[HN Gopher] Studies increasingly find links between air pollutan...
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       Studies increasingly find links between air pollutants and dementia
        
       Author : quapster
       Score  : 113 points
       Date   : 2025-11-01 16:54 UTC (6 hours ago)
        
 (HTM) web link (www.nytimes.com)
 (TXT) w3m dump (www.nytimes.com)
        
       | mackeye wrote:
       | https://www.nytimes.com/2025/11/01/health/alzheimers-dementi...
        
       | crazygringo wrote:
       | > _With increasing evidence that chronic exposure to PM2.5, a
       | neurotoxin, not only damages lungs and hearts but is also
       | associated with dementia, probably not._
       | 
       | PM2.5 is not a neurotoxin, that's an absurd thing to say.
       | 
       | It's literally _any_ particles under a certain size. Whether it
       | 's a neurotoxin is necessarily going to depend on what the
       | substance is made of.
       | 
       | Whether your PM2.5 exposure is coming from automobiles or
       | wildfires or a factory, the potential outcomes may be different
       | in different areas of the body. Heck, my PM2.5 meter skyrockets
       | whenever I cook anything in a frying pan, because many of the
       | aerosolized oil droplets are PM2.5.
        
         | epistasis wrote:
         | Frying pan PM2.5 is pollution, and has been linked to increased
         | childhood asthma, on of the easier and more immediate readouts
         | from exposure. Linking dementia to that is a far harder
         | scientific task due to the amounts of exposure and variability
         | over time. Here's one blog post going over some of the evidence
         | linking gas stoves to asthma:
         | 
         | https://www.health.harvard.edu/blog/have-a-gas-stove-how-to-...
        
           | blueflow wrote:
           | How is that related to what GP wrote?
        
             | epistasis wrote:
             | That poster seemed to be saying that frying pan PM2.5 was
             | not a health risk:
             | 
             | > Heck, my PM2.5 meter skyrockets whenever I cook anything
             | in a frying pan, because many of the aerosolized oil
             | droplets are PM2.5.
             | 
             | I'm not sure how they determined that PM2.5 is not a
             | neurotoxin, or the full extent of their claims, but frying
             | pans inside are a common cause of minor health problems.
        
               | blueflow wrote:
               | The point was that PM2.5 is a measurement of particle
               | size, and that by itself allows no judgement about its
               | toxicity. The same way you cannot argue that things of 5
               | centimeter diameter are healthy.
               | 
               | The toxicity judgement comes from the information _what_
               | substance has the form of PM2.5, and the journo managed
               | to omit that.
        
               | epistasis wrote:
               | > The point was that PM2.5 is a measurement of particle
               | size, and that by itself allows no judgement about its
               | toxicity.
               | 
               | This does not logically follow at all. The size indicates
               | where it can reach in the lungs, whether cilia can eject
               | it, etc.
               | 
               | A 5cm ball shot at the head at high speed is indeed
               | dangerous. We are talking about inhalation of particles
               | causing irritation, and the size is indeed the major
               | factor. Content as well, but frying pan particles filled
               | with carbon chains that have gone through who knows what
               | reactions are indeed of concern. Lots of extremely nasty
               | things are easily accessible from chains of hydrocarbons,
               | from toluene to formaldehyde.
               | 
               | > The toxicity judgement comes from the information what
               | substance has the form of PM2.5, and the journo managed
               | to omit that.
               | 
               | I believe the journalist is not at fault here in the
               | least. The scientific papers I have seen usually class
               | all PM2.5 together, and perhaps by source. But the size
               | itself is of great concern due to the size allowing easy
               | entry to the body that is not possible for larger sizes.
        
               | plorkyeran wrote:
               | There is nothing inherently impossible about the idea
               | that _all_ airborne substances of some specific size are
               | harmful to breathe. It simply requires that they be bad
               | because they physically fit into somewhere that shouldn
               | 't have foreign substances of any kind in it rather than
               | because of something specific to the substance.
        
               | stevenwoo wrote:
               | Small enough particles can easily pierce the blood brain
               | barrier.
               | https://pmc.ncbi.nlm.nih.gov/articles/PMC10141840/ They
               | also appear to interact with human gut microbiota.
               | https://pmc.ncbi.nlm.nih.gov/articles/PMC11056917/
               | 
               | What they do there is up for further study.
               | 
               | Many studies show a high correlation with childhood
               | respiratory defects and living near roads (or even
               | attending school near roads) specifically a road with
               | diesel truck traffic, and a recent study showed a
               | decrease in effects when air filters are installed in the
               | schools.
               | https://pmc.ncbi.nlm.nih.gov/articles/PMC6949366/
        
               | Terr_ wrote:
               | > That poster seemed to be saying that frying pan PM2.5
               | was not a health risk
               | 
               | They said that the category "small particles" is not
               | equal to the category "neurotoxic".
               | 
               | Much like how "Walks on Two Legs" is not "Men", there may
               | be some overlap in the categories, but the first does not
               | reliably indicate the second. (Or vice-versa.)
        
         | culi wrote:
         | This is what frustrates me the most about air pollution
         | indexes. They all treat PM2.5 equally regardless of the source.
         | Smoke from a wildfire in an industrial area is NOT the same as
         | smoke from a wildfire in a woodland. Hell, even some pollen
         | fragments can be PM2.5. Formaldehyde and benzene particulate
         | matter should not be treated equally to pollen fragments
        
           | readthenotes1 wrote:
           | Pollen fragments are really bad for some of us....
        
             | culi wrote:
             | Of course! Different bodies have different sensitivities.
             | But we're talking averages here. What's gonna cause the
             | most _social_ harm
        
           | hollerith wrote:
           | OK, but wood smoke is really bad for you even if the wood is
           | completely natural.
        
             | daedrdev wrote:
             | yes but smoke from any urban area will have asbestos and
             | numerous other potent toxins
        
             | culi wrote:
             | Sure, but asbestos, lead, formaldehyde, benzene, etc
             | particulate matters are all undoubtedly going to be more
             | harmful than _most_ types of wood smoke. An urban area will
             | have both wood smoke (which is often treated, possibly with
             | methyl bromide) and industrial smoke. Few would deny
             | breathing in campfire smoke is less likely to cause more
             | immediate harm than a fire at a waste site
        
           | oidar wrote:
           | Formaldehyde and benzene are not particulates, they are VOC's
           | - a very different kind pollutant.
        
             | epistasis wrote:
             | But PM2.5 from, say, a frying pan could easily contain
             | abundant formaldehyde and benzene as part of the oil
             | particles.
        
         | embedding-shape wrote:
         | > PM2.5 is not a neurotoxin, that's an absurd thing to say.
         | 
         | Indeed, imagine seeing "... chronic exposure to 5 ML, a
         | chemical poison, not only...". Not sure how they can mistake a
         | measurement for what the _particles actually are_.
        
           | mrob wrote:
           | The "PM" in PM2.5 stands for "particulate matter", so it
           | actually is a noun and not just a unit of measurement.
        
         | notmyjob wrote:
         | I don't know. Pm2.5 by definition doesn't include gasses and as
         | I understand it the issue is that the particulate matter,
         | whatever it happens to be, gets in the bloodstream. Is there
         | any particulate matter of that size that is not neurotoxic once
         | it enters the bloodstream? I don't know the answer but it seems
         | like a legitimate question.
        
           | blueflow wrote:
           | Amino acids!
           | 
           | I'm sure now some other HN poster will come up with an
           | explanation how Amino Acids are still neurotoxic of some
           | sort.
        
             | tpm wrote:
             | That's too easy, glutamate is neurotoxic in high doses.
        
               | blueflow wrote:
               | What about sugar?
        
           | amluto wrote:
           | One would imagine that salt spray from the ocean (which can
           | easily register as PM2.5) is mostly sodium chloride, is
           | rather water-soluble, and is entirely harmless in your
           | bloodstream in any quantity that you could plausibly inhale.
        
         | meowface wrote:
         | Yeah, very silly statement for them to write. I wouldn't be the
         | slightest bit surprised if certain pollutants in that range
         | were proven or will be proven to be causing gradual damage to
         | the brain but that has to be presented properly.
        
         | tzs wrote:
         | From what I've read apparently pretty much all PM2.5
         | encountered by most people has neurotoxic effects.
         | 
         | It looks like there are a couple reasons for this.
         | 
         | 1. There are a lot of substances that are neurotoxic. Most
         | things that create PM2.5 pollution will involve some of them.
         | 
         | 2. PM2.5 is good at getting to places where the body really
         | doesn't like foreign objects and so the mere presence of PM2.5
         | particles can trigger responses, such as inflammation, that can
         | cause neurological damage even if the particle itself is made
         | of a normally non-toxic substance.
        
         | asgraham wrote:
         | I was initially skeptical of this claim because I'd previously
         | learned that to cross the blood-brain barrier particles need to
         | be ~200nm (PM2.5 = 2500nm). However, PM2.5 does seem to be an
         | important category of particles for brain damage: somehow these
         | particles can access the brain [1]. Obviously, yes, it depends
         | on exactly the particle whether it will be "neurotoxic," but
         | generally "unnatural" particles in the brain are not going to
         | do good things. (I am not an expert in particulates) it seems
         | like things larger than this don't penetrate the blood-brain
         | barrier, so they can't be neurotoxic. So PM2.5 is probably at
         | an intersection of large enough to be unhealthy but small
         | enough that the blood brain barrier doesn't help (probably some
         | evolutionary argument to be made here).
         | 
         | [1]
         | https://pmc.ncbi.nlm.nih.gov/articles/PMC9491465/#:~:text=PM...
        
           | pedalpete wrote:
           | The article does suggest the particles travel "from the nose
           | to the brain", but I think that may be a bit of hyperbole.
           | 
           | In the studies described, they weren't looking for these
           | particles in the brain.
           | 
           | There is potentially a case to be made that the particles
           | result in systemic inflammation, or some other pathway which
           | leads to effects in the brain, rather than a direct action.
        
         | ahaucnx wrote:
         | 100% agree. It is super important to know the composition of
         | the particles.
         | 
         | Unfortunately currently only super expensive instruments can
         | measure this in real-time.
         | 
         | This is why I believe contextual information will become much
         | more important in future.
         | 
         | Detect an indoor short PM2.5 spike around lunch time, probably
         | a cooking event.
         | 
         | Detect medium elevated levels outdoor in a city in the morning
         | and late afternoons, probably traffic related smoke.
         | 
         | I actually made a small tool to simulate different events that
         | contain a quiz. Give it a try here [1].
         | 
         | [1] https://www.airgradient.com/air-quality-monitoring-
         | toolkit/p...
        
           | malfist wrote:
           | The quiz hides the chart. Makes it hard to answer
        
         | kccqzy wrote:
         | Eh I'd give the author a bit of a benefit of the doubt. It's
         | probably just sloppy writing for identifying correlation but
         | not causation. PM2.5 particles themselves are not categorically
         | neurotoxins; they just happen to be associated with other
         | neurotoxins, such that high PM2.5 is a good proxy for high
         | neurotoxin pollutants.
        
       | encoderer wrote:
       | " After controlling for socioeconomic and other differences, the
       | researchers found that the rate of Lewy body hospitalizations was
       | 12 percent higher in U.S. counties with the worst concentrations
       | of PM2.5 than in those with the lowest."
       | 
       | Not a very powerful effect.
        
         | xezzed wrote:
         | the article is clearly a fear mongering one
        
       | epistasis wrote:
       | These sorts of pollution are largely caused by building massive
       | amounts of car infrastructure and not building transit instead.
       | The health effects extend beyond the direct pollution exposure to
       | lifestyle things such as inactivity social isolation, and more.
       | 
       | And yet the US largely bans healthier, denser living by law.
       | Density grows out of less dense areas, and those less dense areas
       | nearly all have strict density caps preventing density, as well
       | as road infrastructure designed to never allow density. And the
       | dense areas of the country, which already show healthier lives
       | for people and longer lifespans, have similarly tight caps on
       | building more density
       | 
       | All this is to say that we have made a political choice as a
       | society and are now reaping what we have sown. However we can
       | choose something better for the future.
        
         | glitchc wrote:
         | Your proposal flies in the face of what people actually want.
         | Everyone wants a detached home with a yard. No one wants to
         | live in a condo, an oct or a quad, or even a row house, as a
         | permanent life-long dream. Not the people who currently own
         | detached homes and not the people looking to buy homes.
         | Everyone sees high-density housing as a stepping stone towards
         | detached home ownership. Detached home ownership is the dream,
         | the more land it comes with, the better.
        
           | epistasis wrote:
           | If people actually wanted that, you wouldn't have to ban
           | denser living.
           | 
           | Our choices are not the result of a free market, but one
           | highly constrained by land use restrictions.
           | 
           | This is seen very clearly in housing prices. Dense living is
           | hugely undersupplied, and therefore very expensive.
        
           | mjamesaustin wrote:
           | This is some suburban delusion. Do you think the people who
           | own multimillion dollar condos in NYC would rather live in a
           | single family home? What's stopping them?
           | 
           | I want to be in the heart of a bustling city where I can walk
           | to everything and do something different every night. That's
           | not possible in suburbia.
        
             | greenchair wrote:
             | Has a lot to do with time of life too. I had similar
             | feelings in 20s while single.
        
             | tzs wrote:
             | > Do you think the people who own multimillion dollar
             | condos in NYC would rather live in a single family home?
             | What's stopping them?
             | 
             | They'd probably rather live in a single family home in NYC.
             | 
             | They have to choose between contradictory desires: single
             | family home over condo, but NYC over suburbs or rural.
        
           | nurumaik wrote:
           | I want to live in a condo rather than detached home. Private
           | home is too much of a hassle to maintain properly and also
           | less likely to have many different shops/restaurants within 5
           | min walk
        
           | ta9000 wrote:
           | Most people, even in the US, don't live in detached homes
           | with a yard. The amount of sprawl required to accomplish that
           | "dream" of everyone living in a detached home with a huge
           | yard would be a disaster for the environment and commutes.
        
             | rufus_foreman wrote:
             | In 2023, 54% of the housing units in the US were single
             | family detached, https://eyeonhousing.org/2024/10/owner-
             | occupied-single-famil.... I guess some of those could not
             | have yards, but that is pretty rare to not have any sort of
             | yard in a single family detached home.
             | 
             | 2/3 of home buyers have single family detached as their
             | preferred housing, so more people want to live in that type
             | of housing than currently do so.
        
               | dboreham wrote:
               | In the area with which I'm familiar it's a
               | zoning/planning requirement to dedicate some proportion
               | of lot area to yard. I forget the details -- it's been a
               | while since I dug into this. I think that's also why
               | mother in law units became popular in some jurisdictions:
               | a workaround for yard area requirements since it piggy
               | backs on the existing home yard arrangement.
        
           | gausswho wrote:
           | OK. Since that's what people actually want, the market should
           | work without single-family-home zoning laws and minimum
           | parking requirements.
           | 
           | Glad to see different people want different things in life.
        
           | tuveson wrote:
           | > Detached home ownership is the dream, the more land it
           | comes with, the better.
           | 
           | Not everyone wants to live in the country or the suburbs. I
           | wouldn't live there if you paid me.
           | 
           | https://www.youtube.com/watch?v=93oFXRedHy0
        
             | analog8374 wrote:
             | As a country dweller I feel the same about the city. The
             | city is an ugly, noisy, filthy hive of madness.
        
               | casey2 wrote:
               | Mainly due to car industry friendly legislation and
               | entitled suburbanites
        
               | epistasis wrote:
               | How funny, having grown up in a rural area, I'd never
               | live one again due to the madness, filth, and ugliness! I
               | hope we both have ample choices for the ways we choose to
               | live.
               | 
               | Noise in cities is mostly from cars, as is the dirt and
               | death and destruction. Which is why I advocate so hard
               | for allowing low car lifestyles and building, something
               | that is largely banned in the US.
        
               | antisthenes wrote:
               | > How funny, having grown up in a rural area, I'd never
               | live one again due to the madness, filth, and ugliness!
               | 
               | The only reason there would be madness, filth and
               | ugliness in a rural area is if you left it there, because
               | you are the only one living on your property.
               | 
               | Obviously, you have to sometimes go out into a hub of
               | activity to get groceries or whatnot, but the onus is on
               | you to provide evidence that those hubs are epicenters of
               | madness and filth in a rural area, but not the urban
               | area.
               | 
               | Your argument makes 0 sense without any evidence.
        
               | epistasis wrote:
               | > because you are the only one living on your property.
               | 
               | This makes me think you don't actually live in a rural
               | area. It's not like you're pioneering, no connection to
               | the rest of society. There's still school for the kids,
               | church, stores, and yes, even neighbors.
               | 
               | Plus, most humans find having a social life to be one of
               | the greatest joys in life.
               | 
               | I find it fascinating that you think it's acceptable to
               | call cities centers of madness, filth, and ugliness, but
               | think it's completely unacceptable to think that of rural
               | areas. Have you actually lived in a city? Or are you just
               | basing it off of perceptions you get from media?
        
               | analog8374 wrote:
               | So you traded trees for hard advocating.
        
               | epistasis wrote:
               | Plenty of room for trees once there's fewer cars. Urban
               | trees are great, and plentiful when they are planned for.
        
               | theshackleford wrote:
               | As someone who was a country dweller (born and raised)
               | you couldn't pay me any amount of money to return to it.
               | 
               | It's nice we get the choice though, and I do like to
               | visit it still. I could just never return to such
               | isolation and poor services.
        
             | glitchc wrote:
             | Sure, that's your personal preference and to each their
             | own. The market speaks otherwise. Detached homes are the
             | most desirable section of the real estate market based on
             | consumer surveys, see the greatest growth in value compared
             | to other real estate over the medium to long term and are
             | basically recession proof. Even in the financial crisis of
             | 2008-2009, the average loss was 10-15% in market value,
             | which was recouped over the next five years.
        
               | epistasis wrote:
               | The only consumer survey they actually reveals
               | preferences is the price that people are willing to pay.
               | Ask them questions in isolation and you miss all the
               | implicit tradeoffs inherent to the questions.
               | 
               | And on that front, prices in dense areas are way way
               | above suburban areas. Even if you subtract the lawn.
               | People will pay far far more per sqft for a home in a
               | dense urban area without a lawn! Which indicates that
               | dense living is far undersupplied.
               | 
               | Not coincidentally, we don't have to ban suburban living,
               | we only ban dense living. Literally anybody could buy an
               | apartment building, tear it down and build a single
               | family home, but how often do you ever see that happen?
               | But you can't go the other direction, by law.
        
               | daedrdev wrote:
               | The market shows we do not have enough housing first and
               | foremost. Many people care most of all about the cost,
               | which is why people live in terrible buildings, so denser
               | housing which can lower housing costs is the only real
               | solution to increasingly unaffordable housing. Real
               | estate is recession proof because we have effectively
               | banned new housing which creates a massive rent seeking
               | wealth transfer to those holding onto land simply by
               | being there first
        
           | kfarr wrote:
           | > Everyone wants a detached home with a yard. No one wants to
           | live in a condo, an oct or a quad, or even a row house, as a
           | permanent life-long dream.
           | 
           | This is easily disproven by the state of the real estate
           | market and relative value of said urban condos to suburban
           | sfh
        
           | crazygringo wrote:
           | Your comment would be a lot better if you didn't use words
           | like "everyone" and "no one".
           | 
           | You'd be correct if you referred to _some_ people, but
           | acknowledged that for plenty of people, a detached home with
           | a yard is the _last_ thing they want. Lawn care and home
           | maintenance, no thanks. Let me just pay a fee for my share of
           | building maintenance, please.
        
           | alistairSH wrote:
           | People want the single family, but they don't want to pay for
           | the externalities that come with sprawl.
           | 
           | Price in the full cost of that sprawl and it becomes less
           | desirable.
        
           | theshackleford wrote:
           | I in fact want none of the things you claim. I have zero
           | interest in living in the burbs, in maintaining a yard. It is
           | in fact my long term dream to live in the city in my
           | wonderful apartment until I cark it.
           | 
           | How bizarre you think you can talk for literally everyone in
           | existence.
        
       | analog8374 wrote:
       | Dementedness is higher in cities then, right?
       | 
       | What differences in behavior do we see between city and rural?
        
         | culi wrote:
         | Probably not true per capita. In the suburb I partially grew up
         | with they would kidnap homeless people and bus them to the
         | nearest city. This is quite common throughout California and
         | many red states.
         | 
         | Suburbs have more cars per capita, more driving in general,
         | more asphalt,[0] more time commuting/being on the streets to
         | reach common destinations, more exposure to smoke from fires,
         | and sometimes even more exposure to pollutants and pesticides
         | from farming (especially if they have golf courses. Golf
         | courses use about 5x more pesticides than farmland per acre).
         | Suburbs also have more suicides per capita than cities
         | 
         | [0]
         | https://www.sciencedirect.com/science/article/abs/pii/S03043...
        
           | bobthepanda wrote:
           | AFAIK generally health studies don't distinguish all that
           | much between urban and suburban, partially because that would
           | require you to come up with a consistent definition of both;
           | and even across states in the US, the definition of a "city"
           | is wildly inconsistent and more a reflection however the
           | politics of a place evolved.
        
       | layer8 wrote:
       | Previous discussions:
       | 
       | https://news.ycombinator.com/item?id=45157897 (129 comments)
       | 
       | https://news.ycombinator.com/item?id=44846164 (124 comments)
        
       | mberning wrote:
       | I think they have also done studies in rodents that show pm2.5
       | diesel particulate decreases insulin sensitivity.
        
       | moneywoes wrote:
       | live near a highway and can't afford to move, any ideas what I
       | should do
        
         | hexbin010 wrote:
         | Air purifiers? Winix, Conway, IKEA etc
        
         | culi wrote:
         | Air purifiers are capable of removing PM2.5. Most people can
         | get one under $150. I found that unused second-hand ones are
         | abundant on Craigslist, eBay, etc. Get one that doesn't have
         | ozone. I found that the Winix's ozone runs even when turning it
         | "off".
         | 
         | There are reviews online that also take into account long-term
         | cost (including the price of the filters themselves and how
         | often they need to be replaced).
        
       | dredmorbius wrote:
       | Archive / paywall: <https://archive.is/86eOb>
        
       | disambiguation wrote:
       | I recently found this blog post about an effective DIY air filter
       | - explicitly filters pm2.5
       | 
       | https://chillphysicsenjoyer.substack.com/p/measuring-my-diy-...
       | 
       | I built one (< $50) and I'm pretty happy with the results. As
       | someone with a life long sensitivity to air quality, the air
       | definitely feels cleaner.
        
         | kccqzy wrote:
         | You really don't need to DIY unless you really want to. My non-
         | DIY mass produced air filter from Home Depot can filter PM2.5
         | too.
        
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