_   Effects of    M.     ^     „
   Common  Air  Pollutants
    RESPIRATORY EFFECTS
                                             CARDIOVASCULAR  rFTHCTS
                 Symptoms:
                 •Cough
                 Phlegm
                 Chest tightness
             Wheezing
             Shortness of breath
 Alveoli
filled with
trapped air
                 Increased sickness and
                 premature death from:
                 Asthma
                 Bronchitis (acute or chronic)
                 Emphysema
                 Pneumonia

                 Development of new disease
                 Chronic bronchitis
                 Premature aging of the lungs


                 How Pollutants

                 Cause Symptoms
                Effects on Lung Function
Narrowing of airways
(bronchoconstriction)
Decreased air flow


                              Symptoms:
                              • Chest tightness
                              • Chest pain (angina)
                              • Palpitations
                              • Shortness of breath
                              • Unusual fatigue

                              Increased sickness and
                              premature death from:
                              • Coronary artery disease
                              •Abnormal heart rhythms
                              • Congestive heart failure
                              • Stroke
                                              How Pollutants
                                              Cause Symptoms
                                                                 -V—*Jr—^r-
                                                                                  Normal heart rhythm


         s*
                            '
                    Airway lining
 Airway Inflammation
  Influx of white blood cells
  Abnormal mucus production
  Fluid accumulation and
  swelling (edema)
  Death and shedding of
  cells that line airways
                            Mucus
                                                                                  Abnormal heart rhythm
                                                                               Effects on Cardiovascular Function
                                                               • Low oxygenation of red blood cells
                                                               •Abnormal heart rhythms
                                                               •Altered autonomic nervous system
                                                               control of the heart
        Increased Susceptibility to Respiratory Infection
                                                     Vascular Inflammation
                                                     •Increased risk of
                                                      blood clot formation
                                                     • Narrowing of vessels
                                                      (vasoconstriction)
                                                     • Increased risk of
                                                      atherosclerotic
                                                      plaque rupture
                                                         Normal
                              Rupture-prone
                               vulnerable
                                plaque
           Normal
            Lung with
         respiratory infection
     Reduce your risk by usmg the Air Quality Index (AQI) to plan outdoor activities - www.airnow.gov
     AQI Levels of Health Concern
            Good
           Moderate

                    AQI Values
                      0-50
What Action Should People Take?
Enjoy Activities
         Unhealthy for
        Sensitive Groups
           'nhealth
        Very Unhealthy
1 51-100
101-150
1 151-200
H
1 201-300
People unusually sensitive to air pollution:
Plan strenuous outside activities when air quality is better
Sensitive Groups: Cut back or reschedule strenuous outside activities
Ozone: People with lung disease, children and older adults and people who are active outdoors
Particle Pollution: People with heart or lung disease (including diabetics), older adults and children
Carbon Monoxide: People with heart disease and possibly infants and fetuses
Nitrogen Dioxide: People with lung disease, children and older adults
Sulfur Dioxide: Active children and adults with asthma
Everyone: Cut back or reschedule strenuous outside activities
Sensitive groups: Avoid strenuous outside activities
Everyone: Significantly cut back on outside physical activities
Sensitive groups: Avoid all outside physical activities
EPA-456/H-1 1-002

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