北京气温与小儿呼吸道疾病相关性研究

本文研究了北京大气温度的变化与小儿呼吸道疾病的关系，结果表明北京大气温度升高与小儿呼吸道疾病的发生率呈负相关，ｒｓ＝０．５３０，ｐ＜０．０１，北京冬季小儿呼吸道疾病为小儿疾病发生率的首位，而且呈周期性变化，本文还讨论了小儿呼吸道疾病的病因及其防治。     

Long-term associations of morbidity with air pollution: A catalog and synthesis

I searched the National Institutes of Health MEDLINE database through January 2017 for long-term studies of morbidity and air pollution and cataloged them with respect to cardiovascular, respiratory, cancer, diabetes, hospitalization, neurological, and pregnancy-birth endpoints. The catalog is presented as an online appendix. Associations with PM_2.5 (particulate matter with an aerodynamic diameter <2.5 μm), PM₁₀ (PM with an aerodynamic diameter <10 μm), and nitrogen dioxide (NO₂) were evaluated most frequently among the 417 ambient air quality studies identified. Associations with total suspended particles (TSP), carbon, ozone, sulfur, vehicular traffic, radon, and indoor air quality were also reported. I evaluated each study in terms of pollutant significance (yes, no), duration of exposure, and publication date. I found statistically significant pollutant relationships (P < 0.05) in 224 studies; 220 studies indicated adverse effects. Among 795 individual pollutant effect estimates, 396 are statistically significant. Pollutant associations with cardiovascular indicators, lung function, respiratory symptoms, and low birth weight are more likely to be significant than with disease incidence, heart attacks, diabetes, or neurological endpoints. Elemental carbon (EC), traffic, and PM_2.5 are most likely to be significant for cardiovascular outcomes; TSP, EC, and ozone (O₃) for respiratory outcomes; NO₂ for neurological outcomes; and PM₁₀ for birth/pregnancy outcomes. Durations of exposure range from 60 days to 35 yr, but I found no consistent relationships with the likelihood of statistical significance. Respiratory studies began ca. 1975; studies of diabetes, cardiovascular, and neurological effects increased after about 2005. I found 72 studies of occupational air pollution exposures; 40 reported statistically significant adverse health effects, especially for respiratory conditions. I conclude that the aggregate of these studies supports the existence of nonlethal physiological effects of various pollutants, more so for non–life-threatening endpoints and for noncriteria pollutants (TSP, EC, PM_2.5 metals). However, most studies were cross-sectional analyses over limited time spans with no consideration of lag or disease latency. Further longitudinal studies are thus needed to investigate the progress of disease incidence in association with air pollution exposure.

Implications: Relationships of air pollution with excess mortality are better known than with long-term antecedent morbidity. I cataloged 489 studies of cardiovascular, respiratory, cancer, and neurological effects, diabetes, and birth outcomes with respect to 12 air pollutants. About half of the studies reported statistically significant relationships, more frequently with noncriteria than with criteria pollutants. Indoor and cumulative exposures, coarse or ultrafine particles, and organic carbon were seldom considered. Significant relationships were more likely with less-severe endpoints such as blood pressure, lung function, or respiratory symptoms than with incidence of cancer, chronic obstructive pulmonary disease (COPD), heart failure, or diabetes. Most long-term studies are based on spatial relationships; longitudinal studies are needed to link the progression of pollution-related morbidity to mortality, especially for the cardiovascular system.     

A Method for Using Air Pollution Measurements and Public Opinion to Establish Ambient Air Quality Standards

Air quality was comprehensively evaluated by means of sampling at 21 locations over metropolitan Birmingham during a period of one year. Thousands of integrated samples of three common atmospheric gaseous pollutants and two common particulate pollutants were collected and analyzed. Following the year of sampling in 1964, a random household survey was completed by conducting personal interviews at more than 7200 households over metropolitan Birmingham. Statistical reduction of household survey results by census tract and by neighborhood area provided domestic fuel and waste burning emission data as well as public (resident) opinion on specific air pollution effects. The relationship between ambient air quality and neighborhood opinion of air pollution effects on health and property are evaluated statistically. Ambient standards are suggested which are based upon those air pollution levels shown to have adverse effects on approximately one-third of the people.     

Respiratory health of road-side vendors in a large industrialized city

GOAL, SCOPE AND BACKGROUND: The literature reports a high prevalence of respiratory symptoms associated with exposure to motor vehicle exhaust emissions and people exposed to vehicle emissions are at risk of reduced lung function and cardiovascular performance. Although the effect of traffic emissions is a known risk to respiratory health, retailers are often situated along major roads in a busy urban environment to maximise customers. Shop assistants in an air-conditioned environment should be less exposed to traffic fumes and their lung function should be better preserved compared to 'unprotected' vendors exposed directly to vehicle emissions. The lung function of these two groups of workers has not previously been compared. The aims of this study are to determine if there is a difference in the concentration of respirable particles of diameter less than 10 micrometers (PM10) inside and outside air-conditioned shops along a busy major road; and to compare the lung function parameters, blood lead levels and respiratory symptoms between road-side vendors directly 'exposed' to traffic fumes and vendors working in 'protected' air-conditioned shops along the same road. METHODS: Roadside vendors (n=33) and adjacent shop assistants (n=31) were recruited for the study in a district known to have high emissions and pollution measures. All subjects were asked to complete a questionnaire providing the frequency of their respiratory symptoms. Spirometry pulmonary function tests were conducted and exhaled carbon monoxide levels (ECO), oxygen saturation and blood lead levels (BLL) were measured. PM10 level was concurrently measured in the subject's working environment. Pulmonary function data and ECO levels collected from a cohort of university staff aged > or = 30 years (n=92) at a university campus were included for comparison. RESULTS: The concentration of particulate matter (PM10) at the roadside (210 +/- 70 microg/m3) was significantly higher than inside the shops (130 +/- 40 microg/m3). There was no difference in lung function parameters or BLL between the groups, however the forced vital capacity of both groups of vendors was significantly lower than a 'control' cohort of academic institution personnel (n=92). DISCUSSION: This study illustrated that while the level of pollution improved with air conditioning, this may not be sufficient to prevent respiratory consequences. Our data suggests that a reduction in occupational exposure is not enough to protect these workers. CONCLUSIONS: Air-conditioned work environment is insufficient to protect the respiratory system against the adverse effects of exposure to vehicle emissions. RECOMMENDATIONS: The overwhelming effect of exposure during travel to and from work and at home cannot be underestimated. More stringent guidelines to control pollution appear necessary to protect the respiratory health of both shop-keepers and road-side vendors and further studies to explore the effect on respiratory health of the exposure to pollutants associated with commuting to and from work are warranted.     

Human health effects of air pollution

Hazardous chemicals escape to the environment by a number of natural and/or anthropogenic activities and may cause adverse effects on human health and the environment. Increased combustion of fossil fuels in the last century is responsible for the progressive change in the atmospheric composition. Air pollutants, such as carbon monoxide (CO), sulfur dioxide (SO(2)), nitrogen oxides (NOx), volatile organic compounds (VOCs), ozone (O(3)), heavy metals, and respirable particulate matter (PM2.5 and PM10), differ in their chemical composition, reaction properties, emission, time of disintegration and ability to diffuse in long or short distances. Air pollution has both acute and chronic effects on human health, affecting a number of different systems and organs. It ranges from minor upper respiratory irritation to chronic respiratory and heart disease, lung cancer, acute respiratory infections in children and chronic bronchitis in adults, aggravating pre-existing heart and lung disease, or asthmatic attacks. In addition, short- and long-term exposures have also been linked with premature mortality and reduced life expectancy. These effects of air pollutants on human health and their mechanism of action are briefly discussed.     

On Air Pollution,Environmental Tobacco Smoke,Radon, and Lung Cancer

The health of populations in industrialised societies has been affected for many years by ambient air pollutants presenting a threat of chronic bronchitis and lung cancer. In the 1980s Indoor pollutants received much needed investigation to assess their hazards to health. Exposure to environmental tobacco smoke and radon is now the subject of much research and concern. This review attempts to put some perspective on lung cancer that is attributable to lifetime exposure to airborne pollutants. The view is expressed that air pollution control authorities have played and are playing a major role in health improvement.     

Association between air quality and quality of life

Air quality—or its converse, air pollution—is a significant risk factor for human health. Recent studies have reported association between air pollution and human health. There are numerous diseases that may be caused by air pollution such as respiratory infection, lung cancer, cardiovascular disease, chronic obstructive pulmonary disease, and asthma. In this study, the relationship between air quality and quality of life was examined by using canonical correlation analysis. Data of this study was collected from 27 countries. WHO statistics were used as the main source of quality of life data set (Y variables set). European Environment Agency statistics and (for outdoor air-PM10) WHO statistics were used as the main source of air quality data set (X variables set). It is found that there are significant positive correlation between air quality and quality of life.     

唐山市工业区大气污染对小学生肺功能的影响

探讨了工业区大气污染对小学生肺功能的影响。在唐山市工业区和相对清洁区选取452名小学生为研究对象,进行肺功能的测定和问卷调查。用多元回归分析建立模型后,以实测值占预计值的百分比为统计量进行分析。调查结果显示小学生肺功能指标中MVV、V25污染区低于对照区,VC、FEV、V25、V50的异常率高于对照区,且与大气中SO2的浓度有关。     

Lung cancer mortality and exposure to atmospheric aerosol particles in Guangzhou,China

In recent years, China and other emerging countries have been experiencing severe air pollution problems with high concentrations of atmospheric aerosol particles. Satellite measurements indicate that the aerosol loading of the atmosphere in highly populated regions of China is about 10 times higher than, for example, in Europe and in the Eastern United States. The exposure to extremely high aerosol concentrations might lead to important human health effects, including respiratory and cardiovascular diseases as well as lung cancers. Here, we analyze 52-year historical surface measurements of haze data in the Chinese city of Guangzhou, and show that the dramatic increase in the occurrence of air pollution events between 1954 and 2006 has been followed by a large enhancement in the incidence of lung cancer.     

Oxidant stress, antioxidants and nitric oxide in traffic police of Hyderabad, India

Exposure to environmental pollutants is known to be harmful to health, in general, and to lungs in particular. In this respect, traffic police are at particular risk due to the nature of their job, since they are exposed to emissions from the vehicles. Here, we show that in the traffic police of Hyderabad city, India, the plasma levels of lipid peroxides are high, whereas the concentrations of the nitric oxide are low. In addition, the levels of various antioxidants in the RBC lysate such as catalase, superoxide dismutase and glutathione peroxidase were found to be low with no significant alteration in plasma ceruloplasmin levels. These results suggest that exposure to air pollutants, a major portion of which is due to emissions from the vehicles, can increase oxidant stress, decrease the levels of antioxidants and nitric oxide. This imbalance in the oxidant/antioxidant system may lead to lung damage and is likely to cause respiratory problems in individuals exposed to air pollution.     

Indoor air and respiratory health in preadolescent children

The effect of indoor exposure to nitrogen dioxide, ammonia, particulate matter and parental tobacco smoke on respiratory health was studied over a period of six months in all second graders born and living in two area of continental Croatia 8–10 yr of age. The study group was divided into two sections corresponding to area of residence (industrial/rural). Information on respiratory symptoms was collected from a self-administered questionnaire completed by the parents of the children. The mean values of concentrations of indoor air pollution that had been recorded in 24-h samples of air collected at schools were mostly below threshold limit for ambient pollution. In addition, information on parental smoking, the density of habitation and the type of fuel used for heating and/or cooking in the home was obtained by a questionnaire. In the investigated period the prevalence of respiratory illness was 22% in the children exposed to lower indoor air pollution and 25% in those exposed to higher indoor air pollution. Exposure to parental smoking was also associated with more respiratory symptoms (28 : 19%). The results indicate that the measured air pollutants only had a slight effect on the respiratory health of preadolescent children. However, the effect of exposure to parental smoking was more pronounced.     

The relationship between atmospheric pollutant emissions and fuel qualities of inland vessels in Jiangsu Province,China

Air pollution caused by ship exhaust emission is receiving more and more attention. The physical and chemical properties of fuels, such as sulfur content and PAHs content, potentially had a significant influence on air pollutant emissions from inland vessels. In order to investigate the effects of fuel qualities on atmospheric pollutant emissions systematically, a series of experiments was conducted based on the method of actual ship testing. As a result, SO2, PM and NOx emission rates all increased with the increase of main engine rotating speed under cruise mode, while PM and NOx emission factors were inversely proportional to the main engine rotating speed. Moreover, SO2 emission factor changed little with the increase of the main engine rotating speed. In summary, the fuel-dependent specific emission of SO2 was a direct reflection of the sulfur content in fuel. The PM emission increased with the increase of sulfur content and PAHs content in fuel. However, fuel qualities impacted little on NOx emissions from inland vessels because of NOx formation mechanisms and conditions.

Implications: Ship activity is considered to be the third largest source of air pollution in China. In particular, air pollutants emitted from ships in river ports and waterways have a direct impact on regional air quality and pose threat on the health of local residents owing to high pollutants concentration and poor air diffusion. The study on the relationship between air pollutant emissions and fuel quality of inland vessels can provide foundational data for local authority to formulate reasonable and appropriate policies for reducing atmospheric pollution due to inland vessels.     

A general method for evaluating the effects of air pollutants on lung cancer prevalence

ABSTRACT

It is widely accepted that some air pollutants are related to lung cancer prevalence. An effective method is proposed to quantitatively evaluate the effects of air pollutants and the interactions between them. The method consisted of three parts: data decomposition, comparable data generation and relationship inference. Firstly, very limited monitoring data published by Geographic Information System were applied to calculate the inhalable air pollution of relatively massive patient samples. Then the investigated area was partitioned into a number of districts, and the comparable data containing air pollutant concentrations and lung cancer prevalence in all districts were generated. Finally, the relationships between pollutants and lung cancer prevalence were concluded by an information fusion tool: Choquet integral. As an example, the proposed method was applied in the investigation of air pollution in Tianjin, China. Overall, SO₂, O₃ and PM_2.5 were the top three factors for lung cancer. And there was obvious positive interaction between O₃ and PM_2.5 and negative interaction among SO₂, O₃ and PM₁₀. The effect of SO₂ on men was larger than on women. O₃ and SO₂ were the most important factors for the adenocarcinoma and squamous cell carcinoma, respectively. The effect of SO₂ or NO₂ on squamous cell carcinoma is obviously larger than that on adenocarcinoma, while the effect of O₃ or PM_2.5 on adenocarcinoma is obviously larger than that on squamous cell carcinoma. The results provide important suggestions for management of pollutants and improvement of environmental quality. The proposed method without any parameter is general and easily realized, and it sets the foundation for further researches in other cities/countries.

Implications: For total lung cancer prevalence, male and female lung cancer prevalence, and adenocarcinoma and squamous cell carcinoma prevalence, the proposed method not only quantify the effect of single pollutant (SO₂, NO₂, CO, O₃, PM_2.5, and PM₁₀) but also reveals the correlations between different pollutants such as positive interaction or negative interaction. The proposed method without any geographic predictor and parameter is much easier to realize, and it sets the foundation for further research in other cities/countries. The study results provide important suggestions for the targeted management of different pollutants and the improvement of human lung health.     

An Epidemiological Appraisal of the Effects of Ambient Air on Health: Particulates and Oxides of Sulfur

This review has attempted to evaluate the present state of our knowledge of the effects on health in man of environmental exposure to oxides of sulfur, sulfates, and particulate matter. There has been a great deal of activity in this field over the last 15 years, and therefore any collation of this material will represent the selected biases of the reviewer. The conclusions reached can be summarized as follows: (1) These pollutants, as they have been measured in epidemiological investigations, can only be considered as indirect indices of general air pollution and in many cases cannot be separated from each other. Therefore, we cannot incriminate a specific source of any one pollutant as the producer of the most harmful substance to reach the ambient air. Conversely, we cannot excuse any specific source of one pollutant because that specific pollutant has not been found to cause disease at a given concentration. The measurements in ambient air are the net results from all sources of pollution in combination with factors influenced by weather and meteorological considerations. (2) Direct effects from acute, high ambient air pollution disasters have been adequately demonstrated. Significant excess mortality has occurred in association with particular air pollution episodes. All of these episodes have occurred during cold weather, and the effects of temperature must also be considered along with elevated levels of smoke and sulfur oxides. (3) Specific working groups exposed to unusually high levels of these pollutants do not demonstrate dramatic effects. This is presumably related to the fact that susceptible people are self-selected out of these environments. (4) Associations between the prevalence of chronic respiratory disease in the general population and specific levels of these air pollutants have been demonstrated. The major thrusts of epidemiological investigations have been to study the effects of chronic exposure to ambient levels of smoke and sulfur dioxide. The studies to date have collected and analyzed point-prevalence data and information obtained from retrospective investigations. Although epidemiological investigations cannot prove a cause-and-effect relationship, the consistency of the results is such that one must conclude that a causal association is likely. In this reviewer’s opinion we have reached the stage at which we no longer need to demonstrate the effect of past exposure to these pollutants. What is needed now is to demonstrate the effects of current and continued exposure. This will require a better understanding of the natural history and pathophysiology of the diseases thought to be associated with chronic exposure to smoke and sulfur dioxide. Because of the nature of chronic respiratory disease, groups of subjects for whom exposure is known, must be followed over extended periods of time. The logical extension of these observations will be the follow-up of large populations for whom exposure has been reduced. Only by studies of this kind may we be able to prove the cause-and-effect relationship which most likely exists.     

A spatial multicriteria model for determining air pollution at sample locations

Atmospheric pollution in urban centers has been one of the main causes of human illness related to the respiratory and circulatory system. Efficient monitoring of air quality is a source of information for environmental management and public health. This study investigates the spatial patterns of atmospheric pollution using a spatial multicriteria model that helps target locations for air pollution monitoring sites. The main objective was to identify high-priority areas for measuring human exposures to air pollutants as they relate to emission sources. The method proved to be viable and flexible in its application to various areas.

Implications:?Spatial multicriteria models provide a tool for air pollution management in urban areas. Analytic hierarchy process (AHP) modeling can help with the process of prioritizing monitoring site locations and minimizing costs.     

Air Quality Criteria—Toxicological Appraisal for Oxidants,Nitrogen Oxides,and Hydrocarbons

The ultimate aim of toxicological studies is to determine the effects of pollutants on the health and welfare of human beings. To get this it is essential to conduct animal studies to evaluate the potential toxicity of different pollutants. Toxicological appraisal of the photochemical oxidant type of air pollution shows: (1) The effects are primarily on the lungs and the senses. (2) There is impairment of pulmonary function in humans at concentrations found in polluted air. (3) Both ozone and nitrogen dioxide tend to oxidize in animals the lung tissue for a time. This process creates agents which have the potential for cross-linking structural proteins, and this process initiates inflammation which accelerates cell turnover rates. Both crosslinking and cell turnover rates are factors in aging, which may thus be accelerated by years of repeated exposure to oxidants. (4) Long-term exposure to low levels of nitrogen dioxide can produce pre-emphasematous lesions in the lungs of rats and mice. Studies with other species are needed. (5) Ozone, nitrogen dioxide, and dilute irradiated car exhausts increase susceptibility to respiratory infection.

The constant search for more sophisticated and sensitive techniques to detect subtle changes indicative of pre-disease conditions should not be relaxed. Such techniques will provide chronic disease predictors of great relevance as air quality criteria.     

Effect of air pollution on peri-urban agriculture: a case study

Peri-urban agriculture is vital for the urban populations of many developing countries. Increases in both industrialization and urbanization, and associated air pollution threaten urban food production and its quality. Six hour mean concentrations were monitored for SO(2), NO(2) and O(3) and plant responses were measured in terms of physiological characteristics, pigment, biomass and yield. Parameter reductions in mung bean (Vigna radiata), palak (Beta vulgaris), wheat (Triticum aestivum) and mustard (Brassica compestris) grown within the urban fringes of Varanasi, India correlated directly with the gaseous pollutants levels. The magnitude of response involved all three gaseous pollutants at peri-urban sites; O(3) had more influence at a rural site. The study concluded that air pollution in Varanasi could negatively influence crop yield.     

Evaluation of Nationwide Health Costs of Air Pollution and Cigarette Smoking

Total nationwide health costs due to air pollution and cigarette smoking were evaluated by determining the percentages of the total respiratory disease cost for 1970 due to the separate and the synergistic effects of smoking and air pollution. Previous studies known to the authors did not properly account for the well established synergistic effect of smoking and air pollution, and also assumed that the urban factor (ratio of urban incidence to rural incidence) was due primarily or exclusively to air pollution. Recent evidence strongly indicates that air pollution is not the primary cause of the urban factor, although it does make a contribution. Taking a minimum of 10% and a maximum of 50% of the urban factor to be due to air pollution, the total 1970 nationwide health cost due to air pollution was found to be between $62 million and $311 million, and the nationwide health cost due to cigarette smoking was found to be $4.23 billion.     

Amelioration of Indian urban air pollution phytotoxicity in Beta vulgaris L. by modifying NPK nutrients

Air pollution levels are increasing at an alarming rate in many developing countries, including India and causing a potential threat to crop production. Field experiments were conducted to examine the impact of urban air pollutants on biomass (yield) and some physiological and biochemical parameters of palak (Beta vulgaris L. var. All Green) that grew from germination to maturity at seven periurban sites of Allahabad city having different concentrations of air pollutants under different levels of nutrients. The 6h daily mean NO2, SO2 and O3 concentrations varied from 2.5 to 42.5, 10.6 to 65 and 3.5 to 30.8 microg m(-3), respectively at different locations. Levels of air pollution showed significant negative correlations with photosynthetic pigments, protein, ascorbic acid and starch contents and catalase activity of palak leaves. A significant negative correlation was found for total biomass with SO2 (r=-0.92), NO2 (r=-0.85) and O3 (r=-0.91) concentrations. The increased fertilizer application (N, P and K) over the recommended dose resulted in a positive response by reducing losses in photosynthetic pigments and total biomass. This study proved that ambient air pollution of Allahabad city is influencing negatively to the growth and yield of palak plants.     

Controlled Exposures of Volunteers to Respirable Carbon and Sulf uric Acid Aerosols

Respirable carbon or fly ash particles are suspected to increase the respiratory toxicity of coexisting acidic air pollutants, by concentrating acid on their surfaces and so delivering it efficiently to the lower respiratory tract. To investigate this issue, we exposed 15 healthy and 15 asthmatic volunteers in a controlled- environment chamber (21°C, 50 percent relative humidity) to four test atmospheres: (i) clean air; (ii) 0.5-μm H2SO4 aerosol at =100 μg/m³, generated from water solution; (iii) 0,5-μm carbon aerosol at =250 μg/m³, generated from highly pure carbon black with specific surface area comparable to ambient pollution particles; and (iv) carbon as in (iii) plus =100 μg/m³ of ultrafine H2SO4 aerosol generated from fuming sulfuric acid. Electron microscopy showed that nearly all acid in (iv) became attached to carbon particle surfaces, and that most particles remained in the sub-μm size range. Exposures were performed double-blind, 1 week apart. They lasted 1 hr each, with alternate 10-min periods of heavy exercise (ventilation =50 L/min) and rest. Subjects gargled citrus juice before exposure to suppress airway ammonia. Lung function and symptoms were measured pre-exposure, after initial exercise, and at endexposure. Bronchial reactivity to methacholine was measured after exposure. Statistical analyses tested for effects of H₂SO₄ or carbon, separate or interactive, on health measures. Group data showed no more than small equivocal effects of any exposure on any health measure. One individual's responses were consistent with a clinically significant excess airway constriction from H₂SO₄ plus carbon, and 2-3 others showed slight excess responses to the combined pollutants, but all these observations might have reflected chance variations. We conclude that coexisting carbon aerosol did not increase respiratory irritancy of H₂SO₄, in most healthy and asthmatic subjects exposed for 1 hr under simulated "worst-case" ambient conditions.