In the review the author highlights contemporary concepts about the relation between the air pollution by the particulate matter (PM) and human morbidity and mortality due to oncological diseases (OD). The author used materials of the articles indexed in the PubMed and RISC databases. The role of air pollution by PM as a risk factor of carcinogenesis in dependence on size, origin, chemical composition and concentration in air is discussed. PM of road-transport origin contains transitional metals acknowledged as most dangerous and is the result the operational wear of motor transport, road surface, and vehicle emissions. Long-term exposure to PM with an aerodynamic diameter ≤2.5 increases risk of appearance of OD of different localization. Dose-dependent action of PM was established. Reduction in air pollution by PM is accompanied by decrease of premature mortality of population, including from OD, and it can be examined as a modifiable risk factor. The results of the meta-analysis of literature data about the economic damage, caused by morbidity and mortality from OD led to the conclusion that reduction in PM concentration is the most realistic and effective method to decrease these social and economic losses. The accumulated carcinogenic risk provides for the lifelong probability of the development of OD, which requires the active medical examination of workers after the curtailment of work with carcinogens for early diagnostics and treatment of OD. The important preventive measure is to decrease the level of air pollution independently on their initial concentration.
American Thoracic Society and Marron Institute Report. Estimated Excess Morbidity and Mortality Caused by Air Pollution above American Thoracic Society–Recommended Standards, 2011–2013
