Exposure of chronic obstructive pulmonary disease patients to particulate matter: relationships between personal and ambient air concentrations

Mot time-series studies of particulate air pollution and acute health outcomes assess exposure of the study population using fixed-site outdoor measurements. To address the issue of exposure misclassification, we evaluate the relationship between ambient particle concentrations and personal exposures of a population expected to be at risk of particle health effects. Sampling was conducted within the Vancouver metropolitan area during April-September 1998. Sixteen subjects (non-smoking, ages 54-86) with physician-diagnosed chronic obstructive pulmonary disease (COPD) wore personal PM2.5 monitors for seven 24-hr periods, randomly spaced approximately 1.5 weeks apart. Time-activity logs and dwelling characteristics data were also obtained for each subject. Daily 24-hr ambient PM10 and PM2.5 concentrations were measured at five fixed sites spaced throughout the study region. SO4(2-), which is found almost exclusively in the fine particle fraction and which does not have major indoor sources, was measured in all PM2.5 samples as an indicator of accumulation mode particulate matter of ambient origin. The mean personal and ambient PM2.5 concentrations were 18 micrograms/m3 and 11 micrograms/m3, respectively. In analyses relating personal and ambient measurements, ambient concentrations were expressed either as an average of the values obtained from five ambient monitoring sites for each day of personal sampling, or as the concentration obtained at the ambient site closest to each subject's home. The mean personal to ambient concentration ratio of all samples was 1.75 (range = 0.24 to 10.60) for PM2.5, and 0.75 (range = 0.09 to 1.42) for SO4(2-). Regression analyses were conducted for each subject separately and on pooled data. The median correlation (Pearson's r) between personal and average ambient PM2.5 concentrations was 0.48 (range = -0.68 to 0.83). Using SO4(2-) as the exposure metric, the median r between personal and average ambient concentrations was 0.96 (range = 0.66 to 1.0). Use of the closest ambient site did not improve the median correlation of the group for either PM2.5 or SO4(2-). All pooled analyses resulted in lower correlation coefficients than the median correlation coefficient of individual regressions. Personal SO4(2-) was more highly correlated with all ambient measures than PM2.5. Inclusion of time-activity and dwelling characteristics data did not result in a useful predictive regression model for PM2.5 personal exposure, but improved the model fit from simply regressing against ambient concentration (R2 = 0.27). The model for SO4(2-) was predictive (R2 = 0.82), as personal exposures were largely explained by ambient levels. These results indicate a relatively low correlation between personal exposure and ambient PM2.5 that is not improved by assigning exposure to the closest ambient monitor. The correlation between personal exposure and ambient concentration is high, however, when using SO4(2-), an indicator of accumulation mode particulate matter of ambient origin.     

Characterizing relationships between personal exposures to VOCs and socioeconomic,demographic, behavioral variables

Socioeconomic and demographic factors have been found to significantly affect time-activity patterns in population cohorts that can subsequently influence personal exposures to air pollutants. This study investigates relationships between personal exposures to eight VOCs (benzene, toluene, ethylbenzene, o-xylene, m-,p-xylene, chloroform, 1,4-dichlorobenzene, and tetrachloroethene) and socioeconomic, demographic, time-activity pattern factors using data collected from the 1999–2000 National Health and Nutrition Examination Survey (NHANES) VOC study. Socio-demographic factors (such as race/ethnicity and family income) were generally found to significantly influence personal exposures to the three chlorinated compounds. This was mainly due to the associations paired by race/ethnicity and urban residence, race/ethnicity and use of air freshener in car, family income and use of dry-cleaner, which can in turn affect exposures to chloroform, 1,4-dichlorobenzene, and tetrachloroethene, respectively. For BTEX, the traffic-related compounds, housing characteristics (leaving home windows open and having an attached garage) and personal activities related to the uses of fuels or solvent-related products played more significant roles in influencing exposures. Significant differences in BTEX exposures were also commonly found in relation to gender, due to associated significant differences in time spent at work/school and outdoors. The coupling of Classification and Regression Tree (CART) and Bootstrap Aggregating (Bagging) techniques were used as effective tools for characterizing robust sets of significant VOC exposure factors presented above, which conventional statistical approaches could not accomplish. Identification of these significant VOC exposure factors can be used to generate hypotheses for future investigations about possible significant VOC exposure sources and pathways in the general U.S. population.     

Assessing the relationship between personal particulate and gaseous exposures of senior citizens living in Baltimore, MD

We conducted a multi-pollutant exposure study in Baltimore, MD, in which 15 non-smoking older adult subjects (> 64 years old) wore a multi-pollutant sampler for 12 days during the summer of 1998 and the winter of 1999. The sampler measured simultaneous 24-hr integrated personal exposures to PM2.5, PM10, SO4(2-), O3, NO2, SO2, and exhaust-related VOCs. Results of this study showed that longitudinal associations between ambient PM2.5 concentrations and corresponding personal exposures tended to be high in the summer (median Spearman's r = 0.74) and low in the winter (median Spearman's r = 0.25). Indoor ventilation was an important determinant of personal PM2.5 exposures and resulting personal-ambient associations. Associations between personal PM2.5 exposures and corresponding ambient concentrations were strongest for well-ventilated indoor environments and decreased with ventilation. This decrease was attributed to the increasing influence of indoor PM2.5 sources. Evidence for this was provided by SO4(2-) measurements, which can be thought of as a tracer for ambient PM2.5. For SO4(2-), personal-ambient associations were strong even in poorly ventilated indoor environments, suggesting that personal exposures to PM2.5 of ambient origin are strongly associated with corresponding ambient concentrations. The results also indicated that the contribution of indoor PM2.5 sources to personal PM2.5 exposures was lowest when individuals spent the majority of their time in well-ventilated indoor environments. Results also indicate that the potential for confounding by PM2.5 co-pollutants is limited, despite significant correlations among ambient pollutant concentrations. In contrast to ambient concentrations, PM2.5 exposures were not significantly correlated with personal exposures to PM2.5-10, PM2.5 of non-ambient origin, O3, NO2, and SO2. Since a confounder must be associated with the exposure of interest, these results provide evidence that the effects observed in the PM2.5 epidemiologic studies are unlikely to be due to confounding by the PM2.5 co-pollutants measured in this study.     

Personal exposures,indoor-outdoor relationships,and breath levels of toxic air pollutants measured for 355 persons in New Jersey

EPA's TEAM Study has measured exposures to 20 volatile organic compounds in personal air, outdoor air, drinking water and the breath of 355 persons in NJ, in the fall of 1981. The NJ residents were selected by a probability sampling scheme to represent 128,000 inhabitants of Elizabeth and Bayonne. Participants carried a personal monitor to collect two 12-h air samples and gave a breath sample at the end of the day. Two consecutive 12-h outdoor air samples were also collected on identical Tenax cartridges in the back yards of 90 of the participants. About 3000 samples were collected, of which 1000 were quality control samples. Eleven compounds were often present in air. Personal exposures were consistently higher than outdoor concentrations for these chemicals, and were sometimes ten times the outdoor concentrations. Indoor sources appeared responsible for much of the difference. Breath concentrations also usually exceed outdoor concentrations, and correlated more strongly with personal exposures than with outdoor concentrations. Some activities (smoking, driving, visiting dry cleaners or service stations) and occupations (chemical, paint and plastics plants) were associated with significantly elevated exposures and breath levels for certain toxic chemicals.     

Association between asthma,chronic bronchitis,emphysema, chronic obstructive pulmonary disease,and lung cancer in the US population

Environmental Science and Pollution Research - Lung cancer is one of the primary causes of death with poor life expectancy after diagnosis. History of past respiratory diseases such as asthma,...     

Microenvironmental characteristics important for personal exposures to aldehydes in Sacramento,CA, and Milwaukee,WI

Oxygenated additives in gasoline are designed to decrease the ozone-forming hydrocarbons and total air toxics, yet they can increase the emissions of aldehydes and thus increase human exposure to these toxic compounds. This paper describes a study conducted to characterize targeted aldehydes in microenvironments in Sacramento, CA, and Milwaukee, WI, and to improve our understanding of the impact of the urban environment on human exposure to air toxics. Data were obtained from microenvironmental concentration measurements, integrated, 24-h personal measurements, indoor and outdoor pollutant monitors at the participants' residences, from ambient pollutant monitors at fixed-site locations in each city, and from real-time diaries and questionnaires completed by the technicians and participants. As part of this study, a model to predict personal exposures based on individual time/activity data was developed for comparison to measured concentrations. Predicted concentrations were generally within 25% of the measured concentrations. The microenvironments that people encounter daily provide for widely varying exposures to aldehydes. The activities that occur in those microenvironments can modulate the aldehyde concentrations dramatically, especially for environments such as “indoor at home.” By considering personal activity, location (microenvironment), duration in the microenvironment, and a knowledge of the general concentrations of aldehydes in the various microenvironments, a simple model can do a reasonably good job of predicting the time-averaged personal exposures to aldehydes, even in the absence of monitoring data. Although concentrations of aldehydes measured indoors at the participants' homes tracked well with personal exposure, there were instances where personal exposures and indoor concentrations differed significantly. Key to the ability to predict exposure based on time/activity data is the quality and completeness of the microenvironmental characterizations for the chemicals of interest. Consistent with many earlier studies, personal exposures are difficult to predict using data from regional outdoor monitors.     

Association between environmental toxic metals,arsenic and polycyclic aromatic hydrocarbons and chronic obstructive pulmonary disease in the US adult population

Environmental Science and Pollution Research - Associations between environmental metals and chemicals and adverse human health effects have emerged recently, but the links among environmental...     

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.     

Levels of outdoor PM2.5, absorbance and sulphur as surrogates for personal exposures among post-myocardial infarction patients in Barcelona,Spain

Outdoor levels of fine particles (PM_2.5; particles <2.5 μm) have been associated with cardiovascular health. Persons with existing cardiovascular disease have been suggested to be especially vulnerable. It is unclear, how well outdoor concentrations of PM_2.5 and its constituents measured at a central site reflect personal exposures in Southern European countries. The objective of the study was to assess the relationship between outdoor and personal concentrations of PM_2.5, absorbance and sulphur among post-myocardial infarction patients in Barcelona, Spain.Thirty-eight subjects carried personal PM_2.5 monitors for 24-h once a month (2–6 repeated measurements) between November 2003 and June 2004. PM_2.5 was measured also at a central outdoor monitoring site. Light absorbance (a proxy for elemental carbon) and sulphur content of filter samples were determined as markers of combustion originating and long-range transported PM_2.5, respectively.There were 110, 162 and 88 measurements of PM_2.5, absorbance and sulphur, respectively. Levels of outdoor PM_2.5 (median 17 μg m³) were lower than personal PM_2.5 even after excluding days with exposure to environmental tobacco smoke (ETS) (median after exclusion 27 μg m³). However, outdoor concentrations of absorbance and sulphur were similar to personal concentrations after exclusion of ETS. When repeated measurements were taken into account, there was a statistically significant association between personal and outdoor absorbance when adjusting for ETS (slope 0.66, p<0.001), but for PM_2.5 the association was weaker (slope 0.51, p=0.066). Adjustment for ETS had little effect on the respective association of S (slope 0.69, p<0.001).Our results suggest that outdoor measurements of absorbance and sulphur can be used to estimate both the daily variation and levels of personal exposures also in Southern European countries, especially when exposure to ETS has been taken into account. For PM_2.5, indoor sources need to be carefully considered.     

Estimated hourly personal exposures to ambient and nonambient particulate matter among sensitive populations in Seattle, Washington

Epidemiological studies of particulate matter (PM) routinely use concentrations measured with stationary outdoor monitors as surrogates for personal exposure. Despite the frequently reported poor correlations between ambient concentrations and total personal exposure, the epidemiologic associations between ambient concentrations and health effects depend on the correlation between ambient concentrations and personal exposure to ambient-generated PM. This paper separates personal PM exposure into ambient and nonambient components and estimates the outdoor contribution to personal PM exposures with continuous light scattering data collected from 38 subjects in Seattle, WA. Across all subjects, the average exposure encountered indoors at home was lower than in all other microenvironments. Cooking and being at school were associated with elevated levels of exposure. Previously published estimates of particle infiltration (Finf) were combined with time-location data to estimate an ambient contribution fraction (alpha, mean = 0.66+/-0.21) for each subject. The mean alpha was significantly lower for subjects monitored during the heating season (0.55+/-0.16) than for those monitored during the nonheating season (0.80+/-0.17). Our modeled alpha estimates agreed well with those estimated with the sulfur-tracer method (slope = 1.08; R2 = 0.67). We modeled exposure to ambient and nonambient PM with both continuous light scattering and 24-hr gravimetric data and found good agreement between the two methods. On average, ambient particles accounted for 48% of total personal exposure (range = 21-80%). The personal activity exposure was highly influenced by time spent away from monitored microenvironments. The median hourly longitudinal correlation between central site concentrations and personal exposures was 0.30. Although both alpha and the nonambient sources influence the personal-central relationship, the latter seems to dominate. Thus, total personal exposure may be poorly predicted by stationary outdoor monitors, particularly among persons whose PM exposure is dominated by nonambient exposures, for example, those living in tightly sealed homes, those who cook, and children.     

Assessment of environmental tobacco smoke and respirable suspended particle exposures for nonsmokers in Basel by personal monitoring

One hundred and ninety-six randomly selected nonsmoking subjects collected air samples close to their breathing zone by wearing personal monitors for 24 h. The study was centred in Basel, Switzerland, and comprised housewives in one group, primarily for assessing exposures in the home, and office workers in a second group to assess the contribution of the workplace to overall exposure. Samples collected were analysed for respirable suspended particles (RSP), nicotine, 3-ethenylpyridine and environmental tobacco smoke (ETS) particles by using ultraviolet absorbance, fluorescence and solanesol measurements. Saliva cotinine analyses were also undertaken to confirm the nonsmoking status of the subjects. Based upon median 24 h time weighted average concentrations, office workers who live and work with smokers were exposed to 39 μg m^-3 RSP, 6.6 μg m^-3 ETS particles and 0.90 μg m^-3 nicotine. Housewives living with smokers were exposed to median concentrations of 34 μg m^-3 RSP, 1.4 μg m^-3 ETS particles and 0.60 μg m^-3 nicotine. Workplaces where smoking occurred were estimated, on average, to contribute between 34 and 46% to annual exposure of ETS particles and nicotine. Based upon 90th percentile values the most highly exposed housewives, those living with smokers, would potentially inhale 18 cigarette equivalents per year whilst the most highly exposed office workers, both living and working with smokers, might inhale 61 cigarette equivalents. The rate at which subjects misreported their nonsmoking status varied between 9.7 and 12.2%.     

Gene expression signatures in PCB-exposed Slovak children in relation to their environmental exposures and socio-physical characteristics

Environmental Science and Pollution Research - Our previous gene expression studies in a PCB-exposed cohort of young children in Slovakia revealed that early-life exposures to PCBs and other...     

Personal exposures to NO2 in the EXPOLIS-study: relation to residential indoor,outdoor and workplace concentrations in Basel,Helsinki and Prague

Personal exposures, residential indoor, outdoor and workplace levels of nitrogen dioxide (NO₂) were measured for 262 urban adult (25–55 years) participants in three EXPOLIS centres (Basel; Switzerland, Helsinki; Finland, and Prague; Czech Republic) using passive samplers for 48-h sampling periods during 1996–1997. The average residential outdoor and indoor NO₂ levels were lowest in Helsinki (24±12 and 18±11 μg m⁻³, respectively), highest in Prague (61±20 and 43±23 μg m⁻³), with Basel in between (36±13 and 27±13 μg m⁻³). Average workplace NO₂ levels, however, were highest in Basel (36±24 μg m⁻³), lowest in Helsinki (27±15 μg m⁻³), with Prague in between (30±18 μg m⁻³). A time-weighted microenvironmental exposure model explained 74% of the personal NO₂ exposure variation in all centres and in average 88% of the exposures. Log-linear regression models, using residential outdoor measurements (fixed site monitoring) combined with residential and work characteristics (i.e. work location, using gas appliances and keeping windows open), explained 48% (37%) of the personal NO₂ exposure variation. Regression models based on ambient fixed site concentrations alone explained only 11–19% of personal NO₂ exposure variation. Thus, ambient fixed site monitoring alone was a poor predictor for personal NO₂ exposure variation, but adding personal questionnaire information can significantly improve the predicting power.     

Personal exposure to fine particulate matter in elderly subjects: relation between personal, indoor, and outdoor concentrations

The time-series correlation between ambient levels, indoor levels, and personal exposure to PM2.5 was assessed in panels of elderly subjects with cardiovascular disease in Amsterdam, the Netherlands, and Helsinki, Finland. Subjects were followed for 6 months with biweekly clinical visits. Each subject's indoor and personal exposure to PM2.5 was measured biweekly, during the 24-hr period preceding the clinical visits. Outdoor PM2.5 concentrations were measured at fixed sites. The absorption coefficients of all PM2.5 filters were measured as a marker for elemental carbon (EC). Regression analyses were conducted for each subject separately, and the distribution of the individual regression and correlation coefficients was investigated. Personal, indoor, and ambient concentrations were highly correlated within subjects over time. Median Pearson's R between personal and outdoor PM2.5 was 0.79 in Amsterdam and 0.76 in Helsinki. For absorption, these values were 0.93 and 0.81 for Amsterdam and Helsinki, respectively. The findings of this study provide further support for using fixed-site measurements as a measure of exposure to PM2.5 in epidemiological time-series studies.     

Monitoring personal,indoor, and outdoor exposures to metals in airborne particulate matter: Risk of contamination during sampling,handling and analysis

Rigorous sampling and quality assurance protocols are required for the reliable measurement of personal, indoor and outdoor exposures to metals in fine particulate matter (PM_2.5). Testing of five co-located replicate air samplers assisted in identifying and quantifying sources of contamination of filters in the laboratory and in the field. A field pilot study was conducted in Windsor, Ont., Canada to ascertain the actual range of metal content that may be obtained on filter samples using low-flow (4 L min⁻¹) 24-h monitoring of personal, indoor and outdoor air. Laboratory filter blanks and NIST certified reference materials were used to assess contamination, instrument performance, accuracy and precision of the metals determination. The results show that there is a high risk of introducing metal contamination during all stages of sampling, handling and analysis, and that sources and magnitude of contamination vary widely from element to element. Due to the very small particle masses collected on low-flow 24-h filter samples (median 0.107 mg for a sample volume of approximately 6 m³) the contribution of metals from contamination commonly exceeds the content of the airborne particles being sampled. Thus, the use of field blanks to ascertain the magnitude and variability of contamination is critical to determine whether or not a given element should be reported. The results of this study were incorporated into standard operating procedures for a large multiyear personal, indoor and outdoor air monitoring campaign in Windsor.     

Solid/solution Cu fractionations/speciation of a Cu contaminated soil after pilot-scale electrokinetic remediation and their relationships with soil microbial and enzyme activities

The aim of this study was to investigate the detailed metal speciation/fractionations of a Cu contaminated soil before and after electrokinetic remediation as well as their relationships with the soil microbial and enzyme activities. Significant changes in the exchangeable and adsorbed-Cu fractionations occurred after electrokinetic treatment, while labile soil Cu in the solution had a tendency to decrease from the anode to the cathode, and the soil free Cu²⁺ ions were mainly accumulated in the sections close to the cathode. The results of regression analyses revealed that both the soil Cu speciation in solution phase and the Cu fractionations in solid phase could play important roles in the changes of the soil microbial and enzyme activities. Our findings suggest that the bioavailability of soil heavy metals and their ecotoxicological effects on the soil biota before and after electroremediation can be better understood in terms of their chemical speciation and fractionations.     

Surface temperature variations and their relationships with land cover in the Pearl River Delta

Environmental Science and Pollution Research - The characteristics of land use/land cover (LULC) types may affect the thermal environment of urban zones. In this study, the urban zones of the Pearl...