Air Pollution and Hospital Admissions

A new study shows that larger particles of air pollution
aren't significantly linked to hospital admissions for heart or lung
problems.

The goal of the study was to see how larger particulate-matter air pollution
might play a role in hospital admissions for cardiovascular and lung disease.
Researchers say that fine particles of air pollution have long been studied,
but coarser ones have not.

Researchers pored over a database of Medicare billing claims from daily emergency hospital
admissions from 1999 to 2005 and air pollution data from 108 counties across
the U.S.

The results appear in the May 14 edition of The Journal of the American
Medical Association
.

All in all, there were nearly 4 million admissions for cardiovascular
disease and almost 1.5 million admissions for respiratory disease looked at in
the survey.

The people who were admitted with cardiovascular problems included those
with diagnoses of heart
failure , stroke, heart rhythm disturbances, and heart
attack . Those who were admitted with respiratory problems included those
with diagnoses of chronic obstructive pulmonary disease (COPD ) and respiratory tract infections

Results of the study include:


  • Cardiovascular and lung disease rates were slightly higher in the eastern
    U.S. than in the West.

  • Respiratory disease rates were slightly higher in less urban counties.


In the western U.S. there was nearly double the level of coarse particulate
matter air pollution (such as from mechanical grinding, agricultural
activities, dust) than in the eastern U.S.

The study showed that breathing in coarse particles of air pollution was not
significantly associated with emergency hospital admissions when it came to
cardiovascular or lung disease.

Researchers say coarse particles can get stuck in the upper and larger
airways.

Smaller particles in the air are mainly from vehicle exhaust or combustion.
Studies have shown that when breathed deep into the lungs, these smaller
particles reach the smaller airways and air sacs of the lungs. The researchers
also note that the chemical makeup of particulate pollution can vary by
size.

The U.S. Environmental Protection Agency uses these types of studies to set
safety standards and regulations on air pollution.

The researchers urge further testing of larger particles.



By Kelley Colihan
Reviewed by Louise Chang
©2005-2008 WebMD, LLC. All rights reserved

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