
Air pollution is considered the world's largest environmental health threat, causing around 6-9 million premature deaths per year. It is a major factor in a range of diseases, from respiratory problems like asthma and bronchitis to cardiovascular issues, lung cancer, and even diabetes. The main pollutants of concern are nitrogen oxides, sulphur oxides, ozone, and particulate matter (PM), especially PM2.5, which can penetrate deep into the lungs and affect the respiratory and vascular systems. Vulnerable groups, including children, the elderly, and those with pre-existing health conditions, are at higher risk of adverse health outcomes from air pollution. Additionally, low-income communities and minority populations are often disproportionately exposed to air pollution and its health impacts.
Characteristics | Values |
---|---|
Number of premature deaths caused by air pollution each year | 6-9 million |
Diseases caused by air pollution | Asthma, diabetes, strokes, heart attacks, respiratory diseases, lung disease, cancer, emphysema, bronchitis, cardiovascular disease, central nervous system dysfunctions, cutaneous diseases, pulmonary insufficiency, infant mortality, mental disorders, perinatal disorders, chronic obstructive respiratory disease, acute lower respiratory disease |
Groups at higher risk | Children, elderly, people with existing diseases, pregnant women, low-income communities, minority populations, people living in areas with high levels of air pollution, people with lung diseases, people who work or exercise outdoors, people with cardiovascular disease, people in poverty, people who lack access to healthcare, people who smoke, people exposed to second-hand smoke, people working in occupations with high exposure to contaminated air, people who spend a lot of time near busy roadways |
What You'll Learn
Air pollution increases the risk of respiratory infections
Air pollution is a significant environmental concern, with nine out of ten people globally breathing unhealthy air. It is a major risk factor for early death, causing more than six million premature deaths annually from heart attacks, strokes, diabetes, and respiratory diseases. Respiratory infections are among the leading causes of global mortality, with air pollution increasing the risk of these infections.
Air pollution is associated with an increased risk and severity of respiratory infections, including pneumonia, tuberculosis, and influenza. Fine particles, such as PM2.5, can penetrate deep into the lungs, causing inflammation and impairing lung function. These particles can also carry viruses and bacteria, increasing the risk of infection. Additionally, air pollutants can disrupt the immune system, making individuals more susceptible to respiratory infections.
Vulnerable populations, including children, the elderly, and individuals with pre-existing respiratory conditions, are at a higher risk of adverse health effects from air pollution. The impact of air pollution on respiratory infections is particularly evident in developing countries, where the use of solid fuels for cooking and heating contributes to poor indoor air quality.
To reduce the risk of respiratory infections, it is essential to minimize exposure to air pollution. This can be achieved through regulatory measures to improve air quality, such as reducing emissions from vehicles and industries. Additionally, individuals can take protective measures, such as wearing masks and reducing time spent outdoors during periods of high air pollution.
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Air pollution increases the risk of heart disease
Air pollution is a major environmental risk factor for early death, causing more than 6 million premature deaths each year from heart attacks, strokes, diabetes, and respiratory diseases. It is also the biggest environmental risk factor for morbidity and mortality, with nine out of ten people worldwide breathing unhealthy air.
Fine particulate matter (PM2.5), which includes particles with diameters less than 2.5 micrometers, can increase the risk of cardiovascular events. Sources of PM2.5 include power plants, factories, automobiles, and wildfire smoke.
Research has shown that exposure to increased concentrations of PM2.5 over a few hours to weeks can trigger cardiovascular disease-related heart attacks and death. Longer-term exposure to PM2.5 can lead to an increased risk of cardiovascular mortality and decreased life expectancy.
In addition to PM2.5, other air pollutants such as nitrogen oxides (NOx) and ground-level ozone (O3) also contribute to the development of heart disease. NOx is primarily produced by the transportation sector, while O3 is formed through reactions of volatile organic compounds and nitrogen oxides from the combustion of fossil fuels.
Overall, air pollution is a significant risk factor for heart disease, and reducing air pollution is crucial for improving public health and reducing the burden of cardiovascular disease.
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Air pollution increases the risk of lung cancer
Air pollution is a serious threat to public health, contributing to a range of respiratory and cardiovascular diseases, as well as lung cancer. It is now the biggest environmental risk factor for premature death, causing more than 6 million deaths each year from heart attacks, strokes, diabetes, and respiratory diseases.
Lung cancer is one of the leading causes of cancer-related deaths worldwide, with a high case fatality rate. While smoking is the leading cause of lung cancer, air pollution is also a significant risk factor. Exposure to air pollutants such as nitrogen dioxide (NO2), ozone (O3), and particulate matter (PM) has been associated with increased lung cancer incidence and mortality.
Several studies have found a link between air pollution and lung cancer survival. One study, conducted in California, examined the impact of air pollution on lung cancer patients' survival. The study found that higher average exposures to NO2, O3, and PM after diagnosis were associated with reduced survival, particularly for patients with early-stage non-small cell cancers, including adenocarcinomas. The results suggested that air pollution exposures after lung cancer diagnosis may shorten survival, with clinically significant increases in the risk of death depending on the stage and type of cancer.
Another study, focusing on China, found a positive association between fine particulate matter (PM2.5) and lung cancer mortality. The study attributed the increased lung cancer mortality in China, particularly in urban areas, to exposure to fine particulate matter from sources such as vehicle emissions and industrial activities.
The mechanisms by which air pollution increases the risk of lung cancer are not fully understood. However, air pollutants may affect cancer progression through pathways such as oxidative stress, DNA damage, cell proliferation, and epigenetic modifications. Additionally, air pollution may impair respiratory function, further contributing to respiratory diseases and reducing survival rates in lung cancer patients.
Overall, air pollution is a significant risk factor for lung cancer, impacting both incidence and survival rates. Further research is needed to fully understand the mechanisms underlying this relationship and to develop effective interventions to reduce air pollution exposures and improve lung cancer outcomes.
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Air pollution increases the risk of stroke
Air pollution is a leading cause of stroke, with about 30% of strokes worldwide being attributed to it. Air pollution is now recognised as a major public health issue, and is one of the leading causes of mortality and morbidity.
Airborne particulate matter (PM) and gaseous pollutants such as ozone (O3), sulphur dioxide (SO2), carbon monoxide (CO), and nitrogen oxides including nitrogen dioxide (NO2) and nitrogen oxide (NOx) are the main pollutants that currently pose a risk to human health.
PM2.5, or fine particulate matter smaller than 2.5 microns in diameter, is associated with a greater chance of stroke. This is due to its ability to penetrate deeper into the lung and its larger reactive surface area for a given mass. A study by NYU Langone researchers found that those in the quartile of zip codes with the highest average PM 2.5 levels were about 24% more likely to have stenosis, or a narrowing by at least half, in either of the two internal carotid arteries that supply the brain.
The relative risk of air pollution at an individual level is small, but due to the ubiquitous nature of exposure, the absolute risk at a population level is significant. Long-term exposure to PM2.5 has been associated with a pooled excess risk of 6% for all-cause mortality and 11% for cardiovascular mortality for every 10 μg/m3 increment. A similar association has been found for certain gaseous co-pollutants, with a 13% increase in cardiovascular mortality per 10 μg/m3 increase in NO2 concentration.
The effects of air pollution are most marked in low and middle-income countries, where air pollution is projected to rise as a result of rapid industrialisation. Over 90% of the global burden of stroke is associated with modifiable risk factors, and control of these risk factors could prevent nearly 75% of all strokes.
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Air pollution increases the risk of diabetes
Air pollution is a significant risk factor for insulin resistance and the occurrence of type 2 diabetes mellitus (T2DM). Research has shown a strong link between air pollution and T2DM, with traffic-associated pollutants, gaseous, nitrogen dioxide, tobacco smoke, and particulate matter being the main culprits.
The exact mechanism behind the relationship between air pollution and T2DM has not yet been proven. However, it is known that some pollutants can enter the bloodstream once inhaled and interact with tissues and organs, ultimately disrupting the body's functions. These interactions can alter insulin sensitivity and production, among other things.
The risk of pollution-related diabetes is higher in lower-income countries that lack clean air policies, such as India, China, and Indonesia. More wealthy countries, such as Canada, Australia, and New Zealand, have a lower risk.
The chemical constituents of air pollutant mixtures may affect T2DM to varying degrees. For example, studies have found that exposure to specific particulate matter components, such as elemental carbon and nitrate, was associated with a higher risk of acute complications or exacerbation of symptoms in T2DM patients.
Overall, the available evidence highlights a strong association between air pollution and T2DM, with long-term exposure to air pollution increasing the risk of developing T2DM.
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Frequently asked questions
Air pollution is considered the world's largest environmental health threat, causing around 6-7 million premature deaths each year. It increases the risk of respiratory and cardiovascular diseases, including lung cancer, and can also cause asthma, bronchitis, and emphysema. It is also linked to an increased risk of diabetes, adverse birth outcomes, and neurodevelopmental issues. The effects of air pollution are influenced by the extent and duration of exposure, as well as individual factors such as age, health status, and socioeconomic factors.
The main substances affecting health in air pollution are nitrogen oxides (NOx), sulphur oxides (SOx), ozone, and particulate matter (PM). PM is of particular concern as the tiny particles (especially PM2.5) can penetrate deep into the lungs and affect both the respiratory and vascular systems.
Air pollution affects people of all ages, but children, the elderly, and people with pre-existing health conditions are often more susceptible to its health effects. Children are at higher risk of developing respiratory problems and experiencing adverse birth outcomes, while older adults may be more vulnerable to cardiovascular and respiratory diseases.
Low-income communities and minority populations are often disproportionately exposed to air pollution and more vulnerable to its adverse health impacts. This is due to various factors, including proximity to industrial sources of pollution, underlying health issues, poor nutrition, and limited access to healthcare.