Assessment of ambient air quality in Eskişehir, Turkey

This paper presents an assessment of air quality of the city Eski?ehir, located 230 km southwest to the capital of Turkey. Only five of the major air pollutants, most studied worldwide and available for the region, were considered for the assessment. Available sulphur dioxide (SO(2)), particulate matter (PM), nitrogen dioxide (NO(2)), ozone (O(3)), and non-methane volatile organic carbons (NMVOCs) data from local emission inventory studies provided relative source contributions of the selected pollutants to the region. The contributions of these typical pollution parameters, selected for characterizing such an urban atmosphere, were compared with the data established for other cities in the nation and world countries. Additionally, regional ambient SO(2) and PM concentrations, determined by semi-automatic monitoring at two sites, were gathered from the National Ambient Air Monitoring Network (NAAMN). Regional data for ambient NO(2) (as a precursor of ozone as VOCs) and ozone concentrations, through the application of the passive sampling method, were provided by the still ongoing local air quality monitoring studies conducted at six different sites, as representatives of either the traffic-dense-, or coal/natural gas burning residential-, or industrial/rural-localities of the city. Passively sampled ozone data at a single rural site were also verified with the data from a continuous automatic ozone monitoring system located at that site. Effects of variations in seasonal-activities, newly established railway system, and switching to natural gas usage on the temporal changes of air quality were all considered for the assessment. Based on the comparisons with the national [AQCR (Air Quality Control Regulation). Ministry of Environment (MOE), Ankara. Official Newspaper 19269; 1986.] and a number of international [WHO (World Health Organization). Guidelines for Air Quality. Geneva; 2000. Downloaded in January 2006, website: http://www.who.int/peh/; EU (European Union). Council Directive 1999/30/EC relating to limit values for sulfur dioxide, nitrogen dioxide and lead in ambient air. Of J Eur Communities L 163: 14-30; 29.6.1999; EU (European Union). Council Directive 2002/3/EC relating to ozone in ambient air. Of J Eur Communities. L 67: 14-30; 9.3.2002.; USEPA (U.S. Environmental Protection Agency). National Ambient Air Quality Standards (NAAQS). Downloaded in January 2006, website: http://www.epa.gov/ttn/naaqs/] ambient air standards, among all the pollutants studied, only the annual average SO(2) concentration was found to exceed one specific limit value (EU limit for protection of the ecosystem). A part of the data (VOC/NO(x) ratio), for determining the effects of photochemical interactions, indicated that VOC-limited regime was prevailing throughout the city.     

Health effects of indoor air pollution: Synergistic effects of nitrogen dioxide and a respirable aerosol

Comparative studies of the effects of various air pollutants on lung collagen biosynthesis have been performed. A hitherto unexpected synergism between the oxidant air pollutants ozone or nitrogen dioxide and a respirable-sized aerosol of ammonium sulfate was observed during controlled exposures of rats to these substances. In an assay system, measuring collagen biosynthesis by lung minces prepared from rats exposed for 1 week to either filtered air or to these pollutants gases, dose-response curves to either O₃ or NO₂ are altered in the presence of 5 mg/m³ of (NH₄)₂SO₄ aerosol. These observations may have broad implications for the appropriate evaluation of laboratory data in the setting of ambient air quality standards and/or the setting of threshold limit values for maintenance of occupational health and safety.     

Outdoor air pollution and term low birth weight in Japan

IntroductionEvidence has accumulated on the association between ambient air pollution and adverse birth outcomes. However, most of the previous studies were conducted in geographically distinct areas and suffer from lack of important potential covariates. We examined the effect of ambient air pollution on term low birth weight (LBW) using data from a nationwide population-based longitudinal survey in Japan that began in 2001.MethodsWe restricted participants to term singletons (n = 44,109). Air pollution concentrations during the 9 months before birth were obtained at the municipality level and were assigned to the participants who were born in the corresponding municipality. We conducted multilevel logistic regression analyses adjusting for individual and municipality-level variables.ResultsWe found that air pollution exposure during pregnancy was positively associated with the risk of term LBW. In the fully adjusted models, odds ratios following one interquartile range increase in each pollutant were 1.09 (95% confidence interval: 1.00, 1.19) for suspended particulate matter (SPM), 1.11 (0.99, 1.26) for nitrogen dioxide (NO₂), and 1.71 (1.18, 2.46) for sulfur dioxide (SO₂). Specifically, effect estimates for SPM and NO₂ exposure at the first trimester were higher than those at other trimesters, while SO₂ was associated with the risk at all trimesters. Nonsmoking mothers were more susceptible to SPM and NO₂ exposure compared with smoking mothers.ConclusionsAmbient air pollution increases the risk of term LBW in a nationally representative sample in Japan.     

Associations of gestational and early life exposures to ambient air pollution with childhood respiratory diseases in Shanghai,China: A retrospective cohort study

BackgroundAssociations of ambient air pollutants with respiratory health are inconsistent.ObjectivesWe analyzed the associations of gestational and early life exposures to air pollutants with doctor-diagnosed asthma, allergic rhinitis, and pneumonia in children.MethodsWe selected 3358 preschool children who did not alter residences after birth from a cross-sectional study in 2011–2012 in Shanghai, China. Parents reported children's respiratory health history, home environment, and family lifestyle behaviors. We collected daily concentrations of sulphur dioxide (SO₂), nitrogen dioxide (NO₂), and particulate matter with an aerodynamic diameter ≤ 10 μm (PM₁₀) during the child's total lifetime (2006–2012) for each district where the children lived. We analyzed the associations using logistic regression models.ResultsAfter adjusting for covariates and the other studied pollutants, we found that exposure to NO₂ (increment of 20 μg/m³) during the first year of life was significantly associated with asthma [odds ratio (OR) = 1.77; 95% confidence interval (CI): 1.29–2.43] and allergic rhinitis (OR = 1.67; 95% CI: 1.07–2.61). Exposure to NO₂ during gestation, the first two and three years, and over total lifetimewas all consistently associated with increased odds of allergic rhinitis. Quartiles of NO₂ concentration during different exposure periods showed a slight dose–response relationship with the studied diseases. These diseases had significant associations with pollutant mixtures that included NO₂, but had no significant association with exposures to SO₂ and PM₁₀ individually or in mixtures.ConclusionsGestational and early life exposures to ambient NO₂ are risk factors for childhood respiratory diseases.     

Changing air quality in Delhi,India: determinants,trends, and policy implications

Air pollution is a major environmental problem in urban areas worldwide. Delhi, the capital city of India, is no exception to the universal pattern of deteriorating urban air quality with concentration of pollutants being well above the recommended WHO levels. The magnitude and urgency of the problem as a global environmental issue needs a systematic understanding of the potential causes of pollution and their contribution to air quality. In the present study, ambient air quality data (1987–2006) of SO₂, NO₂, SPM, and RSPM were analyzed to asses the changing air quality in the study area and to evaluate the effect of measures taken to control it. The primary data were collected from 1,583 households to examine the relationship between outdoor and indoor pollution level. Based on the data, the current study concludes that despite the implementation of different pollution-controlling measures, the pollutants, especially the particulate pollutants, were well above the standard limits set by CPCB. Integration between technological and social approach of urban planning is required to mitigate and manage urban environmental problems in sustainable manner.     

Annual and diurnal variations of gaseous and particulate pollutants in 31 provincial capital cities based on in situ air quality monitoring data from China National Environmental Monitoring Center

Long-term air quality data with high temporal and spatial resolutions are needed to understand some important processes affecting the air quality and corresponding environmental and health effects. The annual and diurnal variations of each criteria pollutant including PM_2.5 and PM₁₀ (particulate matter with aerodynamic diameter less than 2.5 μm and 10 μm, respectively), CO (carbon monoxide), NO₂ (nitrogen dioxide), SO₂ (sulfur dioxide) and O₃ (ozone) in 31 provincial capital cities between April 2014 and March 2015 were investigated by cluster analysis to evaluate current air pollution situations in China, and the cities were classified as severely, moderately, and slightly polluted cities according to the variations. The concentrations of air pollutants in winter months were significantly higher than those in other months with the exception of O₃, and the cities with the highest CO and SO₂ concentrations were located in northern China. The annual variation of PM_2.5 concentrations in northern cities was bimodal with comparable peaks in October 2014 and January 2015, while that in southern China was unobvious with slightly high PM_2.5 concentrations in winter months. The concentrations of particulate matter and trace gases from primary emissions (SO₂ and CO) and NO₂ were low in the afternoon (~ 16:00), while diurnal variation of O₃ concentrations was opposite to that of other pollutants with the highest values in the afternoon. The most polluted cities were mainly located in North China Plain, while slightly polluted cities mostly focus on southern China and the cities with high altitude such as Lasa. This study provides a basis for the formulation of future urban air pollution control measures in China.     

Air quality management in the WHO European Region — Results of a quality assurance and control programme on air quality monitoring (1994–2004)

Since the last decade the WHO Collaborating Centre for Air Quality Management and Air Pollution Control, Berlin, Germany, operates a quality assurance and control (QA/QC) programme on air quality monitoring in the WHO European Region. As main activity Intercomparison workshops have been established for air monitoring network laboratories on a regular basis to harmonise air quality measurements, analysis and calibration techniques. 36 air hygiene laboratories of public health and environmental institutions of 24 countries participated in twelve Intercomparisons between 1994 and 2004. The majority was carried out for NO, NO₂, SO₂ and O₃. The results were predominantly satisfactory for automatic methods. The results of manual methods were mainly in a good, and for several concentration levels partly very good accordance with the data obtained by the monitors.     

Interactions between diesel emissions and gaseous copollutants in photochemical air pollution: Some health implications

A complete assessment of the health effects of diesel emissions must take into account the possible chemical transformations (and associated biological impacts) of particulate organic matter (POM) due to reactions with the many gaseous copollutants which have now been unambiguously demonstrated to be present in atmospheres burdened by photochemical air pollution. These copollutants include the “trace” species, nitric (HNO₃) and nitrous (HONO) acids, the nitrate radical (NO₃), formaldehyde (H₂CO) and formic acid (HCOOH), as well as the criteria pollutants, ozone (O₃) and nitrogen dioxide (NO₂). Techniques for establishing the atmospheric concentrations of the trace pollutants (and their spatial and temporal variations) are briefly described, and we present results of investigations into the reactions of polycyclic aromatic hydrocarbons (PAH) coated on filters and exposed to ambient concentrations of O₃ and NO₂. Environmental health implications of these results are discussed and include the potential for sampling “artifacts” and their possible effects on the correlation (or lack thereof) between ambient PAH levels and urban lung cancer rates, as well as the problems associated with understanding the appropriate POM “dose” to be employed in animal testing and assessments of impacts on human health.     

Ambient air pollution and children's lung function in China

ObjectiveTo describe the correlations between ambient air pollutants (TSP, SO₂, NO_x) and the level of children's lung function (FVC, FEV₁, MMEF) in China.MethodsWe collected the research articles on ambient air pollution and children's lung function published from 1985 to 2006 and selected 11 articles finally according to the following criteria: (1) Children between the age of 7 and 15 as objects; (2) Local air quality monitoring results were reported; (3) Strict quality control was taken when testing children's lung function; (4) The results were expressed by the average of measured value. Then we analyzed the correlation relationship between the level of ambient air pollutants and children's lung function and compared the effects of ambient air pollutants on children's lung function of boy and girl.ResultsThe selected articles included the results of 7 cities in China. Among them, the results of 6 cities' studies revealed that the levels of children's lung function were significantly lower in the areas with heavy ambient air pollution than those in the areas with light ambient air pollution. According to the articles, the average levels of TSP were at the range of 0.084 mg/m³–0.835 mg/m³, SO₂ were 0.013 mg/m³–0.929 mg/m³, NO_x were 0.044 mg/m³–0.229 mg/m³. Correlation analysis showed significant negative correlation between the levels of TSP and SO₂ and children's FVC and FEV₁, as well as the levels of NO_x and children's MMEF. The correlation coefficient was ? 0.797 (t = ? 4.384, P = 0.001) between TSP and FVC, ? 0.693 (t = ? 4.190, P < 0.001) between Ln (SO₂) and FVC, ? 0.886 (t = ? 5.392, P = 0.001) and ? 0.685 (t = ? 4.101, P = 0.001) between FEV₁ and TSP and Ln (SO₂), and ? 0.973 (t = ? 5.993, P = 0.027) between NO_xNO_x and MMEF, respectively. The results also suggested that the decreases of lung function for girl with the increasing of ambient air pollution were significantly greater for boy.ConclusionThe levels of ambient air TSP and SO₂ correlated with the damage of the big airway function of children, while NO_xNO_x affected the small airway function chiefly. Furthermore, lung function of girl was more susceptible to ambient air pollutants than boy.     

A method to derive the relationship between the annual and short-term air quality limits—Analysis using the WHO Air Quality Guidelines for health protection

The World Health Organization (WHO) Air Quality Guidelines (AQG) were launched in 2006, but gaps remain in evidence on health impacts and relationships between short-term and annual AQG needed for health protection. We tested whether relationships between WHO short-term and annual AQG for particulates (PM₁₀ and PM_2.5) and nitrogen dioxide (NO₂) are concordant worldwide and derived the annual limits for sulfur dioxide (SO₂) and ozone (O₃) based on the short-term AQG. We obtained air pollutant data over seven years (2004–2010) in seven cities from Asia-Pacific, North America and Europe. Based on probability distribution concept using maximum as the short-term limit and arithmetic mean as the annual limit, we developed a new method to derive limit value one from another in each paired limits for each pollutant with capability to account for allowable exceedances. We averaged the limit derived each year for each city, then used meta-analysis to pool the limit values in all cities. Pooled mean short-term limit for NO₂ (140.5 μg/m³ [130.6–150.4]) was significantly lower than the WHO AQG of 200 μg/m³ while for PM₁₀ (46.4 μg/m³ [95CI:42.1–50.7]) and PM_2.5 (28.6 μg/m³ [24.5–32.6]) were not significantly different from the WHO AQG of 50 and 25 μg/m³ respectively. Pooled mean annual limits for SO₂ and O₃ were 4.6 μg/m³ [3.7–5.5] and 27.0 μg/m³ [21.7–32.2] respectively. Results were robust in various sensitivity analyses. The distribution relationships between the current WHO short-term and annual AQG are supported by empirical data from seven cities for PM₁₀ and PM_2.5, but not for NO₂. The short-term AQG for NO₂ should be lowered for concordance with the selected annual AQG for health protection.     

A study of effects of ambient urban air pollution using personal samplers; a preliminary report

Air pollution has been associated with an increased incidence of respiratory disease. However, significant differences may exist between air pollution levels measured at conventional fixed monitoring stations and actual levels inhaled by a subject. Furthermore, studies of effects of air pollution might best be done using asthmatics as study subjects, since they have irritable airways. This is a preliminary report of a study using a control and asthmatic group in which effects of air pollution are assessed by sympton and medication diaries and simple pulmonary function tests. Air pollution exposure is measured using a small portable sampler for particulates, SO₂ and NO₂; these samplers are carried by the subject (“personal”) and are situated inside and outside the home. Levels obtained are compared to data obtained from the same type of sampler located at a fixed monitoring station. Preliminary analysis of the data shows that the levels of pollutants are low and there are significant differences between the four air pollution measurements, with weak correlations among the various measurements. In this preliminary report, change in pulmonary function during the day correlates only with personal NO₂ measurements. This suggests the need for estimating air pollution exposure using “personal” samplers, when investigating health effects.     

Using the Community Multiscale Air Quality (CMAQ) model to estimate public health impacts of PM2.5 from individual power plants

We estimated PM_2.5-related public health impacts/ton emitted of primary PM_2.5, SO₂, and NO_x for a set of power plants in the Mid-Atlantic and Lower Great Lakes regions of the United States, selected to include varying emission profiles and broad geographic representation. We then developed a regression model explaining variability in impacts per ton emitted using the population distributions around each plant. We linked outputs from the Community Multiscale Air Quality (CMAQ) model v 4.7.1 with census data and concentration–response functions for PM_2.5-related mortality, and monetized health estimates using the value-of-statistical-life. The median impacts for the final set of plants were $130,000/ton for primary PM_2.5 (range: $22,000–230,000), $28,000/ton for SO₂ (range: $19,000–33,000), and $16,000/ton for NOx (range: $7100–26,000). Impacts of NO_x were a median of 34% (range: 20%–75%) from ammonium nitrate and 66% (range: 25%–79%) from ammonium sulfate. The latter pathway is likely from NO_x enhancing atmospheric oxidative capacity and amplifying sulfate formation, and is often excluded. Our regression models explained most of the variation in impact/ton estimates using basic population covariates, and can aid in estimating impacts averted from interventions such as pollution controls, alternative energy installations, or demand-side management.     

Associations between short-term exposure to nitrogen dioxide and mortality in 17 Chinese cities: The China Air Pollution and Health Effects Study (CAPES)

Few multi-city studies in Asian developing countries have examined the acute health effects of ambient nitrogen dioxide (NO₂). In the China Air Pollution and Health Effects Study (CAPES), we investigated the short-term association between NO₂ and mortality in 17 Chinese cities. We applied two-stage Bayesian hierarchical models to obtain city-specific and national average estimates for NO₂. In each city, we used Poisson regression models incorporating natural spline smoothing functions to adjust for long-term and seasonal trend of mortality, as well as other time-varying covariates. We examined the associations by age, gender and education status. We combined the individual-city estimates of the concentration–response curves to get an overall NO₂–mortality association in China. The averaged daily concentrations of NO₂ in the 17 Chinese cities ranged from 26 μg/m³ to 67 μg/m³. In the combined analysis, a 10-μg/m³ increase in two-day moving averaged NO₂ was associated with a 1.63% [95% posterior interval (PI), 1.09 to 2.17], 1.80% (95% PI, 1.00 to 2.59) and 2.52% (95% PI, 1.44 to 3.59) increase of total, cardiovascular, and respiratory mortality, respectively. These associations remained significant after adjustment for ambient particles or sulfur dioxide (SO₂). Older people appeared to be more vulnerable to NO₂ exposure. The combined concentration–response curves indicated a linear association. Conclusively, this largest epidemiologic study of NO₂ in Asian developing countries to date suggests that short-term exposure to NO₂ is associated with increased mortality risk.     

Modeling indoor air pollution of outdoor origin in homes of SAPALDIA subjects in Switzerland

Given the shrinking spatial contrasts in outdoor air pollution in Switzerland and the trends toward tightly insulated buildings, the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults (SAPALDIA) needs to understand to what extent outdoor air pollution remains a determinant for residential indoor exposure. The objectives of this paper are to identify determining factors for indoor air pollution concentrations of particulate matter (PM), ultrafine particles in the size range from 15 to 300 nm, black smoke measured as light absorbance of PM (PM_absorbance) and nitrogen dioxide (NO₂) and to develop predictive indoor models for SAPALDIA. Multivariable regression models were developed based on indoor and outdoor measurements among homes of selected SAPALDIA participants in three urban (Basel, Geneva, Lugano) and one rural region (Wald ZH) in Switzerland, various home characteristics and reported indoor sources such as cooking. Outdoor levels of air pollutants were important predictors for indoor air pollutants, except for the coarse particle fraction. The fractions of outdoor concentrations infiltrating indoors were between 30% and 66%, the highest one was observed for PM_absorbance. A modifying effect of open windows was found for NO₂ and the ultrafine particle number concentration. Cooking was associated with increased particle and NO₂ levels. This study shows that outdoor air pollution remains an important determinant of residential indoor air pollution in Switzerland.     

The emission inventory of atmospheric industrial pollution sources of the five cities in Zhejiang Province

The amount of several air pollutants emitted in some cities including Hangzhou, Ningbo, Huzhou, Shaoxing and Jiaxing of Zhejiang Province is based on pollution source census data of Zhejiang Province in 2010. This paper focused on the release of air pollutants such as NO_x, SO₂, CO, PM2.5, PM10 and VOC, and calculated the total amount of those air pollutants. It analyzed air pollutant emission factors and found that the electricity and heat production industry released the largest amount of pollutants.     

Fifteen-year trends in criteria air pollutants in oil sands communities of Alberta,Canada

An investigation of ambient air quality was undertaken at three communities within the Athabasca Oil Sands Region (AOSR) of Alberta, Canada (Fort McKay, Fort McMurray, and Fort Chipewyan). Daily and seasonal patterns and 15-year trends were investigated for several criteria air pollutants over the period of 1998 to 2012. A parametric trend detection method using percentiles from frequency distributions of 1 h concentrations for a pollutant during each year was used. Variables representing 50th, 65th, 80th, 90th, 95th and 98th percentile concentrations each year were identified from frequency distributions and used for trend analysis. Small increasing concentration trends were observed for nitrogen dioxide (< 1 ppb/year) at Fort McKay and Fort McMurray over the period consistent with increasing emissions of oxides of nitrogen (ca. 1000 tons/year) from industrial developments. Emissions from all oil sands facilities appear to be contributing to the trend at Fort McKay, whereas both emissions from within the community (vehicles and commercial) and oil sands facility emissions appear to be contributing to the trend at Fort McMurray. Sulfur dioxide (SO₂) emissions from industrial developments in the AOSR were unchanged during the period (101,000 ± 7000 tons/year; mean ± standard deviation) and no meaningful trends were judged to be occurring at all community stations. No meaningful trends occurred for ozone and fine particulate matter (PM_2.5) at all community stations and carbon monoxide at one station in Fort McMurray. Air quality in Fort Chipewyan was much better and quite separate in terms of absence of factors influencing criteria air pollutant concentrations at the other community stations.     

Comparison of indoor and outdoor air quality at two staff quarters in Hong Kong

The indoor and outdoor air quality of two staff quarters of Hong Kong Polytechnic University at Tsim Sha Tsui East (TSTE) and Shatin (ST) were investigated. The air sampling was carried out in winter for about two months starting from January to February of 1996. Fifteen flats from each staff quarter were randomly selected for indoor/outdoor air pollutant measurements. The pollutants measured were NO_x, NO, NO₂, SO₂, CO, and O₃. The variations of pollutant concentrations between indoor and outdoor air were investigated on weekday mornings, weekday evenings, weekend mornings, and weekend evenings. All indoor/outdoor pollutant concentrations measured did not exceed the ASHRAE/NAAQS standard. The carbon monoxide concentrations indoors were systemically higher than those outdoors at the TSTE and the ST quarters, both on weekdays and Sunday, which indicates there are CO sources indoors. Except for CO, the indoor levels of other pollutants (NO_x, NO, NO₂, SO₂, and O₃) are lower than those outdoors. There was a significant correlation (P < 0.05) between indoor and outdoor concentrations for SO₂ and O₃ at both the TSTE and the ST quarters. Except for O₃, the mean concentrations of all the pollutants in the TSTE quarters, both indoor and outdoor, were higher than that of the ST quarters in all sampling periods. All indoor and outdoor O₃ levels were lower at the TSTE quarters than those at the ST quarters. The O₃ ratios of TSTE/ST were 0.72 outdoor and 0.79 indoor. This can be explained by the NO titration reaction through NO conversion to NO₂.     

Intraurban Canadian air quality; Two long-term indices, 1973–1976

Two U.S. long-term air quality indices, the National Air Quality Index, NAQI, and the Extreme Value Index, EVI, are calculated for 27 cities in Canada, for the period 1973 to 1976. The results indicate that air quality varies considerably in space and time and that no clear trends can be discerned. Total suspended particulate matter, ozone, and sulphur dioxide are the air pollutants most commonly found to exceed the air quality standards in the residential, commercial, and industrial areas of the 27 cities studied.     

Inflammatory markers in relation to long-term air pollution

Long-term exposure to ambient air pollution can lead to chronic health effects such as cancer, cardiovascular and respiratory disease. Systemic inflammation has been hypothesized as a putative biological mechanism contributing to these adverse health effects. We evaluated the effect of long-term exposure to air pollution on blood markers of systemic inflammation.We measured a panel of 28 inflammatory markers in peripheral blood samples from 587 individuals that were biobanked as part of a prospective study. Participants were from Varese and Turin (Italy) and Umea (Sweden). Long-term air pollution estimates of nitrogen oxides (NO_x) were available from the European Study of Cohorts for Air Pollution Effects (ESCAPE). Linear mixed models adjusted for potential confounders were applied to assess the association between NO_x and the markers of inflammation.Long-term exposure to NO_x was associated with decreased levels of interleukin (IL)-2, IL-8, IL-10 and tumor necrosis factor-α in Italy, but not in Sweden. NO_x exposure levels were considerably lower in Sweden than in Italy (Sweden: median (5th, 95th percentiles) 6.65 μg/m³ (4.8, 19.7); Italy: median (5th, 95th percentiles) 94.2 μg/m³ (7.8, 124.5)). Combining data from Italy and Sweden we only observed a significant association between long-term exposure to NO_x and decreased levels of circulating IL-8.We observed some indication for perturbations in the inflammatory markers due to long-term exposure to NO_x. Effects were stronger in Italy than in Sweden, potentially reflecting the difference in air pollution levels between the two cohorts.     

Air pollutant exposure and preterm and term small-for-gestational-age births in Detroit,Michigan: Long-term trends and associations

Studies in a number of countries have reported associations between exposure to ambient air pollutants and adverse birth outcomes, including low birth weight, preterm birth (PTB) and, less commonly, small for gestational age (SGA). Despite their growing number, the available studies have significant limitations, e.g., incomplete control of temporal trends in exposure, modest sample sizes, and a lack of information regarding individual risk factors such as smoking. No study has yet examined large numbers of susceptible individuals.We investigated the association between ambient air pollutant concentrations and term SGA and PTB outcomes among 164,905 singleton births in Detroit, Michigan occurring between 1990 and 2001. SO₂, CO, NO₂, O₃ and PM₁₀ exposures were used in single and multiple pollutant logistic regression models to estimate odds ratios (OR) for these outcomes, adjusted for the infant's sex and gestational age, the mother's race, age group, education level, smoking status and prenatal care, birth season, site of residence, and long-term exposure trends.Term SGA was associated with CO levels exceeding 0.75 ppm (OR = 1.14, 95% confidence interval = 1.02–1.27) and NO₂ exceeding 6.8 ppb (1.11, 1.03–1.21) exposures in the first month, and with PM₁₀ exceeding 35 μg/m³ (1.22, 1.03–1.46) and O₃ (1.11, 1.02–1.20) exposure in the third trimester. PTB was associated with SO₂ (1.07, 1.01–1.14) exposure in the last month, and with (hourly) O₃ exceeding 92 ppb (1.08, 1.02–1.14) exposure in the first month.Exposure to several air pollutants at modest concentrations was associated with adverse birth outcomes. This study, which included a large Black population, suggests the importance of the early period of pregnancy for associations between term SGA with CO and NO₂, and between O₃ with PTB; and the late pregnancy period for associations between term SGA and O₃ and PM₁₀, and between SO₂ with PTB. It also highlights the importance of accounting for individual risk factors such as maternal smoking, maternal race, and long-term trends in air pollutant levels and adverse birth outcomes in evaluating relationships between pollutant exposures and adverse birth outcomes.