究対象、データ収集、解析方法について検討し、統計解析及び論文化を進めているところである。