Investigation of the Relationship Between the Level of Fine Particulate Matter and Stroke Mortality Rate in Mashhad in 2014 and 2015

Background: Air pollution is a major social problem, particularly in developing countries, where the rapid expansion of industries, cities, and traffic is the main cause of increased air pollution. Objectives: This ecological study (correlation) has been conducted with the aim of analyzing the correlation between ambient fine particulate matter (PM2.5) amount and the rate of stroke mortality in Mashhad during the years 2014 and 2015. Methods: Data were collected from hospitals, the Monitoring Center of Environmental Pollutants, and the Bureau of Meteorology in Khorasan Razavi Province and were analyzed to evaluate the correlation. Results: The results show that the correlation coefficient between PM2.5 and the rate of stroke mortality in different seasons in 2014 and 2015 are 0.997 and 0.902, respectively. The correlation was stronger in 2014 and is significant at a confidence level of 0.01. Conclusions: According to the results, the annual average concentration of PM2.5 decreased from 29.261 (μg/m3) in 2014 to 25.283 (μg/m3) in 2015, and also, the annual rate of stroke mortality decreased by 4.4% in 2015.