Four million children around the world develop asthma each year because of road traffic pollution, a major study has estimated.
Exposure to nitrogen dioxide, largely from road transport, is thought to be behind 38,000 new cases in the UK and 240,000 in the US each year.
The global research ranked the UK the 29th worst out of 194 countries for the rate of children developing asthma from traffic pollution.
The US placed 22nd while Australia came 64th, according to the study published in a prestigious medical journal.
Charities have warned the findings provide further evidence that toxic fumes are putting tens of thousands of children at risk of potentially deadly asthma attacks.
The global research ranked the UK the 29th worst out of 194 countries for the rate of children developing asthma from traffic pollution. The US placed 22nd while Australia came 64th, according to the study published in a prestigious medical journal
Researchers found 19 per cent of asthma cases in youngsters – aged one to 18 – in the UK and US can be attributed to nitrogen dioxide pollution.
This rose to almost a third in London (29 per cent) where pollution levels are highest, according to the study published in The Lancet Planetary Health.
In the UK, there were the equivalent of 280 new cases each yer per 100,000 children – compared to 550 in Kuwait, which ranked the worst.
In comparison, the figure was 300 in the US and 190 in Australia, the team at the George Washington University found.
Another ranking of the percentage of diagnoses linked to nitrogen dioxide exposure found South Korea came top, with nearly one third (31 per cent).
It was followed by Kuwait (30 per cent), Qatar (30 per cent), United Arab Emirates (30 per cent), and Bahrain (26 per cent).
While India ranked low for nitrogen oxide, levels of other pollutants such as particulate matter, ozone, carbon monoxide, would be higher, the authors suggest.
Dr Samantha Walker, of Asthma UK, said: ‘Polluted air is a major threat to public health, affecting an estimated half a million children with asthma in the UK
‘Worryingly, this study confirms existing research which shows children breathing in toxic air from traffic fumes have stunted lung growth and are at risk of developing asthma.’
Cases of childhood asthma have increased steadily since the 1950s, making it the most common disease among children worldwide.
Experts are divided as to what actually causes people to become asthmatic, but exposure to air pollution in childhood increases the risk by damaging the lungs.
While various pollutants in traffic air pollution could be responsible, previous research suggests exposure to nitrogen dioxide could be key.
Researchers used global data on nitrogen dioxide concentration and asthma incidence to estimate the number of new cases which could be related to traffic pollution.
The road outside Earl’s Court Underground Station in Kensington, London, is the most polluted in the country, according to Friends of the Earth’s research
NHS data shows there were more than 77,000 hospital admissions for asthma last year, with an estimated 1,500 deaths.
The latest findings will be of particular concern as UK has one of the worst mortality rates in Europe, despite two-thirds being considered preventable.
Three-quarters of cases were found to be in cities, yet levels of pollutants often remained below guidelines from the World Health Organisation (WHO).
Despite regarding air pollution as ‘a major environmental risk to health’, more than nine in ten cases of asthma occurred in areas where traffic pollution levels were below the limit of 21 parts per billion.
Senior author Dr Susan Anenberg, George Washington University, said the guidelines need to be altered urgently.
She said: ‘Our findings suggest that the WHO guideline for annual average NO2 concentrations might need to be revisited, and that traffic emissions should be a target to mitigate exposure.’
The findings come the same week as London introduced an Ultra-Low Emission Zone in a bid to clean up the capital’s toxic air.
Many owners bought diesels because of tax breaks given out when they were seen as a better choice for the environment.
But now drivers of diesel cars over four years old – and most petrol cars over 13 years old – are being charged £12.50 a day to enter or move around in central London – on top of the £11.50 congestion charge.
Charities insist air pollution is blighting the lives of children across the UK, not just in London, and called on the Government to do more to cut levels.
Dr Penny Woods, chief executive of the British Lung Foundation, said: ‘We used to think the only real danger roads posed to children was the threat of a car accident.
‘However now we can see there’s an equally deadly risk; breathing in illegal levels of air pollution and getting a respiratory disease like asthma, or growing up to have smaller, weaker lungs.
‘Air pollution is invisible, so it’s easy to ignore – but studies like this make it clear toxic air is a pressing threat, and we need to act.’
Country | Incidence | Incidence rate* (per 100k children) | Percent of total incidence |
---|---|---|---|
Kuwait | 6,100 | 550 | 30 |
United Arab Emirates | 9,500 | 460 | 30 |
Canada | 34,000 | 450 | 20 |
Taiwan | 20,000 | 420 | 21 |
Bahrain | 2,600 | 410 | 26 |
Jordan | 14,000 | 410 | 22 |
Lebanon | 7,300 | 410 | 23 |
Qatar | 1,300 | 410 | 30 |
Peru | 43,000 | 380 | 15 |
Syria | 27,000 | 350 | 19 |
Bolivia | 14,000 | 340 | 14 |
Iran | 75,000 | 330 | 22 |
Iraq | 55,000 | 330 | 20 |
South Korea | 36,000 | 330 | 31 |
Bermuda | 39 | 320 | 11 |
Chile | 16,000 | 320 | 20 |
Saudi Arabia | 32,000 | 320 | 24 |
Cuba | 7,400 | 310 | 11 |
Dominican Republic | 12,000 | 310 | 12 |
Colombia | 54,000 | 300 | 13 |
Singapore | 3,700 | 300 | 26 |
United States | 240,000 | 300 | 19 |
Haiti | 14,000 | 290 | 9.9 |
Argentina | 38,000 | 280 | 18 |
Japan | 57,000 | 280 | 23 |
Mexico | 130,000 | 280 | 19 |
Palestine | 6,500 | 280 | 17 |
Turkey | 67,000 | 280 | 19 |
United Kingdom | 38,000 | 280 | 19 |
North Korea | 20,000 | 270 | 15 |
Oman | 3,200 | 270 | 16 |
Thailand | 44,000 | 270 | 12 |
The Bahamas | 340 | 270 | 9.3 |
China | 760,000 | 260 | 19 |
Ecuador | 16,000 | 260 | 14 |
Egypt | 91,000 | 260 | 15 |
Paraguay | 6,900 | 260 | 10 |
Afghanistan | 43,000 | 250 | 15 |
Barbados | 170 | 250 | 8.2 |
Greenland | 34 | 250 | 12 |
Luxembourg | 290 | 250 | 17 |
Belize | 370 | 240 | 8.2 |
Venezuela | 24,000 | 240 | 14 |
Yemen | 33,000 | 240 | 15 |
Finland | 2,500 | 230 | 15 |
Malaysia | 24,000 | 230 | 11 |
Maldives | 330 | 230 | 13 |
Netherlands | 8,100 | 230 | 22 |
Philippines | 90,000 | 230 | 9.1 |
Brazil | 140,000 | 220 | 13 |
El Salvador | 5,500 | 220 | 10 |
Puerto Rico | 2,000 | 220 | 8.1 |
Belgium | 4,800 | 210 | 22 |
Israel | 5,300 | 210 | 20 |
Libya | 4,800 | 210 | 13 |
Sudan | 41,000 | 210 | 11 |
Trinidad and Tobago | 700 | 210 | 7 |
Vietnam | 60,000 | 210 | 13 |
Algeria | 28,000 | 200 | 12 |
Belarus | 3,600 | 200 | 18 |
Cambodia | 13,000 | 200 | 9.8 |
Jamaica | 1,800 | 200 | 7.4 |
Angola | 24,000 | 190 | 9.1 |
Australia | 10,000 | 190 | 9.4 |
Costa Rica | 2,900 | 190 | 8.5 |
Guyana | 540 | 190 | 6.8 |
Sweden | 3,800 | 190 | 14 |
Uruguay | 1,700 | 190 | 12 |
Djibouti | 640 | 180 | 11 |
France | 26,000 | 180 | 17 |
Honduras | 6,200 | 180 | 9 |
Indonesia | 160,000 | 180 | 8.3 |
Mauritania | 3,500 | 180 | 10 |
Mongolia | 1,800 | 180 | 18 |
Myanmar | 33,000 | 180 | 10 |
Russian Federation | 50,000 | 180 | 18 |
South Africa | 34,000 | 180 | 9.4 |
Uzbekistan | 20,000 | 180 | 16 |
Germany | 23,000 | 170 | 19 |
Guatemala | 13,000 | 170 | 10 |
Namibia | 1,800 | 170 | 9.3 |
Portugal | 3,200 | 170 | 13 |
Spain | 14,000 | 170 | 16 |
Tunisia | 5,300 | 170 | 11 |
Turkmenistan | 3,200 | 170 | 18 |
Austria | 2,500 | 160 | 15 |
Cyprus | 390 | 160 | 16 |
Estonia | 400 | 160 | 14 |
Kyrgyzstan | 3,500 | 160 | 15 |
Laos | 4,800 | 160 | 8.1 |
Latvia | 570 | 160 | 14 |
Morocco | 18,000 | 160 | 11 |
Poland | 12,000 | 160 | 16 |
Suriname | 280 | 160 | 5.2 |
Armenia | 1,100 | 150 | 15 |
Botswana | 1,300 | 150 | 8.4 |
Eritrea | 3,900 | 150 | 9 |
Iceland | 120 | 150 | 12 |
Ireland | 1,700 | 150 | 9 |
Lithuania | 840 | 150 | 15 |
Niger | 16,000 | 150 | 11 |
Panama | 2,100 | 150 | 6.7 |
Switzerland | 2,400 | 150 | 14 |
Ukraine | 12,000 | 150 | 13 |
Antigua and Barbuda | 38 | 140 | 5 |
Burkina Faso | 13,000 | 140 | 9.1 |
Czech Republic | 2,600 | 140 | 16 |
Denmark | 1,800 | 140 | 13 |
Greece | 2,600 | 140 | 14 |
Kazakhstan | 7,600 | 140 | 17 |
Norway | 1,600 | 140 | 13 |
Pakistan | 120,000 | 140 | 16 |
Romania | 5,100 | 140 | 12 |
Serbia | 1,700 | 140 | 12 |
Somalia | 8,100 | 140 | 8.2 |
Tajikistan | 5,000 | 140 | 14 |
Lesotho | 1,100 | 130 | 7.6 |
Malta | 100 | 130 | 11 |
Nigeria | 110,000 | 130 | 8 |
Swaziland | 780 | 130 | 6.2 |
Virgin Islands, U.S. | 34 | 130 | 4.4 |
Andorra | 14 | 120 | 11 |
Azerbaijan | 3,500 | 120 | 13 |
Chad | 9,400 | 120 | 8.7 |
Georgia | 1,000 | 120 | 12 |
Nicaragua | 3,400 | 120 | 7.2 |
Senegal | 8,600 | 120 | 10 |
Timor-Leste | 650 | 120 | 5.4 |
Congo | 2,200 | 110 | 6.5 |
Croatia | 890 | 110 | 12 |
Hungary | 2,000 | 110 | 14 |
Italy | 12,000 | 110 | 15 |
Macedonia | 510 | 110 | 12 |
Mali | 9,800 | 110 | 9.4 |
Moldova | 1,200 | 110 | 11 |
New Zealand | 1,200 | 110 | 5.3 |
Slovakia | 1,100 | 110 | 12 |
Sri Lanka | 6,900 | 110 | 5.6 |
Bulgaria | 1,200 | 100 | 11 |
Dominica | 27 | 100 | 3.7 |
The Gambia | 1,000 | 100 | 7.1 |
Slovenia | 340 | 97 | 11 |
South Sudan | 5,800 | 95 | 5.5 |
Brunei | 120 | 94 | 8.1 |
Papua New Guinea | 3,000 | 93 | 3.5 |
Zimbabwe | 6,800 | 92 | 6 |
Bosnia and Herzegovina | 680 | 90 | 10 |
Tanzania | 24,000 | 90 | 4.2 |
Cameroon | 9,900 | 87 | 6.9 |
Togo | 2,900 | 85 | 5.9 |
Montenegro | 120 | 84 | 8.9 |
Mozambique | 12,000 | 84 | 4.3 |
Zambia | 7,000 | 84 | 5.7 |
Madagascar | 9,800 | 83 | 4.3 |
Bangladesh | 52,000 | 82 | 12 |
Equatorial Guinea | 300 | 82 | 4.2 |
Democratic Republic of the Congo | 32,000 | 81 | 3.9 |
Albania | 620 | 79 | 11 |
Benin | 4,300 | 78 | 5.6 |
Malawi | 6,700 | 78 | 4.5 |
Nepal | 9,000 | 76 | 9.9 |
Saint Lucia | 42 | 76 | 2.8 |
Ethiopia | 38,000 | 74 | 5.1 |
Central African Republic | 1,600 | 72 | 3.8 |
India | 350,000 | 72 | 14 |
Cote d’Ivoire | 7,600 | 71 | 4.8 |
Gabon | 540 | 70 | 3.5 |
Cape Verde | 140 | 68 | 5.6 |
Guinea | 4,200 | 67 | 4.1 |
Ghana | 7,700 | 64 | 5.6 |
Kenya | 14,000 | 64 | 4.1 |
Rwanda | 3,500 | 63 | 2.9 |
Guinea-Bissau | 540 | 60 | 4.4 |
Saint Vincent and the Grenadines | 19 | 57 | 2 |
Grenada | 20 | 55 | 1.8 |
Burundi | 2,800 | 51 | 2.9 |
Bhutan | 150 | 46 | 6.8 |
Uganda | 9,200 | 44 | 2.5 |
Sierra Leone | 1,300 | 42 | 3 |
Mauritius | 120 | 36 | 1.8 |
Solomon Islands | 90 | 34 | 1.3 |
Comoros | 120 | 33 | 1.6 |
Liberia | 450 | 21 | 1.6 |
Vanuatu | 16 | 13 | 0.52 |
Federated States of Micronesia | 3 | 6.4 | 0.26 |
Sao Tome and Principe | 3 | 3.3 | 0.25 |
Seychelles | 0 | 0.00078 | 4.00E-05 |
American Samoa | 0 | 0 | 0 |
Guam | 0 | 0 | 0 |
Kiribati | 0 | 0 | 0 |
Marshall Islands | 0 | 0 | 0 |
Northern Mariana Islands | 0 | 0 | 0 |
Samoa | 0 | 0 | 0 |
Tonga | 0 | 0 | 0 |