Can Radon Cause Asthma? What the Science Says

Radon is a naturally occurring radioactive gas that is colorless, odorless, and tasteless, making it impossible to detect without specialized equipment. It is a product of the natural decay of uranium found in nearly all soil and rock formations across the globe. This invisible substance can accumulate inside buildings and has been identified as a significant public health concern. While its connection to lung cancer is well-established, there is a common public query about whether exposure to this gas can also cause or worsen asthma. This article explores the scientific evidence addressing the question of radon’s impact on respiratory conditions like asthma.

Understanding Radon Sources and Home Exposure

Radon originates from the radioactive breakdown of uranium, which is present in trace amounts within the earth’s crust. As the uranium decays, it produces radium, which in turn decays into radon gas. This gas naturally moves up through the soil and rock, escaping into the atmosphere where it quickly dilutes to harmless concentrations.

The problem arises when the gas encounters a structure, like a home or building, where it becomes trapped and can accumulate to high levels. Radon enters a house through various openings in the foundation, including cracks in concrete slabs, construction joints, and gaps around utility pipes and wires. It can also enter through sump pump openings and floor drains.

A phenomenon known as the “stack effect” often exacerbates this accumulation; warmer air rising and escaping through the upper levels of a home creates a negative pressure differential at the base. This low pressure essentially draws radon gas from the soil and into the building. While radon in well water can also release the gas into indoor air during household activities, the primary source of high indoor concentrations remains the soil beneath the structure.

The Scientific Consensus on Radon and Asthma Risk

The scientific literature does not currently establish radon as a direct cause of new-onset asthma in children or adults. Unlike known triggers such as pollen, mold, or particulate matter, radon is not classified as a direct respiratory irritant that initiates the disease process.

However, research suggests a more nuanced role for radon as an exacerbating factor for individuals who already have the condition. Studies focusing on children with pre-existing asthma have shown an association between elevated residential radon levels and increased asthma morbidity. This suggests that while radon may not cause the initial disease, it could worsen its severity.

Exposure to higher radon concentrations has been linked to an increase in asthma symptom days, where flare-ups become more frequent. Furthermore, researchers have noted that children exposed to high radon levels showed greater changes in fractional exhaled nitric oxide (FeNO), a recognized biomarker for airway inflammation. This indicates that the radioactive particles from radon may contribute to a heightened inflammatory state within the airways of asthmatic individuals. The current scientific consensus points toward radon acting as a contributing environmental stressor that compromises the respiratory health of those already sensitive to air quality changes.

Alpha Particle Damage and Confirmed Respiratory Threat

While the link between radon and asthma remains complex, the confirmed primary health risk associated with radon exposure is lung cancer. Radon gas decays into a series of short-lived radioactive particles, known as progeny, such as Polonium-218 and Polonium-214. These decay products can attach to airborne dust and other particles, which are then inhaled and deposited deep within the lungs.

Once lodged in the respiratory tract, these radioactive particles emit alpha radiation. Alpha particles are heavy and highly energetic, creating dense ionization tracks as they move through tissue. This concentrated energy transfer causes substantial damage to the DNA of the cells lining the airways, which can lead to genetic mutations and uncontrolled cell growth.

Radon exposure is recognized globally as the second leading cause of lung cancer overall, following cigarette smoking. For individuals who have never smoked, radon is considered the leading cause of lung cancer. This significant risk underscores why public health agencies prioritize radon testing and reduction, regardless of the separate, less definitive findings regarding asthma.

Actionable Steps for Testing and Mitigation

Because radon is invisible and odorless, the only reliable way to determine indoor concentration is by testing the air. Homeowners can use two main types of tests: short-term kits, which provide results within a few days, and long-term kits, which collect data over 90 days or more. Long-term testing is preferred because it provides a more accurate annual average by accounting for seasonal fluctuations.

If testing reveals elevated radon levels, mitigation is necessary to reduce the health risk. The most common and effective method is Active Soil Depressurization (ASD). This system involves installing a vent pipe and a continuously operating fan, which draws radon gas from beneath the foundation slab and exhausts it safely outside the home above the roofline.

Sealing large cracks and other entry points in the foundation is also important, as it helps the ASD system operate more efficiently. Action is typically recommended when levels reach or exceed 4.0 picocuries per liter (pCi/L). Retesting the home after a mitigation system is installed confirms that the reduction efforts have been successful in lowering the indoor concentration.