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Mak J, Feary J, Amaral AFS, Marczylo E, Cullinan P, Green DC. Occupational exposure to particulate matter and staff sickness absence on the London underground. ENVIRONMENT INTERNATIONAL 2024; 185:108529. [PMID: 38484612 DOI: 10.1016/j.envint.2024.108529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 02/12/2024] [Accepted: 02/22/2024] [Indexed: 03/26/2024]
Abstract
The London Underground (LU) employs over 19,000 staff, some of whom are exposed to elevated concentrations of particulate matter (PM) within the network. This study quantified the occupational exposure of LU staff to subway PM and investigated the possible association with sickness absence (SA). A job exposure matrix to quantify subway PM2.5 staff exposure was developed by undertaking measurement campaigns across the LU network. The association between exposure and SA was evaluated using zero-inflated mixed-effects negative binomial models. Staff PM2.5 exposure varied by job grade and tasks undertaken. Drivers had the highest exposure over a work shift (mean: 261 µg/m3), but concentrations varied significantly by LU line and time the train spent subway. Office staff work in office buildings separate to the LU network and are unexposed to occupational subway PM2.5. They were found to have lower rates of all-cause and respiratory infection SA compared to non-office staff, those who work across the LU network and are occupational exposed to subway PM2.5. Train drivers on five out of eight lines showed higher rates of all-cause SA, but no dose-response relationship was seen. Only drivers from one line showed higher rates of SAs from respiratory infections (incidence rate ratio: 1.24, 95% confidence interval 1.10-1.39). Lower-grade customer service (CS) staff showed higher rates of all-cause and respiratory infection SA compared to higher grade CS staff. Doctor-certified chronic respiratory and cardiovascular SAs were associated with occupational PM2.5 exposure in CS staff and drivers. While some groups with higher occupational exposure to subway PM reported higher rates of SA, no evidence suggests that subway PM is the main contributing factor to SA. This is the largest subway study on health effects of occupational PM2.5 exposure and may have wider implications for subway workers, contributing to safer working environments.
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Affiliation(s)
- Justie Mak
- MRC Centre for Environment and Health, Environmental Research Group, Imperial College London, London, United Kingdom; National Heart and Lung Institute, Imperial College, London, United Kingdom; HPRU in Environmental Exposures and Health, Imperial College London, London, United Kingdom.
| | - Johanna Feary
- National Heart and Lung Institute, Imperial College, London, United Kingdom; Department of Occupational and Environmental Medicine, Royal Brompton Hospital, London, United Kingdom
| | - André F S Amaral
- National Heart and Lung Institute, Imperial College, London, United Kingdom; NIHR Imperial Biomedical Research Centre, London, United Kingdom
| | - Emma Marczylo
- HPRU in Environmental Exposures and Health, Imperial College London, London, United Kingdom; Toxicology Department, UK Health Security Agency, Harwell Campus, Chilton, Oxfordshire, United Kingdom
| | | | - David C Green
- MRC Centre for Environment and Health, Environmental Research Group, Imperial College London, London, United Kingdom; HPRU in Environmental Exposures and Health, Imperial College London, London, United Kingdom
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Ben Rayana T, Wild P, Debatisse A, Jouannique V, Sakthithasan K, Suarez G, Guseva Canu I. Job Exposure Matrix, a Solution for Retrospective Assessment of Particle Exposure in a Subway Network and Their Long-Term Effects. TOXICS 2023; 11:836. [PMID: 37888686 PMCID: PMC10610788 DOI: 10.3390/toxics11100836] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 09/26/2023] [Accepted: 09/29/2023] [Indexed: 10/28/2023]
Abstract
INTRODUCTION Health effects after long-term exposure to subway particulate matter (PM) remain unknown due to the lack of individual PM exposure data. This study aimed to apply the job exposure matrix (JEM) approach to retrospectively assess occupational exposure to PM in the Parisian subway. METHODS Job, the line and sector of the transport network, as well as calendar period were four JEM dimensions. For each combination of these dimensions, we generated statistical models to estimate the annual average PM10 concentration using data from an exhaustive inventory of the PM measurement campaigns conducted between 2004 and 2020 in the Parisian subway and historical data from the Parisian air pollution monitoring network. The resulting JEM and its exposure estimates were critically examined by experts using the uncertainty analysis framework. RESULTS The resulting JEM allows for the assignment of the estimated annual PM10 concentration to three types of professionals working in the subway: locomotive operators, station agents, and security guards. The estimates' precision and validity depend on the amount and quality of PM10 measurement data used in the job-, line-, and sector-specific models. Models using large amounts of personal exposure measurement data produced rather robust exposure estimates compared to models with lacunary data (i.e., in security guards). The analysis of uncertainty around the exposure estimates allows for the identification of the sources of uncertainty and parameters to be addressed in the future in order to refine and/or improve the JEM. CONCLUSIONS The JEM approach seems relevant for the retrospective exposure assessment of subway workers. When applied to available data on PM10, it allows for the estimation of this exposure in locomotive operators and station agents with an acceptable validity. Conversely, for security guards, the current estimates have insufficient validity to recommend their use in an epidemiological study. Therefore, the current JEM should be considered as a valid prototype, which shall be further improved using more robust measurements for some jobs. This JEM can also be further refined by considering additional exposure determinants.
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Affiliation(s)
- Tesnim Ben Rayana
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
- Autonomous Parisian Transportation Administration (RATP), 75012 Paris, France
| | - Pascal Wild
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
| | - Amélie Debatisse
- Autonomous Parisian Transportation Administration (RATP), 75012 Paris, France
| | - Valérie Jouannique
- Autonomous Parisian Transportation Administration (RATP), 75012 Paris, France
| | | | - Guillaume Suarez
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
| | - Irina Guseva Canu
- Center for Primary Care and Public Health (Unisanté), University of Lausanne, 1066 Epalinges-Lausanne, Switzerland
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Park EJ, Yang MJ, Kang MS, Jo YM, Yoon C, Kim HB, Kim DW, Lee GH, Kwon IH, Park HJ, Kim JB. Subway station dust-induced pulmonary inflammation may be due to the dysfunction of alveolar macrophages: Possible contribution of bound elements. Toxicology 2023; 496:153618. [PMID: 37611816 DOI: 10.1016/j.tox.2023.153618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 08/09/2023] [Accepted: 08/19/2023] [Indexed: 08/25/2023]
Abstract
With its increasing value as a means of public transportation, the health effects of the air in subway stations have attracted public concern. In the current study, we investigated the pulmonary toxicity of dust collected from an air purifier installed on the platform of the busiest subway station in Seoul. We found that the dust contained various elements which are attributable to the facilities and equipment used to operate the subway system. Particularly, iron (Fe), chromium (Cr), zirconium (Zr), barium (Ba), and molybdenum (Mo) levels were more notable in comparison with those in dust collected from the ventilation chamber of a subway station. To explore the health effects of inhaled dust, we first instilled via the trachea in ICR mice for 13 weeks. The total number of pulmonary macrophages increased significantly with the dose, accompanying hematological changes. Dust-laden alveolar macrophages and inflammatory cells accumulated in the perivascular regions in the lungs of the treated mice, and pulmonary levels of CXCL-1, TNF-α, and TGF-β increased clearly compared with the control. The CCR5 and CD54 level expressed on BAL cell membranes was also enhanced following exposure to dust, whereas the CXCR2 level tended to decrease in the same samples. In addition, we treated the dust to alveolar macrophages (known as dust cells), lysosomal and mitochondrial function decreased, accompanied by cell death, and NO production was rapidly elevated with concentration. Moreover, the expression of autophagy- (p62) and anti-oxidant (SOD-2)-related proteins increased, and the expression of inflammation-related genes was dramatically up-regulated in the dust-treated cells. Therefore, we suggest that dysfunction of alveolar macrophages may importantly contribute to dust-induced inflammatory responses and that the exposure concentrations of Cr, Fe, Mo, Zr, and Ba should be considered carefully when assessing the health risks associated with subway dust. We also hypothesize that the bound elements may contribute to dust-induced macrophage dysfunction by inhibiting viability.
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Affiliation(s)
- Eun-Jung Park
- College of Medicine, Graduate School, Kyung Hee University, 02447, Republic of Korea; Human Health and Environmental Toxins Research Center, Kyung Hee University, 02447, Republic of Korea.
| | - Mi-Jin Yang
- Jeonbuk Branch Institute, Korea Institute of Toxicology, Jeongup 56212, Republic of Korea
| | - Min-Sung Kang
- Jeonbuk Branch Institute, Korea Institute of Toxicology, Jeongup 56212, Republic of Korea; Department of Biomedical Science and Technology, Graduate School, Kyung Hee University, 02447, Republic of Korea
| | - Young-Min Jo
- Department of Environmental Science and Engineering, Global Campus, Kyung Hee University, 17104, Republic of Korea
| | - Cheolho Yoon
- Ochang Center, Korea Basic Science Institute, 28119, Republic of Korea
| | - Hyun-Bin Kim
- College of Medicine, Graduate School, Kyung Hee University, 02447, Republic of Korea
| | - Dong-Wan Kim
- School of Civil, Environmental and Architectural Engineering, Korea University, 02841, Republic of Korea
| | - Gwang-Hee Lee
- School of Civil, Environmental and Architectural Engineering, Korea University, 02841, Republic of Korea
| | - Ik-Hwan Kwon
- Safety Measurement Institute, Korea Research Institute of Standards and Science, 34113, Republic of Korea
| | - Hee-Jin Park
- Jeonbuk Branch Institute, Korea Institute of Toxicology, Jeongup 56212, Republic of Korea
| | - Jin-Bae Kim
- Division of Cardiology, Department of Internal Medicine, Kyung-Hee University Hospital, Kyung Hee University, 02447, Republic of Korea.
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Kappelt N, Russell HS, Fessa D, Ryswyk KV, Hertel O, Johnson MS. Particulate air pollution in the Copenhagen metro part 1: Mass concentrations and ventilation. ENVIRONMENT INTERNATIONAL 2023; 171:107621. [PMID: 36493608 DOI: 10.1016/j.envint.2022.107621] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 10/12/2022] [Accepted: 11/07/2022] [Indexed: 06/17/2023]
Abstract
The Copenhagen Metro comprises four lines, the M1, M2, M3 and M4, with 25 subterranean stations and an additional 14 stations above ground, serving ca. 80 million passengers annually. In this study we measure fine particulate matter (PM2.5) and carbon dioxide (CO2) concentrations in stations and in trains across the entire system. In partially underground lines, high PM2.5 concentrations with an average of 109 μg m-3 are found in below-ground stations. The observed correlation between PM2.5 concentration and distance between a station and a tunnel exit is attributed to ventilation via the piston effect. The piston effect via tunnel draught relief shafts was therefore found to be relatively limited. Filter samples of particulate matter are analysed using particle-induced X-ray emission and show an iron content of 88.6 % by mass which is quite different from above-ground particulate matter and consistent with particle production by train wheels, rails and brakes. The average concentration measured at the stations of a recently opened (2019) fully underground M3 closed loop line is 168 μg m-3, further demonstrating that while piston effect-driven ventilation is effective in close proximity to tunnel openings, it is relatively limited via tunnel draught relief shafts. Measurements onboard trains show even higher PM2.5 concentrations and the patterns in CO2 concentrations suggest carriage ventilation by tunnel air. Ventilation via doors during platform stops caused a drop in observed PM (and CO2) at stations, but the system is surprisingly polluted despite its recent construction. CO2 mixing ratios ranged from ambient to around 600 ppm. Measures should be taken to control PM levels using a combination of source control and increased clean air supply of the Copenhagen and other similar metro systems.
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Affiliation(s)
- Niklas Kappelt
- Department of Chemistry, Copenhagen University, DK-2100 Copenhagen, Denmark; Airlabs, Nannasgade 28, DK-2200 Copenhagen N, Denmark
| | - Hugo S Russell
- Airlabs, Nannasgade 28, DK-2200 Copenhagen N, Denmark; Danish Big Data Centre for Environment and Health (BERTHA), Aarhus University, DK-4000 Roskilde, Denmark; Department of Environmental Science, Aarhus University, DK-4000 Roskilde, Denmark
| | - Dafni Fessa
- Department of Environmental Science, Aarhus University, DK-4000 Roskilde, Denmark
| | - Keith Van Ryswyk
- Air Health Science Division, Health Canada, Ottawa K1A 0K9, Canada; Department of Chemical Engineering and Applied Chemistry, University of Toronto, Toronto M5S 3E5, Canada
| | - Ole Hertel
- Danish Big Data Centre for Environment and Health (BERTHA), Aarhus University, DK-4000 Roskilde, Denmark; Department of Ecoscience, Aarhus University, DK-4000 Roskilde, Denmark
| | - Matthew S Johnson
- Department of Chemistry, Copenhagen University, DK-2100 Copenhagen, Denmark; Airlabs, Nannasgade 28, DK-2200 Copenhagen N, Denmark.
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Sixteen-Year Monitoring of Particulate Matter Exposure in the Parisian Subway: Data Inventory and Compilation in a Database. ATMOSPHERE 2022. [DOI: 10.3390/atmos13071061] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The regularly reported associations between particulate matter (PM) exposure, and morbidity and mortality due to respiratory, cardiovascular, cancer, and metabolic diseases have led to the reduction in recommended outdoor PM10 and PM2.5 exposure limits. However, indoor PM10 and PM2.5 concentrations in subway systems in many cities are often higher than outdoor concentrations. The effects of these exposures on subway workers and passengers are not well known, mainly because of the challenges in exposure assessment and the lack of longitudinal studies combining comprehensive exposure and health surveillance. To fulfill this gap, we made an inventory of the PM measurement campaigns conducted in the Parisian subway since 2004. We identified 5856 PM2.5 and 18,148 PM10 results from both personal and stationary air sample measurements that we centralized in a database along with contextual information of each measurement. This database has extensive coverage of the subway network and will enable descriptive and analytical studies of indoor PM exposure in the Parisian subway and its potential effects on human health.
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Pétremand R, Suárez G, Besançon S, Dil JH, Guseva Canu I. A Real-Time Comparison of Four Particulate Matter Size Fractions in the Personal Breathing Zone of Paris Subway Workers: A Six-Week Prospective Study. SUSTAINABILITY 2022; 14:5999. [PMID: 35909454 PMCID: PMC9170000 DOI: 10.3390/su14105999] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 05/13/2022] [Indexed: 01/11/2023]
Abstract
We developed a Bayesian spline model for real-time mass concentrations of particulate matter (PM10, PM2.5, PM1, and PM0.3) measured simultaneously in the personal breathing zone of Parisian subway workers. The measurements were performed by GRIMM, a gravimetric method, and DiSCmini during the workers’ work shifts over two consecutive weeks. The measured PM concentrations were analyzed with respect to the working environment, the underground station, and any specific events that occurred during the work shift. Overall, PM0.3 concentrations were more than an order of magnitude lower compared to the other PM concentrations and showed the highest temporal variation. The PM2.5 levels raised the highest exposure concern: 15 stations out of 37 had higher mass concentrations compared to the reference. Station PM levels were not correlated with the annual number of passengers entering the station, the year of station opening or renovation, or the number of platforms and tracks. The correlation with the number of station entrances was consistently negative for all PM sizes, whereas the number of correspondence concourses was negatively correlated with PM0.3 and PM10 levels and positively correlated with PM1 and PM2.5 levels. The highest PM10 exposure was observed for the station platform, followed by the subway cabin and train, while ticket counters had the highest PM0.3, PM1, and PM2.5 mass concentrations. We further found that compared to gravimetric and DiSCmini measurements, GRIMM results showed some discrepancies, with an underestimation of exposure levels. Therefore, we suggest using GRIMM, calibrated by gravimetric methods, for PM sizes above 1μm, and DiSCmini for sizes below 700 nm.
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Affiliation(s)
- Rémy Pétremand
- Department of Occupational and Environmental Health, Center of Primary Care and Public Health (Unisanté), University of Lausanne, Epalinges, 1066 Lausanne, Switzerland; (R.P.); (G.S.)
| | - Guillaume Suárez
- Department of Occupational and Environmental Health, Center of Primary Care and Public Health (Unisanté), University of Lausanne, Epalinges, 1066 Lausanne, Switzerland; (R.P.); (G.S.)
| | - Sophie Besançon
- Régie Automne de Transport Parisien (RATP), 75012 Paris, France;
| | - J Hugo Dil
- Institute of Physics, Ecole Polytechnique Fédérale de Lausanne (EPFL), 1015 Lausanne, Switzerland;
| | - Irina Guseva Canu
- Department of Occupational and Environmental Health, Center of Primary Care and Public Health (Unisanté), University of Lausanne, Epalinges, 1066 Lausanne, Switzerland; (R.P.); (G.S.)
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