Yesterday
morning, the pollution levels in Asiad Complex, the place where I live, and in
all other places in Delhi showed variable but severe high PM 2.5 and PM 10, high
benzene levels, high nitrogen dioxide (NO2) levels (in Anand Vihar) and normal
ozone and sulfur dioxide (SO2) levels.
What do they mean?
High benzene levels: Exposure to high levels of benzene has been
associated with a higher risk of developing blood cancer acute myeloid leukemia
(AML). The risk of developing a myeloid malignancy after benzene exposure
appears to be dose-related and it is unknown whether there is any safe
threshold for benzene exposure. Benzene in air 10 mg cu mm = 3.13 ppm.
Normal ammonia: Corrosive rhinitis results from exposure to a
high concentration of irritating and soluble chemical gases, which can cause
sufficient nasal inflammation that the mucosa can break down and ulcerate,
similar to a chemical burn. Common culprits include substances with high water
solubility and chemical reactivity, such as chlorine, sulfur dioxide, ammonia
and formaldehyde .
Corrosive
rhinitis can lead to permanent changes in physiologic functions of the nose,
such as loss of olfaction. The entity “reactive upper-airways dysfunction
syndrome” has been described after a single exposure to strong chemicals and is
modeled on reactive airways dysfunction syndrome
Normal ozone, SO2 and high NO2
In Anand Vihar,
NO2 levels were three times normal. (230)
NO2 and SO2 are
products of combustion of fossil fuels, and both are airway irritants.
SO2 can cause
symptoms of wheezing and chest tightness as well as frank bronchoconstriction
in individuals with asthma.
Allergens, other
than molds, can contribute to building-related symptoms. These include
allergens from dust mites, cockroaches, rodents, and plant pollen (if drawn
indoors from the immediate outdoor environment). Dander from domestic animals
may also be carried from homes to work and school environments on clothing.
Carpeting in workplaces can harbor allergen particles for long periods of time.
The adverse effects of allergens can be augmented by coexposures such as ozone,
nitrogen dioxide (NO2), and sulfur dioxide (SO2)
High PM 10 levels will damage the lungs
High PM <2.5 levels will get absorbed in the blood and will
affect all the organs including heart and the brain.
Dr KK Aggarwal
Padma Shri Awardee
President
Elect Confederation of Medical Associations in Asia and Oceania (CMAAO)
Group Editor-in-Chief IJCP Publications
President Heart Care Foundation of India
Immediate Past National President IMA
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