Increase in childhood and adult asthma linked to London's 1952 Great Smog

July 8, 2016

London's Great Smog of 1952 resulted in thousands of premature deaths and even more people becoming ill. The five December days the smog lasted may have also resulted in thousands more cases of childhood and adult asthma. Researchers from Columbia University's Mailman School of Public Health, the University of California, San Diego and University of Massachusetts studied how London's Great Smog affected early childhood health and the long-term health consequences. Findings are published online in the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine.

The results, based on data from the 1940s and 50s, showed that the Great Smog event of 1952 likely still affects some people's health more than 60 years later.

In "Early Life Exposure to the Great Smog of 1952 and the Development of Asthma," Matthew Neidell, PhD, associate professor of Health Policy and Management at the Mailman School of Public Health, and colleagues noted that the Great Smog presents a "natural experiment" because the smog was intense, "exceeding current regulations and guidelines by a factor of 5 to 23"; localized to a major city; and unanticipated. "Because the smog was unexpected, residents likely didn't leave the city," said Prashant Bharadwaj, PhD, associate professor of economics at the University of California, San Diego and co-investigator.

The researchers analyzed 2,916 responses to a life history survey that is part of the English Longitudinal Study on Aging. Among other health questions, the survey asked participants if they had asthma as a child (up to age 15) or asthma as an adult.

Responses of those who were exposed to the Great Smog in utero or in early childhood were compared with those born between 1945 and 1955 who lived outside of London during the Great Smog or lived in London but were not exposed to the smog in utero or in their first years of life.

The results showed that exposure to the Great Smog in the first year of life was associated with a statistically significant 20 percent increased incident of . The researchers said they found a non-significant, but similar trend between exposure to the smog in the first year of life and adult asthma (a 9.5 percent increase) and in utero exposure and childhood asthma (8 percent increase).

The authors note that a number of studies examine the relationship between early childhood exposure to air pollutants and the development of asthma but can only determine an association, not a cause-and- effect relationship, because there may be confounding factors that are overlooked or not fully accounted for in the analysis.

Given that there is no evidence of another event simultaneous with the Great Smog that might affect asthma incidence, they add, their study overcomes the issue of confounding and "suggests a strong possibility of a causal link between exposure to and the later development of ."

The study has implications for other countries and cities today with high levels of air pollution. In recent years, the authors write, Beijing has experienced the highest levels of air pollution ever recorded.

"Our results suggest that the harm from this dreadful event over 60 years ago lives on today," noted Dr. Neidell. "It also suggest that very young children living in heavily polluted environments, such as Beijing, are likely to experience significant changes in health over their lifecourse."

Explore further: Are childhood asthma rates declining?

Related Stories

Are childhood asthma rates declining?

January 12, 2016
Childhood asthma has made headlines in recent years because of an upward trend in the number of cases. That may have changed: A government study published in the journal Pediatrics shows asthma rates may be leveling off or ...

Smog shuts schools in Bosnia's Sarajevo

December 25, 2015
Air pollution forced Bosnian authorities to shut schools in the capital Sarajevo on Thursday, while smog levels also spiked in other parts of the Balkan country due to a lack of rainfall, local officials said.

Recommended for you

New compound discovered in fight against inflammatory disease

September 22, 2017
A 10-year study by University of Manchester scientists for a new chemical compound that is able to block a key component in inflammatory illness has ended in success.

Asthma researchers test substance from coralberry leaves

September 14, 2017
The coralberry could offer new hope for asthmatics. Researchers at the University of Bonn have extracted an active pharmaceutical ingredient from its leaves to combat asthma, a widespread respiratory disease. In mice, it ...

Respiratory experts urge rethink of 'outdated' asthma categorisation

September 12, 2017
A group of respiratory medicine experts have called for an overhaul of how asthma and other airways diseases are categorised and treated.

New 'biologic' drug may help severe asthma

September 7, 2017
(HealthDay)—A "biologic" drug in development to treat severe asthma reduces the rate of serious attacks by about two-thirds compared to a placebo drug, according to preliminary research findings.

Songbird study shows how estrogen may stop infection-induced brain inflammation

August 31, 2017
The chemical best-known as a female reproductive hormone—estrogen—could help fight off neurodegenerative conditions and diseases in the future. Now, new research by American University neuroscience Professor Colin Saldanha ...

New insights into protein's role in inflammatory response

July 28, 2017
A protein called POP2 inhibits a key inflammatory pathway, calming the body's inflammatory response before it can become destructive, Northwestern Medicine scientists have demonstrated in mouse models.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.