US Climate and Health Alliance

Near-Roadway Pollution and Childhood Asthma: Implications for Developing “Win–Win” Compact Urban Development and Clean Vehicle Strategies

Abstract

Background: The emerging consensus that exposure to near-roadway traffic-related pollution causes asthma has implications for compact urban development policies designed to reduce driving and greenhouse gases., Objectives: We estimated the current burden of childhood asthma-related disease attributable to near-roadway and regional air pollution in Los Angeles County (LAC) and the potential health impact of regional pollution reduction associated with changes in population along major traffic corridors., Methods: The burden of asthma attributable to the dual effects of near-roadway and regional air pollution was estimated, using nitrogen dioxide and ozone as markers of urban combustion-related and secondary oxidant pollution, respectively. We also estimated the impact of alternative scenarios that assumed a 20% reduction in regional pollution in combination with a 3.6% reduction or 3.6% increase in the proportion of the total population living near major roads, a proxy for near-roadway exposure., Results: We estimated that 27,100 cases of childhood asthma (8% of total) in LAC were at least partly attributable to pollution associated with residential location within 75 m of a major road. As a result, a substantial proportion of asthma-related morbidity is a consequence of near-roadway pollution, even if symptoms are triggered by other factors. Benefits resulting from a 20% regional pollution reduction varied markedly depending on the associated change in near-roadway proximity., Conclusions: Our findings suggest that there are large and previously unappreciated public health consequences of air pollution in LAC and probably in other metropolitan areas with dense traffic corridors. To maximize health benefits, compact urban development strategies should be coupled with policies to reduce near-roadway pollution exposure.

Resource Type
Peer-reviewed article
Authors
Laura Perez Fred Lurmann John Wilson Manuel Pastor Sylvia J. Brandt Nino Künzli Rob McConnell
Resource URL
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556611/
Publication
Environmental Health Perspectives
Journal Abbr.
Environ Health Perspect
Volume
120
Issue
11
Pages
1619-1626
Date
Nov 2012
DOI
10.1289/ehp.1104785
ISSN
0091-6765
Short Title
Near-Roadway Pollution and Childhood Asthma
Health and Human Impact
Respiratory disease
Solution
Land use
Other
Co-benefits/co-harms Vulnerable populations

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