Health effects of ultrafine particles: a systematic literature review update of epidemiological evidence

Links between chronic exposure to outdoor air pollution and cardiovascular diseases: a review

Acute exposure to air pollution is associated with an increasing risk of death and cardiovascular disorders. Nonetheless, the impact of chronic exposure to air pollution on the circulatory system is still debated. Here, we review the links of chronic exposure to outdoor air pollution with mortality and most common cardiovascular diseases, in particular during the coronavirus disease 2019 event (COVID-19). We found that recent studies provide robust evidence for a causal effect of chronic exposure to air pollution and cardiovascular mortality. In terms of mortality, the strongest relationship was noted for fine particulate matter, nitrogen dioxide, and ozone. There is also increasing evidence showing that exposure to air pollution, mainly fine particulate matter and nitrogen dioxide, is associated with the development of atherosclerosis, hypertension, stroke, and heart failure. However, available scientific evidence is not strong enough to support associations with cardiac arrhythmias and coagulation disturbances. Noteworthy, for some pollutants, the risk of negative health effects is high for concentrations lower than the limit values recommended by the European Union and Word Health Organization. Efforts to diminish exposure to air pollution and to design optimal methods of air pollution reduction should be urgently intensified and supported by effective legislation and interdisciplinary cooperation.

The Impact of Traffic and Meteorology on Urban Particle Mass and Particle Number Concentrations: Student-Led Studies Using Mobile Measurements before, during, and after the COVID-19 Pandemic Lockdowns

A series of student-led research activities were performed using a cargo bicycle equipped with air chemistry instrumentation to study the dynamics of aerosol particles in urban air before, during, and after the COVID-19 lockdown periods. The studies examined a high-traffic route and a low-traffic route around the city center of Münster, Germany. A complex picture emerged for how the particle number concentrations (PN) and particle mass concentrations (PM, specifically PM10) were affected by the day of the week, the route selected, the meteorological conditions, and the traffic intensity. Traffic had the most impact on PN through the multitude of exhaust plumes from motorized vehicles. The impact of traffic on PM10 was rather low, which is also mirrored in the general pattern of the low response of PM10 to the pandemic lockdown in Germany. Instead, PM10 responded more to the day of the week. Presumably, PM10 responds either to a specific traffic component, such as commercial low-duty vehicles, or to other business, such as construction activity. Meteorological conditions exert their impact mostly through the relative humidity, which affects particle growth. As such, future research could examine PN and PM10 responses over all seasons of the year. In any case, this student-led study in which high-resolution data were acquired deepened our understanding and broadened our view on particle dynamics in urban air. Well-trained university graduates will contribute to meeting further challenges in studying and combatting air pollution.

Ultrafine particles, particle components and lung function at age 16 years: The PIAMA birth cohort study

BACKGROUND

Particulate matter (PM) air pollution exposure has been linked to lung function in adolescents, but little is known about the relevance of specific PM components and ultrafine particles (UFP).

OBJECTIVES

To investigate the associations of long-term exposure to PM elemental composition and UFP with lung function at age 16 years.

METHODS

For 706 participants of a prospective Dutch birth cohort, we assessed associations of forced expiratory volume in 1 s (FEV₁) and forced vital capacity (FVC) at age 16 with average exposure to eight elemental components (copper, iron, potassium, nickel, sulfur, silicon, vanadium and zinc) in PM_2.5 and PM₁₀, as well as UFP during the preceding years (age 13-16 years) estimated by land-use regression models. After assessing associations for each pollutant individually using linear regression models with adjustment for potential confounders, independence of associations with different pollutants was assessed in two-pollutant models with PM mass and NO₂, for which associations with lung function have been reported previously.

RESULTS

We observed that for most PM elemental components higher exposure was associated with lower FEV₁, especially PM₁₀ sulfur [e.g. adjusted difference -2.23% (95% confidence interval (CI) -3.70 to -0.74%) per interquartile range (IQR) increase in PM₁₀ sulfur]. The association with PM₁₀ sulfur remained after adjusting for PM₁₀ mass. Negative associations of exposure to UFP with both FEV₁ and FVC were observed [-1.06% (95% CI: -2.08 to -0.03%) and -0.65% (95% CI: -1.53 to 0.23%), respectively per IQR increase in UFP], but did not persist in two-pollutant models with NO₂ or PM_2.5.

CONCLUSIONS

Long-term exposure to sulfur in PM₁₀ may result in lower FEV₁ at age 16. There is no evidence for an independent effect of UFP exposure.

How can vegetation protect us from air pollution? A critical review on green spaces' mitigation abilities for air-borne particles from a public health perspective - with implications for urban planning

Air pollution causes the largest death toll among environmental risks globally, but interventions to purify ambient air remain inadequate. Vegetation and green spaces have shown reductive effects on air-borne pollutants concentrations, especially of particulate matter (PM). Guidance on green space utilisation for air quality control remains scarce, however, as does its application in practise. To strengthen the foundation for research and interventions, we undertook a critical review of the state of science from a public health perspective. We used inter-disciplinary search strategies for published reviews on green spaces and air pollution in key scientific databases. Using the PRISMA checklist, we systematically identified reviews with quantitative analyses. For each of the presented PM mitigation mechanisms, we conducted additional searches focused on the most recent articles published between 2016 and early 2021. The included reviews differentiate three mitigation mechanisms of green spaces for PM: deposition, dispersion and modification. The most studied mechanism is deposition, particularly measures of mass and settling velocity of PM on plant leaves. We consolidate how green space setups differ by scale and context in their potentials to reduce peak exposures, stationary (point) or mobile (line) pollution sources, and the potentially most harmful PM components. The assessed findings suggest diverse optimisation options for green space interventions, particularly concerning plant selection, spatial setup, ventilation and maintenance - all alongside the consideration of supplementary vegetation effects like on temperature or water. Green spaces' reductive effects on air-borne PM concentrations are considerable, multi-mechanistic and varied by scale, context and vegetation characteristics. Such effect-modifying factors must be considered when rethinking public space design, as accelerated by the COVID-19 pandemic. Weak linkages amid involved disciplines motivate the development of a research framework to strengthen health-oriented guidance. We conclude on an urgent need for an integrated and risk-based approach to PM mitigation through green space interventions.

Platelet activation by charged ligands and nanoparticles: platelet glycoprotein receptors as pattern recognition receptors

Charge interactions play a critical role in the activation of the innate immune system by damage- and pathogen-associated molecular pattern receptors. The ability of these receptors to recognize a wide spectrum of ligands through a common mechanism is critical in host defense. In this article, we argue that platelet glycoprotein receptors that signal through conserved tyrosine-based motifs function as pattern recognition receptors (PRRs) for charged endogenous and exogenous ligands, including sulfated polysaccharides, charged proteins and nanoparticles. This is exemplified by GPVI, CLEC-2 and PEAR1 which are activated by a wide spectrum of endogenous and exogenous ligands, including diesel exhaust particles, sulfated polysaccharides and charged surfaces. We propose that this mechanism has evolved to drive rapid activation of platelets at sites of injury, but that under some conditions it can drive occlusive thrombosis, for example, when blood comes into contact with infectious agents or toxins. In this Opinion Article, we discuss mechanisms behind charge-mediated platelet activation and opportunities for designing nanoparticles and related agents such as dendrimers as novel antithrombotics.

On Placental Toxicology Studies and Cerium Dioxide Nanoparticles

The human placenta is a transient organ essential for pregnancy maintenance, fetal development and growth. It has several functions, including that of a selective barrier against pathogens and xenobiotics from maternal blood. However, some pollutants can accumulate in the placenta or pass through with possible repercussions on pregnancy outcomes. Cerium dioxide nanoparticles (CeO₂ NPs), also termed nanoceria, are an emerging pollutant whose impact on pregnancy is starting to be defined. CeO₂ NPs are already used in different fields for industrial and commercial applications and have even been proposed for some biomedical applications. Since 2010, nanoceria have been subject to priority monitoring by the Organization for Economic Co-operation and Development in order to assess their toxicity. This review aims to summarize the current methods and models used for toxicology studies on the placental barrier, from the basic ones to the very latest, as well as to overview the most recent knowledge of the impact of CeO₂ NPs on human health, and more specifically during the sensitive window of pregnancy. Further research is needed to highlight the relationship between environmental exposure to CeO₂ and placental dysfunction with its implications for pregnancy outcome.

Acute health effects from exposure to indoor ultrafine particles-A randomized controlled crossover study among young mild asthmatics

Particulate matter is linked to adverse health effects, however, little is known about health effects of particles emitted from typical indoor sources. We examined acute health effects of short-term exposure to emissions from cooking and candles among asthmatics. In a randomized controlled double-blinded crossover study, 36 young non-smoking asthmatics attended three exposure sessions lasting 5 h: (a) air mixed with emissions from cooking (fine particle mass concentration): (PM_2.5 : 96.1 μg/m³ ), (b) air mixed with emissions from candles (PM_2.5 : 89.8 μg/m³ ), and c) clean filtered air (PM_2.5 : 5.8 μg/m³ ). Health effects (spirometry, fractional exhaled Nitric Oxide [FeNO], nasal volume and self-reported symptoms) were evaluated before exposure start, then 5 and 24 h after. During exposures volatile organic compounds (VOCs), particle size distributions, number concentrations and optical properties were measured. Generally, no statistically significant changes were observed in spirometry, FeNO, or nasal volume comparing cooking and candle exposures to clean air. In males, nasal volume and FeNO decreased after exposure to cooking and candles, respectively. Participants reported additional and more pronounced symptoms during exposure to cooking and candles compared to clean air. The results indicate that emissions from cooking and candles exert mild inflammation in asthmatic males and decrease comfort among asthmatic males and females.

Years of Life Lost (YLL) Due to Short-Term Exposure to Ambient Air Pollution in China: A Systematic Review and Meta-Analysis

(1) Background: Years of life lost (YLL) as a surrogate of health is important for supporting ambient air pollution related policy decisions. However, there has been little comprehensive evaluation of the short-term impact of air pollution on cause-specific YLL, especially in China. Hence in this study, we selected China as sentinel region in order to conduct a meta-analysis to evaluate disease-specific YLL due to all the main ambient air pollutants. (2) Methods: A meta-analysis was conducted to evaluate disease-specific YLL due to the main ambient air pollutants in China, and 19 studies were included. We conducted methodological quality and risk of bias assessment for each included study as well as for heterogeneity and publication bias. Subgroup analysis and sensitivity analysis were also performed. (3) Results: Meta-analysis indicated that increases in PM_2.5, PM₁₀, SO₂ and NO₂ were associated with 1.99–5.84 years increase in YLL from non-accidental diseases. The increase in YLL to cardiovascular disease (CVD) was associated with PM₁₀ and NO₂, and the increase in YLL to respiratory diseases (RD) was associated with PM₁₀. (4) Conclusions: Ambient air pollution was observed to be associated with several cause-specific YLL, increasing especially for elderly people and females.

Prenatal Ambient Ultrafine Particle Exposure and Childhood Asthma in the Northeastern United States

Rationale: Ambient ultrafine particles (UFPs; with an aerodynamic diameter < 0.1 μm) may exert greater toxicity than other pollution components because of their enhanced oxidative capacity and ability to translocate systemically. Studies examining associations between prenatal UFP exposure and childhood asthma remain sparse. Objectives: We used daily UFP exposure estimates to identify windows of susceptibility of prenatal UFP exposure related to asthma in children, accounting for sex-specific effects. Methods: Analyses included 376 mother-child dyads followed since pregnancy. Daily UFP exposure during pregnancy was estimated by using a spatiotemporally resolved particle number concentration prediction model. Bayesian distributed lag interaction models were used to identify windows of susceptibility for UFP exposure and examine whether effect estimates varied by sex. Incident asthma was determined at the first report of asthma (3.6 ± 3.2 yr). Covariates included maternal age, education, race, and obesity; child sex; nitrogen dioxide (NO2) and temperature averaged over gestation; and postnatal UFP exposure. Measurements and Main Results: Women were 37.8% Black and 43.9% Hispanic, with 52.9% reporting having an education at the high school level or lower; 18.4% of children developed asthma. The cumulative odds ratio (95% confidence interval) for incident asthma per doubling of the UFP exposure concentration across pregnancy was 4.28 (1.41-15.7), impacting males and females similarly. Bayesian distributed lag interaction models indicated sex differences in the windows of susceptibility, with the highest risk of asthma seen in females exposed to higher UFP concentrations during late pregnancy. Conclusions: Prenatal UFP exposure was associated with asthma development in children, independent of correlated ambient NO2 and temperature. Findings will benefit future research and policy-makers who are considering appropriate regulations to reduce the adverse effects of UFPs on child respiratory health.

The cardiovascular effects of air pollution: Prevention and reversal by pharmacological agents

Air pollution is associated with staggering levels of cardiovascular morbidity and mortality. Airborne particulate matter (PM), in particular, has been associated with a wide range of detrimental cardiovascular effects, including impaired vascular function, raised blood pressure, alterations in cardiac rhythm, blood clotting disorders, coronary artery disease, and stroke. Considerable headway has been made in elucidating the biological processes underlying these associations, revealing a labyrinth of multiple interacting mechanistic pathways. Several studies have used pharmacological agents to prevent or reverse the cardiovascular effects of PM; an approach that not only has the advantages of elucidating mechanisms, but also potentially revealing therapeutic agents that could benefit individuals that are especially susceptible to the effects of air pollution. This review gathers investigations with pharmacological agents, offering insight into the biology of how PM, and other air pollutants, may cause cardiovascular morbidity.

Predicting Within-City Spatial Variations in Outdoor Ultrafine Particle and Black Carbon Concentrations in Bucaramanga, Colombia: A Hybrid Approach Using Open-Source Geographic Data and Digital Images

Outdoor ultrafine particles (UFP, <0.1 μm) and black carbon (BC) vary greatly within cities and may have adverse impacts on human health. In this study, we used a hybrid approach to develop new models to estimate within-city spatial variations in outdoor UFP and BC concentrations across Bucaramanga, Colombia. We conducted a mobile monitoring campaign over 20 days in 2019. Regression models were trained on land use data and combined with predictions from convolutional neural networks (CNN) trained to predict UFP and BC concentrations using satellite and street-level images. The combined UFP model (R² = 0.54) outperformed the CNN (R² = 0.47) and land use regression (LUR) models (R² = 0.47) on their own. Similarly, the combined BC model also outperformed the CNN and LUR BC models (R² = 0.51 vs 0.43 and 0.45, respectively). Spatial variations in model performance were more stable for the CNN and combined models compared to the LUR models, suggesting that the combined approach may be less likely to contribute to differential exposure measurement error in epidemiological studies. In general, our findings demonstrated that satellite and street-level images can be combined with a traditional LUR modeling approach to improve predictions of within-city spatial variations in outdoor UFP and BC concentrations.

Fuel-Operated Auxiliary Heaters Are a Major Additional Source of Vehicular Particulate Emissions in Cold Regions

Fuel-operated auxiliary heaters (AHs) can be notable sources of particle emissions from vehicles. The emissions of AHs are unregulated, and the number of devices is high; therefore, they make considerable contributions to local air quality, and even the global emissions budget. Experiments for studying the emissions were performed in Finland for a total of eight selected vehicles with Original Equipment Manufacturer (OEM) AHs installed, including both diesel- and gasoline-operated heaters. We present the numerical results of particle emissions and compare the particle concentrations in the AH exhaust to values found in the tailpipe exhaust of the same vehicle. Our results show that the emissions from auxiliary heaters are typically several orders of magnitude higher than of a car exhaust when idling. This raises the question of whether the use of heaters is justified based on the goal to reduce total emissions from vehicle use; furthermore, whether fuel-operated heaters should also be applied in electric vehicles for cabin heating. More research will be needed to characterize the emissions more thoroughly to understand the air quality and climate effects from AHs, and to provide further recommendations on the use of these heaters.

Evaluation of Fine and Ultrafine Particles Proportion in Airborne Dust in an Industrial Area

The health impacts of suspended particulate matter (SPM) are significantly associated with size-the smaller the aerosol particles, the stronger the biological effect. Quantitative evaluation of fine and ultrafine particles (FP and UFP) is, therefore, an integral part of ongoing epidemiological studies. The mass concentrations of SPM fractions (especially PM_2.5, PM_1.0, PM_0.25) were measured in an industrial area using cascade personal samplers and a gravimetric method, and their mass ratio was determined. The results of PM_2.5, PM_1.0 were also compared with the reference measurement at stationary stations. The mean ratios PM_2.5/SPM, PM_1.0/SPM, and PM_1.0/PM_2.5 were 0.76, 0.65, and 0.86, respectively. Surprisingly, a mass dominance of UFP with an aerodynamic diameter <0.25 μm (PM_0.25) was found with mean ratios of 0.43, 0.57, 0.67 in SPM, PM_2.5 and PM_1.0. The method used showed satisfactory agreement in comparison with reference measurements. The respirable fraction may consist predominantly of UFP. Despite the measures currently being taken to improve air quality, the most biologically efficient UFP can escape and remain in the air. UFP are currently determined primarily as particle number as opposed to the mass concentration used for conventional fractions. This complicates their mutual comparison and determination of individual fraction ratios.

Indoor and Outdoor Nanoparticle Concentrations in an Urban Background Area in Northern Sweden: The NanoOffice Study

In recent years, nanoparticles (NPs) have received much attention due to their very small size, high penetration capacity, and high toxicity. In urban environments, combustion-formed nanoparticles (CFNPs) dominate in particle number concentrations (PNCs), and exposure to those particles constitutes a risk to human health. Even though fine particles (<2.5 µm) are regularly monitored, information on NP concentrations, both indoors and outdoors, is still limited. In the NanoOffice study, concentrations of nanoparticles (10–300 nm) were measured both indoors and outdoors with a 5-min time resolution at twelve office buildings in Umeå. Measurements were taken during a one-week period in the heating season and a one-week period in the non-heating season. The measuring equipment SMPS 3938 was used for indoor measurements, and DISCmini was used for outdoor measurements. The NP concentrations were highest in offices close to a bus terminal and lowest in offices near a park. In addition, a temporal effect appeared, usually with higher concentrations of nanoparticles found during daytime in the urban background area, whereas considerably lower nanoparticle concentrations were often present during nighttime. Infiltration of nanoparticles from the outdoor air into the indoor air was also common. However, the indoor/outdoor ratios (I/O ratios) of NPs showed large variations between buildings, seasons, and time periods, with I/O ratios in the range of 0.06 to 0.59. The reasons for high indoor infiltration rates could be NP emissions from adjacent outdoor sources. We could also see particle growth since the indoor NPs were, on average, almost twice as large as the NPs measured outdoors. Despite relatively low concentrations of NPs in the urban background air during nighttime, they could rise to very high daytime concentrations due to local sources, and those particles also infiltrated the indoor air.

The German Environmental Survey for Children and Adolescents 2014-2017 (GerES V) - Study population, response rates and representativeness

The German Environmental Survey (GerES) is a population-representative, cross-sectional study on environmental exposures of the general population of Germany. GerES has repeatedly been conducted since 1985 by the German Environment Agency (UBA) in close collaboration with the Health Interview and Examination Surveys of the Robert Koch Institute (RKI). In the German Environmental Survey for Children and adolescents 2014-2017 (GerES V) pollutants and other environmental stressors were measured in human samples as well as in the homes of 3- to 17-year-old children and adolescents. Interviews were conducted about health-related behaviors and living conditions. The GerES V basic program encompassed examinations of whole blood, blood plasma, morning urine and drinking water samples, measurements of ultrafine particles and noise levels, comprehensive standardized interviews, and self-administrated questionnaires. Additional modules on volatile organic compounds and aldehydes, particulate matter (PM_2.5) in indoor air, organic compounds in drinking water and pollutants in house dust were conducted in subsamples. Potential GerES V participants were identified and attained by the RKI from those participants who were examined and interviewed for the cross-sectional component of the second follow-up to the German Health Interview and Examination Survey for Children and Adolescents (KiGGS Wave 2). The gross sample of GerES V comprised 3031 children and adolescents of which 2294 finally took part in the survey. This equals a total response rate of 75.7 %. Response rates varied, depending on region, type of municipality, age and sex, from 66.0 % to 78.3 %. By calculating individual case weights, discrepancies due to sample design and non-response between the GerES V sample and the whole population could be considered in statistical analysis. Therefore, the representativeness of the GerES V results with regard to age, sex, community size and region was assured.

High-Spatial-Resolution Estimates of Ultrafine Particle Concentrations across the Continental United States

There is growing evidence that ultrafine particles (UFP; particles smaller than 100 nm) are likely more toxic than larger particles. However, the health effects of UFP remain uncertain due in part to the lack of large-scale population-based exposure assessment. We develop a national-scale empirical model of particle number concentration (PNC; a measure of UFP) using data from mobile monitoring and fixed sites across the United States and a land-use regression (LUR) modeling framework. Traffic, commercial land use, and urbanicity-related variables explain much of the spatial variability of PNC (base model R² = 0.77, RMSE = 2400 cm^-3). Model predictions are robust across a diverse set of evaluations [random 10-fold holdout cross-validation (HCV): R² = 0.72, RMSE = 2700 cm^-3; spatially defined HCV: R² = 0.66, RMSE = 3000 cm^-3; evaluation against an independent data set: R² = 0.54, RMSE = 2600 cm^-3]. We apply our model to predict PNC at ∼6 million residential census blocks in the contiguous United States. Our estimates are annual average concentrations for 2016-2017. The predicted national census-block-level mean PNC ranges between 1800 and 26 600 cm^-3 (population-weighted average: 6500 cm^-3), with hotspots in cities and near highways. Our national PNC model predicts large urban-rural, intra-, and inter-city contrasts. PNC and PM_2.5 are moderately correlated at the city scale, but uncorrelated at the regional/national scale. Our high-spatial-resolution national PNC estimates are useful for analyzing population exposure (socioeconomic disparity, epidemiological health impact) and environmental policy and regulation.

Air pollution and children's health-a review of adverse effects associated with prenatal exposure from fine to ultrafine particulate matter

BACKGROUND

Particulate matter (PM), a major component of ambient air pollution, accounts for a substantial burden of diseases and fatality worldwide. Maternal exposure to PM during pregnancy is particularly harmful to children's health since this is a phase of rapid human growth and development.

METHOD

In this review, we synthesize the scientific evidence on adverse health outcomes in children following prenatal exposure to the smallest toxic components, fine (PM_2.5) and ultrafine (PM_0.1) PM. We highlight the established and emerging findings from epidemiologic studies and experimental models.

RESULTS

Maternal exposure to fine and ultrafine PM directly and indirectly yields numerous adverse birth outcomes and impacts on children's respiratory systems, immune status, brain development, and cardiometabolic health. The biological mechanisms underlying adverse effects include direct placental translocation of ultrafine particles, placental and systemic maternal oxidative stress and inflammation elicited by both fine and ultrafine PM, epigenetic changes, and potential endocrine effects that influence long-term health.

CONCLUSION

Policies to reduce maternal exposure and health consequences in children should be a high priority. PM_2.5 levels are regulated, yet it is recognized that minority and low socioeconomic status groups experience disproportionate exposures. Moreover, PM_0.1 levels are not routinely measured or currently regulated. Consequently, preventive strategies that inform neighborhood/regional planning and clinical/nutritional recommendations are needed to mitigate maternal exposure and ultimately protect children's health.

Ultrafine Particles Emitted through Routine Operation of a Hairdryer

Particulate matter is a large concern for human health. Fine and ultrafine particulate matter has been shown to negatively impact human health; for example, it causes cardiopulmonary diseases. Current regulation targets the size of the particles, but composition also impacts toxicity. Indoor sources of air pollution pose unique challenges for human health due to the potential for human exposure to high concentrations in confined spaces. In this work, six hairdryers were each operated within a plexiglass chamber, and their emissions were analyzed with transmission electron microscopy and energy-dispersive spectroscopy. All hairdryers were found to emit ultrafine iron, carbon, and copper. In addition, emissions from two hairdryers primarily contained silver nanoparticles in the ultrafine range (<100 nm). The ultrafine particle emission rates for the hairdryers that did not contain silver were measured and found to be lower than ultrafine particle emissions by gas stoves and electric burners. Based on their size, these particles can either remain in the lung or enter the bloodstream after inhalation and potentially cause long-term health effects.

Experimental study of a string-based counterflow wet electrostatic precipitator for collection of fine and ultrafine particles

Wet electrostatic precipitators (WESP) have been widely studied for collecting fine and ultrafine particles, such as diesel particulate matter (DPM), which have deleterious effects on human health. Here, we report an experimental and numerical simulation study on a novel string-based two-stage WESP. Our new design incorporates grounded vertically aligned polymer strings, along which thin films of water flow down. The water beads, generated by intrinsic flow instability, travel down the strings and collect charged particles in the counterflowing gas stream. We performed experiments using two different geometric configurations of WESP: rectangular and cylindrical. We examined the effects of the WESP electrode bias voltage, air stream velocity, and water flow rate on the number-based fractional collection efficiency for particles of diameters ranging from 10 nm to 2.5 μm. The collection efficiency improves with increasing bias voltages or decreasing airflow rates. At liquid-to-gas (L/G) as low as approximately 0.0066, our design delivers a collection efficiency over 70% even for fine and ultrafine particles. The rectangular and cylindrical configurations exhibit similar collection efficiencies under nominally identical experimental conditions. We also compare the water-to-air mass flow rate ratio, air flow rate per unit collector volume, and collection efficiency of our string-based design with those of previously reported WESPs. The present work demonstrates a promising design for a highly efficient, compact, and scalable two-stage WESPs with minimal water consumption.Implications: Wet Electrostatic Precipitators (WESPs) are highly effective for collecting fine particles in exhaust air streams from various sources such as diesel engines, power plants, and oil refineries. However, their large-scale adoption has been limited by high water usage and reduced collection efficiencies for ultrafine particles. We perform experimental and numerical investigation to characterize the collection efficiency and water flow rate-dependence of a new design of WESP. The string-based counterflow WESP reported in this study offers number-based collection efficiencies >70% at air flow rates per collector volume as high as 4.36 (m³/s)/m³ for particles of diameters ranging from 10 nm - 2.5 μm, while significantly reducing water usage. Our work provides a basis for the design of more compact and water-efficient WESPs.

Development of a Job-Exposure Matrix for Ultrafine Particle Exposure: The MatPUF JEM

OBJECTIVE

Ultrafine particles (UFPs) are generated from common work processes and have thus existed for a long time. Far more prevalent than engineered nanoparticles, they share common toxicological characteristics with them. However, there is no existing retrospective assessment tool specific to UFPs, for example, for epidemiological purposes. Thus, we aimed to develop a job-exposure matrix dedicated to UFPs.

METHOD

Fifty-seven work processes were identified as well as the chemical composition of UFPs emitted, following a literature review and the input of an expert panel. These work processes were associated with occupational codes as defined by the ISCO 1968 classification. The probability and frequency of UFP exposure were assessed for each combination of occupational code and process. Summarized probabilities and frequencies were then calculated for all ISCO occupational codes associated with several processes. Variations in exposure over time or across industrial sectors were accounted for in the assessment of each occupational code.

RESULTS

In the ISCO classification, 52.8% of the occupational codes (n = 835) assessed were associated with exposure to UFPs, consisting mainly of carbonaceous, metallic, and mineral families (39.5%, 22 and, 15.8%, respectively). Among them, 42.6% involved very probable exposure, and at a high frequency (regularly or continuously).

CONCLUSION

These results suggest that occupational exposure to UFPs may be extensive at the workplace and could concern a wide variety of workers. Pending the integration of a third parameter assessing the intensity of UFP exposure, the MatPUF JEM already constitutes a promising and easy-to-use tool to study the possible adverse health effects of UFPs at work. It may also guide prevention policies in the occupational environments concerned, including those involving engineered nanoparticles.

Combined Effect of Hot Weather and Outdoor Air Pollution on Respiratory Health: Literature Review

Association between short-term exposure to ambient air pollution and respiratory health is well documented. At the same time, it is widely known that extreme weather events intrinsically exacerbate air pollution impact. Particularly, hot weather and extreme temperatures during heat waves (HW) significantly affect human health, increasing risks of respiratory mortality and morbidity. Concurrently, a synergistic effect of air pollution and high temperatures can be combined with weather–air pollution interaction during wildfires. The purpose of the current review is to summarize literature on interplay of hot weather, air pollution, and respiratory health consequences worldwide, with the ultimate goal of identifying the most dangerous pollution agents and vulnerable population groups. A literature search was conducted using electronic databases Web of Science, Pubmed, Science Direct, and Scopus, focusing only on peer-reviewed journal articles published in English from 2000 to 2021. The main findings demonstrate that the increased level of PM10 and O3 results in significantly higher rates of respiratory and cardiopulmonary mortality. Increments in PM2.5 and PM10, O3, CO, and NO2 concentrations during high temperature episodes are dramatically associated with higher admissions to hospital in patients with chronic obstructive pulmonary disease, daily hospital emergency transports for asthma, acute and chronic bronchitis, and premature mortality caused by respiratory disease. Excessive respiratory health risk is more pronounced in elderly cohorts and small children. Both heat waves and outdoor air pollution are synergistically linked and are expected to be more serious in the future due to greater climate instability, being a crucial threat to global public health that requires the responsible involvement of researchers at all levels. Sustainable urban planning and smart city design could significantly reduce both urban heat islands effect and air pollution.

Prevention through design: insights from computational fluid dynamics modeling to predict exposure to ultrafine particles from 3D printing

Fused filament fabrication (FFF) 3D printers are increasingly used in industrial, academic, military, and residential sectors, yet their emissions and associated user exposure scenarios are not fully described. Characterization of potential user exposure and environmental releases requires robust investigation. During operation, common FFF 3D printers emit varying amounts of ultrafine particles (UFPs) depending upon feedstock material and operation procedures. Volatile organic compounds associated with these emissions exhibit distinct odors; however, the UFP portion is largely imperceptible by humans. This investigation presents straightforward computational modeling as well as experimental validation to provide actionable insights for the proactive design of lower exposure spaces where 3D printers may be used. Specifically, data suggest that forced clean airflows may create lower exposure spaces, and that computational modeling might be employed to predict these spaces with reasonable accuracy to assist with room design. The configuration and positioning of room air ventilation diffusers may be a key factor in identifying lower exposure spaces. A workflow of measuring emissions during a printing process in an ANSI/CAN/UL 2904 environmental chamber was used to provide data for computational fluid dynamics (CFD) modeling of a 6 m2 room. Measurements of the particle concentrations in a Class 1000 clean room of identical geometry were found to pass the Hanna test for agreement between model and experimental data, validating the findings.

Spatial and temporal variability of airborne ultrafine particles in the Greater Montreal area: Results of monitoring campaigns in two seasons

It has been hypothesized that ultrafine particles (UFP) in air pollution may cause lung cancer. In preparation for an epidemiologic case-control study to assess this hypothesis in Montreal, Canada, we conducted a UFP measurement campaign in order to create an exposure surface with which we could assign UFP exposure to subjects corresponding to their residential addresses. The purpose of this paper is to describe the temporal and spatial variability that underlies the creation of an exposure surface in the Montreal area, and to consider the implications for epidemiological exposure assessment. We identified 249 fixed sampling sites, selected to provide a dense spatial representation of the areas of residence of Montreal residents. We conducted a winter campaign and a summer campaign, and each of the sites was visited three times during each seasonal campaign. Each visit entailed a 20-minute measurement period for UFPs with a separate measurement each second. This provided data for temporal comparisons at each site between seasons, between visits and between seconds. The median of UFP measurements was 16,593 particles/cm³ in winter and 8919 particles/cm³ in summer. Across the 249 sampling sites the Spearman correlation coefficient between the UFP measurements of winter and summer was 0.35. Within each visit, correlation was below 0.50 between pairs of UFP measurements taken more than 60 s apart, and there was hardly any correlation among measurements taken more than 300 s apart. When sites were grouped by proximity to certain types of pollution sources, and the seven resulting groups compared, there were modest, albeit statistically significant, differences in UFP levels. There was moderate positive spatial autocorrelation in UFPs over the study area. High temporal variability of UFPs from short-term measurements campaigns will likely compromise the predictive validity of the exposure surface, and will eventually attenuate the epidemiologic risk estimates.

Relationship between Indoor High Frequency Size Distribution of Ultrafine Particles and Their Metrics in a University Site

Exposure to ultrafine particles (UFPs size < 100 nm) in life and work environments can contribute to adverse health effects also in terms of health burden of related diseases over time. The choice of parameters which better characterize UFPs is challenging, due to their physical-chemical properties and their variable size. It is also strictly related to the availability of different instrumental techniques. In the present study we focus on real time high frequency (1 Hz) UFPs particle size distribution (PSD) and their relationship with total particle number concentration (TPNC) and mean particle diameter (Davg) as a contribution characterizing by size the human exposure to UFPs in an indoor site of the University of Rome “Sapienza” (Italy). Further considerations about UFPs contribution to nucleation mode (NM) and accumulation mode (AM) have been highlighted, also in order to investigate the contribution of polycyclic aromatic hydrocarbons (PAHs) surface-adsorbed on indoor air particles (pPAHs). High indoor TPNC values were registered during the rush hours (early morning and mid/late afternoon) according to the outdoor influences originated from anthropogenic activities. AM mainly contribute to the indoor TPNC during working days showing high correlation with pPAHs. These findings may provide useful indications in terms of occupational exposure to UFPs since there are many evidences that indoor exposures to such pollutants may be associated with adverse health effects also in working environments.

Aquatic toxicity of particulate matter emitted by five electroplating processes in two marine microalgae species

Electroplating is a widely used group of industrial processes that make a metal coating on a solid substrate. Our previous research studied the concentrations, characteristics, and chemical composition of nano- and microparticles emitted during different electroplating processes. The objective of this study was to evaluate the environmental toxicity of particulate matter obtained from five different electrochemical processes. We collected airborne particle samples formed during aluminum cleaning, aluminum etching, chemical degreasing, nonferrous metals etching, and nickel plating. The toxicity of the particles was evaluated by the standard microalgae growth rate inhibition test. Additionally, we evaluated membrane potential and cell size changes in the microalgae H. akashiwo and P. purpureum exposed to the obtained suspensions of electroplating particles. The findings of this research demonstrate that the aquatic toxicity of electroplating emissions significantly varies between different industrial processes and mostly depends on particle chemical composition and solubility rather than the number of insoluble particles. The sample from an aluminum cleaning workshop was significantly more toxic for both microalgae species compared to the other samples and demonstrated dose and time-dependent toxicity. The samples obtained during chemical degreasing and nonferrous metals etching processes induced depolarization of microalgal cell membranes, demonstrated the potential of chronic toxicity, and stimulated the growth rate of microalgae after 72 h of exposure. Moreover, the sample from a nonferrous metals etching workshop revealed hormetic dose-response toxicity in H. akashiwo, which can lead to harmful algal blooms in the environment.

The Impact of Short-Term Exposure to Air Pollution on the Exhaled Breath of Healthy Adults

Environmental factors, such as air pollution, can affect the composition of exhaled breath, and should be well understood before biomarkers in exhaled breath can be used in clinical practice. Our objective was to investigate whether short-term exposures to air pollution can be detected in the exhaled breath profile of healthy adults. In this study, 20 healthy young adults were exposed 2–4 times to the ambient air near a major airport and two highways. Before and after each 5 h exposure, exhaled breath was analyzed using an electronic nose (eNose) consisting of seven different cross-reactive metal-oxide sensors. The discrimination between pre and post-exposure was investigated with multilevel partial least square discriminant analysis (PLSDA), followed by linear discriminant and receiver operating characteristic (ROC) analysis, for all data (71 visits), and for a training (51 visits) and validation set (20 visits). Using all eNose measurements and the training set, discrimination between pre and post-exposure resulted in an area under the ROC curve of 0.83 (95% CI = 0.76–0.89) and 0.84 (95% CI = 0.75–0.92), whereas it decreased to 0.66 (95% CI = 0.48–0.84) in the validation set. Short-term exposure to high levels of air pollution potentially influences the exhaled breath profiles of healthy adults, however, the effects may be minimal for regular daily exposures.

Short-term personal and outdoor exposure to ultrafine and fine particulate air pollution in association with blood pressure and lung function in healthy adults

Studies reporting on associations between short-term exposure to outdoor fine (PM_2.5), and ultrafine particles (UFP) and blood pressure and lung function have been inconsistent. Few studies have characterized exposure by personal monitoring, which especially for UFP may have resulted in substantial exposure measurement error. We investigated the association between 24-h average personal UFP, PM_2.5, and soot exposure and dose and the health parameters blood pressure and lung function. We further assessed the short-term associations between outdoor concentrations measured at a central monitoring site and near the residences and these health outcomes. We performed three 24-h personal exposure measurements for UFP, PM_2.5, and soot in 132 healthy adults from Basel (Switzerland), Amsterdam and Utrecht (the Netherlands), and Turin (Italy). Monitoring of each subject was conducted in different seasons in a one-year study period. Subject's activity levels and associated ventilation rates were measured using actigraphy to calculate the inhaled dose. After each 24-h monitoring session, blood pressure and lung function were measured. Contemporaneously with personal measurements, UFP, PM_2.5 and soot were measured outdoor at the subject's residential address and at a central site in the research area. Associations between short-term personal and outdoor exposure and dose to UFP, PM_2.5, and soot and health outcomes were tested using linear mixed effect models. The 24-h mean personal, residential and central site outdoor UFP exposures were not associated with blood pressure or lung function. UFP mean exposures in the 2-h prior to the health test was also not associated with blood pressure and lung function. Personal, central site and residential PM_2.5 exposure were positively associated with systolic blood pressure (about 1.4 mmHg increase per Interquartile range). Personal soot exposure and dose were positively associated with diastolic blood pressure (1.2 and 0.9 mmHg increase per Interquartile range). No consistent associations between PM_2.5 or soot exposure and lung function were observed. Short-term personal, residential outdoor or central site exposure to UFP was not associated with blood pressure or lung function. Short-term personal PM_2.5 and soot exposures were associated with blood pressure, but not lung function.

Impact of Microplastics and Nanoplastics on Human Health

Plastics have enormous impacts to every aspect of daily life including technology, medicine and treatments, and domestic appliances. Most of the used plastics are thrown away by consumers after a single use, which has become a huge environmental problem as they will end up in landfill, oceans and other waterways. These plastics are discarded in vast numbers each day, and the breaking down of the plastics from micro- to nano-sizes has led to worries about how toxic these plastics are to the environment and humans. While, there are several earlier studies reported the effects of micro- and nano-plastics have on the environment, there is scant research into their impact on the human body at subcellular or molecular levels. In particular, the potential of how nano-plastics move through the gut, lungs and skin epithelia in causing systemic exposure has not been examined thoroughly. This review explores thoroughly on how nanoplastics are created, how they behave/breakdown within the environment, levels of toxicity and pollution of these nanoplastics, and the possible health impacts on humans, as well as suggestions for additional research. This paper aims to inspire future studies into core elements of micro- and nano-plastics, the biological reactions caused by their specific and unusual qualities.

Characterization and source apportionment of single particles from metalworking activities

Industrial metalworking facilities emit a variety of air toxics including volatile organic compounds, polycyclic aromatic hydrocarbons (PAHs) and heavy metals. In order to investigate these emissions, a 1-month multi-instrument field campaign was undertaken at an industrial site in Grande-Synthe, Dunkirk (France), in May and June 2012. One of the main objectives of the study was to provide new information on the chemical composition of particulate matter with aerodynamic diameters smaller than 2.5 μm (PM_2.5) in the vicinity of metalworking facilities. An aerosol time-of-flight mass spectrometer (ATOFMS) was deployed to provide size-resolved chemical mixing state measurements of ambient single particles at high temporal resolution. This mixing state information was then used to apportion PM_2.5 to local metalworking facilities influencing the receptor site. Periods when the site was influenced by metalworking sources were characterised by a pronounced increase in particles containing toxic metals (manganese, iron, lead) and polycyclic aromatic hydrocarbons (PAHs) with a variety of chemical mixing states. The association of specific particle classes with a nearby ferromanganese alloy manufacturing plant was confirmed through comparison with previous analysis of raw materials (ores) and chimney filter particle samples collected at the facility. Particles associated with emissions from a nearby steelworks were also identified. The contribution of local metalworking activities to PM_2.5 at the receptor site for the period when the ATOFMS was deployed ranged from 1 to 65% with an average contribution of 17%, while the remaining mass was attributed to other local and regional sources. These findings demonstrate the impact of metalworking facilities on air quality downwind and provide useful single particle signatures for future source apportionment studies in communities impacted by metalworking emissions.

Air Pollution and Polyclonal Elevation of Serum Free Light Chains: An Assessment of Adaptive Immune Responses in the Prospective Heinz Nixdorf Recall Study

BACKGROUND

Residential exposure to air pollution (AP) has been shown to activate the immune system (IS). Although innate immune responses to AP have been studied extensively, investigations on the adaptive IS are scarce.

OBJECTIVES

The aim of this study was to investigate the association between short- to long-term AP exposure and polyclonal free light chains (FLC) produced by plasma cells.

METHODS

We used repeated data from three examinations (t0: 2000-2003; t1: 2006-2008; and t2: 2011-2015) of the population-based German Heinz Nixdorf Recall cohort of initially 4,814 participants (45-75 y old). Residential exposure to total and source-specific particulate matter (PM) with an aerodynamic diameter of 10 or 2.5μm (PM10 and PM2.5 respectively), nitrogen dioxide (NO2), and particle number concentrations (accumulation mode; PNAM) was estimated using a chemistry transport model with different time windows (1- to 365-d mean ± standard deviation) before blood draw. We applied linear mixed models with a random participant intercept to estimate associations between total, traffic- and industry-related AP exposures and log-transformed FLC, controlling for examination time, sociodemographic and lifestyle variables, estimated glomerular filtration rate and season.

RESULTS

Analyzing 9,933 observations from 4,455 participants, we observed generally positive associations between AP exposures and FLC. We observed strongest associations with middle-term exposures, e.g., 3.0% increase in FLC (95% confidence interval: 1.8%, 4.3%) per interquartile range increase in 91-d mean of NO2 (14.1μg/m³). Across the different pollutants, NO2 showed strongest associations with FLC, followed by PM10 and PNAM. Effect estimates for traffic-related exposures were mostly higher compared with total exposures. Although NO2 and PNAM estimates remained stable upon adjustment for PM, PM estimates decreased considerably upon adjustment for NO2 and PNAM.

DISCUSSION

Our results suggest that middle-term AP exposures in particular might be positively associated with activation of the adaptive IS. Traffic-related PM, PNAM, and NO2 showed strongest associations. https://doi.org/10.1289/EHP7164.

Effect of Reducing Ambient Traffic-Related Air Pollution on Blood Pressure: A Randomized Crossover Trial

Supplemental Digital Content is available in the text.

Exposure to traffic-related air pollution (TRAP) may contribute to increased prevalence of hypertension and elevated blood pressure (BP) for residents of near-highway neighborhoods. Relatively few studies have investigated the effects of reducing TRAP exposure on short-term changes in BP. We assessed whether reducing indoor TRAP concentrations by using stand-alone high-efficiency particulate arrestance (HEPA) filters and limiting infiltration through doors and windows effectively prevented acute (ie, over a span of hours) increases in BP. Using a 3-period crossover design, 77 participants were randomized to attend three 2-hour-long exposure sessions separated by 1-week washout periods. Each participant was exposed to high, medium, and low TRAP concentrations in a room near an interstate highway. Particle number concentrations, black carbon concentrations, and temperature were monitored continuously. Systolic BP (SBP), diastolic BP, and heart rate were measured every 10 minutes. Outcomes were analyzed with a linear mixed model. The primary outcome was the change in SBP from 20 minutes from the start of exposure. SBP increased with exposure duration, and the amount of increase was related to the magnitude of exposure. The mean change in SBP was 0.6 mm Hg for low exposure (mean particle number and black carbon concentrations, 2500 particles/cm³ and 149 ng/m³), 1.3 mm Hg for medium exposure (mean particle number and black carbon concentrations, 11 000 particles/cm³ and 409 ng/m³), and 2.8 mm Hg for high exposure (mean particle number and black carbon concentrations, 30 000 particles/cm³ and 826 ng/m³; linear trend P=0.019). There were no statistically significant differences in the secondary outcomes, diastolic BP, or heart rate. In conclusion, reducing indoor concentrations of TRAP was effective in preventing acute increases in SBP.

Spatial and Spatiotemporal Variability of Regional Background Ultrafine Particle Concentrations in the Netherlands

Studies of the health effects of ultrafine particles (UFPs) in large nationwide cohorts are currently hampered by a lack of knowledge about spatial and spatiotemporal variations in regional background UFPs. We measured the UFP (10-300 nm) at 20 regional background locations (3 × 2 weeks) across the Netherlands and a reference site continuously over a total period of 14 months in 2016-2017. We compared the overall averages for each site and used kriging to create a regional background spatial map of the Netherlands. Spatiotemporal variability was analyzed by correlating time-series of 2 and 24 h average concentrations. The overall average measured UFP concentrations at the 20 locations ranged from 3814 to 7070 particles/cm³. We found the spatial correlation in the UFP concentrations up to 180 km and clear differences between the north and the more populated southern parts of the country. The average temporal correlation between 2 and 24 h average UFP concentrations was 0.50 (IQR: 0.36-0.61) and 0.58 (IQR: 0.44-0.75), respectively. Temporal correlation declined weakly with a distance between sites, from 0.58 for sites within 80 km of each other to 0.47 for sites farther away. The substantial spatial variation in the regional background UFP concentrations suggests that regional variation may contribute importantly to exposure contrast in nationwide health studies of UFP.

Spatial and Spatiotemporal Variability of Regional Background Ultrafine Particle Concentrations in the Netherlands

Studies of the health effects of ultrafine particles (UFPs) in large nationwide cohorts are currently hampered by a lack of knowledge about spatial and spatiotemporal variations in regional background UFPs. We measured the UFP (10-300 nm) at 20 regional background locations (3 × 2 weeks) across the Netherlands and a reference site continuously over a total period of 14 months in 2016-2017. We compared the overall averages for each site and used kriging to create a regional background spatial map of the Netherlands. Spatiotemporal variability was analyzed by correlating time-series of 2 and 24 h average concentrations. The overall average measured UFP concentrations at the 20 locations ranged from 3814 to 7070 particles/cm³. We found the spatial correlation in the UFP concentrations up to 180 km and clear differences between the north and the more populated southern parts of the country. The average temporal correlation between 2 and 24 h average UFP concentrations was 0.50 (IQR: 0.36-0.61) and 0.58 (IQR: 0.44-0.75), respectively. Temporal correlation declined weakly with a distance between sites, from 0.58 for sites within 80 km of each other to 0.47 for sites farther away. The substantial spatial variation in the regional background UFP concentrations suggests that regional variation may contribute importantly to exposure contrast in nationwide health studies of UFP.

How Is Indoor Air Quality during Sleep? A Review of Field Studies

This review aimed to provide an overview of the characterisation of indoor air quality (IAQ) during the sleeping period, based only on real life conditions’ studies where, at least, one air pollutant was considered. Despite the consensual complexity of indoor air, when focusing on sleeping environments, the available scientific literature is still scarce and falls to provide a multipollutants’ characterisation of the air breathed during sleep. This review, following PRISMA’s approach, identified a total of 22 studies that provided insights of how IAQ is during the sleeping period in real life conditions. Most of studies focused on carbon dioxide (77%), followed by particles (PM2.5, PM10 and ultrafines) and only 18% of the studies focused on pollutants such as carbon monoxide, volatile organic compounds and formaldehyde. Despite the high heterogeneity between studies (regarding the geographical area, type of surrounding environments, season of the year, type of dwelling, bedrooms’ ventilation, number of occupants), several air pollutants showed exceedances of the limit values established by guidelines or legislation, indicating that an effort should be made in order to minimise human exposure to air pollutants. For instance, when considering the air quality guideline of World Health Organisation of 10 µg·m−3 for PM2.5, 86% of studies that focused this pollutant registered levels above this threshold. Considering that people spend one third of their day sleeping, exposure during this period may have a significant impact on the daily integrated human exposure, due to the higher amount of exposure time, even if this environment is characterised by lower pollutants’ levels. Improving the current knowledge of air pollutants levels during sleep in different settings, as well as in different countries, will allow to improve the accuracy of exposure assessments and will also allow to understand their main drivers and how to tackle them.

Increasing cardiopulmonary effects of ultrafine particles at relatively low fine particle concentrations

Ultrafine particles (UFPs) are of concern because of their high pulmonary deposition efficiency. However, present control measures are generally targeted at fine particles (PM_2.5), with little effect on UFPs. The health effects of UFPs at different PM_2.5 concentrations may provide a basic for controlling UFPs but remain unclear in polluted areas. School children spend the majority of their time in the classrooms. This study investigated the different short-term effects of indoor UFPs on school children in Beijing, China when indoor PM_2.5 concentrations exceeded or satisfied the recently published Chinese standard for indoor PM_2.5. Cardiopulmonary functions of 48 school children, of whom 46 completed, were measured three times. Indoor PM_2.5 and UFPs were monitored in classrooms on weekdays. Measurements were separated into two groups according to the abovementioned standard. Mixed-effect models were used to explore the health effects of the air pollutants. Generally, UFP-associated effects on children's cardiopulmonary function persisted even at relatively low PM_2.5 concentrations, especially on heart rate variability indices. The risks associated with high PM_2.5 concentrations are well-known, but the effects of UFPs on children's cardiopulmonary function deserve more attention even when PM_2.5 has been controlled. UFP control and standard setting should therefore be considered.

An Evaluation of an Environmental Health Infographic in Community Settings

Background: Infographics are an effective way of communicating complex information due to their reliance on concise language and clear, uncluttered visuals. Research indicates that traffic-related ultrafine particles (UFPs) in air pollutions adversely affect human health, including respiratory and cardiovascular diseases. In this study, we work with community-based adult literacy programs to develop an infographic about UFPs in air pollution with the goal of community-driven problem solving related to traffic-related UFPs within affected neighborhoods. Objective: In this paper, we discuss the development and evaluation of an infographic about the dangers of UFPs from traffic pollution, and actions that readers in affected communities can take to protect their health. We used the infographic format to conceptualize UFP pollution and its health effects visually for community members many of whom are new immigrants and do not speak English as their first language. Methods: We conducted 1 focus group and 4 interviews over Zoom, and collected 74 anonymous surveys among Boston Chinatown and Somerville, MA residents. Community partner organizations assisted us in recruiting participants by sending a recruitment flyer to their email contacts and identifying specific people who were interested in participating. Key Results: Data from the surveys, focus group, and interviews yielded 8 themes that guided the revision of the infographic. The majority of the participants responded positively to the infographic: 95.9% (n = 71) of respondents reported that the purpose of the infographic was clear, that the infographic contained a clear message, and that the infographic uses images to explain important points. Conclusions: Our experience developing and evaluating an infographic about near highway pollution in environmental justice communities suggests that infographics can be a viable communication tool in this context. Further research with infographics of a similar nature but in diverse communities is needed to strengthen our conclusion.

Size distribution and lung-deposited doses of particulate matter from household exposure to biomass smoke

Exposure to high concentrations of particulate matter (PM) is associated with a number of adverse health effects. However, it is unclear which aspects of PM are most hazardous, and a better understanding of particle sizes and personal exposure is needed. We characterized particle size distribution (PSD) from biomass-related pollution and assessed total and regional lung-deposited doses using multiple-path deposition modeling. Gravimetric measurements of kitchen and personal PM_2.5 (<2.5 µm in size) exposures were collected in 180 households in rural Puno, Peru. Direct-reading measurements of number concentrations were collected in a subset of 20 kitchens for particles 0.3-25 µm, and the continuous PSD was derived using a nonlinear least-squares method. Mean daily PM_2.5 kitchen concentration and personal exposure was 1205 ± 942 µg/m³ and 115 ± 167 µg/m³ , respectively, and the mean mass concentration consisted of a primary accumulation mode at 0.21 µm and a secondary coarse mode at 3.17 µm. Mean daily lung-deposited surface area (LDSA) and LDSA during cooking were 1009.6 ± 1469.8 µm² /cm³ and 10,552.5 ± 8261.6 µm² /cm³ , respectively. This study presents unique data regarding lung deposition of biomass smoke that could serve as a reference for future studies and provides a novel, more biologically relevant metric for exposure-response analysis compared to traditional size-based metrics.

Introductory lecture: air quality in megacities

Urbanization is an ongoing global phenomenon as more and more people are moving from rural to urban areas for better employment opportunities and a higher standard of living, leading to the growth of megacities, broadly defined as urban agglomeration with more than 10 million inhabitants. Intense activities in megacities induce high levels of air pollutants in the atmosphere that harm human health, cause regional haze and acid deposition, damage crops, influence air quality in regions far from the megacity sources, and contribute to climate change. Since the Great London Smog and the first recognized episode of Los Angeles photochemical smog seventy years ago, substantial progress has been made in improving the scientific understanding of air pollution and in developing emissions reduction technologies. However, much remains to be understood about the complex processes of atmospheric oxidation mechanisms; the formation and evolution of secondary particles, especially those containing organic species; and the influence of emerging emissions sources and changing climate on air quality and health. While air quality has substantially improved in megacities in developed regions and some in the developing regions, many still suffer from severe air pollution. Strong regional and international collaboration in data collection and assessment will be beneficial in strengthening the capacity. This article provides an overview of the sources of emissions in megacities, atmospheric physicochemical processes, air quality trends and management in a few megacities, and the impacts on health and climate. The challenges and opportunities facing megacities due to lockdown during the COVID-19 pandemic is also discussed.

Occupational exposure to unintentionally emitted nanoscale particles and risk of cancer: From lung to central nervous system - Results from three French case-control studies

OBJECTIVES

Nanoscale particles (1-100 nm) can be of natural origin, and either intentionally or unintentionally produced by human activities. Toxicological data have suggested a possible carcinogenic effect of such particles. The aim of this study was to estimate the association between occupational exposure to nanoscale particles and risk of lung cancer, pleural mesothelioma and brain tumors in adults.

METHODS

Three French population-based case-control studies were analyzed: 1) the ICARE study including 2029 lung cancer cases and 2591 controls; 2) the PNSM study including 371 pleural mesothelioma cases and 730 controls and 3) the CERENAT study including 257 brain tumor cases and 511 controls. Occupational exposure to unintentionally emitted nanoscale particles (UNPs) was retrospectively assessed by a job exposure matrix providing a probability and a frequency of exposure.

RESULTS

In adjusted analyses among men, significant associations between occupational exposure to UNPs and lung cancer (OR = 1.51; 95% CI: 1.22-1.86 and brain tumors (OR = 1.69; 95% CI: 1.17-2.44) were observed. No increased OR was observed for pleural mesothelioma (OR = 0.78; 95% CI: 0.46-1.33).

CONCLUSION

This is the first study showing positive associations between occupational exposure to UNPs and increased risk of lung cancer and brain tumors. These preliminary results should encourage further epidemiological research.

Advances and novel developments in environmental influences on the development of atopic diseases

Although genetic factors play a role in the etiology of atopic disease, the rapid increases in the prevalence of these diseases over the last few decades suggest that environmental, rather than genetic factors are the driving force behind the increasing prevalence. In modern societies, there is increased time spent indoors, use of antibiotics, and consumption of processed foods and decreased contact with farm animals and pets, which limit exposure to environmental allergens, infectious parasitic worms, and microbes. The lack of exposure to these factors is thought to prevent proper education and training of the immune system. Increased industrialization and urbanization have brought about increases in organic and inorganic pollutants. In addition, Caesarian birth, birth order, increased use of soaps and detergents, tobacco smoke exposure and psychosomatic factors are other factors that have been associated with increased rate of allergic diseases. Here, we review current knowledge on the environmental factors that have been shown to affect the development of allergic diseases and the recent developments in the field.

Experimentally determined deposition of ambient urban ultrafine particles in the respiratory tract of children

A critical element of the risk assessment of exposure to airborne ambient ultrafine particles (UFP) is the quantification of respiratory tract deposition (RTD) of the particles, which is intrinsically challenging, particularly at the population scale. In this study, we used a recently proposed method to experimentally determine the RTD of urban UFP in a large group of children exposed to these particles in a school setting in Brisbane, Australia. Children are one of the most susceptible population groups; However, little is known about the deposition of UFP from urban traffic in their airways. In order to advance the knowledge in this field, the objectives of this study were: to determine the deposition of ambient urbane UFP in large number children, to catergorize the source of inhaled UFPs and hence to assess the contribution of air pollution sources to the deposition. RTD was measured in children aged 8-11 at primary schools using a flow-through chamber bag system. First, the inhaled and exhaled air was separated; then the particle number size distribution and particle number concentration were measured. The sources of inhaled UFP were categorized according to their particle number size distribution by a K means cluster technique. A total of 128 children from five schools performed the RTD measurement. The mean total deposition fraction of urban UFP in all children was 0.59 ± 0.10. Inhaled UFP were categorized into two groups: traffic and urban background, with the GMD of corresponding particle number size distribution of 20 nm and 40 nm, respectively. The total deposition fraction (mean ± SD) of UFP from these two groups was 0.68 ± 0.09 for traffic and 0.55 ± 0.08 for urban background respectively. This is the first study in which RTD was measured in a large group of children inhaling real urban UFP. First, we proved that this novel method can indeed be applied easily and quickly to a large group of people. Second, we quantified the RTD of children, thus providing an important input to the risk assessment for exposure to UFP.

Outdoor-to-indoor transport of ultrafine particles: Measurement and model development of infiltration factor

Ambient ultrafine particles (UFPs: particles of diameter less than 100 nm) cause significant adverse health effects. As people spend most time indoors, the outdoor-to-indoor transport of UFPs plays a critical role in the accuracy of personal exposure assessments. Herein, a strategy was proposed to measure and analyze the infiltration factor (F_inf) of UFPs, an important parameter quantifying the fraction of ambient air pollutants that travel inside and remain suspended indoors. Ninety-three measurements were conducted in 11 residential rooms in all seasons in Beijing, China, to investigate F_inf of UFPs and its associated influencing factors. A multilevel regression model incorporating eight possible factors that influence infiltration was developed to predict F_inf and F_infSOA (defined as the ratio of indoor to outdoor UFP concentrations without indoor sources, but with indoor secondary organic aerosol (SOA) formation). It was found that the air change rate was the most important factor and coagulation was considerable, while the influence of SOA formation was much smaller than that of other factors. Our regression model accurately predicted daily-average F_inf. The annually-averaged F_inf of UFPs was 0.66 ± 0.10, which is higher than that of PM_2.5 and PM₁₀, demonstrating the importance of controlling indoor UFPs of outdoor origin.

Experimentally determined deposition of ambient urban ultrafine particles in the respiratory tract of children

A critical element of the risk assessment of exposure to airborne ambient ultrafine particles (UFP) is the quantification of respiratory tract deposition (RTD) of the particles, which is intrinsically challenging, particularly at the population scale. In this study, we used a recently proposed method to experimentally determine the RTD of urban UFP in a large group of children exposed to these particles in a school setting in Brisbane, Australia. Children are one of the most susceptible population groups; However, little is known about the deposition of UFP from urban traffic in their airways. In order to advance the knowledge in this field, the objectives of this study were: to determine the deposition of ambient urbane UFP in large number children, to catergorize the source of inhaled UFPs and hence to assess the contribution of air pollution sources to the deposition. RTD was measured in children aged 8-11 at primary schools using a flow-through chamber bag system. First, the inhaled and exhaled air was separated; then the particle number size distribution and particle number concentration were measured. The sources of inhaled UFP were categorized according to their particle number size distribution by a K means cluster technique. A total of 128 children from five schools performed the RTD measurement. The mean total deposition fraction of urban UFP in all children was 0.59 ± 0.10. Inhaled UFP were categorized into two groups: traffic and urban background, with the GMD of corresponding particle number size distribution of 20 nm and 40 nm, respectively. The total deposition fraction (mean ± SD) of UFP from these two groups was 0.68 ± 0.09 for traffic and 0.55 ± 0.08 for urban background respectively. This is the first study in which RTD was measured in a large group of children inhaling real urban UFP. First, we proved that this novel method can indeed be applied easily and quickly to a large group of people. Second, we quantified the RTD of children, thus providing an important input to the risk assessment for exposure to UFP.

Airborne particulate matter

Airborne particulate matter (PM) is a pollutant of concern not only because of its adverse effects on human health but because of its ability to reduce visibility and soil buildings and materials. It can be regarded as a suite of pollutants since PM covers a very wide range of particle sizes and also has a diverse chemical composition. Historically, much of the PM arose from coal burning and was measured as black smoke. However, in the second half of the twentieth century in developed countries, there was a reduction in black smoke emissions from coal burning and PM steadily became dominated by carbonaceous particles from road traffic exhaust and the secondary pollutants, ammonium salts and secondary organic carbon. This is exemplified by the composition of fine particles (referred to as PM2.5) as measured in London, Delhi and Beijing. Steadily, as control strategies have addressed the more tractable sources of emissions, so sources previously regarded as unconventional have emerged and have been seen to make a significant contribution to airborne PM concentrations. Among these are non-exhaust particles from road traffic, cooking aerosol and wood smoke. The particle size distribution of airborne PM is hugely diverse, ranging from newly formed particles of a few nanometres in diameter through to particles of tens of micrometres in diameter. There has been a great deal of interest in ultrafine (nano) particles because of suspicions of enhanced toxicity, and as traffic emissions decrease as a source, so regional nucleation processes have become much bigger relative contributors to particle number, but not mass. This article is part of a discussion meeting issue 'Air quality, past present and future'.

Meta-analysis on short-term exposure to ambient ultrafine particles and respiratory morbidity

Aim

There is growing interest in the health effects following exposure to ambient particles with a diameter <100 nm defined as ultrafine particles (UFPs), although studies so far have reported inconsistent results. We have undertaken a systematic review and meta-analysis for respiratory hospital admissions and emergency room visits following short-term exposure to UFPs.

Methods

We searched PubMed and the Web of Science for studies published up to March 2019 to update previous reviews. We applied fixed- and random-effects models, assessed heterogeneity between cities and explored possible effect modifiers.

Results

We identified nine publications, reporting effects from 15 cities, 11 of which were European. There was great variability in exposure assessment, outcome measures and the exposure lags considered. Our meta-analyses did not support UFP effects on respiratory morbidity across all ages. We found consistent statistically significant associations following lag 2 exposure during the warm period and in cities with mean daily UFP concentrations <6000 particles·cm^‒3, which was approximately the median of the city-specific mean levels. Among children aged 0–14 years, a 10 000 particle·cm^‒3 increase in UFPs 2 or 3 days before was associated with a relative risk of 1.01 (95% CI 1.00–1.02) in respiratory hospital admissions.

Conclusions

Our study indicates UFP effects on respiratory health among children, and during the warm season across all ages at longer lags. The limited evidence and the large heterogeneity of previous reports call for future exposure assessment harmonisation and expanded research.

Studies on short-term exposure to ultrafine particles and respiratory admissions show large variability in the exposure assessment methodology. We found indications of effects in lower concentrations, children and during the warm period of the year.https://bit.ly/2zynMza

Air pollution and airport apron workers: A neglected occupational setting in epidemiological research

INTRODUCTION

Airport apron workers are occupationally exposed to jet exhaust and major concern is related to the exposure to ultrafine particles (UFP) from aircrafts. To date, little attention has been given to occupational exposures to aircraft-related UFP, although aircraft engines have high emissions of ultrafine particles, which are orders of magnitude higher than residential exposure. UFP could possibly contribute to the development of cancer, heart disease, mental illness, and respiratory symptoms. In addition to particulate matter, apron workers are exposed to other polluting substances associated with vehicles, aircraft exhaust or direct fuel emissions.

METHODS

We performed a scoping review on occupational health hazards due to air pollution among apron workers.

RESULTS

Only three epidemiological studies were identified: two cross-sectional studies are of limited relevance due to a small sample size and a lack of quantitative exposure data. One sizeable cohort study performed an individual exposure measurement for UFP and considered relevant confounders. However, current studies are not numerous enough to evaluate an association of occupational air pollution with potential health effects among airport workers.

CONCLUSIONS

The results suggest that current scientific evidence on this topic is sparse. Further observational studies in this occupational work force is highly recommended. For a better understanding of adverse health effects due to air pollution and especially UFP, studies in different countries are essential, since working environments, medical monitoring of workers or safety standards might differ internationally.

Size-fractionated particulate air pollution and myocardial infarction emergency hospitalization in Shanghai, China

BACKGROUND

Fine particulate matter (PM_2.5) air pollution has been associated with increased risks of acute myocardial infarction (AMI), but it remains unknown about the potentially differentiated effects of size-fractionated particulate matter on AMI risk.

OBJECTIVE

To identify the specific size ranges that dominate the effects of particulate matter on AMI onset.

METHODS

We conducted a time-series study in Shanghai, China from January 2014 to December 2018. We evaluated particle size distribution of 0.01 μm to 2.5 μm from an environmental supersite and AMI emergency hospitalizations from the largest cardiovascular hospital in Shanghai. We used over-dispersed generalized additive models to estimate the associations of size-fractionated particle number concentrations (PNC) with AMI and its types.

RESULTS

We identified a total of 4720 AMI emergency hospitalizations. PM_2.5 was significantly associated with increased AMI risk on the concurrent day. The associations were significant only for PNC < 0.3 μm. For an IQR increase of PNCs for size ranges 0.01-0.03 μm, 0.03-0.05 μm, 0.05-0.10 μm and 0.10-0.30 μm, AMI hospitalizations increased by 6.68% (95% CI: 2.77%, 10.74%), 6.53% (95% CI: 2.08%, 11.17%), 5.78% (95% CI: 0.92%, 10.88%) and 5.92% (95% CI: 1.31%, 10.74%), respectively. The associations of PNC < 0.05 μm remained significant when adjusting for other air pollutants. There were consistently much stronger associations of particles with ST-segment elevation AMI than those with non-ST-segment elevation AMI.

CONCLUSIONS

This epidemiological investigation suggested that ultrafine particles, especially those <0.05 μm, may be mainly responsible for the acute AMI risk induced by PM_2.5.