Original Article

Ambient Air Quality and General Health Outcomes in Nigde (Turkey) between 2011 and 2017


Background: We aimed to provide information for health practitioners and other related people about the association between ambient air quality and adverse health outcomes in the general population of Nigde, a central Turkish city, within the context of current health data epidemiological evidence.

Methods: The present study highlights the connection between health problems and time series of particulate matter (PM10) and sulphur dioxide (SO2) in Nigde, Turkey between 2011 and 2017. Significant morbidity is linked to ambient air pollution, resulting in a significant economic cost to society.

Results: We found that the required funds to treat cancers and chronic obstructive pulmonary disease triggered by ambient air pollution in Nigde, exceed 9 million US dollars per year, even when only the city center is taken into account.

Conclusion: As Turkish cities grow and urban population density increases, air pollution issues need to be given priority in order to protect the health of the public and support sustainable development for future generations. It is recommended that particulate matter concentration in this urban center should be significantly reduced to minimize health problems.

1. Kim JJ (2004). Ambient air pollution: Health hazards to children. Pediatrics, 114: 1699–1707.
2. Dixon JK (2002). Kids need clean air: Air pollution and children’s health. Fam Com-munity Health, 24: 9–26.
3. Gilliland FD, McConnell R, Peters J, Gong HJr (1999). A theoretical basis for investi-gating ambient air pollution and chil-dren’s respiratory health. Environ Health Persp, 7 (3): 403–407.
4. Pinkerton KE, Joad JP (2000). The mamma-lian respiratory system and critical win-dows of exposure for children’s health. Environ Health Persp, 108 (3): 457–462.
5. Kelly FJ, Fussell JC (2015). Linking ambient particulate matter pollution effects with oxidative biology and immune responses. Ann N Y Acad Sci, 1340: 84–94.
6. Lacasana M, Esplugues A, Ballester F (2005). Exposure to ambient air pollution and prenatal and early childhood health ef-fects. Eur J Epidemio, 20 (2): 183–199.
7. Lee JT, Kim H, Song H, Hong YC, Cho YS, Shin SY, Hyun YJ, Kim YS (2002). Air pollution and asthma among children in Seoul, Korea. Epidemiology, 13 (4): 481–484.
8. Glinianaia S, Rankin J, Bell R, Pless Mulloli T, Howel D (2004). Does particulate air pollution contribute to Infant death? A systematic review. Environ Health Persp, 112: 1365–1371.
9. Ha EH, Lee JT, Kim H, Hong YC, Lee BE (2003). Park HAS. Infant susceptibility of mortality to air pollution in Seoul, South Korea. Pediatrics, 111: 284–290.(8).
10. Elliott JA (2006). An Introduction to Sustainable Development. 3rd ed. Routledge Taylor and Francis Group. London.
11. Avşar E, Iskender FG, Demir S, Babuna FF (2017). Effect of di-butylphthalate spillage scenarios on the general layout of a plant. Fresen Env Bull, 26 (1): 204-207.
12. Ozturk HI, Alp K, Hanedar A. Avşar E, Ma-lak U (2013). Partitioning of heavy metals in the istac medical waste incinerator. Global Nest J, 15 (1): 37-48.
13. Hanedar A, Alp K, Kaynak Tezel B, Jaemeen B, Avşar E, Odman MT (2011). Concen-trations and sources of PAHs at three stations in Istanbul Turkey. Atmospheric Re-search, 99 (3-4): 391-399.
14. Hanedar A, Alp K, Kaynak Tezel B, Avşar E (2014). Toxicity evaluation and source apportionment of polycyclic aromatic hy-drocarbons PAHs at three stations in Is-tanbul Turkey. Sci The Tot Env, 488489: 437-446.
15. Saatçioğlu T, Alp K, Hanedar A, Avşar E (2011). Effect of the Marmaray project on air pollution in Istanbul An IVE model application. Fresen Env Bull, 20 (9a): 2340-2349.
16. Yandex (2012). Digital globe, inc. Nigde sat-ellite view. https://satellites.pro/#Y37.959646,34.675248,13
17. Google Earth (2019). Imagery. Nigde satel-lite view. https://satellites.pro/#G37.959646,34.675248,13
18. Kara E, Özdilek HG, Kara EE (2013). Am-bient air quality and asthma cases in Nigde, Turkey. Environ Sci and Poll Res, 20 (6): 4225-4234.
19. Troisi RJ, Speizer FE, Rosner B, Trichopou-los D, Willett WC, (1995). Cigarette smoking and incidence of chronic bron-chitis and asthma in women. Chest, 108 (6): 1557-1561.
20. Olgun R, Yılmaz T (2019). Evaluation of presence of urban green space in the case of Nigde city. Mediterranean Agric Sci, 32 (1):11-20.
21. Akpınar A, Cankurt M (2015). Assessing the association between the amount of green space per capita and mortality in Turkey. J Adnan Menderes Univ Agri Fac, 12 (2):101-107.
22. Benek S, Sahap A (2017). Determination of green areas by using geographic infor-mation systems (GIS) and remote sens-ing in the Sanliurfa city. Marmara Geog Rev, 36: 304-314.
23. TurkStat (2017). Life expectancy at birth by provinces and sex, 2013, 2013-2014, 2015-2017. http://tuik.gov.tr/PreTablo.do?alt_id=1100
24. Masters GM, Ela WP (2008). Introduction to Environmental Engineering and Science. 3rd ed. Pearson Education International, New Jersey.
IssueVol 50 No 10 (2021) QRcode
SectionOriginal Article(s)
Ambient air pollution Environmental health Health outcomes Turkey

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Kara E, Özdilek HG, Kara E, Balcı F, Mestav B. Ambient Air Quality and General Health Outcomes in Nigde (Turkey) between 2011 and 2017. Iran J Public Health. 2021;50(10):1963-1972.