
Air quality is a measure of the pollutants in the air we breathe. Poor air quality is a well-known environmental health hazard, and it can be deadly. The two most common causes of poor air quality are elevated concentrations of ground-level ozone and particulate matter. Ground-level ozone is formed when nitrogen oxides from sources like vehicle exhaust and industrial emissions react with organic compounds in the presence of heat and sunlight. Particulate matter consists of solid and liquid particles, including smoke, dust, and other aerosols, some of which are directly emitted, and others are the result of chemical transformations. Other sources of air pollution include agricultural practices, power plants that burn coal, gas, oil, and biomass, vehicles that burn fuel, and heating, cooling, and powering our homes. Air pollution has been linked to a variety of health problems, including coughing, breathing difficulties, lung damage, asthma, cardiac problems, and an increased risk of lung cancer and other diseases.
What You'll Learn
Outdoor air pollution
The United States Environmental Protection Agency (EPA) identifies six "criteria pollutants" that are common in outdoor air and can harm human health and the environment. These are carbon monoxide, lead, nitrogen dioxide, ozone, particulate matter of different sizes, and sulfur dioxide. Ozone, also known as smog, is one of the least-controlled and most dangerous pollutants in the United States due to its invisible nature. Particulate matter, or particle pollution, refers to a mix of tiny solid and liquid particles in the air that are small enough to be inhaled, which can have serious health effects.
The effects of outdoor air pollution on human health are significant. Both short-term and long-term exposure to air pollutants can cause various health problems, including respiratory infections, heart disease, stroke, and lung cancer. People with pre-existing conditions such as asthma or chronic obstructive pulmonary disease (COPD) are particularly vulnerable, as air pollution can trigger asthma attacks or make it harder to breathe. Children are also at higher risk due to their developing airways and higher breathing rates relative to their size compared to adults. Additionally, air pollution disproportionately impacts people of colour, who are more likely to be exposed to and suffer health consequences from it due to historical and ongoing racial discrimination.
To protect public health, the WHO's Air Quality and Health Unit works in areas such as knowledge and evidence, institutional capacity building, and leadership and coordination. Reducing air pollution levels requires concerted action by policymakers and stakeholders across sectors like energy, transport, waste management, urban planning, and agriculture. Individuals can also take measures to minimize their exposure to outdoor air pollution, such as staying indoors on high-pollution days, using air conditioning and air purifiers, wearing masks, and limiting outdoor physical activities when air quality is poor.
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Indoor air pollution
Building and construction materials also play a significant role in indoor air pollution. Volatile organic compounds (VOCs), including formaldehyde, are released from paints, cleaning supplies, insecticides, and even new building materials like pressed wood products. Additionally, biological contaminants such as mold, viruses, and allergens can affect indoor air quality. Moisture and poor ventilation contribute to the growth of mold and dust mites, further degrading indoor air quality.
Inadequate ventilation exacerbates indoor air pollution by trapping contaminants and not bringing in enough outdoor air to dilute emissions. The design, construction, and operating parameters of buildings influence the air exchange rate with the outdoors, which is a critical factor in determining indoor air pollutant concentrations. High temperatures and humidity levels can also increase the concentrations of certain pollutants. Outdoor air pollution can infiltrate indoors through open doors and windows, cracks in foundations, and even on our shoes, clothing, and pets.
The health effects of indoor air pollution can be immediate or long-term. Short-term effects include irritation of the eyes, nose, and throat, headaches, dizziness, and fatigue. More severe and long-term effects, such as respiratory diseases, heart disease, and cancer, may develop over years of exposure. Certain populations, including children, older adults, individuals with pre-existing conditions, and those of low socioeconomic status, are more vulnerable to the impacts of indoor air pollution.
To improve indoor air quality, it is essential to address the sources of pollution, ensure proper ventilation, and maintain a clean and well-ventilated living environment. Organizations like the World Health Organization (WHO) and the US Environmental Protection Agency (EPA) provide guidelines and programs to help communities understand and mitigate indoor air pollution.
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Particulate matter
The health risks associated with particulate matter are primarily related to the size of the particles. Particles with a diameter of 10 micrometres or less (known as PM10) can be inhaled into the lungs and cause adverse health effects. However, the particles that pose the greatest risk to health are those with a diameter of 2.5 micrometres or less (PM2.5), which are classified as fine particles. These fine particles can travel deep into the respiratory tract, reaching the lungs, and causing a range of short-term health effects, including eye, nose, throat, and lung irritation, coughing, sneezing, a runny nose, and shortness of breath.
Long-term exposure to PM2.5 has been linked to more serious health issues, including increased mortality from heart disease, chronic bronchitis, reduced lung function, and lung cancer. It is particularly dangerous for individuals with pre-existing heart or lung diseases and can also impact the development of children's lungs. In addition to its effects on human health, particulate matter can also adversely affect ecosystems, including plants, soil, and water quality.
To address the health risks associated with particulate matter, governments and regulatory bodies have implemented standards and regulations to limit the levels of particle pollution in outdoor air. For example, the US Environmental Protection Agency (EPA) has established national air quality standards and regional rules to reduce emissions of pollutants that form PM, helping state and local governments improve air quality.
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Ground-level ozone
Ozone at ground level is the primary component of smog, a mixture of smoke and fog often observed in urban areas. Ground-level ozone pollution is typically highest in urban centres due to the high concentration of pollution sources, such as cars, power plants, and industrial boilers. However, it can also be transported by wind over long distances, affecting even rural areas. The highest levels of ground-level ozone are usually recorded on hot, sunny days in urban environments, making it difficult to breathe and causing coughing, shortness of breath, and other respiratory issues.
The health effects of ground-level ozone exposure can be severe and wide-ranging. In addition to respiratory symptoms, ozone can increase the frequency of asthma attacks, aggravate lung diseases, and make the lungs more susceptible to infection. Prolonged exposure can lead to more serious conditions such as chronic bronchitis, emphysema, and even lung damage. Vulnerable individuals, such as those with pre-existing respiratory conditions, are at an increased risk of experiencing adverse health effects from ground-level ozone pollution.
To address the issue of ground-level ozone and improve air quality, the Environmental Protection Agency (EPA) in the United States has established regulations and standards. They work with states and tribes to monitor air quality and designate areas as attainment or nonattainment based on national ambient air quality standards. States with nonattainment areas are required to develop and implement plans to improve air quality, known as State Implementation Plans (SIPs). These plans outline specific measures to reduce emissions and bring the area into compliance with national standards.
It is important to note that ozone itself is not inherently harmful and can be "good" or "bad" depending on its location in the atmosphere. Stratospheric ozone, found in the upper atmosphere, is considered "good" because it forms a protective layer that shields the Earth from harmful ultraviolet radiation from the sun. However, ground-level ozone, due to its proximity to human populations and ecosystems, has detrimental effects on health and the environment.
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Health hazards
Poor air quality is a major threat to global health and prosperity. Air pollution is a mix of hazardous substances from both human-made and natural sources. It is responsible for more than 6.5 million deaths each year globally, a number that has increased over the past two decades. The main pathway of exposure from air pollution is through the respiratory tract. However, pollutants can also enter the bloodstream and travel to organs, causing systemic damage to tissues and cells.
Air pollution can cause a range of health problems, including respiratory and heart issues, and other adverse effects on the body's organs. The severity of these symptoms depends on a person's health and the level of pollution they are exposed to. Some people are more susceptible to the effects of air pollution, including children, pregnant women, older adults, and individuals with pre-existing heart and lung disease. People in low-socioeconomic neighbourhoods and communities may also be more vulnerable to air pollution due to various factors. For example, in some cities, poorer people are more likely to live near busy roads or industrial areas, facing higher levels of exposure to air pollution.
The World Health Organization (WHO) has identified several health risks associated with air pollution, including stroke, ischemic heart disease, chronic obstructive pulmonary disease, pneumonia, and lung cancer. In addition, exposure to air pollution during pregnancy has been linked to adverse birth outcomes, such as low birth weight, pre-term birth, and small gestational age births. Air pollution has also been associated with developmental damage in children, increasing the risk of lung infections and reducing lung function as they grow up.
Furthermore, air pollution has been linked to neurological disorders. Research has identified a link between air pollution and an increased risk of developing Alzheimer's disease, Parkinson's disease, and other dementias. A multi-year study published in 2022 found that improved air quality was associated with a lower risk of dementia in older women.
Air pollution also worsens symptoms for people with chronic lung diseases such as asthma and COPD, making it harder for them to breathe. In some cases, severe symptoms can lead to hospitalization or even death. Even people with healthy lungs are susceptible to irritation and swelling from air pollution, which can cause wheezing, coughing, and shortness of breath.
The effects of air pollution are not limited to physical health. It has been associated with oxidative stress and inflammation in human cells, which may lay the foundation for chronic diseases and cancer. In 2013, the International Agency for Research on Cancer of the WHO classified air pollution as a human carcinogen.
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Frequently asked questions
The Air Quality Index (AQI) is the US EPA's tool for communicating about outdoor air quality and health. The AQI includes six color-coded categories, each corresponding to a range of index values. The higher the AQI value, the greater the level of air pollution and the greater the health concern. For example, an AQI value of 50 or below represents good air quality, while a value over 300 represents hazardous air quality.
There are many factors that contribute to poor air quality, but the two most common are related to elevated concentrations of ground-level ozone or particulate matter. Ground-level ozone forms when nitrogen oxides from sources like vehicle exhaust and industrial emissions react with organic compounds in the presence of heat and sunlight. Particulate matter in the air consists of solid and liquid particles including smoke, dust, and other aerosols, some of which are directly emitted and others are the result of chemical transformations.
Poor air quality can have significant adverse effects on human health. Short-term exposure to higher levels of outdoor air pollution has been linked to reduced lung function, asthma, cardiac problems, and increased hospital admissions. Long-term exposure to air pollution has been associated with oxidative stress and inflammation in human cells, which may lay the foundation for chronic diseases, including lung cancer. Additionally, studies have found a link between air pollution and an increased risk of neurological disorders, such as Alzheimer's disease, Parkinson's disease, and other dementias.