Emerging environmental, health and safety issues in China: practical impacts on international investors

The Chinese government at the highest levels continues to stress the importance of environmental protection. The environmental consequences of rapid industrialisation and a burgeoning population are now unavoidable to citizens and government ministers alike. Among the major challenges for environmental protection and health and safety regulations in China are improving the transparency of government bodies and statistics, encouraging horizontal and vertical coordination on regulation and projects between and within ministries, ensuring economic viability of both municipal and commercial sector environmental protection projects, and enforcing ever-strengthening regulations. Government officials at all levels will no doubt feel pressure to advance new legislation while maintaining a high level of GDP growth, which invariably will place a priority on development and not on environmental, health and safety issues. Given the increasingly precarious economic conditions and ongoing reform of state-owned enterprises, it may be difficult for the Chinese government to follow through on high-minded efforts. This paper discusses the changing regulatory framework, likely enforcement inequities and implications for multinationals seeking to comply.     

Communicating the risk from radon.

A prominent television station developed a special series of newscasts and public service announcements about radon. This was combined with their advertising of the availability of reduced-price radon test kits in a local supermarket chain. The large number of test kits sold was a success from a marketing perspective, but not from a public health perspective--especially because of the very small share of high readings that were mitigated. In contrast, a study of housing sales showed a much higher testing rate and corresponding mitigation when risk communication accompanied the housing transaction, rather than being directed toward the general public. This paper examines the relative effectiveness of these alternative approaches to radon risk communication, emphasizing the implications for developing and implementing radon programs.     

On Air Pollution,Environmental Tobacco Smoke,Radon, and Lung Cancer

The health of populations in industrialised societies has been affected for many years by ambient air pollutants presenting a threat of chronic bronchitis and lung cancer. In the 1980s Indoor pollutants received much needed investigation to assess their hazards to health. Exposure to environmental tobacco smoke and radon is now the subject of much research and concern. This review attempts to put some perspective on lung cancer that is attributable to lifetime exposure to airborne pollutants. The view is expressed that air pollution control authorities have played and are playing a major role in health improvement.     

Evaluation of Chemical Exposures in the Hazardous Waste Industry

Abstract

The assessment of personnel exposure to volatile solvent vapors is an important aspect in any comprehensive health and safety program. This is particularly true at Treatment, Storage, and Disposal Facilities (TSDFs) and for industries dealing with volatile solvents. This paper presents organic vapor monitoring data from seven TSDFs and from several routine small business and household activities. It shows that proper controls at TSDFs effectively reduce personnel vapor exposure. Through an examination of data from a specialized business such as a TSDF, along with data from more routine activities, a different perspective arises regarding potential hazards associated with hazardous waste disposal activities.     

Accuracy and Precision of Home Radon Monitoring and the Effectiveness of EPA Monitoring Guidelines

EPA has provided guidelines to homeowners for monitoring and mitigating radon in the home. The effectiveness of these guidelines is dependent, in part, on the accuracy and precision of monitoring methods. This paper proposes a model for radon monitoring accuracy and precision based upon a review of the monitoring literature. The model is then used to quantify the extent of potential misclassification of homes by radon level from the application of EPA guidelines.

Short-term monitoring performed in the basement during winter produced conservative (higher than actual) radon estimates, on average. For homes with annual concentrations of 4 pCi/L, approximately 30 percent will still have short-term results under 4 pCi/L. Underestimation of radon levels is cut by 50 percent or more by the use of monitors on first floor and basement (confirmatory monitoring) as opposed to monitoring the basement alone (screening monitoring). However, following the screening/confirmatory monitoring sequence suggested by EPA increases underestimation at radon levels under 8 pCi/L. The model was found to be sensitive to a number of the assumptions made, and specific follow-up studies are suggested.     

Types,sources, socioeconomic impacts,and control strategies of environmental noise: a review

Noise exposure has reached an alarming degree over the years because of rapid growth in the industry, transportation, and urbanization. Therefore, it is a dire need to provide awareness of the sources and mitigation strategies of noise, and to highlight the health, and socio-economic impacts of noise. A few research studies have documented this emerging issue; however, there is no comprehensive document describing all types of noise, their impacts on living organisms, and control strategies. This review article summarizes the sources of noise; their effects on industrial workers, citizens, and animals; and the value of property in noisy areas. The plethora of literature is showing an increased level of noise in various cities of the world, which have various health consequences such as high blood pressure, insomnia, nausea, heart attack, exhaustion, dizziness, headache, and triggered hearing loss. Apart from humans, noise also affects animal habitat, preying, and reproduction ability; increases heart rate and hearing loss to even death and loss in property value; and impairs the hospital environment. Finally, we have discussed the possible strategies to mitigate the noise problem, policy statements, and regulations to be followed, with future research directions based on the identified research gaps.

     

A physiologically based assessment of human exposure to radon released from groundwater

Most of the indoor radon comes directly from the soil beneath the foundation of a basement. Recently, radon from groundwater was found to make some contribution to the total inhalation risk associated with radon in indoor air. This study presents a realistic exposure assessment of a human to indoor radon released from groundwater. First, the prediction of indoor radon concentration released from groundwater was based on a three-compartment model that was developed to describe the transfer and distribution of the radon released from groundwater in a house through showers, washing clothes, and flushing toilets. Second, a physiologically based pharmacokinetic (PBPK) model for inhaled radon was developed and used to estimate tissue group concentrations in a human body. The PBPK model provides reasonable predictions of uptake, excretion, and distribution of retained radon among tissue groups in the body. Hence, the approach using the PBPK model combined with realistic indoor exposure scenarios predicts the radon concentrations in tissue groups in the body associated with the indoor radon pollution. The results obtained from the study will help increase the quantitative understanding of the risk assessment issues associated with the indoor radon released from the groundwater.     

The use of passive sampling to monitor forest exposure to O3, NO2 and SO2: a review and some case studies

The use of passive sampler systems is reviewed and discussed. These devices are able to determine both spatial and temporal differences in canopy exposure, as is demonstrated by their use in extensive monitoring of air-pollution exposure in forest health plots. Categorising forest health monitoring plots according to air-pollution exposure permits cause-effect analysis of certain forest health responses. In addition, passive sampling may identify areas affected by interaction between different gaseous pollutants. Passive samplers at the stand level can be used to resolve vertical profiles of ozone within the stand, and edge effects, which are important in exposure of understorey and ground flora. Recent case studies using passive samplers to determine forest exposure to gaseous pollutants indicate a potential for the development of spatial models on regional-, landscape-, and stand-level scales and the verification of atmospheric transport models.     

Effect of biogas generation on radon emissions from landfills receiving radium-bearing waste from shale gas development

Dramatic increases in the development of oil and natural gas from shale formations will result in large quantities of drill cuttings, flowback water, and produced water. These organic-rich shale gas formations often contain elevated concentrations of naturally occurring radioactive materials (NORM), such as uranium, thorium, and radium. Production of oil and gas from these formations will also lead to the development of technologically enhanced NORM (TENORM) in production equipment. Disposal of these potentially radium-bearing materials in municipal solid waste (MSW) landfills could release radon to the atmosphere. Risk analyses of disposal of radium-bearing TENORM in MSW landfills sponsored by the Department of Energy did not consider the effect of landfill gas (LFG) generation or LFG control systems on radon emissions. Simulation of radon emissions from landfills with LFG generation indicates that LFG generation can significantly increase radon emissions relative to emissions without LFG generation, where the radon emissions are largely controlled by vapor-phase diffusion. Although the operation of LFG control systems at landfills with radon source materials can result in point-source atmospheric radon plumes, the LFG control systems tend to reduce overall radon emissions by reducing advective gas flow through the landfill surface, and increasing the radon residence time in the subsurface, thus allowing more time for radon to decay. In some of the disposal scenarios considered, the radon flux from the landfill and off-site atmospheric activities exceed levels that would be allowed for radon emissions from uranium mill tailings.

Implications: Increased development of hydrocarbons from organic-rich shale formations has raised public concern that wastes from these activities containing naturally occurring radioactive materials, particularly radium, may be disposed in municipal solid waste landfills and endanger public health by releasing radon to the atmosphere. This paper analyses the processes by which radon may be emitted from a landfill to the atmosphere. The analyses indicate that landfill gas generation can significantly increase radon emissions, but that the actual level of radon emissions depend on the place of the waste, construction of the landfill cover, and nature of the landfill gas control system.     

Emergency Planning and Community Right-to-Know

The Emergency Planning and Community Right-to-Know law is an exciting new approach to environmental protection. It is based on the belief that the more information citizens have about environmental conditions in their communities, the better equipped they will be to insure their own protection from unacceptable risks to their health and safety. The law requires disclosure by industry of both the presence and release into the environment—including both accidental and “routine” releases—of hazardous substances. The information will be available not only to government regulators, but also to the people most directly affected—the residents of the communities where the substances are located.     

Ranking the risks of 12 major environmental pollutants that occur in Japan

The risks posed by 12 major environmental pollutants in Japan were evaluated and ranked on the same scale. These were arsenic, benzene, cadmium, chlordane, chlorpyrifos, DDTs, dioxins, formaldehyde, methylmercury, radon, toluene, and xylenes. Approximately half of these substances are carcinogenic while the other half are non-carcinogenic. We applied a risk estimation framework that can evaluate both cancer and non-cancer risks on the same scale. The framework consists of two parts: the calculation of the probability of adverse health effects, and the evaluation of the severity of the effects. In order to calculate the probability of adverse health effects, individual variabilities in exposure level, metabolizing rate, and sensitivity were taken into account. Loss of life expectancy (LLE; days) was used as a measure of severity of the adverse health effects and of the resulting risk level. The risk level of the substances in terms of LLE ranged from approximately 0.01 to 10 days. The risks from radon and formaldehyde were found to be the highest, while those from DDT and chlordane were the lowest. Our findings also suggested that the risk levels posed by non-carcinogenic substances were comparable to those posed by carcinogenic substances.     

Effect modification of ambient particle mortality by radon: A time series analysis in 108 U.S. cities

Numerous studies have reported a positive association between ambient fine particles and daily mortality, but little is known about the particle properties or environmental factors that may contribute to these effects. This study assessed potential modification of radon on PM_2.5 (particulate matter with an aerodynamic diameter <2.5 μm)-associated daily mortality in 108 U.S. cities using a two-stage statistical approach. First, city- and season-specific PM_2.5 mortality risks were estimated using over-dispersed Poisson regression models. These PM_2.5 effect estimates were then regressed against mean city-level residential radon concentrations to estimate overall PM_2.5 effects and potential modification by radon. Radon exposure estimates based on measured short-term basement concentrations and modeled long-term living-area concentrations were both assessed. Exposure to PM_2.5 was associated with total, cardiovascular, and respiratory mortality in both the spring and the fall. In addition, higher mean city-level radon concentrations increased PM_2.5-associated mortality in the spring and fall. For example, a 10 µg/m³ increase in PM_2.5 in the spring at the 10th percentile of city-averaged short-term radon concentrations (21.1 Bq/m³) was associated with a 1.92% increase in total mortality (95% CI: 1.29, 2.55), whereas the same PM_2.5 exposure at the 90th radon percentile (234.2 Bq/m³) was associated with a 3.73% increase in total mortality (95% CI: 2.87, 4.59). Results were robust to adjustment for spatial confounders, including average planetary boundary height, population age, percent poverty and tobacco use. While additional research is necessary, this study suggests that radon enhances PM_2.5 mortality. This is of significant regulatory importance, as effective regulation should consider the increased risk for particle mortality in cities with higher radon levels.

Implications: In this large national study, city-averaged indoor radon concentration was a significant effect modifier of PM_2.5-associated total, cardiovascular, and respiratory mortality risk in the spring and fall. These results suggest that radon may enhance PM_2.5-associated mortality. In addition, local radon concentrations partially explain the significant variability in PM_2.5 effect estimates across U.S. cities, noted in this and previous studies. Although the concept of PM as a vector for radon progeny is feasible, additional research is needed on the noncancer health effects of radon and its potential interaction with PM. Future air quality regulations may need to consider the increased risk for particle mortality in cities with higher radon levels.     

Estimating long-term population exposure to ozone in urban areas of Europe

Tropospheric ozone concentrations regarded as harmful for human health are frequently encountered in Central Europe in summertime. Although ozone formation generally results from precursors transported over long distances, in urban areas local effects, such as reactions due to nearby emission sources, play a major role in determining ozone concentrations. Europe-wide mapping and modeling of population exposure to high ozone concentrations is subject to many uncertainties, because small-scale phenomena in urban areas can significantly change ozone levels from those of the surroundings. Currently the integrated assessment modeling of European ozone control strategies is done utilizing the results of large-scale models intended for estimating the rural background ozone levels. This paper presents an initial study on how much local nitrogen oxide (NOx) concentrations can explain variations between large-scale ozone model results and urban ozone measurements, on one hand, and between urban and nearby rural measurements, on the other. The impact of urban NOx concentrations on ozone levels was derived from chemical equations describing the ozone balance. The study investigated the applicability of the method for improving the accuracy of modeled population exposure, which is needed for efficient control strategy development. The method was tested with NOx and ozone measurements from both urban and rural areas in Switzerland and with the ozone predictions of the large-scale photochemical model currently used in designing Europe-wide control strategies for ground-level ozone. The results suggest that urban NOx levels are a significant explanatory factor in differences between urban and nearby rural ozone concentrations and that the phenomenon could be satisfactorily represented with this kind of method. Further research efforts should comprise testing of the method in more locations and analyzing the performance of more widely applicable ways of deriving the initial parameters.     

Ozone exposure among Mexico City outdoor workers

In researching health effects of air pollution, pollutant levels from fixed-site monitors are commonly assigned to the subjects. However, these concentrations may not reflect the exposure these individuals actually experience. A previous study of ozone (O3) exposure and lung function among shoe-cleaners working in central Mexico City used fixed-site measurements from a monitoring station near the outdoor work sites as surrogates for personal exposure. The present study assesses the degree to which these estimates represented individual exposures. In 1996, personal O3 exposures of 39 shoe-cleaners working outdoors were measured using an active integrated personal sampler. Using mixed models, we assessed the relationship between measured personal O3 exposure and ambient O3 measurements from the fixed-site monitoring station. Ambient concentrations were approximately 50 parts per billion higher, on average, than personal exposures. The association between personal and ambient O3 was highly significant (mixed model slope p < 0.0001). The personal/ambient ratio was not constant, so use of the outdoor monitor would not be appropriate to rank O3 exposure and evaluate health effects between workers. However, the strong within-worker longitudinal association validates previous findings associating day-to-day changes in fixed-site O3 levels with adverse health effects among these shoe-cleaners and suggests fixed-site O3 monitors may adequately estimate exposure for other repeated-measure health studies of outdoor workers.     

EPA’s Perspective on Risks from Residential Radon Exposure

Indoor radon has been judged to be the most serious environmental carcinogen which the EPA must address for the general public. The optimal strategy for dealing with this problem depends on the magnitude of the risk, how the risk is distributed within the population, as well as the effectiveness and costs of mitigation measures. Based on current exposure and risk estimates, radon exposure in single-family houses may be a causal factor in roughly 20,000 lung cancer fatalities per year. Most of these projected fatalities are attributable to exposures in houses with average or moderately elevated radon levels (below 10 pCi/L). Hence to appreciably reduce radon-induced lung cancers, remediation efforts must include houses not highly elevated in radon. From either an individual risk or a cost-benefit standpoint, reduction of a few pCi/L per home appears to be justified. The optimal strategy for dealing with the indoor radon problem depends on the magnitude of the risk per unit exposure, the distribution of exposures in houses, and the effectiveness and costs of mitigation. EPA’s current views with respect to these factors and the associated uncertainties are discussed.     

Comparative health impact assessment of local and regional particulate air pollutants in Scandinavia

The ongoing program Clean Air for Europe (CAFE) is an initiative from the EU Commission to establish a coordinated effort to reach better air quality in the EU. The focus is on particulate matter as it has been shown to have large impact on human health. CAFE requested that WHO make a review of the latest findings on air pollutants and health to facilitate assessments of the different air pollutants and their health effects. The WHO review project on health aspects of air pollution in Europe confirmed that exposure to particulate matter (PM), despite the lower levels we face today, still poses a significant risk to human health. Using the recommended uniform risk coefficients for health impact assessment of PM, regardless of sources, premature mortality related to long-range transported anthropogenic particles has been estimated to be about 3500 deaths per year for the Swedish population, corresponding to a reduction in life expectancy of up to about seven months. The influence of local sources is more difficult to estimate due to large uncertainties when linking available risk coefficients to exposure data, but the estimates indicate about 1800 deaths brought forward each year with a life expectancy reduction of about 2-3 months. However, some sectors of the population are exposed to quite high locally induced concentrations and are likely to suffer excessive reductions in life expectancy. Since the literature increasingly supports assumptions that combustion related particles are associated with higher relative risks, further studies may shift the focus for abatement strategies. CAFE sets out to establish a general cost effective abatement strategy for atmospheric particles. Our results, based on studies of background exposure, show that long-range transported sulfate rich particles dominate the health effects of PM in Sweden. The same results would be found for the whole of Scandinavia and many countries influenced by transboundary air pollution. However, several health studies, including epidemiological studies with a finer spatial resolution, indicate that engine exhaust particles are more damaging to health than other particles. These contradictory findings must be understood and source specific risk estimates have to be established by expert bodies, otherwise it will not be possible to find the most cost effective abatement strategy for Europe. We are not happy with today's situation where every strategy to reduce PM concentrations is estimated to have the same impact per unit change in the mass concentration. Obviously there is a striking need to introduce more specific exposure variables and a higher geographical resolution in epidemiology as well as in health impact assessments.     

Indoor nitrogen dioxide exposure and children's pulmonary function

Elevated concentrations of nitrogen dioxide (NO2) are produced in the home by the use of unvented gas appliances. In studies on potential health effects of indoor exposure to NO2, exposure has mostly been estimated from the presence or absence of sources like gas cookers in the home. This leads to misclassification of exposure, as NO2 concentrations in the home depend also on source use, ventilation habits, time budgets, etc. The availability of cheap, passive monitoring devices has made it possible to measure indoor concentrations of NO2 directly in health effects studies, albeit with averaging times of one to several days. So far, it has not been evaluated whether this increases the sensitivity of a study to detect health effects of NO2. In this paper, a comparison is made between NO2 sources and weekly average indoor NO2 measurements, as predictors of pulmonary function in a study among children aged 6-12 years. The relationship between exposure and lung functions was found to be generally non-significant in this study. The results further suggested that in this study, measuring indoor NO2 concentrations with passive monitors offered no advantage over the simple use of source presence as exposure variable.     

Predicting Radon Testing Among University Employees

Abstract

To determine covariates of radon testing behavior, we surveyed by mail a random sample of all Boston University employees (N = 915) six to nine months after they had been informed of the availability of radon testing services through the University's medical center. The response rate was 58%. Analysis suggests blue collar workers were underrepresented within the response rate. Slightly more than half of the respondents (51%) were men. The majority (69%) were under the age of 45. Twenty-seven percent of the respondents (N = 143) had tested their homes for radon. Bivariate analysis revealed important differences between radon testers and nontesters. Testers were 12 times more likely to be home owners than renters (p = 0.00), and were more knowledgeable about radon's characteristics and testing procedures (p = 0.00). Testers were more likely to view radon as a serious problem (p = 0.00), to consider radon testing efficacious (p = 0.00), and to consider themselves susceptible to exposure (p = 0.00). Testers were also less likely to perceive barriers to radon testing. We used logistic regression to compare the usefulness of the Health Belief Model and the Diffusion of Innovations Model in predicting radon testing. We concluded that the knowledge deficits and barriers to radon testing identified in this study should be targeted in radon educational interventions.