title: The threat of Asian dust storms on asthma patients: a population-based study in Taiwan.
abstract: This study explores the relationship between Asian dust storms (ADSs), asthma hospital admissions and average medical cost discharge. We adopt the hospitalisation data from the Taiwan National Health Insurance research database covering the period from 2000 to 2009. The autoregressive integrated moving average with exogenous variables (ARIMAX) analyses were performed to explore the relationship between ADS and asthma hospital admissions, adjusting for temperature, air pollutants and season dummy. The results show that ADS events do generate a critical influence upon the occurrences of asthma on post-ADS events from days 1 through 3, with an average of 17-20 more hospitalised admissions, and have stronger effects on preschool children, middle-aged people and the elderly. From the perspective of medical expenses, the cost of hospitalised admissions for asthma substantially rises daily, on average, by NT$634,698 to NT$787,407 during ADS event days. This study suggests that government should establish a forecast and alert system and release warnings about dust storms, so that the individuals predisposed to asthma can take precautionary measures to reduce their outdoor exposure. Consequently, personal risk and medical expenditure could be reduced significantly, especially for preschool children, middle-aged people and the elderly with asthma.
authors.affiliation: a Department of Economics , National Taipei University , New Taipei City , Taiwan.
authors.forename: Chien-Ho
authors.initials: CH
authors.lastname: Wang
authors.forename: Chin-Shyan
authors.initials: CS
authors.lastname: Chen
authors.forename: Chung-Liang
authors.initials: CL
authors.lastname: Lin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001249:Asthma / Q000453:epidemiology / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D004391:Dust; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000706:statistics & numerical data; D013624:Taiwan / Q000453:epidemiology; D014887:Weather
chemical_list: D004391:Dust
keywords: ARIMAX; Asian dust storm; Taiwan; asthma; hospitalisation