Pollution levels and characteristics of phthalate esters in indoor air in hospitals

Inhalation of Microplastics-A Toxicological Complexity

Humans are chronically exposed to airborne microplastics (MPs) by inhalation. Various types of polymer particles have been detected in lung samples, which could pose a threat to human health. Inhalation toxicological studies are crucial for assessing the effects of airborne MPs and for exposure-reduction measures. This communication paper addresses important health concerns related to MPs, taking into consideration three levels of complexity, i.e., the particles themselves, the additives present in the plastics, and the exogenous substances adsorbed onto them. This approach aims to obtain a comprehensive toxicological profile of deposited MPs in the lungs, encompassing local and systemic effects. The physicochemical characteristics of MPs may play a pivotal role in lung toxicity. Although evidence suggests toxic effects of MPs in animal and cell models, no established causal link with pulmonary or systemic diseases in humans has been established. The transfer of MPs and associated chemicals from the lungs into the bloodstream and/or pulmonary circulation remains to be confirmed in humans. Understanding the toxicity of MPs requires a multidisciplinary investigation using a One Health approach.

Release kinetics and risk assessment of additives in plastic advertising banners

Plastic advertising banners (PABs) have been widely used for advertising and publicizing with large usage amount. The PABs are usually added with plenty of chemical additives for improving material performance, and the additives can be released during the lifetime of the PABs. However, limited knowledge is available on the composition and release of the additives in the PABs. In this study, benzenoids were found as the dominant additive categories in PABs. Release kinetics of benzenoid additives with high detection frequency and high abundance from the PABs under indoor and outdoor environments were investigated. During the 150-day release experiment, average release rates of the additives from the PABs under outdoor and indoor environments were 8.3 × 10-10 kg/m2·s and 6.3 × 10-10 kg/m2·s, respectively. The release rates of the additives were negatively related to the thickness of the PAB samples. Health risk assessment indicated that chemicals associated with PABs have potential carcinogenic risks to salesmen in the shopping malls. The risks of chemical exposure associated with PABs to consumers in the shopping malls were acceptable. This study unveils a considerable source of chemical exposure to humans.

A review on solution- and vapor-responsive sensors for the detection of phthalates

Phthalic acid esters, largely referred to as phthalates, are today acknowledged as important pollutants used in the manufacture of polyvinyl chloride (PVC)-based plastics, whose use extends to almost every aspect of modern life. The risk of exposure to phthalates is particularly relevant as high concentrations are regularly found in drinking water, food-contact materials and medical devices, motivating an immense body of research devoted to methods for their detection in liquid samples. Conversely, phthalate vapors have only recently been acknowledged as potentially important atmospheric pollutants and as early fire indicators; additionally, deposition of these vapors can pose significant problems to the proper functioning of spacecraft and diverse on-board devices, leading to major space agencies recognizing the need of developing vapor-responsive phthalate sensors. In this manuscript we present a literature survey on solution- and vapor-responsive sensors and analytical assays for the detection of phthalates, providing a detailed analysis of a vast array of analytical data to offer a clear idea on the analytical performance (limits of detection and quantification, linear range) and advantages provided by each class of sensor covered in this review (electrochemical, optical and vapor-responsive) in the context of their potential real-life applications; the manuscript also gives detailed fundamental information on the various physicochemical responses exploited by these sensors and assays that could potentially be harnessed by new researchers entering the field.

Trace elements in outdoor and indoor PM2.5 in urban schools in Xi'an, Western China: characteristics, sources identification and health risk assessment

The PM_2.5-bounded elements were measured in outdoor and indoor from two urban middle schools in Xi'an. The PM_2.5 mass was from 42.4 to 283.7 µg/m³ with bounded element from 3.4 to 41.7 µg/m³. Both the particle mass and the bounded elements displayed higher levels compared with previous studies in school environments. The most abundant elements were Ca, K, Fe, S, Zn and Cl both indoor and outdoor in two schools, which accounted for about 90% of the total elements. Strong correlations between indoor and outdoor were obtained along with relative effect from students' and teachers' activities on the indoor distributions between workdays and weekends. There had different indoor/outdoor (I/O) distributions for the two schools. It revealed the main outdoor sources for elements in JT and predominance of indoor sources in HT. The principal component analysis investigated main sources of elements in this study were coal combustion, geogenic dust and industrial emission, even though there displayed differences in the two school classrooms. The health risk assessment showed that the cancer risk for Ni and Pb was below the safe value while As and Cr might pose acceptable potential threat to both students' and teachers' health. The total non-cancer risks of accumulative multi-metals in JT exhibited to be higher than 1, indicating that there existed the potential non-carcinogenic health risks of exposure metals.

Dissipation, uptake, translocation and accumulation of five phthalic acid esters in sediment-Zizania latifolia system

The dissipation, uptake, translocation and accumulation of phthalic acid esters (PAEs) including diallyl phthalate (DAP), diisobutyl phthalate (DIBP), dibutyl phthalate (DBP), benzyl butyl phthalate (BBP) and di-(2-ethylhexyl) phthalate (DEHP) in sediment-Zizania latifolia system were investigated by gas chromatography-flame ionization detector after a QuEChERS pretreatment method. The dissipation rates of PAEs in sediment were positively correlated with exposure time, and more than 68.12% of PAEs in sediment were decreased after 28 d even when the spiked contents were extremely high. All the five PAEs could be taken up by roots from contaminated sediment and subsequently be transported into stems and leaves. There were significant linear correlations between the sediment content and the content in each tissue. DEHP was most readily transported from sediment to roots and stems, followed by BBP, DBP, DIBP and DAP, whereas the order of transportation from roots to leaves was reversed. During 28 d of exposure, the average concentration of each PAE in stems was the highest, followed by roots, leaves and edible parts. DEHP and BBP were the major contaminants in edible parts but could not pose a risk to human health. The accumulation of PAEs in edible parts was influenced by the species and concentration of PAEs as well as the survival time and harvest time of edible parts. The differences in uptake and translocation behaviors among PAEs in plant tissues were significantly correlated to their physicochemical properties, such as alkyl chain length and octanol/water partition coefficient (logK_ow). The results reveal that Zizania latifolia is not only a kind of safe food, but also a potential plant to remediate contaminated sediment by accumulating and degrading PAEs from the habitats.

Gas-phase and PM2.5-bound phthalates in nail salons: characteristics, exposure via inhalation, and influencing factors

This study aimed to investigate the characteristics of, exposure to, and factors influencing gas-phase and PM_2.5-bound phthalates (PAEs) in nail salons. Data on both indoor and outdoor gas-phase and PM_2.5-bound PAEs, carbon dioxide (CO₂), temperature, and relative humidity were collected in nail salons. We also used questionnaires to survey building characteristics and occupants' behaviors. The average total gas-phase and PM_2.5-bound PAE concentrations indoors were higher than those outdoors by 6 and 3 times, respectively. Diethyl phthalate, diisobutyl phthalate (DiBP), di-n-butyl phthalate (DnBP), and di-(2-ethylhexyl) phthalate (DEHP) were the predominant compounds among both the gas-phase and PM_2.5-bound PAEs in indoor air. The volume of the salon's space or the difference of indoor and outdoor CO₂ concentrations (dCO₂) was significantly associated with indoor PAE concentrations. The ratios of PM_2.5-bound to gas-phase PAEs, especially high-molecular-weight PAEs, were positively associated with the dCO₂ concentrations. Higher ratios of indoor to outdoor PM_2.5-bound DiBP, DnBP, and DEHP concentrations were discovered when more clients visited each day. Building characteristics, ventilation conditions, and occupants' activities have influences on the gas-phase and particle-phase PAEs. The study identifies the characteristics of gas-phase and PM_2.5-bound PAEs in nail salons and their influencing factors.

Novel control strategies for the endocrine-disrupting effect of PAEs to pregnant women in traffic system

Traffic-related air pollution has become a global issue, and scientific regulation measures are urgently needed to reduce traffic pollution. Phthalates (PAEs) have been widely detected in the traffic environment; thus, they were chosen as target pollutants because of their endocrine-disrupting effects. The pathways of action and mechanisms of PAEs' endocrine-disrupting effects in pregnant women through inhalation were deduced. A novel whole-process 1C + 3D + 5R regulation system was developed to control the endocrine-disrupting effect of PAEs on pregnant women based on the cleaning production concept. (1) For source reduction, the 2D-QSAR model of endocrine-disrupting effects of PAEs in pregnant women was constructed to screen out the key influencing factors as hydrogen bond interaction and hydrophobic interaction. Based on this, a designed PAE substitute molecule with low volatility and endocrine-disrupting effects and no developmental toxicity was screened. The substitute molecule could reduce the volatilization amount of PAEs at the source by 41.76 %; (2) For process interception, selecting C-band UV light to eliminate PAEs molecules in the traffic environment can slow down 19.99 % of the endocrine-disrupting effect of PAEs molecules. The homology modeling method was used to design four kinds of green belt plant proteins with high PAEs absorption efficiency to absorb PAEs molecules in the traffic environment. Compared with the original green belt plant proteins, the absorption amount of PAEs increased by up to 96.08 %, and (3) For terminal prevention, dietary food schemes were designed to regulate PAEs' endocrine-disrupting effect on pregnant women. The optimal dietary food scheme was the simultaneous intake of glutamate, catechin and folic acid, which could reduce the adverse effect of PAEs on maternal and infants by 32.51 %. This study presents theoretical support for regulating PAE exposure to specific populations in the traffic environment and treating other pollutants in the future.

Hospital indoor air quality and its relationships with building design, building operation, and occupant-related factors: A mini-review

Indoor air quality (IAQ) has recently gained substantial traction as the airborne transmission of infectious respiratory disease becomes an increasing public health concern. Hospital indoor environments are complex ecosystems and strategies to improve hospital IAQ require greater appreciation of its potentially modifiable determinants, evidence of which are currently limited. This mini-review updates and integrates findings of previous literature to outline the current scientific evidence on the relationship between hospital IAQ and building design, building operation, and occupant-related factors. Emerging evidence has linked aspects of building design (dimensional, ventilation, and building envelope designs, construction and finishing materials, furnishing), building operation (ventilation operation and maintenance, hygiene maintenance, access control for hospital users), and occupants' characteristics (occupant activities, medical activities, adaptive behavior) to hospital IAQ. Despite the growing pool of IAQ literature, some important areas within hospitals (outpatient departments) and several key IAQ elements (dimensional aspects, room configurations, building materials, ventilation practices, adaptive behavior) remain understudied. Ventilation for hospitals continues to be challenging, as elevated levels of carbon monoxide, bioaerosols, and chemical compounds persist in indoor air despite having mechanical ventilation systems in place. To curb this public health issue, policy makers should champion implementing hospital IAQ surveillance system for all areas of the hospital building, applying interdisciplinary knowledge during the hospital design, construction and operation phase, and training of hospital staff with regards to operation, maintenance, and building control manipulation. Multipronged strategies targeting these important determinants are believed to be a viable strategy for the future control and improvement of hospital IAQ.

Risk of Abdominal Obesity Associated with Phthalate Exposure of Nurses

Background: Occupational health hazards associated with phthalate exposure among nurses are still not well understood. Methods: We used high-performance liquid chromatography and tandem mass spectrometry to analyze phthalates. Anthropometric measurements and questionnaires were conducted. Results: We observed associations between mono-benzyl phthalate (MBzP) and body mass index (BMI), hip circumference (HC), waist circumference (WC), waist to height ratio (WHtR), and fat mass index (FMI), visceral fat content, BMI risk and hip index risk (HIrisk), adjusted to consumer behavior and consumer practices (r = 0.36−0.61; p ≤ 0.046). In the same model, we detected an association between mono-n-butyl phthalate (MnBP) and waist to hip ratio (WHR; r = 0.36; p = 0.046), mono-carboxy-isononyl phthalate (cx-MiNP) and BMI (r = 0.37; p = 0.043), HC (r = 0.4; p = 0.026) and WHtR (r = 0.38; p = 0.037), between mono-oxo-isononyl phthalate oxo (MiNP) and HC (r = 0.36; p = 0.045), mono-2-ethylhexyl phthalate (MEHP), mono(2-ethyl-5-oxohexyl) phthalate (oxo-MEHP) and HIrisk (r = 0.38−0.41; p ≤ 0.036), between oxo-MEHP and Anthropometric Risk Index (ARI risk; r = 0.4; p = 0.028). We detected a relationship between BMI and MBzP (β = 0.655; p < 0.001) and mono-2-ethylhexyl phthalate (MEHP; β = −0.365; p = 0.003), between hip circumference and MBzP (β = 0.486; p < 0.001), MEHP (β = −0.402; p = 0.001), and sum of secondary metabolites of diisononyl phthalate (∑DiNP; β = 0.307; p = 0.016). We observed a relationship between fat content and MBzP (β = 0.302; p = 0.033), OH-MnBP (β = −0.736; p = 0.006) and MiBP (β = 0.547; p = 0.046), visceral fat content and MBzP (β = 0.307; p = 0.030), HI-risk and MBzP (β = 0.444; p = 0.001), ARI-risk and sum of di-n-butyl phthalate metabolites (∑DnBP; β = 0.337; p = 0.018). We observed an association between the use of protective equipment with cx-MiNP. Conclusions: Occupational exposure to phthalates may induce abdominal obesity and result in obesity-related metabolic disorders.

Indoor Air Quality in Healthcare Units—A Systematic Literature Review Focusing Recent Research

The adequate assessment and management of indoor air quality in healthcare facilities is of utmost importance for patient safety and occupational health purposes. This study aims to identify the recent trends of research on the topic through a systematic literature review following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) methodology. A total of 171 articles published in the period 2015–2020 were selected and analyzed. Results show that there is a worldwide growing research interest in this subject, dispersed in a wide variety of scientific journals. A textometric analysis using the IRaMuTeQ software revealed four clusters of topics in the sampled articles: physicochemical pollutants, design and management of infrastructures, environmental control measures, and microbiological contamination. The studies focus mainly on hospital facilities, but there is also research interest in primary care centers and dental clinics. The majority of the analyzed articles (85%) report experimental data, with the most frequently measured parameters being related to environmental quality (temperature and relative humidity), microbiological load, CO2 and particulate matter. Non-compliance with the WHO guidelines for indoor air quality is frequently reported. This study provides an overview of the recent literature on this topic, identifying promising lines of research to improve indoor air quality in healthcare facilities.

Effect of Di-(2-ethylhexyl) phthalate on the hypothalamus-pituitary-thyroid axis in adolescent rat

Di-(2-ethylhexyl) phthalate (DEHP) is extensively used in many personal care and consumer products, which results in widespread human exposure. Limited studies have suggested that exposure to DEHP may affect thyroid function, but little is known about the effect and mechanisms of DEHP exposure on the hypothalamic-pituitary-thyroid axis (HPTA). The present study was conducted to elucidate the potential mechanisms underlying DEHP disrupting the function of the HPTA. DEHP was administered to Wistar rats by gavage at 0, 5, 50, and 500 mg/kg/day for consecutive 28 days and then the rats were sacrificed within 24 h following the last dose. The hormone levels of HPTA were quantified with radioimmunoassay and enzyme-linked immunosorbent assay, the protein levels of thyrotropin-releasing hormone receptor (TRHR) and thyroid-stimulating hormone receptor (TSHR) were analyzed by Western blot and immunohistochemistry, and the expression levels of TRHR and TSHR mRNA were measured by quantitative real-time PCR. The low dose of DEHP increased the body weights of rats. Serum levels of T3, T4, FT3 and FT4 as well as protein and mRNA levels of TSHR decreased in rats treated with 50 mg/kg or 500 mg/kg DEHP compared with those of controls. Although the protein levels of TRH in the hypothalamus or protein and mRNA levels of TRHR in pituitary were up-regulated, serum levels of TSH did not change statistically in rats treated with DEHP. Therefore, DEHP can produce thyroid toxicity and may interfere with the secretion of pituitary TSH. In conclusion, DEHP could interfere with the balance of HPTA of adolescent rats, and disturb the homeostasis of thyroid related hormones and the expression levels of receptors.

Determination of phthalates in particulate matter and gaseous phase emitted in indoor air of offices

Phthalate esters (PAEs) are endocrine disrupters and can disrupt the functioning of different hormones, causing adverse effects on human health. Due to the potential exposure to phthalates in office rooms, their concentrations in the air of these premises after their renovation and furnishing were determined. The aim of the study was to determine the content of these compounds in the gas phase and adsorbed on the particles. Thus, the combined sampler with filters and adsorption tube was used for air sampling. Samples were analyzed by GC-MS. The gas fraction was dominated by dimethyl phthalate (DMP), diethyl phthalate (DEP), and the inhalable fraction by dibutyl phthalate (DBP) and 2-(diethylhexyl) phthalate (DEHP). The total concentration of phthalates in the respirable fraction in the furnished rooms was as much as 92% of the phthalates determined in the inhalable fraction. In the rooms immediately after renovation and those arranged and used by employees for 7 months, their concentration in the respirable fraction did not exceed 25% of the phthalates in the inhalable fraction. Phthalate concentration in the renovated rooms after 7 months of their usage dropped by 84% in relation to PAEs concentration in newly arranged rooms and by 68% in relation to the phthalate concentration in empty rooms.

One-year characterization of organic aerosol markers in urban Beijing: Seasonal variation and spatiotemporal comparison

Organic aerosol (OA) is a major component of fine particulate matter (PM); however, only 10%-30% of OA have been identified as individual compounds, and some are used as markers to trace the sources and formation mechanisms of OA. The temporal and spatial coverage of these OA markers nonetheless remain inadequately characterized. This study presents a year-long measurement of 92 organic markers in PM_2.5 samples collected at an urban site in Beijing from 2014 to 2015. Saccharides were the most abundant (340.1 ng m^-3) species detected, followed by phthalic acids (283.4 ng m^-3). In summer, high proportions (8%-24%) of phthalic acids, n-alkanes, fatty acids, and n-alcohols indicate dominant contributions of biogenic emission and atmospheric oxidation to OA in Beijing. In winter, when anthropogenic sources prevail, saccharides, polycyclic aromatic hydrocarbons, and hopanes are more prominent (4%-25%). The spatial distributions of these OA markers in China show higher concentrations in northern cities (mainly from coal combustion and biomass burning) than in southern cities (mainly from vehicular emission). The inter-annual variations of OA markers, except for hopanes, from 2001 to 2015 suggest significant alleviation of the primary OA pollution in Beijing, with an average reduction of 35%-89% compared with those before 2008. The diagnostic ratio analyses between OA markers indicate that contributions from coal combustion and biomass burning decreased, whereas those from vehicular emission increased. Increasingly large vehicle fleets have increased hopane concentrations since 2008, but the levels were 35% lower in 2015 than those in 2010-2011 because of the tightening of emission controls for vehicles. This study provides a long-term and geographical comparison (from Beijing to other locations in China and beyond) of OA markers, demonstrating the temporal and spatial variations in primary OA, and calls for more studies on secondary OA.

Multi-residue analysis of several high-production-volume chemicals present in the particulate matter from outdoor air. A preliminary human exposure estimation

A multi-residue method based on gas chromatography-mass spectrometry combined with pressurised liquid extraction was developed to determine seven organophosphate esters (OPEs), six phthalate esters (PAEs), four benzotriazoles (BTRs), five benzothiazoles (BTHs) and four benzenesulfonamides (BSAs) in particulate matter samples from outdoor air. All of these compounds are among the named high-production volume chemicals (HPVCs) and some of them have shown to be harmful to human, therefore they have been subject for legal regulation in order to control their production and usage. Under optimised conditions, high recovery values (>80%) and low detection limits (pg m-3) were obtained for most of the compounds with accuracy values between 83% and 118%. Some samples from two locations surrounded by different industry activities showed the widespread occurrence of all the PAEs, followed by some OPEs. Diethylhexyl phthalate (DEHP) was the most abundant compound with concentrations ranging from 1.9 to 97.7 ng m-3. With the concentrations found, estimated daily intakes through outdoor inhalation were calculated for each contaminant and for different population groups classified by age (infants, children and adults) in two possible exposure scenarios (low and high). Then, hazard quotients and carcinogenic risks were estimated for several compounds, those that had toxicological parameters available. This preliminary result showed no significant risks via ambient inhalation for the exposed population, however more research is needed to confirm the present results.

Enhanced biodegradation of an endocrine disrupting micro-pollutant: Di (2-ethylhexyl) phthalate using biogenic self-assembled monolayer of silver nanoparticles

Di (2-ethylhexyl) phthalate (DEHP) is one of the predominant plasticizer and an endocrine disrupting chemical occurring almost in all partitions of the environment. Though DEHP occur at lower concentration, reluctance arises due to their ability to disrupt endocrine system even lower concentration. In the present study, DEHP was assessed for degradation at minimal level (1-100 μg L^-1) by a novel bacterial strain, Rhodococcus jostii PEVJ9. In the experimental design, significant variables were concentration of silver nitrate and DEHP, pH, temperature, time and agitation. Degradation without SAM-silver nanoparticles was 30-66% (predicted value = 30.8-66.8%, R² = 99.7%) while, degradation in the presence of SAM-silver nanoparticles onto bacterial cells was 100% (predicted value = 98.4-102.1%, R² = 99.6%) within 72 h. In short, this is the first report illustrating the experimental designs in biogenic synthesis of SAM-silver nanoparticles and enhanced degradation of DEHP at minimal level. The study overcomes poor bioavailability and assimilation of DEHP at lower concentration by the microbial population present in the environment. Thus, an efficient clean-up would prevent or minimize DEHP exposure at all trophic levels ranging from feminization of fishes to reproductive disorders in humans.

Application of a combined aggregate exposure pathway and adverse outcome pathway (AEP-AOP) approach to inform a cumulative risk assessment: A case study with phthalates

Advancements in measurement and modeling capabilities are providing unprecedented access to estimates of chemical exposure and bioactivity. With this influx of new data, there is a need for frameworks that help organize and disseminate information on chemical hazard and exposure in a manner that is accessible and transparent. A case study approach was used to demonstrate integration of the Adverse Outcome Pathway (AOP) and Aggregate Exposure Pathway (AEP) frameworks to support cumulative risk assessment of co-exposure to two phthalate esters that are ubiquitous in the environment and that are associated with disruption of male sexual development in the rat: di(2-ethylhexyl) phthalate (DEHP) and di-n-butyl phthalate (DnBP). A putative AOP was developed to guide selection of an in vitro assay for derivation of bioactivity values for DEHP and DnBP and their metabolites. AEPs for DEHP and DnBP were used to extract key exposure data as inputs for a physiologically based pharmacokinetic (PBPK) model to predict internal metabolite concentrations. These metabolite concentrations were then combined using in vitro-based relative potency factors for comparison with an internal dose metric, resulting in an estimated margin of safety of ~13,000. This case study provides an adaptable workflow for integrating exposure and toxicity data by coupling AEP and AOP frameworks and using in vitro and in silico methodologies for cumulative risk assessment.

Photodegradation Pathways of Typical Phthalic Acid Esters Under UV, UV/TiO2, and UV-Vis/Bi2WO6 Systems

Photolysis and photocatalysis of typical phthalic acid esters (dimethyl phthalate, DMP; diethyl phthalate, DEP; dibutyl phthalate, DBP) were carried out in UV, UV/TiO2, and UV-Vis/Bi2WO6 systems. All of the selected phthalic acid esters and their decomposition byproducts were subjected to qualitative and quantitative analysis through HPLC and GC-MS. The results of 300 min of photolysis and photodegradation reaction were that each system demonstrated different abilities to remove DMP, DEP, and DBP. The UV/TiO2 system showed the strongest degradation ability on selected PAEs, with removal efficiencies of up to 93.03, 92.64, and 92.50% for DMP, DEP, and DBP in 90 min, respectively. UV-Vis/Bi2WO6 had almost no ability to remove DMP and DEP. However, all of the systems had strong ability to degrade DBP. On the other hand, the different systems resulted in various byproducts and PAE degradation pathways. The UV system mainly attacked the carbon branch and produced o-hydroxybenzoates. No ring-opening byproducts were detected in the UV system. In the photocatalytic process, the hydroxyl radicals produced not only attacked the carbon branch but also the benzene ring. Therefore, hydroxylated compounds and ring-opening byproducts were detected by GC-MS in both the UV/TiO2 and UV-Vis/Bi2WO6 photocatalytic systems. However, there were fewer products due to direct hole oxidation in the UV-Vis/Bi2WO6 system compared with the UV/TiO2 system, which mainly reacted with the pollutants via hydroxyl radicals.

Pollution characteristics of 15 gas- and particle-phase phthalates in indoor and outdoor air in Hangzhou

Phthalate esters (PAEs), typical pollutants widely used as plasticizers, are ubiquitous in various indoor and outdoor environments. PAEs exist in both gas and particle phases, posing risks to human health. In the present study, we chose four typical kinds of indoor and outdoor environments with the longest average human residence times to assess the human exposure in Hangzhou, including newly decorated residences, ordinary residences, offices and outdoor air. In order to analyze the pollution levels and characteristics of 15 gas- and particle-phase PAEs in indoor and outdoor environments, air and particulate samples were collected simultaneously. The total PAEs concentrations in the four types of environments were 25,396, 25,466.8, 15,388.8 and 3616.2 ng/m³, respectively. DEHP and DEP were the most abundant, and DMPP was at the lowest level. Distinct variations in the distributions of indoor/outdoor, gas/particle-phase and different molecular weights of PAEs were observed, showing that indoor environments were the main sources of PAEs pollution. While most PAEs tended to exsit in indoor sites and gas-phase, the high-molecular-weight chemicals tended to exist in the particle-phase and were mainly found in PM_2.5. PAEs were more likely adsorbed by small particles, especially for the indoor environments. There existed a good correlation between the particle matter concentrations and the PAEs levels. In addition, neither temperature nor humidity had obvious effects on the distributions of the PAEs concentrations.

Uptake and accumulation of di-n-butyl phthalate in six leafy vegetables under hydroponic conditions

Abstract

The uptake and accumulation of di-n-butyl phthalate (DBP) in six leafy vegetables was investigated under hydroponic conditions. The test vegetables were six varieties of Brassica campestris ssp., including Kangresijiqing (KRSJQ), Xiadiqing (XDQ), Ziyoucai (ZYC), Aijiaohuang (AJH), Shanghaiqing (SHQ) and Gaogengbai (GGB). The root concentration factor (RCF), translocation factor (TF) and transpiration stream concentration factor (TSCF) were calculated in order to compare the difference of uptake and accumulation behaviours of DBP in vegetable varieties. The results showed that DBP was easily concentrated in vegetable roots, but was poorly translocated from the roots to the shoots. Among the six vegetables, the ability of concentrating DBP from the solution to shoots was the highest in GGB, followed by ZYC, KRSJQ, AJH, SHQ and XDQ. High concentrations of DBP (5.0 mg/L) seem to inhibit normal physiological activity in the vegetables, which resulted in a higher RCF and a lower TF and TSCF than in low-concentration treatment. The results will help to evaluate the safety of agricultural products and to provide evidence for screening DBP pollution-safe vegetable cultivars.

Graphical abstract

Indoor air-related symptoms and volatile organic compounds in materials and air in the hospital environment

In this case study, hospital workers did suffer from symptoms related to the poor indoor air quality. To investigate reasons for symptoms MM40-survey and house inspection methods were performed. The study consisted of 49 operating rooms and 470 employees. MM-40 survey revealed that over 40% of the staff suffered from skin reactions, over 50% had upper respiratory tract symptoms and 25% suffered headaches. No reason for the staff's symptom could be found in the structural studies of workplaces. The mean air exchange rate of the rooms was 5.51/h. In total 61 materials and 49 indoor air samples were taken. The most frequently found compounds in the material samples were 2-ethyl-1-hexanol and aliphatic hydrocarbons. VOC emissions were high in some of the material samples and they presumably were the one reason for the workers' symptoms observed in some in of the rooms. However, indoor air VOC concentrations were low in most of the cases. According to the linear regression model emissions from flooring material couldn't explain the indoor air concentration of the VOCs. One reason for that was the high ventilation rates of the rooms, which presumably kept VOC levels in indoors low. In addition, VOC concentrations indoors were strongly related to the ongoing healthcare activities in the hospital.

Assessing the seasonality of occupancy number-associated CO2 level in a Taiwan hospital

This study enabled the assessment of indoor CO₂ levels and evaluated the relationship between occupancy numbers with CO₂ levels in a Taiwan hospital. The measurements were conducted over four seasons for five working days (Monday to Friday), with sampling conducted simultaneously from 09:00 am to 5:00 pm and across six locations (for spatial variability): hall (H), registration and cashier (RC), waiting area (WA), occupational therapy room (OT), physical therapy room (PT), and outdoors (O). Based on the analysis, three of the five indoor sampling sites showed significant differences in seasonal CO₂ concentrations (p < 0.0001). Based on our result, the physical therapy room had the highest level of CO₂ concentration that exceeded the IAQ standard in Taiwan Environmental Protection Agency (EPA) in all seasons, in that the number of occupants contributing to nearly 40% of the variation in CO₂ measured. Our results also showed that the indoor/outdoor (I/O) ratios of CO₂ concentration for all locations and seasons exceeded 1 in ~ 100% of those locations. The median I/O ratio at sites WA and OT was 2.37 and 2.08 during four seasons, respectively. The highest median I/O ratio was found at site PT, with a calculated range of 2.69 in spring to 3.90 in fall. The highest correlation of occupancy number and CO₂ concentration also occurred in PT which correlation coefficients were estimated at 0.47, 0.65, 0.63, and 0.40 in spring, summer, fall, and winter. The findings of the present study can be used to understand occupancy number and its effect on CO₂ levels in a hospital environment, as well as the effect of time of day (Monday to Friday) on the number of patients admitted.

Exposure to commonly-used phthalates and the associated health risks in indoor environment of urban China

Rapid urbanization and modernization have increased exposures to phthalates from synthetic materials used indoors in China. However, exposure to phthalates from indoor environment and the associated health risks to the urban population have not been adequately characterized and documented. In this study, we summarized the recent measurements of five commonly-used phthalates in indoor environment in urban China and documented their distributions. Based on the activity patterns and exposure factors of Chinese population, Monte-Carlo simulation was used to derive their exposures. On average, the daily intake of all the targeted phthalates was 3.6 μg/kg/day for adults; and for children it ranged from 4.4 μg/kg/day to 8.1 μg/kg/day. For children, the total risk from exposures inside residences and offices was 32%-90% and 4%-19%, respectively. From commuting environments and other indoor environments, it was 5%-31%, and 3%-26%, respectively. For adults, the total risk from residences and offices was 26%-78% and 9%-35%. Additionally, from commuting environments and other indoor environments, it was 8%-35% and 5%-11%, respectively. The non-carcinogenic risk assessment was based on a cumulative Tolerable Daily Intake (TDI_cum), with means ranging from 0.18 to 0.41, which was mainly as a result of exposure to DiBP and DnBP. The means for lifetime cancer risk resulting from DEHP exposure ranged from 0.4 × 10^-6 to 2.0 × 10^-6 for urban population groups. For 80% of working adults and 40%-75%% of children, their cancer risks exceeded the EPA's benchmark (1.0 × 10^-6). The present study could provide important information for decision makers to reduce indoor phthalate exposures as well as the associated health risks for larger population groups in Chinese cities.

A field study on indoor environment quality of Chinese inpatient buildings in a hot and humid region

In this research, objective physical measurements and subjective questionnaire surveys are used to investigate the indoor environment quality of Chinese inpatient buildings. The relative humidity in the inpatient buildings reaches 65%-75% during summer, resulting in the regular appearance of microbial growth on indoor surfaces. The average outdoor air change rate measured through the CO₂ concentration decay method in the sampled inpatient rooms is 1.1 h^-1, which is 45% below the standard threshold. The CO₂ concentration in over 99% of the functional spaces is below the threshold of 1000 ppm. However, the dissatisfaction rate of the air freshness is higher than 25%, owing to the characteristics of healthcare activities. Insufficient fresh air volume and high supply air humidity ratio of the outdoor air system result in the inadequate dehumidification capacity and the over-humid environment in the inpatient buildings. From the perspective of indoor TVOC and PM2.5 concentration, a hospitable IAQ is achieved in the inpatient buildings. In the nurse unit, the illumination levels in public areas, such as patient corridors and nurse stations, are inadequate. The average noise levels (A) in the inpatient rooms and nurse stations are 50.7 and 61.6 dB, respectively, which exceeds the Chinese standard. According to the subjective survey, the dissatisfaction rates of overall IEQ in the summer for patients and visitors are 7.9% and 10.4%, respectively, while for staff it is 34.8%. Statistical analysis reveals that the satisfaction levels of the patient with the IEQ are higher than that of the visitor and staff.

Indoor Air Quality in Inpatient Environments: A Systematic Review on Factors that Influence Chemical Pollution in Inpatient Wards

Introduction

Indoor air quality is one the main issues in which governments are focusing. In healing spaces, several research studies are reporting a growing number of data analysis and research works in order to guarantee and prevent health of users and workers. Currently the main investigations are about biological and physical risks; otherwise chemical ones are less investigated. Several countries are carrying out indoor air quality monitoring in those professional workplaces in which chemicals are used but also in some typically indoor (generic) spaces for the building hygiene assessment. The indoor air is affected by several factors that currently are analyzed punctually, without a whole scenario of all the variable performances. The authors have done a systematic review on the current state of the art and knowledge related to chemical pollution in healing spaces and the emerging strategies, supported by scientific literature, for healthy inpatient rooms and their indoor air.

Methodology

The systematic review has been done through the analysis of papers from SCOPUS, DOAJ, and PubMed databases. The survey sample considered 483 scientific articles, between 1989 and 2017, and starting the systematic reading and analysis of the abstracts, only 187 scientific papers were selected, and only 96 were accessible.

Discussion

Since scientific literature reports very different outputs and results, the resulting work from the survey is divided into specific fields of interest related to construction and finishing materials, installations, components, ventilation systems, processes, etc. Starting from the systematic reading, the paper classifies the factors of indoor air in four macroareas: outdoor air and microclimatic factors (temperature, relative humidity, air velocity, air change, etc.); management activities (management and maintenance activities, ventilation systems, HVAC, cleaning and disinfectant activities, etc.); design factors (room dimensions, furniture, finishing materials, etc.); and human presence and medical activities (users' presence, their health status, and medical activities carried out in inpatient rooms).

Conclusion

The systematic review gives rise to a broad scenario on the existing knowledge regarding the indoor air pollution, design, and management strategies for healthy spaces and several emerging topics. Although the aim of the investigation is strictly related to chemical pollution, several considerations from the biological point of view have been listed. The systematic review, supported by the existing scientific literature, becomes a starting point for considering the importance of the topic and to stimulate the knowledge around this field of interest for improving studies, analysis, and simulations.

A preliminary investigation of 942 organic micro-pollutants in the atmosphere in waste processing and urban areas, northern Vietnam: Levels, potential sources, and risk assessment

Of 942 organic micro-pollutants screened, 167 compounds were detected at least once in the atmosphere in some primitive waste processing sites and an urban area in northern Vietnam by using a polyurethane foam-based passive air sampling (PUF-PAS) method and an Automated Identification and Quantification System with a Database (AIQS-DB) for GC-MS. Total concentrations of organic pollutants were higher in samples collected from an urban area of Hanoi city (2300-2600 ng m^-3) as compared with those from an end-of-life vehicle (ELV) dismantling area in Bac Giang (900-1700 ng m^-3) and a waste recycling cooperative in Thai Nguyen (870-1300 ng m^-3). Domestic chemicals (e.g., n-alkanes, phthalate ester plasticizers, and synthetic phenolic antioxidants) dominated the organic pollutant patterns in all the samples, especially in the urban area. Pesticides (e.g., permethrins, chlorpyrifos, and propiconazole) were found in the atmosphere around the ELV sites at more elevated concentrations than the other areas. Levels of polycyclic aromatic hydrocarbons and their derivatives in the Bac Giang and Thai Nguyen facilities were significantly higher than those measured in Hanoi urban houses, probably due to the waste processing activities. Daily intake doses of organic pollutants via inhalation were estimated for waste processing workers and urban residents. This study shall provide preliminary data on the environmental occurrence, potential emission sources, and effects of multiple classes of organic pollutants in urban and waste processing areas in northern Vietnam.

Indoor air pollution and exposure assessment of the gulf cooperation council countries: A critical review

Indoor air pollution is one of the human health threat problems in the Gulf Cooperation Council (GCC) countries. In these countries, due to unfavorable meteorological conditions, such as elevated ambient temperature, high relative humidity, and natural events such as dust storms, people spend a substantial amount of their time in indoor environments. In addition, production of physical and biological aerosols from air conditioners, cooking activities, burning of Arabian incense, and overcrowding due to pilgrimage programs are common causes of low quality indoor air in this region. Thus, due to infiltration of outdoor sources as well as various indoor sources, people living in the GCC countries are highly exposed to indoor air pollutants. Inhalation of indoor air pollutants causes mortalities and morbidities attributed to cardiorespiratory, pulmonary, and lung cancer diseases. Hence, the aim of this review study is to provide a summary of the major findings of indoor air pollution studies in different microenvironments in six GCC countries. These include characterization of detected indoor air pollutants, exposure concentration levels, source identifications, sustainable building designs and ventilation systems, and the mitigation strategies. To do so, >130 relevant indoor air pollution studies across the GCC countries were critically reviewed. Particulate matters (PM₁₀ and PM_2.5), total volatile organic compounds (TVOCs), carbon dioxide (CO₂), sulfur dioxide (SO₂), nitrogen dioxide (NO₂), and heavy metals were identified as the reported indoor air pollutants. Apart from them, indoor Radon and bioaerosols were studied only in specific GCC countries. Thus, future studies should also focus on the investigation of emerging indoor air pollutants, such as ultrafine and nanoparticles and their associated health effects. Furthermore, studies on the mitigation of indoor air pollution through the development of advanced air purification and ventilation systems could improve the indoor air quality (IAQ) in the GCC region.

Indoor air quality in two French hospitals: Measurement of chemical and microbiological contaminants

In addition to being influenced by the environment, the indoor air pollution in hospitals may be associated with specific compounds emitted from various products used, health care activities and building materials. This study has enabled assessment of the chemical and microbiological concentrations of indoor air in two French hospitals. Based on an integrated approach, the methodology defined aims to measure concentrations of a wide range of chemical compounds (>50 volatile and semi-volatile organic compounds), particle concentrations (PM₁₀ and PM_2.5), microorganisms (fungi, bacteria and viruses) and ambient parameters (temperature, relative humidity, pressure and carbon dioxide). Chemical and microbiological air concentrations were measured during two campaigns (winter and summer) and across seven rooms (for spatial variability). The results have shown that indoor air contains a complex mixture of chemical, physical and microbiological compounds. Concentrations in the same order of magnitude were found in both hospitals. Compared to dwelling indoor air, our study shows low, at least equivalent, contamination for non-hospital specific parameters (aldehydes, limonene, phthalates, aromatic hydrocarbons), which is related to ventilation efficiency. Chemical compounds retrieved at the highest concentration and frequencies are due to healthcare activities, for example alcohol - most commonly ethanol - and hand rubbing (median concentration: ethanol 245.7 μg/m³ and isopropanol 13.6 μg/m³); toluene and staining in parasitology (highest median concentration in Nancy laboratory: 2.1 μg/m³)).

Occupational exposure assessment of phthalate esters in indoor and outdoor microenvironments

Phthalate esters (PAEs) are widely used as plasticizers in consumer products. PAEs are a group of environmental hormone which disrupts human and animals' endocrine systems. Different occupational groups are exposed to various levels of PAEs. In the present study, four typical occupational groups were chosen, including doctors, college teachers, college students, and drivers who worked in public traffic system. In order to understand the exposure levels to PAEs via inhalation, air samples were collected from multiple microenvironments including indoor and outdoor in Hangzhou to measure the gas and particle concentrations of six PAEs, together with time spent in different microenvironments of these four groups. A comprehensive PAEs exposure model was built to estimate the daily PAEs exposure through inhalation, oral and dermal pathways. The Monte Carlo simulation results show that doctors were exposed to the highest level of PAEs, and consequently had the highest health risk among these four occupational groups. In contrast, college students had the lowest health risk. By setting the exposure level of staying in residences as the baseline, doctors and drivers were two occupations exposed to high PAEs health risk. Di-(2-ethylhexyl) phthalate (DEHP) was the largest contributor among the six phthalates, posing moderate health risk (10^-5-10^-6) to every occupation. For traffic microenvironments alone, the total exposure levels for different transportation modes were in the descending order of busses, cars, cabs, tubes, motor bikes, and walking.

A review of semi-volatile organic compounds (SVOCs) in the indoor environment: occurrence in consumer products, indoor air and dust

As many people spend a large part of their life indoors, the quality of the indoor environment is important. Data on contaminants such as flame retardants, pesticides and plasticizers are available for indoor air and dust but are scarce for consumer products such as computers, televisions, furniture, carpets, etc. This review presents information on semi-volatile organic compounds (SVOCs) in consumer products in an attempt to link the information available for chemicals in indoor air and dust with their indoor sources. A number of 256 papers were selected and divided among SVOCs found in consumer products (n = 57), indoor dust (n = 104) and air (n = 95). Concentrations of SVOCs in consumer products, indoor dust and air are reported (e.g. PFASs max: 13.9 μg/g in textiles, 5.8 μg/kg in building materials, 121 ng/g in house dust and 6.4 ng/m³ in indoor air). Most of the studies show common aims, such as human exposure and risk assessment. The main micro-environments investigated (houses, offices and schools) reflect the relevance of indoor air quality. Most of the studies show a lack of data on concentrations of chemicals in consumer goods and often only the presence of chemicals is reported. At the moment this is the largest obstacle linking chemicals in products to chemicals detected in indoor air and dust.

Correction and Republication: Effect of Di-(2-ethylhexyl) phthalate on the hypothalamus-pituitary-thyroid axis in adolescent rat

Di-(2-ethylhexyl) phthalate (DEHP) is extensively used in many personal care and consumer products, which has resulted in widespread human exposure. Limited studies have suggested that exposure to DEHP may affect thyroid function, but little is known about the effect and mechanisms of DEHP exposure on the hypothalamic-pituitary-thyroid axis (HPTA). The present study was conducted to elucidate the potential mechanisms in which DEHP disrupts the function of the HPTA. Wistar rats were administered DEHP by gavage at 0, 5, 50, and 500 mg/kg/day for 28 days and then sacrificed within 24 h following the last dose. Hormones of HPTA was quantified with radioimmunoassay and enzyme-linked immunosorbent assay, protein levels of thyrotropin-releasing hormone receptor (TRHR) and thyroid-stimulating hormone receptor (TSHR) were analyzed by Western blot and immunohistochemistry, expression levels of TRHR and TSHR mRNA were measured by quantitative real-time PCR. Rats treated with DEHP resulted in increased bodyweight, on the HPTA, down-regulated the protein levels of TRH in the hypothalamus, up-regulated the protein and mRNA levels of TRHR in the pituitary, down-regulated mRNA expression of TSHR in the thyroid, while the difference of TSH in various dose groups was not statistically significant and T3, T4, FT3, FT4 levels in serum were decreased compared with control. DEHP could interfere with the balance of HPTA of adolescent rats, and increase the body weight, down-regulate the homeostasis of thyroid related hormones and receptors expression levels.

A Noncontact Dibutyl Phthalate Sensor Based on a Wireless-Electrodeless QCM-D Modified with Nano-Structured Nickel Hydroxide

Dibutyl phthalate (DBP) is a widely used plasticizer which has been found to be a reproductive and developmental toxicant and ubiquitously existing in the air. A highly sensitive method for DBP monitoring in the environment is urgently needed. A DBP sensor based on a homemade wireless-electrodeless quartz crystal microbalance with dissipation (QCM-D) coated with nano-structured nickel hydroxide is presented. With the noncontact configuration, the sensing system could work at a higher resonance frequency (the 3rd overtone) and the response of the system was even more stable compared with a conventional quartz crystal microbalance (QCM). The sensor achieved a sensitivity of 7.3 Hz/ppb to DBP in a concentration range of 0.4–40 ppb and an ultra-low detection limit of 0.4 ppb of DBP has also been achieved.

Determination of 15 phthalate esters in air by gas-phase and particle-phase simultaneous sampling

Based on previous research, the sampling and analysis methods for phthalate esters (PAEs) were improved by increasing the sampling flow of indoor air from 1 to 4L/min, shortening the sampling duration from 8 to 2hr. Meanwhile, through the optimization of chromatographic conditions, the concentrations of 9 additional PAE pollutants in indoor air were measured. The optimized chromatographic conditions required a similar amount of time for analysis as before, but gave high responsivity, the capability of simultaneously distinguishing 15 kinds of PAEs, and a high level of discrimination between individual sample peaks, as well as stable peak generation. The recovery rate of all gas-phase and particle-phase samples of the 15 kinds of PAEs ranged from 91.26% to 109.42%, meeting the quantitative analysis requirements for indoor and outdoor air sampling and analysis. For the first time, investigation of the concentration levels as well as characteristics of 15 kinds of PAEs in the indoor air from four different traffic micro-environments (private vehicles, busses, taxis and subways) was carried out, along with validation of the optimized sampling and analytical method. The results show that all the 9 additional PAEs could be detected at relatively high pollution levels in the indoor air from the four traffic micro-environments. As none of the pollution levels of the 15 kinds of PAEs in the indoor air from the 4 traffic micro-environments should be neglected, it is of great significance to increase the types of PAEs able to be detected in indoor air.

Indoor air quality in public utility environments-a review

Indoor air quality has been the object of interest for scientists and specialists from the fields of science such as chemistry, medicine and ventilation system design. This results from a considerable number of potential factors, which may influence the quality of the broadly understood indoor air in a negative way. Poor quality of indoor air in various types of public utility buildings may significantly affect an increase in the incidence of various types of civilisation diseases. This paper presents information about a broad spectrum of chemical compounds that were identified and determined in the indoor environment of various types of public utility rooms such as churches, museums, libraries, temples and hospitals. An analysis of literature data allowed for identification of the most important transport paths of chemical compounds that significantly influence the quality of the indoor environment and thus the comfort of living and the health of persons staying in it.