1932

Abstract

Unhealthy levels of air pollution are breathed by billions of people worldwide, and air pollution is the leading environmental cause of death and disability globally. Efforts to reduce air pollution at its many sources have had limited success, and in many areas of the world, poor air quality continues to worsen. Personal interventions to reduce exposure to air pollution include avoiding sources, staying indoors, filtering indoor air, using face masks, and limiting physical activity when and where air pollution levels are elevated. The effectiveness of these interventions varies widely with circumstances and conditions of use. Compared with upstream reduction or control of emissions, personal interventions place burdens and risk of adverse unintended consequences on individuals. We review evidence regarding the balance of benefits and potential harms of personal interventions for reducing exposure to outdoor air pollution, which merit careful consideration before making public health recommendations with regard to who should use personal interventions and where, when, and how they should be used.

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2022-04-05
2024-03-29
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Literature Cited

  1. 1. 
    Abera A, Friberg J, Isaxon C, Jerrett M, Malmqvist E et al. 2021. Air quality in Africa: public health implications. Annu. Rev. Public Health 42:193–210
    [Google Scholar]
  2. 2. 
    Alavy M, Siegel JA. 2019. IAQ and energy implications of high efficiency filters in residential buildings: a review (RP-1649). Sci. Technol. Built Environ. 25:261–71
    [Google Scholar]
  3. 3. 
    Allen RW, Barn P 2020. Individual- and household-level interventions to reduce air pollution exposures and health risks: a review of the recent literature. Curr. Environ. Health Rep. 7:424–40
    [Google Scholar]
  4. 4. 
    Andersen ZJ, de Nazelle A, Mendez MA, Garcia-Aymerich J, Hertel O et al. 2015. A study of the combined effects of physical activity and air pollution on mortality in elderly urban residents: the Danish diet, cancer, and health cohort. Environ. Health Perspect. 123:557–63
    [Google Scholar]
  5. 5. 
    Azimi P, Stephens B. 2020. A framework for estimating the US mortality burden of fine particulate matter exposure attributable to indoor and outdoor microenvironments. J. Expo. Sci. Environ. Epidemiol. 30:271–84
    [Google Scholar]
  6. 6. 
    Azuma K, Kagi N, Yanagi U, Osawa H 2018. Effects of low-level inhalation exposure to carbon dioxide in indoor environments: a short review on human health and psychomotor performance. Environ. Int. 121:51–56
    [Google Scholar]
  7. 7. 
    Bakhit M, Krzyzaniak N, Scott AM, Clark J, Glasziou P, Del Mar C. 2021. Downsides of face masks and possible mitigation strategies: a systematic review and meta-analysis. BMJ Open 11:e044364
    [Google Scholar]
  8. 8. 
    Bansal S, Harber P, Yun D, Liu D, Liu Y et al. 2009. Respirator physiological effects under simulated work conditions. J. Occup. Environ. Hyg. 6:221–27
    [Google Scholar]
  9. 9. 
    Bayer R, Fairchild AL. 2004. The genesis of public health ethics. Bioethics 18:473–92
    [Google Scholar]
  10. 10. 
    Beckerman B, Jerrett M, Brook JR, Verma DK, Arain MA, Finkelstein MM. 2008. Correlation of nitrogen dioxide with other traffic pollutants near a major expressway. Atmos. Environ. 42:275–90
    [Google Scholar]
  11. 11. 
    Belafsky S, Vlach J, McCurdy SA. 2013. Cardiopulmonary fitness and respirator clearance: an update. J. Occup. Environ. Hyg. 10:277–85
    [Google Scholar]
  12. 12. 
    Bennett DH, Kenyon N, Tancredi D, Schenker M, Fisk WJ et al. 2018. Benefits of high efficiency filtration to children with asthma Final Rep., Calif. Air Resour. Board, Calif. Environ. Prot. Agency Sacramento: https://ww2.arb.ca.gov/sites/default/files/classic/research/apr/past/11-324.pdf
  13. 13. 
    Bharatendu C, Ong JJY, Goh Y, Tan BYQ, Chan ACY et al. 2020. Powered air purifying respirator (PAPR) restores the N95 face mask induced cerebral hemodynamic alterations among healthcare workers during COVID-19 outbreak. J. Neurol. Sci. 417:117078
    [Google Scholar]
  14. 14. 
    Borbet TC, Gladson LA, Cromar KR. 2018. Assessing air quality index awareness and use in Mexico City. BMC Public Health 18:538
    [Google Scholar]
  15. 15. 
    Burnett R, Chen H, Szyszkowicz M, Fann N, Hubbell B et al. 2018. Global estimates of mortality associated with long-term exposure to outdoor fine particulate matter. PNAS 115:9592–97
    [Google Scholar]
  16. 16. 
    Butz AM, Matsui EC, Breysse P, Curtin-Brosnan J, Eggleston P et al. 2011. A randomized trial of air cleaners and a health coach to improve indoor air quality for inner-city children with asthma and secondhand smoke exposure. Arch. Pediatr. Adolesc. Med. 165:741–48
    [Google Scholar]
  17. 17. 
    Carlsten C, Salvi S, Wong GWK, Chung KF. 2020. Personal strategies to minimise effects of air pollution on respiratory health: advice for providers, patients and the public. Eur. Respir. J. 55:1902056
    [Google Scholar]
  18. 18. 
    Chaiyabutr C, Sukakul T, Pruksaeakanan C, Thumrongtharadol J, Boonchai W 2021. Adverse skin reactions following different types of mask usage during the COVID-19 pandemic. J. Eur. Acad. Dermatol. Venereol. 35:e176–78
    [Google Scholar]
  19. 19. 
    Chen C, Zhao B 2011. Review of relationship between indoor and outdoor particles: I/O ratio, infiltration factor and penetration factor. Atmos. Environ. 45:275–88
    [Google Scholar]
  20. 20. 
    Chen R, Wang X, Meng X, Hua J, Zhou Z et al. 2013. Communicating air pollution-related health risks to the public: an application of the Air Quality Health Index in Shanghai, China. Environ. Int. 51:168–73
    [Google Scholar]
  21. 21. 
    Cherrie J, Apsley A, Cowie H, Steinle S, Mueller W et al. 2018. Effectiveness of facemasks used to protect Beijing residents against particulate air pollution. Occup. Environ. Med. 75:446–52
    [Google Scholar]
  22. 22. 
    Cromar K, Gladson L, Jaimes Palomera M, Perlmutt L 2021. Development of a health-based index to identify the association between air pollution and health effects in Mexico City. Atmosphere 12:372
    [Google Scholar]
  23. 23. 
    Cromar KR, Duncan BN, Bartonova A, Benedict K, Brauer M et al. 2019. Air pollution monitoring for health research and patient care. An official American Thoracic Society workshop report. Ann. Am. Thorac. Soc 16:1207–14
    [Google Scholar]
  24. 24. 
    Cromar KR, Ghazipura M, Gladson LA, Perlmutt L. 2020. Evaluating the U.S. Air Quality Index as a risk communication tool: comparing associations of index values with respiratory morbidity among adults in California. PLOS ONE 15:e0242031
    [Google Scholar]
  25. 25. 
    Cromar KR, Gladson LA, Ewart G. 2019. Trends in excess morbidity and mortality associated with air pollution above American Thoracic Society-recommended standards, 2008–2017. Ann. Am. Thorac. Soc. 16:836–45
    [Google Scholar]
  26. 26. 
    Cui X, Li F, Xiang J, Fang L, Chung MK et al. 2018. Cardiopulmonary effects of overnight indoor air filtration in healthy non-smoking adults: a double-blind randomized crossover study. Environ. Int. 114:27–36
    [Google Scholar]
  27. 27. 
    Di Altobrando A, La Placa M, Neri I, Piraccini BM, Vincenzi C 2020. Contact dermatitis due to masks and respirators during COVID-19 pandemic: what we should know and what we should do. Dermatol. Ther. 33:e14528
    [Google Scholar]
  28. 28. 
    Dorevitch S, Karandikar A, Washington GF, Walton GP, Anderson R, Nickels L 2008. Efficacy of an outdoor air pollution education program in a community at risk for asthma morbidity. J. Asthma 45:839–44
    [Google Scholar]
  29. 29. 
    Gallup 2021. Environment. Gallup https://news.gallup.com/poll/1615/environment.aspx
    [Google Scholar]
  30. 30. 
    Goh DYT, Munn MW, Lee WLJ, Teoh OH, Rajgor DD. 2019. A randomized clinical trial to evaluate the safety, fit, comfort of a novel N95 mask in children. Sci. Rep. 9:18952
    [Google Scholar]
  31. 31. 
    Goldstein BD. 2001. The precautionary principle also applies to public health actions. Am. J. Public Health 91:1358–61
    [Google Scholar]
  32. 32. 
    Gómez Peláez LM, Santos JM, de Almeida Albuquerque TT, Reis NC Jr., Andreão WL, de Fátima Andrade M 2020. Air quality status and trends over large cities in South America. Environ. Sci. Policy 114:422–35
    [Google Scholar]
  33. 33. 
    Grinshpun SA, Yermakov M, Reponen T, Simmons M, LeMasters GK, Ryan PH. 2014. Traffic particles in ambient air of a major US urban area: Has anything changed over a decade?. Aerosol Air Q. Res. 14:1344–51
    [Google Scholar]
  34. 34. 
    Guan T, Hu S, Han Y, Wang R, Zhu Q et al. 2018. The effects of facemasks on airway inflammation and endothelial dysfunction in healthy young adults: a double-blind, randomized, controlled crossover study. Part. Fibre Toxicol. 15:30
    [Google Scholar]
  35. 35. 
    Hadley MB, Baumgartner J, Vedanthan R. 2018. Developing a clinical approach to air pollution and cardiovascular health. Circulation 137:725–42
    [Google Scholar]
  36. 36. 
    Holm SM, Miller MD, Balmes JR. 2021. Health effects of wildfire smoke in children and public health tools: a narrative review. J. Expo. Sci. Environ. Epidemiol. 31:1–20
    [Google Scholar]
  37. 37. 
    Hu K, Fan J, Li X, Gou X, Li X, Zhou X 2020. The adverse skin reactions of health care workers using personal protective equipment for COVID-19. Medicine 99:e20603
    [Google Scholar]
  38. 38. 
    Huang W, Morawska L. 2019. Face masks could raise pollution risks. Nature 574:29–30
    [Google Scholar]
  39. 39. 
    James C, Bernstein DI, Cox J, Ryan P, Wolfe C et al. 2020. HEPA filtration improves asthma control in children exposed to traffic-related airborne particles. Indoor Air 30:235–43
    [Google Scholar]
  40. 40. 
    Johnson AT. 2016. Respirator masks protect health but impact performance: a review. J. Biol. Eng. 10:4
    [Google Scholar]
  41. 41. 
    Jones JG. 1991. The physiological cost of wearing a disposable respirator. Am. Ind. Hyg. Assoc. J. 52:219–25
    [Google Scholar]
  42. 42. 
    Kajbafzadeh M, Brauer M, Karlen B, Carlsten C, van Eeden S, Allen RW. 2015. The impacts of traffic-related and woodsmoke particulate matter on measures of cardiovascular health: a HEPA filter intervention study. Occup. Environ. Med. 72:394–400
    [Google Scholar]
  43. 43. 
    Karottki DG, Spilak M, Frederiksen M, Gunnarsen L, Brauner EV et al. 2013. An indoor air filtration study in homes of elderly: cardiovascular and respiratory effects of exposure to particulate matter. Environ. Health 12:116
    [Google Scholar]
  44. 44. 
    Kelly FJ, Fussell JC. 2019. Improving indoor air quality, health and performance within environments where people live, travel, learn and work. Atmos. Environ. 200:90–109
    [Google Scholar]
  45. 45. 
    Kim J-H, Benson SM, Roberge RJ 2013. Pulmonary and heart rate responses to wearing N95 filtering facepiece respirators. Am. J. Infect. Control 41:24–27
    [Google Scholar]
  46. 46. 
    Klepeis NE, Nelson WC, Ott WR, Robinson JP, Tsang AM et al. 2001. The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to environmental pollutants. J. Expo. Anal. Environ. Epidemiol. 11:231–52
    [Google Scholar]
  47. 47. 
    Kubesch N, De Nazelle A, Guerra S, Westerdahl D, Martinez D et al. 2015. Arterial blood pressure responses to short-term exposure to low and high traffic-related air pollution with and without moderate physical activity. Eur. J. Prev. Cardiol. 22:548–57
    [Google Scholar]
  48. 48. 
    Kubesch NJ, Therming Jorgensen J, Hoffmann B, Loft S, Nieuwenhuijsen MJ et al. 2018. Effects of leisure-time and transport-related physical activities on the risk of incident and recurrent myocardial infarction and interaction with traffic-related air pollution: a cohort study. J. Am. Heart Assoc. 7:e009554
    [Google Scholar]
  49. 49. 
    Kyrkilis G, Chaloulakou A, Kassomenos PA 2007. Development of an aggregate Air Quality Index for an urban Mediterranean agglomeration: relation to potential health effects. Environ. Int. 33:670–76
    [Google Scholar]
  50. 50. 
    Laeremans M, Dons E, Avila-Palencia I, Carrasco-Turigas G, Orjuela-Mendoza JP et al. 2018. Black carbon reduces the beneficial effect of physical activity on lung function. Med. Sci. Sports Exerc. 50:1875–81
    [Google Scholar]
  51. 51. 
    Langrish JP, Li X, Wang S, Lee MMY, Barnes GD et al. 2012. Reducing personal exposure to particulate air pollution improves cardiovascular health in patients with coronary heart disease. Environ. Health Perspect. 120:367–72
    [Google Scholar]
  52. 52. 
    Langrish JP, Mills NL, Chan JK, Leseman DL, Aitken RJ et al. 2009. Beneficial cardiovascular effects of reducing exposure to particulate air pollution with a simple facemask. Part Fibre Toxicol 6:8
    [Google Scholar]
  53. 53. 
    Lanphear BP, Hornung RW, Khoury J, Yolton K, Lierl M, Kalkbrenner A 2011. Effects of HEPA air cleaners on unscheduled asthma visits and asthma symptoms for children exposed to secondhand tobacco smoke. Pediatrics 127:93–101
    [Google Scholar]
  54. 54. 
    Laumbach R, Meng Q, Kipen H 2015. What can individuals do to reduce personal health risks from air pollution?. J. Thorac. Dis. 7:97–107
    [Google Scholar]
  55. 55. 
    Laumbach RJ. 2019. Clearing the air on personal interventions to reduce exposure to wildfire smoke. Ann. Am. Thorac. Soc 16:815–18
    [Google Scholar]
  56. 56. 
    Laumbach RJ, Cromar KR, Adamkiewicz G, Carlsten C, Charpin D et al. 2021. Personal interventions for reducing exposure and risk for outdoor air pollution: an official American Thoracic Society workshop report. Ann. Am. Thorac. Soc 18:1435–43
    [Google Scholar]
  57. 57. 
    Li X, Xiao J, Lin H, Liu T, Qian Z et al. 2017. The construction and validity analysis of AQHI based on mortality risk: a case study in Guangzhou, China. Environ. Pollut. 220:487–94
    [Google Scholar]
  58. 58. 
    Lim ECH, Seet RCS, Lee K-H, Wilder-Smith EPV, Chuah BYS, Ong BKC 2006. Headaches and the N95 face-mask amongst healthcare providers. Acta Neurol. Scand. 113:199–202
    [Google Scholar]
  59. 59. 
    Liu W, Huang J, Lin Y, Cai C, Zhao Y et al. 2020. Negative ions offset cardiorespiratory benefits of PM2.5 reduction from residential use of negative ion air purifiers. Indoor Air 31:220–28
    [Google Scholar]
  60. 60. 
    Lubrano R, Bloise S, Testa A, Marcellino A, Dilillo A et al. 2021. Assessment of respiratory function in infants and young children wearing face masks during the COVID-19 pandemic. JAMA Netw. Open 4:e210414
    [Google Scholar]
  61. 61. 
    McConnell R, Berhane K, Gilliland F, London SJ, Islam T et al. 2002. Asthma in exercising children exposed to ozone: a cohort study. Lancet 359:386–91
    [Google Scholar]
  62. 62. 
    Meng Y-Y, Su SG, Chen X, Molitor J, Yue D, Jerrett M 2021. Improvements in air quality and health outcomes among California Medicaid enrollees due to goods movement actions Rep. 205 Health Effects Inst. Boston: https://www.healtheffects.org/system/files/meng-rr205-report.pdf
  63. 63. 
    Morello-Frosch R, Zuk M, Jerrett M, Shamasunder B, Kyle AD. 2011. Understanding the cumulative impacts of inequalities in environmental health: implications for policy. Health Aff 30:879–87
    [Google Scholar]
  64. 64. 
    Morishita M, Adar SD, D'Souza J, Ziemba RA, Bard RL et al. 2018. Effect of portable air filtration systems on personal exposure to fine particulate matter and blood pressure among residents in a low-income senior facility a randomized clinical trial. JAMA Internal Med 178:1350–57
    [Google Scholar]
  65. 65. 
    Morishita M, Thompson KC, Brook RD. 2015. Understanding air pollution and cardiovascular diseases: Is it preventable?. Curr. Cardiovasc. Risk. Rep. 9:30
    [Google Scholar]
  66. 66. 
    Morishita M, Wang L, Speth K, Zhou N, Bard RL et al. 2019. Acute blood pressure and cardiovascular effects of near-roadway exposures with and without N95 respirators. Am. J. Hypertens. 32:1054–65
    [Google Scholar]
  67. 67. 
    Mueller W, Horwell CJ, Apsley A, Steinle S, McPherson S et al. 2018. The effectiveness of respiratory protection worn by communities to protect from volcanic ash inhalation. Part I: filtration efficiency tests. Int. J. Hyg. Environ. Health 221:967–76
    [Google Scholar]
  68. 68. 
    Nyhan M, McNabola A, Misstear B. 2014. Comparison of particulate matter dose and acute heart rate variability response in cyclists, pedestrians, bus and train passengers. Sci. Total Environ. 468–469:821–31
    [Google Scholar]
  69. 69. 
    Ong JJY, Bharatendu C, Goh Y, Tang JZY, Sooi KWX et al. 2020. Headaches associated with personal protective equipment—a cross-sectional study among frontline healthcare workers during COVID-19. Headache 60:864–77
    [Google Scholar]
  70. 70. 
    Park H-K, Cheng K-C, Tetteh AO, Hildemann LM, Nadeau KC. 2017. Effectiveness of air purifier on health outcomes and indoor particles in homes of children with allergic diseases in Fresno, California: a pilot study. J. Asthma 54:341–46
    [Google Scholar]
  71. 71. 
    Peaslee M, Nelson J, Reed E, Sexton L 2020. Effect of air quality alerts on intended behavior change. Advances in Physical, Social & Occupational Ergonomics W Karwowski, RS Goonetilleke, S Xiong, RHM Goossens, A Murata 386–93 Cham, Switz: Springer
    [Google Scholar]
  72. 72. 
    Perlmutt L, Stieb D, Cromar K. 2017. Accuracy of quantification of risk using a single-pollutant Air Quality Index. J. Expo. Sci. Environ. Epidemiol. 27:24–32
    [Google Scholar]
  73. 73. 
    Rajagopalan S, Brauer M, Bhatnagar A, Bhatt DL, Brook JR et al. 2020. Personal-level protective actions against particulate matter air pollution exposure: a scientific statement from the American Heart Association. Circulation 142:e411–31
    [Google Scholar]
  74. 74. 
    Ren J, Li B, Yu D, Liu J, Ma Z 2016. Approaches to prevent the patients with chronic airway diseases from exacerbation in the haze weather. J. Thorac. Dis. 8:E1–7
    [Google Scholar]
  75. 75. 
    Rengasamy S, Eimer B, Shaffer RE. 2010. Simple respiratory protection—evaluation of the filtration performance of cloth masks and common fabric materials against 20–1000 nm size particles. Ann. Occup. Hyg. 54:789–98
    [Google Scholar]
  76. 76. 
    Rengasamy S, Eimer BC. 2011. Total inward leakage of nanoparticles through filtering facepiece respirators. Ann. Occup. Hyg. 55:253–63
    [Google Scholar]
  77. 77. 
    Rhee MSM, Lindquist CD, Silvestrini MT, Chan AC, Ong JJY, Sharma VK. 2021. Carbon dioxide increases with face masks but remains below short-term NIOSH limits. BMC Infect. Dis. 21:354
    [Google Scholar]
  78. 78. 
    Rice MB, Henderson SB, Lambert AA, Cromar KR, Hall JA et al. 2021. Respiratory impacts of wildland fire smoke: future challenges and policy opportunities. An official American Thoracic Society workshop report. Ann. Am. Thorac. Soc 18:921–30
    [Google Scholar]
  79. 79. 
    Roberge RJ, Coca A, Williams WJ, Powell JB, Palmiero AJ 2010. Physiological impact of the N95 filtering facepiece respirator on healthcare workers. Respir. Care 55:569–77
    [Google Scholar]
  80. 80. 
    Roberge RJ, Kim J-H, Benson SM. 2012. Absence of consequential changes in physiological, thermal and subjective responses from wearing a surgical mask. Respir. Physiol. Neurobiol. 181:29–35
    [Google Scholar]
  81. 81. 
    Roberge RJ, Kim J-H, Palmiero A, Powell JB 2015. Effect of pregnancy upon facial anthropometrics and respirator fit testing. J. Occup. Environ. Hyg. 12:761–66
    [Google Scholar]
  82. 82. 
    Roberge RJ, Kim J-H, Powell JB. 2014. N95 respirator use during advanced pregnancy. Am. J. Infect. Control 42:1097–100
    [Google Scholar]
  83. 83. 
    Roberge RJ, Kim J-H, Powell JB, Shaffer RE, Ylitalo CM, Sebastian JM. 2013. Impact of low filter resistances on subjective and physiological responses to filtering facepiece respirators. PLOS ONE 8:e84901
    [Google Scholar]
  84. 84. 
    Rose G. 1985. Sick individuals and sick populations. Int. J. Epidemiol. 14:32–38
    [Google Scholar]
  85. 85. 
    Shaddick G, Thomas ML, Mudu P, Ruggeri G, Gumy S 2020. Half the world's population are exposed to increasing air pollution. npj Clim. Atmos. Sci. 3:23
    [Google Scholar]
  86. 86. 
    Shao D, Du Y, Liu S, Brunekreef B, Meliefste K et al. 2017. Cardiorespiratory responses of air filtration: a randomized crossover intervention trial in seniors living in Beijing: Beijing Indoor Air Purifier StudY, BIAPSY. Sci. Total Environ 603–604:541–49
    [Google Scholar]
  87. 87. 
    Shi J, Lin Z, Chen R, Wang C, Yang C et al. 2017. Cardiovascular benefits of wearing particulate-filtering respirators: a randomized crossover trial. Environ. Health Perspect. 125:175–80
    [Google Scholar]
  88. 88. 
    Sinharay R, Gong J, Barratt B, Ohman-Strickland P, Ernst S et al. 2018. Respiratory and cardiovascular responses to walking down a traffic-polluted road compared with walking in a traffic-free area in participants aged 60 years and older with chronic lung or heart disease and age-matched healthy controls: a randomised, crossover study. Lancet 391:339–49
    [Google Scholar]
  89. 89. 
    Steinle S, Sleeuwenhoek A, Mueller W, Horwell CJ, Apsley A et al. 2018. The effectiveness of respiratory protection worn by communities to protect from volcanic ash inhalation. Part II: Total inward leakage tests. Int. J. Hyg. Environ. Health 221:977–84
    [Google Scholar]
  90. 90. 
    Sublett JL. 2011. Effectiveness of air filters and air cleaners in allergic respiratory diseases: a review of the recent literature. Curr. Allergy Asthma Rep. 11:395–402
    [Google Scholar]
  91. 91. 
    Thurston GD, Kipen H, Annesi-Maesano I, Balmes J, Brook RD et al. 2017. A joint ERS/ATS policy statement: What constitutes an adverse health effect of air pollution? An analytical framework. Eur. Respir. J. 49:1600419
    [Google Scholar]
  92. 92. 
    US EIA (Energy Inf. Adm.) 2021. Monthly energy review Rep., US EIA Washington, DC: https://www.eia.gov/totalenergy/data/monthly/pdf/mer.pdf
  93. 93. 
    US EPA (Environ. Prot. Agency) 1997. The benefits and costs of the Clean Air Act, 1970 to 1990: retrospective study. Rep US EPA, Washington, DC: https://www.epa.gov/clean-air-act-overview/benefits-and-costs-clean-air-act-1970-1990-retrospective-study
    [Google Scholar]
  94. 94. 
    US EPA (Environ. Prot. Agency) 2011. Benefits and costs of the Clean Air Act 1990–2020, the second prospective study Rep., US EPA Washington, DC: https://www.epa.gov/clean-air-act-overview/benefits-and-costs-clean-air-act-1990-2020-second-prospective-study
  95. 95. 
    US EPA (Environ. Prot. Agency) 2018. Residential air cleaners: a technical summary EPA 402-F-09-002 US EPA Washington, DC: https://www.epa.gov/sites/default/files/2018-07/documents/residential_air_cleaners_-_a_technical_summary_3rd_edition.pdf
  96. 96. 
    US EPA (Environ. Prot. Agency) 2021.. Wildfire smoke: a guide for public health officials. Revised 2019 EPA-452/R-21-901 US EPA Research Triangle Park, NC: https://www.airnow.gov/sites/default/files/2021-09/wildfire-smoke-guide_0.pdf
  97. 97. 
    Viscusi DJ, Bergman MS, Zhuang Z, Shaffer RE 2012. Evaluation of the benefit of the user seal check on N95 filtering facepiece respirator fit. J. Occup. Environ. Hyg. 9:408–16
    [Google Scholar]
  98. 98. 
    Walzer D, Gordon T, Thorpe L, Thurston G, Xia Y et al. 2020. Effects of home particulate air filtration on blood pressure: a systematic review. Hypertension 76:44–50
    [Google Scholar]
  99. 99. 
    Wen X-J, Balluz L, Mokdad A 2009. Association between media alerts of air quality index and change of outdoor activity among adult asthma in six states, BRFSS, 2005. J. Community Health 34:40–46
    [Google Scholar]
  100. 100. 
    WHO (World Health Organ.) 2020. Personal interventions and risk communication on air pollution Meet. Rep. WHO Geneva: https://www.who.int/publications/i/item/9789240000278
  101. 101. 
    Xu J, Xiao X, Zhang W, Xu R, Kim SC et al. 2020. Air-filtering masks for respiratory protection from PM2.5 and pandemic pathogens. One Earth 3:574–89
    [Google Scholar]
  102. 102. 
    Yang X, Jia X, Dong W, Wu S, Miller MR et al. 2018. Cardiovascular benefits of reducing personal exposure to traffic-related noise and particulate air pollution: a randomized crossover study in the Beijing subway system. Indoor Air 28:777–86
    [Google Scholar]
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