Ozone and childhood respiratory health: A primer for US pediatric providers and a call for a more protective standard.
Ozone and childhood respiratory health: A primer for US pediatric providers and a call for a more protective standard.
复制标题
臭氧与儿童呼吸系统健康：美国儿科服务提供者的入门读物并呼吁制定更具保护性的标准。
DOI：
10.1002/ppul.26368
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发表时间：
2023
影响因子：
3.1
通讯作者：
Balmes,John
中科院分区：
文献类型：
--
作者：
Rosser,Franziska;Balmes,John
地面臭氧是一种强有力的呼吸道毒物，数十年来积累的数据表明对儿童的呼吸道危害。尽管臭氧在美国无处不在，影响着城市和农村社区，但在包括肺部专业化在内的医疗培训期间，接触这种重要空气污染物的相关危害往往很少或不充分。因此，许多照顾儿童呼吸系统健康的提供者可能对臭氧污染的危害了解有限，这可能导致临床接触期间对臭氧污染的讨论减少。此外，目前美国的臭氧空气质量标准不能充分保护儿童。在这篇非系统性的综述中，我们为关注儿童呼吸系统健康的医疗保健提供者提供了基本的背景信息，回顾了美国制定空气质量标准的过程，讨论了臭氧对健康儿童和患有潜在呼吸系统疾病的儿童的呼吸系统危害，强调了迫切需要一个更具保护性的臭氧标准来充分保护儿童的呼吸系统健康，回顾了气候变化对臭氧水平的影响，并为临床讨论提供信息。
Ground level ozone is a potent respiratory toxicant with decades of accumulated data demonstrating respiratory harms to children. Despite the ubiquity of ozone in the United States, impacting both urban and rural communities, the associated harms of exposure to this important air pollutant are often infrequently or inadequately covered during medical training including pulmonary specialization. Thus, many providers caring for children's respiratory health may have limited knowledge of the harms which may result in reduced discussion of ozone pollution during clinical encounters. Further, the current US air quality standard for ozone does not adequately protect children. In this nonsystematic review, we present basic background information for healthcare providers caring for children's respiratory health, review the US process for setting air quality standards, discuss the respiratory harms of ozone for healthy children and those with underlying respiratory disease, highlight the urgent need for a more protective ozone standard to adequately protect children's respiratory health, review impacts of climate change on ozone levels, and provide information for discussion in clinical encounters.