Associations between mortality from COVID-19 in two Italian regions and outdoor air pollution as assessed through tropospheric nitrogen dioxide.
Identifieur interne : 000D19 ( Main/Corpus ); précédent : 000D18; suivant : 000D20Associations between mortality from COVID-19 in two Italian regions and outdoor air pollution as assessed through tropospheric nitrogen dioxide.
Auteurs : Tommaso Filippini ; Kenneth J. Rothman ; Silvia Cocchio ; Elena Narne ; Domenico Mantoan ; Mario Saia ; Alessia Goffi ; Fabrizio Ferrari ; Giuseppe Maffeis ; Nicola Orsini ; Vincenzo Baldo ; Marco VincetiSource :
- The Science of the total environment [ 1879-1026 ] ; 2021.
English descriptors
- KwdEn :
- MESH :
- chemical , analysis : Air Pollutants, Particulate Matter.
- geographic , epidemiology : China, Italy.
- analysis : Air Pollution.
- COVID-19, Communicable Disease Control, Europe, Humans, Nitrogen Dioxide, SARS-CoV-2.
Abstract
After the appearance of COVID-19 in China last December 2019, Italy was the first European country to be severely affected by the outbreak. The first diagnosis in Italy was on February 20, 2020, followed by the establishment of a light and a tight lockdown on February 23 and on March 8, 2020, respectively. The virus spread rapidly, particularly in the North of the country in the 'Padan Plain' area, known as one of the most polluted regions in Europe. Air pollution has been recently hypothesized to enhance the clinical severity of SARS-CoV-2 infection, acting through adverse effects on immunity, induction of respiratory and other chronic disease, upregulation of viral receptor ACE-2, and possible pathogen transportation as a virus carrier. We investigated the association between air pollution and subsequent COVID-19 mortality rates within two Italian regions (Veneto and Emilia-Romagna). We estimated ground-level nitrogen dioxide through its tropospheric levels using data available from the Sentinel-5P satellites of the European Space Agency Copernicus Earth Observation Programme before the lockdown. We then examined COVID-19 mortality rates in relation to the nitrogen dioxide levels at three 14-day lag points after the lockdown, namely March 8, 22 and April 5, 2020. Using a multivariable negative binomial regression model, we found an association between nitrogen dioxide and COVID-19 mortality. Although ecological data provide only weak evidence, these findings indicate an association between air pollution levels and COVID-19 severity.
DOI: 10.1016/j.scitotenv.2020.143355
PubMed: 33187703
PubMed Central: PMC7609227
Links to Exploration step
pubmed:33187703Le document en format XML
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Rothman</name><affiliation><nlm:affiliation>RTI Health Solutions, Research Triangle Park, NC, USA; Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cocchio, Silvia" sort="Cocchio, Silvia" uniqKey="Cocchio S" first="Silvia" last="Cocchio">Silvia Cocchio</name><affiliation><nlm:affiliation>Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Narne, Elena" sort="Narne, Elena" uniqKey="Narne E" first="Elena" last="Narne">Elena Narne</name><affiliation><nlm:affiliation>Azienda Zero of Veneto Region, Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mantoan, Domenico" sort="Mantoan, Domenico" uniqKey="Mantoan D" first="Domenico" last="Mantoan">Domenico Mantoan</name><affiliation><nlm:affiliation>Department for Health and Social Affairs of Veneto Region, Venice, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Saia, Mario" sort="Saia, Mario" uniqKey="Saia M" first="Mario" last="Saia">Mario Saia</name><affiliation><nlm:affiliation>Azienda Zero of Veneto Region, Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Goffi, Alessia" sort="Goffi, Alessia" uniqKey="Goffi A" first="Alessia" last="Goffi">Alessia Goffi</name><affiliation><nlm:affiliation>TerrAria, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Ferrari, Fabrizio" sort="Ferrari, Fabrizio" uniqKey="Ferrari F" first="Fabrizio" last="Ferrari">Fabrizio Ferrari</name><affiliation><nlm:affiliation>TerrAria, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Maffeis, Giuseppe" sort="Maffeis, Giuseppe" uniqKey="Maffeis G" first="Giuseppe" last="Maffeis">Giuseppe Maffeis</name><affiliation><nlm:affiliation>TerrAria, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Orsini, Nicola" sort="Orsini, Nicola" uniqKey="Orsini N" first="Nicola" last="Orsini">Nicola Orsini</name><affiliation><nlm:affiliation>Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Baldo, Vincenzo" sort="Baldo, Vincenzo" uniqKey="Baldo V" first="Vincenzo" last="Baldo">Vincenzo Baldo</name><affiliation><nlm:affiliation>Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Vinceti, Marco" sort="Vinceti, Marco" uniqKey="Vinceti M" first="Marco" last="Vinceti">Marco Vinceti</name><affiliation><nlm:affiliation>Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA. Electronic address: marco.vinceti@unimore.it.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2021">2021</date><idno type="RBID">pubmed:33187703</idno><idno type="pmid">33187703</idno><idno type="doi">10.1016/j.scitotenv.2020.143355</idno><idno type="pmc">PMC7609227</idno><idno type="wicri:Area/Main/Corpus">000D19</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000D19</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Associations between mortality from COVID-19 in two Italian regions and outdoor air pollution as assessed through tropospheric nitrogen dioxide.</title><author><name sortKey="Filippini, Tommaso" sort="Filippini, Tommaso" uniqKey="Filippini T" first="Tommaso" last="Filippini">Tommaso Filippini</name><affiliation><nlm:affiliation>Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Rothman, Kenneth J" sort="Rothman, Kenneth J" uniqKey="Rothman K" first="Kenneth J" last="Rothman">Kenneth J. Rothman</name><affiliation><nlm:affiliation>RTI Health Solutions, Research Triangle Park, NC, USA; Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Cocchio, Silvia" sort="Cocchio, Silvia" uniqKey="Cocchio S" first="Silvia" last="Cocchio">Silvia Cocchio</name><affiliation><nlm:affiliation>Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Narne, Elena" sort="Narne, Elena" uniqKey="Narne E" first="Elena" last="Narne">Elena Narne</name><affiliation><nlm:affiliation>Azienda Zero of Veneto Region, Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Mantoan, Domenico" sort="Mantoan, Domenico" uniqKey="Mantoan D" first="Domenico" last="Mantoan">Domenico Mantoan</name><affiliation><nlm:affiliation>Department for Health and Social Affairs of Veneto Region, Venice, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Saia, Mario" sort="Saia, Mario" uniqKey="Saia M" first="Mario" last="Saia">Mario Saia</name><affiliation><nlm:affiliation>Azienda Zero of Veneto Region, Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Goffi, Alessia" sort="Goffi, Alessia" uniqKey="Goffi A" first="Alessia" last="Goffi">Alessia Goffi</name><affiliation><nlm:affiliation>TerrAria, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Ferrari, Fabrizio" sort="Ferrari, Fabrizio" uniqKey="Ferrari F" first="Fabrizio" last="Ferrari">Fabrizio Ferrari</name><affiliation><nlm:affiliation>TerrAria, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Maffeis, Giuseppe" sort="Maffeis, Giuseppe" uniqKey="Maffeis G" first="Giuseppe" last="Maffeis">Giuseppe Maffeis</name><affiliation><nlm:affiliation>TerrAria, Milan, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Orsini, Nicola" sort="Orsini, Nicola" uniqKey="Orsini N" first="Nicola" last="Orsini">Nicola Orsini</name><affiliation><nlm:affiliation>Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation></affiliation></author><author><name sortKey="Baldo, Vincenzo" sort="Baldo, Vincenzo" uniqKey="Baldo V" first="Vincenzo" last="Baldo">Vincenzo Baldo</name><affiliation><nlm:affiliation>Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.</nlm:affiliation></affiliation></author><author><name sortKey="Vinceti, Marco" sort="Vinceti, Marco" uniqKey="Vinceti M" first="Marco" last="Vinceti">Marco Vinceti</name><affiliation><nlm:affiliation>Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA. Electronic address: marco.vinceti@unimore.it.</nlm:affiliation></affiliation></author></analytic><series><title level="j">The Science of the total environment</title><idno type="eISSN">1879-1026</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Air Pollutants (analysis)</term><term>Air Pollution (analysis)</term><term>COVID-19 (MeSH)</term><term>China (epidemiology)</term><term>Communicable Disease Control (MeSH)</term><term>Europe (MeSH)</term><term>Humans (MeSH)</term><term>Italy (epidemiology)</term><term>Nitrogen Dioxide (MeSH)</term><term>Particulate Matter (analysis)</term><term>SARS-CoV-2 (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Air Pollutants</term><term>Particulate Matter</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>China</term><term>Italy</term></keywords><keywords scheme="MESH" qualifier="analysis" xml:lang="en"><term>Air Pollution</term></keywords><keywords scheme="MESH" xml:lang="en"><term>COVID-19</term><term>Communicable Disease Control</term><term>Europe</term><term>Humans</term><term>Nitrogen Dioxide</term><term>SARS-CoV-2</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">After the appearance of COVID-19 in China last December 2019, Italy was the first European country to be severely affected by the outbreak. The first diagnosis in Italy was on February 20, 2020, followed by the establishment of a light and a tight lockdown on February 23 and on March 8, 2020, respectively. The virus spread rapidly, particularly in the North of the country in the 'Padan Plain' area, known as one of the most polluted regions in Europe. Air pollution has been recently hypothesized to enhance the clinical severity of SARS-CoV-2 infection, acting through adverse effects on immunity, induction of respiratory and other chronic disease, upregulation of viral receptor ACE-2, and possible pathogen transportation as a virus carrier. We investigated the association between air pollution and subsequent COVID-19 mortality rates within two Italian regions (Veneto and Emilia-Romagna). We estimated ground-level nitrogen dioxide through its tropospheric levels using data available from the Sentinel-5P satellites of the European Space Agency Copernicus Earth Observation Programme before the lockdown. We then examined COVID-19 mortality rates in relation to the nitrogen dioxide levels at three 14-day lag points after the lockdown, namely March 8, 22 and April 5, 2020. Using a multivariable negative binomial regression model, we found an association between nitrogen dioxide and COVID-19 mortality. Although ecological data provide only weak evidence, these findings indicate an association between air pollution levels and COVID-19 severity.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Automated" Owner="NLM"><PMID Version="1">33187703</PMID><DateCompleted><Year>2021</Year><Month>01</Month><Day>19</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1026</ISSN><JournalIssue CitedMedium="Internet"><Volume>760</Volume><PubDate><Year>2021</Year><Month>Mar</Month><Day>15</Day></PubDate></JournalIssue><Title>The Science of the total environment</Title><ISOAbbreviation>Sci Total Environ</ISOAbbreviation></Journal><ArticleTitle>Associations between mortality from COVID-19 in two Italian regions and outdoor air pollution as assessed through tropospheric nitrogen dioxide.</ArticleTitle><Pagination><MedlinePgn>143355</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0048-9697(20)36886-8</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.scitotenv.2020.143355</ELocationID><Abstract><AbstractText>After the appearance of COVID-19 in China last December 2019, Italy was the first European country to be severely affected by the outbreak. The first diagnosis in Italy was on February 20, 2020, followed by the establishment of a light and a tight lockdown on February 23 and on March 8, 2020, respectively. The virus spread rapidly, particularly in the North of the country in the 'Padan Plain' area, known as one of the most polluted regions in Europe. Air pollution has been recently hypothesized to enhance the clinical severity of SARS-CoV-2 infection, acting through adverse effects on immunity, induction of respiratory and other chronic disease, upregulation of viral receptor ACE-2, and possible pathogen transportation as a virus carrier. We investigated the association between air pollution and subsequent COVID-19 mortality rates within two Italian regions (Veneto and Emilia-Romagna). We estimated ground-level nitrogen dioxide through its tropospheric levels using data available from the Sentinel-5P satellites of the European Space Agency Copernicus Earth Observation Programme before the lockdown. We then examined COVID-19 mortality rates in relation to the nitrogen dioxide levels at three 14-day lag points after the lockdown, namely March 8, 22 and April 5, 2020. Using a multivariable negative binomial regression model, we found an association between nitrogen dioxide and COVID-19 mortality. Although ecological data provide only weak evidence, these findings indicate an association between air pollution levels and COVID-19 severity.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier B.V. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Filippini</LastName><ForeName>Tommaso</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rothman</LastName><ForeName>Kenneth J</ForeName><Initials>KJ</Initials><AffiliationInfo><Affiliation>RTI Health Solutions, Research Triangle Park, NC, USA; Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cocchio</LastName><ForeName>Silvia</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Narne</LastName><ForeName>Elena</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Azienda Zero of Veneto Region, Padua, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mantoan</LastName><ForeName>Domenico</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department for Health and Social Affairs of Veneto Region, Venice, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saia</LastName><ForeName>Mario</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Azienda Zero of Veneto Region, Padua, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goffi</LastName><ForeName>Alessia</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>TerrAria, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferrari</LastName><ForeName>Fabrizio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>TerrAria, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maffeis</LastName><ForeName>Giuseppe</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>TerrAria, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Orsini</LastName><ForeName>Nicola</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Baldo</LastName><ForeName>Vincenzo</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Cardiac Thoracic Vascular Sciences and Public Health, University of Padua, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vinceti</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA. Electronic address: marco.vinceti@unimore.it.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Sci Total Environ</MedlineTA><NlmUniqueID>0330500</NlmUniqueID><ISSNLinking>0048-9697</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000393">Air Pollutants</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D052638">Particulate Matter</NameOfSubstance></Chemical><Chemical><RegistryNumber>S7G510RUBH</RegistryNumber><NameOfSubstance UI="D009585">Nitrogen Dioxide</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000393" MajorTopicYN="Y">Air Pollutants</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000397" MajorTopicYN="Y">Air Pollution</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086382" MajorTopicYN="Y">COVID-19</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N" Type="Geographic">China</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003140" MajorTopicYN="N">Communicable Disease Control</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005060" MajorTopicYN="N" Type="Geographic">Europe</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007558" MajorTopicYN="N" Type="Geographic">Italy</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009585" MajorTopicYN="N">Nitrogen Dioxide</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D052638" MajorTopicYN="N">Particulate Matter</DescriptorName><QualifierName UI="Q000032" MajorTopicYN="N">analysis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000086402" MajorTopicYN="N">SARS-CoV-2</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Air pollution</Keyword><Keyword MajorTopicYN="N">Coronavirus</Keyword><Keyword MajorTopicYN="N">Covid-19</Keyword><Keyword MajorTopicYN="N">Mortality</Keyword><Keyword MajorTopicYN="N">Nitrogen dioxide</Keyword><Keyword MajorTopicYN="N">Public health</Keyword></KeywordList><CoiStatement>Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>09</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>10</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>10</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>11</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>11</Month><Day>14</Day><Hour>5</Hour><Minute>22</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33187703</ArticleId><ArticleId IdType="pii">S0048-9697(20)36886-8</ArticleId><ArticleId IdType="doi">10.1016/j.scitotenv.2020.143355</ArticleId><ArticleId IdType="pmc">PMC7609227</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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