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A STUDY OF SHORT-TERM EFFECTS 
OF AMBIENT AIR POLLUTION ON PUBLIC HEALTH

5.0 RESULTS

5.1

Summary Statistics of Levels of Air Pollutants and Meteorological Variables

Tables 5 and 5a present the summary statistics of various measures of daily concentrations of individual pollutants and meteorological variables for the study period (1994 - 95, and the first half of 1996). The mean daily values are well below the Air Quality Objectives set by the Environmental Protection Department. Mean daily levels of air pollutants are generally higher in the first half-year of 1996 than in 1994 - 95, with an increase of 3% for RSP, 5% for NO2, 14% for SO2 and 36% for O3.

Table 5: Summary statistics of daily pollutant concentrations and meteorological variables (1994-95)

Mean SD Min P25 Median P75 Max
NO2 max  84.97 32.61 25.13 59.53 81.44 108.41 194.40
NO2 mean  53.67 18.83 16.41 39.93 51.39 66.50 122.44
O3 max (24hr)  52.90 29.01 1.50 26.50 51.50 75.00 222.00
O3 mean (24hr)  26.66 18.22 0.20 10.67 20.65 39.30 88.07
O3 mean (8hr)  28.69 20.70 0 11.73 24.13 43.72 207.00
SO2 max  47.93 33.32 4.67 23.93 35.95 63.20 226.50
SO2 mean  20.18 11.35 2.74 12.43 17.10 25.05 68.49
RSP max  81.90 39.06 23.17 51.01 71.80 106.16 320.42
RSP mean  50.12 24.33 14.77 30.64 44.57 65.44  159.73
Temp mean  22.72 5.11 9.34 18.40 24.00 27.15 30.96
Temp min  20.32 5.29 6.61 15.97 21.86 24.90 28.35
Hum max  89.77 7.40 47.29 87.00 91.85 94.67  96.33
Hum mean  77.92 10.85 32.33 73.41 80.14 85.00 96.33


Table 5a: Summary statistics of daily pollutant concentrations and meteorologicalvariables (1996, first half)

Mean SD Min P25 Median P75 Max
NO2 mean  56.22 19.14 19.95 45.29 54.67 67.54 121.59
O3 mean (8hr)  39.11 34.72 4.06 16.16 28.78 51.72 209.97
SO2 mean  17.72 11.72 2.62 9.25 14.89 23.56 90.25
RSP mean  51.65 27.24 14.14 30.50 44.37 67.54 161.8
Temp mean  20.79 5.71 5.37 17.21 20.55 25.30 29.80
Temp max  23.52 5.81 6.60 20.07 23.45 27.70 33.20
Temp min  18.59 5.94 4.18 14.30 18.06 23.80 28.30
Hum mean  78.40 9.46 46.00 73.00 79.00 85.00 96.00

The three-monthly mean of the daily concentrations of air pollutants are shown in Tables 6 to 9. Levels are generally higher in colder seasons for NO2 and RSP. A distinct pattern is observed for O3, when levels in the last quarter of each year are about twice those of the other quarters. The levels of SO2, after reaching a peak in the third quarter of 1994, show a steady decline throughout 1995 but increase slightly in 1996.


Table 6 : 3-monthly mean, S.D. and range of daily SO2, 1994 - 1996 *

Time period No. of observations Mean S.D. Min Max
Jan-Mar 94 90 20.23 10.22 2.75 48.93
Apr-Jun 94 91 24.42 11.92 6.22 54.66
Jul-Sep 94 92 25.63 15.53 6.69 68.49
Oct-Dec 94 92 18.15 6.53 6.06 46.65
Jan-Mar 95 90 20.83 11.65 8.57 64.14
Apr-Jun 95 91 18.69 12.13 4.80 53.13
Jul-Sep 95 90 17.60 10.44 4.67 51.98
Oct-Dec 95 92 15.90 6.21 2.74 33.18
1994 - 1995 728 20.18 11.35 2.74 68.49
Jan-Mar 96 91 17.32 11.10 2.62 55.46
Apr-Jun 96 91 18.11 12.35 5.26 90.25

* first half-year


Table 7: 3-monthly mean, S.D. and range of daily NO2, 1994 -1996 *

Time period No. of observations Mean S.D. Min Max
Jan-Mar 94 90 63.52 17.29 32.93 111.44
Apr-Jun 94 91 44.94 16.69 19.43 97.11
Jul-Sep 94 92 45.70 19.71 18.94 105.11
Oct-Dec 94 92 60.05 15.50 38.43 111.05
Jan-Mar 95 90 61.94 16.64 35.04 122.44
Apr-Jun 95 91 46.29 16.15 21.68 101.49
Jul-Sep 95 92 43.03 15.21 16.41 91.98
Oct-Dec 95 92 64.14 16.10 19.82 98.09
1994 - 1995 730 53.67 18.83 16.41 122.44
Jan-Mar 96 91 63.60 18.05 29.37 121.59
Apr-Jun 96 91 48.85 17.36 19.95 118.39

* first half-year


Table 8 : 3-monthly mean, S.D. and range of daily RSP, 1994 -1996 *

Time period No. of observations Mean S.D. Min Max
Jan-Mar 94 84 60.69 26.20 16.91 142.82
Apr-Jun 94 91 35.91 13.60 16.27 90.45
Jul-Sep 94 91 40.72 21.23 17.13 101.47
Oct-Dec 94 92 56.41 20.82 14.96 105.93
Jan-Mar 95 90 58.16 22.69 18.62 159.73
Apr-Jun 95 91 41.33 18.18 19.45 112.20
Jul-Sep 95 92 37.06 17.29 14.77 94.91
Oct-Dec 95 92 71.38 26.01 19.59 142.37
1994 - 1995 723 50.12 24.33 14.77 159.73
Jan-Mar 96 91 60.37 27.49 14.14 119.98
Apr-Jun 96 91 42.92 24.15 19.41 161.81

* first half-year


Table 9: 3-monthly mean, S.D. and range of daily O3, 1994 -1996 *

Time period

No. of observations

Mean S.D. Min Max
Jan-Mar 94 90 27.16 18.77 1.94 94.31
Apr-Jun 94 90 22.06 18.30 2.23 81.31
Jul-Sep 94 92 22.80 21.21 1.38 129.94
Oct-Dec 94 87 40.48 22.42 0 88.81
Jan-Mar 95 90 24.51 18.22 0.31 65.54
Apr-Jun 95 91 22.03 15.09 0 61.38
Jul-Sep 95 90 24.60 18.31 0.06 76.88
Oct-Dec 95 92 46.08 17.97 4.75 100.06
1994 - 1995 722 28.69 20.70 0 129.94
Jan-Mar 96 89 36.98 27.78 4.56 172.96
Apr-Jun 96 91 41.19 40.42 4.06 209.97

first half-year

   
5.2

Time Trends of Air Pollutants

The time trends of individual air pollutants for 1994 - 95 and 1996 (first half-year) are shown in Figures 1 - 4 and 1a - 4a respectively. For NO2 and RSP, a distinct cyclical pattern with a long wavelength is observed, and higher levels in winter. For O3 and SO2, shorter wavelengths are seen, with peaks in early spring and late autumn for the former and mid-summer for the latter. There is no obvious increasing trend for all four pollutants during the 1994 - 94 period. Levels of O3 are generally higher in the first half of 1996 compared to 1994 - 95.


View Graphs:

  1. Figure 1: Daily mean levels of nitrogen dioxide from January 1, 1994 to December 31,1995 (Average of seven monitoring stations)
  2. Figure 1a: Daily mean levels of nitrogen dioxide from January 1 to June 30, 1996 (Average of seven monitoring stations)
  3. Figure 2: Daily mean levels of respirable suspended particulars from January 1, 1994 to December 31, 1995 (Average of five monitoring station)
  4. Figure 2a: Daily mean levels of respirable suspended particulars from January 1 to June 30, 1996 (Average of five monitoring station)
  5. Figure 3: 8-hour mean levels of ozone from January 1, 1994 to December 31, 1995 (Average of two station)
  6. Figure 3a: 8-hour mean levels of ozone from January 1 to June 30, 1996 (Average of two station)
  7. Figure 4: Daily mean levels of sulphur dioxide from January 1,1994 to December 31, 1995 (Average of six station)
  8. Figure 4a: Daily mean levels of sulphur dioxide from January 1 to June 30, 1996 (Average of six station)

5.3

Summary Statistics of Hospital Admissions

Summary statistics of daily counts of hospital admissions for respiratory and circulatory diseases in 1994 and 1995, and in the first half of 1996 are shown in Tables 10 and 10a respectively. The daily mean numbers of admissions in 1996 (first half-year) was generally higher than those in 1994 to 1995 (by 32% for respiratory diseases, 20% for cardiovascular diseases and 27% for both combined).

Table 10: Summary statistics of daily hospital admissions for respiratory and cardiovascular diseases (1994-95)

Mean SD Min P25 Median P75 Max
Total *  235.83 39.05 151 207 233 259 383
Respiratory  134.44 24.89 84 116.75 131 150 232
Cardiovascular  101.39 20.57 54 87 101 116 177
Asthma  22.22 7.84 6 16 21 27 51
AMI**  4.05 2.61 0 2 4 6 14

* Total = Respiratory diseases + Cardiovascular diseases

** Acute myocardial infarction


Table 10a: Summary statistics of daily hospital admissions for respiratory and cardiovascular diseases (1996, first half-year)

Mean SD Min P25 Median P75 Max
Total *  298.53 49.44 192 261.75 295.5 331.25 427
Respiratory  177.14 30.54 108 152.75 176 201 251
Cardiovascular  121.39 28.76 61 101 122 140 200

* Total = Respiratory diseases + Cardiovascular diseases

The total numbers of admissions for 1994-95 by age and type are shown in Table 10b. A total of 172,157 hospital admissions for respiratory and cardiovascular (circulatory) diseases were recorded in the selected hospitals during the period 1994-95 and used in the Poisson regression model while 171,829 were used (i.e., excluding 328 admissions with no record of age) in the analysis by age group


Table 10b: Number of admissions due to respiratory and cardiovascular diseases by hospital in 1994-95

Age group

0 - 4 5 - 14 15 - 64 65+ unknown total
Cardiovascular diseases 420 438 22,871 50,116 169 74,014
Respiratory diseases 30,263 9,864 20,229 37,628 159 98,143
Both diseases 30,683 10,302 43,100 87,744 328 172,157
   
5.4

Time Trends of Hospital Admissions


Time trends of hospital admissions for respiratory and cardiovascular diseases for the period 1994 - 1995 and the first half of 1996 are shown in Figures 5 - 7 and 5a - 7a respectively. An increasing trend throughout the overall study period is evident, with a cyclical pattern more obvious in 1994. This was contributed largely by respiratory diseases, with an approximately three-month cyclical pattern, while hospital admissions for cardiovascular diseases displayed a sinusoidal pattern with a longer period. For the first half of 1996, the sinusoidal pattern was less obvious (Fig. 5a - 7a).


View Graphs:

  1. Figure 5: Daily hospital admissions (respiratory and cardiovascular diseases) from January 1, 1994 to December 31, 1995
  2. Figure 5a: Daily hospital admissions (respiratory and cardiovascular diseases) from January 1 to June 30, 1996
  3. Figure 6: Daily hospital admissions (respiratory diseases) from January 1, 1994 to December 31, 1995
  4. Figure 6a: Daily hospital admissions (respiratory diseases) from January 1 to June 30, 1996
  5. Figure 7: Daily hospital admissions (cardiovascular diseases) from January 1, 1994 to December 31, 1995
  6. Figure 7a: Daily hospital admissions (cardiovascular diseases) from January 1 to June 30, 1996

5.5

Correlation between Individual Air Pollutants, and between Air Pollutants and Hospital Admissions

The correlations between individual air pollutants from 1994 to 1995 and for each season are shown in Table 11. Overall, the correlation between NO2 and RSP was good, while those between RSP and O3, NO2 and SO2, and NO2 and O3 were fair. In general, the correlation between pollutants was higher in summer, except between SO2, and NO2, where the correlation coefficient was the highest in winter. The high degree of collinearity between air pollutants, in particular, NO2 and RSP cautions against the use of a multiple pollutant model in the analysis.

Table 11: Pearson correlation coefficients between mean daily concentrations of pollutants (1994-95)

Summer
(Jun-Aug)
Autumn
(Sep-Nov)
Winter
(Dec-Feb)
Total