Skip to main content
Environmental Health Perspectives logoLink to Environmental Health Perspectives
. 1981 Oct;41:255–276. doi: 10.1289/ehp.8141255

Assessment of the health effects of atmospheric sulfur oxides and particulate matter: evidence from observational studies.

J H Ware, L A Thibodeau, F E Speizer, S Colome, B G Ferris Jr
PMCID: PMC1568852  PMID: 6977444

Abstract

Steadily rising energy costs have increased the need for reliable information on the health effects of atmospheric sulfur oxides and particulate matter. Because ethical and practical considerations limit studies of this question under controlled conditions, observational studies provide an important part of the relevant information. This paper examines the currently available epidemiologic evidence from population studies of the health effects of these pollutants. Nonexperimental studies also have important limitations, including the inability to measure accurately the exposure burden of free living individuals, and the potential for serious confounding by other factors affecting health. We begin with a discussion of some of these methodologic issues. The evidence is then reviewed, first in association with fluctuations in 24 hr mean concentration of sulfur oxides and particulate matter, and then in association with differences in mean annual concentration. In the last section, this evidence is summarized and used to approximate the exposure-response relationship linking pollutant concentrations with mortality and morbidity levels.

Full text

PDF
258

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ANDERSON D. O., FERRIS B. G., Jr AIR POLLUTION LEVELS AND CHRONIC RESPIRATORY DISEASE. Arch Environ Health. 1965 Feb;10:307–311. doi: 10.1080/00039896.1965.10664001. [DOI] [PubMed] [Google Scholar]
  2. ANDERSON D. O., FERRIS B. G., Jr, ZICKMANTEL R. LEVELS OF AIR POLLUTION AND RESPIRATORY DISEASE IN BERLIN, NEW HAMPSHIRE. Am Rev Respir Dis. 1964 Dec;90:877–887. doi: 10.1164/arrd.1964.90.6.877. [DOI] [PubMed] [Google Scholar]
  3. BIERSTEKER K., DE GRAAF H., NASS C. A. INDOOR AIR POLLUTION IN ROTTERDAM HOMES. Air Water Pollut. 1965 Jun;9:343–350. [PubMed] [Google Scholar]
  4. Buechley R. W., Riggan W. B., Hasselblad V., VanBruggen J. B. SO2 levels and perturbations in mortality. A study in the New York-New Jersey metropolis. Arch Environ Health. 1973 Sep;27(3):134–137. doi: 10.1080/00039896.1973.10666341. [DOI] [PubMed] [Google Scholar]
  5. CIOCCO A., THOMPSON D. J. A follow-up of Donora ten years after: methodology and findings. Am J Public Health Nations Health. 1961 Feb;51:155–164. doi: 10.2105/ajph.51.2.155. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Chapman R. S., Shy C. M., Finklea J. F., House D. E., Goldberg H. E., Hayes C. G. Chronic respiratory disease: in military inductees and parents of schoolchildren. Arch Environ Health. 1973 Sep;27(3):138–142. doi: 10.1080/00039896.1973.10666342. [DOI] [PubMed] [Google Scholar]
  7. Cohen A. A., Bromberg S., Buechley R. W., Heiderscheit L. T., Shy C. M. Asthma and air pollution from a coal-fueled power plant. Am J Public Health. 1972 Sep;62(9):1181–1188. doi: 10.2105/ajph.62.9.1181. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Colley J. R., Douglas J. W., Reid D. D. Respiratory disease in young adults: influence of early childhood lower respiratory tract illness, social class, air pollution, and smoking. Br Med J. 1973 Jul 28;3(5873):195–198. doi: 10.1136/bmj.3.5873.195. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. DOHAN F. C. Air pollutants and incidence of respiratory disease. Arch Environ Health. 1961 Oct;3:387–395. doi: 10.1080/00039896.1961.10663040. [DOI] [PubMed] [Google Scholar]
  10. DOHAN F. C., TAYLOR E. W. Air pollution and respiratory disease. A preliminary report. Am J Med Sci. 1960 Sep;240:337–339. doi: 10.1097/00000441-196009000-00009. [DOI] [PubMed] [Google Scholar]
  11. Derrick E. H. A comparison between the density of smoke in the Brisbane air and the prevalence of asthma. Med J Aust. 1970 Oct 10;2(15):670–675. doi: 10.5694/j.1326-5377.1970.tb63108.x. [DOI] [PubMed] [Google Scholar]
  12. FERRIS B. G., Jr, ANDERSON D. O. The prevalence of chronic respiratory disease in a New Hampshire town. Am Rev Respir Dis. 1962 Aug;86:165–177. doi: 10.1164/arrd.1962.86.2.165. [DOI] [PubMed] [Google Scholar]
  13. FRY J. Effects of a severe fog on a general practice. Lancet. 1953 Jan 31;1(6753):235–236. doi: 10.1016/s0140-6736(53)90906-4. [DOI] [PubMed] [Google Scholar]
  14. Ferris B. G., Chen H., Puleo S., Murphy R. L. Chronic nonspecific respiratory disease in Berlin, New Hampshire, 1967 to 1973. A further follow-up study. Am Rev Respir Dis. 1976 Apr;113(4):475–485. doi: 10.1164/arrd.1976.113.4.475. [DOI] [PubMed] [Google Scholar]
  15. Ferris B. G. Epidemiology Standardization Project (American Thoracic Society). Am Rev Respir Dis. 1978 Dec;118(6 Pt 2):1–120. [PubMed] [Google Scholar]
  16. Ferris B. G., Jr Health effects of exposure to low levels of regulated air pollutants: a critical review. J Air Pollut Control Assoc. 1978 May;28(5):482–497. doi: 10.1080/00022470.1978.10470621. [DOI] [PubMed] [Google Scholar]
  17. Ferris B. G., Jr, Higgins I. T., Higgins M. W., Peters J. M. Sulfur oxides and suspended particulates, possible effects of chronic exposure. Arch Environ Health. 1973 Sep;27(3):179–182. doi: 10.1080/00039896.1973.10666348. [DOI] [PubMed] [Google Scholar]
  18. Ferris B. G., Jr, Higgins I. T., Higgins M. W., Peters J. M., Van Ganse W. F., Goldman M. D. Chronic nonspecific respiratory disease, Berlin, New Hampshire, 1961-1967: a cross-sectional study. Am Rev Respir Dis. 1971 Aug;104(2):232–244. doi: 10.1164/arrd.1971.104.2.232. [DOI] [PubMed] [Google Scholar]
  19. French J. G., Lowrimore G., Nelson W. C., Finklea J. F., English T., Hertz M. The effect of sulfur dioxide and suspended sulfates on acute respiratory disease. Arch Environ Health. 1973 Sep;27(3):129–133. doi: 10.1080/00039896.1973.10666340. [DOI] [PubMed] [Google Scholar]
  20. GORE A. T., SHADDICK C. W. Atmospheric pollution and mortality in the Country of London. Br J Prev Soc Med. 1958 Apr;12(2):104–113. doi: 10.1136/jech.12.2.104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. GREENBURG L., ERHARDT C., FIELD F., REED J. I., SERIFF N. S. INTERMITTENT AIR POLLUTION EPISODE IN NEW YORK CITY, 1962. Public Health Rep. 1963 Dec;78:1061–1064. [PMC free article] [PubMed] [Google Scholar]
  22. Glasser M., Greenburg L. Air pollution, mortality, and weather. New York City, 1960-1964. Arch Environ Health. 1971 Mar;22(3):334–343. doi: 10.1080/00039896.1971.10665852. [DOI] [PubMed] [Google Scholar]
  23. Goldstein I. F., Block G. Asthma and air pollution in two inner city areas in New York City. J Air Pollut Control Assoc. 1974 Jul;24(7):665–670. doi: 10.1080/00022470.1974.10469954. [DOI] [PubMed] [Google Scholar]
  24. Kiernan K. E., Colley J. R., Douglas J. W., Reid D. D. Chronic cough in young adults in relation to smoking habits, childhood environment and chest illness. Respiration. 1976;33(3):236–244. doi: 10.1159/000193738. [DOI] [PubMed] [Google Scholar]
  25. LAWTHER P. J. Climate, air pollution and chronic bronchitis. Proc R Soc Med. 1958 Apr;51(4):262–264. [PubMed] [Google Scholar]
  26. Lambert P. M., Reid D. D. Smoking, air pollution, and bronchitis in Britain. Lancet. 1970 Apr 25;1(7652):853–857. doi: 10.1016/s0140-6736(70)91687-9. [DOI] [PubMed] [Google Scholar]
  27. Lawther P. J., Waller R. E., Henderson M. Air pollution and exacerbations of bronchitis. Thorax. 1970 Sep;25(5):525–539. doi: 10.1136/thx.25.5.525. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Lunn J. E., Knowelden J., Handyside A. J. Patterns of respiratory illness in Sheffield infant schoolchildren. Br J Prev Soc Med. 1967 Jan;21(1):7–16. doi: 10.1136/jech.21.1.7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  29. Lunn J. E., Knowelden J., Roe J. W. Patterns of respiratory illness in Sheffield junior schoolchildren. A follow-up study. Br J Prev Soc Med. 1970 Nov;24(4):223–228. doi: 10.1136/jech.24.4.223. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. MARTIN A. E. MORTALITY AND MORBIDITY STATISTICS AND AIR POLLUTION. Proc R Soc Med. 1964 Oct;57:SUPPL–SUPPL:975. [PMC free article] [PubMed] [Google Scholar]
  31. McCarroll J., Bradley W. Excess mortality as an indicator of health effects of air pollution. Am J Public Health Nations Health. 1966 Nov;56(11):1933–1942. doi: 10.2105/ajph.56.11.1933. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Mostardi R. A., Leonard D. Air pollution and cardiopulmonary functions. Arch Environ Health. 1974 Dec;29(6):325–328. doi: 10.1080/00039896.1974.10666607. [DOI] [PubMed] [Google Scholar]
  33. Schimmel H., Greenburg L. A study of the relation of pollution to mortality New York City, 1963-1968. J Air Pollut Control Assoc. 1972 Aug;22(8):607–616. doi: 10.1080/00022470.1972.10469688. [DOI] [PubMed] [Google Scholar]
  34. Schimmel H., Murawski T. J. Proceedings: The relation of air pollution to mortality. J Occup Med. 1976 May;18(5):316–333. doi: 10.1097/00043764-197605000-00006. [DOI] [PubMed] [Google Scholar]
  35. Schwing R. C., McDonald G. C. Measures of association of some air pollutants, natural ionizing radiation and cigarette smoking with mortality rates. Sci Total Environ. 1976 Mar;5(2):139–169. doi: 10.1016/0048-9697(76)90052-8. [DOI] [PubMed] [Google Scholar]
  36. Shy C. M., Hasselblad V., Burton R. M., Nelson C. J., Cohen A. A. Air pollution effects on ventilatory function of US schoolchildren. Results of studies in Cincinnati, Chattanooga, and New York. Arch Environ Health. 1973 Sep;27(3):124–128. doi: 10.1080/00039896.1973.10666339. [DOI] [PubMed] [Google Scholar]
  37. Stebbings J. H., Fogleman D. G., McClain K. E., Townsend M. C. Effect of the Pittsburgh air pollution episode upon pulmonary function in schoolchildren. J Air Pollut Control Assoc. 1976 Jun;26(6):547–553. doi: 10.1080/00022470.1976.10470281. [DOI] [PubMed] [Google Scholar]
  38. Yocom J. E., Clink W. L., Cote W. A. Indoor-outdoor air quality relationships. J Air Pollut Control Assoc. 1971 May;21(5):251–259. doi: 10.1080/00022470.1971.10469525. [DOI] [PubMed] [Google Scholar]

Articles from Environmental Health Perspectives are provided here courtesy of National Institute of Environmental Health Sciences

RESOURCES