Asthma and Air Pollution in Two Inner City Areas in New York City

Abstract

The preliminary analysis of four months of emergency room visits for asthma in two inner city areas containing populations of similar socioeconomic, racial, and ethnic compositions, with similar day to day weather conditions but differing in their day to day levels of air pollution was made, and the relationship of visits to emergency rooms to daily temperature and air pollution levels measured in the areas, are described.

In Harlem no relationship between daily visits to emergency rooms and daily levels of either smokeshade or sulfur dioxide have been observed whereas in Brooklyn a relatively strong correlation between daily visits for asthma and daily levels of sulfur dioxide but not with smokeshade have been observed over and above the effect of temperature. In both areas there was a strong relationship between daily visits for asthma and the first cold spells of the fall season. The average male/female ratio for asthma visits to hospital emergency rooms of both areas in the age group under thirteen years of age was 1.7 and for the over thirteen years of age group was 0.6.

It appears from the data that Brooklyn presents a different picture for the environmental influence on asthma attacks. Even though it has been shown by previous investigators that asthmatics are sensitive to sulfur dioxide, we feel that in our case sulfur dioxide is not necessarily the causative agent, but might rather implicate some other confounding variable (most likely an environmental agent) that is disseminated in the general Bedford-Stuyvesant area in a similar day to day pattern to sulfur dioxide. We infer this from the fact that levels of sulfur dioxide were somewhat higher on the average in the Harlem area than they were in the Brooklyn area.