Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Division of Pulmonary Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Clin Chest Med. 2020 Dec;41(4):809-824. doi: 10.1016/j.ccm.2020.08.013.
Globally, exposure to ambient air pollutants is responsible for premature mortality and is implicated in the development and exacerbation of several acute and chronic lung disease across all ages. In this article, we discuss the source apportionment of ambient pollutants and the respiratory health effects in humans. We specifically discuss the evidence supporting ambient pollution in the development of asthma and chronic obstructive pulmonary disease and acute exacerbations of each condition. Practical advice is given to health care providers in how to promote a healthy environment and advise patients with chronic conditions to avoid unsafe air quality.
在全球范围内,暴露于环境空气污染物会导致过早死亡,并与各年龄段人群的多种急性和慢性肺部疾病的发生和恶化有关。本文讨论了环境污染物的来源分配和对人类的呼吸健康影响。我们特别讨论了支持环境污染物在哮喘和慢性阻塞性肺疾病发展以及每种疾病急性加重方面的证据。为医疗保健提供者提供了如何促进健康环境的实用建议,并为患有慢性疾病的患者提供了避免不安全空气质量的建议。