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Pulmonology56973 papers

Environmental lung disease

Last edited: 4/17/2026

Overview

Environmental lung disease encompasses conditions arising from exposure to various environmental pollutants, including airborne microplastics, hazardous organic compounds, and toxic metals, posing significant health risks particularly to children and vulnerable populations. 21333

Diagnosis

  • Exposure History: Detailed history of environmental exposures, including air quality, indoor/outdoor pollutants, and occupational hazards. 213
  • Clinical Symptoms: Respiratory symptoms such as cough, wheezing, shortness of breath, and potential systemic effects like fatigue and developmental delays. 213
  • Air Quality Testing: Measurement of indoor and outdoor air quality for pollutants like particulate matter, volatile organic compounds (VOCs), and microplastics. 212
  • Biomarker Analysis: Urinary metabolites, blood levels of toxicants (e.g., phthalates, bisphenols, PFAS), and other biomarkers of exposure. 92227
  • Imaging: Chest X-rays or CT scans to identify structural lung abnormalities indicative of chronic exposure. 13
  • Management

  • Avoidance of Exposures: Minimize contact with known pollutants through improved indoor air quality, use of protective gear, and environmental remediation. 213
  • Supportive Care: Respiratory support, including bronchodilators and corticosteroids for symptomatic relief. 13
  • Public Health Interventions: Advocate for policy changes to reduce environmental pollution and improve air quality standards. 1419
  • Education and Awareness: Educate patients and communities about environmental risks and protective measures. 4524
  • Monitoring and Follow-Up: Regular health monitoring and biomarker assessments to track exposure levels and health outcomes. 92227
  • Special Populations

  • Pediatrics: Children are uniquely susceptible due to higher exposure relative to body weight and developing organs. Focus on reducing exposure through school and home environments. 251333
  • Comorbidities: Individuals with pre-existing respiratory conditions may experience exacerbated symptoms; tailored management plans are essential. 13
  • Key Recommendations

  • Implement Comprehensive Exposure Assessments: Regularly monitor and assess environmental exposures, particularly in children and vulnerable communities. (Evidence: Moderate 213)
  • Promote Policy Changes for Environmental Protection: Advocate for and support policies aimed at reducing air pollution, plastic waste, and toxic chemical emissions. (Evidence: Moderate 1419)
  • Enhance Public Health Education: Provide targeted education programs to increase awareness and understanding of environmental health risks among healthcare providers and the public. (Evidence: Expert opinion 4524)
  • References

    Showing 100 most recent of 119 indexed papers.

    1 Butterfield P. An Upstream Perspective on Maternal-Child Environmental Health. Journal of obstetric, gynecologic, and neonatal nursing : JOGNN 2026. link 2 Fu N, Wang A, Kumar P, Cao SJ. Airborne microplastic emissions from synthetic sports surfaces and associated health risks to children. Environmental geochemistry and health 2026. link 3 Sun F, Du Y, Yang Q, Liu R, Xu Y, Yuan P. Spatiotemporal dynamics trends of environmental pollution emergencies in China amid economic growth. Environmental research 2025. link 4 Zajac L, Landrigan PJ. Environmental Issues in Global Pediatric Health: Policy Statement. Pediatrics 2025. link 5 Etafa W, Muche W, Temesgen D, Tesfaye D. Nursing students' knowledge and skills on children's environmental health in Ethiopia: A cross-sectional Study. PloS one 2025. link 6 Zajac L, Landrigan PJ. Environmental Issues in Global Pediatric Health: Technical Report. Pediatrics 2025. link 7 Blumberg MJ, Harrison RJ. Recruitment Challenges for Physician Training in Occupational and Environmental Medicine. Journal of occupational and environmental medicine 2025. link 8 Woolf AD, Jackson JE, Corcoran P, Fritz MK, Kim SS, Maslak TM et al.. An Update on Pediatric Environmental Health Specialty Units: Activities and Impacts, 2015-19. Academic pediatrics 2024. link 9 Jeong Y, Mok S, Kim S, Lee I, Lee G, Kho Y et al.. Comparison of urinary exposure profiles to phthalates and bisphenol analogues in kindergartens in Korea: Impact of environmental choices on children's health. Ecotoxicology and environmental safety 2024. link 10 Haenen GRMM. Past, Present and Future of the Section "Molecular Toxicology". International journal of molecular sciences 2023. link 11 Sidhar K, Elliott K, Ibrahem M. Heat, Cold, and Environmental Emergencies in Athletes. Clinics in sports medicine 2023. link 12 Shiry N, Alavinia SJ, Impellitteri F, Alavinia SJ, Faggio C. Beyond the surface: Consequences of methyl tert-butyl ether (MTBE) exposure on oxidative stress, haematology, genotoxicity, and histopathology in rainbow trout. The Science of the total environment 2023. link 13 Besis A, Avgenikou A, Pantelaki I, Serafeim E, Georgiadou E, Voutsa D et al.. Hazardous organic pollutants in indoor dust from elementary schools and kindergartens in Greece: Implications for children's health. Chemosphere 2023. link 14 Davies JF, Seglenieks R, Cameron R, Kuruvilla NA, Grove EM, Shrivathsa A et al.. Operation clean up: A model for eco-leadership and sustainability implementation. Anaesthesia and intensive care 2023. link 15 Röllin HB. Introduction to the Special Issue of . International journal of environmental research and public health 2022. link 16 Chesney ML, Duderstadt K. Children's Rights, Environmental Justice, and Environmental Health Policy in the United States. Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners 2022. link 17 Hao Y, Xu L, Guo Y, Wu H. The inducing factors of environmental emergencies: Do environmental decentralization and regional corruption matter?. Journal of environmental management 2022. link 18 Wan L, Wang C, Wang S, Zang J, Li J. How can government environmental enforcement and corporate environmental responsibility consensus reduce environmental emergencies?. Environmental geochemistry and health 2022. link 19 Sullivan M, Fredrickson L, Sellers C. The EPA's Commitment to Children's Environmental Health: History and Current Challenges. American journal of public health 2022. link 20 Sripada K, Wierzbicka A, Abass K, Grimalt JO, Erbe A, Röllin HB et al.. A Children's Health Perspective on Nano- and Microplastics. Environmental health perspectives 2022. link 21 Glatz Brubakk K, Gjengedal ELF, Enger Ø, Sripada K. Ammunition Waste Pollution and Preliminary Assessment of Risks to Child Health from Toxic Metals at the Greek Refugee Camp Mavrovouni. International journal of environmental research and public health 2022. link 22 Mazzella MJ, Barr DB, Kannan K, Amarasiriwardena C, Andra SS, Gennings C. Evaluating inter-study variability in phthalate and trace element analyses within the Children's Health Exposure Analysis Resource (CHEAR) using multivariate control charts. Journal of exposure science & environmental epidemiology 2021. link 23 Goldman RH, Zajac L, Geller RJ, Miller MD. Developing and implementing core competencies in children's environmental health for students, trainees and healthcare providers: a narrative review. BMC medical education 2021. link 24 Galusha AL, Merrill L, Palmer CD, Amarasiriwardena C, Parsons PJ. Measurement harmonization and traceability for trace element analyses across the Children's Health Exposure Analysis Resource laboratory network. Environmental research 2021. link 25 Kannan K, Stathis A, Mazzella MJ, Andra SS, Barr DB, Hecht SS et al.. Quality assurance and harmonization for targeted biomonitoring measurements of environmental organic chemicals across the Children's Health Exposure Analysis Resource laboratory network. International journal of hygiene and environmental health 2021. link 26 Brereton CF, Jagals P. Applications of Systems Science to Understand and Manage Multiple Influences within Children's Environmental Health in Least Developed Countries: A Causal Loop Diagram Approach. International journal of environmental research and public health 2021. link 27 Ketema RM, Ait Bamai Y, Ikeda-Araki A, Saito T, Kishi R. Secular trends of urinary phthalate metabolites in 7-year old children and association with building characteristics: Hokkaido study on environment and children's health. International journal of hygiene and environmental health 2021. link 28 Mielke HW, McLachlan JA. Air, water, soil and environmental signaling. Current problems in pediatric and adolescent health care 2020. link 29 Lee SHF, Cunningham A, Gharif R, Koh D, Lai L, Petra DH et al.. Brunei Darussalam: country report on children's environmental health. Reviews on environmental health 2020. link 30 Abdullah R. Malaysia: country report on children's environmental health. Reviews on environmental health 2020. link 31 Gailey AD, Schachter AE, Egendorf SP, Mielke HW. Quantifying soil contamination and identifying interventions to limit health risks. Current problems in pediatric and adolescent health care 2020. link 32 Thai Ha L. Vietnam: country report on children's environmental health. Reviews on environmental health 2020. link 33 Anderko L, Pennea E. Exposures to per-and polyfluoroalkyl substances (PFAS): Potential risks to reproductive and children's health. Current problems in pediatric and adolescent health care 2020. link 34 Trottier BA, Settachan D. Common issues related to children's environmental health in the Asia-Pacific region. Reviews on environmental health 2020. link 35 Wang D, Wan K, Ma W. Emergency decision-making model of environmental emergencies based on case-based reasoning method. Journal of environmental management 2020. link 36 Egendorf SP, Gailey AD, Schachter AE, Mielke HW. Soil toxicants that potentially affect children's health. Current problems in pediatric and adolescent health care 2020. link 37 Drago G, Ruggieri S, Bianchi F, Sampino S, Cibella F. Birth Cohorts in Highly Contaminated Sites: A Tool for Monitoring the Relationships Between Environmental Pollutants and Children's Health. Frontiers in public health 2020. link 38 Hinnouho GM, Wessells KR, Barffour MA, Sayasone S, Arnold CD, Kounnavong S et al.. Impact of Different Strategies for Delivering Supplemental Zinc on Selected Fecal Markers of Environmental Enteric Dysfunction among Young Laotian Children: A Randomized Controlled Trial. The American journal of tropical medicine and hygiene 2020. link 39 Bantol KEA, Brumberg HL, Shah SI, Javier JR. Perspectives from the Society for Pediatric Research: contaminants of water and children's health: Can we do better?. Pediatric research 2020. link 40 Galappaththi H. Sri Lanka: report on its children's environmental health. Reviews on environmental health 2020. link 41 Matsuo Y, Miyawaki T, Kadokami K, Nakai K, Tatsuta N, Nakata H et al.. Development of a novel scheme for rapid screening for environmental micropollutants in emergency situations (REPE) and its application for comprehensive analysis of tsunami sediments deposited by the great east Japan earthquake. Chemosphere 2019. link 42 Michalska M, Zorena K, Bartoszewicz M. Analysis of faecal bacteria isolated from air and seawater samples following an emergency sewage discharge into the Gulf of Gdansk in 2018 - preliminary study. International maritime health 2019. link 43 Liu X, Xu Y, Ge Y, Zhang W, Herrera F. A Group Decision Making Approach Considering Self-confidence Behaviors and Its Application in Environmental Pollution Emergency Management. International journal of environmental research and public health 2019. link 44 Hong Y, Lee T, Kim JS. Serial Multiple Mediation Analyses: How to Enhance Individual Public Health Emergency Preparedness and Response to Environmental Disasters. International journal of environmental research and public health 2019. link 45 Johnston JE, Razafy M, Lugo H, Olmedo L, Farzan SF. The disappearing Salton Sea: A critical reflection on the emerging environmental threat of disappearing saline lakes and potential impacts on children's health. The Science of the total environment 2019. link 46 Buckley JP, Hamra GB, Braun JM. Statistical Approaches for Investigating Periods of Susceptibility in Children's Environmental Health Research. Current environmental health reports 2019. link 47 Ortega-García JA, Tellerías L, Ferrís-Tortajada J, Boldo E, Campillo-López F, van den Hazel P et al.. [Threats, challenges and opportunities for paediatric environmental health in Europe, Latin America and the Caribbean]. Anales de pediatria 2019. link 48 Álvarez-García C, Álvarez-Nieto C, Sanz-Martos S, Puente-Fernández D, López-Leiva I, Gutiérrez-Puertas L et al.. Undergraduate Nursing Students' Attitudes, Knowledge, and Skills Related to Children's Environmental Health. The Journal of nursing education 2019. link 49 Alves RIS, Machado GP, Zagui GS, Bandeira OA, Santos DV, Nadal M et al.. Metals risk assessment for children's health in water and particulate matter in a southeastern Brazilian city. Environmental research 2019. link 50 Sly PD, Trottier B, Carpenter D, Cha'on U, Cormier S, Galluzzo B et al.. Children's Environmental Health in South and Southeast Asia: Networking for Better Child Health Outcomes. Annals of global health 2019. link 51 Alvarado-Cruz I, Alegría-Torres JA, Montes-Castro N, Jiménez-Garza O, Quintanilla-Vega B. Environmental Epigenetic Changes, as Risk Factors for the Development of Diseases in Children: A Systematic Review. Annals of global health 2018. link 52 Montero-Montoya R, López-Vargas R, Arellano-Aguilar O. Volatile Organic Compounds in Air: Sources, Distribution, Exposure and Associated Illnesses in Children. Annals of global health 2018. link 53 Flores-Ramírez R, Pérez-Vázquez FJ, Medellín-Garibay SE, Camacho Aldrete A, Vallejo-Pérez M, Díaz de León-Martínez L et al.. Exposure to Mixtures of Pollutants in Mexican Children from Marginalized Urban Areas. Annals of global health 2018. link 54 Brereton C, Turagabeci A, Wilson D, Sly PD, Jagals P. Children's Environmental Health Indicators for Pacific Island Countries. International journal of environmental research and public health 2018. link 55 Phipps E, Masuda JR. Towards equity-focused intersectoral practice (EquIP) in children's environmental health and housing: the transformational story of RentSafe. Canadian journal of public health = Revue canadienne de sante publique 2018. link 56 Sinitkul R, Wongrathanandha C, Sirirattanapruk S, Plitponkarnpim A, Maude RJ, Marczylo EL. Children's Environmental Health in Thailand: Past, Present, and Future. Annals of global health 2018. link 57 He C, Toms LL, Thai P, Van den Eede N, Wang X, Li Y et al.. Urinary metabolites of organophosphate esters: Concentrations and age trends in Australian children. Environment international 2018. link 58 López-Carrillo L, González-González L, Piña-Pozas M, Mérida-Ortega Á, Gamboa-Loira B, Blanco-Muñoz J et al.. State of Children Environmental Health Research in Latin America. Annals of global health 2018. link 59 Álvarez-García C, Álvarez-Nieto C, Pancorbo-Hidalgo PL, Sanz-Martos S, López-Medina IM. Student nurses' knowledge and skills of children's environmental health: Instrument development and psychometric analysis using item response theory. Nurse education today 2018. link 60 Iqbal NT, Sadiq K, Syed S, Akhund T, Umrani F, Ahmed S et al.. Promising Biomarkers of Environmental Enteric Dysfunction: A Prospective Cohort study in Pakistani Children. Scientific reports 2018. link 61 Drury DL, Adamo P, Cloeren M, Hegmann KT, Martin DW, Levine MJ et al.. Patient Satisfaction Measurement in Occupational and Environmental Medicine Practice. Journal of occupational and environmental medicine 2018. link 62 Giampaoli S, Alessandrini F, Frajese GV, Guglielmi G, Tagliabracci A, Berti A. Environmental microbiology: Perspectives for legal and occupational medicine. Legal medicine (Tokyo, Japan) 2018. link 63 Landrigan PJ. Children's Environmental Health: A Brief History. Academic pediatrics 2016. link 64 Wu X, Wang L, Ma W, Zhu Y, Xu L, Kuang H et al.. 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Engaging medical students in occupational and environmental medicine--a new approach. Occupational medicine (Oxford, England) 2010. link 70 Hege I, Nowak D, Kolb S, Fischer MR, Radon K. Developing and analysing a curriculum map in Occupational- and Environmental Medicine. BMC medical education 2010. link 71 Wingfield JC. Comparative endocrinology, environment and global change. General and comparative endocrinology 2008. link 72 Cappaert TA, Stone JA, Castellani JW, Krause BA, Smith D, Stephens BA. National Athletic Trainers' Association position statement: environmental cold injuries. Journal of athletic training 2008. link 73 Beloglazova NV, Goryacheva IY, Mikhirev DA, de Saeger S, Niessner R, Knopp D. New immunochemically-based field test for monitoring benzo[a]pyrene in aqueous samples. Analytical sciences : the international journal of the Japan Society for Analytical Chemistry 2008. link 74 Páll G, Páldy A, Rudnai P, Dura G, Várnai D. Paediatric environmental health in Hungary. 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    Original source

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