Kosa is an environmental factor which induces cough in patient with chronic cough. A dose-response association was observed between kosa and daily cough occurrence. The association was stronger among the patients without asthma. Kosa effect on cough was independent of spherical particles or PM 2.5 . The potential time lag effect of kosa was observed for up to three days. a b s t r a c t Asian dust, known as kosa in Japanese, is a major public health concern. In this panel study, we evaluated the effects of exposure to kosa on daily cough occurrence. The study subjects were 86 patients being treated for asthma, cough variant asthma, or atopic cough in Kanazawa University Hospital from January 2011 to June 2011. Daily mean concentrations of kosa and spherical particles were obtained from light detection and ranging (LIDAR) measurements, and were categorized from Grade 1 (0 mg/m 3 ) to 5 (over 100 mg/m 3 ). The association between kosa and cough was analyzed by logistic regression with a generalized estimating equation. Kosa effects on cough were seen for all Grades with potential time lag effect. Particularly at Lag 0 (the day of exposure), a dose-response relationship was observed: the odds ratios for Grades 2, 3, 4, and 5 above the referent (Grade 1) were 1.111 (95% confidence interval (CI): 0.995-1.239), 1.171 (95% CI: 1.006-1.363), 1.357 (95% CI: 1.029-1.788), and 1.414 (95% CI: 0.983-2.036), respectively. Among the patients without asthma, the association was higher: the odds ratios for Grades 2, 3, 4 and 5 were 1.223 (95% CI: 0.999-1.497), 1.309 (95% CI: 0.987-1.737), 1.738 (95% CI: 1.029-2.935) and 2.403 (95% CI: 1.158-4.985), respectively. These associations remained after adjusting for the concentration of spherical particles or particulate matter with an aerodynamic diameter of less than 2.5 mm DOI of original article: http://dx.Abbreviations: TSP, Total suspended particulate; PM, Particulate matter; PM 2.5 , particulate matter with an aerodynamic diameter of less than 2.5 mm; LIDAR, Light detection and ranging. * A publishers' error resulted in this article appearing in the wrong issue. The article is reprinted here for the reader's convenience and for the continuity of the special issue. For citation purposes, please use the original publication details; Atmospheric Environment, 92, pp. 506e513.Atmospheric Environment 97 (2014) 544e551 (PM 2.5 ). Our findings demonstrate that kosa is an environmental factor which induces cough in a doseresponse relationship.