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The aim of this study was to analyze the effect of air pollution on the structure of reasons of death from major non communicable diseases in cities of the Russian Federation Material and methods. The study analyzed the mortality of people of working age (with stratification by gender and causes of death) in pairs of cities, with matching the cities of each pair by the climatic and socio-economic conditions, but the level of air pollution in one city significantly exceeded the level of pollution in another. The following pairs of cities were formed (“dirty” - “relatively clean”): Bratsk-Kirov; Nizhny Tagil-Kirov; Novokuznetsk-Tomsk; Chita-Tomsk; Magnitogorsk - Orenburg, Cherepovets-Vologda. The analysis included data on the mortality from diseases of the circulatory system, respiratory system, and oncological diseases, since according to WHO, air pollution primarily affects mortality from coronary heart disease, stroke, chronic obstructive pulmonary disease, and lung cancer. Results. The mortality rate of people of working age from diseases of the circulatory system, primarily from cardiovascular diseases, is significantly higher in cities with a high level of pollution compared with cities with a lower level of pollution and similar climatic and socio-economic conditions. The mortality rate of men from cerebrovascular diseases in the group of dirty cities is higher than in compared cities in 4 out of 6 studied pairs. Moreover, differences in the mortality rate in women were less pronounced, they were revealed in 2 out of 6 compared pairs. The differences in mortality from oncological diseases were detected in 4 out of 6 comparison pairs for women and 2 out of 6 compared pairs for men. Conclusion. An analysis of the mortality used pairwise comparison of cities showed air pollution to most affect on the mortality from diseases of the circulatory system.
Mm et al. (Tue,) studied this question.