ArticleBMJ (Clinical research ed.)2020
Short term association between ozone and mortality: global two stage time series study in 406 locations in 20 countries.
Open access · hybridAbstract readMulticenter Study
In one paragraph
Article in BMJ (Clinical research ed.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
13.7field-weighted citation impact, top 1% of its field
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 236 citations in OpenAlex.
- Modification of heat-related effects on mortality by air pollution concentration, at small-area level, in the Attica prefecture, Greece.Environmental health : a global access science source · 2024Pooled it
- Joint effect of heat and air pollution on mortality in 620 cities of 36 countries.Environment international · 2023Pooled it
- Urban air pollution and emergency department visits related to central nervous system diseases.PloS one · 2022Trial
- Article
- Climatic determinants of rheumatic and autoimmune musculoskeletal pain: a fourteen-year primary care time-series study.Scientific reports · 2026Article
- Atmospheric stressors and kidney diseases.Nature reviews. Nephrology · 2026Review
- Quantifying the financial burden of heat-related hospital admissions in Switzerland under a changing climate: A scalable analytical framework.BMC global and public health · 2026Article
- Four-Decade (1980-2023) Surface Ozone Concentrations across the Contiguous United States: Fine-Resolution Estimates and Health Implications.Environmental science & technology · 2026Article
- Estimation of mortality and economic burden attributable to ground-level OBMC public health · 2026Article
- Ozone-induced cognitive deficits are mediated by the liver-brain axis: peripheral complement C3 triggers microglial synaptic phagocytosis.Journal of neuroinflammation · 2026Article
- Mortality Related to Climate Change and Environmental Hazards in the Mediterranean Region: A Scoping Review.Current environmental health reports · 2025Article
- Cause specific mortality risks associated with tropical cyclones in multiple countries and territories: two stage, time series study.BMJ (Clinical research ed.) · 2025Article
- Widowhood disparities in nonaccidental mortality attributable to heat waves and ozone.Eco-Environment & Health · 2025Article
- Impaired physical function in relation to later-life exposure to ambient fine particulate matter and ozone among Chinese middle-aged and older adults.BMC public health · 2025Article
- Loss of life expectancy attributed to long-term ozone exposure in Chinese older adults: Cross-cohort analysis from 3 national cohorts.Journal of advanced research · 2025Article
- Hospitalization risk and burden for cause-specific cardiovascular diseases following tropical cyclones: A multicountry study.Science advances · 2025Article
- Drone- and Paper-Based Analytical Devices: A Powerful Combination for the Colorimetric Detection of Tropospheric Ozone.Analytical chemistry · 2025Article
- The effect of recurrent mobility on air pollution exposure and mortality burden in Catalonia.International journal of health geographics · 2025Article
- A controlled study of short term tea forest environmental health activities to improve the physical and mental health of middle and older adults.Scientific reports · 2025Article
- ALX/FPR2 Contributes to Serum Amyloid A-Induced Lung Neutrophil Recruitment Following Acute Ozone Exposure.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025Article
23 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
42 authors at 20 institutions in 20 countries.
Ana M Vicedo-CabreraDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK ana.vicedo-cabrera@lshtm.ac.uk.ORCID 0000-0001-6982-8867
Francesco SeraDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK.
Cong LiuSchool of Public Health, Key Lab of Public Health Safety of the Ministry of Education and Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China.
Ben ArmstrongDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK.
Ai MilojevicDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK.
Yuming GuoDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Shilu TongShanghai Children's Medical Centre, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Eric LavigneAir Health Science Division, Health Canada, Ottawa, Canada.
Jan KyselýInstitute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic.
Aleš UrbanInstitute of Atmospheric Physics, Czech Academy of Sciences, Prague, Czech Republic.
Hans OrruInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Ene IndermitteInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia.
Mathilde PascalSanté Publique France, French National Public Health Agency, Saint Maurice, France.
Veronika HuberDepartment of Physical, Chemical and Natural Systems, Universidad Pablo de Olavide, Sevilla, Spain.
Alexandra SchneiderInstitute of Epidemiology, Helmholtz Zentrum München-German Research Center for Environmental Health, Neuherberg, Germany.
Klea KatsouyanniDepartment of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Greece.
Evangelia SamoliDepartment of Hygiene, Epidemiology and Medical Statistics, National and Kapodistrian University of Athens, Greece.
Massimo StafoggiaDepartment of Epidemiology, Lazio Regional Health Service/ASL Roma 1, Rome, Italy.
Matteo ScortichiniDepartment of Epidemiology, Lazio Regional Health Service/ASL Roma 1, Rome, Italy.
Masahiro HashizumeDepartment of Global Health Policy, School of International Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Yasushi HondaFaculty of Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan.
Chris Fook Sheng NgSchool of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Magali Hurtado-DiazDepartment of Environmental Health, National Institute of Public Health, Cuernavaca Morelos, Mexico.
Julio CruzDepartment of Environmental Health, National Institute of Public Health, Cuernavaca Morelos, Mexico.
Susana SilvaDepartment of Epidemiology, Instituto Nacional de Saúde Dr Ricardo Jorge, Lisbon, Portugal.
Joana MadureiraEPIUnit-Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Noah ScovronickDepartment of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, USA.
Rebecca M GarlandNatural Resources and the Environment Unit, Council for Scientific and Industrial Research, Pretoria 0001, South Africa.
Ho KimGraduate School of Public Health and Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea.
Aurelio TobiasInstitute of Environmental Assessment and Water Research, Spanish Council for Scientific Research, Barcelona, Spain.
Carmen ÍñiguezDepartment of Statistics and Computational Research, University of Valencia, Valencia, Spain.
Bertil ForsbergDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Christofer ÅströmDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Martina S RagettliSwiss Tropical and Public Health Institute, Basel, Switzerland.
Martin RöösliSwiss Tropical and Public Health Institute, Basel, Switzerland.
Yue-Liang Leon GuoEnvironmental and Occupational Medicine, National Taiwan University and NTU Hospital, Taiwan.
Bing-Yu ChenEnvironmental and Occupational Medicine, National Taiwan University and NTU Hospital, Taiwan.
Antonella ZanobettiDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Joel SchwartzDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Michelle L BellSchool of Forestry and Environmental Studies, Yale University, New Haven, CT, USA.
Haidong KanShanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP3), Fudan University, Shanghai, China.
Antonio GasparriniDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London WC1H 9SH, UK.
Royal Society of Tropical Medicine and Hygiene · GBNational Taiwan University Hospital · TWASL Roma · ITFudan University · CNHarvard University · USInstituto Nacional de Salud Pública · MXNational Institute of Health Dr. Ricardo Jorge · PTSwiss Tropical and Public Health Institute · CHUmeå University · SEUniversity of Tartu · EECouncil for Scientific and Industrial Research · ZACzech Academy of Sciences, Institute of Atmospheric Physics · CZCzech University of Life Sciences Prague · CZEmory University · USHealth Canada · CAHelmholtz Zentrum München · DEInstitute of Environmental Assessment and Water Research · ESKing's College London · GBNagasaki University · JPNational and Kapodistrian University of Athens · GR
Funding
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit · 2013 to 2026
$22.6MMedical Research Council MR/M022625/1Medical Research Council MR/R013349/1Medical Research Council MR/S019669/1NIEHS NIH HHS P30 ES019776
Abstract
objectiveTo assess short term mortality risks and excess mortality associated with exposure to ozone in several cities worldwide.
designTwo stage time series analysis.
setting406 cities in 20 countries, with overlapping periods between 1985 and 2015, collected from the database of Multi-City Multi-Country Collaborative Research Network. POPULATION: Deaths for all causes or for external causes only registered in each city within the study period
resultsA total of 45 165 171 deaths were analysed in the 406 cities. On average, a 10 µg/m
conclusionsResults suggest that ozone related mortality could be potentially reduced under stricter air quality standards. These findings have relevance for the implementation of efficient clean air interventions and mitigation strategies designed within national and international climate policies.
Indexed as
MortalityAir PollutionCitiesClimate ChangeEnvironmental ExposureEnvironmental PolicyGlobal HealthHumansInternational CooperationOzoneSeasonsOzone
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.