Health impact of smog | The Final Word

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Joining us now is Doctor Miriam Lalas from the Philippine College of Chest Physicians.

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00:00 Joining us now is Dr. Miriam Lalas from the Philippine College of Chest Physicians.
00:05 Doc, good evening and welcome to The Final Word.
00:08 Hi, good evening, Ms. Menchuit, to all our viewers.
00:12 Well, Doc, you heard Paige Javier's report.
00:14 Now, the public should not underestimate the effects of the smog on their health.
00:19 But what are really some possible complications and long-term effects of this?
00:23 Yeah, OK, so that is true, no?
00:27 That we really need to be wary of this air pollution, of the air quality in our place.
00:34 Because in the short term, it depends really on the risk factor of patients.
00:40 So there are actually several factors that would determine whether we will experience health effects from air pollution.
00:46 So one would be the concentration of the air pollutant and the type of air pollutant.
00:51 And how long are we exposed to that air pollution?
00:54 And also, we need to take into account if we have pre-existing conditions that would predispose us to experiencing health effects of air pollution.
01:04 So maybe the minor effects that I can start to talk about would be, for example, in the eyes, we can experience eye irritation.
01:12 So we can experience redness or itchiness of the eyes.
01:15 The skin, as what was mentioned earlier, we can experience some itchiness and also redness of the skin.
01:22 But most importantly for the lungs and actually the heart as well and the rest of the body,
01:27 because these air pollutants, when they enter the body, they can cause minor effects like cough, throat irritation, sneezing and runny nose.
01:38 But for those who have conditions like asthma, COPD, for those who have heart conditions, they may experience worse health effects from this,
01:47 which can lead to hospitalizations and emergency room consults.
01:52 Okay, well, the DENR says that air quality in Pateros is very unhealthy.
01:58 In Makati, it's acutely unhealthy.
02:00 And in Paranaque, it's unhealthy for sensitive groups.
02:04 What do those mean exactly for residents in those areas?
02:10 Okay, so what is being reported now by DENR, that would be the air quality index for particulate pollution.
02:19 So there are corresponding health advisories per level of that category in that air quality index.
02:27 So basically, it's like a rough guide on how we can give our health advice to our population.
02:32 So like you mentioned, there would be those that would mean that acutely unhealthy or unhealthy for sensitive groups.
02:41 So as you can see, depending on how high the level of air pollution is, the worst health effects we expect from them.
02:50 But we can also see from that air pollution index that those who belong to the sensitive groups, like what I mentioned, asthma, those with COPD,
02:59 are the ones who are more likely to experience the health effects more than the rest of the population.
03:05 So what should local governments do to minimize the harmful effects on their residents?
03:11 Okay, so in terms of what local governments can do, we've seen giving away of face masks.
03:18 So that's good for the people, but also to mitigate the sources of air pollution, especially in this case here in Metro Manila.
03:27 So right now, what I can think of is that, for example, there are some cities who have anti-idling ordinances.
03:34 So that's good that if they can implement that and if more cities can actually adopt that,
03:40 because it will lessen the level of air pollutants in the atmosphere.
03:44 And also strict implementation of anti-smoke belching laws so that we are not adding air pollutants into the air.
03:54 So those are just some of the things that local governments can do.
03:59 All right. Well, you know, some of the tips that people give is stay indoors, wear the N95 masks.
04:07 But obviously people can't stay indoors forever and the N95 masks are expensive.
04:14 Let's face it. What else can the public do to avoid the health risks of smog?
04:19 Okay, so yes, like you mentioned, one is stay indoors and two is the mask.
04:25 Well, really, it's really the N95 that is most ideal to be used in this situation.
04:30 But understandably, we may not always have access to that because it's quite expensive.
04:35 But at least wear a surgical mask, probably that is tight fitting to ensure that, you know,
04:42 less of the air pollutants are going through the mask, especially on the sides of the face.
04:47 And also there would be instances that patients really would not, some people would really not have access to any form of mask.
04:54 But like a cloth that, you know, that is slightly moist can also help in filtering out some of the large particles.
05:01 But of course, these are not guaranteed to protect against the smaller particles.
05:05 But still, that's better than nothing at all.
05:08 All right. And how about people with asthma and other respiratory conditions?
05:11 How can they take care of their health in these situations
05:16 and also protect our children and babies who might be too young for masks?
05:23 OK, so for those who belong to the sensitive groups like the asthma patients,
05:27 well, they really need to take their medications.
05:30 I mean, if they are maintained on some sort of inhaler, then they really have to take it religiously
05:36 because now is not the time to be missing out on these medicines
05:40 because then you will be more susceptible to having a flare up of your asthma condition.
05:45 And also to communicate very well with your doctor so that anytime that, you know,
05:50 you experience a worsening of symptoms that is no longer relieved by the usual inhalers or the usual medications,
05:56 then you proceed to the nearest hospital in your place to have yourself checked.
06:03 And at the same time, let's follow the same precautions like wearing a mask and staying indoors as much as possible.
06:10 Now, for the babies, for the kids, well, kids normally want to play outside,
06:15 but especially in conditions where the air quality is so poor,
06:18 we wouldn't want them to be going out and playing outdoors because, you know, as they exert more,
06:24 they're going to breathe in more and more of that particles of that pollution.
06:29 So we don't want that. We really want to keep them indoors as much as possible.
06:32 All right. And as for Taal Volcano, if e-Volcs really can't predict when the vog will end,
06:37 very quickly, what should residents near the volcano do?
06:41 Is there something special in that circumstance?
06:45 Okay. So in highly voggy areas, actually, the first protection is really to move away from the source of the vog
06:53 because vog is composed primarily of gas.
06:56 So it's going to be the masks are going to be less effective.
07:00 Vog still contains some of the particulate pollution that masks protect against,
07:06 but the protection could be limited.
07:09 So really, we need to follow the advice of the local governments there in terms of how far away to evacuate.
07:15 And also, again, stay indoors and then pretty much the same precautions
07:19 as what we have here in Metro Manila for the smog.
07:22 All right. Thank you for joining us.
07:23 And for your advice, Dr. Miriam Lalas from the Philippine College of Chest Physicians.

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