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      Environmental and Health Impacts of Air Pollution: A Review

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          Abstract

          One of our era's greatest scourges is air pollution, on account not only of its impact on climate change but also its impact on public and individual health due to increasing morbidity and mortality. There are many pollutants that are major factors in disease in humans. Among them, Particulate Matter (PM), particles of variable but very small diameter, penetrate the respiratory system via inhalation, causing respiratory and cardiovascular diseases, reproductive and central nervous system dysfunctions, and cancer. Despite the fact that ozone in the stratosphere plays a protective role against ultraviolet irradiation, it is harmful when in high concentration at ground level, also affecting the respiratory and cardiovascular system. Furthermore, nitrogen oxide, sulfur dioxide, Volatile Organic Compounds (VOCs), dioxins, and polycyclic aromatic hydrocarbons (PAHs) are all considered air pollutants that are harmful to humans. Carbon monoxide can even provoke direct poisoning when breathed in at high levels. Heavy metals such as lead, when absorbed into the human body, can lead to direct poisoning or chronic intoxication, depending on exposure. Diseases occurring from the aforementioned substances include principally respiratory problems such as Chronic Obstructive Pulmonary Disease (COPD), asthma, bronchiolitis, and also lung cancer, cardiovascular events, central nervous system dysfunctions, and cutaneous diseases. Last but not least, climate change resulting from environmental pollution affects the geographical distribution of many infectious diseases, as do natural disasters. The only way to tackle this problem is through public awareness coupled with a multidisciplinary approach by scientific experts; national and international organizations must address the emergence of this threat and propose sustainable solutions.

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          Most cited references99

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          A review on polycyclic aromatic hydrocarbons: Source, environmental impact, effect on human health and remediation

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            An association between air pollution and mortality in six U.S. cities.

            Recent studies have reported associations between particulate air pollution and daily mortality rates. Population-based, cross-sectional studies of metropolitan areas in the United States have also found associations between particulate air pollution and annual mortality rates, but these studies have been criticized, in part because they did not directly control for cigarette smoking and other health risks. In this prospective cohort study, we estimated the effects of air pollution on mortality, while controlling for individual risk factors. Survival analysis, including Cox proportional-hazards regression modeling, was conducted with data from a 14-to-16-year mortality follow-up of 8111 adults in six U.S. cities. Mortality rates were most strongly associated with cigarette smoking. After adjusting for smoking and other risk factors, we observed statistically significant and robust associations between air pollution and mortality. The adjusted mortality-rate ratio for the most polluted of the cities as compared with the least polluted was 1.26 (95 percent confidence interval, 1.08 to 1.47). Air pollution was positively associated with death from lung cancer and cardiopulmonary disease but not with death from other causes considered together. Mortality was most strongly associated with air pollution with fine particulates, including sulfates. Although the effects of other, unmeasured risk factors cannot be excluded with certainty, these results suggest that fine-particulate air pollution, or a more complex pollution mixture associated with fine particulate matter, contributes to excess mortality in certain U.S. cities.
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              Outdoor air pollution and asthma

              The Lancet, 383(9928), 1581-1592
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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                20 February 2020
                2020
                : 8
                : 14
                Affiliations
                [1] 1Delphis S.A. , Kifisia, Greece
                [2] 2Laboratory of Hygiene and Environmental Protection, Faculty of Medicine, Democritus University of Thrace , Alexandroupolis, Greece
                [3] 3Centre Hospitalier Universitaire Vaudois (CHUV), Service de Médicine Interne , Lausanne, Switzerland
                [4] 4School of Social and Political Sciences, University of Glasgow , Glasgow, United Kingdom
                Author notes

                Edited by: Ethel Eljarrat, Institute of Environmental Assessment and Water Research (CSIC), Spain

                Reviewed by: Fei Li, Zhongnan University of Economics and Law, China; M. Jahangir Alam, University of Houston, United States

                *Correspondence: Ioannis Manisalidis giannismanisal@ 123456gmail.com

                This article was submitted to Environmental Health, a section of the journal Frontiers in Public Health

                †These authors have contributed equally to this work

                Article
                10.3389/fpubh.2020.00014
                7044178
                32154200
                da8c538a-0fe9-490f-9d94-4eb6186a3f04
                Copyright © 2020 Manisalidis, Stavropoulou, Stavropoulos and Bezirtzoglou.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 17 October 2019
                : 17 January 2020
                Page count
                Figures: 1, Tables: 2, Equations: 0, References: 126, Pages: 13, Words: 11571
                Categories
                Public Health
                Review

                air pollution,environment,health,public health,gas emission,policy

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