Taking a stand against air pollution – the impact on cardiovascular disease

Author:

Brauer Michael12,Casadei Barbara3,Harrington Robert A4,Kovacs Richard5,Sliwa Karen6,Davaakhuu Narantuya,Hadley Michael,Kass Daniel,Miller Mark,Escamilla Nuñez Maria Consuelo,Prabhakaran Dorairaj,Su Ta-Chen,Vaartjes Ilonca C H,Vedanthan Rajesh,

Affiliation:

1. World Heart Federation Air Pollution Expert Group, School of Population and Public Health, The University of British Columbia, Canada

2. Institute for Health Metrics and Evaluation, University of Washington, USA

3. European Society of Cardiology, Radcliffe Department of Medicine, University of Oxford, UK

4. American Heart Association, Department of Medicine, Stanford University, USA

5. American College of Cardiology, Indiana University School of Medicine, USA

6. World Heart Federation, Hatter Institute for Cardiovascular Research in Africa, Department of Medicine, University of Cape Town, South Africa

Abstract

Abstract Although the attention of the world and the global health community specifically is deservedly focused on the COVID-19 pandemic, other determinants of health continue to have large impacts and may also interact with COVID-19. Air pollution is one crucial example. Established evidence from other respiratory viruses and emerging evidence for COVID-19 specifically indicates that air pollution alters respiratory defense mechanisms leading to worsened infection severity. Air pollution also contributes to co-morbidities that are known to worsen outcomes amongst those infected with COVID-19, and air pollution may also enhance infection transmission due to its impact on more frequent coughing. Yet despite the massive disruption of the COVID-19 pandemic, there are reasons for optimism: broad societal lockdowns have shown us a glimpse of what a future with strong air pollution measures could yield. Thus, the urgency to combat air pollution is not diminished, but instead heightened in the context of the pandemic.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine

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