Exposure-response functions for health effects of air pollutants based on epidemiological findings

Quantitative knowledge about health damage due to air pollution is an important element in analyses of cost-effective abatement strategies, and is also essential for setting Air Quality Standards. Epidemiological studies, in spite of the numerous problems connected to them, provide a reasonable basis for exposure-response functions in this context. On the basis of a literature review, exposure-response functions that relate ambient air pollutant concentrations to the frequency of various health effects are recommended in this paper. The following end-points were examined: Acute and chronic respiratory symptoms in children and adults, crude mortality, and lung cancer incidence. The effects are attributed to one indicator component, which in most cases is particles. A calculation procedure is suggested which makes it possible to estimate excess annual symptom-days for short-term effects using the annual average concentration.