Anthony F. DiMarco, M.D.

Professor of Physical Medicine and Rehabilition

Case Western Reserve University, MetroHealth Medical Center

Cleveland, Ohio, USA

You take a breath about 20,000 times a day You take a breath about 20,000 times a day

(~ 12 breaths per minute) (~ 12 breaths per minute)

We breath about 500 ml/breathWe breath about 500 ml/breath

We breath 10,000 liters or 2500 gallons/dayWe breath 10,000 liters or 2500 gallons/day

We breath in over a billion small particles a We breath in over a billion small particles a

day (1,000,000,000)day (1,000,000,000)

Facts About BreathingFacts About Breathing

Chemicals

Exhaust

Exhaust from Motor Vehicles

Emissions from Chemical Factories

Non-Chemical Industries

Waste Re-cycling

Smoking

Amount of pollution in steadily increasing every minute of every day

Sources of Air Pollution

sulfur dioxide

nitrogen dioxide

nitric oxide

carbon monoxide

particulates

photochemical oxidants

ozone

toxic metals

Pollutants

• Short Term

Cough

Shortness of breath

Wheezing

Acute Bronchitis

Reversible reductions in lung function

Air Pollution Respiratory Health Effects

• Long-term

Asthma

Chronic Bronchitis

Irreversible reductions in lung function

Emphysema

Increased susceptibility to infection

Air Pollution Respiratory Health Effects

Air PollutionAir Pollution

Preventing and Reducing Air Pollution

Clean Air Act and Amendments

National Ambient Air Quality Standards (NAAQS)

Thank you!