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GEORGIA Air Quality Summit. Every Breath You Take:. Health and Air. GEORGIA Air Quality Summit. Program:. Georgia’s Air Pollution: Are the Health Risks important? --- W. Gerald Teague, MD The Atlanta Aerosol --- Rodney Weber, PhD Traffic-Related Airway Inflammation in Asthma
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GEORGIA Air Quality Summit Every Breath You Take: Health and Air
GEORGIA Air Quality Summit Program: Georgia’s Air Pollution: Are the Health Risks important? --- W. Gerald Teague, MD The Atlanta Aerosol --- Rodney Weber, PhD Traffic-Related Airway Inflammation in Asthma --- Fernando Holguin, MD The Oxidizing Effects of Inhaled Particles --- Roby Greenwald, PhD Interactive Discussion with Speakers
GEORGIA Air Quality Summit Georgia’s Air Pollution: Are the Health Risks Important? W. Gerald Teague, MD Southeast Pediatric Environmental Health Specialty Unit at Emory University
GEORGIA Air Quality Summit case presentation • KB is a 10 y/o with life-long severe asthma, dependent • on oral corticosteroids for several years. • Two days before presentation he had a cold and complained • of chest tightness, cough, and increased wheeze. • He saw his doctor who increased his asthma medication. • Two days later, while waiting in line to board the school bus, • KB became cyanotic, and collapsed.
GEORGIA Air Quality Summit In Memory of: Kellen February 9, 1990 - January 11, 2000 “Not One More Life”
GEORGIA Air Quality Summit Ozone Exposure and Asthma: Summer in Atlanta Average Number of Asthma Visits Per Day Friedman et al, JAMA 2001; 285:897
GEORGIA Air Quality Summit So lets have an Olympics and take MARTA instead! Trips per day Friedman et al, JAMA 2001; 285:897
GEORGIA Air Quality Summit Atlanta’s Air Gets the Gold during the 1996 Olympic Games 80 70 60 50 % of EPA Air Quality Standard 40 30 20 10 0 Ozone PM10 CO NO2 SO2 Pre-Olympics (baseline period) Olympic Period Post-Olympics (baseline period) Friedman et al, JAMA 2001; 285:897
GEORGIA Air Quality Summit City-wide Reduction in Asthma Morbidity during the 1996 Olympics Mean Daily Number of Events Friedman et al, JAMA 2001; 285:897
GEORGIA Air Quality Summit Airway Acidification in Athletes Training Outdoors in Conyers Ferdinand et al, Proc Respir Crit Care Med; 2006
Who Is At Greatest Risk? Increasing Susceptibility Increasing Number Of People Affected Sensitive Individuals Individuals with asthma, chronic bronchitis, emphysema, cystic fibrosis, and known cardiac conditions should take extra precautions during air pollution episodes. • Old and Young • Young children whose lungs are developing, and seniors and people with chronic disorders of the lungs and heart are more sensitive. • Healthy People • Everyone who works outside or engages in vigorous outdoor exercise for prolonged periods during smog episodes is at increased risk of experiencing adverse health effects caused by smog. • Dose = (Pollutant Concentration) X (Breathing Rate) X (Time Engaged in Activity)
GEORGIA Air Quality Summit • Georgia’s Air Pollution is an Important • Health Risk: • diminished lung growth in high ozone regions • exacerbations of lung disease • increased heart attacks and stroke