Short-term effects of air pollution on daily hospital admissions for cardiovascular diseases in western China

Controlling the confounding factors on cardiovascular diseases, such as long-time trend, calendar effect, and meteorological factors, a generalized additive model (GAM) was used to investigate the short-term effects of air pollutants (PM₁₀, SO₂, and NO₂) on daily cardiovascular admissions from March 1st to May 31st during 2007 to 2011 in Lanzhou, a heavily polluted city in western China. The influences of air pollutants were examined with different lag structures, and the potential effect modification by dust storm in spring was also investigated. Significant associations were found between air pollutants and hospital admissions for cardiovascular diseases both on dust event days and non-dust event days in spring. Air pollutants had lag effects on different age and gender groups. Relative risks (RRs) and their 95% confidence intervals (CIs) associated with a 10 μg/m³ increase were 1.14 (1.04~1.26) on lag1 for PM₁₀, 1.31 (1.21~1.51) on lag01 for SO₂, and 1.96 (1.49~2.57) on lag02 for NO₂ on dust days. Stronger effects of air pollutants were observed for females and the elderly (≥60 years). Our analysis concluded that the effects of air pollutants on cardiovascular admissions on dust days were significantly stronger than non-dust days. The current study strengthens the evidence of effects of air pollution on health and dust-exacerbated cardiovascular admissions in Lanzhou.     

Ozone patterns for three metropolitan statistical areas in North Carolina, USA

As part of an effort by the state of North Carolina to develop a State Implementation Plan (SIP) for 1-h peak ozone control, a network of ozone stations was established to monitor surface ozone concentrations across the state. Between 19 and 23 ozone stations made continuous surface measurements between 1993 and 1995 surrounding three major metropolitan statistical areas (MSAs): Raleigh/Durham (RDU), Charlotte/Mecklenburg (CLT), and Greensboro/High Point/Winston-Salem (GSO). Statistical averages of the meteorological and ozone data were performed at each Metropolitan Statistical Area (MSA) to study trends and/or relationships on high ozone days (days in which one of the MSA sites measured an hourly ozone concentration90.0 ppbv). County emission maps of precursor gases, wind roses, total area averages of ozone, total downwind averages of ozone deviations, upwind averages of ozone, and a modified delta ozone analysis were all obtained and analyzed. The results of this study show a reduction in the delta ozone relative to an earlier study at RDU, but no average significant change at CLT (no comparison can be made for GSO). The statistical data analyses in this study are used to quantify the importance of local contributions and regional transport, to ozone air pollution in the MSAs.     

Effects of air pollution on emergency admissions for chronic obstructive pulmonary diseases in Oporto, Portugal

The present paper is based on results collected from the air quality network, which was assembled for covering the Oporto metropolitan area, in Portugal. Among the SO₂ and PM₁₀ levels obtained for the last two decades, a particular unpolluted year was chosen to evaluate the health effects of concentrations lower than those that usually cause acute episodes. It was observed that even low levels of SO₂ could be related with the increase of obstructive chronic pulmonary diseases morbidity daily rates recorded in Oporto during the same year. When the relationship between levels of atmospheric pollution and human health is considered, climatic factors have a synergetic effect. The observation of respiratory symptoms for concentrations below the current ambient standards, in agreement with previous studies carried out in the same area and other countries, suggests that it is urgent the process of updating and revision of those values in order to protect in effect the health of populations. As particles have shown an important role on health impact, its characterisation was done, considering their respirable fractions. It was concluded that most of the total suspended particles are breathable. Moreover, more than 78% and 87% of the organic composition and of the carcinogenic agent benzo(a)pyrene content, respectively, are detected in particles liable to attain the respiratory tract.     

Day-of-Week behavior of atmospheric ozone in three U.S. cities

The weekly cycles of atmospheric ozone (O3) are of interest because they provide information about the response of O3 to changes in anthropogenic emissions from weekdays to weekends. The weekly behavior of O3 in Chicago, IL; Philadelphia, PA; and Atlanta, GA, is contrasted. In Chicago and Philadelphia, maximum 1-hr average O3 increases on weekends. In Atlanta, O3 builds up from Mondays to Fridays and declines during weekends. In all three areas, volatile organic compound (VOC)/nitrogen oxides (NOx) ratios are higher during weekends, resulting from greater than proportionate decreases in NOx relative to VOC emissions. The VOC/NOx ratios correlate with maximum 1-hr O3 concentrations in Chicago, a response consistent with a VOC-sensitive airshed. A weak correlation between O3 concentrations and VOC/NOx ratios in Philadelphia suggests the impact of transported O3, which is formed in upwind VOC-sensitive locations that may be hundreds of kilometers away. Ozone concentrations in Atlanta do not correlate with VOC/NOx ratios but with concentrations of NOx and total reactive nitrogen (NOy) carried over from the previous day. When data from 1986-1990 and 1995-1999 are compared, only small differences in the weekly behavior of O3 are observed in Chicago and Philadelphia. The day-of-week differences in O3 are amplified in the more recent period in Atlanta, a possible result of urban growth.     

Air Pollution in Six Major U. S. Cities as Measured by the Continuous Air Monitoring Program

Data obtained by the Continuous Air Monitoring Program (CAMP) in six cities during two years are summarized. Six gaseous pollutants were monitored in Cincinnati, Chicago, New Orleans, Philadelphia, San Francisco, and Washington, D. C. during 1962 and 1963. The data serve as a basis for describing several contrasts and similarities in the nature of air pollution experienced in six cities, which represent a broad geographical and climatological range of urbayi environments. Specific topics covered are: typical pollutant levels, patterns of daily and seasonal variations, and unusual phenomena such as atmospheric stagnation periods and photochemical smog formation.     

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

ABSTRACT

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

Infant mortality and air pollution: a comprehensive analysis of U.S. data for 1990

This paper uses U.S. linked birth and death records to explore associations between infant mortality and environmental factors, based on spatial relationships. The analysis considers a range of infant mortality end points, regression models, and environmental and socioeconomic variables. The basic analysis involves logistic regression modeling of individuals; the cohort comprises all infants born in the United States in 1990 for whom the required data are available from the matched birth and death records. These individual data include sex, race, month of birth, and birth weight of the infant, and personal data on the mother, including age, adequacy of prenatal care, and smoking and education in most instances. Ecological variables from Census and other sources are matched on the county of usual residence and include ambient air quality, elevation above sea level, climate, number of physicians per capita, median income, racial and ethnic distribution, unemployment, and population density. The air quality variables considered were 1990 annual averages of PM10, CO, SO2, SO4(2-), and "non-sulfate PM10" (NSPM10--obtained by subtracting the estimated SO4(2-) mass from PM10). Because all variables were not available for all counties (especially maternal smoking), it was necessary to consider various subsets of the total cohort. We examined all infant deaths and deaths by age (neonatal and postneonatal), by birth weight (normal and low [< 2500 g]), and by specific causes within these categories. Special attention was given to sudden infant death syndrome (SIDS). For comparable modeling assumptions, the results for PM10 agreed with previously published estimates; however, the associations with PM10 were not specific to probable exposures or causes of death and were not robust to changes in the model and/or the locations considered. Significant negative mortality associations were found for SO4(2-). There was no indication of a role for outdoor PM2.5, but possible contributions from indoor air pollution sources cannot be ruled out, given higher SIDS rates in winter, in the north and west, and outside of large cities.     

Impact of ambient temperature on hospital admissions for respiratory diseases in suburban rural villages in northwest China

Environmental Science and Pollution Research - Extreme temperature is strongly associated with human health, but few studies are available for the effects of extreme temperatures on respiratory...     

Association between short-term exposure to ambient air pollution and hospital admissions for transient ischemic attacks in Beijing,China

Environmental Science and Pollution Research - Numerous studies have examined the associations between air pollution and stroke. However, little is known about the associations between air...     

Accuracy and reliability of an automated air quality forecast system for ozone in seven Kentucky metropolitan areas

An automated forecast system for ozone in seven Kentucky metropolitan areas has been operational since 2004. The forecast system automatically downloads the required input data twice each day, produces next-day forecasts of metro area peak 8-h average ozone concentration using a computer coded hybrid nonlinear regression (NLR) model, and posts the results on a website. The automated models were similar to previous NLR models, first applied to forecasting ozone in the Louisville metro area. The forecast system operated reliably during the 2004 and 2005 O₃ seasons, producing at least one forecast per day better than 99% of the time. The forecast accuracy of the automated system was good. For all 2004 and 2005 forecasts, the mean absolute error was equal to 8.7 ppb, or 15.6% of the overall mean concentration. The overall detection rate of air quality standard exceedences was 56%, and the overall false alarm rate was 42%. In Louisville, the performance of the automated system was comparable to that of expert forecasters using the NLR model as a forecast tool.     

Air pollution impacts of speed limitation measures in large cities: The need for improving traffic data in a metropolitan area

Assessing the effects of air quality management strategies in urban areas is a major concern worldwide because of the large impacts on health caused by the exposure to air pollution. In this sense, this work analyses the changes in urban air quality due to the introduction of a maximum speed limit to 80 km h^?1 on motorways in a large city by using a novel methodology combining traffic assimilation data and modelling systems implemented in a supercomputing facility. Albeit the methodology has been non-specifically developed and can be extrapolated to any large city or megacity, the case study of Barcelona is presented here. Hourly simulations take into account the entire year 2008 (when the 80 km h^?1 limit has been introduced) vs. the traffic conditions for the year 2007. The data has been assimilated in an emission model, which considers hourly variable speeds and hourly traffic intensity in the affected area, taken from long-term measurement campaigns for the aforementioned years; it also permits to take into account the traffic congestion effect. Overall, the emissions are reduced up to 4%; however the local effects of this reduction achieve an important impact for the adjacent area to the roadways, reaching 11%. In this sense, the speed limitation effects assessed represent enhancements in air quality levels (5–7%) of primary pollutants over the area, directly improving the welfare of 1.35 million inhabitants (over 41% of the population of the Metropolitan Area) and affecting 3.29 million dwellers who are potentially benefited from this strategy for air quality management (reducing 0.6% the mortality rates in the area).     

Overview of the U.S. Environmental Protection Agency's Hazardous Air Pollutant Early Reduction Program.

Under provision of the Clean Air Act Amendments of 1990 Title III, the EPA has proposed a regulation (Early Reduction Program) to allow a six-year compliance extension from Maximum Achievable Control Technology (MACT) standards for sources that voluntarily reduce emissions of Hazardous Air Pollutants (HAPs) by 90 percent or more (95 percent or more for particulates) from a base year of 1987 or later. The emission reduction must be made before the applicable MACT standard is proposed for the source category or be subject to an enforceable commitment to achieve the reduction by January 1, 1994 for sources subject to MACT standards prior to 1994. The primary purpose of this program is to encourage reduction of HAPs emissions sooner than otherwise required. Industry would be allowed additional time in evaluating emission reduction options and developing more cost-effective compliance strategies, although, under strict guidelines to ensure actual, significant and verifiable emission reductions occur.     

Will the circle be unbroken: a history of the U.S. National Ambient Air Quality Standards

In celebration of the 100th anniversary of the Air & Waste Management Association, this review examines the history of air quality management (AQM) in the United States over the last century, with an emphasis on the ambient standards programs established by the landmark 1970 Clean Air Act (CAA) Amendments. The current CAA system is a hybrid of several distinct air pollution control philosophies, including the recursive or circular system driven by ambient standards. Although this evolving system has resulted in tremendous improvements in air quality, it has been far from perfect in terms of timeliness and effectiveness. The paper looks at several periods in the history of the U.S. program, including: (1) 1900-1970, spanning the early smoke abatement and smog control programs, the first federal involvement, and the development of a hybrid AQM approach in the 1970 CAA; (2) 1971-1976, when the first National Ambient Air Quality Standards (NAAQS) were set and implemented; (3) 1977-1993, a period of the first revisions to the standards, new CAA Amendments, delays in implementation and decision-making, and key science/policy/legislative developments that would alter both the focus and scale of air pollution programs and how they are implemented; and (4) 1993-2006, the second and third wave of NAAQS revisions and their implementation in the context of the 1990 CAA. This discussion examines where NAAQS have helped drive implementation programs and how improvements in both effects and air quality/control sciences influenced policy and legislation to enhance the effectiveness of the system over time. The review concludes with a look toward the future of AQM, emphasizing challenges and ways to meet them. The most significant of these is the need to make more efficient progress toward air quality goals, while adjusting the system to address the growing intersections between air quality management and climate change.     

Determination of fine particulate semi-volatile organic material at three eastern U.S. sampling sites

Correct assessment of fine particulate carbonaceous material as a function of particle size is, in part, dependent on the determination of semi-volatile compounds, which can be lost from particles during sampling. This study gives results obtained for the collection of fine particulate carbonaceous material at three eastern U.S. sampling sites [Philadelphia, PA; Shenandoah National Park, VA; and Research Triangle Park (RTP), NC] using diffusion denuder technology. The diffusion denuder samplers allow for the determination of fine particulate organic material with no artifacts, due to the loss of semi-volatile organic particulate compounds, or collection of gas-phase organic compounds by the quartz filter during sampling. The results show that an average of 41, 43, and 59% of fine particulate organic material was lost as volatilized semi-volatile organic material during collection of particles on a filter at Philadelphia, RTP, and Shenandoah, respectively. The particle size distribution of carbonaceous material retained by a filter and lost from a filter during sampling was obtained for the samples collected at Philadelphia and Shenandoah. The carbonaceous material retained by the particles during sampling was found predominantly in particles smaller than 0.4 microm in aerodynamic diameter. In contrast, the semi-volatile organic material lost from the particles during sampling had a mass median diameter of approximately 0.5 microm.     

Application of an ISCST3 model for predicting urban air pollution in the Izmir metropolitan area

A Gaussian atmospheric dispersion model, Industrial Source Complex Short Term (ISCST3), was used to estimate ground-level concentrations of sulphur dioxide (SO₂) emitted from source categories of industrial and domestic heating in the city of Izmir, Turkey. Predictions were estimated for the year 2000 across a study area of 80 km x 100 km. Statistical analyses were carried out to evaluate the model performance by comparing predicted and observed SO₂ concentrations at four ambient air quality monitoring stations using two main methods root mean square error (RMSE) and an index of agreement (d). The results showed that industry was found as the most air-polluting sector and industries located at outside of the metropolitan area were found to carry important risks for urban air quality. The most polluted area was found at a distance of about 1 km from a major petroleum refinery and a large petrochemical industry.     

Agricultural and green infrastructures: the role of non-urbanised areas for eco-sustainable planning in a metropolitan region

Non-Urbanised Areas (NUAs) are part of agricultural and green infrastructures that provide ecosystem services. Their role is fundamental for the minimization of urban pollution and adaptation to climate change. Like all natural ecosystems, NUAs are endangered by urban sprawl. The regulation of sprawl is a key issue for land-use planning. We propose a land use suitability strategy model to orient Land Uses of NUAs, based on integration of Land Cover Analysis (LCA) and Fragmentation Analysis (FA). With LCA the percentage of evapotranspiring surface is defined for each land use. Dimensions and densities of NUAs patches are assessed in FA. The model has been developed with Geographical Information Systems, using an extensive set of geodatabases, including orthophotos, vectorial cartographies and field surveys. The case of the municipality of Mascalucia in Catania metropolitan area (Italy), characterized by a considerable urban sprawl, is presented.