Dramatic health benefits following air pollution reduction

Dramatic health benefits following air pollution reduction

Reductions in air pollution yielded fast and dramatic impacts on health-outcomes, as well as decreases in all-cause morbidity, according to findings in "Health Benefits of Air Pollution Reduction," new research published in the American Thoracic Society's journal, Annals of the American Thoracic Society.

The study by the Environmental Committee of the Forum of International Respiratory Societies (FIRS) reviewed interventions that have reduced air pollution at its source. It looked for outcomes and time to achieve those outcomes in several settings, finding that the improvements in health were striking. Starting at week one of a ban on smoking in Ireland, for example, there was a 13 percent drop in all-cause mortality, a 26 percent reduction in ischemic heart disease, a 32 percent reduction in stroke, and a 38 percent reduction in chronic obstructive pulmonary disease (COPD). Interestingly, the greatest benefits in that case occurred among non-smokers.

"We knew there were benefits from pollution control, but the magnitude and relatively short time duration to accomplish them were impressive," said lead author of the report, Dean Schraufnagel, MD, ATSF. "Our findings indicate almost immediate and substantial effects on health outcomes followed reduced exposure to air pollution. It's critical that governments adopt and enforce WHO guidelines for air pollution immediately."

In the United States, a 13-month closure of a steel mill in Utah resulted in reducing hospitalizations for pneumonia, pleurisy, bronchitis and asthma by half. School absenteeism decreased by 40 percent, and daily mortality fell by 16 percent for every 100 ?g/m3 PM10 (a pollutant) decrease. Women who were pregnant during the mill closing were less likely to have premature births.

A 17-day "transportation strategy," in Atlanta, Georgia during the 1996 Olympic Games involved closing parts of the city to help athletes make it to their events on time, but also greatly decreased air pollution. In the following four weeks, children's visits for asthma to clinics dropped by more than 40 percent and trips to emergency departments by 11 percent. Hospitalizations for asthma decreased by 19 percent. Similarly, when China imposed factory and travel restrictions for the Beijing Olympics, lung function improved within two months, with fewer asthma-related physician visits and less cardiovascular mortality.

In addition to city-wide polices, reducing air pollution within the home also led to health benefits. In Nigeria, families who had clean cook stoves that reduced indoor air pollution during a nine-month pregnancy term saw higher birthweights, greater gestational age at delivery, and less perinatal mortality.

The report also examines the impact of environmental policies economically. It highlights that 25 years after enactment of the Clean Air Act, the U.S. EPA estimated that the health benefits exceeded the cost by 32:1, saving 2 trillion dollars, and has been heralded as one of the most effective public health policies of all time in the United States. Emissions of the major pollutants (particulate matter [PM], sulfur oxides, nitrogen oxides, carbon monoxide, volatile organic compounds, and lead) were reduced by 73 percent between 1990 and 2015 while the U.S. gross domestic product grew by more than 250 percent.

Given these findings, Dr. Schraufnagel has hope. "Air pollution is largely an avoidable health risk that affects everyone. Urban growth, expanding industrialization, global warming, and new knowledge of the harm of air pollution raise the degree of urgency for pollution control and stress the consequences of inaction," he says. "Fortunately, reducing air pollution can result in prompt and substantial health gains. Sweeping policies affecting a whole country can reduce all-cause mortality within weeks. Local programs, such as reducing traffic, have also promptly improved many health measures."

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Materials provided by American Thoracic Society. Note: Content may be edited for style and length.

Pig-Pen effect: Mixing skin oil and ozone can produce a personal pollution cloud

Ozone can produce a personal pollution cloud

When ozone and skin oils meet, the resulting reaction may help remove ozone from an indoor environment, but it can also produce a personal cloud of pollutants that affects indoor air quality, according to a team of researchers.

In a computer model of indoor environments, the researchers show that a range of volatile and semi-volatile gases and substances are produced when ozone, a form of oxygen that can be toxic, reacts with skin oils carried by soiled clothes, a reaction that some researchers have likened to the less-than-tidy Peanuts comic strip character.

"When the ozone is depleted through human skin, we become the generator of the primary products, which can cause sensory irritations," said Donghyun Rim, assistant professor of architectural engineering and an Institute for CyberScience associate, Penn State. "Some people call this higher concentration of pollutants around the human body the personal cloud, or we call it the 'Pig-Pen Effect.'"

The substances that are produced by the reaction include organic compounds, such as carbonyls, that can irritate the skin and lungs, said Rim. People with asthma may be particularly vulnerable to ozone and ozone reaction products, he said.

According to the researchers, who reported their findings in a recent issue of Nature's Communications Chemistry, skin oils contain substances, such as squalene, fatty acids and wax esters. If a person wears the same clothes too long -- for example, more than a day -- without washing, there is a chance that the clothes become more saturated with the oils, leading to a higher chance of reaction with ozone, which is an unstable gas.

"Squalene can react very effectively with ozone," said Rim. "Squalene has a higher reaction rate with ozone because it has a double carbon bond and, because of its chemical makeup, the ozone wants to jump in and break this bond."

Indoors, ozone concentration can range from 5 to 25 parts per billion -- ppb -- depending on how the air is circulating from outside to inside and what types of chemicals and surfaces are used in the building. In a polluted city, for example, the amount of ozone in indoor environments may be much higher.

"A lot of people think of the ozone layer when we talk about ozone," said Rim. "But, we're not talking about that ozone, that's good ozone. But ozone at the ground level has adverse health impacts."

Wearing clean clothes might be a good idea for a lot of reasons, but it might not necessarily lead to reducing exposure to ozone, said Rim. For example, a single soiled t-shirt helps keep ozone out of the breathing zone by removing about 30 to 70 percent of the ozone circulating near a person.

"If you have clean clothes, that means you might be breathing in more of this ozone, which isn't good for you either," said Rim.

Rim said that the research is one part of a larger project to better understand the indoor environment where people spend most of their time.

"The bottom line is that we, humans, spend more than 90 percent of our time in buildings, or indoor environments, but, as far as actual research goes, there are still a lot of unknowns about what's going on and what types of gases and particles we're exposed to in indoor environments," said Rim. "The things that we inhale, that we touch, that we interact with, many of those things are contributing to the chemical accumulations in our body and our health."

Rather than advising people whether to wear clean or dirty clothes, the researchers suggest that people should focus on keeping ground ozone levels down. Better building design and filtration, along with cutting pollution, are ways that could cut the impact of the Pig-Pen Effect, they added.

To build and validate the models, the researchers used experimental data from prior experiments investigating reactions between ozone and squalene, and between ozone and clothing. The researchers then analyzed further how the squalene-ozone reaction creates pollutants in various indoor conditions.

The team relied on computer modeling to simulate indoor spaces that vary with ventilation conditions and how inhabitants of those spaces manage air quality, Rim said.

In the future, the team may look at how other common indoor sources, such as candle and cigarette smoke, could affect the indoor air quality and its impact on human health.

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Materials provided by Penn State. Original written by Matt Swayne. Note: Content may be edited for style and length.