Vol.1, No 4, 1999 pp. 65 - 71
UDC 616.2

AIR POLLUTION AND RESPIRATORY SYMPTOMS
IN PRESCHOOL CHILDREN
Dragana Nikić
Institute for Public Health Niš, Braće Tasković 50, 18000 Niš, Yugoslavia

Abstract. A chohort study was carried out to determine impact of outdoor and indoor air pollution on excces of respiratory symptoms. A total of 663 preschool children (aged 1-7) from two areas with different levels of common air pollutant (sulfur dioxide and black smoke) were staded.
Trained medical students interviewed parents at home and in kindergarten.The standard WHO questionnaires was used. It inquired about respiratory symptoms (cough, wheezing,phlegm) and respiratory illness (asthma, bronchitis, pneumonia), indoor air pollution (heating in home and passive smoking). Respiratory symptoms didn't show more common occurrence in preschool children living in polluted area. Also indoor heating didn't affect respiratory tract significantly. Passive smoking has significantly more influence on respiratory symptoms among preschool children.
Present finding suggest that passive smoking may be a significant etiologic factor in the occurrence of respiratory symptoms and illness. A clear effect of exposure to high sulfur dioxide concentration during the life has not been established.

AEROZAGADJENJE I RESPIRATORNI SIMPTOMI
KOD DECE PREDŠKOLSKOG UZRASTA
U cilju procene uticaja ukupnog aerozagadjenja (spoljnjeg i unutrašnjeg) na pojavu respiratornih simptoma kod dece predčkolskog uzrasta, radjena je retrospektivna kohortna studija.Ukupno je ispitano 663 dece predškolskog uzrasta starosti od jedne do sedam godina u stambenoj zoni grada Niša i predgradju. Intervjue sa roditeljima radili su studenti Medicinskog fakulteta posle obuke, u obdaništima i domovima ispitivane dece. Za ispitivanje je korišćen upitnik Svetske zdravstvene organizacije. Ovaj upitnik sadrži pitanja o respiratornim simptomima i preležanim bolestima, kao i o zagadjenju vazduha u prostorijama (grejanju i pušenju roditelja).
Učestalost respiratornih simptoma nije pokazalo statistički značajnu povezanost sa nivoom aerozagadjenja u delu grada u kome deca žive. Takodje nije dokazana ni statistički značajna povezanost pojave respiratornih simptoma sa loženjem u prostorijama, ali je izloženost pasivnom pušenju statistički značajno uticalo na pojavu respiratornih simptoma kod dece.
Ovo istraživanje je pokazalo da pasivno pušenje može biti značajan faktor u pojavi respiratornih simptoma i bolesti. Nije utvrdjena značajna povezanost izmedju pojave respiratornih simptoma i izloženosti visokim koncentracijama sumpor dioksida.