THE IMPACT OF AIR POLLUTION
ON HUMAN HEALTH
Rose Mary Jose
St. Joseph College of Teacher Education
for Women, Ernakulam
Abstract
Air pollution is a major
concern of new civilized world,
which has a serious toxicological impact
on human health and the environment. It has a number of different emission
sources, but motor vehicles and industrial processes contribute the major part of air pollution. According to the World Health Organization, six major air
pollutants include particle pollution, ground-level ozone, carbon monoxide,
sulphur oxides, nitrogen oxides, and lead. Long and short term exposure to air
suspended toxicants has a different toxicological impact on human including
respiratory and cardiovascular diseases, neuropsychiatric complications, the
eyes irritation, skin diseases, and long-term chronic diseases such as cancer.
In this review article, we aimed to discuss the impact of air pollution on
human health.
Key terms
Air pollution, cardiovascular diseases, morbidity, mortality, particulate matter
Introduction
Pollution of the air have been known since
the early man discovered fire and started
to use biomass for heating and preparing food. However, many people
consider that ambient air pollution is a modern phenomenon linked to industrial
development, although health problems related to air pollution have been known before the industrial age. The sources
of pollution vary from small
unit of cigarettes and natural sources
such as volcanic
activities to large
volume of emission
from motor engines of automobiles and industrial activities. Long-term effects
of air pollution on the onset of diseases such as respiratory infections and inflammations, cardiovascular dysfunctions, and cancer
is widely accepted; hence, air pollution is linked with millions of death
globally each year.
A
recent study has revealed the association between male infertility and air pollution.
Several reports have revealed
the direct association between exposure to the poor air quality
and increasing rate of morbidity and mortality mostly
due to cardiovascular and respiratory diseases. Air pollution
is
considered as the major environmental risk factor in the incidence and
progression of some diseases such as asthma, lung cancer, Alzheimer's and
Parkinson's diseases, psychological complications, autism, fetal growth, and
low birth weight.
Air
pollution has now emerged in developing countries as a result of
industrial activities and also
increase the quantity of emission
sources such as inappropriate vehicles.
About 4.3 million
people die from household air pollution and 3.7 million from ambient air
pollution.
Exposure to air pollution
In
general, combustion is the chief process responsible for pollutant emissions.
The chemical composition of air pollution is very complex and consist of gases,
e.g. nitrogen oxides, sulphur dioxide, ozone, carbon monoxide, carbondioxide and particles. Combustion processes are mainly
responsible for the pollutant present in ambient
air. However, incomplete combustion and spill,
e.g. gasoline,
may also contribute to ambient air pollution, e.g. benzene. Focus
has mostly been on
combustion of fossil fuel in connection with energy production and
transportation. However, combustion of garbage and biomass, e.g. forest fires
will also contribute to the air pollution. Combustion of garbage is especially
a problem in poorer areas and villages; as the combustion temperature and
technology is not sufficient, many unwanted products are formed.
Urbane
airborne particulate matter is a variable mixture of numerous classes and
subclasses of contaminants. Particle properties and their associated health
effects differ by size. The size and associated composition of particles
determine their behaviour in the respiratory system, i.e., penetration, deposition and clearance. The particle size is one of the most
important parameters in determining the residence and spatial
distribution of particles in ambient air. Ultrafine particles have a very short life, but will rapidly accumulate to form
larger particles, that can be transported thousands of kilometers and
remains in the atmosphere from days to weeks.
Particles
consist of a core to which numerous other compounds, organic as well as
inorganic are associated, e.g. nitrogen
oxide reacts to form nitrate
and sulphur dioxides
to form sulphates. These secondary particles do have diverging toxicity from the
original particle. Polycyclic aromatic hydrocarbons are principal pollutants
formed by incomplete combustion and are associated with particulate matters.
Polycyclic aromatic hydrocarbons are products of incomplete combustion and are commonly found
in diesel exhaust.
Pollutants in diesel
exhausts exist as particles and gas phase
compounds.
Exposure to diesel exhaust has been associated with an increased risk of
bladder cancer in workers occupationally exposed to high level of diesel
exhaust.
Sulphur dioxide (SO2) is a
gaseous by-product of the combustion of fossil fuels that contains sulphur, e.g. certain coals, liquid fuels and natural
gas. Exposure to SO2, even at low level is linked
to increased bronchoconstriction in people with asthma,
and reduction in lung function has been observed at higher
concentrations. Long-term exposure
to SO2 has
been associated with decreased
pulmonary function and increased mortality.
Nitrogen dioxide (NO2) is a
gaseous by-product of the combustion of fossil fuels. In many urban areas mobile
source emissions are the major source of NO2. NO2 may
also react as an oxidant
and exposure even at low levels induces inflammatory
response. Short-term exposure is associated with increased mortality and
hospital admissions.
Adverse health
effects
Outdoor air pollution contributes to various adverse health effects. Whereas some effects may be related to short-term
exposure, others have to be related to long-term exposure. Although the
biological mechanisms are not fully elucidated, epidemiological studies suggest a link between
air pollution and various health outcomes, e.g. respiratory symptoms,
mortality, cancer.
Mortality
A large body of
epidemiological evidence suggests an association between ambient air pollution
and cardiovascular mortality and morbidity. The major risks have been linked to
SO2 and PM. Sulphur dioxide is associated with increased daily mortality from
both respiratory and cardiovascular disease even at the low levels. Long term exposure to ambient PM contributes to
systemic inflammatory pathways, which are relevant aspects of atherogenesis
resulting in atherosclerosis and ultimately cardiovascular death.
Respiratory disorders
Exposure to traffic related
air pollution has been implicated in impairment of respiratory health
in children. Truck traffic
and air pollutants associated with truck
traffic were associated with chronic
respiratory symptoms in children living
close to motorways, whereas there was no association with car traffic. Furthermore, there was no association with bronchial hyper responsiveness in these
children,
however sensitization to outdoor allergen was increased in the group exposed to
high level of air pollution. The increased sensitivity to outdoor allergen may
be a consequence of the fact that
diesel exhaust particles modifies
the allergen and enhances the immunologic response of the
allergen and increase the
inflammatory responses. Air pollution
has not been found to induce asthmatic conditions in children, but will
exuberate an already existing condition.
Cancer
Epidemiological
studies have indicated that in Western countries the relative risk of
developing lung cancer is 1.5-fold higher
in urban that in rural areas after
adjusting for cigarette smoking. Air pollution, e.g. vehicles, industry, power plants,
has been reported to increase the risk of lung cancer. The risk of lung cancer
death has been suggested to increase by 8% for every 10 micrograms of fine
particles/m3 of inhaled air.
Significance and Importance
Addressing air pollution is crucial for creating a healthier and sustainable environment. Efforts to reduce pollution not only improve
public health but also contribute to the overall well-being of ecosystems and future generations. Improving air quality
will improve the quality of life and have
important impact on economic
development. Mobile sources are the
major contributor to ambient air pollution in developed
countries. Thus, stringent standards for new sources of air pollution
(especially motor vehicles) will significantly improve air quality. However,
the increasing economic welfare will result
in an increasing number of vehicles and longer commuting distances, so the net benefits of these standards may be negligible. As the level of the pollution depends on the engine type
and condition, fuel type, traffic congestions, driving habits and load of
vehicles stricter control and
introduction of cleaner
technologies, e.g. hybrid cars. Furthermore, improved city planning to minimize traffic congestions
and development of public
transportation may help in minimize the air pollution in the megacities and
improve the quality of life.
Clean air contributes to a better quality of life by providing a
safer and healthier environment. People in areas with lower air pollution
levels generally experience improved mental
well-being and a higher overall quality of life. Prevention of air pollution is essential for addressing
environmental justice concerns. Vulnerable and marginalized communities often bear a
disproportionate
burden of pollution, and preventing it can contribute to a more equitable
distribution of environmental impacts. Air pollution knows no borders, and preventing it requires global cooperation.
International efforts to reduce emissions and limit pollution contribute to a
healthier planet for all.
Preventing
air pollution is essential for safeguarding human health, preserving
ecosystems, mitigating climate change,
and promoting sustainable development. It is a multifaceted challenge that requires coordinated efforts at local, national,
and global levels.
Conclusion
In conclusion, the impact of air pollution on human health is a
grave and multifaceted challenge that demands urgent attention and
comprehensive action. The detrimental effects of breathing polluted air reach
far beyond mere inconvenience, manifesting as a significant threat to public
health on a global scale.
From respiratory and cardiovascular diseases
to increased mortality
rates, the consequences are both widespread and severe.
Children,
in particular, bear a heavy burden, facing impaired lung development and
heightened vulnerability to various health issues. Moreover, emerging research
hints at the insidious neurological effects of air pollution, underscoring the
need for a holistic understanding of its impact on human well-being.
The ramifications extend beyond individual health, permeating societal
and economic realms.
The economic costs associated with healthcare expenses and loss of
productivity are substantial, emphasizing that the battle against air pollution
is not only a public health imperative but an economic one as well.
Crucially,
the issue of air pollution is not confined by borders. It is a global concern
with transboundary effects, necessitating collaborative efforts on an international scale. Environmental
justice considerations highlight the importance of addressing the
disproportionate impact on vulnerable communities, emphasizing the need for
equitable solutions.
In
the face of these challenges, the imperative to prevent air pollution becomes
evident. Implementing stringent
environmental regulations, adopting
sustainable practices, and promoting
clean
energy sources are critical steps toward safeguarding human health. The
importance of public awareness, education, and advocacy cannot be overstated in
fostering a collective responsibility to protect the air we breathe.
Ultimately,
recognizing the significance of the impact of air
pollution on human health is the
first step towards creating a healthier and more sustainable future. Through
concerted efforts at the individual, community, and global levels, we can
mitigate the adverse effects of air pollution, ensuring cleaner air for current and future generations. The pursuit of cleaner air is not just a matter
of environmental stewardship; it is an investment in the well-being of humanity and the planet we call home.
References
1) Diaz-Sanchez
D, Panichet-Garcia M, Saxon A (2000) Diesel exhaust
particles directly induce activated mast
cells to degranulate and increase
histamine levels and symptom severity. J Allergy Clin
Immunol 106: 1140-46.
2) Ackermann-Liebrich
U, Rapp R (1999) Epidemiological effects of oxides of nitrogen, especially NO2.
In: Air pollution and Health, Academic Press, London England.
3) Janssen
NAH, Brunekreef B, van Vliet P et al (2003) The relationship between air
pollution from heavy traffic and allergic sensitization, bronchial
hyperresponsiveness, and respiratory symptoms in Dutch school children. Environ
Health Perspec 111: 1512-1518.
4) Schlesinger
RB, Cassee F (2003) Atmospheric secondary inorganic particulate matter: the
toxicological perspective as a basis
for health effects risk assessment. Inhal Toxicol 15: 197-235
5) Zhang W, Qian
CN, Zeng YX. Air pollution: A smoking
gun for cancer. Chin J Cancer.
2014; 33: 173–5.
6) Camargo
JA, Alonso A. Ecological and toxicological effects
of inorganic nitrogen pollution
in aquatic ecosystems: A global assessment. Environ Int. 2006; 32:
831–49.
7) Pelucchi
C, Negri E, Gallus S, Boffetta P, Tramacere I, La Vecchia C. Long-term
particulate matter exposure and mortality: A review of European epidemiological
studies. BMC Public Health. 2009; 9: 453.
Comments
Post a Comment