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Air Pollution

What is air pollution? | How does air pollution affect your health? | Who is affected by air pollution? | What are the main air pollutants? | Ozone (O3) | Particles | Nitrogen Dioxide (NO2) | Carbon Monoxide (CO) | Sulfur Dioxide (SO2)

What is air pollution?

Air pollution occurs when the air is affected by chemicals or particles that are not normally present and have the potential to affect health. Its composition can vary greatly, depending on the season, the weather and the different types and numbers of sources.

The air pollution you may be exposed to includes:

The main pollutants in large cities are ozone, particles, nitrogen dioxide, carbon monoxide and sulfur dioxide.

The two main air pollutants in Sydney are ozone and particles. Vehicle exhaust, industrial emissions, gasoline vapours, and chemical solvents are some of the major sources of ozone. Particle pollution is formed directly from sources such as vehicles, factories, power plants, and smoke from bushfires.

Air pollution levels in the Sydney region are generally quite low compared to large cities overseas. But there are a number of days each year when people sensitive to the effects of air pollution are likely to feel its impacts.

Extreme episodes of air pollution, such as during prolonged bushfires, can affect everyone's health.

In Sydney air pollution levels exceed the national standard up to 25 days a year.

How does air pollution affect your health?

Air pollution can have a negative effect on the respiratory system (lungs and airways) and on the cardiovascular system (heart function and blood circulation).

Each individual will react differently to air pollution depending on their health status, the length of time spent outside, and the concentration of pollutants.

Research suggests that air pollution is responsible for 2.3% of all deaths in Australia. It is estimated ath air pollution causes 640 to 1400 peremature deaths and almost 2000 hopitalisations per year in the Greater Sydney Metropolitan Region.

Air pollution costs New South Wales around $ 4.7 billion dollars per year in health costs.

Who is affected by air pollution?

Everyone can potentially be affected by air pollution when concentrations of pollutants are very high.

Research shows that different groups of people are sensitive to different types of air pollution. The types of air pollution that reach high concentrations in the Sydney Greater Metropolitan region are most likely to affect people with:

Different pollutants affect these sensitive groups differently.

Children and adults with lung disease, like asthma and COPD can be sensitive to ozone. Ground-level ozone can aggravate asthma and bronchitis and cause coughing, throat irritation, chest tightness, wheezing, shortness of breath, painful or difficult breathing, and premature aging of the lung.

Older adults, children and those with heart and lung disease can be sensitive to particles. Particle pollution can irritate the eyes, nose, and throat, Particle pollution can also cause chronic bronchitis, coughing, chest tightness, shortness of breath, and painful or difficult breathing.  It can aggravate asthma, and even result in premature death in people with heart or lung disease.

What are the main air pollutants?

Below is a brief description of the main pollutants and the possible health effects from exposure to these air pollutants.

There is also some information on what you can do to minimise or avoid exposure to air pollution via the Air Quality Index (AQI) system.

Ozone (O3)

Ozone at ground level is the product of the interaction between sunlight and emissions from sources such as motor vehicles and industry. Ground level ozone is more readily formed during the summer months and reaches its highest concentrations in the afternoon or early evening. Ground level ozone is a strong irritant that can narrow your airways, forcing your lungs to work harder to provide oxygen, to the rest of the body.

If we breathe in too much ozone, it can irritate the lungs and can cause coughing, pain on taking a deep breath or reduced exercise tolerance. Immediate health effects can include:

  • Aggravated respiratory illnesses such as asthma, COPD, bronchitis and emphysema
  • Wheezing, coughing, chest pain, dry throat, headache
  • Damaged cells in the respiratory system
  • Increased fatigue

The groups that are sensitive to Ozone (sensitive groups) are children and those with respiratory diseases like asthma, COPD and emphysema.

AQI

OZONE

Sensitive Groups

General Population

VERY GOOD
0-33
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
GOOD
34-66
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
FAIR
67-99
Sensitive people should consider limiting prolonged outdoor exertion to mornings. Can enjoy outdoor activities
POOR
100-149
Children and those with respiratory diseases like asthma and COPD should avoid exercising outdoors in the evening. Levels will be lower indoors. Make sure you have your reliever medication on hand. If you have symptoms of asthma, shortness of breath or cough, you should rest and use your reliever medicine. If symptoms persist, seek medical advice. No need to modify your usual outdoor activities, unless you experience symptoms.
VERY POOR
150-200
Children and those with respiratory diseases like asthma and COPD should avoid prolonged outdoor exertion. Levels will be lower indoors. If you have cough, wheeze or shortness of breath you should rest, take your reliever medicine and/or seek medical advice. Anyone experiencing discomfort such as coughing or throat irritation should consider reducing physical exertion outdoors or rescheduling strenuous activities to periods when the index is lower.
HAZARDOUS
200+
Levels will be lower indoors. If you have cough, wheeze or shortness of breath you should rest, take your reliever medicine and/or seek medical advice. Everyone should avoid outdoor exertion and stay inside as much as possible. Avoid outdoor exertion and stay inside as much as possible.  If there are symptoms of asthma, wheeze, shortness of breath or cough, rest and use reliever medicine. If symptoms persist, seek medical advice.

Particles

Particle pollution is mainly from motor vehicles, wood burning heaters and industry. It can reach extremely high concentrations during bushfires. Fine particles irritate the lungs, but can also affect the blood and the heart.

Particle pollution is a complex mixture that may contain soot, smoke, metals, nitrates, sulphates, dust, water, and tyre rubber. It can be directly emitted as in smoke from a fire or it can form in the atmosphere from gas reactions.

The size of particles is directly linked to their potential for causing health problems. Particles of concern include:

  • coarse particles (such as those found in wind-blown dust), which have diameters between 2.5 and 10 micrometers ;
  • small particles (known as PM2.5 or fine particulate matter), which are less than 2.5 micrometers in diameter. These probably pose the greatest problems, because they can get deep into your lungs, and some may even get into your bloodstream. Exposure to such particles can affect both your lungs and your heart.

Particle exposure can lead to a variety of health effects. For example, numerous studies link particle levels to increased hospital admissions and emergency room visits-and even to death from heart or lung diseases. Both long- and short-term particle exposures have been linked to health problems.

Short-term exposure to particles (hours or days) can:

  • Aggravate lung disease causing asthma attacks and acute bronchitis
  • Increase susceptibility to respiratory infections
  • Cause heart attacks and arrhythmias (abnormal hear rhythms) in people with heart disease

Even healthy people may experience temporary symptoms during bush fires such as:

  • Irritation of the eyes, nose and throat
  • Coughing
  • Chest tightness
  • Shortness of breath

The groups that are most sensitive (most sensitive groups) to particles are children, older adults and people with heart or lung disease like asthma, COPD, angina, strokes or partially blocked arteries.

AQI

PARTICLES

Sensitive Groups

General Population

VERY GOOD
0-33
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
GOOD
34-66
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
FAIR
67-99
Sensitive people should consider reducing prolonged or heavy outdoor exertion. Can njoy outdoor activities
POOR
100-149
People with heart or lung diseases should avoid exercising outdoors. Levels will be lower indoors. If you have chest pain, shortness of breath or cough, use your reliever medicine. If symptoms persist, seek medical advice. No need to modify your usual outdoor activities, unless you experience symptoms.
VERY POOR
150-200
People with heart or lung diseases, older adults and children should avoid outdoor exertion and stay inside as much as possible.Levels will be lower indoors. If you have chest pain, shortness of breath or cough, you should rest, take your reliever medicine and/or seek medical advice. Anyone experiencing discomfort such as coughing or throat irritation should consider reducing physical exertion outdoors or rescheduling strenuous activities to periods when the index is lower.
HAZARDOUS
200+
Avoid outdoor exertion and stay inside as much as possible. Levels will be lower indoors. If you have chest pain, shortness of breath or cough, you should rest, take your reliever medicine and/or seek medical advice. Everyone should avoid outdoor exertion and stay inside as much as possible.

Nitrogen Dioxide (NO2)

Nitrogen dioxide arises from the combustion of fuel in motor vehicles and industry. It is found at highest concentrations near busy roads and can also be high indoors when unflued gas appliances are used.

The group that is most sensitive (most sensitive group) to nitrogen dioxide are those with asthma.

Nitrogen dioxide irritates the lungs and makes those with asthma more susceptible to lung infections and also more susceptible to asthma triggers, such as pollen and excercise.

AQI

NITROGEN DIOXIDE

Sensitive Groups

General Population

VERY GOOD
0-33
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
GOOD
34-66
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
FAIR
67-99
No health impacts expected when air quality is in this range Can enjoy outdoor activities
POOR
100-149
People with asthma should watch for symptoms. No need to modify your usual outdoor activities, unless you experience symptoms.
VERY POOR
150-200
People with asthma should watch for symptoms. If you have symptoms you should rest and use your reliever medicine and/or seek medical advice. Anyone experiencing discomfort such as coughing or throat irritation should consider reducing physical exertion outdoors or rescheduling strenuous activities to periods when the index is lower.
HAZARDOUS
200+
Avoid outdoor exertion and stay inside as much as possible. If you have symptoms you should rest and take your reliever medicine.If symptoms persist, seek medical advice. Everyone should avoid outdoor exertion and stay inside as much as possible.

Carbon Monoxide (CO)

Carbon monoxide is an odourless, colourless gas. It forms when the carbon in fuels does not completely burn. Vehicle exhaust contributes most carbon monoxide emissions in Sydney. Other sources include fuel combustion in industrial processes and natural sources such as bush fires.

Carbon monoxide levels typically are highest during cold weather, because cold temperatures make combustion less complete and cause inversions that trap pollutants close to the ground.

Carbon monoxide enters the bloodstream through the lungs and binds to haemoglobin, the substance in blood that carries oxygen to cells. Carbon monoxide reduces the amount of oxygen reaching the body's organs and tissues.

Thegroups that are most sensitive ( most sensitive group) to carbon monoxide are those with cardiovascular disease, such as angina. They may experience chest pain and other cardiovascular symptoms if they are exposed to carbon monoxide, particularly while exercising.

People with marginal or compromised cardiovascular and respiratory systems and possibly young infants also may be at greater risk from carbon monoxide pollution.

AQI

CARBON MONOXIDE

Sensitive Groups

General Population

VERY GOOD
0-33
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
GOOD
34-66
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
FAIR
67-99
No health impacts are expected when air quality is in this range. Can enjoy outdoor activities
POOR
100-149
People with heart disease, such as angina should reduce heavy exertion and avoid sources such as heavy traffic. No need to modify your usual outdoor activities, unless you experience symptoms.
VERY POOR
150-200
People with heart disease, such as angina should reduce exertion and avoid sources such as heavy traffic. If you have symptoms you should rest and use your reliever medicine. If symptoms persist seek medical advice. No need to modify your usual outdoor activities, unless you experience symptoms.
HAZARDOUS
200+
People with heart disease, such as angina should avoid exertion and sources such as heavy traffic. Everyone else should reduce heavy exertion.

Sulfur Dioxide (SO2)

Sulfur dioxide is a colourless, reactive gas. The main human activities producing sulfur dioxide are the smelting of mineral ores containing sulfur and the combustion of fossil fuels. Natural processes that release sulfur compounds include decomposition and combustion of organic matter, spray from the sea, and volcanic eruptions.

Sulfur dioxide is a respiratory irritant, and may worsen existing respiratory illness.

People with asthma who are physically active outdoors are most likely to experience the health effects of sulfur dioxide. The main effect is a narrowing of the airways. This may cause wheezing, chest tightness, and shortness of breath. Symptoms increase as sulfur dioxide levels and/or breathing rates increase. When exposure to sulfur dioxide ceases, lung function typically returns to normal within an hour.

The groups that are most senistive to high levels of Sulfer Dioxide (most sensitive groups) are those with cardiovascular disease or chronic lung disease, as well as children and older adults.

At very high levels sulfur dioxide may cause wheezing, chest tightness and shortness of breath, even in healthy people who do not have asthma. Long-term exposure to sulfur dioxide can cause respiratory illness, alter the lung's defence mechanisms, and aggravate existing cardiovascular disease.

AQI

SULPHUR DIOXIDE

Sensitive Groups

General Population

VERY GOOD
0-33
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
GOOD
34-66
Ideal conditions for outdoor activities Ideal conditions for outdoor activities
FAIR
67-99
No health impacts are expected when air quality is in this range. Can enjoy outdoor activities
POOR
100-149
Children and those with respiratory diseases, such as asthma, should avoid exercising outdoors. No need to modify your usual outdoor activities, unless you experience symptoms.
VERY POOR
150-200
Children and those with heart or lung disease should avoid outdoor exertion. If you have symptoms you should rest and use your reliever medicine. If symptoms persist, seek medical advice. No need to modify your usual outdoor activities, unless you experience symptoms.
HAZARDOUS
200+
Children and those with heart or lung disease should avoid outdoor exertion. If you have symptoms you should rest and use your reliever medicine. If symptoms persist, seek medical advice. Everyone else should reduce heavy exertion.

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This web page is managed and authorised by Environmental Health of Centre for Health Protection of the NSW Department of Health. Last updated: 15 May, 2009