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Ambient ozone pollution — Level 3 risk


Summary In 2019, ambient ozone pollution accounted for 11·1% (95% UI 5·3–17·0) of COPD deaths globally, for a total of 365 000 deaths (175 000–564 000). The highest ozone-attributable age-standardised death rates occurred in the south Asia region.

Definition Ambient ozone pollution is defined as the highest seasonal (six-month) average of eight-hour daily maximum ozone concentrations. The TMREL is a uniform distribution between 29·1 and 35·7 parts per billion (ppb).

Total sources
Exposure 14
Relative risk 5
Table 1: Total sources used in GBD 2019 estimation
What is new in GBD 2019?
  • •The ozone global exposure model was improved by adding additional monitoring data (up to 2017), including updates to the Tropospheric Ozone Assessment Report and data from the China National Environmental Monitoring Center Network, allowing monitoring data to affect model estimates across years.
  • •The exposure model was modified to provide a more flexible radius of influence for ground observations, based upon spatial covariance.
  • •The global chemical transport model ensemble was extended from six to eight models.
Deaths
YLLs
YLDs
DALYs
Number
(millions)
Rate (per
100 000)
Number
(millions)
Rate (per
100 000)
Number
(millions)
Rate (per
100 000)
Number
(millions)
Rate (per
100 000)
2019
Both Sexes
0·365 (0·175
to 0·564)
4·7 (2·2
to 7·3)
6·21 (2·99
to 9·63)
77·0 (37·0
to 119·5)
-–
-–
6·21 (2·99
to 9·63)
77·0 (37·0
to 119·5)
Females
0·157 (0·0733
to 0·250)
3·6 (1·7
to 5·7)
2·52 (1·18
to 3·96)
57·3 (26·9
to 90·4)
-–
-–
2·52 (1·18
to 3·96)
57·3 (26·9
to 90·4)
Males
0·208 (0·0967
to 0·327)
6·2 (2·9
to 9·7)
3·70 (1·72
to 5·81)
100·8 (47·0
to 158·0)
-–
-–
3·70 (1·72
to 5·81)
100·8 (47·0
to 158·0)
Percentage change 2010-19
Both Sexes
16·1% (5·8
to 26·7)
–12·6% (–20·3
to –4·9)
14·4% (3·4
to 25·7)
–12·4% (–20·8
to –3·8)
-–
-–
14·4% (3·4
to 25·7)
–12·4% (–20·8
to –3·8)
Females
19·4% (3·3
to 34·9)
–9·7% (–21·9
to 2·1)
18·7% (2·2
to 35·3)
–8·6% (–21·3
to 4·3)
-–
-–
18·7% (2·2
to 35·3)
–8·6% (–21·3
to 4·3)
Males
13·8% (1·7
to 27·4)
–15·2% (–23·6
to –5·4)
11·6% (–1·3
to 26·7)
–15·2% (–24·7
to –4·3)
-–
-–
11·6% (–1·3
to 26·7)
–15·2% (–24·7
to –4·3)
Numbers in parentheses are 95% uncertainty intervals.
Table 2: Attributable global deaths, YLLs, YLDs, and DALYs in counts and age-standardised rates for both sexes combined, females, and males, 2019, with percentage change between 2010 and 2019
Deaths YLLs YLDs DALYs
1990 37th 40th -- 42nd
2010 32nd 39th -- 43rd
2019 31st 37th -- 43rd
Table 3: Rank among attributable Level 3 risks plus most detailed Level 2 risks of global deaths, YLLs, YLDs, and DALYs in 1990, 2010, and 2019 for both sexes combined
Figure 1: Composition of attributable global DALYs by constituent Level 2 causes for both sexes combined, 2019
Figure 2: Composition of attributable global DALYs by YLLs and YLDs, age group, and sex, 2019
No Legend
Figure 3: Age-standardised all-cause SEV by location, both sexes combined, 2019
No Legend
Figure 4: Percentage change in all-cause age-standardised SEV by SDI, both sexes combined, 1990–2019
Figure 5: Percentage of population exposed to risk factor, both sexes combined, 2019
Figure 6: All-cause mortality relative risk, both sexes combined, 2019

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