Towards a multidisciplinary and integrated strategy in the assessment of adverse health effects related to air pollution: the case study of Cracow (Poland) and asthma

Complex interaction between anthropogenic activities, air quality and human health in urban areas, such as in Cracow sustains the need for the development of an interdisciplinary and integrated risk-assessment methodology. In such purpose, we propose a pilot study performed on asthmatics and based on a combined use of a biomarker, such as metallothionein 2A (MT-2A) in the characterization of human exposure to one or a mixture of pollutants and of Geographical Information Systems (G.I.S.) which integrates climatic and urban anthropogenic parameters in the assessment of spatio-temporal dispersion of air pollutants. Considering global incidence of air pollution on asthma and on peripheral blood lymphocytes MT-2A expression should provide a complementary information on biological risks linked to urban anthropogenic activities. Such study would help for the establishment of a sustainable development in urban areas that can maintain the integrity of air quality and preserve human health.     

Development of risk-based air quality management strategies under impacts of climate change

Climate change is forecast to adversely affect air quality through perturbations in meteorological conditions, photochemical reactions, and precursor emissions. To protect the environment and human health from air pollution, there is an increasing recognition of the necessity of developing effective air quality management strategies under the impacts of climate change. This paper presents a framework for developing risk-based air quality management strategies that can help policy makers improve their decision-making processes in response to current and future climate change about 30-50 years from now. Development of air quality management strategies under the impacts of climate change is fundamentally a risk assessment and risk management process involving four steps: (1) assessment of the impacts of climate change and associated uncertainties; (2) determination of air quality targets; (3) selections of potential air quality management options; and (4) identification of preferred air quality management strategies that minimize control costs, maximize benefits, or limit the adverse effects of climate change on air quality when considering the scarcity of resources. The main challenge relates to the level of uncertainties associated with climate change forecasts and advancements in future control measures, since they will significantly affect the risk assessment results and development of effective air quality management plans. The concept presented in this paper can help decision makers make appropriate responses to climate change, since it provides an integrated approach for climate risk assessment and management when developing air quality management strategies. Implications: Development of climate-responsive air quality management strategies is fundamentally a risk assessment and risk management process. The risk assessment process includes quantification of climate change impacts on air quality and associated uncertainties. Risk management for air quality under the impacts of climate change includes determination of air quality targets, selections of potential management options, and identification of effective air quality management strategies through decision-making models. The risk-based decision-making framework can also be applied to develop climate-responsive management strategies for the other environmental dimensions and assess costs and benefits of future environmental management policies.     

Estimating the Effect of Being Indoors on Total Personal Exposure to Outdoor Air Pollution

A personal air quality model (PAQM) has been developed to estimate the effect of being indoors on total personal exposure to outdoor-generated air pollution. Designed to improve air toxics risk assessment, PAQM accounts for individual hourly activity patterns, indoor-outdoor differences, physical exercise level, and geographic location for up to 56 different population groups. Unique hourly activity profiles are specified for each population group; group members are assigned each hour to one of up to 10 different indoor and outdoor microenvironments. To illustrate PAQM use, we apply it to two example cases: a long-term example representative of situations where pollutant health impact is related to integrated exposure (as in the case of potentially carcinogenic air toxics) and a short-term example representative of situations where health impact is related to acute exposure to peak concentrations (as with ozone).

Case study results illustrate that personal exposure, and thus health risk, attributable to outdoor-generated air pollution is sensitive to indoor-outdoor differences and population mobility. Where health impact is related to long-term integrated exposure (e.g., air toxics), exposure and subsequent risk are likely to be lower than that estimated by previous modeling techniques which do not account for such effects.     

Human health and environmental risk assessment: the need for a more harmonised and integrated approach

Historically the procedures for human risk assessment and for risk assessment have developed separately with different terminologies and separate data bases. The identification that there are many common features and that sharing of certain types of data for risk assessment purposes would be beneficial is a driver towards a better integration of their procedures. Risk assessors are facing increasing challenges from governments, stimulated by public pressure for (i) human and environmental risk assessments of an ever growing number of products and processes, (ii) further restrictions of the use of animal tests and human studies on ethical grounds, (iii) the requirement to demonstrate that the assessments are independent, transparent and of high quality, (iv) reducing resources in particular a diminishing number of individuals with the scientific depth, breadth and independence act as risk assessors, (v) the need to incorporate new sciences continually and new discoveries into the risk assessment process. It is important for society that these challenges are met successfully. This requires changes in both risk assessment procedures and in the infrastructure needed to support them. Risk assessment is a science based process for establishing the likelihood of adverse effects to human health and to the environment from specific chemical, biological and physical agents. In the last few years there has been a renewed effort, by international bodies such as WHO, OECD and the EU, to achieve a more integrated and harmonised approach to risk assessment. Before examining the potential for a more integrated approach to risk assessment it is timely to consider the key factors which have led to the current position.     

The use of wind fields in a land use regression model to predict air pollution concentrations for health exposure studies

A methodology is developed to include wind flow effects in land use regression (LUR) models for predicting nitrogen dioxide (NO₂) concentrations for health exposure studies. NO₂ is widely used in health studies as an indicator of traffic-generated air pollution in urban areas. Incorporation of high-resolution interpolated observed wind direction from a network of 38 weather stations in a LUR model improved NO₂ concentration estimates in densely populated, high traffic and industrial/business areas in Toronto-Hamilton urban airshed (THUA) of Ontario, Canada. These small-area variations in air pollution concentrations that are probably more important for health exposure studies may not be detected by sparse continuous air pollution monitoring network or conventional interpolation methods. Observed wind fields were also compared with wind fields generated by Global Environmental Multiscale-High resolution Model Application Project (GEM-HiMAP) to explore the feasibility of using regional weather forecasting model simulated wind fields in LUR models when observed data are either sparse or not available. While GEM-HiMAP predicted wind fields well at large scales, it was unable to resolve wind flow patterns at smaller scales. These results suggest caution and careful evaluation of regional weather forecasting model simulated wind fields before incorporating into human exposure models for health studies. This study has demonstrated that wind fields may be integrated into the land use regression framework. Such integration has a discernable influence on both the overall model prediction and perhaps more importantly for health effects assessment on the relative spatial distribution of traffic pollution throughout the THUA. Methodology developed in this study may be applied in other large urban areas across the world.     

Analysis of short-term ozone and PM2.5 measurements: Characteristics and relationships for air sensor messaging

Air quality sensors are becoming increasingly available to the general public, providing individuals and communities with information on fine-scale, local air quality in increments as short as 1 min. Current health studies do not support linking 1-min exposures to adverse health effects; therefore, the potential health implications of such ambient exposures are unclear. The U.S. Environmental Protection Agency (EPA) establishes the National Ambient Air Quality Standards (NAAQS) and Air Quality Index (AQI) on the best science available, which typically uses longer averaging periods (e.g., 8 hr; 24 hr). Another consideration for interpreting sensor data is the variable relationship between pollutant concentrations measured by sensors, which are short-term (1 min to 1 hr), and the longer term averages used in the NAAQS and AQI. In addition, sensors often do not meet federal performance or quality assurance requirements, which introduces uncertainty in the accuracy and interpretation of these readings. This article describes a statistical analysis of data from regulatory monitors and new real-time technology from Village Green benches to inform the interpretation and communication of short-term air sensor data. We investigate the characteristics of this novel data set and the temporal relationships of short-term concentrations to 8-hr average (ozone) and 24-hr average (PM_2.5) concentrations to examine how sensor readings may relate to the NAAQS and AQI categories, and ultimately to inform breakpoints for sensor messages. We consider the empirical distributions of the maximum 8-hr averages (ozone) and 24-hr averages (PM_2.5) given the corresponding short-term concentrations, and provide a probabilistic assessment. The result is a robust, empirical comparison that includes events of interest for air quality exceedances and public health communication. Concentration breakpoints are developed for short-term sensor readings such that, to the extent possible, the related air quality messages that are conveyed to the public are consistent with messages related to the NAAQS and AQI.

Implications: Real-time sensors have the potential to provide important information about fine-scale current air quality and local air quality events. The statistical analysis of short-term regulatory and sensor data, coupled with policy considerations and known health effects experienced over longer averaging times, supports interpretation of such short-term data and efforts to communicate local air quality.     

Estimation of economic costs of particulate air pollution from road transport in China

Valuation of health effects of air pollution is becoming a critical component of the performance of cost–benefit analysis of pollution control measures, which provides a basis for setting priorities for action. Beijing has focused on control of transport emission as vehicular emissions have recently become an important source of air pollution, particularly during Olympic games and Post-games. In this paper, we conducted an estimation of health effects and economic cost caused by road transport-related air pollution using an integrated assessment approach which utilizes air quality model, engineering, epidemiology, and economics. The results show that the total economic cost of health impacts due to air pollution contributed from transport in Beijing during 2004–2008 was 272, 297, 310, 323, 298 million US$ (mean value), respectively. The economic costs of road transport accounted for 0.52, 0.57, 0.60, 0.62, and 0.58% of annual Beijing GDP from 2004 to 2008. Average cost per vehicle and per ton of PM₁₀ emission from road transport can also be estimated as 106 US $/number and 3584 US $ t^?1, respectively. These findings illustrate that the impact of road transport contributed particulate air pollution on human health could be substantial in Beijing, whether in physical and economic terms. Therefore, some control measures to reduce transport emissions could lead to considerable economic benefit.     

Urban woodlands: their role in reducing the effects of particulate pollution

In recent years a substantial research effort has focused on the links between particulate air pollution and poor health. As a result the PM10 value has been set as a measure of such pollutants which can directly cause illness. Due to their large leaf areas relative to the ground on which they stand and the physical properties of their surfaces, trees can act as biological filters, removing large numbers of airborne particles and hence improving the quality of air in polluted environments. The role of vegetation and urban woodlands in reducing the effects of particulate pollution is reviewed here. The improvement of urban air quality achieved by establishing more trees in towns and cities is also illustrated.     

Atmospheric composition change – global and regional air quality

Air quality transcends all scales with in the atmosphere from the local to the global with handovers and feedbacks at each scale interaction. Air quality has manifold effects on health, ecosystems, heritage and climate. In this review the state of scientific understanding in relation to global and regional air quality is outlined. The review discusses air quality, in terms of emissions, processing and transport of trace gases and aerosols. New insights into the characterization of both natural and anthropogenic emissions are reviewed looking at both natural (e.g. dust and lightning) as well as plant emissions. Trends in anthropogenic emissions both by region and globally are discussed as well as biomass burning emissions. In terms of chemical processing the major air quality elements of ozone, non-methane hydrocarbons, nitrogen oxides and aerosols are covered. A number of topics are presented as a way of integrating the process view into the atmospheric context; these include the atmospheric oxidation efficiency, halogen and HO_x chemistry, nighttime chemistry, tropical chemistry, heat waves, megacities, biomass burning and the regional hot spot of the Mediterranean. New findings with respect to the transport of pollutants across the scales are discussed, in particular the move to quantify the impact of long-range transport on regional air quality. Gaps and research questions that remain intractable are identified. The review concludes with a focus of research and policy questions for the coming decade. In particular, the policy challenges for concerted air quality and climate change policy (co-benefit) are discussed.     

Source-to-receptor pathways of anthropogenic PM2.5 in Detroit,Michigan: Comparison of two inhalation exposure studies

Recent studies have attributed toxic effects of ambient fine particulate matter (aerodynamic diameter ≤ 2.5 μm; PM_2.5) to physical and/or chemical properties rather than total mass. However, identifying specific components or sources of a complex mixture of ambient PM_2.5 that are responsible for adverse health effects is still challenging. In order to improve our understanding of source-to-receptor pathways for ambient PM_2.5 (links between sources of ambient PM_2.5 and measures of biologically relevant dose), integrated inhalation toxicology studies using animal models and concentrated air particles (CAPs) were completed in southwest Detroit, a community where the pediatric asthma rate is more than twice the national average. Ambient PM_2.5 was concentrated with a Harvard fine particle concentrator housed in AirCARE1, a mobile air research laboratory which facilitates inhalation exposure studies in real-world settings. Detailed characterizations of ambient PM_2.5 and CAPs, identification of major emission sources of PM_2.5, and quantification of trace elements in the lung tissues of laboratory rats that were exposed to CAPs for two distinct 3-day exposure periods were completed.This paper describes the physical/chemical properties and sources of PM_2.5, pulmonary metal concentrations and meteorology from two different 3-day exposure periods—both conducted at the southwest Detroit location in July 2003—which resulted in disparate biological effects. More specifically, during one of the exposure periods, ambient PM_2.5-derived trace metals were recovered from lung tissues of CAPs-exposed animals, and these metals were linked to local combustion point sources in southwest Detroit via receptor modeling and meteorology; whereas in the other exposure period, no such trace metals were observed. By comparing these two disparate results, this investigation was able to define possible links between PM_2.5 emitted from refineries and incinerators and biologically relevant dose, which in turn may be associated with observed health effects.     

Development of Tools for Integrated Monitoring and Assessment of Hazardous Substances and Their Biological Effects in the Baltic Sea

The need to develop biological effects monitoring to facilitate a reliable assessment of hazardous substances has been emphasized in the Baltic Sea Action Plan of the Helsinki Commission. An integrated chemical–biological approach is vitally important for the understanding and proper assessment of anthropogenic pressures and their effects on the Baltic Sea. Such an approach is also necessary for prudent management aiming at safeguarding the sustainable use of ecosystem goods and Services. The BEAST project (Biological Effects of Anthropogenic Chemical Stress: Tools for the Assessment of Ecosystem Health) set out to address this topic within the BONUS Programme. BEAST generated a large amount of quality-assured data on several biological effects parameters (biomarkers) in various marine species in different sub-regions of the Baltic Sea. New indicators (biological response measurement methods) and management tools (integrated indices) with regard to the integrated monitoring approach were suggested.     

Process analysis of ozone formation under different weather conditions over the Kanto region of Japan using the MM5/CMAQ modelling system

We have assessed the contributions of individual physical and chemical atmospheric processes on ozone formation under different weather conditions during a typical summer month (August 2005) using the MM5/CMAQ modelling system. We found that the ozone episodes in the Kanto region are dominated by three major patterns, of which Patterns I and II are regular summertime pressure patterns with a 26% and 16% frequency of occurrence, respectively. A process analysis at two typical sites in the Kanto region – one located in the central region of Tokyo and the other located in the rural areas of Kanto – indicates that ozone formation is mainly controlled by advection, vertical diffusion, dry deposition, and chemical processes. The ground-level ozone concentrations are enhanced mainly by the vertical mixing of ozone-rich air from aloft, whereas the dry deposition and chemical processes mainly deplete ozone. By investigating the effects of each process under different weather conditions, we found that the significant decrease in ozone removal due to the chemical and advection processes under conditions of high stagnation is the most important cause of the enhanced levels of ozone in the central region of Tokyo. The results of this study can contribute to a better understanding of ozone formation in the Kanto region, and they may be valuable for local policy makers for further development planning.     

Extending the Kolmogorov-Zurbenko filter: application to ozone, particulate matter, and meteorological trends

Tropospheric ozone (O3) and particulate matter (PM) are pollutants of great concern to air quality managers. Federal standards for these pollutants have been promulgated in recent years because of the known adverse effects of the pollutants on human health, the environment, and visibility. Local meteorological conditions exert a strong influence over day-to-day variations in pollutant concentrations; therefore, the meteorological signal must be removed in order for air quality planners and managers to examine underlying emissions-related trends and make better air quality management decisions for the future. Although the Kolmogorov-Zurbenko (KZ) filter has been widely used for this type of trend separation in O3 studies in the eastern United States, this article aims to extend the method in three key ways. First, whereas the KZ filter is known as a useful tool for O3 analysis, this study also evaluates its effectiveness when applied to PM. Second, the method was applied to Tucson, AZ, a city in the semi-arid southwestern United States (Southwest), to evaluate the appropriateness of the method in a region with weaker synoptic weather controls on air quality than the eastern United States. Third, additional forms of output were developed and tailored to be more applicable to decision-makers' needs through a partnership between academic researchers and air quality planners and managers. Results of the study indicate that the KZ filter is a useful method for examining emissions-related PM trends, resulting in small, but potentially significant, differences after adjustment. For the Tucson situation with weaker synoptic controls, the KZ method identified mixing height as a more important variable than has been found in other cities.     

Atmospheric pollution in an urban environment by tree bark biomonitoring - part II: Sr, Nd and Pb isotopic tracing

The harmful effect of manmade particles on natural processes and human health is documented by a large number of studies showing a positive correlation between particulate matter (PM) concentration and health effects. Diminution of this health risk necessitates among others the precise knowledge of the particle sources, their physical and chemical properties and their dissemination in the environment. Pb isotope ratios have been successfully used during the past decades as tracers of anthropogenic Pb disseminated in the biosphere. Here we show that tree bark biomonitoring with lead (Pb), strontium (Sr) and neodymium (Nd) isotope ratios as tracers allow a thorough analysis of the impacts of industrial and other anthropogenic emissions on the urban environment. This is the first comprehensive multi-isotope tracer study of atmospheric pollution in an urban environment allowing to identify and to integrate the different plume paths of emissions in a digital map system. This innovative approach might become an important tool for environmental management and policy-making processes dealing especially with risks and surveillance of air quality in the urban environment.     

Air quality mapping using GIS and economic evaluation of health impact for Mumbai City,India

Mumbai, a highly populated city in India, has been selected for air quality mapping and assessment of health impact using monitored air quality data. Air quality monitoring networks in Mumbai are operated by National Environment Engineering Research Institute (NEERI), Maharashtra Pollution Control Board (MPCB), and Brihanmumbai Municipal Corporation (BMC). A monitoring station represents air quality at a particular location, while we need spatial variation for air quality management. Here, air quality monitored data of NEERI and BMC were spatially interpolated using various inbuilt interpolation techniques of ArcGIS. Inverse distance weighting (IDW), Kriging (spherical and Gaussian), and spline techniques have been applied for spatial interpolation for this study. The interpolated results of air pollutants sulfur dioxide (SO₂), nitrogen dioxide (NO₂) and suspended particulate matter (SPM) were compared with air quality data of MPCB in the same region. Comparison of results showed good agreement for predicted values using IDW and Kriging with observed data. Subsequently, health impact assessment of a ward was carried out based on total population of the ward and air quality monitored data within the ward. Finally, health cost within a ward was estimated on the basis of exposed population. This study helps to estimate the valuation of health damage due to air pollution.

Implications: Operating more air quality monitoring stations for measurement of air quality is highly resource intensive in terms of time and cost. The appropriate spatial interpolation techniques can be used to estimate concentration where air quality monitoring stations are not available. Further, health impact assessment for the population of the city and estimation of economic cost of health damage due to ambient air quality can help to make rational control strategies for environmental management. The total health cost for Mumbai city for the year 2012, with a population of 12.4 million, was estimated as USD8000 million.     

Adapting air quality management for a changing climate: Survey of local districts in California

Air quality can be affected by weather and thus is sensitive to a changing climate. Wildfire (influenced by weather), consecutive high temperature summer days, and other extreme events are projected to become more severe and frequent with climate change. These may create challenging conditions for managing air quality despite policy targets to reduce precursor and pollutant emissions. Although extreme events are becoming more intense and interest in climate adaptation is increasing among public health practitioners, little attention in scholarly literature and policy covers climate adaptation for air quality governance. Understanding the management and managers’ perspectives at the local level provides insight about the needs for climate adaptation, including their adaptation status, perspectives, responsibilities, and roles. This study explores local manager perspectives and experiences of managing air quality within a changing climate as one puzzle piece to understand the gap in climate adaptation within the air quality sector. A broader goal is to contribute to the discussion of developing a multi-jurisdictional vision for reducing the impacts of air quality in a changing climate. In 2016 local air quality district managers in California were invited to participate in an online survey of 39 questions focused on extreme event impacts on air quality. The questionnaire focused on present air quality threats and extreme event challenges, adaptation status and strategies, adaptive capacities, perceived barriers to adaptation, and jurisdictional responsibilities and roles. Over 85 percent of the 35 local air districts in California participated in the survey, which represents 80 percent of the state’s population. High awareness and knowledge of climate change among local managers indicates they are ready to adopt and take action on policies that would support climate adaptation, but barriers reported suggests they may need policies and adequate funding to take action and make necessary changes.

Implications: Downscaled global climate models project an increasing severity and frequency of extreme events. In the southwestern United States, these include wildfire, heat events, and dry periods, among others, all of which can place an extra burden on air quality managers and emitters to achieve air quality standards even as they reduce emissions. Despite climate change presenting increasing challenges to meet air quality standards, in the southwestern United States, policy and action to mitigate these impacts have been surprisingly absent. California presents a valuable case study on the topic because of its historic leadership in air quality management for the United States and also because of its initiatives in combating climate change. Yet still we found that adaptation has not been incorporated into air quality management thus far, but local managers seem sufficiently knowledgeable and willing.     

Indoor air quality and health

During the last two decades there has been increasing concern within the scientific community over the effects of indoor air quality on health. Changes in building design devised to improve energy efficiency have meant that modern homes and offices are frequently more airtight than older structures. Furthermore, advances in construction technology have caused a much greater use of synthetic building materials. Whilst these improvements have led to more comfortable buildings with lower running costs, they also provide indoor environments in which contaminants are readily produced and may build up to much higher concentrations than are found outside. This article reviews our current understanding of the relationship between indoor air pollution and health. Indoor pollutants can emanate from a range of sources. The health impacts from indoor exposure to combustion products from heating, cooking, and the smoking of tobacco are examined. Also discussed are the symptoms associated with pollutants emitted from building materials. Of particular importance might be substances known as volatile organic compounds (VOCs), which arise from sources including paints, varnishes, solvents, and preservatives. Furthermore, if the structure of a building begins to deteriorate, exposure to asbestos may be an important risk factor for the chronic respiratory disease mesothelioma. The health effects of inhaled biological particles can be significant, as a large variety of biological materials are present in indoor environments. Their role in inducing illness through immune mechanisms, infectious processes, and direct toxicity is considered. Outdoor sources can be the main contributors to indoor concentrations of some contaminants. Of particular significance is Radon, the radioactive gas that arises from outside, yet only presents a serious health risk when found inside buildings. Radon and its decay products are now recognised as important indoor pollutants, and their effects are explored. This review also considers the phenomenon that has become known as Sick Building Syndrome (SBS), where the occupants of certain affected buildings repeatedly describe a complex range of vague and often subjective health complaints. These are often attributed to poor air quality. However, many cases of SBS provide a valuable insight into the problems faced by investigators attempting to establish causality. We know much less about the health risks from indoor air pollution than we do about those attributable to the contamination of outdoor air. This imbalance must be redressed by the provision of adequate funding, and the development of a strong commitment to action within both the public and private sectors. It is clear that meeting the challenges and resolving the uncertainties associated with air quality problems in the indoor environment will be a considerable undertaking.     

Assessing sediment hazard through a weight of evidence approach with bioindicator organisms: a practical model to elaborate data from sediment chemistry, bioavailability, biomarkers and ecotoxicological bioassays

Quality assessments are crucial to all activities related to removal and management of sediments. Following a multidisciplinary, weight of evidence approach, a new model is presented here for comprehensive assessment of hazards associated to polluted sediments. The lines of evidence considered were sediment chemistry, assessment of bioavailability, sub-lethal effects on biomarkers, and ecotoxicological bioassays. A conceptual and software-assisted model was developed with logical flow-charts elaborating results from each line of evidence on the basis of several chemical and biological parameters, normative guidelines or scientific evidence; the data are thus summarized into four specific synthetic indices, before their integration into an overall sediment hazard evaluation. This model was validated using European eels (Anguilla anguilla) as the bioindicator species, exposed under laboratory conditions to sediments from an industrial site, and caged under field conditions in two harbour areas. The concentrations of aliphatic hydrocarbons, polycyclic aromatic hydrocarbons and trace metals were much higher in the industrial compared to harbour sediments, and accordingly the bioaccumulation in liver and gills of exposed eels showed marked differences between conditions seen. Among biomarkers, significant variations were observed for cytochrome P450-related responses, oxidative stress biomarkers, lysosomal stability and genotoxic effects; the overall elaboration of these data, as those of standard ecotoxicological bioassays with bacteria, algae and copepods, confirmed a higher level of biological hazard for industrial sediments. Based on comparisons with expert judgment, the model presented efficiently discriminates between the various conditions, both as individual modules and as an integrated final evaluation, and it appears to be a powerful tool to support more complex processes of environmental risk assessment.