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...

Adult Cigarette Smoking Rates by State

+-Adult Cigarette Smoking by State, 2018American Lung Association analysis of CDC data: BRFSS 2018AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYMin (9.0%)Max (25.2%)Range

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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