Borchers Andrea T, Chang Christopher, Keen Carl L, Gershwin M Eric
Division of Rheumatology, Allergy and Clinical Immunology, University of California at Davis, USA.
Clin Rev Allergy Immunol. 2006 Aug;31(1):1-101. doi: 10.1385/CRIAI:31:1:1.
The concept that the environment in which we live can have detrimental effects on our health has existed for centuries. Obvious examples of substances that can cause human diseases include infectious agents, poisons, chemicals and other noxious agents, drugs, and physical stimuli such as bright lights and loud sounds. Some less obvious agents can include allergens, nontangible agents such as colorless, odorless gases and aerosolized toxins. In recent decades, humans have developed various new materials and compounds. Additionally, we are now producing known compounds, and even naturally occurring substances, in vastly increased amounts. Many of these substances are generally believed to threaten the health of our environment. However, there is also a considerable amount of hype and exaggeration regarding some of these agents (e.g., mold) that is unsubstantiated. This article extensively reviews the data on a large number of airborne-related illnesses and attempted to place scientific reality in the context of clinical medicine.
我们生活的环境会对健康产生有害影响这一观念已经存在了几个世纪。可导致人类疾病的物质的明显例子包括传染原、毒物、化学物质和其他有害制剂、药物以及强光和巨响等物理刺激。一些不太明显的因素可能包括过敏原、无色无味气体和气溶胶化毒素等无形因素。近几十年来,人类开发了各种新材料和化合物。此外,我们现在正在大量生产已知的化合物,甚至天然物质。人们普遍认为其中许多物质会威胁我们环境的健康。然而,对于其中一些因素(如霉菌)也存在大量没有根据的炒作和夸大。本文广泛回顾了大量与空气传播相关疾病的数据,并试图将科学事实置于临床医学背景下。