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Læknablaðið - okt. 2019, Blaðsíða 36

Læknablaðið - okt. 2019, Blaðsíða 36
452 LÆKNAblaðið 2019/105 Y F I R L I T Greinin barst til blaðsins 18. júní, samþykkt til birtingar 12. september 2019. This review is on air pollution in Iceland and how it affects human health. Air pollution can be described as a condition, where levels of compounds in the atmosphere are so high that it has undesirable or harmful effects on the general public or undesirable effects on the nature, flora and fauna, or man-built structures. Air pollution can have anthropogenic sources such as burning of fossil fuels, or natural sources such as volcanic eruptions, geothermal areas, and resuspension of soil (sandstorms). Air pollution decreases quality of health and shortens the lifespan. The health effects of air pollution can be divided into direct effects on health where, air pollution causes diseases and indirect effects, where air pollution increases symptoms of underlying diseases. Health protection lim- its are defined for certain ambient air pollutants. They are to act as reference levels for safe for individuals and are put forth to protect long-term human health. Outdoor air quality has been measured on a regular basis in Reykjavik since 1986. For the first years, only PM10 was measured on a single station, but over the years the number of pollutants measured has increased and more measuring stations have been added. In Iceland air quality is considered very good in general and the ambient pollutant concentrations are usually within defined limits. This is explained by multiple factors such as size of the country and other geographical features as well as weather conditions. Natural disasters can cause increased air pollutant concentrations, as recent volcano eruptions have shown. Several studies have been conduct- ed on the association of air pollution and health of the Icelandic population, but it is essential that this association be examined further to increase the knowledge of adverse health effects of air pollution in Iceland. Air pollution in Iceland and the effects on human health. Review ENGLISH SUMMARY 1Department of Respiratory Medicine, Landspitali University Hospital, 2Department of Pharmacology and Toxicology, Faculty of Medicine, University of Iceland, 3The Environment Agency of Iceland, team for climate change and air pollution, 4Center of Public Health, Faculty of Medicine, University of Iceland. Key words: Air pollution, Particulate matter, review, health effects. Correspondence: Gunnar Guðmundsson, ggudmund@landspitali.is Gunnar Guðmundsson1,2 Ragnhildur Guðrún Finnbjörnsdóttir3,4 Þorsteinn Jóhannsson3 Vilhjálmur Rafnsson4 29. Bates MN, Crane J, Balmes JR, Garrett N. Investigation of Hydrogen Sulfide Exposure and Lung Function, Asthma and Chronic Obstructive Pulmonary Disease in a Geothermal Area of New Zealand. PLOS ONE 2015; 10: e0122062. 30. Tzivian L. Outdoor air pollution and asthma in children. J Asthma Off J Assoc Care Asthma 2011; 48: 470­81. 31. Kwon OK, Kim SH, Kang SH, Cho Y, Oh IY, Yoon CH, et al. Association of short­ and long­term exposure to air pollution with atrial fibrillation. Eur J Prev Cardiol 2019; 26: 1208­16. 32. WHO. Health aspects of air pollution with particulate matter, ozone and nitrogen dioxide : report on a WHO working group, Bonn, Germany 13­15 January 2003. apps. who.int/iris/handle/10665/107478 ­ júní 2019. 33. Arnalds Ó. Dust sources and deposition of aeolian mater­ ials in Iceland. Icel Agric Sci 2010; 23: 3­21. 34. Henry JG, Heinke GW. Environmental Science and Engeneering. Önnur útgáfa. Prentice Hall, New Jersey 1996. 35. Bell Michelle L, Davis Devra L, Fletcher Tony. A retro­ spective assessment of mortality from the London smog episode of 1952: the role of influenza and pollution. Environ Health Perspect 2004; 112: 6­8. 36. Tilskipun Evrópuþingsins og ráðsins um gæði andrúms­ lofts og hreinna lofts í Evrópu, nr. 2008/50/EB. 2008. 37. Tilskipun Evrópuþingsins og ráðsins um arsen, kadmíum, kvikasilfur, nikkel og fjölhringa, arómatísk vetniskolefni í andrúmslofti, nr. 2004/107/EC. 2004. 38. Þórðardóttir S, Jóhannesson Þ. Blý í blóði manna í Reykjavík. Læknablaðið 1993; 79: 403­8. 39. Jóhannsson Þ. Svifryksmengun í Reykjavík [Meistara­ ritgerð verkfræðideild]: Háskóli Íslands 2007. 40. Steinarsdóttir SS, Ólafsdóttir KL. Loftgæðin í Reykjavík 2018 og áramótin 2018/2019 ­ Ársskýrsla heilbrigðiseftirlits Reykjavíkur um loftgæði. reykjavik.is/sites/default/ files/ymis_skjol/skjol_utgefid_efni/loftgaedin_i_reykja­ vik_2018_og_aramotin_2019.pdf ­ september 2019. 41. Carlsen HK, Zoëga H, Valdimarsdóttir U, Gíslason T, Hrafnkelsson B. Hydrogen sulfide and particle matter levels associated with increased dispensing of anti­asthma drugs in Iceland’s capital. Environ Res 2012; 113: 33­9. 42. Finnbjornsdottir RG, Zoëga H, Olafsson O, Thorsteinsson T, Rafnsson V. Association of air pollution and use of glyceryl trinitrate against angina pectoris: a population ­ based case­crossover study. Environ Health 2013; 12: 38. 43. Finnbjornsdottir RG, Carlsen HK, Thorsteinsson T, Oudin 3A, Lund SH, Gislason T, o.fl. Association between Daily Hydrogen Sulfide Exposure and Incidence of Emergency Hospital Visits: A Population­Based Study. PLOS ONE 2016; 11: e0154946. 44. Finnbjornsdottir RG, Oudin A, Elvarsson BT, Gislason T, Rafnsson V. Hydrogen sulfide and traffic­related air pollutants in association with increased mortality: a case­ crossover study in Reykjavík, Iceland. BMJ Open 2015; 5: e007272. 45. Carlsen HK, Forsberg B, Meister K, Gíslason T, Oudin A. Ozone is associated with cardiopulmonary and stroke emergency hospital visits in Reykjavík, Iceland 2003–2009. Environ Health 2013; 12: 28. 46. Carlsen HK, Gislason T, Benediktsdottir B, Kolbeinsson TB, Hauksdottir A, Thorsteinsson T, et al. A survey of early health effects of the Eyjafjallajökull 2010 eruption in Iceland: a population­based study. BMJ Open 2012; 2: e000343. 47. Carlsen HK, Hauksdottir A, Valdimarsdottir UA, Gíslason T, Einarsdottir G, Runolfsson H, et al. Health effects following the Eyjafjallajökull volcanic eruption: a cohort study. BMJ Open 2012; 2: e001851. 48. Carlsen HK, Gislason T, Forsberg B, Meister K, Thorsteinsson T, Jóhannsson T, et al. Emergency Hospital Visits in Association with Volcanic Ash, Dust Storms and Other Sources of Ambient Particles: A Time­Series Study in Reykjavík, Iceland. Int J Environ Res Public Health 2015; 12: 4047­59. 49. Sigurðsson BD, Stefánsdóttir G. Áhrif Holuhraunsgossins á umhverfi og heilsu. Rit LbhÍ nr 83. 2017; 1­115. 50. Carlsen HK, Aspelund T, Briem H, Gislason T, Jóhannsson T, Valdimarsdóttir U, o.fl. Respiratory health among pro­ fessionals exposed to extreme SO2 levels from a volcanic eruption. Scand J Work Environ Health 2019; 45: 312–5. DOI: 10.17992/lbl.2019.10.252
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