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Draft MTP/SCS Comments Received - sacog

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METRIC: ENVIRONMENTAL POLLUTION<br />

d. Working with a local public health department, university and/or air quality<br />

management district: Estimate pre-mature mortality attributed to traffic-related ambient<br />

PM 2.5, and estimate asthma incidence and asthma exacerbations attributed to traffic<br />

related NO2.<br />

EVIDENCE BASE<br />

Health Impacts<br />

Epidemiologic studies have consistently found that proximity to high traffic density or flow results in<br />

reduced lung function and increased asthma hospitalizations, asthma symptoms, bronchitis<br />

symptoms, and medical visits. ccxi Children appear to be the most sensitive to adverse effects.<br />

California freeway studies show exposure levels approach background levels after a distance of 500<br />

feet from a freeway. ccxii Specific epidemiologic research findings include:<br />

Reduced lung function in children associated with traffic density, especially trucks, within 1,000<br />

feet and the association was strongest within 300 feet. ccxiii<br />

Increased asthma hospitalizations associated with living within 650 feet of heavy traffic and<br />

heavy truck volume. ccxiv<br />

Increased asthma symptoms with proximity to roadways, with the greatest risk within 300<br />

feet. ccxv<br />

Asthma and bronchitis symptoms in children associated with high traffic in a San Francisco Bay<br />

Area community with good overall regional air quality. ccxvi<br />

<br />

<br />

Increased medical visits in children living within 550 feet of heavy traffic in San Diego. ccxvii<br />

In a prospective study of 3399 participants in Germany, living within 150m of major roads is<br />

associated with an increased risk of coronary heart disease over time even after adjusting for<br />

individual risk factors and background air pollution. ccxviii<br />

Living in close proximity to busy roadways<br />

Children living in close proximity to busy roadways have been found to suffer from increased<br />

respiratory disease symptoms and asthma, and reduced lung function. ccxix ccxx ccxxi ccxxii ccxxiii ccxxiv ccxxv<br />

ccxxvi ccxxvii ccxxviii Studies also show higher rates of cardiovascular and respiratory disease among adults<br />

living near freeways, particularly for those living within 75 - 650 feet of heavy traffic and heavy truck<br />

volume. ccxxix ccxxx ccxxxi ccxxxii ccxxxiii Long-term exposure to traffic-related air pollution is associated with<br />

an increased risk of lung cancer, ccxxxiv and diabetics exposed to air pollution have an increased risk for<br />

heart disease. ccxxxv ccxxxvi Additionally, living in areas with high levels of air pollution is a disincentive<br />

to exercise, ccxxxvii and exercise reduces risks for heart disease, diabetes, osteoporosis, and stress-related<br />

anxiety and depression. ccxxxviii CARB recommends not locating sensitive land uses within 500 feet of a<br />

highway that has traffic in excess of 100,000 vehicles per day. ccxxxix<br />

PM 2.5 and health outcomes<br />

Motor vehicle emissions, power plants, and refineries are the predominant sources of fine particulate<br />

air pollution (PM2.5). Several large-scale studies demonstrate that increased exposure to PM2.5 is<br />

associated with detrimental cardiovascular outcomes, including increased risk of death from ischemic<br />

heart disease, higher blood pressure, and coronary artery calcification. ccxl ccxli ccxlii<br />

Research in some locations based on measurements of fine particulate matter (PM 2.5) has found<br />

that a significant share of spatial intra-urban air pollution variation in ambient levels of PM 2.5 is due<br />

to local traffic sources, ccxliii and that traffic density explains variation in local and regional PM 2.5<br />

concentrations. ccxliv ccxlv Individual epidemiological studies have linked roadway proximity or vehicle<br />

56<br />

Page 92 of 165

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