PEDIATRICS Vol. 114 No. 6 December 2004, pp. 1699-1707 (doi:10.1542/peds.2004-2166)
POLICY STATEMENT |
Ambient Air Pollution: Health Hazards to Children
Committee on Environmental HealthAmbient (outdoor) air pollution is now recognized as an important problem, both nationally and worldwide. Our scientific understanding of the spectrum of health effects of air pollution has increased, and numerous studies are finding important health effects from air pollution at levels once considered safe. Children and infants are among the most susceptible to many of the air pollutants. In addition to associations between air pollution and respiratory symptoms, asthma exacerbations, and asthma hospitalizations, recent studies have found links between air pollution and preterm birth, infant mortality, deficits in lung growth, and possibly, development of asthma. This policy statement summarizes the recent literature linking ambient air pollution to adverse health outcomes in children and includes a perspective on the current regulatory process. The statement provides advice to pediatricians on how to integrate issues regarding air quality and health into patient education and children's environmental health advocacy and concludes with recommendations to the government on promotion of effective air-pollution policies to ensure protection of children's health.
Key Words: air pollution adverse effects children asthma environmental health
Abbreviations: PM2.5, particulate matter with a median aerodynamic diameter less than 2.5 µm PM10, particulate matter with a median aerodynamic diameter less than 10 µm EPA, Environmental Protection Agency HAP, hazardous air pollutant AQI, air quality index
The following policy statement has been revised:
- Ambient Air Pollution: Respiratory Hazards to Children
Pediatrics 91: 1210-1213.
This article has been cited by other articles:
![]() |
F. P. Perera, Z. Li, R. Whyatt, L. Hoepner, S. Wang, D. Camann, and V. Rauh Prenatal Airborne Polycyclic Aromatic Hydrocarbon Exposure and Child IQ at Age 5 Years Pediatrics, August 1, 2009; 124(2): e195 - e202. [Abstract] [Full Text] [PDF] |
||||
![]() |
Committee on Environmental Health The Built Environment: Designing Communities to Promote Physical Activity in Children Pediatrics, June 1, 2009; 123(6): 1591 - 1598. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. A. Schwartz Gene-Environment Interactions and Airway Disease in Children Pediatrics, March 1, 2009; 123(Supplement_3): S151 - S159. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. D. Gilliland Outdoor Air Pollution, Genetic Susceptibility, and Asthma Management: Opportunities for Intervention to Reduce the Burden of Asthma Pediatrics, March 1, 2009; 123(Supplement_3): S168 - S173. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Calderon-Garciduenas, M. Macias-Parra, H. J. Hoffmann, G. Valencia-Salazar, C. Henriquez-Roldan, N. Osnaya, O. C.-d. Monte, G. Barragan-Mejia, R. Villarreal-Calderon, L. Romero, et al. Immunotoxicity and Environment: Immunodysregulation and Systemic Inflammation in Children Toxicol Pathol, February 1, 2009; 37(2): 161 - 169. [Abstract] [Full Text] [PDF] |
||||
![]() |
I. N. Krivoshto, J. R. Richards, T. E. Albertson, and R. W. Derlet The Toxicity of Diesel Exhaust: Implications for Primary Care J Am Board Fam Med, January 1, 2008; 21(1): 55 - 62. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Chakraborty and P. A Zandbergen Children at risk: measuring racial/ethnic disparities in potential exposure to air pollution at school and home J Epidemiol Community Health, December 1, 2007; 61(12): 1074 - 1079. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. R. Goldman Living Close to Freeways Decreases Lung Development AAP Grand Rounds, December 1, 2007; 18(6): 67 - 68. [Full Text] [PDF] |
||||
![]() |
S. K. Lyon-Callo, L. P. Boss, and M. Lara A Review of Potential State and Local Policies To Reduce Asthma Disparities Chest, November 1, 2007; 132(5_suppl): 840S - 852S. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. M. Shea and and the Committee on Environmental Health Global Climate Change and Children's Health Pediatrics, November 1, 2007; 120(5): e1359 - e1367. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Hajat, B. Armstrong, P. Wilkinson, A. Busby, and H. Dolk Outdoor air pollution and infant mortality: analysis of daily time-series data in 10 English cities J Epidemiol Community Health, August 1, 2007; 61(8): 719 - 722. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. E. Pinkerton, J. R. Balmes, M. V. Fanucchi, and W. N. Rom Ozone, a Malady for All Ages Am. J. Respir. Crit. Care Med., July 15, 2007; 176(2): 107 - 108. [Full Text] [PDF] |
||||
![]() |
Committee on Injury, Violence, and Poison Preventi School Transportation Safety Pediatrics, July 1, 2007; 120(1): 213 - 220. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. V. Fanucchi, C. G. Plopper, M. J. Evans, D. M. Hyde, L. S. Van Winkle, L. J. Gershwin, and E. S. Schelegle Cyclic exposure to ozone alters distal airway development in infant rhesus monkeys Am J Physiol Lung Cell Mol Physiol, October 1, 2006; 291(4): L644 - L650. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. A. Nicholas, M. Dwyer, A. Murphy, J. C. Taylor-Fishwick, J. H. Cohn, C. S. Kelly, C. Gould, and D. Di Stefano Coalition-Based Approaches for Addressing Environmental Issues in Childhood Asthma Health Promot Pract, April 1, 2006; 7(2_suppl): 108S - 116S. [Abstract] [PDF] |
||||
![]() |
B. Chaix, S. Gustafsson, M. Jerrett, H. Kristersson, T. Lithman, A. Boalt, and J. Merlo Children's exposure to nitrogen dioxide in Sweden: investigating environmental injustice in an egalitarian country. J Epidemiol Community Health, March 1, 2006; 60(3): 234 - 241. [Abstract] [Full Text] [PDF] |
||||
![]() |
R J Delfino Think globally, breathe locally. Thorax, March 1, 2006; 61(3): 184 - 185. [Full Text] [PDF] |
||||
![]() |
L. O'Keefe Breathing easier: AAP policy examines how decreased air pollution improves children's health AAP News, December 1, 2004; 25(6): 279 - 285. [Full Text] [PDF] |
||||















