Associations between morbidity and alternative measures of particulate matter.

This paper explores the association between acute respiratory morbidity and different measures of exposure to airborne particulate matter, including sulfates, total suspended particulates, and fine and inhalable particulates. Regression analysis was used to test for the impacts of these alternative measures of particulate matter on respiratory morbidity using the 1979-1981 annual Health Interview Surveys and EPA's Inhalable Particle Monitoring Network. The general results indicate that, of the surrogate measures for particulate matter, sulfates appear to have the greatest association with morbidity. To the extent that sulfuric acid aerosols are correlated with airborne sulfates, the results suggest that respiratory impairment sufficient to lead to days of reduced activity may be related to the existence of acidity in the air. These findings are consistent with the results of ecological studies reporting an association between mortality and exposures to fine particles and sulfates.