The health effects of nonindustrial indoor air pollution

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY

卷:121

Article

Bernstein, Jonathan A.¹  Alexis, Neil²  Bernstein, I. Leonard¹  Fritz, Pat³  Horner, Elliot⁴  Li, Ning⁵  Mason, Stephany⁴  Nel, Andre⁵  Oullette, John⁶  Reijula, Kari⁷  Reponen, Tina⁸  Seltzer, James⁹  Smith, Alisa¹⁰  Tarlo, Susan M.¹¹ 

[1] Univ Cincinnati, Div Immunol, Dept Internal Med, Allergy Sect, Cincinnati, OH 45221 USA

[2] Univ N Carolina, Ctr Environm Med & Lung Biol, Chapel Hill, NC USA

[3] Rensselaer Polytech Inst, Troy, NY USA

[4] Air Qual Sci Inc, Atlanta, GA USA

[5] Univ Calif Los Angeles, Sch Med, Los Angeles, CA USA

[6] Adult Allergy Clin, Madison, WI USA

[7] Finnish Inst Occupat Hlth, Helsinki, Finland

[8] Univ Cincinnati, Ctr Environm Hlth, Cincinnati, OH 45221 USA

[9] Sharp Mission Pk Med Grp, Vista, CA USA

[10] US EPA, Washington, DC 20460 USA

[11] Toronto Western Hosp, Toronto, ON, Canada

关键词: indoor air pollutants;    ozone;    particulate matter;    nitrogen dioxide;    carbon monoxide;    sulfur dioxide;    health effects;    volatile organic compounds;    tobacco smoke;    passive smoke exposure;    cotinine;    fungal allergens;   

DOI  :  10.1016/j.jaci.2007.10.045

来源: Elsevier

【 摘 要 】

Background: There is growing public awareness regarding the risk associated with poor indoor air quality in the home and workplace. Because Americans spend approximately 22 hours every day indoors, susceptible individuals are at much greater risk of adverse health effects from chronic low levels of exposure to indoor air pollutants over time. Along with particulate matter, gases such as ozone, nitrogen dioxide, carbon monoxide, and sulfur dioxide; microbial and chemical volatile organic compounds; passive smoke; and outdoor ambient air are the most common types of air pollutants encountered indoors. Objective: To provide the allergists with necessary information that will assist them in making useful recommendations to patients seeking advice regarding indoor environmental triggers beyond traditional perennial allergens. Methods: Review of the literature pertaining to indoor exposure and health effects of gaseous and particular matter. Results: Indoor pollutants act as respiratory irritants, toxicants, and adjuvants or carriers of allergens. Conclusion: The allergist should be prepared to evaluate patient exposure to allergic and nonallergic triggers and understand how outdoor air pollution is affecting indoor environments. This requires being familiar with methodologies for monitoring and interpreting indoor air quality and interpreting results in the context of the patients exposure history and advising patients about rational environmental control interventions.

【 授权许可】

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