Effects on cystic fibrosis

A study from 1999 to 2000 by the University of Washington showed that patients near and around particulate matter air pollution had an increased risk of pulmonary exacerbations and decrease in lung function.^[16] Patients were examined before the study for amounts of specific pollutants like Pseudomonas aeruginosa or Burkholderia cenocepacia as well as their socioeconomic standing. Participants involved in the study were located in the United States in close proximity to an Environmental Protection Agency.^{[clarification needed]} During the time of the study 117 deaths were associated with air pollution. A trend was noticed that patients living closer or in large metropolitan areas to be close to medical help also had higher level of pollutants found in their system because of more emissions in larger cities. With cystic fibrosis patients already being born with decreased lung function everyday pollutants such as smoke emissions from automobiles, tobacco smoke and improper use of indoor heating devices could add to the disintegration of lung function