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Living on a Poisoned Globe

By Aisha El-Awady

23/03/2003

The rapid urbanization of many cities in developing countries with its associated industrial and transportation system expansion has led to serious levels of air pollution. Air pollution has serious health risks and poses as a major environmental health problem, causing death or disease to millions of people each year. It is estimated that around three million people die of air pollution annually, which represents 5% of the annual deaths occurring around the world.

Diseases associated with air pollution are mainly respiratory diseases, asthma, chronic obstructive pulmonary disease, cardiovascular disease and cancer of the lung.  According to the World Health Organisation (WHO), “Around 30-40% of cases of asthma and 20-30% of all respiratory diseases may be linked to air pollution in some populations. Studies in São Paulo, Brazil, have shown that a 75 µg/mł increase in concentrations of nitrogen dioxide (NO2) was related to a 30% increase in deaths from respiratory illness in children under five years of age. In adult non-smokers, chronic exposure to environmental tobacco smoke increases mortality from lung cancer by between 20% and 30%.”

Persons most at risk are those suffering from respiratory diseases, extremes of age and the poor. Air pollutants enter the body either directly through the respiratory tract and lungs or can be taken up by the blood stream and distributed throughout the body. Pollutants can also contaminate food and water and become ingested. It has been shown in various studies that life expectancy can be reduced significantly in communities with high levels of particulate matter in the air they breathe.

Indoor Air Pollution

Not only are cities affected by dangerous levels of air pollution, but rural areas may suffer even more due to high levels of indoor air pollution. In fact, indoor air pollution poses a greater risk in developing countries than ambient air pollution.

Over 2000 million people around the world use coal and biomass fuels such as wood, cow dung, charcoal and grass for cooking and heating. The pollutants that result from the burning of these fuels in inefficient stoves together with poor ventilation have severe and sometimes fatal consequences. Those most affected are children. The Global Burden of Disease study conducted by WHO in 1990 showed that 30% of the estimated number of deaths from all diseases occur before the age of 15, but for acute respiratory diseases, the figure is twice as high.

Indoor pollutants are 1000 times more likely to reach people’s lungs than outdoor pollutants. In India, 80% of households use bio fuels and the estimated child mortality rate from indoor air pollution is half a million children per year, mainly from acute respiratory disease. In sub-Saharan Africa there is an estimated 300,000-500,000 deaths. In Latin America, where one quarter of homes use bio fuels, an estimated 30,000 people die each year from indoor air pollution related to acute respiratory tract infections. In Asia there is an estimated half to one million deaths each year.

Indoor air pollution is also responsible for a third of all cases of occupational illnesses. 50 million cases of occupational chronic respiratory disease are primarily caused by this type of pollution.  

The main health hazards related to indoor air pollution are chronic obstructive lung disease, lung cancers, adverse pregnancy outcomes in women, and respiratory problems in children (RAPIDC).

Air Pollution and Crops

Air pollution has adverse effects on crops and forests especially in areas in close proximity to the source of pollution. Negative impacts include:

* Direct visible damage to the leaf surface which affects crop value.

* Reduction of crop yield and forest decline. For example, in Pakistan one study observed a 42% reduction in rice grain yield. In the 1970s and 1980s thousands of hectares of forest were lost in the ‘Black Triangle’ of Central Europe.

* Increased sensitivity to stress factors such as drought, frost and pests due to subtle physiological, chemical or anatomical changes.

The most damaging pollutants are sulphur dioxide (SO2), nitrogen dioxide (NO2) and ozone (O3). Climate plays an important role in the uptake and production of these pollutants. For example, high humidity favours stomatal uptake of pollutant gases and tropical climates favour the production of ozone which is a secondary pollutant formed by photochemical reactions involving nitrogen oxides (NO) and volatile organic compounds (VOCs).

Effects on Buildings and Cultural Heritage

High concentrations of SO2 and the ever-growing car traffic in several large cities in developing countries compose an important risk to both buildings and cultural heritage. Pollutants have several harmful effects including: loss of mechanical strength, leakage, pipe corrosion, loss of protective coatings and loss of details in carvings (RAPIDC).

Damage can occur by direct effect especially to structures close to the source of pollution. The fact that many developing countries have high relative humidity, high temperature and a high frequency of precipitation increases the influence of acidifying pollutants. The acidification of soil and water can also damage structures indirectly.

Cultural heritage is at great risk from air pollutants especially SO2. In countries such as South-Western China where sulphur containing coal is used as the primary source of energy, corrosion rates are significantly higher than the highest levels in Europe. Items at risk include sculptures, paintings, textiles, rock carvings and stained glass. In France it is estimated that 80,000 m2 of medieval stained glass windows in churches are at risk of corrosion. In Egypt, a 550 pound chunk of limestone fell from the Sphinx in 1988, and while previously protected by sand, its exposure in the early 20th century and its subsequent exposure to modern-day pollutants have been causing serious physical deterioration to it for years.

Types of Pollutants

Industries that produce particularly high levels of air pollutants include: chemical, cement, paper and pulp, iron and steel, non-ferrous metals, glass and ceramics, leather, refining and processing petroleum, and particularly from coal and oil burning plants producing electric power.

In developed countries, traffic is responsible for 30% of the emissions of nitrogen oxides, 50% of hydrocarbons, 60% of lead and 60% of carbon monoxide in cities. The percentage rises to as much as 95% for carbon monoxide and up to 70% of nitrogen oxides in city centers (WHO).

The most important air pollutant is particulate matter as it affects more people on a regular basis than any other pollutant. It is made up of coarse particles such as soil, ash, and engine exhausts. These particles, especially those with diameters of less than 10 microns deposit on the pulmonary region of the respiratory tract and cause irritation, and increase the rate of respiratory tract infections. They also aggravate cases of asthma and bronchitis. Infants and children are particularly susceptible.

Gaseous pollutants include nitrogen oxides, sulphur dioxide (SO2), carbon monoxide (CO), and ozone (O3), which impairs lung function and causes irritation to mucous membranes, cough and headache.

Others include ammonia (NH3), volatile organic compounds, chlorinated fluorocarbons (CFCs), lead and other heavy metals and radon.

Sources:

Aisha El-Awady is an IslamOnline.net staff-writer.  She has a bachelor’s degree in medicine from Cairo University and is currently working as instructor of Parasitology in the Faculty of Medicine.  She may be contacted at aawady@islam-online.net   

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