Health and air quality 2002 phase 1 : methods for estimating and applying relationships between air pollution and health effects : final report

The British Columbia Lung Association recruited members of an expert panel to examine the relationships between exposure to air pollution and effects on human health, in particular human respiratory and cardio-vascular health. This report is intended for regulatory managers, planners, project proponents, researchers and physicians. It reports on the available literature on the subject and offers recommendations on how it can be interpreted in terms of application to problems in British Columbia and the Pacific Northwest. The common air contaminants that are associated with direct human health effects include nitrogen oxides, sulphur oxides, carbon monoxide, ozone, fine particles and inhalable particles (PM). The review did not include toxic or hazardous air pollutants that are considered to be cancer-causing agents, however, the association between air pollution and elevated rates of cancer in urban populations was considered. The panel considered: pollutant mix and exposure patterns; different types of studies such as epidemiology; sources of uncertainty; and, several criteria for judging the power of the relationships. It was concluded that some air pollutants, particularly PM 2.5 and its wood smoke component and ozone are at levels that may cause adverse health effects. It was noted that affected communities should be aware that risk increases with level of exposure and risk of health effects is very low at the lowest ambient concentrations in British Columbia and increases proportionally to ambient concentrations of PM and ozone. refs., tabs., figs