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Environmental Asthma Reduction Potential Estimates for Selected Mitigation Actions in Finland Using a Life Table Approach.

Authors
  • Rumrich, Isabell Katharina1
  • Hänninen, Otto2
  • 1 Department of Health Protection, National Institute for Health and Welfare (THL), Kuopio 70210 Finland. [email protected] , (Finland)
  • 2 Department of Health Protection, National Institute for Health and Welfare (THL), Kuopio 70210 Finland. [email protected] , (Finland)
Type
Published Article
Journal
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Publication Date
Jun 09, 2015
Volume
12
Issue
6
Pages
6506–6522
Identifiers
DOI: 10.3390/ijerph120606506
PMID: 26067987
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To quantify the reduction potential of asthma in Finland achievable by adjusting exposures to selected environmental factors. A life table model for the Finnish population for 1986-2040 was developed and Years Lived with Disability caused by asthma and attributable to the following selected exposures were estimated: tobacco smoke (smoking and second hand tobacco smoke), ambient fine particles, indoor dampness and mould, and pets. At baseline (2011) about 25% of the total asthma burden was attributable to the selected exposures. Banning tobacco was the most efficient mitigation action, leading to 6% reduction of the asthma burden. A 50% reduction in exposure to dampness and mould as well as a doubling in exposure to pets lead each to a 2% reduction. Ban of urban small scale wood combustion, chosen as a mitigation action to reduce exposure to fine particles, leads to a reduction of less than 1% of the total asthma burden. Combination of the most efficient mitigation actions reduces the total asthma burden by 10%. A more feasible combination of mitigation actions leads to 6% reduction of the asthma burden. The adjustment of environmental exposures can reduce the asthma burden in Finland by up to 10%.

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