Concepts of human exposure to air pollution

In recent years, considerable attention has focused on the concept of “human exposure” to environmental pollutants, but different investigators seem to have developed different definitions of this concept and used different approaches for estimating it. This paper reviews a number of “exposure” studies in a single environmental medium—air pollution—to see how others have defined this concept in the literature. Many previous investigators unfortunately calculate “exposures” by relying on data from fixed air monitoring stations, and they assume that people are located in the same place, usually their residential address, throughout a 24-h period. However, a second body of literature shows that fixed air monitoring stations do not necessarily reflect human exposures, because concentrations observed indoors—in homes, offices, factories, and motor vehicles—differ from those observed at fixed stations, and people usually spend considerable time in these locations. In an effort to standardize the nomenclature dealing with exposures, a definition is proposed in which the pollutant must come into contact with the physical boundary of the person. Then, exposure of person i to pollutant concentration c is viewed as two events occurring jointly: person i is present at a particular location, and concentration c is present at the same location. Mathematical definitions for “integrated exposure,” “average exposure,” and “standardized exposure” with various averaging periods also are introduced. Finally, two different yet compatible research approaches are suggested for determining human exposures to air pollution.     

Long-term air pollution exposure and diabetes in a population-based Swiss cohort

Air pollution is an important risk factor for global burden of disease. There has been recent interest in its possible role in the etiology of diabetes mellitus. Experimental evidence is suggestive, but epidemiological evidence is limited and mixed. We therefore explored the association between air pollution and prevalent diabetes, in a population-based Swiss cohort.We did cross-sectional analyses of 6392 participants of the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults [SAPALDIA], aged between 29 and 73 years. We used estimates of average individual home outdoor PM₁₀ [particulate matter <10 μm in diameter] and NO₂ [nitrogen dioxide] exposure over the 10 years preceding the survey. Their association with diabetes was modeled using mixed logistic regression models, including participants' study area as random effect, with incremental adjustment for confounders.There were 315 cases of diabetes (prevalence: 5.5% [95% confidence interval (CI): 2.8, 7.2%]). Both PM₁₀ and NO₂ were associated with prevalent diabetes with respective odds ratios of 1.40 [95% CI: 1.17, 1.67] and 1.19 [95% CI: 1.03, 1.38] per 10 μg/m³ increase in the average home outdoor level. Associations with PM₁₀ were generally stronger than with NO₂, even in the two-pollutant model. There was some indication that beta blockers mitigated the effect of PM₁₀. The associations remained stable across different sensitivity analyses.Our study adds to the evidence that long term air pollution exposure is associated with diabetes mellitus. PM₁₀ appears to be a useful marker of aspects of air pollution relevant for diabetes. This association can be observed at concentrations below air quality guidelines.     

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.     

Reduced exposure to air pollution on the boardwalk in Dublin, Ireland. Measurement and prediction

This paper outlines an air pollution study carried out on Dublin city's recently completed boardwalk along the side of and overhanging the River Liffey. Air quality samples were taken along the length of the boardwalk to investigate whether pedestrians using the boardwalk would have a lower air pollution exposure than those using the adjoining footpath along the road. The results of the study show significant reductions in pedestrian exposure to both traffic derived particulates and hydrocarbons along the boardwalk as opposed to the footpath. Computational fluid dynamics was also used to model the outcome of these field measurements and shows the importance of the boundary wall between the footpath and boardwalk in reducing air pollution exposure for the pedestrian, the results of which are also presented herein.     

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.     

A review of traffic-related air pollution exposure assessment studies in the developing world

Exposure assessment studies in the developing world are important. Although recent years have seen an increasing number of traffic-related pollution exposure studies, exposure assessment data on this topic are still limited. Differences among measuring methods and a lack of strict quality control in carrying out exposure assessment make it difficult to generalize and compare findings between studies. In this article, exposure assessment studies carried out in the developing world on several traffic-related air pollutants are reviewed. These pollutants include particulate matter (PM), carbon monoxide (CO), nitrogen dioxide (NO(2)), volatile organic compounds (VOCs), and polycyclic aromatic hydrocarbons (PAHs). In addition, it discusses advantages and disadvantages of various monitoring methods (ambient fixed-site monitoring, microenvironment monitoring, and personal exposure assessment using portable samplers) for these pollutants in exposure assessment studies. Also included in this paper is a brief introduction of standards for these pollutants in ambient air or in occupational settings established by the United States Environmental Protection Agency (USEPA), the United States Occupational Safety and Health Administration (OSHA) and the World Health Organization (WHO). The review ends with a summary of the limitations and gaps in recent studies and suggestions for future research in the developing world.     

Measuring combined exposure to environmental pressures in urban areas: an air quality and noise pollution assessment approach

This study presents a methodological scheme developed to provide a combined air and noise pollution exposure assessment based on measurements from personal portable monitors. Provided that air and noise pollution are considered in a co-exposure approach, they represent a significant environmental hazard to public health. The methodology is demonstrated for the city of Thessaloniki, Greece. The results of an extensive field campaign are presented and the variations in personal exposure between modes of transport, routes, streets and transport microenvironments are evaluated. Air pollution and noise measurements were performed simultaneously along several commuting routes, during the morning and evening rush hours. Combined exposure to environmental pollutants is highlighted based on the Combined Exposure Factor (CEF) and Combined Dose and Exposure Factor (CDEF). The CDEF takes into account the potential relative uptake of each pollutant by considering the physical activities of each citizen. Rather than viewing environmental pollutants separately for planning and environmental sustainability considerations, the possibility of an easy-to-comprehend co-exposure approach based on these two indices is demonstrated. Furthermore, they provide for the first time a combined exposure assessment to these environmental pollutants for Thessaloniki and in this sense they could be of importance for local public authorities and decision makers. A considerable environmental burden for the citizens of Thessaloniki, especially for VOCs and noise pollution levels is observed. The material herein points out the importance of measuring public health stressors and the necessity of considering urban environmental pollution in a holistic way.     

Recent progress in developing and using personal monitors to measure human exposure to air pollutants

Within the last two years, great progress has been made in the field of personal air quality monitors. Improvements in pump design, miniaturization, adsorption techniques, and new collection principles have produced about a dozen sensitive monitors capable of being used by the general public to measure their normal everyday exposure to many toxic or carcinogenic compounds. This article reviews recent progress in this field, particularly as it relates to U.S. Environmental Protection Agency programs.     

Adding virtual measuring stations to a network for urban air pollution mapping

Maps of pollutants concentration are usually generated by means of interpolation and extrapolation methods. The quality of the results depends mainly of the number of permanent or temporary measuring stations. This paper deals with a method for the virtual densification of the network of stations. The method creates "virtual measuring stations". It aims at improving the quality of interpolation by increasing the number of data on pollutant concentration. The virtual stations are determined by the means of a classification method applied to each pixel of the area under concern. Discriminating elements are pollutants emission classes, land cover types, urban morphological indicators created to this purpose and distance to major roads. A first implementation was made for particulate matter (PM) for the city of Strasbourg (France) using thin-plates spline interpolation method in Arcview 9 GIS. The relative Root Mean Square Error decreases from 49% for five input stations down to 15% for the virtual stations.     

Effects of travel mode on exposures to particulate air pollution

Monitoring was carried out of particulate concentrations whilst simultaneously walking and driving 48 routes in London, UK. Monitoring was undertaken during May and June 2005. Route lengths ranged from 601 to 1351 m, and most routes were travelled in both directions. Individual journey times ranged from 1.5 to 15 min by car (average 3.7 min) and 7.3 to 30 min (average 12.8 min) whilst walking; car trips were therefore repeated up to 5 times for each single walking trip and the results averaged for the route. Car trips were made with windows closed and the ventilation system on a moderate setting. Results show that mean exposures while walking are greatly in excess of those while driving, by a factor 4.7 for the coarse particle mass (PM10-PM2.5), 2.2 for the fine particle mass (PM2.5-PM1), 1.9 for the very fine particle mass (相似文献   

Recent versus chronic exposure to particulate matter air pollution in association with neurobehavioral performance in a panel study of primary schoolchildren

Children's neuropsychological abilities are in a developmental stage. Recent air pollution exposure and neurobehavioral performance are scarcely studied. In a panel study, we repeatedly administered to each child the following neurobehavioral tests: Stroop Test (selective attention) and Continuous Performance Test (sustained attention), Digit Span Forward and Backward Tests (short-term memory), and Digit-Symbol and Pattern Comparison Tests (visual information processing speed). At school, recent inside classroom particulate matter ≤ 2.5 or 10 μm exposure (PM_2.5, PM₁₀) was monitored on each examination day. At the child's residence, recent (same day up to 2 days before) and chronic (365 days before examination) exposures to PM_2.5, PM₁₀ and black carbon (BC) were modeled. Repeated neurobehavioral test performances (n = 894) of the children (n = 310) reflected slower Stroop Test (p = 0.05) and Digit-Symbol Test (p = 0.01) performances with increasing recent inside classroom PM_2.5 exposure. An interquartile range (IQR) increment in recent residential outdoor PM_2.5 exposure was associated with an increase in average latency of 0.087 s (SE: ± 0.034; p = 0.01) in the Pattern Comparison Test. Regarding chronic exposure at residence, an IQR increment of PM_2.5 exposure was associated with slower performances in the Continuous Performance (9.45 ± 3.47 msec; p = 0.007) and Stroop Tests (59.9 ± 26.5 msec; p = 0.02). Similar results were obtained for PM₁₀ exposure. In essence, we showed differential neurobehavioral changes robustly and adversely associated with recent or chronic ambient exposure to PM air pollution at residence, i.e., with recent exposure for visual information processing speed (Pattern Comparison Test) and with chronic exposure for sustained and selective attention.     

Particulate air pollution in Lanzhou China

Concentrations of total suspended particles (TSP) and PM(10) in Lanzhou China have been kept high for the past two decades. Data collected during the intensive observational period from October 1999 to April 2001 show high TSP and PM(10) concentrations. Starting from November, the PM(10) pollution intensifies, and reaches mid to high alert level of air pollution, continues until April next year, and is at low alert level in the summer. In the winter and spring, the TSP concentration is 2-10 times higher than the third-level criterion of air quality (severe pollution). Effects of intrinsic factors (sources of pollution) and remote preconditions (propagation of dust storms) for severe PM(10) and TSP pollution in Lanzhou are analyzed.     

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.     

Personal monitoring of air pollution exposures

In industrial hygiene and health physics the goal has been to protect the health of the individual. Therefore monitoring the exposure people actually receive has been the principal concern. In regulating public exposures to air pollution, the focus has been much different. Recently, use of personal monitors and alternative means of estimating actual exposures has expanded rapidly. The role of personal monitors in epidemiology, exposure studies, and in supplementing the existing fixed station monitoring network for establishing trends and for regulatory purposes is discussed. The implications for air quality standards in recent findings of personal and indoor exposures is considered. New developments that are needed, and those that are not needed, are outlined.     

Fibrin clot structure is affected by levels of particulate air pollution exposure in patients with venous thrombosis

BackgroundParticulate air pollution is a risk factor for cardiovascular diseases and thrombosis. Long-term exposure to particulate matter with a diameter < 10 μm (PM₁₀) has been associated with an increased risk of venous thrombosis.ObjectivesThe aim of this study was to investigate whether or not particulate air pollution alters fibrin clot structure and thus modulates thrombosis risk.MethodsWe investigated fibrin polymerization by turbidity (maximum absorbance mOD), clot structure by confocal microscopy (fibre number per μm) and fibrin pore size by permeability (Ks × 10^− 10 cm²) in 103 patients with deep vein thrombosis and 121 healthy controls, for whom levels of air pollution exposure had been recorded. Exposure groups were defined by mean PM₁₀ concentrations over the 730 days before the event.ResultsWe found a higher average number of fibres per clot area in patients than controls, but no difference in Ks or fibre thickness. When the two groups were divided into high or low exposure to PM₁₀, a significantly denser fibrin clot network structure with thicker fibres (higher maximum absorbance, p < 0.05), decreased permeability (lower Ks value, p < 0.05) and higher average fibre numbers per clot area (p < 0.05) was observed in patients in the high exposure group compared to those with low exposure. There were no significant differences in fibrin clot structure between the two exposure levels in healthy subjects.ConclusionsPM₁₀ levels are associated with altered fibrin clot structure in patients with deep vein thrombosis but not in controls, suggesting that air pollution may trigger differences in fibrin clot structure only in patients predisposed to thrombotic disease.     

Modeling human exposures to air pollution control (APC) residues released from landfills in England and Wales

Human exposures to air pollution control (APC) residues released from 6 landfills were modeled and assessed. Following a qualitative risk characterisation, direct and indirect exposures were quantified. Site-specific air dispersion modeling was conducted for PM(10), PCDDs/PCDFs, Pb, Cd, As and Cr(VI) concentrations at the closest residential points of exposure for 4 landfill sites accepting, in total, 75% w/w of the APC residues disposed of in 2000-2001 (UK). Inhalation risks, assessed by reference to air quality standards at residential exposure points, were assessed as insignificant. Preliminary modeling suggested that indirect exposures from PCDDs/PCDFs at the 95th percentile level for the site where APC deposition rates were highest could potentially exceed the tolerable daily soil intake (TDSI) but this warrants further study given the model limitations. These results offer an initial screen of the significance of potential risks from APC disposal, which is of value in addressing concerns about the uncertainty of potential risks to human health from bulk APC disposal at strategic locations.     

Evaluation of exposure reduction to indoor air pollution in stove intervention projects in Peru by urinary biomonitoring of polycyclic aromatic hydrocarbon metabolites

Burning biomass fuels such as wood on indoor open-pit stoves is common in developing regions. In such settings, exposure to harmful combustion products such as fine particulate matter (PM(2.5)), carbon monoxide (CO) and polycyclic aromatic hydrocarbons (PAHs) is of concern. We aimed to investigate if the replacement of open pit stoves by improved stoves equipped with a chimney would significantly reduce exposure to PAHs, PM(2.5) and CO. Two stove projects were evaluated in Peru. Program A was part of the Juntos National Program in which households built their own stoves using materials provided. In Program B, Barrick Gold Corporation hired a company to produce and install the stoves locally. A total of 30 and 27 homes participated in Program A and B, respectively. We collected personal and kitchen air samples, as well as morning urine samples from women tasked with cooking in the households before and after the installation of the improved stoves. Median levels of PM(2.5) and CO were significantly reduced in kitchen and personal air samples by 47-74% after the installation of the new stoves, while the median reduction of 10 urinary hydroxylate PAH metabolites (OH-PAHs) was 19%-52%. The observed OH-PAH concentration in this study was comparable or higher than the 95th percentile of the general U.S. population, even after the stove intervention, indicating a high overall exposure in this population.     

Response of the pigment system of conifers to long-term industrial air pollution

To estimate the response of conifers to long-term industrial air pollution at the pigment system level, the dynamics of photosynthetic pigments have been studied in needles of Scots pine (Pinus sylvestris L.) and Siberian spruce (Picea obovata Ledeb.) growing at different distances from the emission source (a pulp and paper mill). It has been shown that the pigment apparatus of spruce. The results show that in spruce, unlike in pine, the pigment apparatus remains unchanged under the effect of weak pollution. Long-term exposure at high levels of industrial emission results in suppression of chlorophyll and carotenoid syntheses in pine but stimulates pigment production in spruce. An increase in the contents of pigments in the needles of conifers growing in the impact zone of the pulp and paper mill reflects a compensatory mechanism of adaptation of their pigment system to long-term stress exposure.     

Diet monitoring for assessment of human exposure to environmental pollutants

Daily intake of lead, cadmium, aluminium, radiocaesium, DDT and metabolites, and lindane in the whole-day food rations collected in hospital canteens in Kraków, ?ód?, Olsztyn and Poznań in winters of 1993-1994, 1995 and 1996 were determined. The diets contained almost 40 microg of cadmium, corresponding to 70% of PTWI, and compared to the levels recognised as safe (ADI or PTWI) small amounts of the other contaminants. The highest content of Pb, Cd, Al and lindane was determined in the diets collected in Kraków, that of radiocaesium in ?ód?, and DDT level was the highest in Poznań. The whole-day food rations from Olsztyn, situated in a region called "green lungs of Poland", were not statistically less contaminated than the diets from the other towns. The Pb and radiocaesium levels decreased significantly with time.     

Evaluation of some air pollution indicators in Turkey

This article intends to shed a light on air quality in Turkey and compare air pollutant emissions on a national scale with that of the European countries. In order to estimate the quantities of Turkish emissions in the past and their future predictions, a national emission inventory was prepared with respect to five major pollutants consisting of particulate matter(PM), SOx, NOx, non-methane volatile organic compounds, and CO with 5-year intervals between 1985 and 2005. The results suggest that Turkey is a rather large emission source at the European scale, although emission indicators on unit area and per capita were shown to be somewhat smaller in magnitude. Levels of air pollution in some of the big cities in Turkey were also evaluated from available national monitoring data. These evaluations for the urban air qualities covered SO2 and PM parameters between 1986 and 1996, and results were compared with the present Turkish air quality limits, their probable revisions, WHO (Europe) guidelines and related EC directives. Results showed that the air quality limits were not met, especially during the winter periods in Turkish cities. Urban air pollutants characterizing the air in Turkish cities other than SO2 and PM, however, could not have been evaluated as these pollutants were not systematically monitored in these cities.