--- The Fool <[EMAIL PROTECTED]> wrote:
>
http://www.nytimes.com/2003/08/22/national/22AIR.html?ex=1062129600&en=92e7712267b251bd&ei=5062&partner=GOOGLE
> Draft of Air Rule Is Said to Exempt Many Old Plants
> By KATHARINE Q. SEELYE
> 
> WASHINGTON, Aug. 21 � After more than two years of
> internal deliberation
> and intense pressure from industry, the Bush
> administration has settled
> on a regulation that would allow thousands of older
> power plants, oil
> refineries and industrial units to make extensive
> upgrades without having
> to install new anti-pollution devices, according to
> those involved in the deliberations...
<snip>  
> And in a striking counterpoint to the
> administration's new rule, the
> department won a landmark victory two weeks ago in
> federal court against
> an Ohio Edison plant in Jefferson County, Ohio.
> 
> That decision, which found that Ohio Edison violated
> the Clean Air Act
> when it failed to install pollution controls, could
> set a precedent for
> the other cases and puts the administration on a
> collision course with itself because of its new
rule.
<snip>

Air pollution definitely affects health.  Searching
PubMed for ["air pollution" AND disease] pulls over
1000 abstracts.

It alters the architecture of the lung (this is an
'overkill' example as Mexico City is a study site):
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12727599&dopt=Abstract

It increases the incidence of cardiac events
(particularly carbon monoxide):
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12706756&dopt=Abstract

It increases asthmatic events requiring emergency room
visits (sulfur dioxide and 'black smoke' especially):
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9973691&dopt=Abstract

Particulate matter and ozone both increase emergency
room visits for several cardiac and respiratory
conditions:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11051536&dopt=Abstract

Small particulates (< 10 microns in diameter) and CO
advesely affect the heart:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9888275&dopt=Abstract
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7785670&dopt=Abstract

Air pollution levels correlate with ischemic stroke:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12215581&dopt=Abstract

Air pollution levels and cardiac mortality also
fluctuate together, although there is a lag and a
'tail,' and the elderly are more affected:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12842772&dopt=Abstract

Respiratory deaths also rise with pollution levels:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11725331&dopt=Abstract

Clicking on the Related Articles of either of the
above
pulls up about 100 abstracts; while there are some
that find no significant impact (one in Norway, frex),
most do - these are from the US, Europe, Brazil, S.
Korea and so on.  The impact in cities with higher
pollution is of course more dramatic.

It is likely a contibuting factor in the development
of childhood asthma (probably in genetically
susceptible children):
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=12758050&dopt=Abstract

We already have an emergency medical care system that
is staggering under the load of uninsured users (many
of them working poor who just can't afford to buy
insurance, and who tend to live in areas with worse
pollution frex within 100 yards of major motorways);
relaxing air pollution standards will simply shift the
cost from the polluters to hospitals, insurance
companies, and eventually most of us.  In addition, a
sick child might mean the sole breadwinner has to stay
home to care for him/her, while a worker out with
increased bronchitis episodes means the employer
loses.

I'd rather pay a couple of bucks extra/month for
anti-pollution devices than have to pay for some poor
grandma's stroke or heart attack or respiratory
arrest.
**From a purely medical viewpoint, relaxing air
pollutant standards only makes sense if you want to
increase the societal burden of asthma and bump off
some old folks.  [**Just a *teeny* bit of sarcasm...]

But to claim that relaxing pollution standards will
save money in the long term seems foolish to me, and
to deny the health costs (monetary and otherwise) for
society ignores the evidence in the literature.

Debbi

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