Assessment of the Effects of Sugar Cane Plantation Burning on Daily Counts of Inhalation Therapy

ABSTRACT

This study was designed to evaluate the association between sugar cane plantation burning and hospital visits in Araraquara in the state of São Paulo, Brazil. From June 1 to August 31, 1995, the daily number of visits of patients who needed inhalation therapy in one of the main hospitals of the city was recorded and used as health impairment estimation. Sedimentation of particle mass (the amount of particles deposited on four containers filled with water) was measured daily. The association between the weight of the sediment and the number of visits was evaluated by means of Poisson regression models controlled for seasonality, temperature, day of the week, and rain. We found a significant and dose-dependent relationship between the number of visits and the amount of sediment. The relative risk of visit associated with an increase of 10 mg in the sediment weight was 1.09 (1-1.19), and the relative risk of an inhalation therapy was 1.20 (1.03-1.39) on the most polluted days (fourth quartile of sediment mass). These results indicate that sugar cane burning may cause deleterious health effects in the exposed population.     

Source apportionment of atmospheric polycyclic aromatic hydrocarbons (PAHs) in Palm Beach County,Florida

Due to concerns about adverse health effects associated with inhalation of atmospheric polycyclic aromatic hydrocarbons (PAHs), 30 ambient air samples were obtained at an air quality monitoring station in Palm Beach County, Florida, from March 2013 to March 2014. The ambient PAH concentration measurements and fractional emission rates of known sources were incorporated into a chemical mass balance model, CMB8.2, developed by EPA, to apportion contributions of three major PAH sources including preharvest sugarcane burning, mobile vehicles, and wildland fires. Strong association between the number of benzene rings and source contribution was found, and mobile vehicles were identified to be the prevailing source (contribution ≥56%) for the observed PAHs concentration with lower molecular weights (four or fewer benzene rings) throughout the year. Preharvest sugarcane burning was the primary contributing source for PAHs with relatively higher molecular weights (five or more benzene rings) during the sugarcane burning season (from October to May of the next year). Source contribution of wildland fires varied among PAH compounds but was consistently lower than for sugarcane burning during the sugarcane harvest season. Determining the major sources responsible for ground-level PAHs serves as a tool to improving management strategies for PAH emitting sources and a step toward better protection of the health of residents in terms of exposure to PAHs. The results obtain insight into temporal dominance of PAH polluting sources for those residential areas located near sugarcane burning facilities and have implications beyond Palm Beach County, in areas with high concerns of PAHs and their linked sources.

Implications: Source apportionment of atmospheric polycyclic hydrocarbons (PAHs) in Palm Beach County, Florida, meant to estimate contributions of major sources in PAH concentrations measured at Belle Glade City of Palm Beach County. Number of benzene rings was found to be the key parameter in determining the source with the prevailing contribution. Mobile vehicle sources showed a higher contribution for species with four or fewer benzene rings, whereas sugarcane burning contributed more for species with five or more benzene rings. Results from this study encourage more control for sugarcane burns and help to better manage authorization of the sugarcane burning incidents and more restrictive transportation plans to limit PAH emissions from mobile vehicles.     

Particulate Air Pollution and Health Effects for Cardiovascular and Respiratory Causes in Temuco,Chile: A Wood-Smoke-Polluted Urban Area

Abstract

Temuco is one of the most highly wood-smoke-polluted cities in the world. Its population in 2004 was 340,000 inhabitants with 1587 annual deaths, of which 24% were due to cardiovascular and 11% to respiratory causes. For hospital admissions, cardiovascular diseases represented 6% and respiratory diseases 13%. Emergency room visits for acute respiratory infections represented 28%. The objective of the study presented here was to determine the relationship between air pollution from particulate matter less than or equal to 10 µm in aerodynamic diameter (PM₁₀; mostly PM_2.5, or particulate matter <2.5 µm in aerodynamic diameter) and health effects measured as the daily number of deaths, hospital admissions, and emergency room visits for cardiovascular, respiratory, and acute respiratory infection (ARI) diseases. The Air Pollution Health Effects European Approach (APHEA2) protocol was followed, and a multivariate Poisson regression model was fitted, controlling for trend, seasonality, and confounders for Temuco during 1998–2006. The results show that PM₁₀ had a significant association with daily mortality and morbidity, with the elderly (population >65 yr of age) being the group that presented the greatest risk. The relative risk for respiratory causes, with an increase of 100 µg/m³ of PM_10, was 1.163 with a 95% confidence interval (CI) of 1.057–1.279 for mortality, 1.137 (CI 1.096–1.178) for hospital admissions, and 1.162 for ARI (CI 1.144–1.181). There is evidence in Temuco of positive relationships between ambient particulate levels and mortality, hospital admissions, and ARI for cardiovascular and respiratory diseases. These results are consistent with those of comparable studies in other similar cities where wood smoke is the most important air pollution problem.     

Determination of PAH sources in dated sediments from Green Bay, Wisconsin, by a chemical mass balance model

Six sediment cores were collected from Green Bay, Wisconsin, in order to identify possible sources of polycyclic aromatic hydrocarbons (PAHs) by a chemical mass balance (CMB) model. The cores which were obtained in 1995 had total PAH concentrations between 8.04 and 0.460 ppm. 210Pb and 137Cs dating was used to determine historical trends of PAH inputs, and elemental carbon particle analysis was done to characterize particles from combustion of coal, wood and petroleum. The results show that coke burning, highway dust, and wood burning are likely sources of PAHs to Green Bay. The contribution of coke oven emissions (CB) for the Green Bay cores is in the range of 5 to 90%. The overall highway dust (HWY) contribution is between 5 and 70%. There is a maximum (approximately 67%) contribution of HWY around 1988 which is in agreement with the historical US petroleum consumption. The wood burning (WB) contribution is between 1 to 30%, except in core GB-A where a maximum (approximately 50%) is found around 1994. The average relative errors of measurement for x2 equal to the number of degrees of freedom, are 52.5, 56.2, 36.2, 52.3, and 42.8 (df = 3) for the Green Bay cores A, B, C, E, and F, respectively. The sums of the contribution factors are less than one, indicating gain of inert biological or other bulk material between source and receptor. The results of carbon particles for Green Bay core D show that coal, oil, and wood burning are consistent with the CMB modeling results.     

Inhalation transfer factors for air pollution health risk assessment

To facilitate routine health risk assessments, we develop the concept of an inhalation transfer factor (ITF). The ITF is defined as the pollutant mass inhaled by an exposed individual per unit pollutant mass emitted from an air pollution source. A cumulative population inhalation transfer factor (PITF) is also defined to describe the total fraction of an emitted pollutant inhaled by all members of the exposed population. In this paper, ITFs and PITFs are calculated for outdoor releases from area, point, and line sources, indoor releases in single zone and multizone indoor environments, and releases within motor vehicles. Typical PITFs for an urban area from emissions outdoors are approximately 10(-6)-10(-3). PITFs associated with emissions in buildings or in moving vehicles are typically much higher, approximately 10(-3)-10(-1).     

Study on the effect of iron on PM10 formation and design of a particle-generating system using a cocentric diffusion burner flame

Iron pentacarbonyl was added to a cocentric diffusion burner flame burning a mixture of acetylene and ethylene in a co-flowing stream of air. Samples of aerosols and gaseous species were collected within the flames and above the flames with filters and a sampling bottle, and soot volume fraction through the flame was calculated with laser light extinction measurements. Aerosol was isokinetically collected in the inhalation chamber to measure particle concentration and size distribution. Laser extinction measurement showed that iron (Fe) gave an effect on soot formation process and scanning electron microscopy of the aerosol sample showed that soot particle size for the Fe-doped flame was relatively smaller than that of non-Fe-doped flame. Transmission electron microscopy results indicated that Fe species were separated from the soot at the downstream flame. Particles of the soot and Fe mixture could be generated continuously, and the concentration was kept constant under a given experimental condition using the cocentric diffusion flame burner. The mass loading variation for each target concentration (i.e., 100, 200, and 400 microg/m3) in the inhalation chamber was less than +/-5% during 10 hr. This particle-generating burner system could be used effectively for a bioassay test to evaluate risk     

Mobile measurements of aerosol number and volume size distributions in an Alpine valley: Influence of traffic versus wood burning

The spatial variability of highly time resolved size distributions was investigated in a narrow valley which provides the opportunity to study the impact of different sources on ambient particle concentrations during summer and winter time. The measurements were performed with a Fast Mobility Particle Sizer (FMPS) from TSI, Inc. on a mobile laboratory in Southern Switzerland. The results indicate enhanced number concentrations (between 150 000 and 500 000 cm^?3) along the busy highway A2 which is the main transit route through the Swiss Alps connecting the northern and southern part of Switzerland. Especially the nanoparticles with diameters lower than 30 nm showed strongly increased number concentrations on the highway both in summer and winter. In winter time, high aerosol volume concentrations (PM_0.3) were found in villages where wood burning is often used for heating purposes. Both traffic and wood burning were found to be important sources for particulate mass which accumulates during temperature inversions in winter time. Traffic was the dominant and wood burning a minor source for the nanoparticle number concentration. This is important regarding health impacts and its attribution to different sources because wood burning might contribute most to particulate mass whereas at the same time and place traffic contributes most to particulate number. In addition, during summer time volatility measurements were performed with the FMPS showing that the nucleation mode prevalently seen on the highway was removed by more than 95% by thermal treatment.     

Potential effects of particulate matter from combustion during services on human health and on works of art in medieval churches in Cyprus

Indoor and outdoor particulate matter (PM_0.3-10) number concentrations were established in two medieval churches in Cyprus. In both churches incense was burnt occasionally during Mass. The highest indoor PM_0.5-1 concentrations compared with outdoors (10.7 times higher) were observed in the church that burning of candles indoors was allowed. Peak indoor black carbon concentration was 6.8 μg m⁻³ in the instances that incense was burning and 13.4 μg m⁻³ in the instances that the candles were burning (outdoor levels ranged between 0.6 and 1.3 μg m⁻³). From the water soluble inorganic components determined in PM₁₀, calcium prevailed in all samples indoors or outdoors, whilst high potassium concentration indoors were a clear marker of combustion. Indoor sources of PM were clearly identified and their emission strengths were estimated via modeling of the results. Indoor estimated PM_0.3-10 mass concentrations exceeded air quality standards for human health protection and for the preservation of works of art.     

Inhalation Transfer Factors for Air Pollution Health Risk Assessment

ABSTRACT

To facilitate routine health risk assessments, we develop the concept of an inhalation transfer factor (ITF). The ITF is defined as the pollutant mass inhaled by an exposed individual per unit pollutant mass emitted from an air pollution source. A cumulative population inhalation transfer factor (PITF) is also defined to describe the total fraction of an emitted pollutant inhaled by all members of the exposed population. In this paper, ITFs and PITFs are calculated for outdoor releases from area, point, and line sources, indoor releases in single zone and multizone indoor environments, and releases within motor vehicles. Typical PITFs for an urban area from emissions outdoors are ~10^-6–10^-3. PITFs associated with emissions in buildings or in moving vehicles are typically much higher, ~10^-3–10^-1.     

Daily mortality and air pollution in The Netherlands

We studied the association of daily mortality with short-term variations in the ambient concentrations of major gaseous pollutants and PM in the Netherlands. The magnitude of the association in the four major urban areas was compared with that in the remainder of the country. Daily cause-specific mortality counts, air quality, temperature, relative humidity, and influenza data were obtained from 1986 to 1994. The relationship between daily mortality and air pollution was modeled using Poisson regression analysis. We adjusted for potential confounding due to long-term and seasonal trends, influenza epidemics, ambient temperature and relative humidity, day of the week, and holidays, using generalized additive models. Influenza episodes were associated with increased mortality up to 3 weeks later. Daily mortality was significantly associated with the concentration of all air pollutants. An increase in the PM10 concentration by 100 micrograms/m3 was associated with a relative risk (RR) of 1.02 for total mortality. The largest RRs were found for pneumonia deaths. Ozone had the most consistent, independent association with mortality. Particulate air pollution (e.g., PM10, black smoke [BS]) was not more consistently associated with mortality than were the gaseous pollutants SO2 and NO2. Aerosol SO4(-2), NO3-, and BS were more consistently associated with total mortality than was PM10. The RRs for all pollutants were substantially larger in the summer months than in the winter months. The RR of total mortality for PM10 was 1.10 for the summer and 1.03 for the winter. There was no consistent difference between RRs in the four major urban areas and the more rural areas.     

Combustion aerosols: factors governing their size and composition and implications to human health

Particulate matter (PM) emissions from stationary combustion sources burning coal, fuel oil, biomass, and waste, and PM from internal combustion (IC) engines burning gasoline and diesel, are a significant source of primary particles smaller than 2.5 microns (PM2.5) in urban areas. Combustion-generated particles are generally smaller than geologically produced dust and have unique chemical composition and morphology. The fundamental processes affecting formation of combustion PM and the emission characteristics of important applications are reviewed. Particles containing transition metals, ultrafine particles, and soot are emphasized because these types of particles have been studied extensively, and their emissions are controlled by the fuel composition and the oxidant-temperature-mixing history from the flame to the stack. There is a need for better integration of the combustion, air pollution control, atmospheric chemistry, and inhalation health research communities. Epidemiology has demonstrated that susceptible individuals are being harmed by ambient PM. Particle surface area, number of ultrafine particles, bioavailable transition metals, polycyclic aromatic hydrocarbons (PAH), and other particle-bound organic compounds are suspected to be more important than particle mass in determining the effects of air pollution. Time- and size-resolved PM measurements are needed for testing mechanistic toxicological hypotheses, for characterizing the relationship between combustion operating conditions and transient emissions, and for source apportionment studies to develop air quality plans. Citations are provided to more specialized reviews, and the concluding comments make suggestions for further research.     

Characterization of particulate matter concentrations during controlled indoor activities

Indoor sources have been identified as a major contributor to the increase of particle concentration in indoor environments. The work presented here is a study of the characteristics of particulate matter number size distribution and mass concentration under controlled indoor activities in a laboratory room. The objective is to characterize particulate matter concentrations indoors resulted under the influence of specific sources. Measurements were performed in an empty laboratory (period September–October 2006) using a GRIMM SMPS+C system (particle size range between 11.1 and 1083.3 nm), a DustTrak Aerosol Monitor (TSI) and a P-Trak Ultrafine Particle Counter (TSI). The studied indoor activities included candle burning, hot plate heating, water boiling, onion frying, vacuuming, hair drying, hair spraying, smoking and burning of incense stick. The AMANpsd computer algorithm was used to evaluate the modal structure of measured particle number size distribution data. Furthermore, the change of the particle number size distribution shape under the influence of different emission sources was studied versus time. Finally the particle emission rates were computed. High particle number concentrations were observed during smoking, onion frying, candle burning and incense stick burning. The highest particle mass concentrations were measured during smoking and hair spraying. The shift of the particle size distribution to larger diameters suggests the presence of strong coagulation effect during candle burning, incense stick burning, smoking and onion frying. The size distribution was mainly bimodal during onion frying and candle burning, whereas the size distribution remained unimodal during incense stick burning and smoking experiments.     

The use of kriging to estimate monthly ozone exposure parameters for the Southeastern United States

This paper explores the feasibility of (1) using kriging to predict the monthly mean of daily 7-h mean (0900-1559) O3 concentrations, (2) using kriging to estimate the per cent of hourly mean O3 concentrations equal to or greater than 0.07 ppm (137 microg m(-3)) for a specific month, and (3) developing a quantitative relationship between the monthly mean of the daily 7-h (0900-1559) average O3 concentration and the monthly number of hourly concentrations > or = 0.08p ppm (157 microg m(-3)). We found that kriging can be used to estimate the (1) monthly mean of daily 7-h mean O3 concentrations and (2) the percentage of hourly concentrations for a given month > or = 0.07 ppm when sufficient spatial coverage was available. However, the per cent > or = 0.07 ppm parameter exhibited much greater relative variability than the monthly 7-h exposure index. A strong statistical association was found between the monthly number of occurrences > or = 0.08 ppm and monthly 7-h mean concentrations above 0.05 ppm (98 microg m(-3)). Because of the variability that cumulative indices, such as the monthly percentage of hourly concentrations > or = 0.07 ppm , exhibit from site to site, it appears that whether kriging techniques or mathematical regressions are used to estimate the number of elevated O3 hourly concentrations above selected thresholds, large uncertainties associated with the predicted values will exist. These large uncertainties will make it difficult to accurately estimate vegetation effects caused by ambient levels of O3. However, if a generalized quantitative relationship between repeated occurrences of hourly mean concentrations > or = 0.07 ppm or > or = 0.08 and vegetation effects can be developed, it may be possible, using kriged monthly values accompanied with confidence intervals, to identify those areas where vegetation may be at risk. However, before it will be possible to implement such an approach, researchers will have to better quantify the relationship between realistic O3 exposures and vegetation effects.     

Low-wind/high particulate matter episodes in the Calexico/Mexicali region

The U.S. Environmental Protection Agency (EPA) currently classifies Imperial County, CA, as a nonattainment area for PM10 (particulate matter [PM] < or = 10 microm in diameter), and this region suffers from high rates of chronic bronchitis and childhood asthma. Although high annual and daily average PM levels can have negative health and economic effects, recent studies have identified an association between adverse health effects and short-term PM spikes of tens of micrograms per cubic meter. This study identified PM episodes in Calexico/Mexicali that involve PM concentration spikes with concentrations up to 10 times greater than those reported to cause adverse health effects. These episodes appear to be relatively common during the winter months, are associated with wind speeds below 2 m/sec and stable boundary level heights below 500 m, and can comprise a large portion of the 24-hr PM levels. The organic composition of the PM10 samples collected during the low-wind/ high-PM episodes differed from that collected at other times. However, a preliminary source attribution identified only one significant difference between the source classes: agricultural burning accounted for 6.7% of organic-fraction PM10 for low-wind/high-PM episodes versus 0.25% at other times. This preliminary source attribution also revealed that motor vehicles were the most important relative contributor to organic PM10.     

Occurrence of polychlorinated biphenyls (PCBs) in the Soulou stream in the power generation area of Eordea, northwestern Greece

The occurrence of polychlorinated biphenyls (PCBs) was investigated in the Soulou stream in the area of Eordea, northwestern Greece, receiving the effluents of two lignite burning power plants. The study was carried out after an accidental fire in one of the power plants during which losses of an amount of Aroclor 1232 were recorded. PCBs were determined in water and sediment samples collected from the wastewater treatment unit of the power plant and various points across the stream. Concentrations of PCBs were in the same order of magnitude as in other surface waters and sediments previously found in the Greek territory. The sum concentrations of seven PCBs (#28, #52, #101, #118, #138, #153, #180) varied between 94 and 206 ngl(-1) in waters, and between 67 and 500 ngg(-1) in sediments. Profile analysis of PCB congeners revealed large differences between waters and sediments, showing also significant dissimilarity with the profile of Aroclor 1232.     

Deposition and leaching of tebuthiuron on sugar cane straw applied with and without alkyl polyglycoside adjuvant

A laboratory experiment was carried out aiming to study the effects of an alkyl polyglycoside adjuvant (APG) on deposition and leaching of the herbicide tebuthiuron applied on sugar cane straw. Tebuthiuron, at concentration of 1200 mg L(-1), was applied separately and in tank mix with the APG adjuvant, at concentrations of 0.07 and 0.09% (wt v(-1)), using a spraying volume of 204 L ha(-1). A precipitation equivalent to 20 mm of rain was simulated, 24 h after the applications, to evaluate the herbicide leaching. The quantification of tebuthiuron was carried out by the high performance liquid chromatography (HPLC). It was observed that the addition of APG adjuvant at 0.07% (wt v(-1)) provided an increase of 11.5% in the deposition of tebuthiuron on straw, reduction of 50.4% in the drift of the herbicide and it did not affect significantly the leached amount (68.5%), when compared with the treatment where tebuthiuron was applied alone (70.8%). At the concentration of 0.09% (wt v(-1)), the APG adjuvant caused an increase of 22.7% in the deposition; it reduced the drift of the herbicide by 99.9% and reduced the leached amount by 7.6% thereby increasing the retention of the herbicide by straw.     

Combustion Aerosols: Factors Governing Their Size and Composition and Implications to Human Health

ABSTRACT

Particulate matter (PM) emissions from stationary combustion sources burning coal, fuel oil, biomass, and waste, and PM from internal combustion (IC) engines burning gasoline and diesel, are a significant source of primary particles smaller than 2.5 μm (PM_2.5) in urban areas. Combustion-generated particles are generally smaller than geologically produced dust and have unique chemical composition and morphology. The fundamental processes affecting formation of combustion PM and the emission characteristics of important applications are reviewed. Particles containing transition metals, ultrafine particles, and soot are emphasized because these types of particles have been studied extensively, and their emissions are controlled by the fuel composition and the oxidant-tem-perature-mixing history from the flame to the stack. There is a need for better integration of the combustion, air pollution control, atmospheric chemistry, and inhalation health research communities. Epidemiology has demonstrated that susceptible individuals are being harmed by ambient PM. Particle surface area, number of ultrafine particles, bioavailable transition metals, polycyclic aromatic hydrocarbons (PAH), and other particle-bound organic compounds are suspected to be more important than particle mass in determining the effects of air pollution. Time- and size-resolved PM measurements are needed for testing mechanistic toxicological hypotheses, for characterizing the relationship between combustion operating conditions and transient emissions, and for source apportionment studies to develop air quality plans. Citations are provided to more specialized reviews, and the concluding comments make suggestions for further research.     

The characterisation of polycyclic aromatic hydrocarbons emissions from burning of different firewood species in Australia

Four kinds of woods used for residential heating in Australia were selected and burned under two burning conditions in a domestic wood heater installed in a laboratory. The selected wood species included pine (Pinus radiata), red gum (Eucalvptus camaldulensis), sugar gum (Eucalyptus cladocalyx) and yellow box (Eucalyptus melliodora). The two different burning conditions represented fast burning and slow burning, with the air inlet of the combustion chamber respectively 'full open' and 'half open'. By sampling and analysing particulate and gaseous emissions from the burning of each load of wood under defined experimental conditions, PAHs emissions and their profiles in the particulate and gaseous phases were obtained. 16 species out of the 18 selected PAHs were detected. Of these, seven species were detected in the gaseous phase and most were lower molecular weight compounds.Similarly, more than 10 species of PAHs were detected in the particulate phase and these were mostly heavier molecular weight compounds. Under both burning conditions, emission levels for total PAHs and total genotoxic PAHs were the highest for pine and lowest for sugar gum, with red gum being the second highest, followed by yellow box. Using the specific sampling method, gaseous PAHs accounted for above 90% mass fraction of total PAHs in comparison to particulate PAHs (10%). The majority of the genotoxic PAHs were present in the particulate phase. PAHs emission levels in slow burning conditions were generally higher than those in fast burning conditions.     

Herbicides: A new threat to the Great Barrier Reef

The runoff of pesticides (insecticides, herbicides and fungicides) from agricultural lands is a key concern for the health of the iconic Great Barrier Reef, Australia. Relatively low levels of herbicide residues can reduce the productivity of marine plants and corals. However, the risk of these residues to Great Barrier Reef ecosystems has been poorly quantified due to a lack of large-scale datasets. Here we present results of a study tracing pesticide residues from rivers and creeks in three catchment regions to the adjacent marine environment. Several pesticides (mainly herbicides) were detected in both freshwater and coastal marine waters and were attributed to specific land uses in the catchment. Elevated herbicide concentrations were particularly associated with sugar cane cultivation in the adjacent catchment. We demonstrate that herbicides reach the Great Barrier Reef lagoon and may disturb sensitive marine ecosystems already affected by other pressures such as climate change.     

Ambient Air Pollution and Daily Pediatric Hospitalizations for Asthma (5 pp)

Background, Aim and Scope A series of severe air pollution episodes in Europe and North America prior to 1960 have focused scientific and regulatory attention on the adverse effects of air pollution on human health. As a consequence of significant reductions in ambient air pollution levels in the intervening years, scientists and public health officials have become more concerned with the potential health effects of exposure to routine concentrations of air pollution. Several recent time series studies conducted world-wide have found relatively low levels of air pollutants that are below national standards were associated with adverse effects on mortality and morbidity. This study examined the effects of ambient air pollution indicators on the daily rate of pediatric hospital admissions for asthma in the Oklahoma City Metropolitan area from 2001-2003. Results: Negative binomial regression analysis revealed significant relationships between the total number of hospitalizations per day and the one-hour maximum NO2 level, the proportion of susceptible children < 5 years old, and the ratio of temperature to humidity. Discussion: This study of the total number of children aged ≤ 14 years old experiencing hospitalizations on a daily basis in the Oklahoma City area from 2001-2003 underscores factors other than ambient air pollution, especially when concentrations are low, affect hospitalizations for pediatric asthma. For example, information related to indoor air quality, health care, family history, and exposure to environmental tobacco smoke and other irritants are not obtainable. Yet, those factors are risk drivers for asthma. Similarly, health privacy requirements prevented obtaining data on physiological factors specific to each child such as differentials in airways functional capacity or other impairments influenced asthma exacerbation. This makes calculating relative risk inappropriate. Conclusions: Although ambient air pollution concentrations and meteorological conditions influence pediatric asthma hospitalizations, they are not the major predictors in the Oklahoma City metropolitan area. This is consistent with other research that finds limited effects associated with low levels for concentrations of the criteria pollutants.