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Association of Particulate Matter Impact on Prevalence of Chronic Obstructive Pulmonary Disease in Ahvaz, Southwest Iran during 2009–2013

Category: Air Pollution and Health Effects

Volume: 17 | Issue: 1 | Pages: 230-237
DOI: 10.4209/aaqr.2015.11.0628

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Mehran Khaefi1, Sahar Geravandi2, Ghasem Hassani3, Ahmad Reza Yari4, Farhad Soltani5, Sina Dobaradaran6, Sasan Moogahi7, Mohammad Javad Mohammadi 8,9, Mohammad Mahboubi8, Nadali Alavi10, Majid Farhadi9, Yusef Omidi Khaniabadi11

  • 1 M.SC Environmental Engineering, Environmental & Occupational Health Center, Ministry of Health Medical & Education, Tehran, Iran
  • 2 Razi Teaching Hospital, Clinical Research Development Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • 3 Department of Environmental Health Engineering and Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
  • 4 Research Center for Environmental Pollutants, Qom University of Medical Sciences, Qom, Iran
  • 5 Anesthesiologist and Fellowship critical care medical, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • 6 Department of Environmental Health Engineering, Faculty of Health and the Persian Gulf Marine Biotechnology Research Center, the Persian Gulf Research Center, Bushehr University of Medical Sciences, Bushehr, Iran
  • 7 Health Research Institute, Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • 8 Abadan School of Medical Sciences, Abadan, Iran
  • 9 Student Research Committee, Department of Environmental Health Engineering, School of Public Health and Environmental Technologies Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  • 10 Department of Environmental Health Engineering, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
  • 11 Health Care System of Karoon, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran


Data can be used as a base-line data for concentration of PM10 in evaluation of COPD.
Air pollution was associated with increased exhaled Particulate Matter.
Increased odds ratios of COPD was significantly associated with PM10.
Further studies would allow assessing the development in health status more precisely.
Assess the health risk of Particulate Matter in the urban aria (Southwest Iran).


Air pollutants produced in environments have many detrimental impacts on human health. Chronic obstructive pulmonary disease (COPD) is a common worldwide respiratory disease. The aim of this study was to estimate the association between the load of particulate matters and the prevalence of COPD in Ahvaz, southwest of Iran, during 2009–2013. This epidemiological and used-model study was performed in Ahvaz. Particulate matter equal or less than 10 micro meters (PM10) was monitored by Ahvaz Environmental Protection Agency (AEPA). Sampling was performed hourly during the study period in 4 stations. In this study, 175200 (4 × 24 × 365 × 5) samples of air were taken and collected. Sampling and analysis were performed according to EPA guideline. We utilized the relative risk values and baseline incidence measures by the WHO (Middle East) drawn from Health Effects Association of Particulate Matter. Finally, prevalence of COPD attributed to particulate matter exposure was calculated by Air Q model. According to our findings, the prevalence of COPD attributed to particulate matters decreased during 2009–2013 and followed a decreasing trend. Accordingly, the yearly prevalence of COPD during the period 2009–2013 were 121, 111, 94, 102, and 98, and the yearly average PM10 concentrations during the same period were 313.72, 281.98, 288.38, 278.12, and 242.29 µg m–3, respectively. Although the average of 5-year study was higher than WHO and NAAQS values, a descending trend for COPD indicates that the level of PM10 was diminished from 2009 to 2013. Therefore mitigating air pollutant particularly PM10 as one of the main hazards could be possibly led to remarkable decrease in the rate of mortality and morbidity particularly COPD attributed to PM10.


Chronic obstructive pulmonary disease Prevalence Particulate matter Iran

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