Using air pollution based community clusters to explore air pollution health effects in children

To study respiratory health effects of long-term exposure to ambient air pollutant mixture, we observed 7058 school children 5-16 years of age living in the four Chinese cities of Lanzhou, Chongqing, Wuhan, and Guangzhou. These children were enrolled from elementary schools located in eight districts, one urban district and one suburban district in each of the above cities. Ambient levels of PM(2.5), PM(10-2.5), total suspended particles (TSP), SO(2), and NO(x) were measured in these districts from 1993 to 1996. Based on a cluster analysis of arithmetic mean concentrations of PM(2.5), PM(10-2.5), (TSP-PM(10)), SO(2), and NO(x), we classified these children into four ordinal categories of exposure to ambient air pollutant mixtures. We tested for exposure-response relationships using logistic regression models, controlling for relevant covariates. We observed monotonic, positive relationships of exposure to the pollutant mixture with prevalence rates of cough with phlegm and wheeze. Other outcomes were not associated with the exposure in a monotonic exposure-response pattern. Even so, odds ratios for cough, phlegm, bronchitis, and asthma in the higher exposure district clusters were all higher than in the lowest exposure district cluster. We found evidence that exposure to the pollutant mixtures had adverse effects on children living in the four Chinese cities.     

Impacts of soil and water pollution on food safety and health risks in China

Environmental pollution and food safety are two of the most important issues of our time. Soil and water pollution, in particular, have historically impacted on food safety which represents an important threat to human health. Nowhere has that situation been more complex and challenging than in China, where a combination of pollution and an increasing food safety risk have affected a large part of the population. Water scarcity, pesticide over-application, and chemical pollutants are considered to be the most important factors impacting on food safety in China. Inadequate quantity and quality of surface water resources in China have led to the long-term use of waste-water irrigation to fulfill the water requirements for agricultural production. In some regions this has caused serious agricultural land and food pollution, especially for heavy metals. It is important, therefore, that issues threatening food safety such as combined pesticide residues and heavy metal pollution are addressed to reduce risks to human health. The increasing negative effects on food safety from water and soil pollution have put more people at risk of carcinogenic diseases, potentially contributing to ‘cancer villages’ which appear to correlate strongly with the main food producing areas. Currently in China, food safety policies are not integrated with soil and water pollution management policies. Here, a comprehensive map of both soil and water pollution threats to food safety in China is presented and integrated policies addressing soil and water pollution for achieving food safety are suggested to provide a holistic approach.     

Traffic-related air pollution and health co-benefits of alternative transport in Adelaide,South Australia

BackgroundMotor vehicle emissions contribute nearly a quarter of the world's energy-related greenhouse gases and cause non-negligible air pollution, primarily in urban areas. Changing people's travel behaviour towards alternative transport is an efficient approach to mitigate harmful environmental impacts caused by a large number of vehicles. Such a strategy also provides an opportunity to gain health co-benefits of improved air quality and enhanced physical activities. This study aimed at quantifying co-benefit effects of alternative transport use in Adelaide, South Australia.MethodWe made projections for a business-as-usual scenario for 2030 with alternative transport scenarios. Separate models including air pollution models and comparative risk assessment health models were developed to link alternative transport scenarios with possible environmental and health benefits.ResultsIn the study region with an estimated population of 1.4 million in 2030, by shifting 40% of vehicle kilometres travelled (VKT) by passenger vehicles to alternative transport, annual average urban PM_2.5 would decline by approximately 0.4 μg/m³ compared to business-as-usual, resulting in net health benefits of an estimated 13 deaths/year prevented and 118 disability-adjusted life years (DALYs) prevented per year due to improved air quality. Further health benefits would be obtained from improved physical fitness through active transport (508 deaths/year prevented, 6569 DALYs/year prevented), and changes in traffic injuries (21 deaths and, 960 DALYs prevented).ConclusionAlthough uncertainties remain, our findings suggest that significant environmental and health benefits are possible if alternative transport replaces even a relatively small portion of car trips. The results may provide assistance to various government organisations and relevant service providers and promote collaboration in policy-making, city planning and infrastructure establishment.     

Indoor air pollution and women’s health in India: an exploratory analysis

Cooking and heating with solid fuels (wood, charcoal, crop waste, dung, coal etc) generates high levels health damaging pollutants in the home. This study is designed to test whether easy availability of cheap harmful fuels, income stratificatiom within society and awareness regarding negative health impact, causes tuberculosis and asthma, among adult married female respondents, along with profiles of their fuel selection. An empirical exercise, by applying binary logistic model and multivariate regression model, has been carried out using Third National Family Health Survey data conducted in India during 2005–2006. The results of binary logistic model indicate that with easy availability of biomass fuels, respondents are more prone to their usage. Therefore, availability/supply of least polluting cooking fuel may be ensured in reducing the level of IAP to eradicate IAP-related disease affecting most adversely the women. So easy availability and low cost of cleaner cooking fuel should get the priority in the policy criteria of the government.     

Investigating the relationship between air pollution, health and social deprivation in Leeds, UK

This study examines the relationship between air pollution, social deprivation and health in the city of Leeds, UK under a baseline and three distance-based road user charging (RUC) scenarios set at 2 pence, 10 pence and 20 pence/km. Through application of a series of linked models of traffic, emission and pollutant dispersion, air quality was modelled in response to RUC scenarios. The pollutant modelled were NO(2), PM(10), CO, benzene and 1,3-butadiene, though results of NO(2) are used in this study. The RUC scenarios were compared with the 'base' scenario, all set for the year 2005. The RUC initiatives result in the differences in ambient concentrations of NO(2). The study correlates NO(2) concentrations with derived indices of social deprivation and health. The study concludes that positive but weak relationship exists between air quality and social deprivation, and indicates that deprived population groups are disproportionately exposed to higher NO(2) levels. The relationship between air quality and health status of the population is weak. There is a strong relationship between social deprivation and health status of the population. The study concludes that RUC scenarios result in reducing disparity between affluent and deprived populations.     

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.     

Polychlorinated dibenzo-p-dioxins and dibenzofurans pollution in China: sources, environmental levels and potential human health impacts

This review represents an assessment of the pollution status of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) in China (the mainland, Hong Kong and Taiwan). During the past decades, seven PCDD/Fs pollution hotspots have been found: (a). Ya-er Lake, Hubei Province, with 'total PCDD/Fs' level reaching 177,427 pg g(-1) (dry weight) in lake sediments; (b). Chinese Schistosomiasis affected areas of Jiangxi Province with 33,660 pg g(-1) in soil; (c). e-waste recycling area of Yangtze River Delta, with 2726 pg g(-1) in paddy soil; (d). e-waste recycling area of Guiyu (eastern part of Guangdong Province), with 967,500 pg g(-1) in mixture of burnt residue and soil (the highest level among all hotspots); (e). Pearl River Delta with 2630 pg g(-1) in coastal sediment. (f). Kwun Tong, Victoria Harbour, Hong Kong with 10,999 pg g(-1) in coastal sediment; and (g). southern Taiwan with 606,000 pg g(-1) in soil near the vicinity of a pentachlorophenol manufacturing factory. The main sources of PCDD/Fs in China were formed from impurities during the production of polychlorophenol, hexachlorobenzene, polychlorinated biphenyls, organic chlorinated pesticide and triclosan. In addition, sources of PCDD/Fs included municipal waste incineration, mineral fuel usage, open burning of electronic waste and crop residues, industrial waste discharge and vehicle exhaust emission. Due to potential human health risks from long-term exposure to PCDD/Fs at these hotspots, body loadings of these contaminants should be monitored.     

Coupling fishery dynamics,human health and social learning in a model of fish-borne pollution exposure

Pollution-induced illnesses are caused by toxicants that result from human activity and are often entirely preventable. However, where industrial priorities have undermined responsible governance, exposed populations must reduce their exposure by resorting to voluntary protective measures and demanding emissions abatement. This paper presents a coupled human–environment system model that represents the effects of water pollution on the health and livelihood of a fishing community. The model is motivated by an incident from 1949 to 1968 in Minamata, Japan, where methylmercury effluent from a local factory poisoned fish populations and humans who ate them. We model the critical role of risk perception in driving both social learning and the protective feedbacks against pollution exposure. These feedbacks are undermined in the presence of social misperceptions such as stigmatization of the injured. Through numerical simulation and scenario analysis, we compare our model results with historical datasets from Minamata, and find that the conditions for an ongoing pollution epidemic are highly unlikely without social misperception. We also find trade-offs between human health outcomes, the viability of the polluting industry and the survival of the fishery. We conclude that an understanding of human–environment interactions and misperception effects is highly relevant to the resolution of contemporary pollution problems, and merits further study.     

Estimation of age-related vulnerability to air pollution: assessment of respiratory health at local scale

This paper demonstrates association of short-term variation in pollution and health outcomes within the same geographical area for a typical urban setting in the northern part of the UK from time series analysis. It utilises publicly available datasets for regulated air pollutants (PM??, NO?, SO?, CO and O?), meteorology and respiratory hospital admissions (and mortality) between April 2002 and December 2005 to estimate the respiratory health effect of pollution exposure, mainly in the elderly. Our results show that PM?? and O? are positively associated with respiratory hospital admissions in the elderly, specifically in the age group 70-79. CO effects seem to be concentrated on the most elderly age group (80+) whereas NO? seems to have the opposite age-related effect, with lower effects on the more elderly.     

Future climate and adverse health effects caused by fine particulate matter air pollution: case study for Poland

Ground level air pollution, especially fine particulate matter (PM_2.5), has been associated with a number of adverse health effects. The dispersion of PM_2.5 through the atmosphere depends on several mutually connected anthropogenic, geophysical and meteorological parameters, all of which are affected by climate change. This study examines how projected climate change would affect population exposure to PM_2.5 air pollution in Poland. Population exposure to PM_2.5 in Poland was estimated for three decades: the 1990s, 2040s and 2090s. Future climate conditions were projected by Regional Climate Model RegCM (Beta), forced by the general atmospheric circulation model ECHAM5. The dispersion of PM_2.5 was simulated with chemical transport model CAMx version 4.40. Population exposure estimates of PM_2.5 were 18.3, 17.2 and 17.1 μg/m³ for the 1990s, 2040s and 2090s, respectively. PM_2.5 air pollution was estimated to cause approximately 39,800 premature deaths in the population of Poland in the year 2000. Our results indicate that in Poland, climate change may reduce the levels of exposure to anthropogenic particulate air pollution in future decades and that this reduction will reduce adverse health effects caused by the air pollution.     

Mercury pollution in the Tapajos River basin, Amazon: mercury level of head hair and health effects.

There is increasing concern about the potential neurotoxic effects of exposure to methylmercury for the 6 million people living in the Amazon, even in regions situated far away from the gold mines (garimpos), considered to be the major source of mercury pollution. In November 1998, a spot investigation on mercury contamination was conducted in three fishing villages (Barreiras, Rainha, and Sao Luiz do Tapajos) on the Tapajos River, an effluent of the Amazon, situated several hundred kilometers downstream from the gold-mining areas. A total of 132 fishermen and their families volunteered for the current study. As was anticipated, the total mercury levels in the head hair collected from the fishing villages were relatively high (14.1-20.8 ppm on the average) and the number of subjects with a high total mercury level over 10 ppm (the least upper bound of a normal value) was 103 (78.0%) in total, along with various symptoms, thereby suggesting wide mercury contamination in the Tapajos River basin. Moreover, in view of the absence of other diseases (e.g., alcoholism or malaria), a high intake of fish containing a methylmercury level, and high hair mercury levels in addition to the various symptoms such as sensory disturbance (especially glove-and-stocking type, which is characteristic of Minamata disease), tremor, failure in two-point discrimination, and slight balancing failure, several subjects examined were diagnosed with mild Minamata disease. The findings obtained suggest, thus, that the mercury pollution in the Amazon should be crucially observed for head hair mercury level and health in a much broader region.     

Air pollution health effects in the Munich metropolitan area: Preliminary results based on a statistical model

Based on a feasibility study, we have recently proposed a multivariate regression model for the impact of air pollution on the mortality of a long-term exposed population. This article proceeds by providing some experimental results, since this model has been fitted to data on a cross sectional basis for 41 census tracts in the Munich metropolitan area. The results obtained so far could be supportive to more detailed epidemiological studies of air pollution which have been conducted in many industrial countries; unfortunately, only relatively few have been conducted in West Germany.     

空气污染、空间外溢与公共健康——以中国珠江三角洲9个城市为例

空气污染对居民公共健康的影响,引起了人们高度的关注。但大多数学者研究从样本的独立性出发且不考虑内生性问题,忽视区域之间空间相关性,所得结论和政策建议需谨慎对待。为了弥补上述不足,本文基于Grossman中国宏观健康生产函数,选取2001—2014年中国广东省珠江三角洲9个城市作为样本,选择以PM_(10)和PM_(2.5)作为空气污染的代理指标,在充分考虑空间效应和严格假设检验的基础上选择合适的空间计量经济学模型,对此进行实证研究。主要研究结果显示:空气污染对居民的公共健康带来了负面影响,即PM_(10)和PM_(2.5)每增加1%,导致哮喘疾病和内科门诊等疾病人数不断上升,且影响都比较大,尤其是对哮喘疾病的影响分别为0.2236%和0.2272%。经济增长对公共健康均有显著的促进作用,影响最大;其它财政医疗支出、卫生技术人员和人口密度等要素对居民公共健康的影响较小。由于空气污染的负外部性,研究还发现,区域之间空气污染的"溢出效应"对领域居民公共健康存在显著的影响,说明忽视空间自相关性的存在,会使得空气污染对公众健康的估计产生偏差。从长期看,空气污染对本地居民公共健康的直接效应都显著为正,PM_(2.5)间接效应显著为负,但PM_(10)间接效应并不显著。因此,各级政府除了在源头上治理污染物的排放,提高公共健康水平外,还应该打破各自为阵的行政垄断,应该作为一个整体,实现跨区域环保合作,共同治理和制定公共卫生政策等。这对区域之间协同减排和保护居民公共健康具有重要的理论和现实意义。     

Indoor air pollution and public policy

In recent years, scientist have come to realize that contaminated air inside buildings is a major route of human exposure to certain air pollutants. While scientific interest in the problem continues to grow, efforts to measure indoor pollution concentrations, define exposure levels, and estimate health risks remain in their infancy. Within this arena, policymakers must deal with the question of how best to protect public health and safety in the face of incomplete and often contradictory information. In the past, official response to environmental pollution has traditionally taken the form of “control by regulation.” However, creation of a regulatory framework for indoor air quality poses special policy issues that suggest the need to explore alternative modes of intervention. Ambient outdoor air is a public good, in the sense that enjoyment by one individual in no way detracts from use or enjoyment by others. Indoor air, on the other hand, is not a public good, especially in private residences. Costs and benefits of maintaining adequate indoor air quality are internalized within households, suggesting the possibility of a private demand for clean indoor air. Promulgation of indoor air quality standards and other regulations must confront the fact that individuals are already making decisions about their own air quality. Regulations might or might not improve these decisions. Development of effective and reasonable policy requires an appreciation of the scope for private action and consideration of the likelihood that public intervention will foster improved private choices. Among the logical and relatively inexpensive modes of intervention are public information programs, development of simple warning devices, and product testing and labeling.     

Indoor air pollution

As national trends accelerate towards the reduction of ventilation and infiltration rates in buildings, coupled with an increased use of synthetic chemicals in the indoor environment, a new phenomenon has arisen: the “sick building” syndrome. Traditional approaches to environmental health developed for the outdoor air, or for the industrial occupational setting, are inadequate to deal with this problem. It is argued that a comprehensive approach to the problem of indoor air pollution is necessary to protect public health.     

Environmental pollution in Africa

Mining and minerals industries are fast-growing, but at the same time, they have gained more attention due to their impacts over the environment and society. This research aims to provide new insights into the topic of perception and awareness toward sustainability in industrial mining in Brazil. The work included in-depth interviews with a set of companies’ managers/directors focusing in particular on aspects related to the social and environmental dimensions, including communication and relationship with the community, impact assessment and mitigation strategies. The knowledge and use of for formal indicators was also evaluated and analyzed through the proposed Model for Sustainability Assessment of Mining (SAoM model), which was applied to all participating companies. The results put in evidence the existing gap between large and small companies, with these last ones showing lower awareness for the impacts of their activities. The lack of community engagement and of local stakeholders’ involvement, as well as the disregard for actions to mitigate their environmental and social impacts, is the main challenges to be overcome by this sector. The sector has then a long path to go toward sustainability and an active involvement of public institutions is required to allow for its development without compromising locals welfare.     

The practical societal problem of pollution and public health as the source of a variety of problems regarding chance mechanisms operating in living organisms

The essence of the societal problem which justifies the expenditure of large sums on studies of pollution and health is illustrated by three figures included in this paper. The first two of these figures illustrate the contemporary publicity favoring the two competing energy-producing technologies, the nuclear and the conventional fossil-burning technologies. The very existence of this costly publicity demonstrates that the decisions affecting public health are now frequently made without due regard to the relevant scientific findings. The third figure illustrates the most laudable effort of the Environmental Protection Agency to establish a relationship between hoped-for decreases in mortality and the dollar cost of removing from the environment any one of the several investigated pollutants, e.g., “particulates”, krypton-85, tritium, etc.The subsequent parts of this presentation tend to document the fact that the reliability of the EPA chart published in 1973 is illusory. The same applies to the large number of other official publications, including those of the National Academy of Sciences. The results of more modern studies brought to the fore a variety of biological chance mechanisms, such as competing risks, dose-rate effects, synergisms, etc., which make the problem attacked by EPA much more difficult than was originally anticipated.The basic research, combining the laboratory experimentation on animals and theoretical considerations, results in a better understanding of a variety of phenomena. However, this better understanding seems to imply that the solution of the practical societal problem requires a large multipollutant and multilocality epidemiological study.