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By Dr. Neeraj Gupta in Pulmonology , Critical Care
Jan 03 , 2025 | 3 min read
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In today's industrialised world, pollution is one thing we cannot run away from. It is silent and affects our health in ways we may not even notice. One of the most profound effects is on our pulmonary health. Our lungs, the organs that breathe for us, are constantly exposed to the air we breathe and are most vulnerable to pollutants. Understanding how pollution affects pulmonary health is critical to the protection of our health and global public health.
Pulmonology and Its Role
Pulmonology is a branch of medicine that deals with the study of the respiratory system responsible for breathing. Pulmonologists are specialists who diagnose, treat, and manage diseases and conditions that affect the lungs, such as asthma, emphysema, pneumonia, and chronic bronchitis. As pollution globally is on the rise, pulmonologists see environmental pollutants damaging lung health—from worsening chronic conditions to causing new diseases.
Understanding Pollution and Its Types
Pollution is the introduction of harmful elements into the environment, deteriorating air quality and seriously detrimental to health. There are several air pollutants affecting respiratory health:
- Particulate Matter (PM): Non-reactive particles in the atmosphere are categorised into either PM2.5, composed of particles less than 2.5 microns in diameter, or PM10—particles less than 10 microns in diameter. PM2.5 will always prove to be the most harmful, given it passes deep into the lungs—further into the bloodstream.
- Ground-Level Ozone: It is also formed when sunlight chemically reacts with air pollutants like VOCs and nitrogen oxides; it irritates the lungs and makes respiratory diseases worse.
- Carbon Monoxide (CO): Although colourless and odourless, this gas inhibits oxygen delivery within the body and places great stress on the respiratory and cardiovascular systems.
- Nitrogen Dioxide and Sulphur Dioxide: Both gases are well-known irritants to the airways and worsen conditions like asthma.
- Tobacco Smoke and Indoor Pollutants: Secondhand smoke, radon, and volatile organic compounds from household products are indoor air pollutants.
How Pollution Affects Pulmonary Health
Various respiratory conditions, both acute and chronic, can be caused by exposure to polluted air. Let's get into it:
- Asthma and Allergies: PM and NO2 are factors in asthma exacerbation, worsening the symptoms for patients who already suffer from this pathologic condition. Even long-term exposure may increase the risk of developing asthma.
- COPD: A disease caused by long-term air pollution; this causes a blockage of airflow and thereby creates breathing problems. The pollutants are responsible for chronic inflammation and the injury of lung tissue.
- Lung Cancer: PM2.5, along with the carcinogenic composition of air pollution like benzene and PAHs, results in lung cancer.
- Lung Function in Children: Children are more prone since their lungs are still growing. Several studies indicate stunted lung growth and the development of respiratory conditions over long periods due to air pollution.
- Increased Vulnerability to Respiratory Infections: Impure air weakens the body's resistance and thus makes people more susceptible to infections such as pneumonia and bronchitis. This is more dangerous for older people and those with previous diseases.
- New Concerns with Microplastics: Recent research finds these even in the air we inhale. These minute particles remain in the lung tissue, causing inflammation and long-lasting harm.
Vulnerable Populations: Who's at Risk?
Bad air affects everyone, but some of us are more vulnerable:
- Children and Babies: Their lungs are more delicate.
- Older Adults: With increasing age, our lungs start to deteriorate. This renders older adults more vulnerable to a variety of pollution-related ailments.
- Pre-existing Conditions: People suffering from asthma, COPD, and heart disease are more vulnerable.
- City Dwellers: People living in cities that have heavy traffic and industries are more exposed to pollution.
What Can We Do?
The struggle against such a silent killer as pollution requires wide involvement at all three levels: individual, community, and government. Here are actions that can be taken:
- Reduce Your Exposure
- Use air purifiers indoors.
- Avoid going outdoors during high periods of pollution.
- Wear masks that filter fine particles.
- Promote Clean Energy and Transport
- Promote renewable energy.
- Use public transport, cycle, or walk to reduce car emissions.
- Greener Initiatives
- Plant trees and support urban green areas.
- Reduce the use of products that emit VOCs.
- Government and Policy
- Strengthen all industries and vehicle emissions-related rules.
- Monitor air quality and educate the public through campaigns.
- Medical Interventions
- Lung health check-ups for high-risk groups.
- Immunisations against respiratory infections, like flu and pneumonia.
Conclusion: The Call to Action
The link between pollution and lung health is emphatic and urgent. As pollution becomes more invisible, so too will its impact on global health become more pervasive. If we act now, we can reduce exposure and mitigate the damage to our lungs—every breath counts.

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