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PubMed2005

Characterisation and quantification of the sources of PM10 during air pollution episodes in the UK.

Data for concentrations of PM(10) and gaseous pollutants from sites in the UK Automatic Urban and Rural Network have been examined during periods of elevated concentrations of PM(10). The ratios of concentrations of PM(10) to those of the other pollutants were used to determine the most probable source of the additional particles. The hypothesis is that because the concentrations of PM(10) were divided by those of the other pollutants, the ratio should decrease when PM(10) and the other pollutants have a common source. Conversely, the ratio should increase when the sources are different. During episodes where road traffic was the most probable source of the additional particles, the ratios of concentrations of PM(10) to carbon monoxide and oxides of nitrogen did decrease, but the comparable ratios for sulphur dioxide and ozone increased. In contrast, during episodes known to have been caused by construction activity, all these ratios increased. This is taken to show that the basic hypothesis is valid. For prolonged episodes, it was possible to use data averaged over the total duration of the episode for the purposes of source identification. For sporadic construction, or other short-duration episodes, it was necessary to use time series data. The data have also been used to calculate the differences between hourly average concentrations of pollutants measured during episodes and long-term hourly average concentrations. These have been used to model the additional PM(10) during air pollution episodes associated with construction activities and road traffic emissions. This confirms the lack of relationship between PM(10) and other pollutants during construction works. During episodes arising from road traffic emissions, there was good agreement between measured and modelled additional concentrations of PM(10) when an appropriate factor, F, related to the contribution of road traffic emissions to PM(10) at different site types was applied. The values used were 0.2 (Suburban), 0.3 (Urban Background/Urban Centre), and 0.5 (Roadside), representing 20%, 30%, and 50% contributions from road traffic, respectively.

Journal Article↗
PubMed2003

Emergent effects of heavy metal pollution at a population level: Littorina brevicula a study case.

Changes in genetic variability and allele frequency can be responses from natural populations when encountering a novel contaminated environment. The genetic diversity and population structuring of natural populations of the gastropod Littorina brevicula from heavy-metal polluted and unpolluted environments along the southeast coast of Korea were examined using two mtDNA markers, cyt b and ND6. This study applied a nested clade analysis to test the existence of structuring association of haplotype distribution with environments (polluted and unpolluted). No genetic differences within cyt b mtDNA were detected between environments. On the other hand, differences in population haplotype diversity and structuring were found within ND6 mtDNA between polluted and unpolluted environments. The ND6-mtDNA haplotype (=genetic) diversity was significant lower in polluted environments. This decreased genetic diversity along with differences in the haplotype distribution within heavy-metal polluted environments compared to those unpolluted ones stand out as emergent effects from pollution at a population level. In this study, we propose the use of different approaches, such as the NCA, that takes into account the rare haplotypes, when assessing the effects of pollution on population genetic structuring.

Adaptation, Physiological↗
PubMed2003

Dynamic behavior of ozonation with pollutant in a countercurrent bubble column with oxygen mass transfer.

The dynamic behavior of ozonation with pollutants in a countercurrent bubble column is studied for the model establishment. Bubble columns have been widely used for an ozonation system in the plants and laboratories. In addition, a countercurrent bubble column has been commonly recommended than a cocurrent one because it has a higher ozone transfer efficiency. Therefore, the investigation of this paper focuses on the countercurrent bubble column. As an ozonation process starts, the gas mixture of ozone and oxygen is introduced into the bottom of a column, and then transferred into the liquid. The pollutants in the wastewater are eliminated subsequently via oxidation by the dissolved ozone. There certainly exists a temporary and unsteady period before the ozonation system reaches steady state. However, available ozonation models employed to describe ozone and pollutant profiles have commonly been developed for steady state. The treating qualities of wastewater in the early stage of ozonation are usually not predicted, and the time required for the steady-state establishment remains to be determined. Moreover, oxygen mass transfer is usually neglected in previous ozonation models so that the increase of dissolved oxygen is uncertain. These information is desirable for the proper design and operation of ozonation system in a bubble column. Thus, the aim of this study is to model and investigate the dynamic processes of ozonation with pollutants including oxygen mass transfer. The dynamic axial dispersion model proposed is employed to predict the variation of the ozone, pollutant, and oxygen concentrations profiles. The validity of the model was demonstrated by comparing the predicted results with the experimental data. The o-cresol was chosen as the model pollutant. The temporal concentration variations of the residual o-cresol and dissolved oxygen in the effluent liquid, and the off-gas ozone in the free volume were measured accordingly. Furthermore, the variation of the enhancement factor of ozone and the amount of off-gas were predicted. Note that it usually needs 2-5 hydraulic retention times to approach steady state under the conditions of this study. Further, the effects of dimensionless system parameters on the performance of the ozonation processes are examined. As a result, the proposed dynamic model of ozonation with pollutants is useful for proper prediction of the variables of an ozonation system in a countercurrent bubble column.

Gases↗
PubMed2001

Cartographic modelling of aerotechnogenic pollution in snow cover in the landscapes of the Kola Peninsula.

The goal of this work was to develop computational techniques for sulphates, nickel and copper accumulation in the snow in the local pollution zone. The main task was to reveal the peculiarities of formation and pollution of snow cover on the region with complex cross-relief. A digital cartographic model of aerotechnogenic pollution of snow cover in the landscapes of the local zone has been developed, based on five-year experimental data. Data regarding annual emissions from the industrial complex, information about distribution of wind and the sum of precipitation from meteostation "Nikel" for the winter period, allowed the model to ensure: * material presentation in the form of maps of water capacity and accumulation of sulphates, nickel and copper in the snow over any winter period in retrospective; * calculation of water capacity and accumulation of pollutants for watersheds and other natural-territorial complexes; * solution of the opposite problem about the determination of the emissions of sulphates, nickel and copper from the enterprise by measuring snow pollution in datum points. The model can be used in other northern regions of the Russian Federation with similar physical-geographical and climatic conditions. The relationships between the sum of precipitation and water capacity in the landscapes of the same type and also the relationships between pollution content in snow and relief, pollution content in snow and distance from the source of emissions, were used as the basis for the model.

Copper↗
PubMed1997

Airborne pollutants along a roadside: assessment using snow analyses and moss bags.

Vertical snow sampling and moss bag transplants were used to estimate the local inorganic and organic pollutant load deposited from traffic along a major highway in Finland. The pH and concentrations of Cl(-), NO(3)(-), SO(4)(2-), Ca(2+), Na(+) and polyaromatic hydrocarbons (PAHs) were determined from snow samples collected in winter at different sites along the highway. In summer, moss bags containing 20 g of fresh red-stemmed feather moss (Pleurozium schreberi) were transplanted at the same sites. The moss bag transplants remained exposed to roadside traffic for a period of one month following which the samples were collected and the PAH profiles and concentrations were analysed. The deposition of inorganic and organic pollutants from road traffic was observed up to 60 m from the road. The prevailing winds had a significant effect on the dispersion of pollutants. Snow appears to be a good collector of inorganic pollutants from the atmosphere and can be used to monitor local airborne pollution from road traffic. Snow packs can also be used as passive collectors of organic pollutant loads from road traffic on a local scale. To monitor organic PAH deposition from the road traffic, moss bags appeared to be better indicators compared to snow sampling. The efficiency of moss bags in accumulating PAH compounds indicate that vegetation may be an important sink for traffic pollution.

Journal Article↗
PubMed1998

Air pollution, forest condition and forest decline in Southern Europe: an overview.

Over the last decades much of the work on the impact of air pollution on forests in Europe has concentrated on central and northern countries. The southern part of Europe has received far less attention, although air pollutants-especially the photochemical ones-can reach concentrations likely to have adverse effects on forest vegetation. Although international forest condition surveys present serious problems where data consistency is concerned, they reveal considerable year-by-year species-specific fluctuations rather than a large-scale forest decline. Cases of obvious decline related to environmental factors are well circumscribed: (1) the deterioration of some coastal forests due to the action of polluted seaspray; (2) the deterioration of reforestation projects, especially conifers, mainly due to the poor ecological compatibility between species and site; and (3) the decline of deciduous oaks in southern Italy and of evergreen oaks in the Iberian peninsula apparently due to the interaction of climate stresses and pests and diseases. However, besides obvious deterioration, changes in environmental factors can provoke situations of more subtle stress. The most sensitive stands are Mediterranean conifer forests and mesophile forests of the Mediterranean-montane plane growing at the edges of the natural ecological distribution. Evergreen sclerophyllous forests appear less sensitive to variations in climatic parameters, since they can adapt quite well to both drought and the action of UV-B rays. Several experiments were carried out to test the sensitivity of Mediterranean forest species to air pollutants. Most of those experiments used seedlings of different species treated with pollutant concentrations too high to be realistic, so it is difficult to derive adequate information on the response of adult trees in field conditions. Ozone has been proved to cause foliar injury in a variety of native forest species in different Southern European countries, while the effects of other pollutants (e.g. nitrogen, sulphur, acidic deposition) are less obvious and likely to be very localized. In the case of ozone, visible symptoms were almost completely missed by large-scale surveys and-at the same time-non-visible symptoms are suspected to be even more widespread than the visible ones. Owing to this and to the complex relationships existing between species sensitivity, ozone exposure and doses, length of the vegetative periods, influence of climatic and edaphic condition on the tree's response, the impacted areas are yet to be identified. Therefore, the large-scale impact of air pollutants on the forests of Southern Europe remains largely unknown, until more specific investigations are carried out.

Journal Article↗
PubMed2003

[Social inequality and noise pollution by traffic in the living environment--an analysis by the German Federal Health Survey (Bundesgesundheitssurvey)].

AIM OF THE STUDY: The study deals with the relationship between socioeconomic status and the uneven distribution of noise pollution in residential areas. Based on the social indicators education, occupation, income and an index of socioeconomic status, the study investigates whether people of lower socioeconomic status are more likely to live in busier streets and to be more affected by traffic and noise pollution than others. MATERIAL: The German Federal Health Survey (Bundesgesundheitssurvey, BGS) is a representative survey of the health status of the adult population in Germany. The representative sample in question reflects the opinions of 6,644 individuals aged between 18 and 79 years who were asked to fill in a standardised questionnaire between autumn 1997 and spring 1999. RESULTS: People of lower socioeconomic status are more likely to live in busy to extremely busy main roads and through roads. They feel significantly more often affected by traffic noise pollution. People of higher socioeconomic status are more likely to live in quiet environments. Essentially, all four social indicators reflect the social gradient of noise pollution, but their impact is differently weighted. CONCLUSION: Noise pollution in environments is unevenly distributed, with people of lower socioeconomic status suffering more than others. In view of the increased social burden and assumed vulnerability experienced by lower socioeconomic groups, environmental objectives for protection from noise pollution should be developed which ensure a socially just distribution of environmental noise pollution in addition to avoiding danger to health.

Adult↗
PubMed1997

Distribution of elements along the length of Scots pine needles in a heavily polluted and a control environment.

Pollution often causes visible symptoms of foliar injury. The injury is sometimes associated with an increase in the accessibility of toxic elements to plants as a result of acidification of the soil. We investigated the distribution of elements (N, P, K, Ca, Mg, Mn, S, Fe, B, Cu, Zn, Al, F, Pb, Cd, Cr, Ni and Co) in healthy current-year needles of Scots pine (Pinus sylvestris L.) growing at an unpolluted control site and at a site polluted mainly by SO(2), HF and Al(3+) from a fertilizer factory established in 1917. Needles from both sites were sampled before the appearance of visible injury and cut into five sections of equal length (tip, base and three middle parts). The mean concentrations of major nutrients were 20-30% lower in needles at the polluted site than in needles at the control site, whereas the concentrations of aluminum and fluorine were higher in needles at the polluted site. An increase in concentration from needle base to tip was detected for N, Fe, B, and Al at both sites and for Mn only at the polluted site. Fluoride accumulated in the tips of needles only at the polluted site, which could explain the necroses of needle tips at this site. The distribution of elements along the length of the needles was influenced by pollution, element mobility and the distal accumulation of toxic elements.

Journal Article↗
PubMed2003

Grassed swales for stormwater pollution control during rain and snowmelt.

The retention of suspended solids, particles and heavy metals in different grassed swales during rain events and snowmelt is discussed. The experimental results derived from investigations performed in existing grassed swales in the Luleå region, Northern Sweden. During high pollutant loading rates, grassed swales retain significant amounts of pollutants, mainly due to sedimentation of particulate matter. Low to moderate removal efficiencies could be expected for heavy metals, especially metals in solution (i.e. the dissolved phase). When grassed swales receive urban runoff with low pollutant concentrations, they may release rather than retain pollutants. Swales are important snow deposit areas in the city and particle bound pollutants do to a large extent remain in the swale after snowmelt. However, dissolved pollutants (i.e. dissolved heavy metals) are likely to escape the swale with the melt water. Grassed swales may be regarded as facilities that even out the peaks in pollutant loads without being capable of producing consistent high removal rates. This suggests that swales should be considered as primary treatment devices. Possible design parameters for grassed swales are mean hydraulic detention time, surface loading rate or specific swale area.

Biodegradation, Environmental↗
PubMed1997

Petroleum pollution in the Gulf of Mexico and Caribbean Sea.

In 1976, IOC-UNESCO and UNEP convened a meeting in Port of Spain to analyze the marine pollution problems in the region, noting that petroleum pollution was of regionwide concern and recommended initiating a research and monitoring program to determine the severity of the problem and monitor its effects. The Wider Caribbean is potentially one of the largest oil-producing areas in the world. Major production sites include Louisiana and Texas in the U.S.; the Bay of Campeche, Mexico; Lake Maracaibo, Venezuela; and the Gulf of Paria, Trinidad. All these are classified as high-risk production accident zones. Main sources of petroleum pollution in the Wider Caribbean are production, exploitation, transportation, urban and municipal discharges, refining and chemical wastes, normal loading and unloading operations, and accidental spills. About 5 million barrels of crude oil are transported daily in the Caribbean, thus generating an intense tanker traffic. It has been estimated that oil discharges from tank washings within the Wider Caribbean could be as high as 7 million barrels/yr. The results of the Caribbean Pollution Regional Program (CARIPOL) conducted between 1980 and 1987 pointed out that significant levels of petroleum pollution exist throughout the Wider Caribbean, including serious tar contamination of windward exposed beaches, high levels of floating tar within the major current systems, and very high levels of dissolved and dispersed hydrocarbons in surface waters. Major adverse effects of this type of pollution include: high tar levels on many beaches that either prevent their recreational use or require very expensive cleanup operations, distress and death for marine life, and responses in the enzyme systems of marine organisms that have been correlated with declines in reproductive success. Finally, the presence of polycyclic aromatic hydrocarbons (PAHs) in tissues of important economic species has been reported, creating a risk for public health because of the potential carcinogenic effects.

Accidents, Occupational↗
PubMed1990

Airways and air pollution in childhood: state of the art.

Correlations between ambient pollutants and health effects, such as observed in SIDS, may in reality be to a larger extent the result of indoor sources. These distinctions between indoor and outdoor sources, while important, do not detract from the overall conclusion that pollution affects the airway in children directly and indirectly. Much still needs to be learned about the permanence of these effects, the mechanism by which the effect is mediated, and the conditions under which some of these effects are maximal. Two approaches seem particularly suited to shed further light on these issues. First, identification of biological markers for exposure to pollutants will yield both more accurate measures of exposure to pollutants and information about health consequences. Second, newer modeling techniques promise to predict health outcomes under a variety of environmental conditions. Shumway et al., for instance, describe a promising model predicting an increase in mortality due to ambient pollutants in the Los Angeles Basin with higher levels under extremes of temperature, especially during cold spells. Time series and factor analyses may further our knowledge as well. In the near future, large cohort studies should begin to reveal the cumulative effects of air pollution on the respiratory system, especially in relation to active smoking. Finally, studies in Black children are virtually unavailable. Given their high risk for respiratory illnesses, such studies are sorely needed.

Air Pollutants↗
PubMed2026

Pollution characteristics and health risks of PAHs and OPAHs in PM2.5 of an inland basin city in China under the influence of the clean air action plan.

Since the implementation of China's Clean Air Action, remarkable progress has been made in air pollution control, with continuous air quality improvement in Xi'an, a typical inland basin city in the Fenwei Plain. To clarify winter organic aerosol pollution variations and pinpoint targeted control needs under policy regulation, this study investigated PM2.5-bound polycyclic aromatic hydrocarbons (PAHs) and oxygenated derivatives (OPAHs) in winter Xi'an, focusing on pollution levels, chemical compositions, source contributions, meteorological impacts, regional transport and health risks. Historical comparison showed generally lower wintertime PAH concentrations in Xi'an during the period of China's clean-air actions. PMF results indicated mixed source influences on PAHs and OPAHs, with biomass-burning-related mixed combustion showing the largest contribution. During haze episodes, absolute concentrations of both PAHs and OPAHs increased; the increase was statistically significant for OPAHs but not for parent PAHs, while 4-5 ring PAHs and BcdPQ dominated the PAH and OPAH profiles, respectively. Meteorological variability, particularly synoptic pressure patterns, was strongly associated with pollutant concentrations, and regional pollution was dominated by in-basin accumulation combined with short-range transport from northern Shaanxi industrial zones. Haze periods exhibited higher toxic-equivalent concentrations, with OPAHs, particularly BcdPQ, dominating the toxicity-equivalent burden. Screening-level ILCR estimates generally remained below 10⁻4 but increased during haze episodes, especially for adult and elderly groups. In conclusion, China's clean air actions have coincided with lower wintertime PAH pollution, but stronger control of residential biomass and other solid-fuel combustion, traffic emissions, and OPAH formation remains necessary in the Fenwei Plain.

China↗
PubMed2006

Associations between outdoor air pollution and emergency department visits for stroke in Edmonton, Canada.

Inconsistent results have been obtained from studies that have examined the relationship between air pollution and hospital visits for stroke. We undertook a time-stratified case-crossover study to evaluate associations between outdoor air pollution and emergency department visits for stroke among the elderly according to stroke type, season, and sex. Analyses are based on a total of 12,422 stroke visits among those 65 years of age and older in Edmonton, Canada between April 1, 1992 and March 31, 2002. Daily air pollution levels for SO(2), NO(2), PM(2.5), PM(10), CO and O(3) were estimated using data from fixed-site monitoring stations. Particulate matter data were only available from 1998 onwards. Conditional logistic regression was used to estimate the odds ratios (ORs) and their 95% confidence intervals in relation to an increase in the interquartile range (IQR) of each pollutant. ORs were adjusted for the effects of temperature and relative humidity. We found no association between outdoor measures of air pollution and all stroke visits. In contrast, elevated risks were observed between levels of air pollution and acute ischemic stroke between April and September. During this season, the ORs associated with an increase in the IQR of the 3-day average for CO and NO(2) were 1.32 (95% CI = 1.09-1.60) and 1.26 (95% CI = 1.09-1.46), respectively. CO exposures in the same season, lagged 1 day, were associated with an increased risk of hemorrhagic stroke with ORs was 1.20 (95% CI = 1.00-1.43). Our results suggest it is possible that vehicular traffic, which produces increased levels of NO(2) and CO, contributes to an increased incidence of emergency department visits for stroke.

Aged↗
PubMed2005

Assessment of the status of urban air pollution and its impact on human health in the city of Kolkata.

Air pollution has significant effects on exacerbation of asthma, allergy and other respiratory diseases. Like many other magacities in the world the ambient air quality of Kolkata is also being deteriorated day by day. Automobile exhausts and certain industrial pollutants produce O(3) by photochemical reactions. The particulate matter, particularly less than 10 microm in size, can pass through the natural protective mechanism of human respiratory system and plays an important role in genesis and augmentation of allergic disorders. Sources of air pollution in the area and the unique problem arising out of the emission from the vehicles, industries, etc. have been described. Ambient air quality was monitored along with micrometeorological data and the results are discussed. The status of air pollution in the area has been evaluated and a questionnaire survey was conducted to estimate the allergic symptoms and exposure to assess the respiratory disorders. The data are analysed to evaluate the critical situation arising out of the emission of air pollutants and the impact on human health due to respirable diseases (RDs) to middle class sub-population (activity-wise) in the area are assessed. A strategic air quality management plan has been proposed. For the mitigation of air pollution problems in the city, the different measures to be adopted to maintain the balance between sustainable development and environmental management have been discussed.

Adolescent↗
PubMed2006

Relationships among epipelic diatom taxa, bacterial abundances and water quality in a highly polluted stream catchment, bursa -- Turkey.

Nilüfer Stream is an important water source in the industrial and metropolitan city of Bursa, Turkey. The stream catchment has been influenced by high human impact. The downstream receives sewage water from households and industry, whereas the headwater of the stream has a source of high-quality drinkable water. In this paper, abundances of epipelic diatom taxa, faecal coliforms (FC), total coliforms (TC) and total bacteria (TB) were studied in relation to measured environmental variables (T, pH, DO, BOD(5), EC, TDS) for the period July 1997 to June 1998 at six stations in the heavily polluted Nilüfer Stream catchment. It is observed that the physicochemical variables and bacterial abundances varied seasonally at all stations, and the level of pollution reached at its highest point in the summer. The results of Kruskal-Wallis and one-way ANOVA indicated that DO gradually decreased, whereas BOD(5), EC, TDS, TB, FC and TC gradually increased from upstream to downstream. The ordination method of Principal Component Analysis (PCA) was carried out for both biologic and physicochemical variables, and the results were supported by the former statistical procedures. The frequency of occurrence of dominant diatoms was examined in relation to the spatial variations in chemical constituents. Both diatoms and bacteria showed strong correlations with the measured physicochemical variables. In Canonical Correlation Analysis (CANCORR) measures of bacterial abundances also displayed strong correlations with abundances of 11 diatom taxa. The results showed that the stream catchment is polluted gradually from upstream to downstream. In addition, pollution load in the stream catchment has been gradually increased, compared with recent years. Urbanisation and industrialisation of the city have affected increasing pollution in Nilüfer Stream. The results also indicated that diatoms are not affected by environmental variables such as bacteria. Bacteria are more sensitive to organic pollution, while diatoms are indicators of different environmental conditions.

Analysis of Variance↗
PubMed2006

Respiratory and cardiovascular functions among smoking and nonsmoking girls from two regions with different air pollution degree.

AIM: The aim of the present study was to analyze the respiratory and cardiovascular functions among smoking and nonsmoking girls attending two schools situated in regions with different levels of air pollution. The characteristic of air pollution is based on the data gathered by stations 1 and 2 belonging to the Uniform National System for Monitoring the Air Pollution in Bulgaria. The participants (n=108, 16.07+/-0.80 years) were separated in two groups: smokers (S1 - from school 1, S2 - from school 2) and nonsmokers (NS1 - from school 1, NS2 - from school 2). All of them performed pulmonary function testing and .cardiopulmonary exercise testing on a treadmill using our modification of the Balke protocol (Marinov et al., 2000). Reference values for European children, previously validated for the Bulgarian population, were used. RESULTS: There are no significant differences in mean levels of VC, IC, FEV1, MEF50 and MEF25 (as a percentage from the predicted value as well). The average level of the Tiffneau index is noticeably higher among nonsmokers from the two regions and is the lowest among smokers from the more polluted area, but a significant difference exists between S2 (88.7+/-5.9) and NS2 (92.6+/-4.7), p=0.047; T(L,CO)%pred: S1 (85.4+/-7.2) vs. S2 (86.7+/-8.2), p=0.048 and NS1 (88.3+/-8.2) vs. NS2 (92.8+/-14.5), p=0.037; V(E)%pred: S1 (127.5+/-9.6) vs. S2 (123.7+/-6.1), p=0.035; higher levels of total lung capacity (TLC%pred), S1 (107.3+/-9.2) vs. NS2 (104.3+/-9.1), p=0.009 and alveolar ventilation (VA), S1 (5.0+/-0.6) vs. NS2 (4.6+/-0.5), p=0.008. CONCLUSIONS: 1. The negative effects of the combined influence of tobacco smoking and air pollution on some respiratory and cardiovascular functions of adolescent girls are more pronounced than each influence alone. 2. The cardiopulmonary exercise test gives adequate information about the combined effect of air pollution and smoking and using it for preventive purposes is an advisable method.

Adolescent↗
PubMed2004

Health effects of air pollution.

The general public, especially patients with upper or lower respiratory symptoms, is aware from media reports that adverse respiratory effects can occur from air pollution. It is important for the allergist to have a current knowledge of the potential health effects of air pollution and how they might affect their patients to advise them accordingly. Specifically, the allergist-clinical immunologist should be keenly aware that both gaseous and particulate outdoor pollutants might aggravate or enhance the underlying pathophysiology of both the upper and lower airways. Epidemiologic and laboratory exposure research studies investigating the health effects of outdoor air pollution each have advantages and disadvantages. Epidemiologic studies can show statistical associations between levels of individual or combined air pollutants and outcomes, such as rates of asthma, emergency visits for asthma, or hospital admissions, but cannot prove a causative role. Human exposure studies, animal models, and tissue or cellular studies provide further information on mechanisms of response but also have inherent limitations. The aim of this rostrum is to review the relevant publications that provide the appropriate context for assessing the risks of air pollution relative to other more modifiable environmental factors in patients with allergic airways disease.

Air Pollutants↗
PubMed2005

The role of air pollution in asthma and other pediatric morbidities.

A growing body of research supports the role of outdoor air pollutants in acutely aggravating chronic diseases in children, and suggests that the pollutants may have a role in the development of these diseases. This article reviews the biologic basis of children's unique vulnerability to highly prevalent outdoor air pollutants, with a special focus on ozone, respirable particulate matter (PM 2.5 [<2.5 microm in diameter] and PM 10 [<10 microm in diameter]), lead, sulfur dioxide, carbon monoxide, and nitrogen oxides. We also summarize understanding regarding health effects and molecular mechanisms of action. Practitioners can significantly reduce morbidity in children and other vulnerable populations by advising families to minimize pollutant exposures to children with asthma, or at a broader level by educating policymakers about the need to act to reduce pollutant emissions. Management of children with asthma must expand beyond preventing exposures to agents that directly cause allergic reactions (and therefore can be diagnosed by means of skin tests) and must focus more attention on agents that cause a broad spectrum of nonspecific, generalized inflammation, such as air pollution.

Air Pollutants↗