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refers to cases of
chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...
,
chronic bronchitis Bronchitis is inflammation of the bronchi (large and medium-sized airways) in the lungs that causes coughing. Bronchitis usually begins as an infection in the nose, ears, throat, or sinuses. The infection then makes its way down to the bronchi. ...
,
pulmonary emphysema Emphysema, or pulmonary emphysema, is a lower respiratory tract disease, characterised by air-filled spaces ( pneumatoses) in the lungs, that can vary in size and may be very large. The spaces are caused by the breakdown of the walls of the alv ...
, and bronchial asthma in humans and various environmental changes usually attributed to sulfur dioxide (SO2) emissions which appeared as smog over the city of
Yokkaichi is a city located in Mie Prefecture, Japan. , the city had an estimated population of 310,259 in 142162 households and a population density of 1500 persons per km². The total area of the city is . Geography Yokkaichi is located in north-centra ...
in
Mie Prefecture is a prefecture of Japan located in the Kansai region of Honshu. Mie Prefecture has a population of 1,781,948 () and has a geographic area of . Mie Prefecture is bordered by Gifu Prefecture to the north, Shiga Prefecture and Kyoto Prefectur ...
, Japan between 1960 and 1972, though other
SOx Sox most often refers to: * Boston Red Sox, an MLB team * Chicago White Sox, an MLB team * An alternate spelling of socks Sox may also refer to: Places * SOX, Sogamoso Airport's IATA airport code, an airport in Colombia Computing and technolo ...
compounds have been proposed. The generally accepted source of the sulfur oxide pollution was the Yokkaichi Kombinato petrochemical processing facilities and refineries built in Yokkaichi between 1959 and 1972 which did not properly desulfurize the high sulfur content in its crude oil. Yokkaichi asthma is considered one of the
Four Big Pollution Diseases of Japan The were a group of man-made diseases all caused by environmental pollution due to improper handling of industrial wastes by Japanese corporations. The first occurred in 1912, and the other three occurred in the 1950s and 1960s. Despite the moni ...
and was the subject of Japan's first court case related to pollution.


Industry background

In 1899, wealthy Yokkaichi landowner Inaba San'emon transformed Yokkaichi's wetlands into a port for textile exports. Ishihara Industries built an oil refinery in Yokkaichi's remaining marshes in 1937. In 1938, the imperial navy built another oil refinery in Yokkaichi that would later become a target for American air raid bombing during the Pacific War. The oil refineries and a majority of the city were destroyed in 1945. In 1955, the
Ministry of International Trade and Industry The was a ministry of the Government of Japan from 1949 to 2001. The MITI was one of the most powerful government agencies in Japan and, at the height of its influence, effectively ran much of Japanese industrial policy, funding research and d ...
began its policy to transition Japan's primary fossil fuel source from
coal Coal is a combustible black or brownish-black sedimentary rock, formed as rock strata called coal seams. Coal is mostly carbon with variable amounts of other elements, chiefly hydrogen, sulfur, oxygen, and nitrogen. Coal is formed when ...
to
petroleum Petroleum, also known as crude oil, or simply oil, is a naturally occurring yellowish-black liquid mixture of mainly hydrocarbons, and is found in geological formations. The name ''petroleum'' covers both naturally occurring unprocessed crud ...
, and oil refineries were once again opened in Yokkaichi. The oil used in Yokkaichi was primarily imported from the
Middle East The Middle East ( ar, الشرق الأوسط, ISO 233: ) is a geopolitical region commonly encompassing Arabia (including the Arabian Peninsula and Bahrain), Asia Minor (Asian part of Turkey except Hatay Province), East Thrace (Europ ...
, which contained 2% sulfur in sulfur containing compounds, resulting in a white-colored smog developing over the city.


Petrochemical Complex No.1

To accomplish the goal of the government-issued Petrochem Industry Program - Phase I from 1955, the Daichi Petrochemical Complex, a joint project of Showa Oil and
Shell Oil Company Shell USA, Inc. (formerly Shell Oil Company, Inc.) is the United States-based wholly owned subsidiary of Shell plc, a UK-based transnational corporation " oil major" which is amongst the largest oil companies in the world. Approximately 18,0 ...
, began construction in 1956 around the remnants of
World War II World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposing ...
naval fuel factories in south Yokkaichi Harbor which were destroyed by bombing before their operation began. The location was convenient because waste could easily be dumped into the ocean and Yokkaichi's port provided a means for easily shipping products. Daichi Petrochemical Complex, the first of its kind in Japan, contained an
oil refinery An oil refinery or petroleum refinery is an industrial process plant where petroleum (crude oil) is transformed and refined into useful products such as gasoline (petrol), diesel fuel, asphalt base, fuel oils, heating oil, kerosene, lique ...
, a
petrochemical Petrochemicals (sometimes abbreviated as petchems) are the chemical products obtained from petroleum by refining. Some chemical compounds made from petroleum are also obtained from other fossil fuels, such as coal or natural gas, or renewable so ...
plant, ethylene plant, and a
power station A power station, also referred to as a power plant and sometimes generating station or generating plant, is an industrial facility for the generation of electric power. Power stations are generally connected to an electrical grid. Many ...
when it began operation in 1959. As demand increased, the operation expanded its workday so that production could continue twenty four hours a day.


Petrochemical Complex No.2

In 1960, the government of Prime Minister
Hayato Ikeda was a Japanese bureaucrat and later politician who served as Prime Minister of Japan from 1960 to 1964. He is best known for his Income Doubling Plan, which promised to double Japan's GDP in ten years. Ikeda is also known for repairing U.S.- ...
accelerated the growth of petrochemical production as part of its goal to double individual incomes of Japanese citizens over a 10-year period. The Petrochemical Industry Program - Phase II began as MITI announced that a second complex was to be constructed on
reclaimed land Land reclamation, usually known as reclamation, and also known as land fill (not to be confused with a waste landfill), is the process of creating new land from oceans, seas, riverbeds or lake beds. The land reclaimed is known as reclamati ...
in northern Yokkaichi. During its trial run, the complex broke down and expelled odorous runoff that spurred many complaints by citizens. The second complex went online officially in 1963.


Symptoms

Beginning shortly after the opening of the first complex in 1959, severe cases of
chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...
,
chronic bronchitis Bronchitis is inflammation of the bronchi (large and medium-sized airways) in the lungs that causes coughing. Bronchitis usually begins as an infection in the nose, ears, throat, or sinuses. The infection then makes its way down to the bronchi. ...
,
pulmonary emphysema Emphysema, or pulmonary emphysema, is a lower respiratory tract disease, characterised by air-filled spaces ( pneumatoses) in the lungs, that can vary in size and may be very large. The spaces are caused by the breakdown of the walls of the alv ...
, and bronchial asthma rose quickly among the local inhabitants, particularly in the Isozu and Shiohama districts which were closest to the factories, and among males over 50. Other chronic symptoms included sore throat. Symptoms showed some relief when sufferers left areas of high air pollution. By 1964, Isozu Village, which was most affected, had 2.5% of the population exhibiting symptoms. A 2008 study by researchers from the Mie University Graduate School of Medicine and the
Hiroshima University is a Japanese national university located in Higashihiroshima and Hiroshima, Japan. Established in 1929, it was chartered as a university in 1949 following the merge of a number of national educational institutions. History Under the Nationa ...
Natural Science Center for Basic Research and Development indicated a 10- to 20-fold higher mortality rate as a result of COPD and asthma in the affected populations of Yokkaichi versus the general population of Mie Prefecture. Several asthma victims committed suicide, such as Kihira Usaburou, with some writing suicide notes attributing their deaths to the disease. For one 40-year-old Yokkaichi asthma sufferer reported in Respiratory Medicine Case Reports journal, Symptoms showed relief when treated using a vibrating mesh nebulizer.


Environmental effects


Marine life

The fishing industry is considered the first victim of Yokkaichi pollution. Fish caught in
Ise Bay is a bay located at the mouth of the Kiso Three Rivers between Mie and Aichi Prefectures in Japan. Ise Bay has an average depth of and a maximum depth of . The mouth of the bay is and is connected to the smaller Mikawa Bay by two channels: ...
as far as five miles from the mouth of Suzuka River developed a bad taste and greasy smell in 1959. Fish sent to Tsukiji, Tokyo were returned to Ise due to complaints, causing local fishermen to petition the government for compensation for their unsaleable fish in 1960. Special Committee of Promotion Council for Ise Bay Industrial Waste Water Pollution Countermeasures was organized by the Mie Prefectural Government in response to the incident and attributed the foul smelling fish and oily water texture to mineral oil in waste water expelled into the bay by nearby petrochemical plants and oil refineries. In 1962 during a factory tour, factory officials interviewed by Research Committee on Pollution founding member Miyamato Ken'ichi maintained despite these findings that the foul smelling fish was due to a sunken ship in Ise bay.


Air quality

Soot and white smog from the petrochemical plants filled the skies of Yokkaichi, and were the main concern of complaints before Petrochemical Complex No. 2 was constructed in 1963. The air was said to have an offensive odor. Researchers in the Journal of Environmental Health found in 1985 that as air quality decreased, mortality rate for bronchial asthma and chronic bronchitis cases increased.


Soil quality

A study in 1975 from Mie University in Japan found a significant correlation between the number of Yokkaichi asthma patients and decrease in expected grain yield for May to September summer crops.


Cause

All clinical cases of Yokkaichi asthma began after the establishment of the oil refinery and petroleum chemical plants in 1959. Complaints from citizens of offensive odors spurred investigation. Initially, the suspected sources of the odors included SO2, hydrogen sulfide (H2S), methylmercaptan, aldehydes, and other substances found to be leaking from the factories. However, sulfur dioxide emitted from the combustion of high sulfur content oil has typically been attributed as the cause of the disease since the beginning. Despite common belief that SO2 was the main source of the asthma, by investigating sulfur dioxide and sulfur trioxide levels in Yokkaichi and analyzing compound toxicity levels, a study conducted in 1984 from Yokohama National University concluded that respiratory diseases were not a result of sulfur dioxide, but rather due to a titanium oxide manufacturing plant venting concentrated sulfuric acid mists downwind onto populated urban areas. The high concentration of Yokkaichi asthma patients in Isozu Village can be farther accounted for under this conclusion, as the source of sulfur trioxide emissions is 2 kilometers south of the most affected population. A 2001 study by several researchers in the Environmental Management journal confirmed by analyzing the effects of SO2 and SO3 on humans that SO3 was likely the real cause of the asthma. They farther propose that one of the reasons flue-gas desulfurization implementation did not lead to the disappearance of all cases was due to differences in SO2 and SO3 cleanup.


Legal action

In 1960, those living in Isozu complained to Yokkaichi officials about noise from the factories and sickness caused by the chemicals, but they were ignored. Children were advised by teachers in Mihana Primary School to avoid breathing as much as possible. When the fishing industries in Yokkaichi began to collapse in spring 1960, the government finally issued a 100 million yen settlement that was to be divided up and distributed by Yokkaichi fishing unions. This settlement did nothing about the source of pollution. In August 1960, The Yokkaichi City Environmental Pollution Control Measures Committee was organized by the city of Yokkaichi prompted by farther citizen complaints. The committee found that the Isozu district had six times the SO2 content in air of the rest of Yokkaichi and concluded that the asthma would likely cause an increase in mortality rate. They found that children suffered the most, and that about half of the children in Isozu district suffered from the disease. When the pollution did not stop, angry fishermen from Isozu upset with the government's lack of action attempted to plug an industrial drainpipe belonging to Mie electric company with sandbags. To prevent the fishermen from doing so, the company increased emissions and a fight broke out between those working for the company and the fishermen that had to be defused by local officials. This incident led to investigations in Yokkaichi by the national government. The national government sent out investigators with the issue of the Special Survey Council on Yokkaichi Area Air Pollution in 1963, and they concluded their report in March 1964. Meanwhile, the government offered more compensation to fishermen following findings in 1965. Through the survey council's investigation Yokkaichi became an official target area of the 1968 Soot and Smoke Regulation Law. However, SO2 air pollution did not decrease, most notable through the suicide of confection shop owner Outani Kazuhiko, who wrote a note blaming the bad air for his death. Through this law, taller smokestacks were built, but they simply spread the pollution over a wider area and did not help alleviate the health issues. In 1965, the local government offered more compensation to fishermen following Special Survey Council on Yokkaichi Area Air Pollution findings in what would become the world's first public-relief system for pollution victims. For the first year, this was financed by the local government, but was financed by the national government's treasury in its second year. Isozu district Yokkaichi Asthma sufferers filed a civil suit against companies with ties to Showa Yokkaichi Oil's Petrochemical Complex No. 1 in 1967 which would go on to become Japan's first court trial related to pollution. The trial ended in 1972 in favor of the plaintiffs, ruling that the company had committed negligence. After the trial, the local Yokkaichi government requested that the city be considered a target area for the 1968 Soot and Smoke Regulation Law. The 1968 Air Pollution Control Law led to the implementation of a flue-gas desulfurization processes for all emissions, which gradually led to health improvement in the local populace.


Other cases

Yokkaichi asthma has been identified in other rapidly industrializing areas in parts of the world, including
Mexico City Mexico City ( es, link=no, Ciudad de México, ; abbr.: CDMX; Nahuatl: ''Altepetl Mexico'') is the capital city, capital and primate city, largest city of Mexico, and the List of North American cities by population, most populous city in North Amer ...
,
Singapore Singapore (), officially the Republic of Singapore, is a sovereign island country and city-state in maritime Southeast Asia. It lies about one degree of latitude () north of the equator, off the southern tip of the Malay Peninsula, bor ...
, and cities in mainland China like
Guangzhou Guangzhou (, ; ; or ; ), also known as Canton () and alternatively romanized as Kwongchow or Kwangchow, is the capital and largest city of Guangdong province in southern China. Located on the Pearl River about north-northwest of Hong Kon ...
where air pollution caused by smog can lead to chronic asthma. Sulfur oxides have also been attributed to causing other Japanese city asthma outbreaks, such as in the Nishiyodogawa industrial district of
Osaka is a designated city in the Kansai region of Honshu in Japan. It is the capital of and most populous city in Osaka Prefecture, and the third most populous city in Japan, following Special wards of Tokyo and Yokohama. With a population of ...
, Japan.


References


External links


Yoshiro Hoshino, 1992, "Japan's Post-Second World War environmental problems" Ui ed. ''Industrial pollution in Japan''.

Atmospheric Pollution Due to Mobile Sources and Effects on Human Health in Japan

Yoshida et al., 2007, "Epidemiology and Environmental Pollution: A Lesson from Yokkaichi Asthma, Japan" in Willis ed. ''Progress in Environmental Research''.
{{Four Big Pollution Diseases of Japan Pollution in Japan 1960s in Japan 1970s in Japan Political scandals in Japan Health disasters in Japan 1960s health disasters 1970s health disasters Asthma Yokkaichi