8. Country-Wide Health Impact Assessment of Airborne Particulate Matter in Estonia

This study is aimed to assess the health impacts of outdoor PM_2.5 concentrations to entire population of Estonia. As the air quality monitoring network in Estonia is rather sparse (six urban, three rural and a few industrial sites), the exposure assessment was based on long-term modelling, controlled by monitoring data from existing stations. The model runs were performed with IairViro modelling system, including the Eulerian MATCH model for country-wide run with 5 km grid resolution and AirViro urban model with 200 m grid resolution for five major cities. The database of pollution sources includes industrial, transport and domestic heating emissions. The average annual PM_2.5 concentrations were found 7–9 μg/m³ at most of rural and in 9–13 μg/m³ typically at urban areas, up to 30 μg/m³ in some parts of capital city Tallinn. To estimate the health risks, the base-line national health statistics and exposure-response coefficients from previous epidemiological studies (ACS, APHEIS), were applied. It was found that on average 600 (CI 95 % 155–1,061) premature deaths per year are caused by PM_2.5 pollution in Estonia, which has population nearly 1.3 million. On average 5 months of life are lost, maximum 14 months in some parts of Tallinn. About 900 additional hospitalizations due to pulmonary and cardiovascular diseases occur per year.