1. Introduction
Air pollution is pollution of the internal or external environment by any chemical, physical, or biological material and alteration of the natural properties of the atmosphere. Air pollution is caused by natural factors such as volcanic eruptions, wildfires, or excessive evaporation, as well as increased traffic, especially caused by anthropogenic activity, such as urban fuels or industrialization. Each year, countries keep statistics on deaths caused by different types of direct air pollution or caused by diseases due to these types of pollution [
1].
The study by the Turkish authors analyzes the impact of a country’s geographic region and population density on mortality due to air pollution. The dataset for Turkey and twenty-six countries covers information such as population density, levels of different types of pollution, the number of deaths caused by each type of pollution, and their relation to the current population for the period from 1990 to 2017. In data analysis, air pollution types were studied one by one, and an attempt was made to identify similarities between countries. As a result of this analysis, it was shown that there are similarities between Turkey and other neighboring countries in the deaths observed due to different types of air pollution [
2].
The World Health Organization attributed more than four million premature deaths to atmospheric air pollution in 2016. Numerous epidemiological studies show that acute respiratory tract infections and exacerbations of pre-existing chronic respiratory diseases can be the result of exposure to atmospheric (outdoor) air pollution. Nevertheless, the atmosphere contains both chemical and microbial pollutants (bioaerosols), the impact of which on human health remains unclear [
3].
Particulate matter pollution in urban areas is a major health problem. Trees in cities can remove small particles from the atmosphere and therefore improve air quality and human health. Some authors describe the impact of trees on PM 2.5 particle concentrations and human health and modeled this interaction for 10 US cities [
4]. According to their research, the total number of PM 2.5 particles removed annually by trees ranged from 4.7 tons in Syracuse to 64.5 tons in Atlanta. The presence of trees reduced the number of particles in the cities, which led to a decrease in mortality levels in these regions. The decline in mortality was typically around 1/year per city, but as high as 7.6/year in New York. The average annual percentage of air quality improvement ranged from 0.05% in San Francisco to 0.24% in Atlanta [
4]. Therefore, this shows that the impact of urban trees on air quality can lead to improving the health of people in cities.
As previously observed, atmospheric air pollution is caused by various natural and anthropogenic activities. Growing air pollution has a variety of adverse effects on the health of people and other living beings. However, during the rainy season, there is a significant decrease in the concentration of air pollutants. Recently, a number of studies have been carried out to understand the mechanism of removal of air pollutants by rain. These studies have shown that rain removes many air pollutants from the environment [
5]. This shows that the climatic features of the regions also matter when considering the relationship between public health and the environment.
Emissions from anthropogenic activities are known to have detrimental effects on human health and ecosystems, and therefore a significant amount of time, effort, and money has been spent developing legislation to minimize their impact. Studies have used the modern combined HadGEM2-ES chemistry–climate model with advanced tropospheric chemistry to estimate the impact of changes in emissions from anthropogenic activities on the load and effect of air pollutants over the past three decades. This HadGEM2-ES model demonstrated that more than 500,000 early deaths per year are reduced due to a significant reduction in sulfate aerosol and up to 8000 early deaths per year are reduced because of improved ozone and nitrogen dioxide pollution as a result of the air pollution legislation. These results highlight the importance of legislation in reducing air pollution-related deaths in these parts of the world and underline the good reasons for developing regions to follow it [
6].
In the research studies of Russian scientists, based on known approaches to risk assessment, estimates of the number of attributable deaths from air pollution in Russian cities were obtained. This assessment evaluates the impact of air pollution on public health. The estimates presented in this paper provide important information about the possible scale of the consequences for the health of the Russian population due to atmospheric pollution [
7].
Air pollution is one of the main causes of death worldwide and continues to have detrimental effects on our health. In the context of these impacts, researchers have developed statistical modeling approaches to better understand air pollution statistics. However, the time-varying statistics of different types of air pollutants are far from being fully studied. The observed probability density functions of concentrations are strongly dependent on the spatial position and on the pollutant.
In their article, European scientists analyzed a large amount of data from various monitoring points and showed that the concentrations of nitric oxide (NO), nitrogen dioxide (NO
2), and particulate matter (PM 10 and PM 2.5) usually vary greatly for different spatial positions. For each substance, there are different propagation models in the plane. They depend on the type of pollutants and environmental characteristics (urban/suburban/rural/transport/industrial/background) [
8].
Also, some data from foreign researchers have shown a relationship between exposure to air pollution and the development of interstitial lung diseases. The study aimed to evaluate the effect of long-term exposure to ambient air pollution on the rate of change in total lung capacity, residual volume, and diffusing capacity in the elderly and showed that long-term exposure to atmospheric nitrogen dioxide (NO
2) is associated with an accelerated decline in static lung volume and diffusive capacity in the elderly. Air pollution associated with nitrogen dioxide (NO
2) may be a risk factor for restrictive lung diseases [
9].
For developing countries such as Kazakhstan, where most of the industry is extractive, this issue is particularly acute. In different regions of Kazakhstan, due to the fact that different minerals, polluted with their own particular pollutants, are mined, the problems of atmospheric air in each region are also different. One such region contaminated specifically by stationary sources is Central Kazakhstan, which is one of the leading industrial regions of the republic, a territorial manufacturing complex with a developed heavy industry. These are the coal mining, metallurgical, and chemical engineering industries of the republic. All of the most important branches of heavy industry are associated primarily with the mining of coking coal, the processing of ores of non-ferrous, ferrous, and rare metals, and auxiliary types of raw materials necessary for metallurgy [
10]. Therefore, the main factors of the negative impact on the atmospheric air of this region are the enterprises of the manufacturing industry and thermoelectric power engineering, which are among the most environmentally «dirty» industries in the world. In Central Kazakhstan, there has been a steady increase in the number of atmospheric emissions from about 1 million tons to 1.4 million tons from 1998 to 2004, and, since 2005, a decrease in emissions to 1.27 million tons [
11].
When studying the issues of ecological and economic development of such regions, it is necessary to consider all possible consequences of anthropogenic impact that affect or may affect the atmospheric air. The main factor that plays a key role in this is strengthening the forecasting functions of environmental monitoring services, in our case, in relation to atmospheric air, and, when drawing up a plan for the infrastructure of the territories, taking into account the level of anthropogenic impact.
The purpose of the work is to assess the quality of atmospheric air in Central Kazakhstan (using the example of Astana, Karaganda, and Zhezkazgan) to forecast changes in atmospheric air parameters, the spread of pollutants, and their impact on the environment and human health.
Hypothesis. Show the relationship between air pollution and mortality in areas with high levels of pollutants.
To assess the quality of atmospheric air, it is necessary to take into account both environmental and social indicators. In this paper, among the environmental indicators, we will consider the API (atmospheric pollution index), indicators of the highest concentration, and PM (suspended matter), sulfur dioxide (SO2), carbon dioxide (CO2), and nitrogen dioxide (NO2) levels; among social indicators, we will show the level of mortality by main classes of death causes by region over the past 5 years (from 2017 to 2021).
4. Discussion
Our results show that air pollution in Central Kazakhstan and its associated health effects, depending on the source and location of emissions, corresponds to the extractive industry in the region.
There is also another issue, which is the impact of climate change on air pollution, being discussed in the context of Northern Europe. In this region, projected future air quality levels are determined not only by the consequences of climate change affecting regional and local air pollution, but also by climate factors and events that change hemispheric background pollution levels. In the article by Doherty, RM (Doherty, Ruth M.); O’Connor, FM, the impact of air pollution in Northern Europe related to projections of greenhouse gas emissions and emissions of major pollutants and precursors on the future state of the air is examined. There are studies that also link this exposure to air pollution to future changes in air pollution-related mortality and morbidity in Europe [
18]. The peculiarities of the climatic state of Central Kazakhstan on the distribution of industrial emissions in this region also influenced our studies.
Changes in the concentrations of both primary (PM 10, CO, NO
x) and secondary (ozone) pollutants in the atmosphere over the Moscow and Kirov regions, Kyiv, and Crimea in the abnormally hot summer of 2011 are presented and analyzed. The concentrations of ozone, PM 10, CO, and NO
x in the atmosphere over the Moscow region from the end of July to the end of August 2010 almost continuously exceeded the maximum permissible concentration (MPC). The region was in the zone of a strong plume of forest and peat fires. The maximum single concentrations of ozone, exceeding its MPC by two to three times, were accompanied by high concentrations of combustion products: the concentrations of PM 10 and CO also exceeded their MPC by three to seven times. The maximum levels of atmospheric air pollution were observed under meteorological conditions unfavorable for the dispersion of pollution, primarily with a small vertical temperature gradient in the lower boundary layer of the atmosphere. The number of additional deaths due to exceeding the maximum allowable concentrations of PM 10 and ozone in the atmosphere over Moscow was estimated. With weather conditions close to those in Moscow, air quality remained mostly satisfactory in the Kirov region, Kyiv, and Crimea, which were almost unaffected by the fires [
19].
Air pollution generally refers to the phenomenon when certain substances, which enter the atmosphere as a result of human activities or natural processes, reach a certain concentration that is sustained long enough to become a threat to human comfort, health, or the environment. If air quality deteriorates, people will breathe poisonous gases. The respiratory system is the first to come into contact with poisonous gases, which can provoke the occurrence of respiratory diseases. In this paper, the authors conducted research on the prevention of respiratory diseases in schools under the background of air pollution based on PM 10 analysis. Univariate linear regression and Pearson’s correlation were used to analyze the effect of air pollution on the incidence of respiratory symptoms in students. The results show that air pollutants have adverse effects on the respiratory health of students [
20].
The current of the Earth’s atmosphere not only largely determines its temperature regime, but also strongly affects the concentration of aerosols. Therefore, the study of methods for assessing the synthetic impact of temperature and aerosol pollution on human health is an important topic. Abnormal temperatures were responsible for much of the mortality burden. Cold temperatures accounted for a significantly higher burden of mortality than warm temperatures. Synthetic effects of mortality from temperature and PM 2.5 varied depending on the stability of the atmosphere. A stable atmosphere creates the strongest synthetic effects of temperature and PM 2.5, while a normal atmosphere provides comparatively favorable conditions for human health. The results of the research indicated that the synthetic health effects of temperature and PM 2.5 induced by airflow need to be considered in the further framing of public health policies and air pollution control strategies, especially in the context of climate change [
21].
In many regions of the world, climate change is associated with increased temperature extremes, which can have serious consequences for mortality and morbidity. In this research, we studied the impact of extreme weather conditions on hospitalization in Cyprus inland and coastal areas using synoptic weather classifications (air mass types). In addition, the effect of particulate matter (PM 10) air pollution on disease incidence is being studied. The results show that two types of air masses, namely (a) warm, rainy days with high levels of water vapor in the atmosphere and (b) cold, overcast days with high levels of precipitation, were associated with increased hospital morbidity. This applies to both cardiovascular and respiratory diseases for all age groups, but especially for older people over 65 years of age. Particulate air pollution has also been associated with an increase in morbidity in Cyprus, where the effect was more pronounced for cardiovascular disease [
22].
Unplanned urbanization, industrial development, and a huge increase in car traffic led to an exponential increase in pollution. Air pollutants such as nitrogen oxides (NO
x), sulfur dioxide (SO
2), carbon monoxide (CO), particulate matter (PM 2.5 and PM 10), volatile organic compounds (VOCs), ozone (O
−3), and heavy metals are found in high concentrations in the atmosphere. Particulate matter with a diameter of 10 µm or less (PM 10) is known to have adverse effects on human health and the environment. Particulate pollution is known to have many environmental consequences, from poor visibility to more severe effects such as acid rain, which contaminates soil and water. The detection of heavy metals in atmospheric air is an important area for environmental researchers due to their toxicity to humans. Some heavy metals (hexavalent chromium (Cr), arsenic (As), cadmium (Cd), and nickel (Ni)) are listed as carcinogens. In addition, heavy metals in the atmosphere can accumulate in various plants and animals and enter the human body through the food chain. Heavy metals have a toxic effect when they are involved in biochemical reactions in living organisms. This study reports on the main sources of particulate matter and heavy metals in the atmosphere, their impact, and sustainable environmental management [
23].
Air pollution occurs when any harmful gas, dust, or smoke enters the atmosphere and negatively affects the lives of people, animals, and plants. Moreover, air pollution is found all around us in the air we breathe and in the water we drink, and it can be both natural and man-made.
In this article, we will discuss, analyze, and present our observations and possible solutions regarding various types of air pollution. For example, internal and external, their impact on the environment, health, economy, and ecosystem development. We also considered indoor air pollution and its presence in the environment, workplaces, and homes, where their symptoms were seen to manifest as fatigue, irritation of the eyes and nose, and the most common disease, asthma. We concluded that time of exposure to indoor air pollution has a significant effect on the development of the disease, with respiratory disease, heart problems, and cancer being the most common health problems with long-term exposure. During this work, 14 sources of indoor air pollution were summarized and fully analyzed. With regard to air pollution, most of the implemented scientific studies have classified it as the “great killer of our age”, with the presence of more than one substance in the inhaled air above natural limits, and it has been recognized that the main causes of air pollution are agricultural activities, mining, exhaust gases of factories and industries, and combustion of fossil fuels.
For both emission sources (indoor and outdoor), short-term exposure is associated with transient respiratory diseases and high hospital rates, while long-term exposure leads to chronic asthma, lung failure, cardiovascular diseases, and cardiovascular mortality.
An increasing relationship has also been found between mortality/morbidity and air pollution concentrations. Another important issue discussed in this paper is the impact of air pollution on the economy of society and the impact on its sustainable development [
24].
Epidemiological data on the relationship between exposure to air pollution and cancer are reviewed. The well-documented differences in lung cancer rates between urban and rural areas and the discovery of known carcinogens in the atmosphere have given rise to the hypothesis that long-term exposure to polluted air may influence the risk of lung cancer. However, the problems inherent to adequate assessment of the effect of interest have led to significant difficulties in assessing this effect. Regularly measured air pollutants generally do not include identified carcinogens, and air pollution measurements are usually made using stationary monitors, making it difficult to assess individual exposure, especially long-term ones. The nature of exposure and associated measurement problems have made environmental comparisons a natural approach to studying the effect of air pollution on lung cancer risk. Descriptive/environmental studies undertaken after 1950 often had problems with inadequate mixing control (кoнтрoль смешивания), but generally provided evidence consistent with the hypothesis that urban and industrial air pollution may influence lung cancer risk. The results of several case–control and cohort studies are described in this review with a focus on the used exposure metric. These studies, which control for important potential confounding factors, suggest that urban air pollution may be a risk factor for lung cancer, with an estimated relative risk of up to about 1.5 in most settings [
25].
Due to urbanization around the world, anthropogenic dust (AD) emissions have been increasing in recent decades because of intensive urban construction and the use of off-road vehicles. Its impact on urban air pollution on a global scale is still unclear. Based on observations, we found that the high urban optical thickness of AD is often accompanied by a strong optical thickness (сильная oптическая тoлщина) of dust-free aerosol in the planetary boundary layer (PBL), and both values are even comparable. To investigate the causes, an inventory of AD emissions limited by search data from satellites is implemented in a global climate model. The results show that AD-induced surface radiative cooling down to −15.9 +/− 4.0 W m
−2 in the regions leads to a decrease in the height of the PBL, which worsens non-dust pollution. An estimated total global premature death from asthma is 0.8 million deaths per year and is more severe in densely populated regions [
26].
Our results show a strong connection between the studied indicators. Thus, the interrelationship between environmental and social indicators in the city of Astana is very high. The matrix shows that there is a direct correlation between mortality and atmospheric air pollution with carbon dioxide (the Pearson index is 0.75), and there is also a very large dependence of mortality on pollution with PM 2.5 particles (the Pearson index is 0.97). Further analysis shows a direct correspondence between mortality and respiratory diseases (Pearson’s index is 0.98), which may be precisely due to the state of atmospheric air in the city. It is also seen that mortality is correlated with circulatory diseases (Pearson’s index is 0.72).
There is a very strong correlation between malignant neoplasm rates in the city of Astana and nitrogen dioxide pollution (Pearson’s index is 0.95). When it enters the human body in the form of a gas, the dissolution of nitrogen dioxide occurs inside the lungs, which is why nitrogen dioxide negatively affects the mucous membranes of the respiratory system and causes burns. It has been proven that constant inhalation of contaminated air leads to oncological diseases.
There is also a relation between pollution with PM 2.5 dust particles and respiratory diseases (Pearson’s index is 0.97), which can be the influence of pollutants on the health of the population in this nosological group.
5. Conclusions
In Kazakhstan, the main causes of air pollution are transport and warehousing. Analyses of data on indicators of the atmospheric pollution index for the Central Kazakhstan regions (Karaganda, Zhezkazgan) and Astana city over the past 5 years prove that these cities have a very high level of air pollution. The main reason for this is the poor environmental situation in the region, in other words, emissions of pollutants into the atmosphere from numerous vehicles, the private sector, etc.
In Zhezkazgan, the environmental indicators of atmospheric air are at a high level, and, according to the assessment of atmospheric pollution, this region can be classified as class 3 in terms of pollution (a region with a high level of pollution).
In Astana, social indicators of development showed the dependence of morbidity on environmental pollution and atmospheric air. The dynamics of mortality from diseases of the circulatory system is increasing across Central Kazakhstan and Kazakhstan in general. In the city of Astana, this indicator also tended to increase.
As studies have shown on the relationship between air pollution and population mortality, there is a very strong relationship between the total mortality rate from PM 2.5 particles and mortality from respiratory diseases from PM2.5 particles. There is also a dependence of mortality from carcinogenic diseases on nitrogen dioxide pollution. Carbon dioxide also affects mortality, as our study shows. All this could be a prerequisite for developing a strategy to minimize emissions into the atmosphere.
Preventing disease and death from pollution will require tightening the EPA’s air quality standards. Robust prevention will require a government-driven transition to renewable energy sources, combined with a phase-out of subsidies and tax credits for fossil fuels. Highly localized information about the health effects of air pollution can catalyze pollution prevention.