Airborne particles, the main ingredient of haze, smoke, and airborne dust, present serious air quality problems in many areas of the United States. This particle pollution can occur year-round and it can cause a number of serious health problems, even at concentrations found in many major cities.
Particle pollution is a mixture of microscopic solids and liquid droplets suspended in air. This pollution, also known as particulate matter, is made up of a number of components, including acids (such as nitrates and sulfates), organic chemicals, metals, soil or dust particles, and allergens (such as fragments of pollen or mold spores).
The size of particles is directly linked to their potential for causing health problems. Small particles less than 10 micrometers in diameter pose the greatest problems, because they can get deep into your lungs, and some may even get into your bloodstream. Exposure to such particles can affect both your lungs and your heart. Larger particles are of less concern, although they can irritate your eyes, nose, and throat.
Small particles of concern include "fine particles" (such as those found in smoke and haze), which are 2.5 micrometers in diameter or less; and "coarse particles" (such as those found in wind-blown dust), which have diameters between 2.5 and 10 micrometers.
People with heart or lung disease, older adults, and children are considered at greater risk from particles than other people, especially when they are physically active. Exercise and physical activity cause people to breathe faster and more deeply and to take more particles into their lungs.
People with heart or lung diseases such as coronary artery disease, congestive heart failure, and asthma or chronic obstructive pulmonary disease (COPD)are at increased risk, because particles can aggravate these diseases. People with diabetes also may be at increased risk, possibly because they are more likely to have underlying cardiovascular disease.
Older adults are at increased risk, possibly because they may have undiagnosed heart or lung disease or diabetes. Many studies show that when particle levels are high, older adults are more likely to be hospitalized, and some may die of aggravated heart or lung disease.
Children are likely at increased risk for several reasons. Their lungs are still developing; they spend more time at high activity levels; and they are more likely to have asthma or acute respiratory diseases, which can be aggravated when particle levels are high.
It appears that risk varies throughout a lifetime, generally being higher in early childhood, lower in healthy adolescents and younger adults, and increasing in middle age through old age as the incidence of heart and lung disease and diabetes increases. Factors that increase your risk of heart attack, such as high blood pressure or elevated cholesterol levels, also may increase your risk from particles. In addition, scientists are evaluating new studies that suggest that exposure to high particle levels may also be associated with low birth weight in infants, pre-term deliveries, and possibly fetal and infant deaths.
Particle exposure can lead to a variety of health effects. For example, numerous studies link particle levels to increased hospital admissions and emergency room visits and even to death from heart or lung diseases. Both long- and short-term particle exposures have been linked to health problems.
Long-term exposures, such as those experienced by people living for many years in areas with high particle levels, have been associated with problems such as reduced lung function and the development of chronic bronchitis and even premature death.
Short-term exposures to particles (hours or days) can aggravate lung disease, causing asthma attacks and acute bronchitis, and may also increase susceptibility to respiratory infections. In people with heart disease, short-term exposures have been linked to heart attacks and arrhythmias. Healthy children and adults have not been reported to suffer serious effects from short-term exposures, although they may experience temporary minor irritation when particle levels are elevated.
Even if you are healthy, you may experience temporary symptoms, such as irritation of the eyes, nose, and throat; coughing; phlegm; chest tightness; and shortness of breath.
If you have lung disease, you may not be able to breathe as deeply or as vigorously as normal, and you may experience coughing, chest discomfort, wheezing, shortness of breath, and unusual fatigue. If you have any of these symptoms, reduce your exposure to particles and follow your doctor's advice. Contact your doctor if symptoms persist or worsen. If you have asthma, carefully follow your asthma management plan when particle levels are high. Your doctor can help you develop a plan if you don't have one.
If you have heart disease, particle exposure can cause serious problems in a short period of time even heart attacks with no warning signs. So don't assume that you are safe just because you don't have symptoms. Symptoms such as chest pain or tightness, palpitations, shortness of breath, or unusual fatigue may indicate a serious problem. If you have any of these symptoms, follow your doctor's advice.
Your chances of being affected by particles increase the more strenuous your activity and the longer you are active outdoors. If your activity involves prolonged or heavy exertion, reduce your activity time or substitute another that involves less exertion. Go for a walk instead of a jog, for example. Plan outdoor activities for days when particle levels are lower. And don't exercise near busy roads; particle levels generally are higher in these areas.
Particle levels can be elevated indoors, especially when outdoor particle levels are high. Certain filters and room air cleaners can help reduce indoor particle levels. You also can reduce particle levels indoors by not smoking inside, and by reducing your use of other particle sources such as candles, wood-burning stoves, and fireplaces.
In many areas, local media provide air quality forecasts telling you when particle levels are expected to be unhealthy. Forecasts use the same format as EPA's Air Quality Index, or AQI, a tool that state and local agencies use to issue public reports of actual levels of particles, ground-level ozone, and other common air pollutants.
Using the AQI's color-coded scale, these forecasts help you quickly learn when air pollution is expected to reach unhealthy levels in your area. In the newspaper forecast shown at right, for example, the black arrow points to the "orange" range, indicating that particle levels are expected to be unhealthy for sensitive groups. On television, you might hear a meteorologist say something like this: "Tomorrow will be a code orange air quality day, with particle pollution at levels that are unhealthy for sensitive groups. If you have heart or lung disease, or if you're an older adult or a child, you should plan strenuous activities for a time when air quality is better."
|AIR QUALITY INDEX FOR PARTICLE POLLUTION|
|Air Quality Index||Health Advisory|
|Unusually sensitive people should consider reducing prolonged or heavy exertion.|
|People with heart or lung disease, older adults, and children should reduce prolonged or heavy exertion.|
|People with heart or lung disease, older adults, and children should avoid prolonged or heavy exertion. Everyone else should reduce prolonged or heavy exertion.|
|People with heart or lung disease, older adults, and children should avoid all physical activity outdoors. Everyone else should avoid prolonged or heavy exertion.|