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BMC Public Health . Association between air pollution in Lima and the high incidence of COVID-19: findings from a post hoc analysis

tetano

Editor, Senior Moderator
BMC Public Health


. 2021 Jun 16;21(1):1161.
doi: 10.1186/s12889-021-11232-7.
Association between air pollution in Lima and the high incidence of COVID-19: findings from a post hoc analysis


Bertha V Vasquez-Apestegui[SUP] 1 2 [/SUP], Enrique Parras-Garrido[SUP] 3 [/SUP], Vilma Tapia[SUP] 3 [/SUP], Valeria M Paz-Aparicio[SUP] 3 [/SUP], Jhojan P Rojas[SUP] 4 [/SUP], Odón R Sanchez-Ccoyllo[SUP] 5 [/SUP], Gustavo F Gonzales[SUP] 3 [/SUP]



Affiliations

Abstract

Background: Coronavirus disease 2019 (COVID-19) originated in the People's Republic of China in December 2019. Thereafter, a global logarithmic expansion of cases occurred. Some countries have a higher rate of infections despite the early implementation of quarantine. Air pollution might be related to high susceptibility to the virus and associated case fatality rates (deaths/cases*100). Lima, Peru, has the second highest incidence of COVID-19 in Latin America and also has one the highest levels of air pollution in the region.
Methods: This study investigated the association of levels of PM[SUB]2.5[/SUB] exposure in previous years (2010-2016) in 24 districts of Lima with cases, deaths and case fatality rates for COVID-19. Multiple linear regression was used to evaluate this association controlled by age, sex, population density and number of food markets per district. The study period was from March 6 to June 12, 2020.
Results: There were 128,700 cases in Lima and 2382 deaths due to COVID-19. The case fatality rate was 1.93%. Previous exposure to PM[SUB]2.5[/SUB] (2010-2016) was associated with the number of COVID-19- cases (β = 0.07; 95% CI: 0.034-0.107) and deaths (β = 0.0014; 95% CI: 0.0006-0.0.0023) but not with the case fatality rate.
Conclusions: After adjusting for age, sex and number of food markets, the higher rates of COVID-19 in Metropolitan Lima are attributable to the increased PM[SUB]2.5[/SUB] exposure in the previous years, among other reasons. Reduction in air pollution from a long-term perspective and social distancing are needed to prevent the spread of virus outbreaks.

Keywords: Air pollution; Fatality rate; Long-term exposure; Particulate matter; Social distancing.
 
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