American Lung Association American Lung Association State of the Air 2005--Protect the Air You Breathe
American Lung Association State of the Air 2005

Table of Contents

Executive Summary

Introduction

National and Regional Analyses

Tables:
Populations at Risk in the US
People at Risk in the 25 Most Polluted US Cities
People at Risk in the 25 Most Polluted Counties
Populations at Risk in the Most Polluted Counties in Each State
Cleanest Cities in the US
Cleanest Counties in the US

Health Effects of Ozone and Particle Pollution
Particle Pollution
Ozone Pollution
Focusing on Children's Health

Protecting the Nation From Air Pollution
The Clean Air Act: Public Health at Risk
Rolling Back Power Plant Clean Up
Recent Clean Air Act Success Stories

Dirty, Dangerous Diesel

Conclusion

State Tables

Appendix A: Description of Methodology

Health Effects of Ozone and Particle Pollution cont'd

Focusing on children’s health

Children may look like miniature adults, but they’re not. Air pollution is especially dangerous to them because their lungs are growing and because they are so active.

Click here to view a Flash presentation to help Protect the Air Children Breathe!

Just like the arms and legs, the largest portion of a child’s lungs will grow long after he or she is born. Eighty percent of their tiny air sacs develop after birth. Those sacs, called the alveoli, are where the life-sustaining feeding of oxygen to the blood takes place. The lungs and their alveoli aren’t fully grown until they are adults.36 In addition, the body’s defenses that help adults fight off infections are still developing in young bodies.37 Children have more respiratory infections than adults, which also seems to increase their susceptibility to air pollution.38

Furthermore, children don’t behave like adults, which also affects their vulnerability. They are outside for longer periods and are usually more active when outdoors. Consequently, they inhale more polluted outdoor air than adults typically do.39

The effects of air pollution on children are striking. This year, two major analyses concluded that air pollution is especially harmful to children. The World Health Organization (WHO) published an in depth look at the research on children’s health and air pollution. Most importantly, the scientists concluded that particle pollution caused infant deaths. In addition, they found that air pollution caused a host of harm to children, including:

  • short-term and long-term decreased lung function rates and lower lung function levels, critical measures of how well the child will breathe throughout his or her lifespan (due primarily to particle pollution and traffic-related pollution);
  • aggravation of asthma (from exposure to particle as well as ozone pollution);
  • increased prevalence and incidence of cough and bronchitis (primarily from particle pollution); and 
  • increased risk of upper and lower respiratory infections.40
    Air pollution is especially harmful to children. 

    La contaminación del aire es especialmente dañina para los niños.

The American Academy of Pediatrics published a statement on the dangers of outdoor air pollution on children’s health, pointing out the special differences for children.41 The Academy reported many of the health effects cited by the WHO study, but also focused attention on the sources common to far too many children. Both the WHO monograph and the Academy statement highlighted recent studies showing how children living near highly traveled highways appear to be particularly harmed by traffic-related pollution. The Academy statement highlighted the specific concern over diesel school buses, citing a pilot study that showed children riding inside a school bus may be exposed to four times the level of diesel exhaust than if they were riding in a car.42

Researchers from Yale University published in the Journal of the American Medical Association a study of children with asthma, whose mothers had tracked their symptoms on a daily basis. The study found that children with asthma were particularly vulnerable to ozone even at levels below EPA’s current 8-hour ozone standard.43 An accompanying editorial warned, "Air pollution is one of the most under-appreciated contributors to asthma exacerbation."44

A recent study suggests that year-round exposure to ozone may be associated with an increased risk of the development of asthma. While more research is needed to confirm this finding, researchers tracking 3,500 students in Southern California found an increased onset of asthma in children who were taking part in three or more outdoor activities in communities with high levels of ozone.45

Health Effects continued...



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