Daily mortality in the Philadelphia metropolitan area and size-classified particulate matter

Time-series of daily mortality data from May 1992 to September 1995 for various portions of the seven-county Philadelphia, PA, metropolitan area were analyzed in relation to weather and a variety of ambient air quality parameters. The air quality data included measurements of size-classified PM, SO4(2-), and H+ that had been collected by the Harvard School of Public Health, as well as routine air pollution monitoring data. Because the various pollutants of interest were measured at different locations within the metropolitan area, it was necessary to test for spatial sensitivity by comparing results for different combinations of locations. Estimates are presented for single pollutants and for multiple-pollutant models, including gaseous pollutants and mutually exclusive components of PM (PM2.5 and coarse particles, SO4(2-) and non-SO4(2-) portions of total suspended particulate [TSP] and PM10), measured on the day of death and the previous day. We concluded that associations between air quality and mortality were not limited to data collected in the same part of the metropolitan area; that is, mortality for one part may be associated with air quality data from another, not necessarily neighboring, part. Significant associations were found for a wide variety of gaseous and particulate pollutants, especially for peak O3. Using joint regressions on peak O3 with various other pollutants, we found that the combined responses were insensitive to the specific other pollutant selected. We saw no systematic differences according to particle size or chemistry. In general, the associations between daily mortality and air pollution depended on the pollutant or the PM metric, the type of collection filter used, and the location of sampling. Although peak O3 seemed to exhibit the most consistent mortality responses, this finding should be confirmed by analyzing separate seasons and other time periods.     

Daily Mortality and Air Pollution in the Netherlands

ABSTRACT

We studied the association of daily mortality with short-term variations in the ambient concentrations of major gaseous pollutants and PM in the Netherlands. The magnitude of the association in the four major urban areas was compared with that in the remainder of the country. Daily cause-specific mortality counts, air quality, temperature, relative humidity, and influenza data were obtained from 1986 to 1994. The relationship between daily mortality and air pollution was modeled using Poisson regression analysis. We adjusted for potential confounding due to long-term and seasonal trends, influenza epidemics, ambient temperature and relative humidity, day of the week, and holidays, using generalized additive models.

Influenza episodes were associated with increased mortality up to 3 weeks later. Daily mortality was significantly associated with the concentration of all air pollutants. An increase in the PM₁₀ concentration by 100 u.g/m³ was associated with a relative risk (RR) of 1.02 for total mortality. The largest RRs were found for pneumonia deaths. Ozone had the most consistent, independent association with mortality. Particulate air pollution (e.g., PM₁₀, black smoke [BS]) was not more consistently associated with mortality than were the gaseous pollutants SO₂ and NO₂. Aerosol SO₄ ^-2, NO₃ ^-, and BS were more consistently associated with total mortality than was PM₁₀. The RRs for all pollutants were substantially larger in the summer months than in the winter months. The RR of total mortality for PM₁₀ was 1.10 for the summer and 1.03 for the winter. There was no consistent difference between RRs in the four major urban areas and the more rural areas.     

Recent spatial gradients and time trends in Dhaka,Bangladesh, air pollution and their human health implications

Dhaka, the capital of Bangladesh, is among the most polluted cities in the world. This research evaluates seasonal patterns, day-of-week patterns, spatial gradients, and trends in PM_2.5 (<2.5 µm in aerodynamic diameter), PM₁₀ (<10 µm in aerodynamic diameter), and gaseous pollutants concentrations (SO₂, NO₂, CO, and O₃) monitored in Dhaka from 2013 to 2017. It expands on past work by considering multiple monitoring sites and air pollutants. Except for ozone, the average concentrations of these pollutants showed strong seasonal variation, with maximum during winter and minimum during monsoon, with the pollution concentration of PM_2.5 and PM₁₀ being roughly five- to sixfold higher during winter versus monsoon. Our comparisons of the pollutant concentrations with Bangladesh NAAQS and U.S. NAAQS limits analysis indicate particulate matter (PM_2.5 and PM₁₀) as the air pollutants of greatest concern, as they frequently exceeded the Bangladesh NAAQS and U.S. NAAQS, especially during nonmonsoon time. In contrast, gaseous pollutants reported far fewer exceedances throughout the study period. During the study period, the highest number of exceedances of NAAQS limits in Dhaka City (Darus-Salam site) were found for PM_2.5 (72% of total study days), followed by PM₁₀ (40% of total study days), O₃ (1.7% of total study days), SO₂ (0.38% of total study days), and CO (0.25% of total study days). The trend analyses results showed statistically significant positive slopes over time for SO₂ (5.6 ppb yr^?1, 95% confidence interval [CI]: 0.7, 10.5) and CO (0.32 ppm yr^?1, 95% CI: 0.01, 0.56), which suggest increase in brick kilns operation and high-sulfur diesel use. Though statistically nonsignificant annual decreasing slopes for PM_2.5 (?4.6 µg/m³ yr^?1, 95% CI: ?12.7, 3.6) and PM₁₀ (?2.7 µg/m³ yr^?1, 95% CI: ?7.9, 2.5) were observed during this study period, the PM_2.5 concentration is still too high (~ 82.0 µg/m³) and can cause severe impact on human health.

Implications: This study revealed key insights into air quality challenges across Dhaka, Bangladesh, indicating particulate matter (PM) as Dhaka’s most serious air pollutant threat to human health. The results of these analyses indicate that there is a need for immediate further investigations, and action based on those investigations, including the conduct local epidemiological PM exposure-human health effects studies for this city, in order to determine the most public health effective interventions.     

Controls on hourly variations in urban background air pollutant concentrations

Average 21st century concentrations of urban air pollutants linked to cardiorespiratory disease are not declining, and commonly exceed legal limits. Even below such limits, health effects are being observed and may be related to transient daytime peaks in pollutant concentrations. With this in mind, we analyse >52,000 hourly urban background readings of PM₁₀ and pollutant gases throughout 2007 at a European town with legal annual average concentrations of common pollutants, but with a documented air pollution-related cardiorespiratory health problem, and demonstrate the hourly variations in PM₁₀, SO₂, NO_x, CO and O₃. Back-trajectory analysis was applied to track the arrival of exotic PM₁₀ intrusions, the main controls on air pollutants were identified, and the typical hourly pattern on ambient concentrations during 2007 was profiled. Emphasis was placed on “worst case” data (>90th percentile), when health effects are likely to be greatest. The data show marked daytime variations in pollutants result from rush-hour traffic-related pollution spikes, midday industrial SO₂ maxima, and afternoon O₃ peaks. African dust intrusions enhance PM₁₀ levels at whatever hour, whereas European PM incursions produce pronounced evening peaks due to their transport direction (across an industrial traffic corridor). Transient peak profiling moves us closer to the reality of personal outdoor exposure to inhalable pollutants in a given urban area. We argue that such an approach to monitoring data potentially offers more to air pollution health effect studies than using only 24 h or annual averages.     

Particulate matter,nitrogen oxides,ozone, and select volatile organic compounds during a winter sampling period in Logan,Utah, USA

Particulate matter mass (PM), trace gaseous pollutants, and select volatile organic compounds (VOCs) with meteorological variables were measured in Logan, Utah (Cache Valley), for >4 weeks during winter 2017 as part of the Utah Winter Fine Particle Study (UWFPS). Higher PM levels for short time periods and lower ozone (O₃) levels were present due to meteorological and mountain valley conditions. Nitrogenous pollutants were relatively strongly correlated with PM variables. Diurnal cycles of NO_x, O₃, and fine PM(PM 2.5) (aerodynamic diameter <2.5 μm [PM_2.5]) suggested formation from NO_x. O₃ levels increased from early morning into midafternoon, and NO_x and PM_2.5 increased throughout the morning, followed by sharp decreases. Toluene/benzene and xylenes/benzene ratios and VOC correlations with nitrogenous and PM species were indicative of local traffic sources. Wind sector comparisons suggested that pollutant levels were lower when winds were from nearby mountains to the east versus winds from northerly or southerly origins.

Implications: The Cache Valley in Idaho and Utah has been designated a PM_2.5 nonattainment area that has been attributed to air pollution buildup during winter stagnation events. To inform state implementation plans for PM_2.5 in Cache Valley and other PM_2.5 nonattainment areas in Utah, a state and multiagency federal research effort known as the UWFPS was conducted in winter 2017. As part of the UWFPS, the U.S. Environmental Protection Agency (EPA) measured ground-based PM species and their precursors, VOCs, and meteorology in Logan, Utah. Results reported here from the EPA study in Logan provide additional understanding of wintertime air pollution conditions and possible sources of PM and gaseous pollutants as well as being useful for future PM control strategies in this area.     

Evaluation of Human Exposure to Ambient PM10 in the Metropolitan Area of Mexico City Using a GIS-Based Methodology

ABSTRACT

The main goal of this study was to evaluate the magnitude of outdoor exposure to fine particulate matter (PM₁₀) potentially experienced by the population of metropolitan Mexico City. With the use of a geographic information system (GIS), spatially resolved PM₁₀ distributions were generated and linked to the local population. The PM₁₀ concentration exceeded the 24-hr air quality standard of 150 μg/m³ on 16% of the days, and the annual air quality standard of 50 μg/m³ was exceeded by almost twice its value in some places. The basic methodology described in this paper integrates spatial demographic and air quality databases, allowing the evaluation of various air pollution reduction scenarios. Achieving the annual air quality standard would represent a reduction in the annual arithmetic average concentration of 14 μg/m³ for the typical inhabitant. Human exposure to particulate matter (PM) has been associated with mortality and morbidity in Mexico City; reducing the concentration levels of this pollutant would represent a reduction in mortality and morbidity and the associated cost of such impacts. This methodology is critical to assessing the potential benefits of the current initiative to improve air quality implemented by the Environmental Metropolitan Commission of Mexico City.     

Behavior of particulate matter during high concentration episodes in Seoul

The behavior of particulate matter (PM) during high-concentration episodes was investigated using monitoring data from Guui station, a comprehensive air monitoring station in Seoul, Korea, from January 2008 to March 2010. Five non-Asian dust (ND) episodes and two Asian dust (AD) episodes of high PM concentrations were selected for the study. During the ND episode, primary air pollutants accumulated due to low wind speeds, and PM_2.5 increased along with most other air pollutants. Particles larger than PM_2.5 were also high since these particles were generated by vehicular traffic rather than wind erosion. During strong AD episodes, PM_10–2.5 primarily increased and gaseous primary air pollutants decreased under high wind speeds. However, even during the AD episode, PM_2.5 and gaseous primary air pollutants increased when the effects of AD were weak and wind speeds were low. This study corroborates that accumulation of air pollutants due to a drop in surface wind speed plays an important role in short-term high-concentration occurrences. However, low wind speeds could not be directly linked to local emissions because a significant portion of accumulated air pollutants resulted from long-range transport.     

A Study of the Association between Daily Mortality and Ambient Air Pollutant Concentrations in Pittsburgh,Pennsylvania

ABSTRACT

We have studied the possible association of daily mortality with ambient pollutant concentrations (PM₁₀, CO, O₃, SO₂, NO₂, and fine [PM_{2 5}] and coarse PM) and weather variables (temperature and dew point) in the Pittsburgh, PA, area for two age groups—less than 75, and 75 and over—for the 3-year period of 1989-1991. Correlation functions among pollutant concentrations show important seasonal dependence, and this fact necessitates the use of seasonal models to better identify the link between ambient pollutant concentrations and daily mortality. An analysis of the seasonal model results for the younger-age group reveals significant multicollinearity problems among the highly correlated concentrations of PM₁₀, CO, and NO₂ (and O₃ in spring and summer), and calls into question the rather consistent results of the single- and multi-pollutant non-seasonal models that show a significant positive association between PM₁₀ and daily mortality. For the older-age group, dew point consistently shows a significant association with daily mortality in all models. Collinearity problems appear in the multi-pollutant seasonal and non-seasonal models such that a significant, positive PM₁₀ coefficient is accompanied by a significant, negative coefficient of another ambient pollutant, and the identity of this other pollutant changes with season. The PM₂₅ data set is half that of PM₁₀. Identical-model runs for both data sets reveal instability in the pollutant coefficients, especially for the younger age group. The concern for the instability of the pollutant coefficients due to a small signal-to-noise ratio makes it impossible to ascertain credibly the relative associations of the fine- and coarse-particle modes with daily mortality. In this connection, we call for caution in the interpretation of model results for causal inference when the models use fully or partially estimated PM values to fill large data gaps.     

Meta-Analysis of Time-Series Studies of Air Pollution and Mortality: Effects of Gases and Particles and the Influence of Cause of Death,Age, and Season

Abstract

A comprehensive, systematic synthesis was conducted of daily time-series studies of air pollution and mortality from around the world. Estimates of effect sizes were extracted from 109 studies, from single- and multipollutant models, and by cause of death, age, and season. Random effects pooled estimates of excess all-cause mortality (single-pollutant models) associated with a change in pollutant concentration equal to the mean value among a representative group of cities were 2.0% (95% CI 1.5-2.4%) per 31.3 μg/m³ particulate matter (PM) of median diameter <10 μm (PM₁₀); 1.7% (1.2-2.2%) per 1.1 ppm CO; 2.8% (2.1-3.5%) per 24.0 ppb NO₂; 1.6% (1.1-2.0%) per 31.2 ppb O₃; and 0.9% (0.7-1.2%) per 9.4 ppb SO₂ (daily maximum concentration for O₃, daily average for others). Effect sizes were generally reduced in multipollutant models, but remained significantly different from zero for PM₁₀ and SO₂. Larger effect sizes were observed for respiratory mortality for all pollutants except O₃. Heterogeneity among studies was partially accounted for by differences in variability of pollutant concentrations, and results were robust to alternative approaches to selecting estimates from the pool of available candidates. This synthesis leaves little doubt that acute air pollution exposure is a significant contributor to mortality.     

Defining the Photochemical Contribution to Particulate Matter in Urban Areas Using Time-Series Analysis

Abstract

The objective of this project is to demonstrate how the ambient air measurement record can be used to define the relationship between O₃ (as a surrogate for photochemistry) and secondary particulate matter (PM) in urban air. The approach used is to develop a time-series transfer-function model describing the daily PM₁₀ (PM with less than 10 μm aerodynamic diameter) concentration as a function of lagged PM and current and lagged O₃, NO or NO₂, CO, and SO₂. Approximately 3 years of daily average PM₁₀, daily maximum 8-hr average O₃ and CO, daily 24-hr average SO₂ and NO₂, and daily 6:00 a.m.-9:00 a.m. average NO from the Aerometric Information Retrieval System (AIRS) air quality subsystem are used for this analysis. Urban areas modeled are Chicago, IL; Los Angeles, CA; Phoenix, AZ; Philadelphia, PA; Sacramento, CA; and Detroit, MI. Time-series analysis identified significant autocorrelation in the O₃, PM₁₀, NO, NO₂,CO, and SO₂ series. Cross correlations between PM₁₀ (dependent variable) and gaseous pollutants (independent variables) show that all of the gases are significantly correlated with PM₁₀ and that O₃ is also significantly correlated lagged up to two previous days. Once a transfer-function model of current PM₁₀ is defined for an urban location, the effect of an O₃-control strategy on PM concentrations is estimated by calculating daily PM₁₀ concentrations with reduced O₃ concentrations. Forecasted summertime PM₁₀ reductions resulting from a 5 percent decrease in ambient O₃ range from 1.2 μg/m³ (3.03%) in Chicago to 3.9 μg/m³ (7.65%) in Phoenix.     

Effects of Instrument Precision and Spatial Variability on the Assessment of the Temporal Variation of Ambient Air Pollution in Atlanta,Georgia

Abstract

Data from the U.S. Environmental Protection Agency Air Quality System, the Southeastern Aerosol Research and Characterization database, and the Assessment of Spatial Aerosol Composition in Atlanta database for 1999 through 2002 have been used to characterize error associated with instrument precision and spatial variability on the assessment of the temporal variation of ambient air pollution in Atlanta, GA. These data are being used in time series epidemiologic studies in which associations of acute respiratory and cardiovascular health outcomes and daily ambient air pollutant levels are assessed. Modified semivariograms are used to quantify the effects of instrument precision and spatial variability on the assessment of daily metrics of ambient gaseous pollutants (SO₂, CO, NO_x, and O₃) and fine particulate matter ([PM_2.5] PM_2.5 mass, sulfate, nitrate, ammonium, elemental carbon [EC], and organic carbon [OC]). Variation because of instrument imprecision represented 7–40% of the temporal variation in the daily pollutant measures and was largest for the PM_2.5 EC and OC. Spatial variability was greatest for primary pollutants (SO₂, CO, NO_x, and EC). Population–weighted variation in daily ambient air pollutant levels because of both instrument imprecision and spatial variability ranged from 20% of the temporal variation for O₃ to 70% of the temporal variation for SO₂ and EC. Wind rose plots, corrected for diurnal and seasonal pattern effects, are used to demonstrate the impacts of local sources on monitoring station data. The results presented are being used to quantify the impacts of instrument precision and spatial variability on the assessment of health effects of ambient air pollution in Atlanta and are relevant to the interpretation of results from time series health studies that use data from fixed monitors.     

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.     

Air Pollution and Hospital Admissions for Diseases of the Circulatory System in Three U.S. Metropolitan Areas

ABSTRACT

Generalized additive models were used to analyze the time series of daily hospital admissions for cardiovascular and cerebrovascular diseases over the period of 19871995 in three major metropolitan areas—Cook County, IL; Los Angeles County, CA; and Maricopa County, AZ— in the United States. In Cook and Maricopa Counties, admissions information was only available for the elderly (ages 65 and over), while in Los Angeles County, admissions information was available for all ages. In Cook County, daily monitoring information was available on PM₁₀, CO, SO₂, NO₂, and O₃. In Los Angeles and Maricopa Counties, monitoring information was available daily on the gases, and information on PM₁₀ was available every sixth day. In Los Angeles County, information on PM₂₅ was also available every sixth day. In Cook and Los Angeles Counties, associations were found between each pollutant, with the exception of O₃, and admissions for cardiovascular disease, with the gases showing the strongest associations. In two-pollutant models with PM and one of the gases, the effect of the gases remained stable, while the effect of PM became unstable and insignificant. In Maricopa County, the gases, with the exception of O₃, were weakly associated with hospital admissions for cardiovascular disease, while PM was not. In two-pollutant models with two of CO, SO₂, and NO₂, the pattern of results is heterogeneous in the three counties. In all three counties, only weak evidence of any association between air pollution and cere-brovascular admissions was found.     

An enhanced PM2.5 air quality forecast model based on nonlinear regression and back-trajectory concentrations

An enhanced PM_2.5 air quality forecast model based on nonlinear regression (NLR) and back-trajectory concentrations has been developed for use in the Louisville, Kentucky metropolitan area. The PM_2.5 air quality forecast model is designed for use in the warm season, from May through September, when PM_2.5 air quality is more likely to be critical for human health. The enhanced PM_2.5 model consists of a basic NLR model, developed for use with an automated air quality forecast system, and an additional parameter based on upwind PM_2.5 concentration, called PM24. The PM24 parameter is designed to be determined manually, by synthesizing backward air trajectory and regional air quality information to compute 24-h back-trajectory concentrations. The PM24 parameter may be used by air quality forecasters to adjust the forecast provided by the automated forecast system. In this study of the 2007 and 2008 forecast seasons, the enhanced model performed well using forecasted meteorological data and PM24 as input. The enhanced PM_2.5 model was compared with three alternative models, including the basic NLR model, the basic NLR model with a persistence parameter added, and the NLR model with persistence and PM24. The two models that included PM24 were of comparable accuracy. The two models incorporating back-trajectory concentrations had lower mean absolute errors and higher rates of detecting unhealthy PM2.5 concentrations compared to the other models.     

A general method for evaluating the effects of air pollutants on lung cancer prevalence

ABSTRACT

It is widely accepted that some air pollutants are related to lung cancer prevalence. An effective method is proposed to quantitatively evaluate the effects of air pollutants and the interactions between them. The method consisted of three parts: data decomposition, comparable data generation and relationship inference. Firstly, very limited monitoring data published by Geographic Information System were applied to calculate the inhalable air pollution of relatively massive patient samples. Then the investigated area was partitioned into a number of districts, and the comparable data containing air pollutant concentrations and lung cancer prevalence in all districts were generated. Finally, the relationships between pollutants and lung cancer prevalence were concluded by an information fusion tool: Choquet integral. As an example, the proposed method was applied in the investigation of air pollution in Tianjin, China. Overall, SO₂, O₃ and PM_2.5 were the top three factors for lung cancer. And there was obvious positive interaction between O₃ and PM_2.5 and negative interaction among SO₂, O₃ and PM₁₀. The effect of SO₂ on men was larger than on women. O₃ and SO₂ were the most important factors for the adenocarcinoma and squamous cell carcinoma, respectively. The effect of SO₂ or NO₂ on squamous cell carcinoma is obviously larger than that on adenocarcinoma, while the effect of O₃ or PM_2.5 on adenocarcinoma is obviously larger than that on squamous cell carcinoma. The results provide important suggestions for management of pollutants and improvement of environmental quality. The proposed method without any parameter is general and easily realized, and it sets the foundation for further researches in other cities/countries.

Implications: For total lung cancer prevalence, male and female lung cancer prevalence, and adenocarcinoma and squamous cell carcinoma prevalence, the proposed method not only quantify the effect of single pollutant (SO₂, NO₂, CO, O₃, PM_2.5, and PM₁₀) but also reveals the correlations between different pollutants such as positive interaction or negative interaction. The proposed method without any geographic predictor and parameter is much easier to realize, and it sets the foundation for further research in other cities/countries. The study results provide important suggestions for the targeted management of different pollutants and the improvement of human lung health.     

Association between particulate matter air pollution and cardiovascular disease mortality in Lanzhou,China

Ambient particulate matter (PM) pollution has been linked to elevated mortality, especially from cardiovascular diseases. However, evidence on the effects of particulate matter pollution on cardiovascular mortality is still limited in Lanzhou, China. This research aimed to examine the associations of daily mean concentrations of ambient air pollutants (PM_2.5, PM_C, and PM₁₀) and cardiovascular mortality due to overall and cause-specific diseases in Lanzhou. Data representing daily cardiovascular mortality rates, meteorological factors (daily average temperature, daily average humidity, and atmospheric pressure), and air pollutants (PM_2.5, PM₁₀, SO₂, NO₂) were collected from January 1, 2014, to December 31, 2017, in Lanzhou. A quasi-Poisson regression model combined with a distributed lag non-linear model (DLNM) was used to estimate the associations. Stratified analyses were also performed by different cause-specific diseases, including cerebrovascular disease (CD), ischemic heart disease (IHD), heart rhythm disturbances (HRD), and heart failure (HF). The results showed that elevated concentration of PM_2.5, PM_C, and PM₁₀ had different effects on mortality of different cardiovascular diseases. Only cerebrovascular disease showed a significant positive association with elevated PM_2.5. Positive associations were identified between PM_C and daily mortality rates from total cardiovascular diseases, cerebrovascular diseases, and ischemic heart diseases. Besides, increased concentration of PM₁₀ was correlated with increased death of cerebrovascular diseases and ischemic heart diseases. For cerebrovascular disease, each 10 μg/m³ increase in PM_2.5 at lag4 was associated with increments of 1.22% (95% CI 0.11–2.35%). The largest significant effects for PM_C on cardiovascular diseases and ischemic heart diseases were both observed at lag0, and a 10 μg/m³ increment in concentration of PM_C was associated with 0.47% (95% CI 0.06–0.88%) and 0.85% (95% CI 0.18–1.52%) increases in cardiovascular mortality and ischemic heart diseases. In addition, it exhibited a lag effect on cerebrovascular mortality as well, which was most significant at lag6d, and an increase of 10 μg/m³ in PM_C was associated with a 0.76% (95% CI 0.16–1.37%) increase in cerebrovascular mortality. The estimates of percentage change in daily mortality rates per 10 μg/m³ increase in PM₁₀ were 0.52% (95% CI 0.05–1.02%) for cerebrovascular disease at lag6 and 0.53% (95% CI 0.01–1.05%) for ischemic heart disease at lag0, respectively. Our study suggests that elevated concentration of atmospheric PM (PM_2.5, PM_C, and PM₁₀) in Lanzhou is associated with increased mortality of cardiovascular diseases and that the health effect of elevated concentration of PM_2.5 is more significant than that of PM_C and PM₁₀.

     

A gas/aerosol air pollutants study over the urban area of Rome using a comprehensive chemical transport model

The aim of this study was to identify areas of potential relevant exposure to pollutants within Rome's urban core. To meet this goal, intensive field campaigns were conducted and simulations were performed, using the flexible air quality regional model (FARM), to study winter and summer pollution episodes. The simulations were performed using a complete emission inventory that included traffic flow model results of the Roman street network to better describe, with respect to the available diffuse national emission inventory, the hourly variation of traffic emissions in the city. The meteorological reconstruction was performed by means of both prognostic and diagnostic models by using experimental data collected during the field campaigns. To evaluate the capability of the FARM model to capture the main features of the selected episodes, a comparison of modelled results against observed air quality data for different pollutants was performed at urban and rural sites. FARM performed well in predicting ozone (O₃) and nitrogen dioxide (NO₂) concentrations, showing a good reproduction of both daily peaks and their diurnal variations. The model also showed a good capability to reproduce the magnitude of volatile alkane, aromatic and carbonyl compound concentrations. PM₁₀ model results revealed the tendency to under-predict the observed values. PM composition model results were compared with observed data, evidencing good results for elemental carbon (EC), nitrate (NO₃⁻) and ammonium (NH₄⁺), underestimation for sulphate (SO₄²⁻) and poor performance for organic matter (OM). The soil components of PM were found to be significantly under-predicted by the model, especially during Saharan dust episodes. Overall, the study results show large areas of high O₃ and PM₁₀ concentrations where levels of pollutants should be carefully monitored and population exposure evaluated.     

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.     

Time series analysis of ambient air pollution effects on daily mortality

Although the growths of ambient pollutants have been attracting public concern, the characteristic of the associations between air pollutants and mortality remains elusive. Time series analysis with a generalized additive model was performed to estimate the associations between ambient air pollutants and mortality outcomes in Shenzhen City for the period of 2012–2014. The results showed that nitrogen dioxide (NO₂)-induced excess risks (ER) of total non-accidental mortality and cardiovascular mortality were significantly increased (6.05% (95% CI 3.38%, 8.78%); 6.88% (95% CI 2.98%, 10.93%), respectively) in interquartile range (IQR) increase analysis. Also, these associations were strengthened after adjusting for other pollutants. Moreover, similar associations were estimated for sulfur dioxide (SO₂), particulate matter with an aerodynamic diameter of <10 μm (PM₁₀), and total non-accidental mortality. There were significant higher ERs of associations between PM₁₀ and mortality for men than women; while there were significant higher ERs of associations between PM₁₀/NO₂ and mortality for elders (65 or elder) than youngers (64 or younger). Season analyses showed that associations between NO₂ and total non-accidental mortality were more pronounced in hot seasons than in warm seasons. Taken together, NO₂ was positively associated with total non-accidental mortality and cardiovascular mortality in Shenzhen even when the concentrations were below the ambient air quality standard. Policy measures should aim at reducing residents’ exposure to anthropogenic NO₂ emissions.