Air pollution and cardiopulmonary functions.
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Biomedical subjects
Publications and source records attributed to R A Mostardi.
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This study determined the health effects of ambient air pollutants in two grade school populations in Akron, Ohio. One school is adjacent to industry and has elevated levels of sulfur dioxide (SO2) and moderate levels of nitrogen dioxide (NO2), while the other school is 4 km east and unpolluted. This study was designed in this manner for two purposes: (1) to identify and monitor ambient levels of air pollutants in an area proximal to the grade school so that the levels could be accurately assessed, and (2) to determine baseline pulmonary function values and questionnaire responses from the parents indicating any acute and/or chronic respiratory problem in the child. Ninety-five percent of the children enrolled in this study liver within 2 km of the schools and aerometric stations, thus providing for careful control in the study design. The results of this study indicate that SO2 and NO2 levels are significantly higher in the school adjacent to industry. Although pulmonary function data were not significantly different between schools, the frequency of questionnaire responses to acute and chronic pulmonary problems was greater in the children at the school adjacent to industry. The data tend to indicate early pulmonary effects of air pollution in children living adjacent to industry and exposed to elevated levels of SO2 and NO2. We suggest that additional longitudinal work that carefully monitors total suspended particulates, NO2, SO2, and health data should be conducted to confirm these results.
The purpose of this study was to determine the effects of air pollution on acute respiratory illness (ARI). Levels of air pollutants were monitored on a daily 24-hour basis at two schools in Akron, Ohio. The children at each school completed daily diaries which served as a screening mechanism for detecting ARI. Once an ARI was isolated, pulmonary function tests (PFT) were run during the symptomatic phase; once the child became asymptomatic, tests were continued for 2 wk. The results of this study indicate that SO2 and NO2 levels are higher at the school that borders industry. Results of daily diaries indicate a higher incidence of symptoms-especially cough, runny nose, and sore throat-in the polluted area. Pulmonary function tests indicate that respiratory airways are being compromised to a much greater extent at the polluted school, as indicated by significantly reduced levels of forced expiratory volume and maximal midexpiratory flow as compared to baseline. Recent evidence suggests that frequency and severity of ARI in childhood are related to chronic obstructive lung disease as adults. In lieu of these findings, it is suggested that the levels of SO2 and NO2 in urban areas be carefully considered, as they relate to acute subclinical syndromes and chronic clinical respiratory disease.