Exposure to indoor radon can be a concern in studies on the role of short-term exposure to air pollution and mortality
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S.M.J. Mortazavi
Abstract
Recent studies show that short-term exposure to ambient particulate matter is associated with more emergency department visits and hospitalizations for pneumonia as well as increased mortality and increased health care costs among older adults. Moreover, exposure to ambient particulate matter is shown to be connected with an increased rate of daily mortality and hospitalizations due to cardiovascular diseases (CVDs). The association between short-term exposures to particulate matter with a diameter less than 2.5 µm (PM2.5) and ozone [at levels below the current daily National Ambient Air Quality Standards (NAAQS)] and mortality in the continental United States has been recently addressed by some researchers. Although exposure to radon is usually known to cause late health effects such as lung cancer, some studies show a significant association between radon exposure and cerebrovascular disease (CeVD) mortality. In some residential areas with high levels of radon, it has been found that the incidences of respiratory, nervous system and cardiovascular system diseases exceed the average. Studies that calculated the radiation dose to blood and the walls of coronary arteries from radon and progeny also indicate that exposure to radon can increase the incidence of CVDs. Based on the evidence provided in this short communication, it can be concluded that ignoring the key role of radon in non-cancer mortality can easily affect the validity of the studies aimed at investigating the association between exposure to ambient fine particulate matter and mortality.
Research funding: Author states no funding involved.
Conflict of interest: Author states no conflict of interest.
Informed consent: Informed consent is not applicable.
Ethical approval: The conducted research is not related to either human or animal use.
References
1. Xing Y-F, Xu Y-H, Shi M-H, Lian Y-X. The impact of PM2.5 on the human respiratory system. J Thorac Dis 2016;8(1):E69–74.Suche in Google Scholar
2. Pirozzi CS, Jones BE, VanDerslice JA, Zhang Y, Paine R, 3rd, Dean NC. Short-term air pollution and incident pneumonia: a case-crossover study. Ann Am Thorac Soc 2018;15:449–59.10.1513/AnnalsATS.201706-495OCSuche in Google Scholar PubMed
3. Kowalska M, Kocot K. Short-term exposure to ambient fine particulate matter (PM2,5 and PM10) and the risk of heart rhythm abnormalities and stroke. Postepy Hig Med Dosw (Online) 2016;70:1017–25.10.5604/17322693.1220389Suche in Google Scholar PubMed
4. Di Q, Dai L, Wang Y, Zanobetti A, Choirat C, Schwartz JD, et al. Association of short-term exposure to air pollution with mortality in older adults. J Am Med Assoc 2017;318(24):2446–56.10.1001/jama.2017.17923Suche in Google Scholar PubMed PubMed Central
5. Nusinovici S, Vacquier B, Leuraud K, Metz-Flamant C, Caer-Lorho S, Acker A, et al. Mortality from circulatory system diseases and low-level radon exposure in the French cohort study of uranium miners, 1946–1999. Scand J Work Environ Health 2010;36(5):373–83.10.5271/sjweh.2896Suche in Google Scholar PubMed
6. Drubay D, Caer-Lorho S, Laroche P, Laurier D, Rage E. Mortality from circulatory system diseases among french uranium miners: a nested case-control study. Radiat Res 2015;183(5):550–62.10.1667/RR13834.1Suche in Google Scholar PubMed
7. Johnson J, Duport P, editors. Cardiovascular mortality caused by exposure to radon. Presentation at the 11th International Congress of the International Radiation Protection Association, 2004.Suche in Google Scholar
8. Bersimbaev RI, Bulgakova O. The health effects of radon and uranium on the population of Kazakhstan. Genes Environ 2015;37:18.10.1186/s41021-015-0019-3Suche in Google Scholar PubMed PubMed Central
9. Mortazavi SMJ, Mosleh-Shirazi MA, Mehdizadeh S, Rouintan MS, Ebrahimi J, Tamaddon M, et al. Short-term radon inhalation induces significant survival adaptive response in Balb/c mice. Int J Low Radiation 2010;7(2):98–109.10.1504/IJLR.2010.032813Suche in Google Scholar
10. Mortazavi SMJ, Ghiassi-Nejad M, Rezaiean M. Cancer risk due to exposure to high levels of natural radon in the inhabitants of Ramsar, Iran. Int Congr Ser 2005;1276:436–7.10.1016/j.ics.2004.12.012Suche in Google Scholar
11. Daniels RD, Schubauer-Berigan MK. Radon in U.S. workplaces: a review. Radiat Prot Dosimetry 2017;176(3):278–86.10.1093/rpd/ncx007Suche in Google Scholar PubMed PubMed Central
12. Ajrouche R, Ielsch G, Clero E, Roudier C, Gay D, Guillevic J, et al. Quantitative health risk assessment of indoor radon: a systematic review. Radiat Prot Dosimetry 2017;177(1–2):69–77.10.1093/rpd/ncx152Suche in Google Scholar PubMed
13. Acree P, Puckett M, Neri A. Evaluating progress in radon control activities for lung cancer prevention in National Comprehensive Cancer Control Program Plans, 2011–2015. J Community Health 2017;42(5):962–7.10.1007/s10900-017-0342-7Suche in Google Scholar PubMed PubMed Central
14. Field RW, Krewski D, Lubin JH, Zielinski JM, Alavanja M, Catalan VS, et al. An overview of the North American residential radon and lung cancer case-control studies. J Toxicol Environ Health A 2006;69(7):599–631.10.1080/15287390500260960Suche in Google Scholar PubMed
15. Kreuzer M, Grosche B, Schnelzer M, Tschense A, Dufey F, Walsh L. Radon and risk of death from cancer and cardiovascular diseases in the German uranium miners cohort study: follow-up 1946–2003. Radiat Environ Biophys 2010;49(2): 177–85.10.1007/s00411-009-0249-5Suche in Google Scholar PubMed
16. Turner MC, Krewski D, Chen Y, Pope III CA, Gapstur SM, Thun MJ. Radon and nonrespiratory mortality in the American Cancer Society Cohort. Am J Epidemiol 2012;176(9):808–14.10.1093/aje/kws198Suche in Google Scholar PubMed
17. Shimizu Y, Pierce DA, Preston DL, Mabuchi K. Studies of the mortality of atomic bomb survivors. Report 12, part II. Noncancer mortality: 1950–1990. Radiat Res 1999;152(4): 374–89.10.2307/3580222Suche in Google Scholar
18. Muirhead C, Bingham D, Haylock R, O’Hagan J, Goodill A, Berridge G, et al. Follow up of mortality and incidence of cancer 1952–98 in men from the UK who participated in the UK’s atmospheric nuclear weapon tests and experimental programmes. Occup Environ Med 2003;60(3):165–72.10.1136/oem.60.3.165Suche in Google Scholar PubMed PubMed Central
19. Brauner EV, Forchhammer L, Moller P, Barregard L, Gunnarsen L, Afshari A, et al. Indoor particles affect vascular function in the aged: an air filtration-based intervention study. Am J Respir Crit Care Med 2008;177(4):419–25.10.1164/rccm.200704-632OCSuche in Google Scholar PubMed
©2018 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Editorial
- Changing landscape at Reviews on Environmental Health
- Review Articles
- A review of the chemical and biological pollutants in indoor air in hospitals and assessing their effects on the health of patients, staff and visitors
- Air pollution exposure during pregnancy and spontaneous abortion and stillbirth
- The natural environment as a reservoir of pathogenic and non-pathogenic Acinetobacter species
- A novel database of bio-effects from non-ionizing radiation
- Progress on the amendment in biochars and its effects on the soil-plant-micro-organism-biochar system
- Nanostructures: between natural environment and medical practice
- Mini Review
- A meta-analysis on residential exposure to magnetic fields and the risk of amyotrophic lateral sclerosis
- Short Communication
- Exposure to indoor radon can be a concern in studies on the role of short-term exposure to air pollution and mortality
Artikel in diesem Heft
- Frontmatter
- Editorial
- Changing landscape at Reviews on Environmental Health
- Review Articles
- A review of the chemical and biological pollutants in indoor air in hospitals and assessing their effects on the health of patients, staff and visitors
- Air pollution exposure during pregnancy and spontaneous abortion and stillbirth
- The natural environment as a reservoir of pathogenic and non-pathogenic Acinetobacter species
- A novel database of bio-effects from non-ionizing radiation
- Progress on the amendment in biochars and its effects on the soil-plant-micro-organism-biochar system
- Nanostructures: between natural environment and medical practice
- Mini Review
- A meta-analysis on residential exposure to magnetic fields and the risk of amyotrophic lateral sclerosis
- Short Communication
- Exposure to indoor radon can be a concern in studies on the role of short-term exposure to air pollution and mortality
