Cement plant emissions and health effects in the general population: a systematic review

Consequences of omitting some important factors in the environmental analyses of commercial sodium silicate/sodium hydroxide use for alkaline activation in the light of comparison with cement-based composites

Alkali-activated materials (AAMs) based on various waste precursors were considered mostly as a sustainable alternative to Portland cement-based composites to date. However, a narrow focus on carbon dioxide savings in the environmental assessment of AAMs may not be sufficient to achieve a truly sustainable solution. Therefore, this paper provides a detailed insight into midpoint impact categories related to the production of AAMs based on waste precursors and conventional activators, as compared with common cement-based materials. The obtained results point to a higher environmental load of AAMs in several categories, such as ozone layer depletion, primary resource consumption, and terrestrial and aquatic ecotoxicity. In a hypothetical scenario, it is demonstrated that 10 % replacement of global concrete production by AAMs may result in notably increased emissions of ozone depletion substances (+35 %) and damage to the aquatic environment (+ 40 %). The risk for human health can then be higher. As for the aquatic environment, eutrophication can also lead to a significant increase in indirect emissions of CH4 and N2O having a high impact on the greenhouse effect. Hence, the importance of robust interdisciplinary research in the environmental assessment of AAMs should be emphasized, together with the need to use alternative alkaline substances, which would be more environment-friendly than conventional activators.

Subchronic pulmonary toxicity of ambient particles containing cement production-related elements

Chronic respiratory disease is among the most common non-communicable diseases, and particulate materials (PM) are a major risk factor. Meanwhile, evidence of the relationship between the physicochemical characteristics of PM and pulmonary toxicity mechanism is still limited. Here, we collected particles (CPM) from the air of a port city adjacent to a cement factory, and we found that the CPM contained various elements, including heavy metals (such as arsenic, thallium, barium, and zirconium) which are predicted to have originated from a cement plant adjacent to the sampling site. We also delivered the CPM intratracheally to mice for 13 weeks to investigate the pulmonary toxicity of inhaled CPM. CPM-induced chronic inflammatory lesions with an increased total number of cells in the lung of mice. Meanwhile, among inflammatory mediators measured in this study, levels of IL-1β, TNF-α, CXCL-1, and IFN-γ were elevated in the treated group compared with the controls. Considering that the alveolar macrophage (known as dust cell) is a professional phagocyte that is responsible for the clearance of PM from the respiratory surfaces, we also investigated cellular responses following exposure to CPM in MH-S cells, a mouse alveolar macrophage cell line. CPM inhibited cell proliferation and formed autophagosome-like vacuoles. Intracellular calcium accumulation and oxidative stress, and altered expression of pyrimidine metabolism- and olfactory transduction-related genes were observed in CPM-treated cells. More interestingly, type I-LC3B and full-length PARP proteins were not replenished in CPM-treated cells, and cell cycle changes, apoptotic and necrotic cell death, and caspase-3 cleavage were not significantly detected in cells exposed to CPM. Taken together, we conclude that dysfunction of alveolar macrophages may contribute to CPM-induced pulmonary inflammation. In addition, given the possible transformation of heart tissue observed in CPM-treated mice, we suggest that further study is needed to clarify the systemic pathological changes and the molecular mechanisms following chronic exposure to CPM.

Cardiorespiratory diseases in an industrialized area: a retrospective population-based cohort study

BACKGROUND

Atmospheric pollution has been recognized as the greatest environmental threat to human health. The population of the Venafro Valley, southern Italy, is exposed to emissions from a Waste-To-Energy (WTE) and a cement plant and potentially also to another WTE located in the neighboring region of Lazio; also, the vehicular atmospheric pollution situation is critical. In order to assess the environmental health risk of residents in eight municipalities of the Venafro Valley, a retrospective residential cohort study during 2006-2019 was carried out.

METHODS

Four exposure classes were defined by natural-break method, using a dispersion map of nitrogen dioxides (chosen as proxy of industrial pollution). The association between the industrial pollution and cause-specific mortality/morbidity of the cohort was calculated using the Hazard Ratio (HR) through a multiple time-dependent and sex-specific Cox regression adjusting for age, proximity to main roads and socio-economic deprivation index.

RESULTS

Results showed, for both sexes, mortality and morbidity excesses in the most exposed class for diseases of the circulatory system and some signals for respiratory diseases. Particularly, mortality excesses in both sexes in class 3 for diseases of the circulatory system [men: HR = 1.37 (1.04-1.79); women: HR = 1.27 (1.01-1.60)] and for cerebrovascular diseases [men: HR = 2.50 (1.44-4.35); women: HR = 1.41 (0.92-2.17)] were observed and confirmed by morbidity analyses. Mortality excesses for heart diseases for both sexes [men-class 3: HR = 1.32 (0.93-1.87); men-class 4: HR = 1.95 (0.99-3.85); women-class 3: HR = 1.49 (1.10-2.04)] and for acute respiratory diseases among women [HR = 2.31 (0.67-8.00)] were observed. Morbidity excesses in both sexes for ischemic heart diseases [men-class 3: HR = 1.24 (0.96-1.61); women-class 4: HR = 2.04 (1.04-4.02)] and in class 4 only among men for respiratory diseases [HR = 1.43 (0.88-2.31)] were also found.

CONCLUSIONS

The present study provides several not-negligible signals indicating mitigation actions and deserve further investigations. For future studies, the authors recommend enriching the exposure and lifestyle profile using tools such as questionnaires and human biomonitoring.

Toward Self-Healing Concrete Infrastructure: Review of Experiments and Simulations across Scales

Cement and concrete are vital materials used to construct durable habitats and infrastructure that withstand natural and human-caused disasters. Still, concrete cracking imposes enormous repair costs on societies, and excessive cement consumption for repairs contributes to climate change. Therefore, the need for more durable cementitious materials, such as those with self-healing capabilities, has become more urgent. In this review, we present the functioning mechanisms of five different strategies for implementing self-healing capability into cement based materials: (1) autogenous self-healing from ordinary portland cement and supplementary cementitious materials and geopolymers in which defects and cracks are repaired through intrinsic carbonation and crystallization; (2) autonomous self-healing by (a) biomineralization wherein bacteria within the cement produce carbonates, silicates, or phosphates to heal damage, (b) polymer-cement composites in which autonomous self-healing occurs both within the polymer and at the polymer-cement interface, and (c) fibers that inhibit crack propagation, thus allowing autogenous healing mechanisms to be more effective. In all cases, we discuss the self-healing agent and synthesize the state of knowledge on the self-healing mechanism(s). In this review article, the state of computational modeling across nano- to macroscales developed based on experimental data is presented for each self-healing approach. We conclude the review by noting that, although autogenous reactions help repair small cracks, the most fruitful opportunities lay within design strategies for additional components that can migrate into cracks and initiate chemistries that retard crack propagation and generate repair of the cement matrix.

Monte Carlo-based probabilistic risk assessment for cement workers exposed to heavy metals in cement dust

This study assessed the carcinogenic and non-carcinogenic health risks of cement plant workers exposed to chromium (Cr), arsenic (As), cadmium (Cd), and lead (Pb) in cement dust using a probabilistic approach. Air samples were collected according to NIOSH 7900 and OSHA ID-121 methods and analyzed by an graphite furnace atomic absorption spectrometer. The EPA inhalation risk assessment model and Monte Carlo simulation were utilized to assess the health risks. Sensitivity analysis was used to determine the influencing parameters on health risk. The average concentrations of As and Pb exceeded the occupational exposure limit (OEL), reaching a maximum of 3.4 and 1.7 times the OEL, respectively, in the cement mill. Individual metals' cancer risk exceeded the 1E-4 threshold in ascending order of Cd < As < Cr. The mean cancer risk of Cr ranged from 835E-4 (in raw mill) to 2870E-4 (in pre-heater and kiln). Except for Cd, the non-cancer risk of metals exceeded the standard (hazard index, HQ = 1) in the ascending order of Pb < As < Cr. The mean HQ of Cr ranged from 162.13 (in raw mill) to 558.73 (in pre-heater and kiln). After adjusting for control factors, the cancer and non-cancer risks remained over the respective recommended levels. Sensitivity analysis revealed that the concentration of Cr was the most influential parameter on both carcinogenic (78.5%) and non-carcinogenic (88.06%) risks. To protect the health of cement factory employees, it is recommended to minimize cement dust emissions, implement job rotation, and use raw materials with low levels of heavy metals.

Neighborhood infrastructure-related risk factors and non-communicable diseases: a systematic meta-review

BACKGROUND

With rapid urbanization, the urban environment, especially the neighborhood environment, has received increasing global attention. However, a comprehensive overview of the association between neighborhood risk factors and human health remains unclear due to the large number of neighborhood risk factor-human health outcome pairs.

METHOD

On the basis of a whole year of panel discussions, we first obtained a list of 5 neighborhood domains, containing 33 uniformly defined neighborhood risk factors. We only focused on neighborhood infrastructure-related risk factors with the potential for spatial interventions through urban design tools. Subsequently, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic meta-review of 17 infrastructure-related risk factors of the 33 neighborhood risk factors (e.g., green and blue spaces, proximity to major roads, and proximity to landfills) was conducted using four databases, Web of Science, PubMed, OVID, and Cochrane Library, from January 2000 to May 2021, and corresponding evidence for non-communicable diseases (NCDs) was synthesized. The review quality was assessed according to the A MeaSurement Tool to Assess Systematic Reviews (AMSTAR) standard.

RESULTS

Thirty-three moderate-and high-quality reviews were included in the analysis. Thirteen major NCD outcomes were found to be associated with neighborhood infrastructure-related risk factors. Green and blue spaces or walkability had protective effects on human health. In contrast, proximity to major roads, industry, and landfills posed serious threats to human health. Inconsistent results were obtained for four neighborhood risk factors: facilities for physical and leisure activities, accessibility to infrastructure providing unhealthy food, proximity to industry, and proximity to major roads.

CONCLUSIONS

This meta-review presents a comprehensive overview of the effects of neighborhood infrastructure-related risk factors on NCDs. Findings on the risk factors with strong evidence can help improve healthy city guidelines and promote urban sustainability. In addition, the unknown or uncertain association between many neighborhood risk factors and certain types of NCDs requires further research.

The global research trend on microbially induced carbonate precipitation during 2001-2021: a bibliometric review

Microbially induced carbonate precipitation (MICP) is a remarkable method that creates sustainable cementitious binding material for use in geotechnical/structural engineering and environmental engineering. This is due to the increasing demand for alternative environmentally friendly technologies and materials that result in minimal or zero carbon footprint. In contrast to the previously published literature, through bibliometric analysis, this review paper focuses on the current prospects and future research trends of MICP technology via the Scopus database and VOSviewer analysis. The objective of the study was to determine the annual publications and citations trend, most contributing countries, the leading journals, prolific authors, productive institutions, funding sponsors, trending author keywords, and research directions of MICP. There were a total of 1058 articles published from 2001 to 2021 on MICP. The result demonstrated that the volume of publications is increasing. China, Construction and Building Materials, Satoru Kawasaki, Nanyang Technological University, and the National Natural Science Foundation of China are the leading country, journal, author, institution, and funding sponsor in terms of total publications. Through the co-occurrence analysis of the author keywords, MICP was revealed to be the most frequently used author keyword with 121 occurrences, a total link strength of 213, and 152 links to other author keywords. Furthermore, co-occurrence analysis of text data revealed that researchers are concentrating on four important research areas: precipitation, MICP, compressive strength, and biomineralization. This review can provide information to researchers that can lead to novel ideas and research collaboration or engagement on MICP technology.

Risk Factors for Lung Cancer in the Province of Lecce: Results from the PROTOS Case–Control Study in Salento (Southern Italy)

In the province of Lecce (southern Italy), a higher incidence of lung cancer (LC) among men compared to regional and national data was reported. In a sub-area in the center of the province (cluster area), the incidence and mortality for LC was even higher. PROTOS is a case–control study aimed at investigating possible risk factors for LC in the province area. A total of 442 patients with LC and 1326 controls matched by sex and age living in the province of Lecce for at least 10 years were enrolled and georeferenced; they filled in a questionnaire with their personal information and exposures. For each risk factor, an Odds Ratio adjusted for all the other variables was calculated. The risk of LC increased with excessive use of alcohol in women, for those subjects with a family cancer history, for each increase in pack/year of cigarettes, for men more exposed considering the industrial district in the cluster area, and for those using pesticides in agriculture without wearing personal protective equipment. The higher incidence of adenocarcinoma in both sexes suggests that, in addition to cigarette smoking, concurrent exposures to other environmental, occupational, and life-style factors may play a role in increased cancer risk and should be more deeply explored.

Brazilian workers occupationally exposed to different toxic agents: A systematic review on DNA damage

The evaluation of genotoxicity in workers exposed to different toxic agents is very important, especially considering the association between these exposures in a chronic context and DNA damage. Assessing biomarkers of exposure and, when possible, early biomarkers of effect, contributes to elucidating the potential toxic mechanisms involved in genotoxicity and its contribution to chronic non-communicable diseases. In Brazil, the biggest country in South America, workers are exposed to hazardous physical and chemical agents. Considering that these exposures occur, in most cases, throughout the worker's whole life, this is an important public health concern in Brazil. Therefore, this systematic review aims to analyze occupational exposure to chemical and physical agents and the association with DNA damage in studies carried out in Brazil from 1980 to 2021. A systematic and comprehensive literature search was performed in different databases based on occupational exposure to chemical and physical agents and DNA damage. Only full articles on studies that investigated experimental evidence on occupational exposure in Brazil and assessed DNA damage were included, amounting to 89 articles. Five main occupational exposure groups were identified: pesticides (36%), organic solvents (20%), dust and particles (16%), metals (11%), and ionizing radiation (6%). Another group called "others" included studies (11%) that did not fall into these main groups. It was found that comet assay and micronucleus tests are the most adopted methods to detect DNA damage. Occupational exposures were most associated with DNA damage. However, further improvements in study design would be needed to better characterize the association between biomonitoring and DNA damage, particularly to account for confounding factors.

A systematic review on the impact of cement industries on the natural environment

The negative health effects of cement plant exposure are well-known in industrial settings, but they are less well-known among the general public who live near plants. The broad objective of the review was to provide a detailed systematic analysis of the global situation of the cement industry, including generation, pollution, impact on the natural ecosystem, technological and process improvements, sustainable models, the latest laws, challenges, needs, and ways forward. As an initial evaluation, a list of critical keywords was compiled, and a search of all accessible databases was conducted (i.e., Scopus, Web of Knowledge, Google Scholar). The manuscripts published in the journal between 2011 and 2021 were included. According to the findings, India is the second largest cement producer after China, with an installed capacity of 537 million tonnes and around 7.1 percent of the world's production, up from 337.32 million tonnes in 2019. NOx, SOx, CO, CO₂, H₂S, VOCs, dioxins, furans, and particulate matter are all common air pollutants from cement manufacturing. Other sources of dust particles include quarrying, blasting, drilling, trucking, cement plants, fuel production, packaging, path cleaning, and slabs. Other methods of reduction play an important part in decreasing industrial emissions, resulting in lower carbon and more sustainable products. The decision-making trial, in conjunction with the DEMATEL evaluation laboratory and the analytical hierarchy process (AHP) technique, will aid in determining the priority of climate alteration and mitigation options. Furthermore, employing sustainable techniques and technology, switching to alternative fuels will save 12% of total CO₂ emissions by 2050.

Bioaccumulation of Toxic Metals in Children Exposed to Urban Pollution and to Cement Plant Emissions

Cement plants located in urban areas can increase health risk. Although children are particularly vulnerable, biomonitoring studies are lacking. Toenail concentration of 24 metals was measured in 366 children (6-10 years), who live and attend school in a city hosting a cement plant. Living addresses and schools were geocoded and attributed to exposed or control areas, according to modeled ground concentrations of PM10 generated by the cement plant. Air levels of PM10 and NO2 were monitored. PM10 levels were higher in the exposed, than in the control area. The highest mean PM10 concentration was recorded close to the cement plant. Conversely, the highest NO2 concentration was in the control area, where vehicular traffic and home heating were the prevalent sources of pollutants. Exposed children had higher concentrations of Nickel (Ni), Cadmium (Cd), Mercury (Hg), and Arsenic (As) than controls. These concentrations correlated each other, indicating a common source. Toenail Barium (Ba) concentration was higher in the control- than in the exposed area. The location of the attended school was a predictor of Cd, Hg, Ni, Ba concentrations, after adjusting for confounders. In conclusion, children living and attending school in an urban area exposed to cement plant emissions show a chronic bioaccumulation of toxic metals, and a significant exposure to PM10 pollution. Cement plants located in populous urban areas seem therefore harmful, and primary prevention policies to protect children health are needed.

An integrated methodology to overcome barriers to climate change mitigation strategies: a case of the cement industry in India

Cement is a basic requirement of today's society and is the only thing that humans consume more volume than water, but cement manufacturing is the most energy- and emission-intensive process. Hence, the cement industry is currently under pressure to reduce greenhouse gases (GHGs) emissions. Climate change mitigation strategies implemented in the industry leads to GHGs reduction, climate risks, pollutants, and another adverse impact on the environment. In order to implement climate change mitigation strategies in the cement industry, a careful analysis of barriers that hinder the emission reduction must be taken. However, most existing research on the barriers to mitigation measures is focused on developed countries. Among the most important emerging economies, India, the second-largest producer and consumer of cement, faces challenges to implement emission reduction measures. To bridge this gap, this paper identifies and evaluates the barriers and solutions to overcome these barriers in the context of India. This study employs a three-phase methodology based on fuzzy analytical hierarchy process (AHP) and fuzzy technique for order performance by similarity to ideal solution (TOPSIS) to identify barriers and solutions to overcome these barriers to climate change mitigation strategies adoption in Indian cement industry. Fuzzy AHP is employed to prioritize these barriers, and to rank solutions of these barriers, Fuzzy TOPSIS is employed. Ten Indian cement manufacturing industry is taken to illustrate the proposed three-phase methodology. Finally, the result of the analysis offers an effective decision support tool to the Indian cement industry to eliminate and overcome barriers to mitigation strategies adoption and build their green image in the market.

Removal and transformation of unconventional air pollutants in flue gas in the cement kiln-end facilities

To understand the removal and transformation behaviors of unconventional air pollutants (polycyclic aromatic hydrocarbons, heavy metals and carbonyl compounds) in the flue gas in cement kiln-end facilities, including SP boiler, a slide stream SCR-DeNO_x system, raw mill and baghouse filter, the gas and particle matter samples at the inlets and outlets of each kiln-end installation were collected and the contents of the unconventional air pollutants were measured. The results showed that the concentrations of the polycyclic aromatic hydrocarbons (PAHs) in particulate and gas-phase, heavy metals in the particulate matter were 17.5 μg m^-3, 48.7 μg m^-3 and 3113.1 μg m^-3 at the inlet of the SP boiler, and decreased to 0.6 μg m^-3, 17.7 μg m^-3 and 39.7 μg m^-3, respectively, while the concentrations of carbonyl compounds in gas-phase increased from 1988.5 μg m^-3 to 2844.5 μg m^-3 after flue gas successively passed through the kiln-end facilities. The cooling of flue gas and the precipitation of coarse particulate matter in the SP boiler resulted in a significant decrease of PAHs concentration in both gas-phase and particulate-phase, as well as the heavy metal concentration in the particulate-phase, while the SP boiler hardly had any influence on the removal and transformation of carbonyl compounds. Grinding and heat exchange in the raw mill accelerated the volatilization of compounds with the low boiling point in the raw meal, which increased concentrations of gas-phase PAHs and carbonyl compounds. When flue gas passed through the baghouse filter, almost all particulate-phase PAHs, heavy metals and most of the gas-phase PAHs, were removed while the carbonyl compounds concentration maintained unchanged. Furthermore, some portion of gas-phase PAHs and carbonyl compounds were removed by the SCR-DeNO_x system.

The relationship between cement production, mortality rate, air quality, and economic growth for China, India, Brazil, Turkey, and the USA: MScBVAR and MScBGC analysis

The related literature reveal that the papers on environmental pollution do not sufficiently analyse the cement production which is an important determinant of air pollution and health problems by using econometric methods. To fill this gap, this paper aims to examine the relationship between cement production, air pollution, mortality rate, and economic growth by employing MS Bayesian Vector Autoregressive (MScBVAR) and Markov Switching Bayesian Granger causality (MScBGC) approaches from 1960 to 2017 for China, Brazil, India, Turkey and the USA. MSIA(2)-BVAR(1) model for China, MSIAH(2)-BVAR(3) models for India, MSIAH(3)-BVAR(2) for Brazil, and MSIAH(3)-BVAR(1) for Turkey, and MSIAH(2)-BVAR(2) for the USA were selected. The MScBGC results revealed that the cement production is granger cause of mortality rate, air pollution, and economic growth in all regimes for China, India, Brazil, Turkey, and the USA.