CONTENTS Definition Pollutants Indoor Air Pollution Outdoor Air Pollution Health effects of Air Pollution Role of Healthcare workers
Definition Presence of substances in ambient air Generated by Human Activities Interfere with Human Health Safety or Comfort Injurious to vegetation and animals Gets into food chain and to add as additional source of exposure
SOURCES OF INDOOR AIR POLLUTION Use of polluting fuels and devices for cooking, heating, and lighting Use of unclean devices for cooking heating and lighting Tobacco Smoking Building Material Cleaning agents
POLLUTANTS OF INDOOR POLLUTION CO PM 2.5
Risk OF household air pollution
CONTRIBUTORS TO OUTDOOR AIR POLLUTION O3 METHANE HYDROFLUROCARBONS BLACK CARBON: COMPONENT OF PM 2.5: 2 ND LARGEST CONTRIBUTOR: CLIMATE CHANGE
PROGRESS MADE SO FAR
OUTDOOR AIR POLLUTION
MAJOR COMPONENTS SULPHATES NITRATES AMMONIA SODIUM CHLORIDE BLACK CARBON MINERAL DUST WATER
SOURCES OF OUTDOOR AIR POLLUTION Transportation Industrial and Power Plants Waster Burning Agriculture and Livelihood Wildfires Polluting fuels at household levels
DETERMINANTS OF AIR POLLUTION AND HEALTH IMPACT Increase in Population Increase in Energy Consumption Extraction of Raw material Fossil fuel consumption Deforestation
HEALTH EFFECTS OF AIR POLLUTION
CONTINUUM OF EXPOSURE AND EFFECT Character of Pollutant Physiology Characteristics of Exposure
ROUTES OF EXPOSURE Inhalation Dermal Absorption Ocular Absorption Ingestion
Population at high risk
EFFECTS OF PM 2.5: SHORT TERM Mortality: CVS and RS Diseases Emergency: COPD Asthma: Exacerbation Decline in Lung functions Airway Inflammation Hypertension Arrythmia
EFFECTS OF PM 2.5: LONG TERM Worsening of Diseases of CVS and RS Systems, Lung Cancer CNS: Decline in the volume of White Matter, Dementia MCH: Low Birth Weight
EFFECTS OF NO2: SHORT TERM Mortality: RS Disorders Emergency: Asthma attacks Decline in Lung function in Asthma patients
EFFECTS OF O3: SHORT TERM COPD Asthma Developing asthma in children Metabolic disorders
ROLE of HEALTHCARE WORKERS
INDENTIFICATION OF THE VULNERABLE and RISK FACTORS LOCATION FACTORS ECONOMIC FACTORS SOCIAL FACTORS PHYSICAL ENVIRONMENT OCCUPATION DAILY COMMUTE HEALTHCARE FAFACILITIES CLEAN ENERGY AT HOME
SPREAD THE AWARENESS
SPREAD THE AWARENESS
PHYSICAL ACTIVITY and air pollution The long-term benefits of regular physical activity outweigh adverse effects of air pollution for PM2.5 concentrations < I00 pg /m 3 Promotion of adaptation to the local pollution levels: Location, Timings Reduce workouts during high pollution episodes: for High Risk groups.
Indoor air filters Reduces Systolic BP Increases Peak Expiratory Flow Improvement in Cardiac and Respiratory indicators Improvements better among healthy than in diseased Focus should be on to avoid the exposure to pollutants May only be advised for susceptible individuals
N95 masks At population level it is not recommended
Unintended effects of protection from air pollution Reduced Physical Activity Reduced Social Interaction Increased Psychological Stress Higher usage of Energy for higher use of Filters
Advocacy: key principles Usage of Evidence Base Maintain Credibility Seek and clarify effective interventions Active Collaborations
COMMUNITY ENGAGEMENT Generate demand among the people Promote collaborations Work in the community Capacity Building Self-Efficiency Encourage behavioural change