Liaison between exposure to sub-micrometric particulate matter and allergic response in children from a petrochemical industry city

The FRESHAIR4Life study: Global implementation research on non-communicable disease prevention targeting adolescents' exposure to tobacco and air pollution in disadvantaged populations

The FRESHAIR4Life study aims to reduce the non-communicable disease (NCD) burden by implementing preventive interventions targeting adolescents' exposure to tobacco use and air pollution (AP) worldwide. This paper presents the FRESHAIR4Life methodology and initial rapid review results. The rapid review, using various databases and PubMed, aimed to guide decision-making on risk factor focus, target areas, and populations. It showed variable NCD mortality rates related to tobacco use and AP across the participating countries, with tobacco as the main risk factor in the Kyrgyz Republic, Greece, and Romania, and AP prevailing in Pakistan and Uganda. Adolescent exposure levels, sources, and correlates varied. The study will continue with an in-depth situational analysis to guide the selection, adaptation, and integration of evidence-based interventions into the FRESHAIR4Life prevention package. This package will be implemented, evaluated, assessed for cost-effectiveness, and iteratively refined. The research places a strong emphasis on co-creation, capacity building, and comprehensive communication and dissemination.

Exposure to air pollution concentrations of various intensities in early life and allergic sensitisation later in childhood

BACKGROUND

Evidence on the relationship between air pollution and allergic sensitisation in childhood is inconsistent, and this relationship has not been investigated in the context of smoke events that are predicted to increase with climate change. Thus, we aimed to evaluate associations between exposure in two early life periods to severe levels of particulate matter with an aerodynamic diameter < 2.5 μm (PM2.5) from a mine fire, background PM2.5, and allergic sensitisation later in childhood.

METHODS

We measured specific immunoglobulin E (IgE) levels for seven common aeroallergens as well as total IgE levels in a cohort of children who had been exposed to the Hazelwood coal mine fire, either in utero or during their first two years of life, in a regional area of Australia where ambient levels of PM2.5 are generally low. We estimated personal exposure to fire-specific emissions of PM2.5 based on a high-resolution meteorological and pollutant dispersion model and detailed reported movements of pregnant mothers and young children during the fire. We also estimated the usual background exposure to PM2.5 at the residential address at birth using a national satellite-based land-use regression model. Associations between both sources of PM2.5 and sensitisation to dust, cat, fungi, and grass seven years after the fire were estimated with logistic regression, while associations with total IgE levels were estimated with linear regression.

RESULTS

No association was found between the levels of exposure at either developmental stage to fire-related PM2.5 and allergic sensitisation seven years after the event. However, levels of background exposure were positively associated with sensitisation to dust (OR = 1.90, 95%CI = 1.12,3.21 per 1 μg/m3).

CONCLUSIONS

Chronic but low exposure to PM2.5 in early life could be more strongly associated with allergic sensitisation in childhood than time-limited high exposure levels, such as the ones experienced during landscape fires.

A Three-Year Analysis of Toxic Benzene Levels and Associated Impact in Ploieşti City, Romania

This study examines the levels of benzene and the potential health impact during three years of continuous monitoring (2019-2021), including the COVID-lockdown period from 2020 in a city that is an important Romanian center for petroleum refining and associated product manufacturing. The dataset contains benzene, toluene, NOx, PM10 concentrations, and meteorological factors monitored by six automatic stations from the national network of which four are in the city and two outside. Special attention was given to the benzene dynamics to establish patterns related to the health impact and leukemia. An assessment of the exposure was performed using EPA's ExpoFIRST v. 2.0 for computing the inhalation Average Daily Dose (ADD) and Lifetime Average Daily Dose (LADD). The health impact was estimated based on several indicators such as lifetime cancer risk (LCR), Hazard Quotient (HQ), Disability-Adjusted Life Years (DALY), and Environmental burden of disease (EBD). Overall, the annual average of all stations was almost similar between years i.e., 3.46 in 2019, 3.41 in 2020, and 3.63 µg/m3 in 2021, respectively. The average of all stations during the lockdown period was 2.67 µg/m3, which was lower than the multiannual average of the 2019-2021 period, i.e., 3.5 µg/m3. Significant correlations were present between benzene and other pollutants such as NOx (r = 0.57), PM10 fraction (r = 0.70), and toluene (r = 0.69), and benzene and temperature (r = -0.46), humidity (r = 0.28), and wind speed (r = -0.34). Regarding the ADD, in all scenarios, the most affected age categories are small children, despite a lower outdoor exposure time. From birth to <70 years, the ADD varied depending on the exposure scenario resulting in 3.27 × 10-4, 5.6 × 10-4, and 4.04 × 104 mg/kg-day, and 3.95 × 10-4, 10.6 × 10-4, and 6.76 × 10-4 mg/kg-day for the LADD, respectively. The Integrated Lifetime Cancer Risk (ILTCR) values were 14.1 × 10-5 in winter, 9.04 × 10-5 in spring, 8.74 × 10-5 in summer, and 10.6 × 10-4 in autumn. The ILTCR annual averages were 1.08 × 10-4 (2019), 1.07 × 10-4 (2020), 1.04 × 10-4 (2021), and 1.06 × 10-4 for the entire period. The resulting ILTCR values point out very risky conditions, with the annual averages reaching the definite cancer risk category. The corresponding burden based on the DALY's loss due to leukemia in Ploieşti was estimated at 0.291 (2 μg/m3 benzene), 0.509 (3.5 μg/m3 benzene), 0.582 (4 μg/m3 benzene), and 0.873 DALYs per 100,000 inhabitants (6 μg/m3 benzene), respectively. The current study provides useful insights for a better understanding of the exposure levels to benzene and associated health impact in Ploieşti despite the limitations determined by the data hiatus and incomplete or missing information regarding the health impact.

Effects of Benzene: Hematological and Hypersensitivity Manifestations in Resident Living in Oil Refinery Areas

Literature is teeming with publications on industrial pollution. Over the decades, the main industrial pollutants and their effects on human health have been widely framed. Among the various compounds involved, benzene plays a leading role in the onset of specific diseases. Two systems are mainly affected by the adverse health effects of benzene exposure, both acute and chronic: the respiratory and hematopoietic systems. The most suitable population targets for a proper damage assessment on these systems are oil refinery workers and residents near refining plants. Our work fits into this area of interest with the aim of reviewing the most relevant cases published in the literature related to the impairment of the aforementioned systems following benzene exposure. We perform an initial debate between the two clinical branches that see a high epidemiological expression in this slice of the population examined: residents near petroleum refinery areas worldwide. In addition, the discussion expands on highlighting the main immunological implications of benzene exposure, finding a common pathophysiological denominator in inflammation, oxidative stress, and DNA damage, thus helping to set the basis for an increasingly detailed characterization aimed at identifying common molecular patterns between the two clinical fields discussed.

Evaluation of Shallow Groundwater Quality at Regional Scales Using Adaptive Water Quality Indices

Groundwater, which is the main source of water for human consumption in many rural areas, has its quality determined by the complex interaction of environmental factors and anthropogenic activities. The present study evaluated the quality of shallow groundwater (1 to 25 m depth) in the rural area of the Târgovişte Plain, a densely populated area (200 inhabitants/km²) using 80 water samples collected from public wells. In order to explain the spatial distribution of the concentrations of the 19 physicochemical parameters considered (including heavy metals), the evaluation of groundwater quality for human consumption and potential impact on human health was conducted using the Water Quality Index (WQI), Integrated Weight Water Quality Index (IwWQI), Total Hazard Index (THI), and cumulative carcinogenic risk (CCR). For the WQI/IwWQI the comparative analysis of the two indices showed that for the WQI, it is important to select an optimal set of parameters, because use of a large number of physicochemical parameters can eclipse the values that exceed WHO guideline limits. In contrast, the use of entropy in the calculation of the IwWQI did not lead to eclipsing of exceedance, no matter the number of parameters used. Areas with poor and very poor groundwater quality according to the WQI/IwWQI overlapped, with a moderate risk to human health (THI > 1) for noncarcinogenic contaminants and also a risk of developing cancer according to the CCR average value (1.15 × 10^-2). The health of 43% of the rural population in the Târgovişte Plain can be affected if they drink contaminated groundwater, and it is estimated that about 600 people can develop cancer during their lifetime. If the risk of developing cancer is reduced only in the rural population that does not have access to a water source from a centralized and verified network, the results suggest that 385 people (1.15%) can develop cancer as a result of consuming groundwater contaminated with heavy metals based on the average value of CCR. This value is lower than the general mortality rate in areas with high CCR and below the average number of cancer patients in Romania (2.65%). The quality of groundwater and the risk of developing diseases and cancer due to water consumption is directly proportional to the intensity of agricultural land use and inversely proportional to the depth of the groundwater layer, the distance from the main hydrographic network and the reservoirs, and the distance from the main city, Târgovişte. The complex and integrated analysis of groundwater quality using quality indices and indicators of health risk for the population, validated by hot-spot analysis and compared to the mortality rate, is an approach with practical applicability. This integrated approach allows public authorities, policymakers, and health services to implement an efficient monitoring program and optimize anthropogenic activities in order to prevent groundwater contamination and finally improve the quality of life for the residents in the area of this study.

Air Pollution and Human Health: Investigating the Moderating Effect of the Built Environment

Air pollution seriously threatens human health and even causes mortality. It is necessary to explore effective prevention methods to mitigate the adverse effect of air pollution. Shaping a reasonable built environment has the potential to benefit human health. In this context, this study quantified the built environment, air pollution, and mortality at 1 km × 1 km grid cells. The moderating effect model was used to explore how built environment factors affect the impact of air pollution on cause-specific mortality and the heterogeneity in different areas classified by building density and height. Consequently, we found that greenness played an important role in mitigating the effect of ozone (O3) and nitrogen dioxide (NO2) on mortality. Water area and diversity of land cover can reduce the effect of fine particulate matter (PM2.5) and NO2 on mortality. Additionally, gas stations, edge density (ED), perimeter-area fractal dimension (PAFRAC), and patch density (PD) can reduce the effect of NO2 on mortality. There is heterogeneity in the moderating effect of the built environment for different cause-specific mortality and areas classified by building density and height. This study can provide support for urban planners to mitigate the adverse effect of air pollution from the perspective of the built environment.

Monitoring Rainwater Properties and Outdoor Particulate Matter in a Former Steel Manufacturing City in Romania

Wet deposition is influencing air quality because air pollutants are washed away from the surrounding air. Consequently, particulate matter and associated compounds are transported in the rainwater and enter into soil, surface waters, and groundwater. Nonpoint sources of heavy metals from stormwater runoff have increased in urban areas due to industrialization and the increasing impervious surfaces. In this work, we present an assessment of the rainwater composition regarding the nutrients and other physicochemical characteristics measured in three locations selected in Targoviste city, Romania, a city that had a specialized steel factory and important metallurgical facilities. The rainwater was collected using three PALMEX rain samplers and then was transferred to high-density polyethylene bottles and analyzed using ICP-MS. PM2.5 concentrations were also monitored continuously using optical monitors calibrated using a gravimetric sampler. A detailed analysis of the heavy metals content in rainwater and PM was presented for the pollution episodes occurring in October and November 2019. Backward trajectories were computed using the HYSPLIT model for these periods. The results showed that the PM2.5 ranged from 11.1 to 24.1 μg/m3 in 2019, while the heavy metals in collected rainwater were (µg L−1): 0.25 (Cd) − CV = 26.5%, 0.10 (Co) − CV = 58.1%, 1.77 (Cr) − CV = 24.3%, 377.37 (Ni) − CV = 27.9%, 0.67 (Pb) − CV = 74.3%, and 846.5 (Zn) − CV = 20.6%. Overall, Ni, Pb, Cr, and V had significant correlations between the concentrations from rainwater and PM. Negative associations were found between precipitation events and heavy metals both from rainwater and PM, but only a few showed statistical significance. However, this could explain the “washing” effect of the rain on the heavy metals from PM2.5. The potential sources of nitrogen in the rainwater collected in Targoviste could be from burning fossil fuels and the soils, including both biological processes and fertilization resulting from the intensive agriculture in the piedmont plain in which the city is located. Based on the results, rainwater monitoring can constitute a reliable method for air quality characterization. Additional research is required to better understand seasonality and sources of heterogeneity regarding the associations between PM and rainwater composition.

Performance Evaluation of Particulate Matter and Indoor Microclimate Monitors in University Classrooms under COVID-19 Restrictions

Optical monitors have proven their versatility into the studies of air quality in the workplace and indoor environments. The current study aimed to perform a screening of the indoor environment regarding the presence of various fractions of particulate matter (PM) and the specific thermal microclimate in a classroom occupied with students in March 2019 (before COVID-19 pandemic) and in March 2021 (during pandemic) at Valahia University Campus, Targoviste, Romania. The objectives were to assess the potential exposure of students and academic personnel to PM and to observe the performances of various sensors and monitors (particle counter, PM monitors, and indoor microclimate sensors). PM1 ranged between 29 and 41 μg m⁻³ and PM10 ranged between 30 and 42 μg m⁻³. It was observed that the particles belonged mostly to fine and submicrometric fractions in acceptable thermal environments according to the PPD and PMV indices. The particle counter recorded preponderantly 0.3, 0.5, and 1.0 micron categories. The average acute dose rate was estimated as 6.58 × 10⁻⁴ mg/kg-day (CV = 14.3%) for the 20–40 years range. Wearing masks may influence the indoor microclimate and PM levels but additional experiments should be performed at a finer scale.