Adaptation by Older Individuals Repeatedly Exposed to 0.45 Parts per Million Ozone for Two Hours

To test for an increased reaction to ozone (O₃) in older individuals following an initial exposure, and to test for adaptation and its duration, we exposed 10 men and 6 women (60-89 years old) in an environmental chamber to filtered air and 3 consecutive days of O₃ exposure (0.45 ppm), followed by a fourth O₃ exposure day after a two day hiatus. Subjects alternated 20-min exercise (minute ventilation = 27 L) and rest periods for 2 hours during each exposure. Subjects rated from one to five, 16 possible respiratory/exercise symptoms prior to and following the exposure. Pulmonary function tests were performed before, and during each rest period and following the exposure. Metabolic measurements were obtained during each exercise period. No significant changes in any symptom question occurred, in spite of a threefold increase in the total number of reported symptoms during O₃ exposure. Small but significant pre-to-post decrements on the first and second O₃ days in forced vital capacity (FVC—111 and 104 mL), forced expiratory volume in 1 (FEV₁—171 and 164 mL) and 3 seconds (FEV₃—185 and 172 mL) occurred without concomitant changes in any flow parameter of the forced expiratory maneuver. No differences in the group mean response in FVC, FEV₁, OR FEV₃ on the third or fourth day of O₃ exposure and the filtered air exposure were found. The observed changes were due to significant physiological changes in eight of the subjects. Unlike young subjects, no evidence of an increased pulmonary function response to a second consecutive O₃ exposure was observed. Changes in small airway response to O₃ (below 75 percent of FVC) without irritant receptor activation, would explain the observed pattern of response.     

Change in Pulmonary Function in Children Associated with Air Pollution Episodes

Pulmonary function of approximately 200 school children in Steubenville, OH was measured before and immediately following air pollution alerts in the fall of 1978 and 1979. TSP concentrations exceeded the National Primary Ambient Air Quality 24 h standards in 1978. SO₂ exceeded the standard in 1979. The children were then reexamined in three weekly visits following each alert. Estimated mean Forced Vital Capacity (FVC) was approximately 2% lower following each alert, although the lowest means were observed one to two weeks after the episodes. Forced Expired Volume in 0.75 sec (FEV_0.75) did not change during the 1978 study, but was 4% lower immediately following the 1979 alert. The children were measured again in five weekly examinations in the spring and fall of 1980. Air pollution levels did not exceed the standards on either occasion. In the spring of 1980, estimated mean FVC and FEV_0.75 showed a decline similar to that observed following the alerts in 1978 and 1979. In the fall of 1980, there were no significant differences in the estimated mean FVC or FEV_0.75 between the examinations. A total of 335 children were tested in the four studies, including 194 who participated in more than one study. The evidence for each child from all the studies was combined in a regression analysis of pulmonary function on TSP and SO₂ average concentrations in the previous 24 h. The distribution of the individual regression coefficients was centered significantly below zero, implying a decrease in pulmonary function with increasing TSP and SO₂ concentrations. The magnitude of the median change was less than 1% of the mean FVC and FEV_0.75 over the range of TSP and SO₂ concentrations observed.     

Pulmonary Function Changes Associated with an Air Pollution Episode in January 1987

In January 1987, an air pollution episode occurred In central and western Europe. Levels of SO₂, NO₂, black smoke, sulphates and other components were elevated, with 24 hour average concentrations of SO₂ reaching a maximum of close to 300 μg/m3 In an area In the southeast of the Netherlands. Pulmonary function was measured In a group of children of 6- 12 years old at the end of the episode, and also two and three and a half weeks after the episode. A baseline lung function value was obtained about three months before the episode. Pulmonary function growth between baseline and retest dates was estimated from a simple growth model which was validated using measured pulmonary function growth data from a longitudinal study. A decline of pulmonary function (FVC, FEV₁ and PEF) from predicted baseline levels was observed, starting on the last day of the episode. Two weeks after the episode, FVC, FEV₁ PEF and MMEF were all decreased, and three and a half weeks after the episode, there was still a deficit compared to predicted baseline levels for FVC and FEV₁     

Considering the effects of ambient particulate matter on the lung function of motorcycle taxi drivers in Bangkok,Thailand

The motorcycle taxi drivers of Bangkok have been heavily exposed to high concentrations of PM₁₀ (particulate matter with an aerodynamic diameter ≤10 μm), and the impact of this on their lungs has been neither documented nor studied. This study examines the association between exposure to PM₁₀ and lung function decline among motorcycle taxi drivers. A cross-sectional study was conducted in Bangkok between two groups: a subject group of motorcycle taxi drivers and control group of enclosed vehicle taxi drivers. The findings of the Thailand Pollution Control Department were used to estimate the annual ambient PM₁₀ concentration levels in the metropolis. Pulmonary functions of motorcycle taxi drivers and enclosed vehicle taxi drivers were measured and compared using the Mann-Whitney test. Multiple linear regression analysis was applied to estimate the effects of PM₁₀ exposure on the lung function of motorcycle taxi drivers. A total of 1283 motorcycle taxi drivers and 600 taxi drivers were investigated. The mean forced expiratory volume in 1 sec/forced vital capacity (FEV₁/FVC) of the motorcycle taxi drivers was significantly lower than that of the taxi drivers (P < 0.001). The mean FEV₁/FVC of motorcycle taxi drivers exposed to ≥50 µg/m³ PM₁₀ was statistically lower (?2.82%; 95% confidence interval [CI]: ?4.54% to ?1.09%) and the mean % vital capacity (%VC) of those exposed to 40–49.9 µg/m³ PM₁₀ was statistically lower than that of motorcycle taxi drivers exposed to <30 µg/m³ PM₁₀ (?3.33%; 95% CI: ?5.79% to ?0.87%). Motorcycle taxi drivers were directly exposed to air pollution in their working environment. As a result, their lung function might decrease more than that of enclosed vehicle taxi drivers. With the possible exposure to ≥50 µg/m³ PM₁₀, the vehicular emission standards should be vigorously enforced. Further investigation is warranted to clarify the effect of lung dysfunction on the work and lifestyle of motorcycle taxi drivers.

Implications: Motorcycle taxi drivers are directly exposed to air pollution in their work environment; therefore, their lung function might decrease more than that of enclosed vehicle taxi drivers, especially when exposed to ≥50 µg/m³ PM₁₀. World Health Organization (WHO) vehicular emission standards should be recognized and eventually enforced.     

The short-term effects of air pollution on adolescent lung function in Taiwan

A mass screening of lung function associated with air pollutants for children is limited. This study assessed the association between air pollutants exposure and the lung function of junior high school students in a mass screening program in Taipei city, Taiwan. Among 10,396 students with completed asthma screening questionnaires and anthropometric measures, 2919 students aged 12-16 received the spirometry test. Forced vital capacity (FVC) and forced expiratory flow in 1 s (FEV₁) in association with daily ambient concentrations of particulate matter with diameter of 10 μm or less (PM₁₀), sulfur dioxide (SO₂), carbon monoxide (CO), nitrogen dioxide (NO₂), and ozone (O₃) were assessed by regression models controlling for the age, gender, height, weight, student living districts, rainfall and temperature. FVC, had a significant negative association with short-term exposure to O₃ and PM₁₀ measured on the day of spirometry testing. FVC values also were reversely associated with means of SO₂, O₃, NO₂, PM₁₀ and CO exposed 1 d earlier. An increase of 1-ppm CO was associated with the reduction in FVC for 69.8 mL (95% CI: −115, −24.4 mL) or in FEV₁ for 73.7 mL (95% CI: −118, −29.7 mL). An increase in SO₂ for 1 ppb was associated with the reductions in FVC and FEV₁ for 12.9 mL (95% CI: −20.7, −5.09 mL) and 11.7 mL (95% CI: −19.3, −4.16 mL), respectively. In conclusion, the short-term exposure to O₃ and PM₁₀ was associated with reducing FVC and FEV₁. CO and SO₂ exposure had a strong 1-d lag effect on FVC and FEV₁.     

Airway Reactivity to Sulfate and Sulfuric Acid Aerosols in Normal and Asthmatic Subjects

Recent epidemiologic studies have emphasized a relationship between alteration in lung function, respiratory symptoms in asthmatics, and elevated levels of sulfate air pollutants. In asthmatics, it has been reported that 1) the more acidic sulfate aerosols, sulfuric acid (H₂SO₄) and ammonium bisulfate (NH₄HSO₄), provoked the greatest changes in lung function and 2) a definite exposure-response relationship exists for H₂SO₄ inhalation. To determine if sulfate aerosol exposure caused increased reactivity to a known bronchoconstrictor, normal and asthmatic subjects inhaled subthreshold doses of carbachol after the following sulfates: H₂SO₄, NH4HSO4, and sodium bisulfate. A NaCI aerosol served as a control. Exposure times averaged 16 minutes with sulfate concentrations ranging from 100 μ/m³ to 1000 jtg/m₃. In normal subjects, prior inhalation of either 1000 yug/m₃ H₂SO₄ or NH4HSO4 significantly potentiated (P < 0.05) the bronchoconstrictor action of carbachol on airway conductance compared to NaCI and carbachol or carbachol alone by t-tests. For the asthmatic group, prior inhalation of either 1000/tg/m₃ H₂SO₄ or NH₄HSO₄ (P < 0.05), or 450 μ/m³ H₂SO₄ (P < 0.05) similarly enhanced the carbachol bronchoconstrictor effect compared to NaCI and carbachol. At the low 100 μ/m³, no sulfates altered the effects of carbachol on pulmonary function. Although mean changes between the sulfate groups did not attain significance by an analysis of variance, it was found that the bronchoconstrictor action of carbachol was potentiated by the sulfate aerosols more or less in relation to their acidity.     

Health Significance of Pulmonary Function Responses to Airborne Irritants

Exposures to airborne irritants such as O₃, NO₂, SO₂ and H₂SO₄ can produce measurable changes in a variety of pulmonary functions such as respiratory mechanics, pulmonary gas exchange, mucociliary particle clearance, and airway permeability. The most commonly measured indices of pulmonary function are those obtained by analyzing flows and volumes during a maximal forced expiratory maneuver, because they can be obtained readily in both laboratory and field studies in humans. Other functional measures are essentially limited to laboratory studies on relatively small populations of humans, or on experimental animals. Interpretation of respiratory function changes in relation to exposures to airborne irritants is complicated by the large interindividual variability in baseline function and responsiveness, the superposition of both the transient effects of recent acute exposure and the cumulative effects of chronic exposure at any given measurement, and the inherent day-to-day variability of effort dependent indices. Furthermore, community exposures occur as mixtures. Each of several components may affect the same functions, but with different time scales, and may affect different segments of the population to different degrees. The greatest uncertainties lie in the significance of transient and apparently reversible effects, and their contribution, if any, to permanent functional changes. Use of animal models to study the role of transient changes in function on the development of permanent changes is illustrated in terms of the effects of H₂SO₄ on particle clearance function.     

Estimates of community exposure and health risk to sulfur dioxide from power plant emissions using short-term mobile and stationary ambient air monitoring

To estimate plausible health effects associated with peak sulfur dioxide (SO₂) levels from three coal-fired power plants in the Baltimore, Maryland, area, air monitoring was conducted between June and September 2013. Historically, the summer months are periods when emissions are highest. Monitoring included a 5-day mobile and a subsequent 61-day stationary monitoring study. In the stationary monitoring study, equipment was set up at four sites where models predicted and mobile monitoring data measured the highest average concentrations of SO₂. Continuous monitors recorded ambient concentrations each minute. The 1-min data were used to calculate 5-min and 1-hr moving averages for comparison with concentrations from clinical studies that elicited lung function decrement and respiratory symptoms among asthmatics. Maximum daily 5-min moving average concentrations from the mobile monitoring study ranged from 70 to 84 ppb (183–220 µg/m³), and maximum daily 1-hr moving average concentrations from the mobile monitoring study ranged from 15 to 24 ppb (39–63 µg/m³). Maximum 5-min moving average concentrations from stationary monitoring ranged from 39 to 229 ppb (102–600 µg/m³), and maximum daily 1-hr average concentrations ranged from 15 to 134 ppb (40–351 µg/m³). Estimated exposure concentrations measured in the vicinity of monitors were below the lowest levels that have demonstrated respiratory symptoms in human clinical studies for healthy exercising asthmatics. Based on 5-min and 1-hr monitoring, the exposure levels of SO₂ in the vicinity of the C.P. Crane, Brandon Shores, and H.A. Wagner power plants were not likely to elicit respiratory symptoms in healthy asthmatics.

Implications: Mobile and stationary air monitoring for SO₂ were conducted to quantify short-term exposure risk, to the surrounding community, from peak emissions of three coal-fired power plants in the Baltimore area. Concentrations were typically low, with only a few 5-min averages higher than levels indicated during clinical trials to induce changes in lung capacity for healthy asthmatics engaged in exercise outdoors.     

Health Effects of Waste Incineration: A Review of Epidemiologic Studies

ABSTRACT

There is an increasing trend toward using incineration to solve the problem of waste management; thus, there are concerns about the potential health impact of waste incineration. A critical review of epidemiologic studies will enhance understanding of the potential health effects of waste incineration and will provide important information regarding what needs to be investigated further. This study reviews the epidemiologic research on the potential health impact of waste incineration. Previous studies are discussed and presented according to their study population, incinerator workers or community residents, and health end points. Several studies showed significant associations between waste incineration and lower male-to-female ratio, twinning, lung cancer, laryngeal cancer, ischemic heart disease, urinary mutagens and pro-mutagens, or blood levels of certain organic compounds and heavy metals. Other studies found no significant effects on respiratory symptoms, pulmonary function,twinning, cleft lip and palate, lung cancer, laryngeal cancer,or esophageal cancer. In conclusion, these epidemiologic studies consistently observed higher body levels of some organic chemicals and heavy metals, and no effects on respiratory symptoms or pulmonary function. The findings for cancer and reproductive outcomes were inconsistent. More hypothesis-testing epidemiologic studies are needed to investigate the potential health effects of waste incineration on incinerator workers and community residents.     

Air pollution and hospital visits for acute upper and lower respiratory infections among children in Ningbo,China: A time-series analysis

Acute upper and lower respiratory infections are main causes of mortality and morbidity in children. Air pollution has been recognized as an important contributor to development and exacerbation of respiratory infections. However, few studies are available in China. In this study, we investigated the short-term effect of air pollution on hospital visits for acute upper and lower respiratory infections among children under 15 years in Ningbo, China. Poisson generalized models were used to estimate the associations between air pollution and hospital visits for acute upper and lower respiratory infections adjusted for temporal, seasonal, and meteorological effects. We found that four pollutants (PM_2.5, PM₁₀, NO₂, and SO₂) were significantly associated with hospital visits for acute upper and lower respiratory infections. The effect estimates for acute upper respiratory infections tended to be higher (PM_2.5 ER = 3.46, 95% CI 2.18, 4.76; PM₁₀ ER = 2.81, 95% CI 1.93, 3.69; NO₂ ER = 11.27, 95% CI 8.70, 13.89; SO₂ ER = 15.17, 95% CI 11.29, 19.19). Significant associations for gaseous pollutants (NO₂ and SO₂) were observed after adjustment for particular matter. Stronger associations were observed among older children and in the cold period. Our study suggested that short-term exposure to outdoor air pollution was associated with hospital visits for acute upper and lower respiratory infections in Ningbo.     

Toxicity of Chemical Components of Fine Particles Inhaled by Aged Rats: Effects of Concentration

Abstract

This study tested the hypothesis that exposure to mixtures containing fine particles and ozone (O₃) would cause pulmonary injury and decrements in functions of immunological cells in exposed rats (22–24 months old) in a dose-dependent manner. Rats were exposed to high and low concentrations of ammonium bisulfate and elemental carbon and to 0.2 ppm O₃. Control groups were exposed to purified air or O₃ alone. The biological end points measured included histopathological markers of lung injury, bronchoalveolar lung fluid proteins, and measures of the function of the lung’s innate immuno-logical defenses (macrophage antigen-directed phagocytosis and respiratory burst activity). Exposure to O₃ alone at 0.2 ppm did not result in significant changes in any of the measured end points. Exposures to the particle mixtures plus O₃ produced statistically significant changes consistent with adverse effects. The low-concentration mixture produced effects that were statistically significant compared to purified air but, with the exception of macrophage Fc receptor binding, exposure to the high-concentration mixture did not. The effects of the low- and high-concentration mixtures were not significantly different. The study supports previous work that indicated that particle + O₃ mixtures were more toxic than O₃ alone.     

Toxicologic Appraisal of Particulate Matter,Oxides of Sulfur,and Sulfuric Acid

An examination of the available toxicological literature indicates that sulfur dioxide itself would be properly classified as a mild respiratory irritant, the main portion of which is absorbed in the upper respiratory tract. The reported industrial experience of symptoms of mild chronic respiratory irritation from exposures at or above 5 ppm is compatible with what would have been predicted on the basis of available toxicological data. The basic physiological response to inhalation of pure SO₂ appears to be a mild degree of bronchoconstriction reflected in a measurable increase in flow resistance. Although the response is highly variable, most individuals tested have responded to 5 ppm and levels of 5 to 10 ppm have upon occasion produced severe bronchospasm in sensitive individuals. This serves to point up the fact that experience with the industrial Threshold Limit Value (5 ppm) is not applicable as a guide for the general population. Although the majority of individuals tested have shown no detectable response to levels of 1 ppm, there are again sensitive individuals who have responded. It is not known whether these individuals would have responded to concentrations lower than this. The response of these more sensitive individuals to 1 ppm would be classified as detectable response, not as severe bronchospasm. An examination of the available toxicological literature also indicates that sulfuric acid and irritant sulfates, to the extent that the latter have been examined, are more potent irritants than sulfur dioxide. This has been demonstrated in studies using morality and lung pathology as criteria as well as in studies using alterations in pulmonary function in experimental animals and human subjects. The irritant potency of these substances is affected by particle size and by relative humidity, which factors are probably interrelated. It is unfortunate that these substances have not been as yet studied in as great detail as has the less irritant sulfur dioxide. There is evidence which cannot be ignored, even though it is based entirely on animal experiments of one investigator, indicating that the presence of particulate material capable of oxidizing sulfur dioxide to sulfuric acid caused a three to fourfold potentiation of the irritant response. The aerosols causing this potentiation were soluble salts of ferrous iron, manganese and vanadium all of which would become droplets upon inhalation. Insoluble aerosols such as carbon, iron oxide fume, triphenylphosphate or fly ash did not cause a potentiation of the irritant action of SO₂ even when used at higher concentrations. The concentrations of SO₂ used in these various experiments were in some cases as low as 0.16 ppm. The catalytic aerosols were used at concentrations of 0.7 to 1 mg/m³ which is above any reported levels of these metals in urban air. If the SO₂ present as an air pollutant remained unaltered until removed by dilution, there would be no evidence in the toxicological literature suggesting that it would be likely to have any effects on man at prevailing levels. Studies of atmospheric chemistry have shown that SO₂ does not remain unaltered in the atmosphere, especially under onditions of high humidity and in the presence of particulate material, but is converted to H₂SO₄. Such a conversion increases its irritant potency. On this basis the toxicological literature combined with the literature of atmospheric chemistry suggest that sulfur dioxide levels be controlled in terms of the potential formation of irritant particles. This means that control measures as far as feasible should be aimed at both SO₂ and particulate material and not against either alone.     

Long-term associations of morbidity with air pollution: A catalog and synthesis

I searched the National Institutes of Health MEDLINE database through January 2017 for long-term studies of morbidity and air pollution and cataloged them with respect to cardiovascular, respiratory, cancer, diabetes, hospitalization, neurological, and pregnancy-birth endpoints. The catalog is presented as an online appendix. Associations with PM_2.5 (particulate matter with an aerodynamic diameter <2.5 μm), PM₁₀ (PM with an aerodynamic diameter <10 μm), and nitrogen dioxide (NO₂) were evaluated most frequently among the 417 ambient air quality studies identified. Associations with total suspended particles (TSP), carbon, ozone, sulfur, vehicular traffic, radon, and indoor air quality were also reported. I evaluated each study in terms of pollutant significance (yes, no), duration of exposure, and publication date. I found statistically significant pollutant relationships (P < 0.05) in 224 studies; 220 studies indicated adverse effects. Among 795 individual pollutant effect estimates, 396 are statistically significant. Pollutant associations with cardiovascular indicators, lung function, respiratory symptoms, and low birth weight are more likely to be significant than with disease incidence, heart attacks, diabetes, or neurological endpoints. Elemental carbon (EC), traffic, and PM_2.5 are most likely to be significant for cardiovascular outcomes; TSP, EC, and ozone (O₃) for respiratory outcomes; NO₂ for neurological outcomes; and PM₁₀ for birth/pregnancy outcomes. Durations of exposure range from 60 days to 35 yr, but I found no consistent relationships with the likelihood of statistical significance. Respiratory studies began ca. 1975; studies of diabetes, cardiovascular, and neurological effects increased after about 2005. I found 72 studies of occupational air pollution exposures; 40 reported statistically significant adverse health effects, especially for respiratory conditions. I conclude that the aggregate of these studies supports the existence of nonlethal physiological effects of various pollutants, more so for non–life-threatening endpoints and for noncriteria pollutants (TSP, EC, PM_2.5 metals). However, most studies were cross-sectional analyses over limited time spans with no consideration of lag or disease latency. Further longitudinal studies are thus needed to investigate the progress of disease incidence in association with air pollution exposure.

Implications: Relationships of air pollution with excess mortality are better known than with long-term antecedent morbidity. I cataloged 489 studies of cardiovascular, respiratory, cancer, and neurological effects, diabetes, and birth outcomes with respect to 12 air pollutants. About half of the studies reported statistically significant relationships, more frequently with noncriteria than with criteria pollutants. Indoor and cumulative exposures, coarse or ultrafine particles, and organic carbon were seldom considered. Significant relationships were more likely with less-severe endpoints such as blood pressure, lung function, or respiratory symptoms than with incidence of cancer, chronic obstructive pulmonary disease (COPD), heart failure, or diabetes. Most long-term studies are based on spatial relationships; longitudinal studies are needed to link the progression of pollution-related morbidity to mortality, especially for the cardiovascular system.     

Indoor Nitrogen Dioxide Exposure and Children’s Pulmonary Function

Elevated concentrations of nitrogen dioxide (NO₂) are produced in the home by the use of unvented gas appliances. In studies on potential health effects of Indoor exposure to NO₂, exposure has mostly been estimated from the presence or absence of sources like gas cookers in the home. This leads to misclassification of exposure, as NO₂ concentrations in the home depend also on source use, ventilation habits, time budgets, etc. The availability of cheap, passive monitoring devices has made it possible to measure Indoor concentrations of NO₂ directly in health effects studies, albeit with averaging times of one to several days. So far, it has not been evaluated whether this increases the sensitivity of a study to detect health effects of NO₂. In this paper, a comparison is made between NO₂ sources and weekly average indoor NO₂ measurements, as predictors of pulmonary function in a study among children aged 6–12 years.

The relationship between exposure and lung functions was found to be generally non-significant in this study. The results further suggested that in this study, measuring Indoor NO₂ concentrations with passive monitors offered no advantage over the simple use of source presence as exposure variable.     

The Impact of Particulate Matter on Daily Mortality in Bangkok,Thailand

ABSTRACT

Several studies conducted in U.S. cities report an association between acute exposures to particulate matter (PM), usually measured as PM_10, and mortality. Evidence of high concentrations of PM₁₀ in Eastern Europe and in large metropolitan areas outside of the United States, such as Mexico City and Bangkok, underscores the need to determine whether these same associations occur outside of the United States. In addition, conducting studies of mortality and air pollution in regions that have distinctly different seasonal patterns than those of the United States provides an effective opportunity to assess the potentially confounding aspects of seasonality. Over the last few years, daily measures of ambient PM₁₀ have been collected in Bangkok, a tropical city of over 6 million people. In this metropolitan area, PM₁₀ consists largely of fine particles generated from diesel- and gasoline-powered automobiles, and from two-stroke motorcycle engines. Our analysis involved the examination of the relationship between PM₁₀ and daily mortality for 1992 through 1995. In addition to counts of daily natural mortality (total mortality net of accidents, homicides, and suicides), the data were compiled to assess both cardiovascular and respiratory mortality, and natural mortality by age group. A multivariate Poisson regression model was used to explain daily mortality while controlling for several covariates including temperature, humidity, day of the week, season, and time. The analysis indicated a statistically significant association between PM10 and all of the alternative measures of mortality. The results suggest a 10-µg/m³ change in daily PM₁₀ is associated with a 1–2% increase in natural mortality, a 1–2% increase in cardiovascular mortality, and a 3–6% increase in respiratory mortality. These relative risks are generally consistent with or greater than those reported in most studies undertaken in the United States.     

Formaldehyde Dose-Response in Healthy Nonsmokers

Industrial, commercial, and domestic levels of formaldehyde exposure range from <0.1 to >5.0 ppm. Irritation of the eyes and upper respiratory tract predominate, and bronchoconstriction is described in case reports. However, pulmonary function and irritant symptoms together have not been assessed over a range of HCHO concentrations in a controlled environment. We investigated dose response in both symptoms and pulmonary function associated with 3-h exposures to 0.0-3.0 ppm HCHO in a controlled environmental chamber. Ten subjects were randomly exposed to 0.0, 0.5, 1.0, and 2.0 ppm HCHO at rest plus 2.0 ppm HCHO with exercise and nine additional subjects were randomly exposed to 0.0,1.0,2.0, and 3.0 ppm HCHO at rest plus 2.0 ppm HCHO with exercise. Significant dose-response relationships in odor and eye irritation were observed (p < 0.05). Nasal flow resistance was increased at 3.0 ppm (p < 0.01), but not at 2.0 ppm HCHO. There were no significant decrements in pulmonary function (FVC, FEV₁, FEF_25-75%, SGaw) or increases in bronchial reactivity to methacholine (log PD_35SGaw) with exposure to 0.5-3.0 ppm HCHO at rest or to 2.0 ppm HCHO with exercise.     

Short-Term Nitrogen Dioxide Exposure and Acute Respiratory Disease in Children

A CHESS data base from Chattanooga, Tennessee was thoroughly scrutinized and found to be of high enough quality to warrant epidemiological analysis. Using this data base, the relationship between NO₂ ambient pollution levels and acute respiratory disease in children was examined. Although a statistically significant relationship was found, it was not monotonic. Indeed, over the range of pollution values experiences, more illness is associated with low pollution values than with high ones. A U-shaped relationship between illness and NO₂ concentrations was found in several subpopulations in addition to the entire data set, although for some subpopulations no relationship was found. In contrast, higher ambient sulfate levels were found to have a positive effect on acute respiratory disease incidence in children over the entire period and for different subsamples, although this effect was not significant for either season analyzed separately.     

A Statistical Model for FEV1 Response to Arbitrary Dynamic Ozone Exposure Conditions

ABSTRACT

Lung function response to inhaled ozone at ambient air pollution levels is known to be a function of ozone concentration, exposure duration, and minute ventilation. Most data-driven exposure-response models address exposures under static condition (i.e., with a constant ozone concentration and exercise pattern). Such models are simplifications, as both ambient ozone concentrations and normal human activity patterns change with time. The purpose of this study was to develop a dynamic model of response with the advantages of a statistical model (a relatively simple structure with few parameters). A previously proposed mechanistic model for changes in specific airways resistance was adapted to describe the percent change in forced expiratory volume in one second (FEV₁). This model was then reduced using the fit to three existing exposure-response data sets as criterion. The resulting model consists of a single linear differential equation together with an algebraic logistic equation. Under restricted static conditions the model reduces to a logistic model presented earlier by the authors.     

Empirical Validation of Turbine Engine Exhaust Measurements

The reliability and validity of gas turbine engine exhaust measurements are of concern to all who measure these effluents. In the past, one measure of reliability has been a carbon balance between the fuel used and the C, CO, hydrocarbons, and CO₂ emitted which requires that a F/A ratio be known accurately and that the analyzed sample be representative. In addition to this carbon balance, we have considered the relationships between the concentrations of the several component species. For example, the plot of volume percent of CO₂ versus the volume percent of O₂, both properly corrected to complete combustion, is a straight line. The intercept on the Y-axis (zero oxygen) is a function of the H to C mole ratio in the fuel. This relation has been theoretically established and also established by empirical calculations. For all valid measurements, all points corresponding to CO₂ and O₂ analyses fall on the straight line. In addition, smooth functional relationships exist between other exhaust gas constituents as well, although the form is not a simply derivable linear relationship like that for O₂-CO₂. We have found it useful to employ the following correlations: CO₂ vs. log NO_x, log CO vs. log THC, log CO vs. CO₂, and log THC vs. CO₂- These relationships serve to indicate the probability of reliable data and point out sampling problems and instrument problems such as drift. Subtle changes in engine operation such as opening of the accessory bleed ports in the compressor discharge of the engine can be detected.

The use of a combination of these curves can serve to indicate which measurement is in error. If the O₂-CO₂ relation is linear and the CO-CO₂ relation is smooth, then problems with the total hydrocarbon analyses are indicated when the CO-THC relation is erratic. This would be confirmed by a similar CO₂-THC plot. No useful smooth relationship between smoke density measurements and the other constituents has been found to date. This may indicate poor data, lack of sufficient data, or possibly no correlation.     

Identification of water quality management policy of watershed system with multiple uncertain interactions using a multi-level-factorial risk-inference-based possibilistic-probabilistic programming approach

In this study, a multi-level-factorial risk-inference-based possibilistic-probabilistic programming (MRPP) method is proposed for supporting water quality management under multiple uncertainties. The MRPP method can handle uncertainties expressed as fuzzy-random-boundary intervals, probability distributions, and interval numbers, and analyze the effects of uncertainties as well as their interactions on modeling outputs. It is applied to plan water quality management in the Xiangxihe watershed. Results reveal that a lower probability of satisfying the objective function (θ) as well as a higher probability of violating environmental constraints (q _i ) would correspond to a higher system benefit with an increased risk of violating system feasibility. Chemical plants are the major contributors to biological oxygen demand (BOD) and total phosphorus (TP) discharges; total nitrogen (TN) would be mainly discharged by crop farming. It is also discovered that optimistic decision makers should pay more attention to the interactions between chemical plant and water supply, while decision makers who possess a risk-averse attitude would focus on the interactive effect of q _i and benefit of water supply. The findings can help enhance the model’s applicability and identify a suitable water quality management policy for environmental sustainability according to the practical situations.