@article{ref1,
title="The impact of an urban scrapyard fire on respiratory-related pediatric emergency department visits",
journal="Journal of Occupational and Environmental Medicine",
year="2020",
author="Li, Jonathan C. and Casher, Danielle",
volume="62",
number="9",
pages="764-770",
abstract="OBJECTIVE: In Philadelphia, a scrapyard fire generated PM2.5 concentrations >1000 μg/m. We assessed whether this was associated with pediatric emergency department visits for respiratory diagnoses.   DESIGN/METHODS: Retrospective observational study using electronic health record data from a local, academic pediatric hospital.   RESULTS: Compared to the two-week period before the fire, patients living directly north of the fire (downwind) had a significant difference in all asthma diagnoses (OR = 3.02, P = 0.03); asthma and upper respiratory infection (OR = 17.3, P = 0.01); overall admissions (OR = 3.04, P = 01); asthma admissions (OR = 4.45, P = .01); and asthma and upper respiratory infection admissions (OR = 15.0, P = 0.01). We did not observe any significant differences among visits or admissions from patients residing in other adjacent zip codes.   CONCLUSION: A localized, transient increase in PM2.5 was associated with increased pediatric emergency department visits for asthma among patients living downwind of the fire.<p /> <p>Language: en</p>",
language="en",
issn="1076-2752",
doi="10.1097/JOM.0000000000001972",
url="http://dx.doi.org/10.1097/JOM.0000000000001972"
}