obstructive chronic bronchopneumopathy, asthma, vascular and cardio circulatory diseases. Difficult choices of public medicine and politics.
The year 2009 for WHO will be the year of breath. The increase of carbon dioxide (CO2), fine particulates, smog in general, are determinants of a new, very high, respiratory diseases incidence, and deaths especially among children.

It is not only cigarette smoke, although it seems to be an important starting factor. The Italian newspaper "Corriere della Sera" the 24 of November realized a terrific summary of the problems linked to smog. Following the WHO estimations, there are 600 millions people suffering chronic broncopneumopathy, and 150 millions of asthma suffering people (only in Italy 3 millions of people)

In addition to the environment pollutants, among the risk factors for allergies and respiratory complications, the chemicals used for house clearing, and, as we guess, many cosmetics as well as vaccinations, may also be implicated.

What was omitted by the article, that should be seriously treated at a medical level is the link ever more important, with vascular and cardiac diseases, which are actually considered the most important mortality cause of our times (1-8).
Some months ago we had been happy that finally ISTAT (the Italian institute of statistics) decided to publish official pollution measurements in Italy. To our surprise, we have not monitored any comment nor decisions based on those pollution data. The only information we have had is that the Italian industry tries to negotiate the reduction of the duties established in the famous 20-20-20 European program (9), instead of reducing global warming and pollution.

What to do at a medical level
The homeopath, as a good hygienist, knows that the healing of many disturbances may be impeached by bad environmental conditions. Is it really a good medical intervention in non extreme conditions, to give a bronchodilator, knowing that the result will at the end be worst than before? In other words, opening bronchia and driving dusts into lungs, may– in no critical conditions – be better than suggesting nothing or an outside-smog holiday? It is noteworthy that mucus physiologically is there to limit the amount of toxicants going into lungs, blocking alveoli and entering the blood. To our view the only sensed prescription a generalist (homeopath or not ) can propose to his/her patient, is together with a treatment, to change the living environment. Today is perhaps the good moment to think about insurances able to support a move or a health "holiday" to the ill patient, instead of just supporting harmful and expensive last minute interventions......waiting for the earth bosses to decide that really it is too much expensive for politics, meaning for us citizens, to survive in these conditions.

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2 Dockery DW, Pope CA III, Xu X, et al. An association between air pollution and mortality in six US cities. N Engl J Med 1993;329:1753–9.
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5 Pope CA III, Burnett RT, Thun MJ, et al. Lung cancer, cardiopulmonary mortality and long-term exposure to fine particulate air pollution. JAMA 2002;287:1132–41.
6 Laden F, Schwartz J, Speizer FE, et al. Reduction in fine particulate air pollution and mortality. Extended follow-up of the Harward six cities study. Am J Crit Care Med 2006;173:667–72.
7 Hong YC, Lee JT, Kim H, et al. Air pollution: A new risk factor in ischemic stroke mortality. Stroke 2002;33:2165–9.
8 Brook RD. Why physicians who treat hypertension should know more about air pollution.. J Clin Hypertens (Greenwich). 2007 Aug;9(8):629-35.
9) the 20-20-20 program establishes the level of CO2 reduction in the European countries for the year 2020.