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Clean air for healthy lungs – an urgent call to action: European Respiratory Society position on the launch of the WHO 2021 Air Quality Guidelines

Zorana Jovanovic Andersen, Ulrike Gehring, Sara De Matteis, Erik Melen, Ana Maria Vicedo-Cabrera, Klea Katsouyanni, Arzu Yorgancioglu, Charlotte Suppli Ulrik, Sylvia Medina, Kjeld Hansen, Pippa Powell, Brian Ward, Barbara Hoffmann
European Respiratory Journal 2021 58: 2102447; DOI: 10.1183/13993003.02447-2021
Zorana Jovanovic Andersen
1Dept of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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  • For correspondence: zorana.andersen@sund.ku.dk
Ulrike Gehring
2Institute for Risk Assessment Sciences (IRAS), Utrecht University, Utrecht, The Netherlands
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  • ORCID record for Ulrike Gehring
Sara De Matteis
3Dept of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
4Heart and Lung Institute, Imperial College London, London, UK
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Erik Melen
5Dept of Clinical Sciences and Education, Karolinska Institutet, Södersjukhuset, Stockholm, Sweden
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Ana Maria Vicedo-Cabrera
6Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
7Oeschger Center for Climate Change Research, University of Bern, Bern, Switzerland
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Klea Katsouyanni
8National and Kapodistrian University of Athens, Medical School, Athens, Greece
9Environmental Research Group, School of Public Health, Imperial College London, London, UK
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Arzu Yorgancioglu
10Medical Faculty, Dept of Pulmonology, Celal Bayar University, Manisa, Turkey
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Charlotte Suppli Ulrik
11Dept of Respiratory Medicine, Copenhagen University Hospital-Hvidovre, Hvidovre, Denmark
12Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark
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Sylvia Medina
13Direction of Environmental and Occupational Health, Santé Publique France, Saint Maurice, France
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Kjeld Hansen
14European Lung Foundation, Sheffield, UK
15Kristiania University College, Technology, Oslo, Norway
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Pippa Powell
14European Lung Foundation, Sheffield, UK
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Brian Ward
16European Respiratory Society, Brussels, Belgium
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Barbara Hoffmann
17Institute for Occupational, Social and Environmental Medicine, Centre for Health and Society, Medical Faculty, Heinrich-Heine-University of Düsseldorf, Düsseldorf, Germany
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Extract

This statement outlines how air pollution affects patients with lung disease, highlights the main messages of the 2021 World Health Organization (WHO) Air Quality Guidelines, points out how the ambitious European Union (EU) Green Deal can provide solutions through a modern air quality legislation, and discusses the role of respiratory clinicians in improving air quality-related lung health.

Abstract

Air pollution poses a major burden to respiratory patients and legislation fails to protect them. Urgent action and alignment of air quality standards with WHO guidelines are needed to ensure healthier lungs and tackle the climate change crisis. https://bit.ly/3B04dKB

Footnotes

  • Conflict of interest: Z.J. Andersen reports participation on the WHO GAPH Technical Advisory Group, holds an unpaid role with the European Respiratory Society, outside the submitted work.

  • Conflict of interest: U. Gehring has nothing to disclose.

  • Conflict of interest: S. De Matteis has nothing to disclose.

  • Conflict of interest: E. Melén is a member of the ERS Environmental Health Committee.

  • Conflict of interest: A.M. Vicedo-Cabrera has nothing to disclose.

  • Conflict of interest: K. Katsouyanni reports research grants from the EC (Horizon2020) and the US Health Effects Institute, outside the submitted work, and is a member of the WHO GAPH Technical Advisory Group.

  • Conflict of interest: A. Yorgancioglu is the Advocacy Council Chair of ERS and receives support for travel and accommodation at ERS meetings.

  • Conflict of interest: C.S. Ulrik reports fees for lectures from AZ, GSK, TEVA, Sanofi, Orion Pharma, Novartis and Chiesi, outside the submitted work.

  • Conflict of interest: S. Medina is an employee of Santé publique France.

  • Conflict of interest: K. Hansen is part of the leadership of the European Lung Foundation and the European Respiratory Society.

  • Conflict of interest: P. Powell is an employee of ELF.

  • Conflict of interest: B. Ward is an employee of ERS.

  • Conflict of interest: B. Hoffmann is a member of the research committee for Health Effects Institute, Boston, USA.

  • Received September 13, 2021.
  • Accepted September 22, 2021.
  • Copyright ©The authors 2021. For reproduction rights and permissions contact permissions{at}ersnet.org
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Vol 58 Issue 6 Table of Contents
European Respiratory Journal: 58 (6)
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Clean air for healthy lungs – an urgent call to action: European Respiratory Society position on the launch of the WHO 2021 Air Quality Guidelines
Zorana Jovanovic Andersen, Ulrike Gehring, Sara De Matteis, Erik Melen, Ana Maria Vicedo-Cabrera, Klea Katsouyanni, Arzu Yorgancioglu, Charlotte Suppli Ulrik, Sylvia Medina, Kjeld Hansen, Pippa Powell, Brian Ward, Barbara Hoffmann
European Respiratory Journal Dec 2021, 58 (6) 2102447; DOI: 10.1183/13993003.02447-2021

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Clean air for healthy lungs – an urgent call to action: European Respiratory Society position on the launch of the WHO 2021 Air Quality Guidelines
Zorana Jovanovic Andersen, Ulrike Gehring, Sara De Matteis, Erik Melen, Ana Maria Vicedo-Cabrera, Klea Katsouyanni, Arzu Yorgancioglu, Charlotte Suppli Ulrik, Sylvia Medina, Kjeld Hansen, Pippa Powell, Brian Ward, Barbara Hoffmann
European Respiratory Journal Dec 2021, 58 (6) 2102447; DOI: 10.1183/13993003.02447-2021
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    • The burden of air pollution is enormous and increasing
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