AIR POLLUTION AND THE INLAND PORT

Thousands of studies have established that air pollution is a broad-based health hazard, provoking a long list of diseases very similar in type and scope to those related to smoking cigarettes, including shortened life expectancy, and premature death. Furthermore, there is no
safe level of pollution. The more pollution, the greater the adverse health outcomes. The relationship between air pollution and poor health is hyperbolic as demonstrated by the graph below.1 It shows that there is no safe level of pollution, and that per unit of exposure, and the relationship between poor health and air pollution is even stronger at low doses.

From any baseline, any increase in air pollution will have public health consequences. While what has been revealed about the inland port is still vague, it has become increasingly clear that there is no scenario under which a port would not be a significant new source of air pollution for the Salt Lake Valley and other areas of the Wasatch Front. A robust, “successful”
port would increase pollution from three types of mobile sources carrying various commodities–diesel powered trucks, train locomotives, and air cargo.

The common denominator for most of the health consequences of air pollution is the provocation of an inflammatory response that affects the vascular system and, downstream, all major organs including the placenta of a pregnant mother. Premature death is precipitated through multiple mechanisms–heart disease (heart attacks, abnormal heart rhythms, aggravation of heart failure), strokes, lung disease (pneumonia, asthma, respiratory failure), and cancer. Air pollution damages chromosomal function and impairs fetal development, causing birth defects,
miscarriages, still births and higher rates of infant deaths. Furthermore, air pollution triggers just about every other type of pregnancy/fetal development complication that can translate into life long impacts on adult health–low birth weight, premature birth, pre-eclampsia, premature
rupture of membranes, placenta previa and accreta, and uterine inflammation.

The World Health Organization has declared air pollution the most important environmental cause of cancer, especially for increasing the risk of lung and bladder cancer. However, just about every other type of cancer has been shown to occur at increased rates among populations exposed to more air pollution. Other studies show that cancer survival is also decreased among patients exposed to more air pollution.

Perhaps the greatest impact of air pollution on public health is the damage it can do to chromosomal function which can be passed on to future generations. At least three generations can be harmed by air pollution exposure. Even modest levels of air pollution can impair the chromosomes of germ cells of future parents, negatively affecting the health of children even prior to conception.

While port related pollution will extend throughout the Wasatch Front, there is also little doubt that the NW Quadrant itself will become a new pollution hotspot, nearby neighborhoods will bear the brunt of the health consequences from the port and could be characterized as “sacrifice zones.”

Other inland ports in other cities have been burdened by the pollution from hundreds to thousands of new semi trucks, and dozens of additional fully loaded trains. A recent study of the Los Angeles airport has also shown that emissions from aviation traffic are much larger than previously estimated, doubling particulate pollution downwind as far out as ten miles, and increasing levels four to five times above baseline, as far out as 5-6 miles. The study estimated that the city’s airport was responsible for as much pollution as the city’s freeway network.2 This lends evidence to the expectation that air cargo related to an inland port will also be a
significant new source of pollution.

Diesel emissions will be a major part of the increased pollution. A recent landmark study indicates that long term exposure to even low levels of diesel exhaust raises the risk of dying from lung cancer about 50% for residents who live near industrial operations, and about 300% for the workers.3,4

In response to these studies, Joseph Fraumeni Jr., Director of the National Cancer Institute’s Division of Cancer Epidemiology and Genetics, stated, “The findings suggest that the risks may extend to other workers exposed to diesel exhaust and to people living in urban areas where diesel exhaust levels are elevated.”

Increased large truck traffic will add to existing congestion on Salt Lake Valley freeways, which will add further emissions of pollutants and greenhouse gases from non-port vehicles on the freeway network.5

Details of all the medical consequences of air pollution and their scientific basis are far beyond the scope of this summary. Attached as an appendix is a summary of the information from nearly 1,300 studies.

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    case- control study of lung cancer and diesel exhaust. J Natl Cancer Inst. March 2, 2012. doi:
    10.1093/jnci/ djs034.
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    mortality study with emphasis on lung cancer. J Natl Cancer Inst. March 2, 2012. doi:10.1093/
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    rush hour and free-flow conditions. Atmospheric Environment 45 (2011) 1929e1939

APPENDIX

THE HEALTH CONSEQUENCES OF AIR POLLUTION
PREPARED BY UTAH PHYSICIANS FOR A HEALTHY ENVIRONMENT
UPDATED APRIL, 2019

Pollution and the Cardiovascular System

  • The signature physiologic consequence of air pollution is the same as cigarette smoke: a low grade arterial inflammation, arteriolar narrowing, and vascular prothrombotic changes. Chemical markers of these changes are found even in young healthy adults. As with cigarette smoke the effect can be almost immediate and chronic exposure to even low concentrations of pollution are associated with an acceleration of atherosclerosis and significant arteriolar narrowing and stiffness. Breathing more ozone in childhood increases arterial wall thickness in young adults.
  • Simultaneously high concentrations of multiple pollutants have a synergistic effect on hospitalizations for cardiac disease.
  • Air pollution causes average blood pressure to increase within minutes. All organs are affected. Blood pressure rises are found in even in children.
  • Air pollution can alter electrical signaling within the heart. Rates of arrhythmias, heart attacks and strokes increase with air pollution and are the primary cause for increased community mortality rates. Those rates increase within hours after exposure and stay elevated for as long as 30 days after the exposure has ended.
  • In patients who suffer from heart failure, air pollution reduces cardiac function. Even in patients without known heart disease, air pollution increases the size of heart chambers, indicative of impaired function, a precursor of heart failure.
  • Particulate pollution concentrations typical of the Wasatch Front increase mortality rates about 10% according to the formula recommended by the American Heart Association published in May, 2010. A subsequent study suggests that number should be 14%. That means between 1,000 and 2,000 Utahns die prematurely every year due to our air pollution. Approximately 210,000 premature deaths occur annually in the US from combustion emissions. The average pollution related premature death represents about ten years of lost life.
  • Particulate pollution from coal and diesel combustion are likely much more potent in triggering heart and vascular disease than most other sources.
  • Mortality plotted against air pollution concentrations shows no safe threshold, even at low levels, well below EPA national ambient air quality standards (NAAQS). Furthermore this curve is not linear. The steepest part of the curve is at low doses, i.e. small air pollution reductions have even greater public health benefit when the concentrations are already low. Even at what are considered ‘background’ levels of particulate pollution there are increased risks for cardiopulmonary mortality compared to clean, filtered air.
  • Air pollution impairs exercise capability, even in the very fittest of individuals. Even in young, healthy adults air pollution increases biomarkers of inflammation and thrombosis and increases blood pressure and heart rate. Air pollution offsets the cardiorespiratory benefits of exercise.
  • Air pollution shortens life expectancy and accelerates the aging process. The residents of the average American city lose 1-3 years of life expectancy, in Northern China residents lose 5.5 years.
  • The increase in mortality risk persists for decades after exposure.
  • There are very likely genetic differences in human susceptibility to the arterial inflammation provoked by air pollution. Furthermore, the progression of inflammation and cardiovascular changes are more pronounced in those who are already at higher risk.
  • Inhaled nanoparticles preferentially lodge in the lining of blood vessels where inflammation and atherosclerosis already exist, and they can remain there for months, and perhaps much longer.
  • Air pollution alters the blood lipid profile, decreasing HDL levels.
  • Black Americans suffer greater cardiovascular impacts from air pollution than caucasians.
  • Radioactive isotopes attached to particulate pollution carry additional cardiovascular risks.
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Pollution and the Brain

  • The systemic inflammation caused by air pollution also affects the brain
  • Air pollution components, including toxic, metallic nanoparticles, reach the brain and
    can penetrate deeply into the parenchyma.
  • Many of the compounds adsorbed to particulate matter are neurotoxic.
  • Air pollution causes CNS oxidative stress, neuroinflammation, neuronal damage,
    neuronal loss, loss of brain mass, cortical stress measured by EEG, enhancement of Alzheimer type-abnormal filamentous proteins (beta amyloid and phosphorylated tau), BBB and microglial (immune system) changes, and cerebrovascular damage. Many of
    these changes can be found in infants, children and young adults.
  • Air pollution exposure is associated with almost the full range of clinical neurologic disorders throughout the age spectrum, including lower intelligence, diminished motor function, attention deficit and behavioral problems, decreased cognition and accelerated
    dementia in adults, delinquent behavior in adolescents, higher rates of strokes, ALS, relapses in multiple sclerosis, autism, impaired olfactory sense, Parkinson’s, and other neurodegenerative diseases, depression, anxiety, substance abuse, schizophrenia and suicide.
  • Acute air pollution exposure on the way to school affects students’ attention span during the ensuing school day.
  • Prenatal exposure to air pollution is particularly harmful to fetal brain development, even causing loss of white matter involving the left hemisphere which results in impaired cognition and behavioral disorders in childhood.
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Pollution and Chromosomal Function/Fetal Development/Fertility

  • Babies are essentially born pre-polluted by the air breathed by the mother during pregnancy. Particulate matter and the chemicals attached to them can cross the placenta and interfere with fetal development
  • Pregnant women exposed to more air pollution give birth to babies with significantly
    more chromosomal aberrations including shorter telomeres and epigenetic changes which
    can be passed on to multiple subsequent generations.
  • Exposure even to brief episodes of pollution at critical stages in the development of the
    human embryo can cause a person to experience an increased likelihood of multiple
    chronic diseases including those of the heart, lungs, immune system and brain and even
    obesity, diabetes, cancer and shortened life expectancy.
  • Air pollution breathed by a pregnant mother causes epigenetic changes in the womb,
    which is associated with higher rates of lung and heart disease in animals and humans in
    childhood as an adult.
  • Pollution impairs virtually every component of human reproduction—causing sperm
    DNA damage, increase in the rates of male infertility, impaired menstruation,
    miscarriages and other adverse reproductive outcomes.
  • Children living near petrochemical industries are exposed to high PAH levels,
    contributing to DNA damage. Industrial pollution is even more genotoxic than traffic
    pollution.
    *Regarding birth weights and poor neurologic outcomes, males are generally more
    affected by prenatal air pollution than females.
    *Even preconception pollution exposure of the mother increases the risk of congenital
    malformations
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    contents in newborn rats. Neurochem. Res. 33, 912–918
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    exposure to traffic pollution: a cross-sectional study on traffic officers and indoor office
    workers. Environ Health. 2009; 8: 41. Published online 2009 September 21. doi:
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  17. Perera FP 2008. Children Are Likely to Suffer Most from Our Fossil Fuel Addiction.
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    susceptibility of men to sperm DNA damage associated with exposure to air pollution. Mutation
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    other changes in semen quality. Human Reproduction Vol.20, No.10 pp. 2776–2783, 2005 doi:
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    Cigarette Smoking: Rapid Formation of Polycyclic Aromatic Hydrocarbon Diol Epoxides
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    html
#

Pollution and the Lung

  • Air pollution permanently inhibits lung growth in children. In fact prenatal exposure can reduce fetal lung development, impairing lung function in childhood and permanently reducing the number of alveoli (air sacs) in the lungs.
  • Brief exposure to ozone and particulate matter reduce lung function even in young healthy adults and the reduction can last for a week after the pollution exposure is over.
  • Air pollution causes lung cancer.
  • Long term ozone exposure causes an increase in overall mortality in addition to that
    from particulate matter. Most of the mortality is respiratory.
  • Air pollution exacerbates virtually all pulmonary diseases and likely plays a causative
    role in reactive airways disease, and some cases of COPD.
  • Air pollution is associated with increased rates of serious lower respiratory infections,
    and hospitalization and death from most respiratory diseases from neonates to the elderly.
  • The correlation between the above health outcomes and ozone are still found at concentrations between one half and one third the current EPA NAAQS.
    *Air pollution causes DNA damage and cell death to lung cells.
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  • Air pollution causes morphologic changes in the placenta, and disrupts placental and
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    transfer to the fetus
    83
  • Pregnant women exposed to more air pollution have multiple adverse pregnancy
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    • Intrauterine inflammation, a significant risk factor for premature birth, shows a very significant correlation with air pollution, including preconception exposure.
    • Air pollution is associated with higher rates of birth defects including neural tube and cardiac birth defects.
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Air Pollution and Metabolic Disorders

  • More exposure to air pollution, even short term, decreases insulin sensitivity, glucose tolerance, increases rates of Type I and Type II diabetes, and promotes obesity and metabolic syndrome.
    • Prenatal exposure has a particularly strong association with childhood obesity.
    • Good cholesterol (HDL) is decreased, and bad cholesterol (LDL) is increased with more
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#

Miscellaneous Health Consequences

  • Immune suppression, inflammatory bowel disease, bacterial and viral infections, lupus,
    juvenile arthritis, infant mortality, sleep apnea, obesity and suicide are elevated in
    populations exposed to more air pollution.
    *Air pollution can induce liver toxicity, accelerate liver inflammation and steastosis.
    *Air pollution causes systemic oxidative stress, triggers the inflammatory chemical
    cascade, endothelial cell death, cytotoxicity, macrophage infiltration, and increases lipid
    deposition. Particulate matter penetrates intracellular structures.
  • Air pollution accelerates the aging process and shortens the lengths of telomeres even in
    newborns.
    *Air pollution increases infant mortality and SIDS
  • Wood smoke is uniquely toxic, the most toxic type of air pollution that most people are
    ever exposed to.
    *Even short term air pollution decreases fertility
    *Air pollution accelerates the age related reduction in kidney function
    *Osteoporosis is associated with air pollution
    *Lead exposure (common in urban air pollution) is associated with significant increased
    adult mortality primarily related to cardiovascular disease.
#

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