Schiffman Susan S, Williams C M
Department of Psychiatry, 54212 Woodhall Building, Box 3259, Duke University Medical Center, Durham, NC 27710-3259, USA.
J Environ Qual. 2005 Jan-Feb;34(1):129-38.
Historically, unpleasant odors have been considered warning signs or indicators of potential risks to human health but not necessarily direct triggers of health effects. However, citizen complaints to public health agencies suggest that odors may not simply serve as a warning of potential risks but that odor sensations themselves may cause health symptoms. Mal-odors emitted from large animal production facilities and wastewater treatment plants, for example, elicit complaints of eye, nose, and throat irritation, headache, nausea, diarrhea, hoarseness, sore throat, cough, chest tightness, nasal congestion, palpitations, shortness of breath, stress, drowsiness, and alterations in mood. There are at least three mechanisms by which ambient odors may produce health symptoms. First, symptoms can be induced by exposure to odorants (compounds with odor properties) at levels that also cause irritation or other toxicological effects. That is, irritation--rather than the odor--is the cause of the health symptoms, and odor (the sensation) simply serves as an exposure marker. Second, health symptoms from odorants at non-irritant concentrations can be due to innate (genetically coded) or learned aversions. Third, symptoms may be due to a co-pollutant (such as endotoxin) that is part of an odorant mixture. Objective biomarkers of health symptoms must be obtained, however, to determine if health complaints constitute health effects. One industry that is receiving much attention, worldwide, related to this subject is concentrated animal production agriculture. Sustainability of this industry will likely necessitate the development of new technologies to mitigate odorous aerial emissions. Examples of such "environmentally superior technologies" (EST) developed under the initiative sponsored through agreements between the Attorney General of North Carolina and Smithfield Foods and Premium Standard Farms are described.
从历史上看,难闻的气味一直被视为对人类健康潜在风险的警示信号或指标,但不一定是健康影响的直接触发因素。然而,市民向公共卫生机构投诉表明,气味可能不仅仅是潜在风险的警示,气味本身可能会引发健康症状。例如,大型动物养殖设施和污水处理厂排放的恶臭会引发眼睛、鼻子和喉咙刺激、头痛、恶心、腹泻、声音嘶哑、喉咙痛、咳嗽、胸闷、鼻塞、心悸、呼吸急促、压力、嗜睡和情绪变化等投诉。环境气味可能产生健康症状至少有三种机制。首先,接触具有刺激性或其他毒理学效应水平的气味剂(具有气味特性的化合物)可诱发症状。也就是说,刺激——而非气味——是健康症状的原因,气味(感觉)仅仅作为一种接触标志物。其次,非刺激性浓度的气味剂引起的健康症状可能是由于先天(基因编码)或后天习得的厌恶反应。第三,症状可能是由于作为气味剂混合物一部分的共污染物(如内毒素)所致。然而,必须获得健康症状的客观生物标志物,以确定健康投诉是否构成健康影响。在全球范围内,与该主题相关且备受关注的一个行业是集约化动物养殖农业。该行业的可持续发展可能需要开发新技术来减轻恶臭气体排放。文中描述了在北卡罗来纳州总检察长与史密斯菲尔德食品公司及优质标准农场之间通过协议发起的倡议下开发的此类“环境优越技术”(EST)的实例。