
Air pollution is a major cause of disease and premature death worldwide. It is the single largest environmental health risk in Europe. Fine particulate matter (PM2.5) is the air pollutant driving the most significant health problems. It is released into the atmosphere by industrial processes, coal- or oil-burning power plants, residential heating systems, and automobiles. Short- and long-term exposure to air pollution can lead to a wide range of diseases, including stroke, chronic obstructive pulmonary disease, trachea, bronchus and lung cancers, aggravated asthma, and lower respiratory infections.
Characteristics | Values |
---|---|
Diseases caused by air pollution | Stroke, ischaemic heart disease, chronic obstructive pulmonary disease, pneumonia, lung cancer, aggravated asthma, lower respiratory infections, type 2 diabetes, obesity, systemic inflammation, Alzheimer's disease, dementia, cardiovascular disease, reproductive, neurological, and immune system disorders, and more |
Primary sources of human-made air pollution | Vehicle emissions, fuel oils, natural gas, by-products of manufacturing and power generation, coal-fueled power plants, fumes from chemical production, and more |
Major air pollutants | Particulate matter (PM), carbon monoxide (CO), ozone (O3), nitrogen dioxide (NO2), sulphur dioxide (SO2) |
Fine particulate matter (PM2.5) | Produced by combustion of low-quality solid fuels (e.g. coal and wood) in low-efficiency ovens for domestic heating |
Health impacts of air pollution exposure | Affects lung function, triggers asthma and COPD exacerbations, increases risk of respiratory infections, lung cancer, and heart attacks, and can lead to chronic diseases and cancer |
Respiratory diseases
Air pollution is the single largest environmental health risk in Europe and a major cause of premature death and disease. Fine particulate matter (PM2.5) is the air pollutant driving the most significant health problems.
COPD is a lung disease characterized by long-term inflammation and damage to the airways and lungs. It is caused by exposure to harmful particles or gases, often found in air pollution. COPD patients may experience symptoms such as coughing, mucus production, and shortness of breath. Air pollution can also trigger acute exacerbations of COPD, leading to more severe symptoms and requiring hospitalization.
Asthma is another respiratory disease that is commonly associated with air pollution. Air pollutants can act as triggers for asthma symptoms, including bronchoconstriction and inflammation of the airways. Poor indoor air quality, proximity to high-density traffic, and industrial sources of air pollution can all contribute to asthma development and severity, especially in children.
In addition to COPD and asthma, air pollution has been linked to an increased risk of respiratory infections, particularly in children. Particulate matter in the air can irritate the airways and lungs, impair immune function, and reduce oxygen-carrying capacity, providing a pathway for pathogens to enter the body. As a result, the risk of developing respiratory infections increases.
Overall, air pollution has significant detrimental effects on respiratory health, leading to a range of diseases and conditions that can cause long-term disability and even premature death. It is important for individuals, especially those with pre-existing respiratory conditions, to take measures to reduce their exposure to air pollutants and improve indoor and outdoor air quality.
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Cardiovascular diseases
Air pollution is a major cause of disease and premature death. It is the single largest environmental health risk in Europe. Fine particulate matter (PM2.5) is the air pollutant driving the most significant health problems. These fine particles can penetrate indoors, too, and high outdoor particle pollution levels can elevate indoor particle pollution concentrations.
Cardiovascular disease is a general term used to describe conditions affecting the health of the heart or blood vessels. Air pollution is a leading cause of cardiovascular disease. When air pollutants are breathed in, they can travel deep into the bloodstream through the lungs and to the heart. This can increase the risk of developing heart and circulatory diseases. Air pollutants can damage blood vessels by making them narrower and harder, making it more difficult for blood to flow freely and increasing blood pressure. This can increase the risk of a heart attack or stroke.
The risk of cardiovascular disease from particle pollution is smaller for individuals than from other well-established risk factors. However, for the population as a whole, short- and long-term exposure has been shown to increase hospitalizations for serious cardiovascular events, particularly in people with established heart disease. People with chronic heart disease may experience symptoms such as myocardial infarction, stroke, coronary revascularization, or hospitalisation for angina.
Household air pollution, caused by the incomplete combustion of solid fuels and kerosene used for cooking, is responsible for an estimated 3.2 million deaths per year. Of these, 32% are from ischaemic heart disease, and 23% are from stroke. Women and children, who are typically responsible for household chores such as cooking and collecting firewood, bear the greatest health burden from the use of polluting fuels and technologies in the home.
There are simple things that can be done to improve air quality in the home and reduce the impact on health. For example, using electric or gas instead of burning wood or coal for cooking and heating, opening windows several times a day, and using extractor fans in the kitchen and bathroom.
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Neurological disorders
Air pollution has been linked to several neurological disorders, with studies indicating that prolonged exposure to polluted air can lead to structural changes in the brain, alterations in neurotransmitters, and increased inflammation. Here are some key points about the impact of air pollution on neurological disorders:
Air pollution has been associated with an increased risk of hospital admissions for several neurological disorders. Fine particulate matter, especially PM2.5, has been linked to an increased risk of neurological health deterioration. This includes the impact of air pollution on neurodegenerative disorders such as:
Alzheimer's Disease and Parkinson's Disease
The interplay between oxidative stress and inflammation is at the core of the connection between air pollution and neurological disorders. Pollutants like particulate matter (PM), nitrogen oxides (NOx), and polycyclic aromatic hydrocarbons (PAHs) generate reactive oxygen species (ROS), causing oxidative stress. This triggers an immune response that can harm cellular structures, leading to neurodegenerative disorders.
Anxiety Disorders
Air pollution-induced inflammation in the brain and oxidative stress may amplify anxiety symptoms. Pollutants can disrupt neurotransmitter balance, affecting serotonin and dopamine levels crucial for mood and anxiety regulation. Additionally, exposure to air pollution may impact the gut-brain axis, influencing anxiety.
Autism Spectrum Disorder (ASD)
The potential impact of air pollution on ASD has raised concerns. Neuronal cell damage caused by fine dust, especially in fetuses and infants, can result in permanent brain damage or lead to neurological disorders in adulthood.
Multiple Sclerosis (MS)
Air pollution may trigger or aggravate MS through an inflammatory reaction. Pollutants can reach the brain through the olfactory system and the blood-brain barrier, causing epigenetic changes and inducing the production of pro-inflammatory cytokines.
Stroke
Short-term exposure to air pollution is associated with an increased risk of stroke. Toxic substances in fine dust contribute to thrombosis in blood vessels, increasing stroke rates.
While the exact mechanisms of air pollution's impact on neurological disorders are not fully understood, the evidence suggests a clear link between air pollution and various neurological health issues. Further systematic studies are needed to prove this relationship and develop effective mitigation strategies.
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Cancer
Air pollution is the single largest environmental health risk in Europe and a major cause of premature death and disease. Fine particulate matter (PM2.5) is the air pollutant driving the most significant health problems and premature mortality. Outdoor air pollution poses an urgent worldwide public health challenge because it is ubiquitous and has numerous serious adverse health effects, including cancer.
The International Agency for Research on Cancer has classified air pollution, particularly PM2.5, as a leading cause of cancer. A recent global review found that chronic exposure can affect every organ in the body, complicating and exacerbating existing health conditions. Children and adolescents are especially vulnerable because their bodies, organs, and immune systems are still developing. Air pollution damages health during childhood and increases the risk of diseases later in life.
Lung cancer is the type of cancer most commonly associated with air pollution. Outdoor air pollution causes roughly 1 in 10 cases of lung cancer in the UK. Globally, it is estimated that hundreds of thousands of lung cancer deaths annually are attributable to PM air pollution. In addition, indoor air pollution increases the risk of lung cancer. A key source of indoor air pollution in the UK is second-hand smoke from cigarettes, cigars, and pipes. Burning wood and coal to heat homes or cook also contributes to indoor air pollution.
While smoking has a much larger effect on the risk of developing lung cancer than air pollution, air pollution is still a clear, modifiable public health concern. Researchers are investigating how air pollution may cause lung cancer. One hypothesis is that tiny particles may build up in the lungs and damage the DNA in cells, changing how cells divide and leading to cancer. Another hypothesis is that air pollution causes inflammation in the lungs, which can lead to cancer.
In addition to lung cancer, air pollution has been linked to an increased risk of several other types of cancer, including breast, liver, and pancreatic cancer. A large study of more than 57,000 women found that living near major roadways may increase a woman's risk of breast cancer. Furthermore, occupational exposure to benzene, an industrial chemical and component of gasoline, is associated with non-Hodgkin's lymphoma and leukemia. Finally, indoor air pollution has been linked to nasopharyngeal and laryngeal cancers.
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Diabetes
Air pollution is a significant environmental health hazard that affects people worldwide. It is the single largest environmental health risk in Europe and a major cause of premature death and disease. Fine particulate matter (PM2.5) is released into the air through the combustion of solid fuels, such as coal and wood, and is a leading cause of cancer. It is also linked to other health issues, including respiratory infections, stroke, chronic obstructive pulmonary disease, and lung cancer.
In 2016, air pollution was estimated to have contributed to approximately 3.2 million cases of diabetes worldwide, resulting in the loss of 8.2 million years of healthy life. This represents about 14% of all years of healthy life lost due to diabetes from all causes. The exact mechanism behind the relationship between air pollution and diabetes is still not fully understood, but the link is significant even at low levels of air pollution currently considered safe by health organizations.
Additionally, air pollution is associated with oxidative stress and inflammation in human cells, which can lay the foundation for chronic diseases. It is also linked to metabolic disorders, with one study suggesting that targeting the lung-gut axis may help regulate pollution particle-mediated inflammation and metabolic disorders like diabetes. Furthermore, air pollution is a concern for people with pre-existing diabetes, as it can exacerbate existing health conditions and lead to complications such as kidney failure, heart disease, and stroke.
While the exact causal relationship between air pollution and diabetes requires further research, the current evidence suggests that air pollution is a contributing factor to the development and complications of diabetes. Therefore, reducing air pollution is crucial to decreasing the incidence of diabetes and improving the health outcomes for those living with the disease.
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Frequently asked questions
Air pollution is a major cause of premature death and disease. Some of the diseases caused by air pollution include:
- Respiratory diseases such as asthma, chronic obstructive pulmonary disease, trachea, bronchus, and lung cancers.
- Cardiovascular diseases such as ischaemic heart disease, heart attacks, and coronary artery disease.
- Type 2 diabetes, obesity, systemic inflammation, Alzheimer's disease, and dementia.
- Lower respiratory infections, especially in children.
The primary sources of human-made air pollution are:
- Vehicle emissions
- Fuel oils and natural gas used to heat homes
- By-products of manufacturing and power generation, especially coal-fueled power plants
- Fumes from chemical production
The main components of air pollution are:
- Particulate matter (PM), especially PM2.5 and PM10
- Carbon monoxide (CO)
- Ozone (O3)
- Nitrogen dioxide (NO2)
- Sulphur dioxide (SO2)