TY - JOUR T1 - Climate change, extreme weather events, air pollution and respiratory health in Europe JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/09031936.00074712 SP - erj00747-2012 AU - Manuela De Sario AU - K Katsouyanni AU - P Michelozzi Y1 - 2013/01/01 UR - http://erj.ersjournals.com/content/early/2013/02/07/09031936.00074712.abstract N2 - Due to climate change, air pollution patterns are changing in several urbanized areas of the world, with a significant effect on respiratory health both independently and synergistically with weather conditions; climate scenarios show Europe as one of the most vulnerable regions. European studies on heat wave episodes have consistently shown a synergistic effect of air pollution and high temperatures, while the potential weather-air pollution interaction during wildfires and dust storms is unknown. Allergens patterns are also changing in response to climate change and air pollution can modify the allergenic potential of pollens especially in presence of specific weather conditions. The underlying mechanisms of all these interactions are not well known; the health consequences vary from decreases in lung function to allergic diseases, new onset of diseases, exacerbation of chronic respiratory diseases, and premature death. These multidimensional climate-pollution-allergen effects need to be taken into account in estimating both climate and air pollution-related respiratory effects in order to set up adequate policy and public health actions to face both the current and future climate and pollution challenges. ER -