Multiple Chemical Sensitivity Etiology
Airway Genetics and Ambient Combustion Aerosol
The biggest reason for feeling tired, old, or developing serious disease is the chronic presence of added fats (oils or solid fat) in most commercially prepared food. Fats, including oils, promote oxidative stress; and denser in calories produce a gradual weight gain, and increased possibility of breast cancer.
Reversing the problem is to avoid added fats (including oils) by care in your selection and preparation of food. Even what you might think of as a small amount of oil, is a lot.
Also, it is important to get enough walking (or running), which is called weight bearing exercise.
Together, proper diet and exercise reduces the body adipose tissue quantity, and also changes the tissue fatty acid composition which reflects the fatty acid composition of the food consumed. Because the consumption of added fats (including oils) sludges blood components short term and narrows arteries with plaque deposits long term, reversing the problem by avoiding added fats (including oils) results in better flow of blood components enhancing delivery of oxygen and nutrients, and also allowing better removal of toxins or other debris from the tissue. Hardened plaque may take 1-2 years to dissolve.
Europe
Good visibility outside population centers in Europe is considered as 40–50 km. These values have been found independent of the location in central Europe, thus this represents the average European “clean” air. Under rare occasions (normally rapid change of air mass) the visibility can be 100–150 km. In towns, the visibility is a factor of approximately 2 lower. In comparison to this the visibility in remote regions of North and South America is larger by a factor of 2–4.
Obviously the lower visibility in Europe is caused by its higher population density. Since the majority of visibility reducing particulate emissions come from small sources such as cars or heating, the emissions per unit area can be considered proportional to the population density. Using a simple box model and the visibility measured in central Europe and in Vienna, the difference in visibility inside and outside the town can be explained quantitatively. It thus is confirmed, that the generally low visibility in central Europe is a consequence of the emissions in connection with human activities and the low visibility (compared, e.g. to North or South America) in remote location such as the Alps is caused by the average European pollution.
USA
Figure 2-1 shows that the mountainous Southwest has the best visibility in the country. Median standard visual range exceeds 150 km in the region comprising Utah, Colorado, Nevada, northern Arizona, northwestern New Mexico, and southwestern Wyoming. In the adjoining regions to the north and south, median standard visual range is also quite good, exceeding 100 km. However, visual range decreases sharply to the east and west of this area. Median visual range falls to less than 50 km in a narrow band along the northern Pacific coast, less than 30 km in the central valley of California, and to less than 15 km in the Los Angeles basin (Trijonis, 1982a). Although some parts of the East (e.g., New England) have moderately good visibility levels (about 40–60 km), median visual range is generally less than 30 km in the large area east of the Mississippi and south of the Great Lakes.
Observations show a distinct relationship between visual range and altitude. On average, visual range is somewhat greater at higher altitudes than in the surrounding areas (Trijonis, 1982a; Air Resources Specialists, 1988). Many national parks are located at higher elevations than the sites from which the data were obtained for Figure 2-1, and the visual range in some national parks could be as much as 50% higher than indicated in the figure (Trijonis et al., 1990).
The National Park Service (NPS) routinely measures particle concentrations and composition in many national parks and wilderness areas. Most of those parks and wilderness areas are located in the West; consequently, few data are collected for the eastern portion of the country. The geographical patterns in the annual average data are summarized in Figures 2-2 through 2-7, which show fine-particle (less than 2.5 µm diameter) mass concentration (Figure 2-2), fine particulate sulfur (Figure 2-3), fine soil-derived materials (Figure 2-4), and absorption coefficient (Figure 2-5). (The absorption coefficient is directly related to the concentration of elemental carbon.) Figure 2-6 shows the distribution of the remaining fine-particle mass (the total fine-particle mass minus the concentrations of fine sulfate, elemental carbon, and soil particles). Figure 2-7 presents data for estimated nonsulfate hydrogen (the total hydrogen concentration less the hydrogen that is associated with sulfates). The remaining mass and the nonsulfate hydrogen are believed to be qualitatively related to the spatial distribution of organic aerosols.
These figures, as well as rural data sets reported in the National Acid Precipitation Assessment Program (NAPAP) Visibility State of Science and Technology Report (Trijonis et al., 1990), indicate the following differences between the air quality of the rural West (particularly the arid, mountainous Southwest) and that of the rural East (particularly the area south of the Great Lakes and east of the Mississippi):
National Academies of Sciences, Engineering, and Medicine. 1993. Protecting Visibility in National Parks and Wilderness Areas. Washington, DC: The National Academies Press. https://doi.org/10.17226/2097.
https://nap.nationalacademies.org/read/2097/chapter/4#31
National Academies of Sciences, Engineering, and Medicine. 1993. Protecting Visibility in National Parks and Wilderness Areas. Washington, DC: The National Academies Press. https://doi
https://www.lung.org/research/trends-in-lung-disease/tobacco-trends...
In 2018, cigarette smoking rates among adults by state ranged from a low of 9.0 percent in Utah to a high of 25.2 percent in West Virginia:
Adult Cigarette Smoking by State
State | Current | Tried to Quit | Former | Never | ||
---|---|---|---|---|---|---|
Alabama | 761,140 | 20.9% | 477,936 | 63.2% | 851,061 | 2,024,858 |
Alaska | 111,288 | 21.0% | 62,325 | 56.4% | 135,547 | 282,910 |
Arizona | 796,004 | 15.6% | 466,429 | 59.0% | 1,262,624 | 3,058,722 |
Arkansas | 491,610 | 22.3% | 298,202 | 61.3% | 563,476 | 1,150,802 |
California | 3,203,562 | 11.3% | 1,870,042 | 58.9% | 6,293,776 | 18,762,085 |
Colorado | 587,137 | 14.6% | 348,676 | 59.7% | 1,026,635 | 2,399,606 |
Connecticut | 338,849 | 12.7% | 217,014 | 64.6% | 690,880 | 1,631,877 |
Delaware | 124,011 | 17.0% | 80,920 | 65.6% | 182,470 | 421,711 |
District of Columbia | 78,869 | 14.3% | 48,946 | 62.2% | 101,374 | 369,510 |
Florida | 2,577,420 | 16.1% | 1,579,560 | 61.6% | 3,991,988 | 9,447,002 |
Georgia | 1,307,100 | 17.5% | 766,766 | 58.7% | 1,521,537 | 4,660,276 |
Hawaii | 136,408 | 12.8% | 78,377 | 57.6% | 284,632 | 645,201 |
Idaho | 176,982 | 14.3% | 96,202 | 54.5% | 294,300 | 762,097 |
Illinois | 1,466,080 | 15.5% | 839,248 | 57.4% | 2,185,142 | 5,832,199 |
Indiana | 1,059,118 | 21.8% | 591,113 | 55.9% | 1,190,558 | 2,613,609 |
Iowa | 400,049 | 17.1% | 210,459 | 52.7% | 576,456 | 1,365,701 |
Kansas | 360,137 | 17.4% | 204,313 | 57.1% | 504,098 | 1,207,388 |
Kentucky | 820,721 | 24.6% | 463,892 | 56.6% | 853,098 | 1,663,337 |
Louisiana | 776,192 | 23.1% | 496,671 | 64.4% | 772,236 | 1,818,887 |
Maine | 179,036 | 17.3% | 98,213 | 55.1% | 327,987 | 527,664 |
Maryland | 619,227 | 13.8% | 370,727 | 60.2% | 983,806 | 2,868,717 |
Massachusetts | 717,716 | 13.7% | 407,860 | 57.2% | 1,315,564 | 3,217,937 |
Michigan | 1,441,675 | 19.3% | 862,087 | 59.9% | 1,995,233 | 4,031,034 |
Minnesota | 594,930 | 14.5% | 321,262 | 54.2% | 1,079,804 | 2,424,375 |
Mississippi | 472,648 | 22.2% | 264,717 | 56.1% | 459,365 | 1,198,339 |
Missouri | 948,726 | 20.8% | 490,983 | 52.0% | 1,177,901 | 2,440,044 |
Montana | 138,198 | 17.2% | 72,063 | 52.4% | 219,520 | 447,717 |
Nebraska | 214,738 | 15.4% | 119,034 | 55.6% | 343,343 | 836,857 |
Nevada | 394,177 | 17.6% | 213,046 | 54.7% | 537,040 | 1,310,157 |
New Hampshire | 161,207 | 15.7% | 90,185 | 56.1% | 312,105 | 555,758 |
New Jersey | 914,841 | 13.7% | 581,483 | 63.9% | 1,684,792 | 4,059,118 |
New Mexico | 264,465 | 17.5% | 154,190 | 58.6% | 361,383 | 886,624 |
New York | 2,058,331 | 14.1% | 1,224,816 | 59.6% | 3,371,378 | 9,177,289 |
North Carolina | 1,320,956 | 17.2% | 777,239 | 59.0% | 1,989,751 | 4,371,713 |
North Dakota | 103,343 | 18.3% | 55,925 | 54.6% | 141,110 | 321,202 |
Ohio | 1,842,396 | 21.1% | 1,004,594 | 54.6% | 2,129,124 | 4,747,215 |
Oklahoma | 576,977 | 20.1% | 341,869 | 59.4% | 702,843 | 1,583,890 |
Oregon | 504,603 | 16.1% | 274,275 | 55.0% | 807,163 | 1,824,790 |
Pennsylvania | 1,837,177 | 18.7% | 1,053,040 | 57.7% | 2,638,284 | 5,323,118 |
Rhode Island | 120,811 | 14.9% | 73,633 | 61.6% | 230,295 | 457,003 |
South Carolina | 711,229 | 18.8% | 425,822 | 60.3% | 1,001,709 | 2,072,533 |
South Dakota | 124,347 | 19.3% | 70,310 | 56.6% | 165,559 | 355,085 |
Tennessee | 1,119,838 | 22.6% | 614,073 | 54.9% | 1,175,962 | 2,650,681 |
Texas | 3,139,192 | 15.7% | 2,030,728 | 65.0% | 3,970,863 | 12,872,578 |
Utah | 188,767 | 8.9% | 108,302 | 57.9% | 318,801 | 1,618,164 |
Vermont | 76,344 | 15.8% | 44,951 | 59.1% | 142,411 | 264,013 |
Virginia | 1,047,461 | 16.4% | 624,710 | 60.2% | 1,518,906 | 3,829,491 |
Washington | 747,860 | 13.5% | 441,815 | 59.5% | 1,507,839 | 3,288,501 |
West Virginia | 370,689 | 26.0% | 206,010 | 55.9% | 373,876 | 680,784 |
Wisconsin | 689,747 | 16.0% | 350,171 | 50.8% | 1,102,242 | 2,512,271 |
Wyoming | 82,278 | 18.7% | 46,852 | 57.2% | 114,056 | 243,116 |
United States | 39,002,100 | 16.4% | 22,973,300 | 59.2% | 58,368,700 | 140,810,100 |
Source: Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System 2017, analysed by the American Lung Association Epidemiology and Statistics Unit.
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