theconversation.edu.au
9 Mar 2012
Tens of thousands of Australians live and work close to coal-fired power plants. The cocktail of gaseous and particulate pollutants arising from coal power generation is injurious to human health. All are associated with an increased risk of heart attack and stroke in the days after exposure and subsequently with the development of chronic cardiopulmonary diseases.
A recent article in the Medical Journal of Australia details the mechanisms of these health impacts, reviews their inadequate documentation in Australia and the lack of political will to address them. Here we summarise some of these findings and document inadequate action in communities from three states.
What is in the air?
We know from the Australian National Pollutant Inventory that there is considerable pollution from coal-related sources, for example in New South Wales coal mines and coal fired power stations are among the state's biggest polluters.
However, there are insufficient data from areas where people live to know the extent of the impact of this pollution on people on a daily basis. This is an obvious deficiency. In the Hunter Valley, some of the affected areas have higher rates of hospital admissions and emergency department presentations for respiratory diseases than the state average, but only for some age groups and some conditions. As noted in a report from NSW Health, just relying on hospital data is insufficient to really ascertain the health impacts of coal mining and burning in the region.
The two main gaseous pollutants of concern are sulphur and nitrogen dioxides. Most coal-fired power stations have been modified to reduce their level but some-such as Bayswater in NSW and Hazelwood in Victoria-are significant emitters of both gases. The level of sulphur dioxide (a strong respiratory irritant) in coal-fired power station emissions also depends on the amount of sulphur in the coal source, which varies considerably.
Of great concern among harmful pollutants are the particulates that are too small to see. Particles from the smoke stacks are inhaled into the lungs during breathing. The smaller the particles the deeper they penetrate. Some lodge in the lining of the lungs and cause inflammation.
The smaller particles pass through the lining to enter the blood stream and cause disease, predominantly inflammation of blood vessels leading to obstruction in other parts of the body such as, for example, the brain, causing stroke. The particles are made up of carbon and a range of toxic substances, including sulphur and nitrogen oxides. Some of these may be carcinogens.
There is no safe level for particulate pollution. The burden of disease is proportional to the level of exposure. These findings are the same in all communities throughout the world.
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