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“Bad air quality” and “Air quality” redirect here. For the 1 Pollutants
obsolete medical theory, see Bad air. For the measure
of how polluted the air is, see Air quality index. For the Main articles: Pollutant and Greenhouse gas
properties of air, see Qualities of air.
Air pollution is the introduction of particulates,
1
2 1 POLLUTANTS
Persistent organic pollutants (POPs) are organic com- These are mostly related to the burning of multiple types
pounds that are resistant to environmental degradation of fuel.
through chemical, biological, and photolytic processes.
Because of this, they have been observed to persist in • Stationary sources include smoke stacks of power
the environment, to be capable of long-range transport, plants, manufacturing facilities (factories) and waste
bioaccumulate in human and animal tissue, biomagnify incinerators, as well as furnaces and other types of
in food chains, and to have potentially significant impacts fuel-burning heating devices. In developing and
on human health and the environment. poor countries, traditional biomass burning is the
4 2 AIR POLLUTION EXPOSURE
tions of the air pollutant with respect to the time spent in Though its use has now been banned in many countries,
each setting and the respective inhalation rates for each the extensive use of asbestos in industrial and domes-
subgroup for each specific time that the subgroup is in tic environments in the past has left a potentially very
the setting and engaged in particular activities (playing, dangerous material in many localities. Asbestosis is a
cooking, reading, working, etc.). For example, a small chronic inflammatory medical condition affecting the tis-
child’s inhalation rate will be less than that of an adult. sue of the lungs. It occurs after long-term, heavy ex-
A child engaged in vigorous exercise will have a higher posure to asbestos from asbestos-containing materials in
respiration rate than the same child in a sedentary activ- structures. Sufferers have severe dyspnea (shortness of
ity. The daily exposure, then, needs to reflect the time breath) and are at an increased risk regarding several dif-
spent in each micro-environmental setting and the type ferent types of lung cancer. As clear explanations are not
of activities in these settings. The air pollutant concen- always stressed in non-technical literature, care should be
tration in each microactivity/microenvironmental setting taken to distinguish between several forms of relevant
is summed to indicate the exposure.[19] diseases. According to the World Health Organisation
(WHO), these may defined as; asbestosis, lung cancer,
and Peritoneal Mesothelioma (generally a very rare form
of cancer, when more widespread it is almost always as-
3 Indoor air quality (IAQ) sociated with prolonged exposure to asbestos).
Main article: Indoor air quality Biological sources of air pollution are also found indoors,
A lack of ventilation indoors concentrates air pollu- as gases and airborne particulates. Pets produce dander,
people produce dust from minute skin flakes and decom-
posed hair, dust mites in bedding, carpeting and furni-
ture produce enzymes and micrometre-sized fecal drop-
pings, inhabitants emit methane, mold forms on walls and
generates mycotoxins and spores, air conditioning sys-
tems can incubate Legionnaires’ disease and mold, and
houseplants, soil and surrounding gardens can produce
pollen, dust, and mold. Indoors, the lack of air circula-
tion allows these airborne pollutants to accumulate more
than they would otherwise occur in nature.
4 Health effects
Air quality monitoring, New Delhi, India.
tion where people often spend the majority of their See also: Neuroplastic effects of pollution
time. Radon (Rn) gas, a carcinogen, is exuded from
the Earth in certain locations and trapped inside houses. Air pollution is a significant risk factor for a number of
Building materials including carpeting and plywood emit health conditions including respiratory infections, heart
formaldehyde (H2 CO) gas. Paint and solvents give off disease, COPD, stroke and lung cancer.[2] The health ef-
volatile organic compounds (VOCs) as they dry. Lead fects caused by air pollution may include difficulty in
paint can degenerate into dust and be inhaled. Intentional breathing, wheezing, coughing, asthma and worsening of
air pollution is introduced with the use of air fresheners, existing respiratory and cardiac conditions. These effects
incense, and other scented items. Controlled wood fires can result in increased medication use, increased doctor
in stoves and fireplaces can add significant amounts of or emergency room visits, more hospital admissions and
smoke particulates into the air, inside and out.[20] Indoor premature death. The human health effects of poor air
pollution fatalities may be caused by using pesticides and quality are far reaching, but principally affect the body’s
other chemical sprays indoors without proper ventilation. respiratory system and the cardiovascular system. Indi-
Carbon monoxide poisoning and fatalities are often vidual reactions to air pollutants depend on the type of
caused by faulty vents and chimneys, or by the burning of pollutant a person is exposed to, the degree of exposure,
charcoal indoors or in a confined space, such as a tent.[21] and the individual’s health status and genetics.[19] The
Chronic carbon monoxide poisoning can result even from most common sources of air pollution include particu-
poorly-adjusted pilot lights. Traps are built into all do- lates, ozone, nitrogen dioxide, and sulphur dioxide. Chil-
mestic plumbing to keep sewer gas and hydrogen sulfide, dren aged less than five years that live in developing coun-
out of interiors. Clothing emits tetrachloroethylene, or tries are the most vulnerable population in terms of total
other dry cleaning fluids, for days after dry cleaning. deaths attributable to indoor and outdoor air pollution.[22]
6 4 HEALTH EFFECTS
4.1 Mortality air pollution is associated not with hemorrhagic but with
ischemic stroke.[37] Air pollution was also found to be
It is estimated that some 7 million premature deaths may associated with increased incidence and mortality from
be attributed to air pollution.[2] India has the highest death coronary stroke in a cohort study in 2011.[38] Associa-
rate due to air pollution.[23] India also has more deaths tions are believed to be causal and effects may be me-
from asthma than any other nation according to the World diated by vasoconstriction, low-grade inflammation and
Health Organization. In December 2013 air pollution was atherosclerosis[39] Other mechanisms such as autonomic
estimated to kill 500,000 people in China each year.[24] nervous system imbalance have also been suggested.[40]
[41]
There is a correlation between pneumonia-related deaths
and air pollution from motor vehicles.[25]
Air pollution is estimated to reduce life expectancy by al-
most nine months across the European Union.[26] Causes 4.3 Lung disease
of deaths include strokes, heart disease, COPD, lung can-
cer, and lung infections.[2] Chronic obstructive pulmonary disease (COPD) includes
diseases such as chronic bronchitis and emphysema.[42]
The US EPA estimates that a proposed set of changes in
diesel engine technology (Tier 2) could result in 12,000 Research has [43]
demonstrated increased risk of develop-
[44]
fewer premature mortalities, 15,000 fewer heart attacks, ing asthma and COPD from increased exposure to
6,000 fewer emergency room visits by children with traffic-related air pollution. Additionally, air pollution
asthma, and 8,900 fewer respiratory-related hospital ad- has been associated with increased hospitalization and
[45][46]
missions each year in the United States. [27] mortality from asthma and COPD.
The US EPA estimates allowing a ground-level ozone A study conducted in 1960-1961 in the wake of the Great
concentration of 65 parts per billion, would avert 1,700 Smog of 1952 compared 293 London residents with
to 5,100 premature deaths nationwide in 2020 compared 477 residents of Gloucester, Peterborough, and Norwich,
with the current 75-ppb standard. The agency projects the three towns with low reported death rates from chronic
stricter standard would also prevent an additional 26,000 bronchitis. All subjects were male postal truck drivers
cases of aggravated asthma, and more than a million cases aged 40 to 59. Compared to the subjects from the out-
of missed work or school.[28][29] lying towns, the London subjects exhibited more severe
respiratory symptoms (including cough, phlegm, and dys-
A new economic study of the health impacts and asso- pnea), reduced lung function (FEV1 and peak flow rate),
ciated costs of air pollution in the Los Angeles Basin and increased sputum production and purulence. The dif-
and San Joaquin Valley of Southern California shows that ferences were more pronounced for subjects aged 50 to
more than 3,800 people die prematurely (approximately 59. The study controlled for age and smoking habits, so
14 years earlier than normal) each year because air pollu- concluded that air pollution was the most likely cause of
tion levels violate federal standards. The number of an- the observed differences.[47]
nual premature deaths is considerably higher than the fa-
talities related to auto collisions in the same area, which It is believed that much like cystic fibrosis, by living in a
average fewer than 2,000 per year.[30][31][32] more urban environment serious health hazards become
more apparent. Studies have shown that in urban areas
Diesel exhaust (DE) is a major contributor to patients suffer mucus hypersecretion, lower levels of lung
combustion-derived particulate matter air pollution. function, and more self-diagnosis of chronic bronchitis
In several human experimental studies, using a well- and emphysema.[48]
validated exposure chamber setup, DE has been linked
to acute vascular dysfunction and increased thrombus
formation.[33][34] This serves as a plausible mechanistic 4.4 Cancer
link between the previously described association
between particulates air pollution and increased cardio-
A review of evidence regarding whether ambient air
vascular morbidity and mortality.
pollution exposure is a risk factor for cancer in 2007
found solid data to conclude that long-term exposure to
PM2.5 (fine particulates) increases the overall risk of
4.2 Cardiovascular disease non-accidental mortality by 6% per a 10 microg/m3 in-
crease. Exposure to PM2.5 was also associated with an
A 2007 review of evidence found ambient air pollution increased risk of mortality from lung cancer (range: 15%
exposure is a risk factor correlating with increased total to 21% per 10 microg/m3 increase) and total cardiovas-
mortality from cardiovascular events (range: 12% to 14% cular mortality (range: 12% to 14% per a 10 microg/m3
per 10 microg/m3 increase).[35] increase). The review further noted that living close to
Air pollution is also emerging as a risk factor for stroke, busy traffic appears to be associated with elevated risks
particularly in developing countries where pollutant lev- of these three outcomes --- increase in lung cancer deaths,
els are highest.[36] A 2007 study found that in women, cardiovascular deaths, and overall non-accidental deaths.
4.5 Children 7
4.5 Children
In the United States, despite the passage of the Clean
Air Act in 1970, in 2002 at least 146 million Americans
were living in non-attainment areas—regions in which
the concentration of certain air pollutants exceeded fed-
eral standards.[54] These dangerous pollutants are known
as the criteria pollutants, and include ozone, particulate
matter, sulfur dioxide, nitrogen dioxide, carbon monox-
ide, and lead. Protective measures to ensure children’s
health are being taken in cities such as New Delhi, India
where buses now use compressed natural gas to help elim-
inate the “pea-soup” smog.[55] A recent study in Europe
has found that exposure to ultrafine particles can increase
blood pressure in children.[56]
state Medical University and Syracuse University mea- Motor vehicles driven by fossil fuels, a key factor in urban
sured the cognitive performance of 24 participants in air pollution, can be replaced by electric vehicles.
three different controlled laboratory atmospheres that
simulated those found in “conventional” and “green”
buildings, as well as green buildings with enhanced ven-
tilation. Performance was evaluated objectively using
8 Reduction efforts
the widely used Strategic Management Simulation soft-
ware simulation tool, which is a well-validated assessment There are various air pollution control technologies
test for executive decision-making in an unconstrained and land-use planning strategies available to reduce air
situation allowing initiative and improvisation. Signif- pollution.[70][71] At its most basic level, land-use planning
icant deficits were observed in the performance scores is likely to involve zoning and transport infrastructure
achieved in increasing concentrations of either volatile or- planning. In most developed countries, land-use planning
ganic compounds (VOCs) or carbon dioxide, while keep- is an important part of social policy, ensuring that land is
ing other factors constant. The highest impurity levels used efficiently for the benefit of the wider economy and
reached are not uncommon in some classroom or office population, as well as to protect the environment.
environments.[62][63] Because a large share of air pollution is caused by com-
bustion of fossil fuels such as coal and oil, the reduc-
tion of these fuels can reduce air pollution drastically.
Most effective is the switch to clean power sources such
5 Agricultural effects as wind power, solar power, hydro power which don't
cause air pollution.[72] Efforts to reduce pollution from
In India in 2014, it was reported that air pollution by black mobile sources includes primary regulation (many devel-
carbon and ground level ozone had cut crop yields in the oping countries have permissive regulations), expanding
most affected areas by almost half in 2010 when com- regulation to new sources (such as cruise and transport
pared to 1980 levels.[64] ships, farm equipment, and small gas-powered equipment
such as string trimmers, chainsaws, and snowmobiles), in-
creased fuel efficiency (such as through the use of hybrid
vehicles), conversion to cleaner fuels or conversion to
6 Historical disasters electric vehicles.
The world’s worst short-term civilian pollution crisis was Titanium dioxide has been researched for its ability to
the 1984 Bhopal Disaster in India.[65] Leaked industrial reduce air pollution. Ultraviolet light will release free
vapours from the Union Carbide factory, belonging to electrons from material, thereby creating free radicals,
Union Carbide, Inc., U.S.A. (later bought by Dow Chem- which break up VOCs and NOx gases. One form is
ical Company), killed at least 3787 people and injured superhydrophilic.[73]
anywhere from 150,000 to 600,000. The United King- In 2014, Prof. Tony Ryan and Prof. Simon Armitage
dom suffered its worst air pollution event when the De- of University of Sheffield prepared a 10 meter by 20
cember 4 Great Smog of 1952 formed over London. In meter-sized poster coated with microscopic, pollution-
six days more than 4,000 died and more recent estimates eating nanoparticles of titanium dioxide. Placed on a
put the figure at nearer 12,000.[66] An accidental leak of building, this giant poster can absorb the toxic emission
anthrax spores from a biological warfare laboratory in the from around 20 cars each day.[74]
former USSR in 1979 near Sverdlovsk is believed to have
A very effective means to reduce air pollution is the
caused at least 64 deaths.[67] The worst single incident of
transition to renewable energy. According to a study pub-
air pollution to occur in the US occurred in Donora, Penn-
lished in Energy and Environmental Science in 2015 the
sylvania in late October, 1948, when 20 people died and
switch to 100% renewable energy in the United States
over 7,000 were injured.[68]
would eliminate about 62,000 premature mortalities per
year and about 42,000 in 2050, if no biomass were used.
This would save about $600 billion in health costs a year
7 Alternatives to creating air pollu- due to reduced air pollution in 2050, or about 3.6% of
the 2014 U.S. gross domestic product.[72]
tion
There are now practical alternatives to the three princi- 8.1 Control devices
pal causes of air pollution. Combustion of fossil fuels
for space heating can be replaced by using ground source The following items are commonly used as pollution con-
heat pumps and seasonal thermal energy storage.[69] Elec- trol devices in industry and transportation. They can ei-
tric power generation from burning fossil fuels can be re- ther destroy contaminants or remove them from an ex-
placed by power generation from nuclear and renewables. haust stream before it is emitted into the atmosphere.
9
11 Cities
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17
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