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United Kingdom Medicine

The First Person In the UK To Have Air Pollution Listed As a Cause of Death (bbc.com) 79

An anonymous reader quotes a report from the BBC: A nine-year-old girl who died following an asthma attack has become the first person in the UK to have air pollution listed as a cause of death. Ella Adoo-Kissi-Debrah, who lived near the South Circular Road in Lewisham, south-east London, died in 2013. Southwark Coroner's Court found that air pollution "made a material contribution" to Ella's death. Prof Gavin Shaddick, a government adviser on air pollution, called it "a landmark decision."

At the conclusion of the two-week inquest, coroner Philip Barlow said Ella had been exposed to "excessive" levels of pollution. The inquest heard that in the three years before her death, she had multiple seizures and was admitted to hospital 27 times. Delivering a narrative verdict, Mr Barlow said levels of nitrogen dioxide (NO2) near Ella's home exceeded World Health Organization and European Union guidelines. He added: "There was a recognized failure to reduce the levels of nitrogen dioxide, which possibly contributed to her death. There was also a lack of information given to Ella's mother that possibly contributed to her death." Giving his conclusion over almost an hour, the coroner said: "I will conclude that Ella died of asthma, contributed to by exposure to excessive air pollution."

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The First Person In the UK To Have Air Pollution Listed As a Cause of Death

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  • First Ever (Score:2, Interesting)

    by Anonymous Coward

    I'd have thought the first would've been during the Victorian-era of heavy coal burning pollution.

    • Re:First Ever (Score:4, Interesting)

      by Tailhook ( 98486 ) on Wednesday December 16, 2020 @06:43PM (#60839152)

      You mean when London was universally blackened by coal soot and you could die walking around in the prevailing stagnant 'air'?

      Paradise is impossible for humanity. All we do when we get there is pick at scabs.

      • Of courae paradise is possible.
        You fuckers just fight it every step of the way, by declaring it could bnt possibly be thst you aren't abused and ripped of and lied to daily.
        Why are you such a bunch of collaborating-through-inaction limp dicks?
        Don't call me unrealistix when you are the only reason it is unrealistic! What's not possible in your heads is what ruins it for all of us!

        • Case in point: Shitty fuckin touch screen keyboards being banned as a capital crime and replaced by real physical keyboards like the Nokia N9something series, starting tomorrow!

          Then my comment would not look like shit without fixing half the damn inputs, and fixing half the damn fixings, and fixing half the damn fixing fixings, and cancer like autocorrect would not be neede to avoid that... well, not avoid but switch from a character level to a word level but staying just as shitty.

        • The problem is, nobody can agree on what Paradise would look like.

          My personal idea would be some sort of Fully Automated spacebound communism. Nobody has to work, cos the machines do it all, so we can spend our time on interesting shit instead. Like going to space, or playing guitar all day or whatever.

          Other people might consider that nightmarish, and instead envision some sort of libertarian rugged individualist bullshit as their idea.

          And some people might like a goose stepping fascist power-state with an

    • I'd have thought the first would've been during the Victorian-era of heavy coal burning pollution.

      But they probably wouldn't list "air pollution" a a cause of death back then. Which is TFA's title...

      They probably would have listed the acute disease (e.g. bornchitis).

  • Quite remarkable.... (Score:5, Interesting)

    by HotNeedleOfInquiry ( 598897 ) on Wednesday December 16, 2020 @06:20PM (#60839044)
    Given that the [Great Smog of London](https://en.wikipedia.org/wiki/Great_Smog_of_London) killed 4000 people.
    • Sorry, Reddit brain engaged. Great Smog of London, 4000 deaths
      https://en.wikipedia.org/wiki/... [wikipedia.org]
    • From the article:

      the coroner said: "I will conclude that Ella died of asthma, contributed to by exposure to excessive air pollution."

      So what he actually said was that she died of asthma and that air pollution was a contributing factor in that death. That is not at all the same as saying that air pollution was the cause of death. It's very hard to believe that the 4,000 smog deaths from 1952 don't contain a cause of death that is at least as closely linked to air pollution.

      • by Anonymous Coward

        Officially the cause of death on the death certificate was "1a) respiratory arrest 1b) asthma 1c) air pollution" so yes the COD was officially (partly) air pollution. The implication is that her ashthma would have been survivable if not for the air pollution.

        It's very hard to believe that the 4,000 smog deaths from 1952 don't contain a cause of death that is at least as closely linked to air pollution.

        While the coroners at the time probably thought it reporting was not the same at the time and probably didn't allow for recording multiple factors.

      • by skegg ( 666571 )

        Also, did it really take 7 years for the findings to be concluded?

        I feel bad for the family: original horrible loss, compounded by a laggardly investigation.

        • i'd wouldn't be surprised if some political/lobby mob tried hard to stop them adding air pollution to the cause of death and that kept delaying things
  • by Gravis Zero ( 934156 ) on Wednesday December 16, 2020 @06:22PM (#60839054)

    but the first person listed. In the past air has been worse in the UK due to coal. Naturally, this means some poor individual likely died in a similar fashion.

    Frankly, this all seems rather symbolic and not really something of substance.

    • by AmiMoJo ( 196126 ) on Wednesday December 16, 2020 @06:26PM (#60839070) Homepage Journal

      It's a start, it creates potential for liability, which I'm turn creates a reason for local government to invest in cleaner air.

      • It's a start, it creates potential for liability, which I'm turn creates a reason for local government to invest in cleaner air.

        They've started but are facing very stiff resistance from the car lobby. They've started with low traffic neighbourhoods around here and oh my god the car lobby. They always like to say how much more dangerous it is for cyclists (it isn't) and how much worse for old people (actually car ownership drops quite steeply with age). But what it really comes down to is that piling into th

    • Re: (Score:2, Insightful)

      by MacMann ( 7518492 )

      Precisely, it's symbolic. It symbolizes that we have things so good in the Western world that we get upset when a child dies of so called "air pollution" in a nation with some of the cleanest air in the world.

      Let's look how other nations rank on air quality, shall we?
      https://ourworldindata.org/air... [ourworldindata.org]
      https://www.iqair.com/world-ai... [iqair.com]

      It's a terrible tragedy that a young child died from what appears to be a quite treatable condition given modern medicine in a nation as free and wealthy as the UK. What this s

      • Asthma is not always treatable, there are 3 deaths per day on average to asthma attacks in the UK. Until this point gets acknowledged by the wider population, it will be on the "it doesn't affect me so i'll ignore it" table and politicians won't act and will still take more notice of the fossil industry.
      • It's a terrible tragedy that a young child died from what appears to be a quite treatable condition given modern medicine in a nation as free and wealthy as the UK.

        Not going to justify this, but asthma is not necessarily a treatable condition, more manageable in some cases.

        Anyway:

        For this to be news means that we solved so many other greater threats to our health, safety, and freedom that we have the time to worry about slightly elevated NOx levels in some tiny little corner of the UK.

        Not sure if London qua

    • Smoke is easier to see whereas exhaust fumes are not so that is easy to attribute. There are plenty of examples on forums where people dismiss things when they can't see/understand it (eg. evolution, globe earth), and even when it is happening now (eg. covid, Biden elected)
  • by Sebby ( 238625 ) on Wednesday December 16, 2020 @06:31PM (#60839092)

    the coroner said: "I will conclude that Ella died of asthma, contributed to by exposure to excessive air pollution."

    So, was it the primary cause, or just a contributing cause only? Shouldn't s/he have said " triggered by exposure to excessive air pollution"?

  • by nospam007 ( 722110 ) * on Wednesday December 16, 2020 @06:36PM (#60839110)

    Lots of insurance people will get heart attacks.

  • So, just how bad is the air in the UK? I'm quite certain the air quality there is far better than a great many other nations. That's not saying that they can't improve, only that there's far worse places to look before making a big deal out of UK air pollution. While we're at it let's investigate Israel for more human right's abuses while it's neighbors hang gay men from cranes.

    I thought the UK was supposed to have this great national healthcare system. They couldn't find an oxygen generator from this p

    • Re:Give me a break (Score:4, Insightful)

      by JSG ( 82708 ) on Wednesday December 16, 2020 @08:12PM (#60839406) Homepage

      "So, just how bad is the air in the UK?"

      This little girl lived in London. The air in any large city is often rather polluted. Funnily enough the river Thames is now a poster child of cleanliness, given the sewer it once was. The city does have a sort of a plan to improve air quality. London Plane trees are apparently the best tree to combat pollution and London is also able to describe itself as a forest or some similar nonsense.

      Mix nine million people and the ICE into a small area and you get rubbish air quality.

      • Mix nine million people and the ICE into a small area and you get rubbish air quality.

        With 40 years of people seeking cleaner burning cars, greater fuel efficiency, and from that coming catalytic converters, fuel injection, low sulfur fuels, electronic emission controls, unleaded gasoline (which really means we stopped putting lead in the gasoline), and on and on I have to wonder just how much the internal combustion engine adds to air pollution in any Western city today.

        My guess the bigger problem is construction, heating, industry, and things blowing in from outside the city. Farming, wil

        • About half of all NOx emissions come from ICEs. Ella lived 25 metres from a very busy road. NOx levels at the nearest testing station were consistently in breach of EU law. NOx is known to exacerbate respiratory conditions. That's about all you need to know.
        • "I have to wonder just how much the internal combustion engine adds to air pollution in any Western city today." - during the first lockdown when no-one was driving in London, it was almost like being in the countryside after a week or so because the air had got so much cleaner. Vehicular pollution does create a lot of shit in the air
        • Your guess that 'the air out of a tailpipe is cleaner than the air that went in' means that the car would periodically need to empty a tank containing everything it had filtered from the air. That doesn't happen, so I think you need to rethink the physics of that.

          • There are filters for the air that enters the car engine and cabin. These filters are cleaned or replaced with every oil change. Or at least they should. On large vehicles this happens with every stop for fuel. Much of what escapes the engine fliters are consumed n the piston chamber, If something still remain then it is consumed further by the heat of the catalytic converter. If it were some insect or leaf fragment then its consumed as gasses.

            I change my filters as needed, if you do no then you are pa

      • Funnily enough the river Thames is now a poster child of cleanliness,

        Was. Not any more. The genius government a while back decided that Private Companies would do a better job because Private Companies are obviously better because Companies. Except the sewage dumping fines are less than the cost of building proper facilities.

        The city does have a sort of a plan to improve air quality.

        Ish? I mean yes, but while Khan is good on social issues he's not so good at environmental ones (even though they're closely

    • Well thanks, but as a UK resident I don't want to be told everything is just fine here just because it's worse somewhere else.
    • by dhaen ( 892570 )
      I grew up in London in the 60s. I waited for my bus to school on a major road. I can remember choking on the fumes - clouds of black smoke would waft over me. I'm so glad that things are considerably better now but there's still a long way to go.
  • First of all, it's absolutely right to blame pollution and to blame the government for not protecting its citizen.

    But ... a parent should not trust blindly for everyone to know what's right and wrong. Why did she not move away while the girl was still alive?

    This should have been one of the first instincts by the mother. Instead she claims not to have known about the air pollution, which I find very hard to believe. I'm fairly certain anyone living in an area where the levels are so high that these have to b

    • "So now the blame is on air pollution and it gets the questionable honour of being listed as cause of death ..." - why is it a "questionable honour"? it should be made to be seen as an official contributory cause rather than just an anecdote otherwise politicians do not take note and do anything about it.
      • why is it a "questionable honour"?

        It's a first, but a sad one. I suggest you read the other reports on it as well. Over a period of three years did the child pass out many times, the ambulance had to come 30(!) times, and the child was then categorised as disabled. And in all this time and all these severe and alarming signs did nobody bother to check for the cause of it, but left it all to the mother. In the end does the blame then fall on the pollution. This exactly what it means when we say: when no one is to blame, everyone is to blame.

  • What about that time 1-2 centuries ago, when the entire UK heated with coal and the city was one big coal smok cloud, and it was the most common cause of death?
    Are you seriously trying to tell me they never listed coal lung or something as the cause of death? Or that you wanna cheat by declaring that it was not the exact same combination of letters as yours?

    • Re: (Score:3, Informative)

      by iggymanz ( 596061 )

      Whethe it was number one in fact or not, coal pollution wasn't the cause of death according to records. If you look in 19th century death records you'll see top 10 causes of death as other stuff, search "leeds top ten ways to die in victorian britain"

      And note not until 1874 did death certificate with doctor listing cause of death required. Before that your spouse or child or other relative would say, "well e ad consummption" or " poor sod ad ter'ble diarrhea" and there you go, cause of death.

      Autopsies 20

  • I thought that killed thousands?

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