School of Human Kinetics, University of British Columbia, Vancouver, British Columbia, Canada.
Environ Health Perspect. 2011 Jan;119(1):29-36. doi: 10.1289/ehp.1002246. Epub 2010 Aug 20.
Associations between air pollution and a multitude of health effects are now well established. Given ubiquitous exposure to some level of air pollution, the attributable health burden can be high, particularly for susceptible populations.
An international multidisciplinary workshop was convened to discuss evidence of the effectiveness of actions to reduce health impacts of air pollution at both the community and individual level. The overall aim was to summarize current knowledge regarding air pollution exposure and health impacts leading to public health recommendations.
During the workshop, experts reviewed the biological mechanisms of action of air pollution in the initiation and progression of disease, as well as the state of the science regarding community and individual-level interventions. The workshop highlighted strategies to reduce individual baseline risk of conditions associated with increased susceptibility to the effects of air pollution and the need to better understand the role of exposure duration in disease progression, reversal, and adaptation.
We have identified two promising and largely unexplored strategies to address and mitigate air pollution-related health impacts: reducing individual baseline risk of cardiovascular disease and incorporating air pollution-related health impacts into land-use decisions.
现在已经充分证实，空气污染与多种健康影响之间存在关联。鉴于人们普遍会接触到一定程度的空气污染，因此其对健康造成的可归因负担可能很高，特别是对易感人群而言。
召集了一次国际多学科研讨会，讨论在社区和个人层面采取行动减轻空气污染对健康影响的有效性证据。总体目标是总结关于空气污染暴露和健康影响导致公共卫生建议的现有知识。
在研讨会上，专家们审查了空气污染在疾病的发生和发展过程中的作用的生物学机制，以及关于社区和个人层面干预措施的科学现状。研讨会强调了减少与增加对空气污染影响的敏感性相关的疾病的个体基线风险的策略，以及需要更好地了解暴露持续时间在疾病进展、逆转和适应中的作用。
我们已经确定了两种有前途但尚未充分探索的策略，以解决和减轻与空气污染相关的健康影响：降低心血管疾病的个体基线风险和将与空气污染相关的健康影响纳入土地使用决策。
