J Korean Med Assoc.  2015 Nov;58(11):1034-1043. 10.5124/jkma.2015.58.11.1034.

Guideline for the prevention and management of particulate matter/yellow dust-induced adverse health effects on the patients with bronchial asthma

• Yang HJ
• Kim SH
• Jang AS
• Kim SH
• Song WJ
• Kim TB
• Ye YM
• Yoo Y
• Yu J
• Yoon JS
• Jee HM
• Suh DI
• Kim CW

• KMID: 2195133
• DOI: http://doi.org/10.5124/jkma.2015.58.11.1034

Abstract

Particulate matter (PM) and specifically, Asian dust (or yellow dust), have been identified as critical causes of health problems. Recent increases in the levels of ambient PM are closely associated with adverse health effects in susceptible populations, such as the elderly, children, and patients with asthma or allergic disorders, and this is cause for recent concern in Korea. The establishment of strategies for the reduction of ambient PM by the government and industry, the development of practical guidelines and recommendations to protect susceptible individuals, and an action program for implementation in the general population, will be essential to minimize adverse health impacts of PM and yellow dust. However, guidelines for the proper prevention and management of PM/yellow dust-induced effects on asthma are unclear. In the present study, we aimed to develop evidence-based practice guidelines and recommendations for pediatric or adult patients with asthma and for general physicians who care for asthmatic patients, in order to provide protection from adverse health effects of PM exposure.

Keyword

Particulate matter; Yellow dust; Asthma; Guideline; Prevention & control

MeSH Terms

Adult
Aged
Asian Continental Ancestry Group
Asthma*
Child
Dust
Evidence-Based Practice
Humans
Korea
Particulate Matter
Dust
Particulate Matter

Reference

1. Oh IH, Yoon SJ, Kim EJ. The burden of disease in Korea. J Korean Med Assoc. 2011; 54:646–652.

2. Son JY, Lee JT, Park YH, Bell ML. Short-term effects of air pollution on hospital admissions in Korea. Epidemiology. 2013; 24:545–554.

3. Pagan I, Costa DL, McGee JK, Richards JH, Dye JA. Metals mimic airway epithelial injury induced by in vitro exposure to Utah Valley ambient particulate matter extracts. J Toxicol Environ Health A. 2003; 66:1087–1112.

4. Karakatsani A, Analitis A, Perifanou D, Ayres JG, Harrison RM, Kotronarou A, Kavouras IG, Pekkanen J, Hameri K, Kos GP, de Hartog JJ, Hoek G, Katsouyanni K. Particulate matter air pollution and respiratory symptoms in individuals having either asthma or chronic obstructive pulmonary disease: a European multicentre panel study. Environ Health. 2012; 11:75.

5. World Health Organization. WHO air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide [Internet]. Geneva: World Health Organization;2005. cited 2014 Aug 18. Available from: http://whqlibdoc.who.int/hq/2006/WHO_SDE_PHE_OEH_06.02_eng.pdf.

6. World Health Organization Regional Office for Europe. Review of evidence on health aspects of air pollution: REVIHAAP [Internet]. Bonn: World Health Organization Regional Office for Europe;2013. cited 2014 Aug 18. Available from: http://www.euro.who.int/__data/assets/pdf_file/0020/182432/e96762-final.pdf.

7. Tecer LH, Alagha O, Karaca F, Tuncel G, Eldes N. Particulate matter (PM(2.5), PM(10-2.5), and PM(10)) and children's hospital admissions for asthma and respiratory diseases: a bidirectional case-crossover study. J Toxicol Environ Health A. 2008; 71:512–520.

8. Wisnivesky JP, Teitelbaum SL, Todd AC, Boffetta P, Crane M, Crowley L, de la Hoz RE, Dellenbaugh C, Harrison D, Herbert R, Kim H, Jeon Y, Kaplan J, Katz C, Levin S, Luft B, Markowitz S, Moline JM, Ozbay F, Pietrzak RH, Shapiro M, Sharma V, Skloot G, Southwick S, Stevenson LA, Udasin I, Wallenstein S, Landrigan PJ. Persistence of multiple illnesses in World Trade Center rescue and recovery workers: a cohort study. Lancet. 2011; 378:888–897.

9. Merrifield A, Schindeler S, Jalaludin B, Smith W. Health effects of the September 2009 dust storm in Sydney, Australia: did emergency department visits and hospital admissions increase? Environ Health. 2013; 12:32.

10. Gauderman WJ, Avol E, Gilliland F, Vora H, Thomas D, Berhane K, McConnell R, Kuenzli N, Lurmann F, Rappaport E, Margolis H, Bates D, Peters J. The effect of air pollution on lung development from 10 to 18 years of age. N Engl J Med. 2004; 351:1057–1067.

11. Brauer M, Hoek G, Smit HA, de Jongste JC, Gerritsen J, Postma DS, Kerkhof M, Brunekreef B. Air pollution and development of asthma, allergy and infections in a birth cohort. Eur Respir J. 2007; 29:879–888.

12. United States Environmental Protection Agency. Air quality index: a guide to air quality and your health [Internet]. Washington, DC: United States Environmental Protection Agency;2014. cited 2014 Aug 18. Available from: http://www.epa.gov/airnow/aqi_brochure_02_14.pdf.

13. Committee on the Medical Effects of Air Pollutants. Review of the UK air quality index: a report by the Committee on the Medical Effects of Air Pollutants [Internet]. place unknown: Health Protection Agency;2011. cited 2014 Aug 18. Available from: https://www.gov.uk/government/publications/comeap-review-of-the-uk-air-quality-index.

14. National Environment Protection Council. National environment protection (ambient air quality) measure review [Internet]. Canberra: National Environment Protection Council;2011. cited 2014 Aug 18. Available from: http://www.scew.gov.au/system/files/resources/3405e986-afe9-bdb4-5d2c-383f3ea1e911/files/aaq-review-report-2011.pdf.

15. Environment Canada. Air quality health index [Internet]. Ottawa: Environment Canada;2005. cited 2014 Aug 18. Available from: http://www.ec.gc.ca/cas-aqhi/default.asp?Lang=En.

16. Air Quality Expert Group. Fine particulate matter (PM2.5) in the United Kingdom [Internet]. place unknown: Air Quality Expert Group;2012. cited 2014 Aug 18. Available from: http://uk-air.defra.gov.uk/assets/documents/reports/cat11/1212141150_AQEG_Fine_Particulate_Matter_in_the_UK.pdf.

17. United States Environmental Protection Agency. Managing asthma in the school environment [Internet]. Washington, DC: United States Environmental Protection Agency;2010. cited 2014 Aug 18. Available from: http://www2.epa.gov/asthma/mana-ging-asthma-school-environment.

18. AirNow. Air Quality Index for kids teacher's reference page [Internet]. Bennington: AirNow;2014. cited 2015 Feb 16. Available from: http://cfpub.epa.gov/airnow/index.cfm?action=aqikids.teachers.

19. United States Environmental Protection Agency. Why is coco orange? [Internet]. Washington, DC: United States Environmental Protection Agency;2010. cited 2014 Aug 18. Available from: http://www.epa.gov/airnow/picturebook/cocos-orange-day.pdf.

20. Environmental Protection Department. Air quality health index [Internet]. Hong Kong: GovHK;2013. cited 2014 Aug 18. Available from: http://www.gov.hk/en/residents/environment/air/aqhi.htm.

21. Sinkule EJ, Powell JB, Goss FL. Evaluation of N95 respirator use with a surgical mask cover: effects on breathing resistance and inhaled carbon dioxide. Ann Occup Hyg. 2013; 57:384–398.

22. Singapore Ministry Of Health. Frequently asked questions (FAQs) on haze [Internet]. Singapore: Singapore Ministry Of Health;2013. cited 2014 Aug 18. Available from: https://www.moh.gov.sg/content/moh_web/home/pressRoom/Current_Issues/2014/haze/frequently-asked-questions--faqs--on-haze-and-your-health.html.

23. Paulin LM, Diette GB, Scott M, McCormack MC, Matsui EC, Curtin-Brosnan J, Williams DL, Kidd-Taylor A, Shea M, Breysse PN, Hansel NN. Home interventions are effective at decreasing indoor nitrogen dioxide concentrations. Indoor Air. 2014; 24:416–424.

24. Levy JI, Clougherty JE, Baxter LK, Houseman EA, Paciorek CJ. HEI Health Review Committee. Evaluating heterogeneity in indoor and outdoor air pollution using land-use regression and constrained factor analysis. Res Rep Health Eff Inst. 2010; (152):5–80.

25. Park JW, Lim YH, Kyung SY, An CH, Lee SP, Jeong SH, Ju YS. Effects of ambient particulate matter on peak expiratory flow rates and respiratory symptoms of asthmatics during Asian dust periods in Korea. Respirology. 2005; 10:470–476.

26. Kanatani KT, Ito I, Al-Delaimy WK, Adachi Y, Mathews WC, Ramsdell JW. Toyama Asian Desert Dust and Asthma Study Team. Desert dust exposure is associated with increased risk of asthma hospitalization in children. Am J Respir Crit Care Med. 2010; 182:1475–1481.