Relationship between ambient air pollution and infant mortality in India

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Relationship between ambient air pollution and infant mortality in India

The effects on human health due to poor air quality mainly involve the respiratory system and the cardiovascular system. Individual reactions to air pollution depend on the type of pollutant a person is exposed to, the degree of exposure, the individual's health and genetics.

Indoor air pollution and poor urban air quality are listed as two of the worst toxic pollution problems in the world in the 2008 report.

Relationship between ambient air pollution and infant mortality in India

Robust relationship between ambient air pollution and infant mortality in India, published on the The Science of the total environment, told: "Ambient exposure to fine particulate matter (PM2.5) is one of the top global health concerns.

We estimate the associations between in-utero and perinatal exposure to PM2.5 and infant, neonatal and postneonatal mortality in India. We evaluate the sensitivity of this association to two widely-used exposure assessments.

We linked nationally representative anthropometric data from India's 2015-2016 Demographic and Health Survey (n = 259,627 children under five across 640 districts of India) with satellite-based PM2.5 concentrations during the month of birth of each child.

We then estimated the associations between PM2.5 from each dataset and child mortality, after controlling for child, mother and household factors including trends in time and seasonality. We examined if factors: urban / rural, wealth quintile and state modified the associations derived from the two datasets using Wald tests.

We found evidence that PM2.5 impacts infant mortality primarily through neonatal mortality. The estimated association between neonatal mortality and PM2.5 in trimester 3 was OR: 1.016 (95% CI: 1.003, 1.030) for every 10 μg / m3 increase in exposure.

This association was robust to the exposure assessment used. Child gender was a significant effect modifier, with PM2.5 impacting mortality in infant girls more than boys. Our results revealed a robust association between ambient exposure to PM2.5 in the latter period of pregnancy and early life with infant and neonatal mortality in India. Urgent air pollution management plans are needed to improve infant mortality in India."