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Few studies on size-specific health effects of particulate matter have been conducted in Asia. We examined the association between both fine and coarse particles (PM 2.5 and PM 10−2.5 ) and mortality across 11 East Asian cities from 4 countries (Korea, Japan, Taiwan, and China). We performed a two-stage analysis: we generated city-specific estimates using a time-series analysis with a generalized additive model (Quasi-Poisson distribution), and estimated the overall effects by conducting a meta-analysis. Each 10−μg/m 3 increase in PM 2.5 (lag01) was associated with an increase of 0.38% (95% confidence interval = 0.21%–0.55%) in all causes mortality, 0.96% (0.46%–1.46%) in cardiovascular mortality, and 1% (0.23%–1.78%) in respiratory mortality. Each 10−μg/m 3 increase in PM 10−2.5 (lag01) was associated with cardiovascular mortality (0.69%, [0.05%–1.33%]), although this association attenuated after controlling for other pollutants, especially PM 2.5 . Increased mortality was associated with increasing PM 2.5 and PM 10−2.5 concentrations over 11 East Asian cities. [ABSTRACT FROM AUTHOR]

An adverse association between diurnal temperature range (DTR) and mortality has been suggested, but with variable relationships in different cities. Comprehensive approaches to understanding the health effects of DTR using multinational data are required. We investigated the association between DTR and cause-specific mortality in an age-specific population and assessed the dependency of the health effects of DTR on geographic and climatic factors. Poisson generalized linear regression analyses with allowances for over-dispersion were applied to daily DTR and cause-specific mortality data from 30 cities in China, Japan, Korea, and Taiwan between 1979 and 2010, adjusted for various climatic and environmental factors. City-specific effects of DTR were estimated and summarized for the overall effects using geographic and climatic determinants in a meta-analysis. For all-cause, circulatory, and respiratory mortality, the greatest city-specific effects per 1 °C DTR were found in Tianjin, China (1.80%; 95% confidence interval [CI]: 0.48, 3.14); Tangshan, China (2.25%; 95% CI: 0.65, 3.87); and Incheon, Korea (2.84%; 95% CI: 0.04, 5.73), respectively, and overall effects across 30 cities were 0.58% (95% CI: 0.44, 0.72), 0.81% (95% CI: 0.60, 1.03), and 0.90% (95% CI: 0.63, 1.18), respectively. Using quartile cutoff values for climatic (DTR, and mean temperature) and geographic (latitude, and longitude) characteristics, we divided the 30 cities into 4 different groups and conducted a meta-analysis within the groups using either a random or fixed effects model. Adverse effects of DTR were more pronounced for those aged ≥ 65 years and varied according to geographic, longitudinal (0.07%; 95% CI: 0.05, 0.10), and climatic characteristics and the scale of DTR (0.33%; 95% CI: 0.12, 0.55) for overall all-cause mortality. The DTR is a risk factor affecting human health, depending on geographic location and the temperature variation, with particular vulnerability in aged populations. [ABSTRACT FROM AUTHOR]