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Allentown Morning Call - 2006-06-26

State must do a better job controlling smog

by Ivan Chan and Walter Tsou, M.D.

Summer's here, and this means more smog and health problems.

With the arrival of summer, we will once again be advised to limit our outdoor activity on the hottest days due to high levels of smog throughout many parts of the state. One-third of this smog comes from motor vehicles, which emit smog-forming exhaust such as nitrogen oxides that, in the presence of heat and light, form smog in our air.

Over two-thirds of Pennsylvanians live in counties that have had smog levels exceeding federal smog standards. In its 2006 State of the Air report, the American Lung Association gave 29 of the 31 counties it studied throughout the state an ''F'' for smog pollution, as they registered numerous ''code orange'' and ''code red'' days for unhealthy air quality due to smog.

A recent PennEnvironment report determined that smog triggers 300,000 asthma attacks annually in the state and leads to 7,000 hospital admissions for respiratory illness. The report also determined that air pollution causes roughly 900,000 missed school days due to illness.

Smog can affect anyone, but particularly children, the elderly and people with lung disease. According to Dr. Norman Edelman of the American Lung Association, ''It's like a sunburn inside your lungs.'' Smog can inflame and damage the lining of the lungs, leading to swelling and restricted airways. This pollution also makes life especially difficult for those with existing lung disease such as asthma, chronic bronchitis or emphysema, further restricting the ability of these individuals to perform normal activities and in some cases resulting in increased summertime emergency room visits and even death.

Moreover, we know that injuries caused by air pollution early in life can have permanent effects, reducing lung capacity and potentially causing health problems such as asthma. Air pollution also contributes to the development of chronic bronchitis in the elderly.

An important step in attacking the smog problem is for our state to adopt the Pennsylvania Department of Environmental Protection's proposed Clean Vehicles Program. The Clean Vehicles Program would bring cleaner cars and trucks to Pennsylvania, and in doing so would cut annual smog-forming pollution levels from cars and light trucks by 10 percent by 2025. The program would also cut annual global warming pollution levels from cars and light trucks by almost 25 percent.

And if reducing smog pollution and global warming pollution are not enough reason for Pennsylvania to move forward, 10 other states — including New York and New Jersey — have already adopted or are finalizing standards similar to the Clean Vehicles Program. These 10 states comprise over one-third of America's auto market. Yet some members of the Pennsylvania Legislature are actually opposing this program.

Given the public health threat posed by smog pollution to Pennsylvanians, we need our elected officials to support the adoption of the Clean Vehicles Program. This common sense program will help bring cleaner cars—and cleaner air—to Pennsylvania, allowing us all to breathe a little easier.

Ivan Chan is an advocate with PennEnvironment, with offices in Philadelphia. Walter Tsou, M.D., is immediate past president of the American Public Health Association.