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Air Pollution and Effects of Tropospheric Ozone (O 3 ) on Public Health

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Listed:
  • Pavlos Vongelis

    (Respiratory Function Laboratory, 1st Department of Respiratory Medicine, Sotiria Hospital, Medical School, National and Kapodistrian University of Athens, GR-11527 Athens, Greece)

  • Nikolaos G. Koulouris

    (Respiratory Function Laboratory, 1st Department of Respiratory Medicine, Sotiria Hospital, Medical School, National and Kapodistrian University of Athens, GR-11527 Athens, Greece)

  • Petros Bakakos

    (Respiratory Function Laboratory, 1st Department of Respiratory Medicine, Sotiria Hospital, Medical School, National and Kapodistrian University of Athens, GR-11527 Athens, Greece)

  • Nikoletta Rovina

    (Respiratory Function Laboratory, 1st Department of Respiratory Medicine, Sotiria Hospital, Medical School, National and Kapodistrian University of Athens, GR-11527 Athens, Greece)

Abstract

Air pollution is a significant and widespread issue that presents serious challenges for both human health and the environment because of the presence of a variety of harmful substances in the air, such as tropospheric ozone (O 3 ), particulate matter (PM 10 ), nitrogen oxides (NOx), sulfur dioxide (SO 2 ), and carbon monoxide (CO). In this research, the aim is to evaluate the current evidence for the harmful effects of air pollution on human health, focusing on tropospheric ozone, and to highlight the need for further research in the future. The objective is to evaluate recent data on the respiratory and cardiovascular risks caused by air pollution, the potential association between climate change due to air pollution and human disorders, and the subsequent economic burden. A systematic search of the literature is conducted using PubMed, Scopus, Web of Science, and regulatory reports (EPA), focusing on peer-reviewed studies, epidemiological analyses, and clinical and experimental studies. The key findings indicate that O 3 exposure contributes to inflammatory lung injury and to the worsening of preexisting conditions like asthma and COPD, is associated with cancer, and also has numerous negative impacts on neurological, metabolic, and reproductive health, combined with increased healthcare costs. These findings highlight the significance of O 3 pollution as a major public health concern, emphasizing the need for immediate measures to decrease emissions and effective policies to protect the climate and the health of the individuals.

Suggested Citation

  • Pavlos Vongelis & Nikolaos G. Koulouris & Petros Bakakos & Nikoletta Rovina, 2025. "Air Pollution and Effects of Tropospheric Ozone (O 3 ) on Public Health," IJERPH, MDPI, vol. 22(5), pages 1-14, April.
  • Handle: RePEc:gam:jijerp:v:22:y:2025:i:5:p:709-:d:1647144
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    References listed on IDEAS

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    1. Yaohua Tian & Hui Liu & Zuolin Zhao & Xiao Xiang & Man Li & Juan Juan & Jing Song & Yaying Cao & Xiaowen Wang & Libo Chen & Chen Wei & Yonghua Hu & Pei Gao, 2018. "Association between ambient air pollution and daily hospital admissions for ischemic stroke: A nationwide time-series analysis," PLOS Medicine, Public Library of Science, vol. 15(10), pages 1-16, October.
    2. Angelica I. Tiotiu & Plamena Novakova & Denislava Nedeva & Herberto Jose Chong-Neto & Silviya Novakova & Paschalis Steiropoulos & Krzysztof Kowal, 2020. "Impact of Air Pollution on Asthma Outcomes," IJERPH, MDPI, vol. 17(17), pages 1-29, August.
    3. David Rojas-Rueda & Emily Morales-Zamora & Wael Abdullah Alsufyani & Christopher H. Herbst & Salem M. AlBalawi & Reem Alsukait & Mashael Alomran, 2021. "Environmental Risk Factors and Health: An Umbrella Review of Meta-Analyses," IJERPH, MDPI, vol. 18(2), pages 1-38, January.
    4. Nuno Canha & Evangelia Diapouli & Susana Marta Almeida, 2021. "Integrated Human Exposure to Air Pollution," IJERPH, MDPI, vol. 18(5), pages 1-6, February.
    5. Kenza Khomsi & Youssef Chelhaoui & Soukaina Alilou & Rania Souri & Houda Najmi & Zineb Souhaili, 2022. "Concurrent Heat Waves and Extreme Ozone (O 3 ) Episodes: Combined Atmospheric Patterns and Impact on Human Health," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
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