http://www.environmentaldefense.org/article.cfm?contentID=6633

Ask Dr. John


Our Chief Health Scientist answers questions on air quality, red alert days
and public health


Posted on: 07/19/2007

 <http://www.environmentaldefense.org/page.cfm?tagID=894> Dr. John Balbus,
Chief Health Scientist at Environmental Defense, is a certified medical
doctor and public health specialist.

We caught up with Dr. John who was kind enough to answer our questions on an
all-too-familiar summertime environmental threat: red alert days.


What exactly is a "red alert" day and how worried should we be about it?


Simply put, a red alert (or "code red") day is a day when the air quality in
any given area is forecast to be unhealthy for everyone. There are also code
orange days, when the air is unhealthy mainly for people with greater
vulnerability, like people with asthma, and code yellow days when the air
quality is almost at unhealthy levels. 

The Environmental Protection Agency sets different standards for different
types of air pollution. In the United States, ozone (smog) and fine
particles (sometimes called soot) pose the biggest health threats. 

Local governments publicize red alert days so that people can both take
precautions to reduce their exposures to high levels of air pollution and
also so they can take measures to reduce their own contributions to air
pollution, usually by driving less, avoiding fueling cars and other
vehicles, not using power lawn tools, etc. 

People with poorly controlled asthma and other lung disease or with heart
disease have the greatest reason to be concerned about breathing the air on
red alert days, because high levels of air pollution can trigger serious
problems, like asthma or heart attacks. Even people without these diseases
may suffer long-term heart and lung damage from repeated exposure.


It seems like there have been more red alert days in recent years. Is that
because the problem is getting worse, or are we just paying more attention
to it?


For most of the country, the number of red alert days each year has been
going down, especially when compared to the early and mid 1990's. The EPA
has placed stricter controls on power plants and cars and trucks over the
past fifteen years. We are seeing the results of these successful measures
throughout most of the country.

At the same time, recent studies show that smog and fine particle air
pollution harms our health at lower levels than we used to think. So
breathing the air even on code orange or yellow days could contribute to
heart and lung problems.


Is this problem caused more by big polluters (smokestacks), individuals on
the road (tailpipes) or both? What can I do to help prevent and/or minimize
the extent of red alert days? What is the government doing?


Both. Big power plants and cars and trucks are all major sources of the
pollutants that form ozone and fine particles. Living downwind of a large
power plant or near a major roadway can lead to higher exposures and greater
health risks, so it's advisable to take extra precaution in these areas.

The simplest things people can do are to make fewer trips by car, drive a
more efficient car, avoid using gasoline or diesel powered lawn and garden
equipment, and conserve electricity in the home.

As for the government, the Environmental Protection Agency continues to
lower the amount of air pollution allowed from car, trucks and other
gasoline and diesel engines. However, the EPA's recent proposed standard for
smog pollution doesn't go far enough.

In fact, in spite of scientific consensus on the need to substantially
strengthen smog standards to protect public health, the EPA has proposed to
only marginally strengthen smog standards and has even inexplicably left the
door open to leaving the standards unchanged. This is unacceptable and we're
calling on the EPA to substantially strengthen this standard (
<http://action.environmentaldefense.org/campaign/epa_ozone_july07> you can
join us in taking action).


Is there a connection between red alert days and global warming?


There are definite links between health-harming air pollution like ozone
smog and fine particles and global warming. The first is that both carbon
dioxide, the main global warming pollutant, and health-harming pollution
share many of the same sources: cars, trucks, power plants, and other things
that burn fossil fuels. The second is that warmer temperatures change the
chemical reactions that form and transform air pollutants, especially ozone.

Other things being equal, hotter air makes more ozone more quickly. Thus, a
future with warmer temperatures will probably mean more red alert days,
unless we cut back fossil fuel-based pollution more effectively.

Copyright C 2007 Environmental Defense

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