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Acute respiratory infection risk associated with exposure to outdoor PM10 emissions from domestic heating

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Summary:

A time-stratified case crossover analysis has determined that wood smoke pollution may negatively affect the respiratory health of residents in mid-size towns in New Zealand. A total of 1870 general practitioner visits for acute respiratory infections were assessed over 5 consecutive winters (May-August 2014-2018), and daily air concentrations of particulate matter less than 10 μm (PM10) were obtained from a fixed-site monitoring station. A 10 µg/m3 increase in PM10 concentration increased the odds of a general practitioner visit for an acute respiratory infection within 24 hours in females (odds ratio 1.08; 95% CI 1.01-1.15) and in Māori of both sexes (odds ratio 1.20; 95% CI 1.04-1.38). The study authors commented that those most affected by wood smoke are also likely to be most affected by woodburner phase-out policies, and that air quality and housing policies must be integrated to achieve improved health.

Comment:
An excellent example of research demonstrating both the benefits and impacts of policy changes for Māori.
Reference: N Z Med J. 2022;135(1556):53-61.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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