c/EPA
United States
Environmental Protection
Agency
-
                 Five  Years of Progress

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Particul
    Background

    The U.S. Environmental Protection Agency
    (EPA) strives for every American community to
    have safe and healthy air. Research has shown
    that exposure to particulate matter (PM) air
    pollution is linked to increases in respiratory
    health problems, hospitalization for heart or lung
    disease and even premature death. The National
    Ambient Air Quality Standards (NAAQS)
    for PM,  set  by EPA in 1997, were designed
    to respond to this PM research and move  the
    nation closer to achieving the Clean Air Goal. In
    1998, Congress  mandated that EPA accelerate its
    investigation of PM health effects and find ways
    to reduce the risks associated with exposure to
    PM. In response, EPA's research office developed
    a program to coordinate the work of its own
    scientists with  that  conducted by academics,
    partners such as the Health Effects Institute,
    and other Federal agencies such as the National
    Institutes of Health and the Department of
    Energy. The results of this effort have improved
    our understanding of the potential impacts of
    PM on human  health, helped us develop tools
    to reduce harmful exposures, and advanced the
    science for future reviews of the PM NAAQS.

    EPA research on PM has been conducted within
    a framework developed by the National Research
    Council (NRC) of the National Academy of
    Sciences, an independent committee of experts
    that was assembled at the request of EPA in 1998.
    The NRC Committee on Research Priorities for
    Airborne Particulate Matter identified the agenda
that guided EPA in developing its PM research
program. Eleven areas were specified to encourage
researchers to:

  Evaluate actual PM exposures

  Determine the exposures of susceptible
  subpopulations to PM

I Determine the characteristics of PM from
  various emission sources

I Develop models to test air quality management
  strategies

  Assess the hazardous components of PM

I Determine what happens to PM after it is
  deposited in the lung

I Separate the effects of PM from other, gaseous
  pollutants and assess the effects of long-term
  exposure to PM

  Ascertain which subpopulations are most
  susceptible to PM effects

I Discover the specific biologic mechanisms by
  which PM causes adverse health effects

I Examine various statistical  methods for
  estimating exposure to PM

I Develop  technical support for modeling and
  measurement techniques
                                     Five         Years

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Results

PM  Is Linked to Disease: Numerous studies
conducted throughout the U.S. and the world
have shown that short-term  exposure to  PM
can adversely affect human health. Generally,
exposure to  PM is associated with illness  and
premature death independent of the effects of
other, gaseous  pollutants in  the  atmosphere.
The very young, the genetically predisposed, the
elderly, and those with pre-existing heart or lung
disease are most susceptible to the adverse health
effects of PM. Striking findings also suggest that
extended PM exposure can lead to chronic disease
and/or a shortened life span.

Fine Particles Move  Indoors:  Scientists have
found that PM2 , the component of PM smaller
than 2.5 micrometers in diameter, penetrates easily
into  most indoor environments—where people
spend much of their time. While the strength of
the correlation can vary by season and location,
it appears  that outdoor PM25 levels reasonably
represent personal exposure to PM2  . Exposure
studies have also shown that background levels
of other, gaseous pollutants, such as ozone and
nitrogen dioxide, can be surrogate indicators for
personal PM2  exposure.

People  with  Lung Disease Collect More
Particles in  their  Lungs:  New  findings
demonstrate that PM2  deposits in critical regions
of the lung after it enters the respiratory tract.
Some parts of a diseased lung collect 8 to 10 times
more particles than a healthy lung, a fact that has
major implications for people with lung disease.
This work suggests that people with lung disease
may be more affected by increasing levels of PM
because they receive greater doses.

Possible Mechanisms for Disease: We now have
multiple hypotheses to explain how the chemical
and  physical properties of PM could produce
disease. Further,  we can now experimentally
investigate the mechanisms that enable very small
concentrations of inhaled PM to cause changes in
the heart and lung that lead to increased illness
and  death. The laboratory and field evidence
does not implicate one specific toxic quality of
PM  to the exclusion of others. Qualities such
as the size of the PM and presence of certain
chemical components, such as metals, all appear
to contribute to its toxicity.

Models and Tools  to Implement the PM
NAAQS: Researchers have developed more
advanced tools to measure and model fine
particles. The models enable researchers to
estimate how much PM will travel from a source
of potentially toxic particles to populations that
can be affected and to predict how  reductions
in PM  emissions  can impact exposure miles
away. New, specialized measurement techniques
should help us measure  the particle size  and
composition of diverse kinds of PM and  PM
from unconventional sources.
Progress

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What's  Next?

Expanded  research during the past five years
has answered many pressing  questions about
the health effects of PM and related exposures,
but much  remains  to be learned.   We do  not
yet understand the role  of long-term PM
exposure in the development of chronic disease.
Further research is also needed to determine
how long-term exposure combines  with short-
term fluctuations in PM levels to trigger acute
problems such as heart attacks. In  response to
these needs, EPA recently issued a Request for
Applications to examine the  health effects of
exposure to PM over a 10-year period.

EPA's research office will  be investigating the
significance of new hypotheses  to explain
the mechanisms by which PM  causes disease
and death. New research is needed to explain
the effects of different physical and chemical
properties of PM on human health, particularly
on the most susceptible populations. With this
understanding and  an ability to link sources of
PM to observed health effects, researchers will
be able to produce information to help develop
targeted control strategies to reduce human
exposure.

EPA is completing the Air  Quality Criteria
Document for Particulate Matter, a comprehensive
assessment of PM health and exposure science.
results of
This document will review the results of the
approximately 2,000 studies that have be^B
published since the last review in 1996. EPA will
use this information to issue a proposal outlining
whether the NAAQS should be revised.

Now that the National Monitoring Network
has compiled several years of detailed PM25
monitoring data, there is  a  critical need  to
accelerate  research to help  implement the
NAAQS. EPA will use modeling and monitoring
data to determine which states and regions are
out of compliance with  the NAAQS. EPA's
research office is developing new analytical tools
that  will help these states and regions achieve
NAAQS compliance.

Conclusions

EPA estimates that its  current regulations  to
reduce air pollution can save tens of thousands
of lives per year.  It is estimated that hundreds
of thousands of annual  hospitalizations for
cardiovascular and respiratory illnesses can  be
prevented by implementing these regulations.
The monetary benefits alone from reduced
deaths  are estimated to be in the range of $100
billion per year.  Future research will help  to
ensure  that the populations most vulnerable to
the effects  of PM will be protected,  and that
the regulations will be implemented in the most
effective ways possible.
                               For more information contact;:
                                         James Vickery
                                     Research and Development
                                U.S. Environmental Protection Agency
                                  Research Triangle Park, NC 27711
                                       EPA-600-F-04-025
                                          April 2004
                                       www.epa.gov/ord
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