Change in Pulmonary Function in Children Associated with Air Pollution Episodes

Pulmonary function of approximately 200 school children in Steubenville, OH was measured before and immediately following air pollution alerts in the fall of 1978 and 1979. TSP concentrations exceeded the National Primary Ambient Air Quality 24 h standards in 1978. SO₂ exceeded the standard in 1979. The children were then reexamined in three weekly visits following each alert. Estimated mean Forced Vital Capacity (FVC) was approximately 2% lower following each alert, although the lowest means were observed one to two weeks after the episodes. Forced Expired Volume in 0.75 sec (FEV_0.75) did not change during the 1978 study, but was 4% lower immediately following the 1979 alert. The children were measured again in five weekly examinations in the spring and fall of 1980. Air pollution levels did not exceed the standards on either occasion. In the spring of 1980, estimated mean FVC and FEV_0.75 showed a decline similar to that observed following the alerts in 1978 and 1979. In the fall of 1980, there were no significant differences in the estimated mean FVC or FEV_0.75 between the examinations. A total of 335 children were tested in the four studies, including 194 who participated in more than one study. The evidence for each child from all the studies was combined in a regression analysis of pulmonary function on TSP and SO₂ average concentrations in the previous 24 h. The distribution of the individual regression coefficients was centered significantly below zero, implying a decrease in pulmonary function with increasing TSP and SO₂ concentrations. The magnitude of the median change was less than 1% of the mean FVC and FEV_0.75 over the range of TSP and SO₂ concentrations observed.