Effects of air temperature on the number of ambulance calls for asthma during cold season in Nur-Sultan– the second coldest capital in the world


Grjibovski A.M. Adilbekova B. Omralina E. Imangazinova S. Akhmetova Z. Ainabai A. Kalmakhanov S. Aituganova A. Kosbayeva A. Menne B. Odland J.Ø.
2021Taylor and Francis Ltd.

International Journal of Circumpolar Health
2021#80Issue 1

Deleterious effect of cold on overall mortality is well-established. We studied associations between the air temperature and the number f ambulance calls for asthma in Nur-Sultan, Kazakhstan–the second coldest capital in the world. Daily counts of ambulance calls for asthma in Nur-Sultan for the cold seasons (October-March) 2006–2010 were obtained from the Municipal Ambulance Station. Associations between the number of calls and mean and minimum apparent temperatures (average for lags 0–15) were studied using first-order Poisson auto-regression models controlling for wind speed and effects of month, year, weekends and holidays. Altogether, there were 7373 ambulance calls for asthma during the study period. An inverse association between minimum apparent temperature and the number of calls was observed for the age-group 60 years and older. A decrease of the minimum apparent temperature by 1°C was associated with an increase in the number of calls by 1.7% (95% CI: 0.1%-3.3%) across the whole temperature spectrum. No associations in other age groups were found. Our results suggest an inverse association between the average 15-day lag minimum apparent temperature and the number of ambulance calls during the cold season in Nur-Sultan, but this is limited to the oldest age-group.

ambulance calls , apparent temperature , Asthma , central Asia , cold , continental climate , Kazakhstan

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Central Scientific Research Laboratory, Northern State Medical University, Arkhangelsk, Russian Federation
Department of Epidemiology and Modern Vaccination Technologies, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
Department of Public Health and Health Policy, Al Farabi Kazakh National University, Almaty, Kazakhstan
Department of Internal Medicine, Medical University Astana, Nur-Sultan, Kazakhstan
Norwegian University of Science and Technology, Trondheim, Norway
Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway

Central Scientific Research Laboratory
Department of Epidemiology and Modern Vaccination Technologies
West Kazakhstan Marat Ospanov Medical University
Department of Public Health and Health Policy
Department of Internal Medicine
Norwegian University of Science and Technology
Department of Public Health and Nursing

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