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3121667 
Technical Report 
HEI 
NPACT Study 4. Mortality and long-term exposure to PM2.5 and its components in the American Cancer Society's Cancer Prevention Study II Cohort 
Thurston, GD; Ito, K; Lall, R; Burnett, RT; Turner, MC; Krewski, D; Shi, Y; Jerrett, M; Gapstur, SM; Diver, WR; Pope, CA III 
2013 
Health Effects Institute 
Boston, MA 
Research Report 177 
National Particle Component Toxicity (NPACT) Initiative: Integrated Epidemiologic and Toxicologic Studies of the Health Effects of Particulate Matter Components 
127-166 
English 
Epidemiologic studies conducted over recent decades have shown that long-term exposure to elevated ambient levels of PM2.5* is associated with increased risk of death, especially from ischemic heart disease (IHD) and lung cancer. The earlier analyses of the American Cancer Society’s (ACS) Cancer Prevention Study II (CPS-II) cohort (Pope et al. 1995, 2002, 2004), the largest prospective cohort study, found that mortality from all causes and from cardiopulmonary diseases increased in positive association with the level of ambient PM2.5. However, the components in PM2.5 (e.g., ions, trace metals, organic compounds) and the emission sources of the particles (e.g., coal-fired power plants, residual oil combustion, traffic, soil) that are most closely associated with the increased risk of mortality have yet to be determined. 
Health; mortality; Particulate Matter; Research; toxicity 
Lippmann, M; Chen, LC; Gordon, T; Ito, K; Thurston, GD 
NAAQS
• ISA-PM (2019)
     Peer Input Draft
          Chapter 6
     1st Draft
          Chapter 10
     In Scope
          PM Cancer-Genotox
     Final ISA
          Chapter 10