Long‐term impact of coal mine fire smoke on lung mechanics in exposed adults

Background and objective In 2014, a 6‐week‐long fire at the Hazelwood coal mine exposed residents in the adjacent town of Morwell to high concentrations of fine particulate matter with an aerodynamic diameter 

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Veröffentlicht in:Respirology (Carlton, Vic.) Vic.), 2021-09, Vol.26 (9), p.861-868
Hauptverfasser: Holt, Nicolette R., Gao, Caroline X., Borg, Brigitte M., Brown, David, Broder, Jonathan C., Ikin, Jillian, Makar, Annie, McCrabb, Thomas, Nilsen, Kris, Thompson, Bruce R., Abramson, Michael J.
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container_issue 9
container_start_page 861
container_title Respirology (Carlton, Vic.)
container_volume 26
creator Holt, Nicolette R.
Gao, Caroline X.
Borg, Brigitte M.
Brown, David
Broder, Jonathan C.
Ikin, Jillian
Makar, Annie
McCrabb, Thomas
Nilsen, Kris
Thompson, Bruce R.
Abramson, Michael J.
description Background and objective In 2014, a 6‐week‐long fire at the Hazelwood coal mine exposed residents in the adjacent town of Morwell to high concentrations of fine particulate matter with an aerodynamic diameter 
doi_str_mv 10.1111/resp.14102
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The long‐term health consequences are being evaluated as part of the Hazelwood Health Study. Methods Approximately 3.5–4 years after the mine fire, adults from Morwell (n = 346) and the comparison town Sale (n = 173) participated in the longitudinal Respiratory Stream of the Study. Individual PM2.5 exposure was retrospectively modelled. Lung mechanics were assessed using the forced oscillation technique (FOT), utilizing pressure waves to measure respiratory system resistance (Rrs) and reactance (Xrs). Multivariate linear regression was used to evaluate associations between PM2.5 and transformed Rrs at 5 Hz, area under the reactance curve (AX5) and Xrs at 5 Hz controlling for key confounders. Results There were clear dose–response relationships between increasing mine fire PM2.5 and worsening lung mechanics, including a reduction in post‐bronchodilator (BD) Xrs5 and an increase in AX5. A 10 μg/m3 increase in mine fire‐related PM2.5 was associated with a 0.015 (95% CI: 0.004, 0.027) reduction in exponential (Xrs5) post‐BD, which was comparable to 4.7 years of ageing. Similarly, the effect of exposure was associated with a 0.072 (0.005, 0.138) increase in natural log (lnAX5) post‐BD, equivalent to 3.9 years of ageing. Conclusion This is the first study using FOT in adults evaluating long‐term respiratory outcomes after medium‐term ambient PM2.5 exposure to coal mine fire smoke. These results should inform public health policies and planning for future events. Four years after a mine fire of 6 weeks duration, each 10 μg/m3 increase in particulate matter with an aerodynamic diameter &lt; 2.5 μm (PM2.5) exposure was associated with negative respiratory system reactance equivalent to 4.7 years of ageing, and an increase in the area under the reactance curve equivalent to 3.9 years of ageing, in exposed adults. 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The long‐term health consequences are being evaluated as part of the Hazelwood Health Study. Methods Approximately 3.5–4 years after the mine fire, adults from Morwell (n = 346) and the comparison town Sale (n = 173) participated in the longitudinal Respiratory Stream of the Study. Individual PM2.5 exposure was retrospectively modelled. Lung mechanics were assessed using the forced oscillation technique (FOT), utilizing pressure waves to measure respiratory system resistance (Rrs) and reactance (Xrs). Multivariate linear regression was used to evaluate associations between PM2.5 and transformed Rrs at 5 Hz, area under the reactance curve (AX5) and Xrs at 5 Hz controlling for key confounders. Results There were clear dose–response relationships between increasing mine fire PM2.5 and worsening lung mechanics, including a reduction in post‐bronchodilator (BD) Xrs5 and an increase in AX5. A 10 μg/m3 increase in mine fire‐related PM2.5 was associated with a 0.015 (95% CI: 0.004, 0.027) reduction in exponential (Xrs5) post‐BD, which was comparable to 4.7 years of ageing. Similarly, the effect of exposure was associated with a 0.072 (0.005, 0.138) increase in natural log (lnAX5) post‐BD, equivalent to 3.9 years of ageing. Conclusion This is the first study using FOT in adults evaluating long‐term respiratory outcomes after medium‐term ambient PM2.5 exposure to coal mine fire smoke. These results should inform public health policies and planning for future events. Four years after a mine fire of 6 weeks duration, each 10 μg/m3 increase in particulate matter with an aerodynamic diameter &lt; 2.5 μm (PM2.5) exposure was associated with negative respiratory system reactance equivalent to 4.7 years of ageing, and an increase in the area under the reactance curve equivalent to 3.9 years of ageing, in exposed adults. See related Editorial</description><subject>Aging</subject><subject>air pollution</subject><subject>Coal</subject><subject>coal mine fire</subject><subject>Coal mining</subject><subject>environmental lung disease</subject><subject>forced oscillation technique</subject><subject>lung mechanics</subject><subject>Mechanics</subject><subject>Particulate matter</subject><subject>Public health</subject><subject>respiratory</subject><subject>Respiratory diseases</subject><subject>Respiratory system</subject><subject>Smoke</subject><issn>1323-7799</issn><issn>1440-1843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kMtOwzAQRS0EEqWw4QsssUNK8SuvJapKQaoA8VhbjjMuLkkc7ETQHZ_AN_IlpIQ1s5lZnLlXOgidUjKjw1x4CO2MCkrYHppQIUhEM8H3h5szHqVpnh-ioxA2hBAek3iCbleuWX9_fnXga2zrVukOO4O1UxWubQPYWA841O4VsGtw1TdrXIN-UY3VAdsGw0frApRYlX3VhWN0YFQV4ORvT9Hz1eJpfh2t7pY388tVpHlKWFQkSVoQo7U2eUJzwTLDEqWMFobEnGlT6JxQVerSlEoUWSogzcosKXgBUJCMT9HZmNt699ZD6OTG9b4ZKiWLE0aESOmOOh8p7V0IHoxsva2V30pK5M6X3PmSv74GmI7wu61g-w8pHxaP9-PPD75mbyQ</recordid><startdate>202109</startdate><enddate>202109</enddate><creator>Holt, Nicolette R.</creator><creator>Gao, Caroline X.</creator><creator>Borg, Brigitte M.</creator><creator>Brown, David</creator><creator>Broder, Jonathan C.</creator><creator>Ikin, Jillian</creator><creator>Makar, Annie</creator><creator>McCrabb, Thomas</creator><creator>Nilsen, Kris</creator><creator>Thompson, Bruce R.</creator><creator>Abramson, Michael J.</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><orcidid>https://orcid.org/0000-0003-2122-8381</orcidid><orcidid>https://orcid.org/0000-0002-9954-0538</orcidid><orcidid>https://orcid.org/0000-0003-0794-0129</orcidid><orcidid>https://orcid.org/0000-0002-5885-0652</orcidid></search><sort><creationdate>202109</creationdate><title>Long‐term impact of coal mine fire smoke on lung mechanics in exposed adults</title><author>Holt, Nicolette R. ; Gao, Caroline X. ; Borg, Brigitte M. ; Brown, David ; Broder, Jonathan C. ; Ikin, Jillian ; Makar, Annie ; McCrabb, Thomas ; Nilsen, Kris ; Thompson, Bruce R. ; Abramson, Michael J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3702-b667b0fcccf9619428f26aafc4f0532cfbc901adcdfda4b874e78d86b3beeb083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aging</topic><topic>air pollution</topic><topic>Coal</topic><topic>coal mine fire</topic><topic>Coal mining</topic><topic>environmental lung disease</topic><topic>forced oscillation technique</topic><topic>lung mechanics</topic><topic>Mechanics</topic><topic>Particulate matter</topic><topic>Public health</topic><topic>respiratory</topic><topic>Respiratory diseases</topic><topic>Respiratory system</topic><topic>Smoke</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holt, Nicolette R.</creatorcontrib><creatorcontrib>Gao, Caroline X.</creatorcontrib><creatorcontrib>Borg, Brigitte M.</creatorcontrib><creatorcontrib>Brown, David</creatorcontrib><creatorcontrib>Broder, Jonathan C.</creatorcontrib><creatorcontrib>Ikin, Jillian</creatorcontrib><creatorcontrib>Makar, Annie</creatorcontrib><creatorcontrib>McCrabb, Thomas</creatorcontrib><creatorcontrib>Nilsen, Kris</creatorcontrib><creatorcontrib>Thompson, Bruce R.</creatorcontrib><creatorcontrib>Abramson, Michael J.</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Respirology (Carlton, Vic.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holt, Nicolette R.</au><au>Gao, Caroline X.</au><au>Borg, Brigitte M.</au><au>Brown, David</au><au>Broder, Jonathan C.</au><au>Ikin, Jillian</au><au>Makar, Annie</au><au>McCrabb, Thomas</au><au>Nilsen, Kris</au><au>Thompson, Bruce R.</au><au>Abramson, Michael J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long‐term impact of coal mine fire smoke on lung mechanics in exposed adults</atitle><jtitle>Respirology (Carlton, Vic.)</jtitle><date>2021-09</date><risdate>2021</risdate><volume>26</volume><issue>9</issue><spage>861</spage><epage>868</epage><pages>861-868</pages><issn>1323-7799</issn><eissn>1440-1843</eissn><abstract>Background and objective In 2014, a 6‐week‐long fire at the Hazelwood coal mine exposed residents in the adjacent town of Morwell to high concentrations of fine particulate matter with an aerodynamic diameter &lt; 2.5 μm (PM2.5). The long‐term health consequences are being evaluated as part of the Hazelwood Health Study. Methods Approximately 3.5–4 years after the mine fire, adults from Morwell (n = 346) and the comparison town Sale (n = 173) participated in the longitudinal Respiratory Stream of the Study. Individual PM2.5 exposure was retrospectively modelled. Lung mechanics were assessed using the forced oscillation technique (FOT), utilizing pressure waves to measure respiratory system resistance (Rrs) and reactance (Xrs). Multivariate linear regression was used to evaluate associations between PM2.5 and transformed Rrs at 5 Hz, area under the reactance curve (AX5) and Xrs at 5 Hz controlling for key confounders. Results There were clear dose–response relationships between increasing mine fire PM2.5 and worsening lung mechanics, including a reduction in post‐bronchodilator (BD) Xrs5 and an increase in AX5. A 10 μg/m3 increase in mine fire‐related PM2.5 was associated with a 0.015 (95% CI: 0.004, 0.027) reduction in exponential (Xrs5) post‐BD, which was comparable to 4.7 years of ageing. Similarly, the effect of exposure was associated with a 0.072 (0.005, 0.138) increase in natural log (lnAX5) post‐BD, equivalent to 3.9 years of ageing. Conclusion This is the first study using FOT in adults evaluating long‐term respiratory outcomes after medium‐term ambient PM2.5 exposure to coal mine fire smoke. These results should inform public health policies and planning for future events. Four years after a mine fire of 6 weeks duration, each 10 μg/m3 increase in particulate matter with an aerodynamic diameter &lt; 2.5 μm (PM2.5) exposure was associated with negative respiratory system reactance equivalent to 4.7 years of ageing, and an increase in the area under the reactance curve equivalent to 3.9 years of ageing, in exposed adults. See related Editorial</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><doi>10.1111/resp.14102</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2122-8381</orcidid><orcidid>https://orcid.org/0000-0002-9954-0538</orcidid><orcidid>https://orcid.org/0000-0003-0794-0129</orcidid><orcidid>https://orcid.org/0000-0002-5885-0652</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aging
air pollution
Coal
coal mine fire
Coal mining
environmental lung disease
forced oscillation technique
lung mechanics
Mechanics
Particulate matter
Public health
respiratory
Respiratory diseases
Respiratory system
Smoke
title Long‐term impact of coal mine fire smoke on lung mechanics in exposed adults
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