Health Effects Associated With Traffic- Related Air Pollution

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Health Effects Associated With Traffic- Related Air Pollution Health Effects Associated With Traffic- Health Effects Associated With Traffic- Related Air Pollution Related Air Pollution March 22, 2007 March 22, 2007 Air Resources Board California Environmental Protection Agency

Transcript of Health Effects Associated With Traffic- Related Air Pollution

Page 1: Health Effects Associated With Traffic- Related Air Pollution

Health Effects Associated With Traffic-Related Air Pollution

Health Effects Associated With Traffic-Health Effects Associated With Traffic-Related Air PollutionRelated Air Pollution

March 22, 2007March 22, 2007

Air Resources BoardCalifornia Environmental Protection Agency

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Hazards of TrafficHazards of Traffic

CO

NOX

Hydrocarbons PM

Toxics

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Southern CaliforniaChildren’s Health Study

Southern CaliforniaSouthern CaliforniaChildren’s Health StudyChildren’s Health Study

l 10+ year study followed ~ 5,500 children’s chronicexposures to air pollution – ARB funded

l Landmark study on children’s health effects

l Adverse effects on lung function growth, asthma,school attendance

l 100+ publications

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l Subset of 1,500 SouthernCalifornia Children

l Followed for 8 years

l Traffic exposure on LungFunction Growth

– Residential distance tofreeways

Traffic and Children’s HealthTraffic and Children’s Health

“Effect of exposure to traffic on lung development from 10 to18 years of age: a cohort study”. Gauderman WJ et al.Lancet, February 2007; 369 (9561): 571-7.

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Traffic Associated Decreases in LungFunction at 18 Years and 8 Year Development

Traffic Associated Decreases in LungTraffic Associated Decreases in LungFunction at 18 Years and 8 Year DevelopmentFunction at 18 Years and 8 Year Development

-7

-6

-5

-4

-3

-2

-1

0

<500 m

500-1000 m

1000-1500 m

18 years of age Difference after8 years growth

** *

*Statistically significant (p<.05)

Per

cen

t D

ecre

ase

(FE

V1)

Freeway Distance

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Health ImplicationsHealth ImplicationsHealth Implications

l Adverse effects of local trafficexposure

l Effects independent ofregional air quality

l Enhanced vulnerability

l Changes likely permanent

l Long-term health implications

– Greatest effect may occur laterin life

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Development of Lung FunctionDevelopment of Lung FunctionDevelopment of Lung Function

Reduced (projected)

Normal

Level belowwhichsymptomsmay occurL

evel

of

lun

g f

un

ctio

n

Birth 10 20 30 40 50 60 70 80Age

Adapted from Strachan et al 1997; Courtesy of USC

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Methods to Measure Exposure to TrafficMethods to Measure Exposure to TrafficMethods to Measure Exposure to Traffic

l Measurements of traffic-related pollutants

l Freeways/Major RoadExposure:

– Distance

– Traffic volume and/or type

– Traffic-modeled exposure

l In-vehicle studies

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Health Effects Seen in the Infant(Pre- and Post-Natal)

Health Effects Seen in the InfantHealth Effects Seen in the Infant(Pre- and Post-Natal)(Pre- and Post-Natal)

l Low birth weight: 36% increase inprevalence among those with trafficexposure and high CO 1

l Premature birth: 27% increase inprevalence among those with trafficexposure and high CO 1

l Cardiac birth defects: Up to 3Xincrease in risk with traffic-relatedpollutants 2

1. Wilhelm M, et al. 2005. Local variations in CO and particulate air pollution and adverse birth outcomes in LosAngeles County, California, USA.. Environ Health Perspect. 113(9) 212-21

2. Ritz B, et al. 2002 Ambient air pollution and risk of birth defects in Southern California. Am J Epidemiol, 155:17-25

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Health Effects Seen in Childrenand Adolescents

Health Effects Seen in ChildrenHealth Effects Seen in Childrenand Adolescentsand Adolescents

l Asthma: 89% increase in risk with closeresidence to freeway 1

l With long-term close residence to traffic 2

– Ever had asthma: 85% increase in risk

– Current treatment for asthma: ~2.5X increasein risk

– Wheezing: ~2.7X increase in risk

l Acute respiratory symptoms: 5-8% increasein risk with schools close to traffic 3

1. Gauderman WJ, et al. 2005. Childhood Asthma and Exposure to Traffic and Nitrogen Dioxide.Epidemiology, 16:737-743

2. McConnell R, et al. 2006. Traffic, susceptibility, and childhood asthma. Environ Health Perspect.114(5):766-72

3. Kim, et al. 2004. Traffic-related Air Pollution near Busy Roads, The East Bay Children’s respiratoryHealth Study. Am J Respir Crit Care Med. 170(5):520-6

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Current ARB Research Studies onTraffic and Health

Current ARB Research Studies onCurrent ARB Research Studies onTraffic and HealthTraffic and Health

l Refining Estimates of Exposure for the EastBay Children’s Respiratory Health Study

l Cardiovascular Health Effects of Fine andUltrafine Particles during Freeway Travel

l Air Pollution and Cardiovascular Disease in theCalifornia Teachers Study Cohort

l Future Studies

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MitigationMitigationMitigationl California's Diesel Risk Reduction

Plan– Emission standards for heavy duty

vehicles

– Carl Moyer Program

l Motor vehicle standards forcars/light trucks

l Goods Movement EmissionReduction Plan

l Land use guidelines

l No new schools within 500 feet fromfreeways (SB 352, Escutia, 2003)

Page 13: Health Effects Associated With Traffic- Related Air Pollution

Health Effects Associated With Traffic-Related Air Pollution

Health Effects Associated With Traffic-Related Air Pollution

March 22, 2007March 22, 2007

Air Resources BoardCalifornia Environmental Protection Agency