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Methods Matter: A Comparative Review of Health Risk Assessments for Ambient Air Pollution in Switzerland
oleh: Alberto Castro, Alberto Castro, Martin Röösli, Martin Röösli, Kees de Hoogh, Kees de Hoogh, Ron Kappeler, Ron Kappeler, Meltem Kutlar Joss, Meltem Kutlar Joss, Danielle Vienneau, Danielle Vienneau, Nino Künzli, Nino Künzli
Format: | Article |
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Diterbitkan: | Frontiers Media S.A. 2022-04-01 |
Deskripsi
Objectives: Air pollution health risk assessments (AP-HRAs) provide a method to quantify health effects for entire populations. In Switzerland, AP-HRAs are included in Swiss assessments for Transport Externalities (STEs), ordered by public authorities since the 1990s. This study aimed to describe the differences among national and international AP-HRAs for Switzerland.Methods: We compared input data, approaches and results across AP-HRAs over time. Results and input data for each AP-HRA were expressed as a ratio compared to the most recent STE (in most cases STE-2010).Results: Substantial variation across AP-HRAs was found. For all-cause adult mortality attributed to particulate matter (the most frequent outcome-pollutant pair), the ratio in HRAs oscillated from 0.40 to 2.09 (times the STE-2010 value). Regarding input data, the ratio ranged from 0.69 to 1.26 for population exposure, from 0 to 1.81 for counterfactual scenario, from 0.96 to 1.13 for concentration-response function and from 1.03 to 1.13 for baseline health data.Conclusion: This study demonstrates that methods matter for AP-HRAs. Transparent and possibly standardized reporting of key input data and assumptions should be promoted to facilitate comparison of AP-HRAs.