AIR POLLUTANT EFFECTS 41
Hypersensitivity pneumonitis and humidifier fever also
are associated with aerosols from contaminated water. The
former, which is the more serious, is an interstitial lung dis-
ease that in its acute form causes fever, chills, cough, and
dyspnea 4 to 6 hours after exposure. The more commonly
blamed agents are the thermoactinomycetes or the thermo-
phylic micropolyspora. Humidifier fever is self-limited, with
symptoms resembling the flu.
FUNGAL DISEASES
Fungi can cause disease and can also generate highly potent
toxins. Treating the diseases is a special problem because
available drugs are few in number because of the difficulty
of finding ones that will preferentially attack fungal cells in
the presence of mammalian cells.
Histoplasma capsulatum and other molds and yeast organ-
isms such as blastomyces, cryptococcus, and coccidiodes are
pathogenic to humans. The latter is responsible for valley
fever, which is causing concern in hot, dry areas such as the
Southwest, where it thrives. Cryptococcus, often found in soil
contaminated by pigeon droppings, is a killer of AIDS patients,
attacking the central nervous system and causing meningitis.
Aspergillus fumigatus is a common fungus that invades the
lung. When the spores are stirred up and inhaled they can grow
fungus balls in the lung. One condition is called “farmer’s
lung,” but in hospitals where transplant or AIDS patients have
suppressed immune systems, the fungus can produce severe
infections that must be treated rapidly. Detection of the fungus
is difficult because instead of using the bloodstream it attacks
by traveling from tissue to tissue. Aspergillus flavus produces
aflatoxin, one of the most potent carcinogens known.
As in the case of tuberculosis, immuno-compromised
individuals are readily susceptible to the acquisition of dis-
ease via inhalation. Nosocomial aspergillosis from sources
such as contaminated air conditioners should be a special
concern in hospitals.
ASBESTOS
“Asbestos” is the generic term for silicate materials that occur
in fibrous form. A fibrous form that is classified as a serpentine
is called “chrysotile” and is the type of asbestos most common
in the United States. The length and flexibility of its fibers
allow it to be spun and woven. Other types of asbestos are
amphiboles that include amosite, crocidolite, tremolite, anto-
phyllite, and actionide. Their fibers do not lend themselves to
weaving, but in general they have higher heat resistance than
chrysotile. Asbestos is used in many products, but most of it
is used in construction—in floor tiles, cements, roofing felts,
and shingles—and was used in very large quantities to protect
steel structures from weakening during fires.
Measurements made of asbestos concentrations in the
ambient air of New York City led to its banning in 1971 in spra-
yed material, a ban rapidly adopted nationally and worldwide.
Nevertheless, many tons of asbestos will have to be handled
with great care when the many buildings that used it to pro-
tect their steel structure from fire are finally demolished.
A study by Selikoff et al. of mortality among 17,800
asbestos workers from 1967 to 1976 found 675 excess deaths
from cancer out of a total of 995. The ratio of observed to
expected deaths in such a population was 3.11 for all cancers,
4.60 for lung cancers, and greater than 1 for several other
TABLE 3
Relative sensitivity of plants to SO 2
Crops
Sensitive Tolerant
Alfalfa Sweet potatoes Celery
Buckwheat Lettuce Corn
Barley Beans Onion
Cotton Broccoli Potato
Red clover Squash Cabbage
Oats Wheat —
Peas Carrot —
Spinach Tomato —
Flowers
Sensitive Tolerant
Sweet pea Sweet William —
Four-o’clock Gladiola —
Cosmos Tulip —
Bachelor button Violet —
Aster Zinnia —
Trees
Sensitive Tolerant
Trembling aspen Alder Cedar
Jack pine Red pine Citrus
White pine Austrian pine Maple
White birch Hazel Linden
Larch Apple —
Large-toothed aspen Douglas fir —
Willow Ponderosa pine —
Garden plants
Sensitive Tolerant
Peas Cucumber Muskmelon
Rhubarb Lettuce Corn
Spinach Radish Onion
Swiss chard Squash Potato
Beans Tomato Cabbage
Beets Cultivated mustard Broccoli
Turnips Kohlrabi —
Carrot —
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