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Ozone and Your Patients' Health

References and Figures


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Folinsbee et al. (1988) Pulmonary function and symptom response after 6.6-hour exposure to 0.12 ppm ozone with moderate exercise. JAPCA 38: 28-35.

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Kehrl, H. R.; Peden, D. B.; Ball, B. A.; Folinsbee, L. J.; Horstman, D. H. (1999) Increased specific airway reactivity of persons with mild allergic asthma after 7.6 hours of exposure to 0.16 ppm ozone. J. Allergy. Clin. Immunol. 104: 1198-1204. [22101]

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U.S. EPA (1996) Review of National Ambient Air Quality Standards for Ozone: Assessment of Scientific and Technical Information, OAQPS Staff Paper. EPA-452/R-96-007. Office of Air Quality Planning and Standards, Research Triangle Park, NC.

Vagaggini, B.; Taccola, M.; Conti, I.; Carnevali, S.; Cianchetti, S.; Bartoli, M. L.; Bacci, E.; Dente, F. L.; Di Franco, A.; Giannini, D.; Paggiaro, P. L. (2001) Budesonide reduces neutrophilic but not functional airway response to ozone in mild asthmatics. Am. J. Respir. Crit. Care Med. 164: 2172-2176.

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Figures and Tables

What is Ozone?
Figure 1: U.S. counties with high ozone concentrations in 2002

General Population Effects
Figure 2: Ozone is highly reactive in the respiratory tract

Figure 3: Ozone induces neurally mediated responses in the bronchial airways

Figure 4: Effects of ozone on lung function

Figure 5: The number of emergency or urgent daily respiratory admissions to acute care hospitals is related to estimated ozone exposure

Figure 6: Variability of response to ozone exposure

Figure 7: Sensitivity to ozone exposure is age related

Effects on Patients with Asthma
Figure 8: Factors involved in induction and exacerbation of asthma

Figure 9: Unscheduled daily asthma medication use by children with asthma is associated with summertime haze air pollution

Figure 10: Childhood asthma and reactive airway disease appears to be exacerbated after periods of high ozone pollution

Figure 11: Ozone exposure increases the responsiveness of people with allergic asthma to inhaled house dust mite antigen

Air Quality Index
Table 1: Gradation of Individual Responses to Short-Term Ozone Exposure in Healthy People

Table 2: Gradation of Individual Responses to Short-Term Ozone Exposure in People with Lung Disease

Figure 12: Air Quality Index (AQI) levels of health concern

Figure 13: The AQI Guide for Ozone

Figure 14: Nick Walker of The Weather Channel giving an air quality forecast

Figure 15: AQI forecast map

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