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    Outdoor Pollution and Lung Function Effects

    Experts explain air pollution's impact on health and the steps you can take to protect your lungs.

    How do the different types of pollutants in air pollution affect lung function?

    Dennis Ownby, MD, chief of allergy-immunology at the Medical College of Georgia, tells WebMD that it's difficult to separate the negative effects of the various pollutants because they all damage the lungs, kill protective cells, and can cause cardiovascular disease and heart attacks.

    But in particular, ozone, particulates and sulfur dioxide "inflame the linings of the lungs," which makes them work harder and can cause heart attack, he says. Sulfur dioxide and ozone react chemically with surfaces inside the lungs, causing inflammation that produces mucus, coughing, and serious breathing trouble.

    Perhaps most is known about ozone, which increases susceptibility to respiratory infections and causes flare-ups in people with chronic lung problems and stresses the arteries and heart. Michael Jerrett, PhD, associate professor of environmental health at the University of California-Berkeley, reported in a recent New England Journal of Medicine study that long-term exposure to the sooty gas at ground level increases the risk of death from respiratory problems by more than 30%.

    "Our study showed us that ozone is more harmful than we thought," Jerrett tells WebMD.

    Among particulate matter, small particulates stay in the lungs longer and get picked up by white blood cells. But the more pollution of any kind, the harder this becomes, which is why the lungs of smokers and people who live in polluted cities are dark gray or black. "There's no way for the body to get the junk out again," Ownby says.

    Cherry Wongtrakool, MD, a pulmonary specialist at Emory University, says people with lung problems like asthma and chronic obstructive pulmonary disease are more susceptible than others to ozone and particulate matter, which can result in coughing, wheezing, and shortness of breath. Long-term exposure may lead to atherosclerosis, or hardening of the arteries, she says.

    For people who live in cities, it's an ongoing battle, and the lungs gradually lose the ability to clear the pollution and fight back, Ownby says.

    Wongtrakool says air pollution not only can worsen lung function in people with breathing problems but also can decrease lung function in those with healthy lungs. Inhaling pollution makes healthy lungs sick over the long term, causing coughing, wheezing, irritation, and dangerous stress on the cardiovascular system.

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