Is There Evidence for Synergy Among Air Pollutants in Causing Health Effects?
2009

Evidence for Synergy Among Air Pollutants and Health Effects

Commentary Evidence: moderate

Author Information

Author(s): Mauderly Joe L., Samet Jonathan M.

Hypothesis

Are the health effects of combinations of air pollutants greater than the sum of their individual effects?

Conclusion

Laboratory studies have shown that combinations of ozone and other pollutants can have synergistic health effects.

Supporting Evidence

  • Fourteen studies demonstrated synergism among air pollutants.
  • Synergistic effects were observed in both human and animal studies.
  • Most studies tested combinations of ozone with other pollutants.

Takeaway

When different air pollutants mix together, they can sometimes make people sicker than if they were exposed to just one pollutant at a time.

Methodology

The authors reviewed 36 laboratory studies of combinations of ozone with other pollutants to assess whether synergistic effects were demonstrated.

Potential Biases

The term 'synergism' is often used loosely, which may lead to misinterpretation of results.

Limitations

Most studies involved exposure concentrations much higher than typical environmental levels, limiting the applicability of findings to real-world scenarios.

Participant Demographics

The studies included both human and animal subjects, with specific examples involving young adult women and older adults.

Digital Object Identifier (DOI)

10.1289/ehp.11654

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