Seguel Joseph M, Merrill Richard, Seguel Dana, Campagna Anthony C
St. Peter's Hospital, Albany, New York (JMS, DS).
Department of Pulmonary and Critical Care Medicine, Lahey Hospital and Medical Center, Burlington, Massachusetts (RM, ACC).
Am J Lifestyle Med. 2016 Jun 15;11(4):284-295. doi: 10.1177/1559827616653343. eCollection 2017 Jul-Aug.
Many health care providers are concerned with the role environmental exposures play in the development of respiratory disease. While most individuals understand that outdoor air quality is important to their health status, many are unaware of the detrimental effects indoor air pollution can potentially have on them. The Environmental Protection Agency (EPA) regulates both outdoor and indoor air quality. According to the EPA, indoor levels of pollutants may be up to 100 times higher than outdoor pollutant levels and have been ranked among the top 5 environmental risks to the public. There has been a strong correlation between air quality and health, which is why it is crucial to obtain a complete environmental exposure history from a patient. This article focuses on the effects indoor air quality has on the respiratory system. Specifically, this article will address secondhand smoke, radon, carbon monoxide, nitrogen dioxide, formaldehyde, house cleaning agents, indoor mold, animal dander, and dust mites. These are common agents that may lead to hazardous exposures among individuals living in the United States. It is important for health care providers to be educated on the potential risks of indoor air pollution and the effects it may have on patient outcomes. Health problems resulting from poor indoor air quality are not easily recognized and may affect a patient's health years after the onset of exposure.
许多医疗保健提供者关注环境暴露在呼吸系统疾病发展中所起的作用。虽然大多数人明白室外空气质量对他们的健康状况很重要,但许多人并未意识到室内空气污染可能对他们产生的有害影响。美国环境保护局(EPA)对室外和室内空气质量都进行监管。根据EPA的说法,室内污染物水平可能比室外污染物水平高出多达100倍,并且已被列为对公众的五大环境风险之一。空气质量与健康之间存在很强的相关性,这就是为什么从患者那里获取完整的环境暴露史至关重要的原因。本文重点关注室内空气质量对呼吸系统的影响。具体而言,本文将探讨二手烟、氡、一氧化碳、二氧化氮、甲醛、家用清洁剂、室内霉菌、动物皮屑和尘螨。这些是可能导致美国居民面临有害暴露的常见因素。医疗保健提供者了解室内空气污染的潜在风险及其可能对患者预后产生的影响非常重要。室内空气质量差导致的健康问题不容易被识别,并且可能在接触开始数年之后影响患者的健康。