Abstract
Background: In regard the broad range of adverse health
outcomes related to exposure to particulate air pollution, there are
only few #epidemiological data to be found for the countries of the
former Yugoslav republics. Particulate outdoor air pollution is a major
public health concern in the cities of former #Yugoslav Republic of
Macedonia. Objective: To estimate the range of attributable deaths of
outdoor air pollution by particulate matter (PM25), and
#health gains from implementation of targeted policy that would reduce
the concentrations to EU or WHO limit values. Methods: Health Impact
Assessment, the counterfactual approach has been applied. To estimate
the health gain three hypothetical scenarios were set up. Results: In
selected cities 1,903 human lives (excess deaths) are lost annually due
to PM25 exposures (22.3% of total all-cause (natural) mortality). The mortality rate attributable to PM25 #exposures (per 100,000 populations) is highest in the city of #Tetovo 301; Bitola 234; Skopje 208. If the limit values of the PM25
particles comply with the existing EU and WHO limit values, 908 lives
could be saved, and 1547 respectively. Estimated excess deaths caused by
lung cancer attributable to PM2 5 are 181 representing 40.0% of the total mortality.
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Assessing Health Impact of Air Pollution in Macedonian Cities by Mirjana Dimovska in BJSTR
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