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Zhang W, Zhu A, Ling J, Zhang R, Liu T, Tian T, Niu J, Dong J, Ruan Y. Short-term effects of nitrogen dioxide on inpatient acute myocardial infarction in Lanzhou, China. JOURNAL OF THE AIR & WASTE MANAGEMENT ASSOCIATION (1995) 2024; 74:449-456. [PMID: 38739852 DOI: 10.1080/10962247.2024.2350441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 04/24/2024] [Indexed: 05/16/2024]
Abstract
Nitrogen dioxide (NO2) represents a deleterious effect on acute myocardial infarction (AMI), but few relevant studies have been conducted in China. We aim to evaluate the acute effects of NO2 exposure on hospitalization for AMI in Lanzhou, China. In this study, we applied a distributional lag nonlinear model (DLNM) to assess the association between NO2 exposure and AMI hospitalization. We explored the sensitivity of various groups through stratified analysis by gender, age, and season. The daily average concentration of NO2 is 47.50 ± 17.38 µg/m3. We observed a significant exposure-response relationship between NO2 concentration and AMI hospitalization. The single pollutant model analysis shows that NO2 is positively correlated with AMI hospitalization at lag1, lag01, lag02, and lag03. The greatest lag effect estimate occurs at lag01, where a 10 µg/m3 increase in NO2 concentrations is significantly associated with a relative risk (RR) of hospitalization due to AMI of 1.027 [95% confidence interval (CI): 1.013, 1.042]. The results of the stratified analysis by gender, age, and season indicate that males, those aged ≥65 years, and the cold season are more sensitive to the deleterious effects caused by NO2 exposure. Short-term exposure to NO2 can enhance the risk of AMI hospitalization in urban Lanzhou.Implications: Exposure to particulate matter can lead to an increased incidence of AMI. Our study once again shows that NO2 exposure increases the risk of AMI hospital admission. AMI is a common and expensive fatal condition. Reducing NO2 exposure will benefit cardiovascular health and save on healthcare costs.
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Affiliation(s)
- Wancheng Zhang
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Anning Zhu
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Jianglong Ling
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Runping Zhang
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Tong Liu
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Tian Tian
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Jingping Niu
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Jiyuan Dong
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
| | - Ye Ruan
- School of Public Health, Lanzhou University, Lanzhou, People's Republic of China
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Eriksen Hammer S, Daae HL, Kåsin K, Helmersmo K, Simensen V, Skaugset NP, Hassel E, Zardin E. Chemical characterization of combustion engine exhaust and assessment of helicopter deck operator occupational exposures on an offshore frigate class ship. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE 2023; 20:170-182. [PMID: 36787211 DOI: 10.1080/15459624.2023.2180150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Diesel engine exhaust (DE) consists of a complex mixture of gases and aerosols, originating from sources such as engines, turbines, and power generators. It is composed of a wide range of toxic compounds ranging from constituents that are irritating to those that are carcinogenic. The purposes of this work were to characterize DE originating from different engine types on a ship operating offshore and to quantify the potential exposure of workers on the ship's helicopter deck to select DE compounds. Sampling was conducted on a Norwegian Nansen-class frigate that included helicopter operations. Frigate engines and generators were fueled by marine diesel oil, while the helicopter engine was fueled by high flash point kerosene-type aviation fuel. Exhaust samples were collected directly from the stack of the diesel engine and one of the diesel generator exhaust stacks, inside a gas turbine exhaust stack, and at the exhaust outlet of the helicopter. To characterize the different exhaust sources, non-targeted screening of volatile and semi-volatile organic compounds was performed for multiple chemical classes. Some of the compounds detected at the sources are known irritants, such as phthalic anhydride, 2,5-dyphenyl-p-benzoquinone, styrene, cinnoline, and phenyl maleic anhydride. The exhaust from the diesel engine and diesel generator was found to contain the highest amounts of particulate matter and gaseous compounds, while the gas turbine had the lowest emissions. Personal exposure samples were collected outdoors in the breathing zone of a helicopter deck operator over nine working shifts, simultaneously with stationary measurements on the helicopter deck. Elemental carbon, nitrogen dioxide, and several volatile organic compounds are known to be present in DE, such as formaldehyde, acrolein, and phenol were specifically targeted. Measured DE exposures of the crew on the helicopter deck were variable, but less than the current European occupational exposure limits for all compounds, except elemental carbon, in which concentration varied between 0.5 and 37 µg/m3 over nine work shifts. These findings are among the first published for this type of working environment.
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Affiliation(s)
| | | | | | | | | | | | - Erlend Hassel
- Norwegian Armed Forces Occupational Health Service, Trondheim, Norway
- Department of Occupational Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway
- Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
| | - Erika Zardin
- National Institute of Occupational Health, Oslo, Norway
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Gren L, Krais AM, Assarsson E, Broberg K, Engfeldt M, Lindh C, Strandberg B, Pagels J, Hedmer M. Underground emissions and miners' personal exposure to diesel and renewable diesel exhaust in a Swedish iron ore mine. Int Arch Occup Environ Health 2022; 95:1369-1388. [PMID: 35294627 PMCID: PMC9273542 DOI: 10.1007/s00420-022-01843-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 02/09/2022] [Indexed: 11/10/2022]
Abstract
PURPOSE Underground diesel exhaust exposure is an occupational health risk. It is not known how recent intensified emission legislation and use of renewable fuels have reduced or altered occupational exposures. We characterized these effects on multipollutant personal exposure to diesel exhaust and underground ambient air concentrations in an underground iron ore mine. METHODS Full-shift personal sampling (12 workers) of elemental carbon (EC), nitrogen dioxide (NO2), polycyclic aromatic hydrocarbons (PAHs), and equivalent black carbon (eBC) was performed. The study used and validated eBC as an online proxy for occupational exposure to EC. Ambient air sampling of these pollutants and particle number size distribution and concentration were performed in the vicinity of the workers. Urine samples (27 workers) were collected after 8 h exposure and analyzed for PAH metabolites and effect biomarkers (8-oxodG for DNA oxidative damage, 4-HNE-MA for lipid peroxidation, 3-HPMA for acrolein). RESULTS The personal exposures (geometric mean; GM) of the participating miners were 7 µg EC m-3 and 153 µg NO2 m-3, which are below the EU occupational exposure limits. However, exposures up to 94 µg EC m-3 and 1200 µg NO2 m-3 were observed. There was a tendency that the operators of vehicles complying with sharpened emission legislation had lower exposure of EC. eBC and NO2 correlated with EC, R = 0.94 and R = 0.66, respectively. No correlation was found between EC and the sum of 16 priority PAHs (GM 1790 ng m-3). Ratios between personal exposures and ambient concentrations were similar and close to 1 for EC and NO2, but significantly higher for PAHs. Semi-volatile PAHs may not be effectively reduced by the aftertreatment systems, and ambient area sampling did not predict the personal airborne PAHs exposure well, neither did the slightly elevated concentration of urinary PAH metabolites correlate with airborne PAH exposure. CONCLUSION Miners' exposures to EC and NO2 were lower than those in older studies indicating the effect of sharpened emission legislation and new technologies. Using modern vehicles with diesel particulate filter (DPF) may have contributed to the lower ambient underground PM concentration and exposures. The semi-volatile behavior of the PAHs might have led to inefficient removal in the engines aftertreatment systems and delayed removal by the workplace ventilation system due to partitioning to indoor surfaces. The results indicate that secondary emissions can be an important source of gaseous PAH exposure in the mine.
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Affiliation(s)
- Louise Gren
- Ergonomics and Aerosol Technology, LTH, Lund University, 221 00 Lund, Sweden
| | - Annette M. Krais
- Division of Occupational and Environmental Medicine, Lund University, 221 00 Lund, Sweden
| | - Eva Assarsson
- Division of Occupational and Environmental Medicine, Lund University, 221 00 Lund, Sweden
| | - Karin Broberg
- Division of Occupational and Environmental Medicine, Lund University, 221 00 Lund, Sweden
| | - Malin Engfeldt
- Division of Occupational and Environmental Medicine, Lund University, 221 00 Lund, Sweden
- Department of Occupational and Environmental Medicine, Region Skåne, 223 81 Lund, Sweden
| | - Christian Lindh
- Division of Occupational and Environmental Medicine, Lund University, 221 00 Lund, Sweden
| | - Bo Strandberg
- Division of Occupational and Environmental Medicine, Lund University, 221 00 Lund, Sweden
- Department of Occupational and Environmental Medicine, Region Skåne, 223 81 Lund, Sweden
| | - Joakim Pagels
- Ergonomics and Aerosol Technology, LTH, Lund University, 221 00 Lund, Sweden
| | - Maria Hedmer
- Division of Occupational and Environmental Medicine, Lund University, 221 00 Lund, Sweden
- Department of Occupational and Environmental Medicine, Region Skåne, 223 81 Lund, Sweden
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Ziembicki S, Kirkham TL, Demers PA, Peters CE, Gorman Ng M, Davies HW, Tenkate T, Kalenge S, Blagrove-Hall N, Jardine KJ, Arrandale VH. Diesel Engine Exhaust Exposure in the Ontario Civil Infrastructure Construction Industry. Ann Work Expo Health 2021; 66:150-162. [PMID: 34585719 DOI: 10.1093/annweh/wxab068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 07/26/2021] [Accepted: 08/06/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Diesel engine exhaust (DEE) is a known lung carcinogen and a common occupational exposure in Canada. The use of diesel-powered equipment in the construction industry is particularly widespread, but little is known about DEE exposures in this work setting. The objective of this study was to determine exposure levels and identify and characterize key determinants of DEE exposure at construction sites in Ontario. METHODS Elemental carbon (EC, a surrogate of DEE exposure) measurements were collected at seven civil infrastructure construction worksites and one trades training facility in Ontario using NIOSH method 5040. Full-shift personal air samples were collected using a constant-flow pump and SKC aluminium cyclone with quartz fibre filters in a 37-mm cassette. Exposures were compared with published health-based limits, including the Dutch Expert Committee on Occupational Safety (DECOS) limit (1.03 µg m-3 respirable EC) and the Finnish Institute of Occupational Health (FIOH) recommendation (5 µg m-3 respirable EC). Mixed-effects linear regression was used to identify determinants of EC exposure. RESULTS In total, 149 EC samples were collected, ranging from <0.25 to 52.58 µg m-3 with a geometric mean (GM) of 3.71 µg m-3 [geometric standard deviation (GSD) = 3.32]. Overall, 41.6% of samples exceeded the FIOH limit, mostly within underground worksites (93.5%), and 90.6% exceeded the DECOS limit. Underground workers (GM = 13.20 µg m-3, GSD = 1.83) had exposures approximately four times higher than below grade workers (GM = 3.56 µg m-3, GSD = 1.94) and nine times higher than above ground workers (GM = 1.49 µg m-3, GSD = 1.75). Training facility exposures were similar to above ground workers (GM = 1.86 µg m-3, GSD = 4.12); however, exposures were highly variable. Work setting and enclosed cabins were identified as the key determinants of exposure in the final model (adjusted R2 = 0.72, P < 0.001). The highest DEE exposures were observed in underground workplaces and when using unenclosed cabins. CONCLUSIONS This study provides data on current DEE exposure in Canadian construction workers. Most exposures were above recommended health-based limits, albeit in other jurisdictions, signifying a need to further reduce DEE levels in construction. These results can inform a hazard reduction strategy including targeted intervention/control measures to reduce DEE exposure and the burden of occupational lung cancer.
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Affiliation(s)
- Stephanie Ziembicki
- Occupational Cancer Research Centre, Ontario Health, Toronto, ON, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Tracy L Kirkham
- Occupational Cancer Research Centre, Ontario Health, Toronto, ON, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Paul A Demers
- Occupational Cancer Research Centre, Ontario Health, Toronto, ON, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.,School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
| | - Cheryl E Peters
- Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Holy Cross Centre, AB, Canada.,Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, Canada.,Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.,CAREX Canada, Faculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada
| | - Melanie Gorman Ng
- School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.,BC Construction Safety Alliance, New Westminster, BC, Canada
| | - Hugh W Davies
- School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
| | - Thomas Tenkate
- School of Occupational and Public Health, Ryerson University, Toronto, ON, Canada
| | - Sheila Kalenge
- Occupational Cancer Research Centre, Ontario Health, Toronto, ON, Canada
| | | | | | - Victoria H Arrandale
- Occupational Cancer Research Centre, Ontario Health, Toronto, ON, Canada.,Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
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da Silveira Fleck A, Catto C, L'Espérance G, Masse JP, Roberge B, Debia M. Characterization and Quantification of Ultrafine Particles and Carbonaceous Components from Occupational Exposures to Diesel Particulate Matter in Selected Workplaces. Ann Work Expo Health 2020; 64:490-502. [PMID: 32266382 DOI: 10.1093/annweh/wxaa027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 12/20/2019] [Accepted: 02/25/2020] [Indexed: 11/13/2022] Open
Abstract
Questions still exist regarding which indicator better estimates worker's exposure to diesel particulate matter (DPM) and, especially for ultrafine particles (UFP), how exposure levels and the characteristics of the particles vary in workplaces with different exposure conditions. This study aimed to quantify and characterize DPM exposures in three workplaces with different exposure levels: an underground mine, a subway tunnel, and a truck repair workshop. The same sampling strategy was used and included measurements of the particle number concentration (PNC), mass concentration, size distribution, transmission electron microscopy (TEM), and the characterization of carbonaceous fractions. The highest geometric means (GMs) of PNC and elemental carbon (EC) were measured in the mine [134 000 (geometric standard deviation, GSD = 1.5) particles cm-3 and 125 (GSD = 2.1) µg m-3], followed by the tunnel [32 800 (GSD = 1.7) particles cm-3 and 24.7 (GSD = 2.4) µg m-3], and the truck workshop [22 700 (GSD = 1.3) particles cm-3 and 2.7 (GSD = 2.4) µg m-3]. This gradient of exposure was also observed for total carbon (TC) and particulate matter. The TC/EC ratio was 1.4 in the mine, 2.5 in the tunnel and 8.7 in the workshop, indicating important organic carbon interference in the non-mining workplaces. EC and PNC were strongly correlated in the tunnel (r = 0.85; P < 0.01) and the workshop (r = 0.91; P < 0.001), but a moderate correlation was observed in the mine (r = 0.57; P < 0.05). Results from TEM showed individual carbon spheres between 10 and 56.5 nm organized in agglomerates, while results from the size distribution profiles showed bimodal distributions with a larger accumulation mode in the mine (93 nm) compared with the tunnel (39 nm) and the truck workshop (34 nm). In conclusion, the composition of the carbonaceous fraction varies according to the workplace, and can interfere with DPM estimation when TC is used as indicator. Also, the dominance of particles <100 nm in all workplaces, the high levels of PNC measured and the good correlation with EC suggest that UFP exposures should receive more attention on occupational routine measurements and regulations.
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Affiliation(s)
- Alan da Silveira Fleck
- Department of Environmental and Occupational Health, University of Montreal, Montreal, QC, Canada.,Centre de recherche en santé publique, Montreal, QC, Canada
| | - Cyril Catto
- Department of Environmental and Occupational Health, University of Montreal, Montreal, QC, Canada
| | - Gilles L'Espérance
- Department of Mathematical and Industrial Engineering, École Polytechnique de Montréal, Montréal, QC, Canada
| | - Jean-Philippe Masse
- Department of Mathematical and Industrial Engineering, École Polytechnique de Montréal, Montréal, QC, Canada
| | - Brigitte Roberge
- Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail (IRSST), Montréal, QC, Canada
| | - Maximilien Debia
- Department of Environmental and Occupational Health, University of Montreal, Montreal, QC, Canada.,Centre de recherche en santé publique, Montreal, QC, Canada
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