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Int. J. Environ. Res. Public Health 2015, 12(6), 6506-6522; doi:10.3390/ijerph120606506

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

Department of Health Protection, National Institute for Health and Welfare (THL), Kuopio 70210 Finland
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Academic Editor: William A. Toscano
Received: 16 March 2015 / Revised: 26 May 2015 / Accepted: 1 June 2015 / Published: 9 June 2015
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Abstract

Aims: To quantify the reduction potential of asthma in Finland achievable by adjusting exposures to selected environmental factors. Methods: 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. Results: 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. Conclusions: The adjustment of environmental exposures can reduce the asthma burden in Finland by up to 10%. View Full-Text
Keywords: asthma; risk factor; protective factor; tobacco; particulate matter; dampness; pets; Burden of Disease; prevalence asthma; risk factor; protective factor; tobacco; particulate matter; dampness; pets; Burden of Disease; prevalence
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Rumrich, I.K.; Hänninen, O. Environmental Asthma Reduction Potential Estimates for Selected Mitigation Actions in Finland Using a Life Table Approach. Int. J. Environ. Res. Public Health 2015, 12, 6506-6522.

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