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PM Health Effects: Susceptible Populations
Mark Utell
University of Rochester, Rochester, NY

This presentation addresses the variation in susceptibility of animals and humans to exposure to PM in the environment, and is complementary to Dr. Devlin’s discussion of our understanding of the mechanisms of PM-related adverse health effects. It discusses our state of knowledge on susceptibility to PM prior to 1998 and the concept that the lung was both the portal of entry and the major target organ. It reviews newly acquired information by EPA’s PM Research Centers that identify the following susceptible populations: the elderly, children, individuals with cardiovascular diseases, diabetics and people with respiratory diseases. It also examines the observation that respiratory diseases affect PM deposition in the lung, which may also impact susceptibility. Future research directions will focus on other populations at risk from PM, such as pregnant women and young children, and explore the interaction of genes and environment and their potential important role in susceptibility. Better understanding of susceptibility should greatly assist EPA in protecting the public health from PM exposure.

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