Sulfur dioxide (SO2) as an air pollutant is not wholly accountable for the rising prevalence of asthma among Chinese children: a case study in Chongqing

Song, A; Deng, L; Liao, Q; Zhao, G; Chen, J; Liu, E

HERO ID

2625456

Reference Type

Journal Article

Subtype

Abstract

Year

2010

Language

English

HERO ID 2625456
Material Type Abstract
In Press No
Year 2010
Title Sulfur dioxide (SO2) as an air pollutant is not wholly accountable for the rising prevalence of asthma among Chinese children: a case study in Chongqing
Authors Song, A; Deng, L; Liao, Q; Zhao, G; Chen, J; Liu, E
Journal American Journal of Respiratory and Critical Care Medicine
Volume 181
Page Numbers A1893
Abstract Introduction: Although pathogenesis of asthma is still a major challenge in medical science, epidemiology studies have shown that the incidence of asthma is associated with the level of air pollution. However, there are many pollutants in the air including sulfur dioxide (SO2) that may contribute to the initiation and/or exacerbation of asthma, and the role of each specific air pollutant is not fully elucidated. Here, we investigated the association of SO2 level and asthma incidence among Chinese children in Chongqing. The rationale is that in Chongqing SO2 is the primary air pollutant due to its history of using high sulfur content coal as energy source for both the once booming heavy industries and the densely populated residents in the past. In addition, the city’s unique geography, low altitude with surrounding mountain ranges that reduce seasonal winds, can enhance the lingering of SO2 in the air. Therefore, SO2 may be the culprit for the prevalence of respiratory diseases including child asthma in Chongqing. Methods: Data from 1996 to 2008 of SO2 content in the air of Chongqing’s nine central districts were collected from the city’s Environment Protection Bureau. These nine districts include three heavy industrial areas and five densely populated residential areas as test areas, and one farming/tourism area as control. Clinical cases of child asthma were provided by Chongqing Children's Hospital and segregated according to the patient’s residence. The Change of SO2 with time and association with asthma were studied by statistical analysis. Results: On average, SO2 content in Chongqing decreased from 0.207mg/m^3 in 1997 to 0.063 mg/m^3 in 2008. Although the reduction of SO2 pollution has been continuous during the past decade, but it accelerated during 2005-08, directly associated with the city’s Blue Sky Campaign. Despite the continuous reduction of SO2 content in the air, the incidence of child asthma has been continuously rising from 5% in 1998 to 11% in 2008. Conclusion: SO2 is a trigger of asthma attacks, but it can not be held responsible for rising prevalence of asthma among Chinese children, at least in the case of Chongqing. This suggests that SO2 control alone may not result in significant improvement of respiratory health of the populace, and instead a more comprehensive approach toward clean air should be adopted.
Doi 10.1164/ajrccm-conference.2010.181.1_MeetingAbstracts.A1893
Wosid WOS:000208771001101
Is Certified Translation No
Dupe Override No
Conference Location New Orleans, LA
Conference Name American Thoracic Society 2010 International Conference
Conference Date May 14-19, 2010
Is Public Yes
Language Text English
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