慢性阻塞性肺病
空气污染
环境卫生
空气质量指数
污染
医学
微粒
微粒污染
公共卫生
环境科学
环境保护
气象学
地理
病理
生态学
化学
有机化学
精神科
生物
作者
Don D. Sin,Dany Doiron,Álvar Agustí,Antonio Anzueto,Peter J. Barnes,Bartolomé R. Celli,Gerard J. Criner,David Halpin,MeiLan K. Han,Fernando J. Martínez,María Montes de,Alberto Papi,Ian D. Pavord,Nicolás Roche,Dave Singh,Robert A. Stockley,M. Victorina Lopez Varlera,Jadwiga A. Wedzicha,Claus Vogelmeier,Jean Bourbeau
出处
期刊:The European respiratory journal
[European Respiratory Society]
日期:2023-03-23
卷期号:61 (5): 2202469-2202469
被引量:29
标识
DOI:10.1183/13993003.02469-2022
摘要
Exposure to air pollution is a major contributor to the pathogenesis of COPD worldwide. Indeed, most recent estimates suggest that 50% of the total attributable risk of COPD may be related to air pollution. In response, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Scientific Committee performed a comprehensive review on this topic, qualitatively synthesised the evidence to date and proffered recommendations to mitigate the risk. The review found that both gaseous and particulate components of air pollution are likely contributors to COPD. There are no absolutely safe levels of ambient air pollution and the relationship between air pollution levels and respiratory events is supra-linear. Wildfires and extreme weather events such as heat waves, which are becoming more common owing to climate change, are major threats to COPD patients and acutely increase their risk of morbidity and mortality. Exposure to air pollution also impairs lung growth in children and as such may lead to developmental COPD. GOLD recommends strong public health policies around the world to reduce ambient air pollution and for implementation of public warning systems and advisories, including where possible the use of personalised apps, to alert patients when ambient air pollution levels exceed acceptable minimal thresholds. When household particulate content exceeds acceptable thresholds, patients should consider using air cleaners and filters where feasible. Air pollution is a major health threat to patients living with COPD and actions are urgently required to reduce the morbidity and mortality related to poor air quality around the world.
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