1
|
McIntyre AM, Scammell MK, Kinney PL, Khosla K, Benton L, Bongiovanni R, McCannon J, Milando CW. Portable Air Cleaner Usage and Particulate Matter Exposure Reduction in an Environmental Justice Community: A Pilot Study. ENVIRONMENTAL HEALTH INSIGHTS 2024; 18:11786302241258587. [PMID: 38863688 PMCID: PMC11165963 DOI: 10.1177/11786302241258587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 05/12/2024] [Indexed: 06/13/2024]
Abstract
Particulate matter (PM) exposure is associated with adverse health outcomes, including respiratory illness. A large fraction of exposure to airborne contaminants occurs in the home. This study, conducted over 5 months in a community with high asthma rates (Chelsea, MA, USA), investigated the use of portable air cleaners (PACs) to reduce indoor PM. Seven asthma-affected households participated, receiving a PAC (Austin Air Health Mate HEPA filter), a QuantAQ sensor to measure PM1, PM2.5, PM10 (µg/m3), and a HOBO plug-load data logger to track PAC usage. Results describe hourly and daily PM concentrations and PAC usage for each household. Hourly average PM concentrations decreased when PACs were turned on (vs. when they were turned off) across households during the study period: PM1 decreased by 0.46 µg/m3, PM2.5 decreased by 0.69 µg/m3, and PM10 decreased by 3.22 µg/m3. PAC usage varied for each household, including constant usage in one household and only usage at certain times of day in others. Higher filtration settings led to lower PM, with significant reductions in some, but not all, homes. Our findings highlight some difficulties in implementing household PAC interventions, yet also provide evidence to support household-level interventions to reduce PM and other indoor sources of air pollution. We also highlight academic-community partnerships as contributing to evidence-based solutions.
Collapse
Affiliation(s)
- Alina M McIntyre
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Madeleine K Scammell
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Patrick L Kinney
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | - Kiran Khosla
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| | | | | | | | - Chad W Milando
- Department of Environmental Health, Boston University School of Public Health, Boston, MA, USA
| |
Collapse
|
2
|
Morawska L. The burden of disease due to indoor air pollution and why we need to know about it. Sci Bull (Beijing) 2024; 69:1161-1164. [PMID: 38480021 DOI: 10.1016/j.scib.2024.02.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/06/2024]
Affiliation(s)
- Lidia Morawska
- International Laboratory for Air Quality and Heath (ILAQH), WHO Collaborating Centre for Air Quality and Health, School of Earth and Atmospheric Sciences, Queensland University of Technology, Brisbane QLD 4001, Australia; Global Centre for Clean Air Research (GCARE), School of Sustainability, Civil and Environmental Engineering, Faculty of Engineering and Physical Sciences, University of Surrey, Guildford GU2 7XH, UK.
| |
Collapse
|
3
|
Liu N, Liu W, Deng F, Liu Y, Gao X, Fang L, Chen Z, Tang H, Hong S, Pan M, Liu W, Huo X, Guo K, Ruan F, Zhang W, Zhao B, Mo J, Huang C, Su C, Sun C, Zou Z, Li H, Sun Y, Qian H, Zheng X, Zeng X, Guo J, Bu Z, Mandin C, Hänninen O, Ji JS, Weschler LB, Kan H, Zhao Z, Zhang Y. The burden of disease attributable to indoor air pollutants in China from 2000 to 2017. Lancet Planet Health 2023; 7:e900-e911. [PMID: 37940210 DOI: 10.1016/s2542-5196(23)00215-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 09/04/2023] [Accepted: 09/06/2023] [Indexed: 11/10/2023]
Abstract
BACKGROUND High-level exposure to indoor air pollutants (IAPs) and their corresponding adverse health effects have become a public concern in China in the past 10 years. However, neither national nor provincial level burden of disease attributable to multiple IAPs has been reported for China. This is the first study to estimate and rank the annual burden of disease and the financial costs attributable to targeted residential IAPs at the national and provincial level in China from 2000 to 2017. METHODS We first did a systematic review and meta-analysis of 117 articles from 37 231 articles identified in major databases, and obtained exposure-response relationships for the candidate IAPs. The exposure levels to these IAPs were then collected by another systematic review of 1864 articles selected from 52 351 articles. After the systematic review, ten IAPs with significant and robust exposure-response relationships and sufficient exposure data were finally targeted: PM2·5, nitrogen dioxide, sulphur dioxide, ozone, carbon monoxide, radon, formaldehyde, benzene, toluene, and p-dichlorobenzene. The annual exposure levels in residences were then evaluated in all 31 provinces in mainland China continuously from 2000 to 2017, using the spatiotemporal Gaussian process regression model to analyse indoor originating IAPs, and the infiltration factor method to analyse outdoor originating IAPs. The disability-adjusted life-years (DALYs) attributable to the targeted IAPs were estimated at both national and provincial levels in China, using the population attributable fraction method. Financial costs were estimated by an adapted human capital approach. FINDINGS From 2000 to 2017, annual DALYs attributable to the ten IAPs in mainland China decreased from 4620 (95% CI 4070-5040) to 3700 (3210-4090) per 100 000. Nevertheless, in 2017, IAPs still ranked third among all risk factors, and their DALYs and financial costs accounted for 14·1% (95% CI 12·3-15·6) of total DALYs and 3·45% (3·01-3·82) of the gross domestic product. Specifically, the rank of ten targeted IAPs in order of their contribution to DALYs in 2017 was PM2·5, carbon monoxide, radon, benzene, nitrogen dioxide, ozone, sulphur dioxide, formaldehyde, toluene, and p-dichlorobenzene. The DALYs attributable to IAPs were 9·50% higher than those attributable to outdoor air pollution in 2017. For the leading IAP, PM2·5, the DALYs attributable to indoor origins are 18·3% higher than those of outdoor origins. INTERPRETATION DALYs attributed to IAPs in China have decreased by 20·0% over the past two decades. Even so, they are still much higher than those in the USA and European countries. This study can provide a basis for determining which IAPs to target in various indoor air quality standards and for estimating the health and economic benefits of various indoor air quality control approaches, which will help to reduce the adverse health effects of IAPs in China. FUNDING The National Key Research and Development Program of China and the National Natural Science Foundation of China.
Collapse
Affiliation(s)
- Ningrui Liu
- Department of Building Science, Tsinghua University, Beijing, China; Beijing Key Laboratory of Indoor Air Quality Evaluation and Control, Beijing, China
| | - Wei Liu
- Institute for Health and Environment, Chongqing University of Science and Technology, Chongqing, China
| | - Furong Deng
- School of Public Health, Peking University, Beijing, China
| | - Yumeng Liu
- Department of Building Science, Tsinghua University, Beijing, China
| | - Xuehuan Gao
- Anhui Provincial Center for Disease Control and Prevention, Hefei, China
| | - Lin Fang
- Department of Building Science, Tsinghua University, Beijing, China; Beijing Key Laboratory of Indoor Air Quality Evaluation and Control, Beijing, China
| | - Zhuoru Chen
- School of Public Health, Fudan University, Shanghai, China
| | - Hao Tang
- School of Public Health, Fudan University, Shanghai, China
| | - Shijie Hong
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Minyi Pan
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Wei Liu
- School of Environmental Science and Engineering, Tianjin University, Tianjin, China
| | - Xinyue Huo
- School of Environmental Science and Engineering, Tianjin University, Tianjin, China
| | - Kangqi Guo
- School of Energy and Environment, Southeast University, Nanjing, China
| | - Fangfang Ruan
- School of Environment and Natural Resources, Renmin University of China, Beijing, China
| | - Wenlou Zhang
- School of Public Health, Peking University, Beijing, China
| | - Bin Zhao
- Department of Building Science, Tsinghua University, Beijing, China
| | - Jinhan Mo
- Department of Building Science, Tsinghua University, Beijing, China; Beijing Key Laboratory of Indoor Air Quality Evaluation and Control, Beijing, China
| | - Chen Huang
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Chunxiao Su
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Chanjuan Sun
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Zhijun Zou
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Hao Li
- School of Environment and Architecture, University of Shanghai for Science and Technology, Shanghai, China
| | - Yuexia Sun
- School of Environmental Science and Engineering, Tianjin University, Tianjin, China
| | - Hua Qian
- School of Energy and Environment, Southeast University, Nanjing, China
| | - Xiaohong Zheng
- School of Energy and Environment, Southeast University, Nanjing, China
| | - Xiangang Zeng
- School of Environment and Natural Resources, Renmin University of China, Beijing, China
| | - Jianguo Guo
- Institute of Laboratory Animal Science, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Zhongming Bu
- Department of Energy and Environmental System Engineering, Zhejiang University of Science and Technology, Hangzhou, China
| | - Corinne Mandin
- Institute for Radiation Protection and Nuclear Safety, Fontenay-aux-Roses Cedex, Marne-la-Vallée, France
| | - Otto Hänninen
- Finnish Institute for Health and Welfare, Department of Health Security, Kuopio, Finland
| | - John S Ji
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | | | - Haidong Kan
- School of Public Health, Fudan University, Shanghai, China; Shanghai Institute of Pollution Control and Ecological Security, Shanghai, China.
| | - Zhuohui Zhao
- School of Public Health, Fudan University, Shanghai, China; Key Laboratory of Public Health Safety of the Ministry of Education, NHC Key Laboratory of Health Technology Assessment (Fudan University), Shanghai Typhoon Institute/CMA, Shanghai Key Laboratory of Meteorology and Health, Shanghai, China; IRDR International Center of Excellence on Risk Interconnectivity and Governance on Weather/Climate Extremes Impact and Public Health, Fudan University, Shanghai China; WMO/IGAC MAP-AQ Asian Office Shanghai, Fudan University, Shanghai, China.
| | - Yinping Zhang
- Department of Building Science, Tsinghua University, Beijing, China; Beijing Key Laboratory of Indoor Air Quality Evaluation and Control, Beijing, China.
| |
Collapse
|
4
|
Jin S, Zhong L, Zhang X, Li X, Li B, Fang X. Indoor Volatile Organic Compounds: Concentration Characteristics and Health Risk Analysis on a University Campus. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20105829. [PMID: 37239556 DOI: 10.3390/ijerph20105829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 05/11/2023] [Accepted: 05/11/2023] [Indexed: 05/28/2023]
Abstract
Volatile organic compounds (VOCs) are major indoor air pollutants that contain several toxic substances. However, there are few studies on health risk assessments of indoor VOCs in China. This study aimed to determine the concentration characteristics of VOCs on college campuses by collecting VOC samples from different locations on campus during different seasons combined with the exposure times of college students in each location obtained from a questionnaire survey to assess the possible health risks. The highest total VOC concentration (254 ± 101 µg/m3) was in the dormitory. The seasonal variation of TVOC concentrations was related to the variation of emission sources in addition to temperature. Health risk assessments of VOCs were evaluated using non-carcinogenic and carcinogenic risk values, represented by hazard quotient (HQ) and lifetime cancer risk (LCR), respectively. The non-carcinogenic risks at all sampling sites were within the safe range (HQ < 1). Dormitories had the highest carcinogenic risk, whereas the carcinogenic risk in the other three places was low (with LCR < 1.0 × 10-6). Moreover, 1,2-dichloroethane was identified as a possible carcinogenic risk substance in the dormitory due to its high LCR (1.95 × 10-6). This study provides basic data on health risks in different locations on campus and a basis for formulating measures to improve people's living environments.
Collapse
Affiliation(s)
- Shengjia Jin
- College of Environmental & Resource Sciences, Zhejiang University, Hangzhou 310058, China
| | - Lu Zhong
- College of Environmental & Resource Sciences, Zhejiang University, Hangzhou 310058, China
| | - Xueyi Zhang
- College of Environmental & Resource Sciences, Zhejiang University, Hangzhou 310058, China
| | - Xinhe Li
- College of Environmental & Resource Sciences, Zhejiang University, Hangzhou 310058, China
| | - Bowei Li
- College of Environmental & Resource Sciences, Zhejiang University, Hangzhou 310058, China
| | - Xuekun Fang
- College of Environmental & Resource Sciences, Zhejiang University, Hangzhou 310058, China
- Center for Global Change Science, Massachusetts Institute of Technology, Cambridge, MA 02139, USA
| |
Collapse
|
5
|
Liu N, Zhao Z, Mandin C, Kan H, Zhang Y. Why should we target the burden of disease for indoor air pollutants? INDOOR AIR 2022; 32:e13147. [PMID: 36437648 DOI: 10.1111/ina.13147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 10/11/2022] [Indexed: 06/16/2023]
Affiliation(s)
- Ningrui Liu
- Department of Building Science, Tsinghua University, Beijing, China
- Beijing Key Laboratory of Indoor Air Quality Evaluation and Control, Beijing, China
| | - Zhuohui Zhao
- School of Public Health, Fudan University, Shanghai, China
| | - Corinne Mandin
- Scientific and Technical Center for Building (CSTB)/Observatory of Indoor Air Quality, University of Paris-Est, Marne-la-Vallée, France
| | - Haidong Kan
- School of Public Health, Fudan University, Shanghai, China
| | - Yinping Zhang
- Department of Building Science, Tsinghua University, Beijing, China
- Beijing Key Laboratory of Indoor Air Quality Evaluation and Control, Beijing, China
| |
Collapse
|
6
|
Dhital S, Rupakheti D, Rupakheti M, Yin X, Liu Y, Mafiana JJ, Alareqi MM, Mohamednour H, Zhang B. A scientometric analysis of indoor air pollution research during 1990-2019. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2022; 320:115736. [PMID: 35932736 DOI: 10.1016/j.jenvman.2022.115736] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Revised: 01/26/2022] [Accepted: 07/09/2022] [Indexed: 06/15/2023]
Abstract
Indoor air pollution (IAP) is one of the leading risk factors for various adverse health outcomes including premature deaths globally. Even though research related to IAP has been carried out, bibliometric studies with particular emphasis on this topic have been lacking. Here, we investigated IAP research from 1990 to 2019 retrieved from the Web of Science database through a comprehensive and systematic scientometric analysis using the CiteSpace 5.7.R2, a powerful tool for visualizing structural, temporal patterns and trends of a scientific field. There was an exponential increase in publications, however, with a stark difference between developed and developing countries. The journals publishing IAP related research had multiple disciplines; 'Indoor Air' journal that focuses solely on IAP issues ranked fifth among top-cited journals. The terms like 'global burden', 'comparative risk assessment,' 'household air pollution (HAP)', 'ventilation', 'respiratory health', 'emission factor', 'impact,' 'energy', 'household', 'India' were the current topical subject where author Kirk R. Smith was identified with a significant contribution. Research related to rural, fossil-fuel toxicity, IAP, and exposure-assessment had the highest citation burst signifying the particular attention of scientific communities to these subjects. Overall, this study examined the evolution of IAP research, identified the gaps and provided future research directions.
Collapse
Affiliation(s)
- Sushma Dhital
- School of Public Health, Lanzhou University, Lanzhou 730000, China.
| | - Dipesh Rupakheti
- Jiangsu Key Laboratory of Atmospheric Environment Monitoring and Pollution Control, Collaborative Innovation Center of Atmospheric Environment and Equipment Technology, School of Environmental Science and Engineering, Nanjing University of Information Science & Technology, Nanjing 210044, China
| | | | - Xiufeng Yin
- State Key Laboratory of Cryospheric Science, Northwest Institute of Eco-Environment and Resources, Chinese Academy of Sciences, Lanzhou 730000, China
| | - Yanli Liu
- School of Public Health, Lanzhou University, Lanzhou 730000, China
| | | | | | | | - Benzhong Zhang
- School of Public Health, Lanzhou University, Lanzhou 730000, China.
| |
Collapse
|
7
|
Halios CH, Landeg-Cox C, Lowther SD, Middleton A, Marczylo T, Dimitroulopoulou S. Chemicals in European residences - Part I: A review of emissions, concentrations and health effects of volatile organic compounds (VOCs). THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 839:156201. [PMID: 35623519 DOI: 10.1016/j.scitotenv.2022.156201] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 05/16/2022] [Accepted: 05/20/2022] [Indexed: 06/15/2023]
Abstract
One of the more important classes of potentially toxic indoor air chemicals are the Volatile Organic Compounds (VOCs). However, due to a limited understanding of the relationships between indoor concentrations of individual VOCs and health outcomes, there are currently no universal health-based guideline values for VOCs within Europe including the UK. In this study, a systematic search was conducted designed to capture evidence on concentrations, emissions from indoor sources, and health effects for VOCs measured in European residences. We identified 65 individual VOCs, and the most commonly measured were aromatic hydrocarbons (14 chemicals), alkane hydrocarbons (9), aldehydes (8), aliphatic hydrocarbons (5), terpenes (6), chlorinated hydrocarbons (4), glycol and glycol ethers (3) and esters (2). The pathway of interest was inhalation and 8 individual aromatic hydrocarbons, 7 alkanes and 6 aldehydes were associated with respiratory health effects. Members of the chlorinated hydrocarbon family were associated with cardiovascular neurological and carcinogenic health effects and some were irritants as were esters and terpenes. Eight individual aromatic hydrocarbons, 7 alkanes and 6 aldehydes identified in European residences were associated with respiratory health effects. Of the 65 individual VOCs, 52 were from sources associated with building and construction materials (e.g. brick, wood products, adhesives and materials for flooring installation etc.), 41 were linked with consumer products (passive, electric and combustible air fresheners, hair sprays, deodorants) and 9 VOCs were associated with space heating, which may reflect the relatively small number of studies discussing emissions from this category of sources. A clear decrease in concentrations of formaldehyde was observed over the last few years, whilst acetone was found to be one of the most abundant but underreported species. A new approach based on the operational indoor air quality surveillance will both reveal trends in known VOCs and identify new compounds.
Collapse
Affiliation(s)
- Christos H Halios
- Air Quality & Public Health Group, Environmental Hazards and Emergencies Department, Radiation, Chemicals and Environmental Hazards, Science Group, UK Health Security Agency, Harwell Science and Innovation Campus, Chilton, UK
| | - Charlotte Landeg-Cox
- Air Quality & Public Health Group, Environmental Hazards and Emergencies Department, Radiation, Chemicals and Environmental Hazards, Science Group, UK Health Security Agency, Harwell Science and Innovation Campus, Chilton, UK
| | - Scott D Lowther
- Air Quality & Public Health Group, Environmental Hazards and Emergencies Department, Radiation, Chemicals and Environmental Hazards, Science Group, UK Health Security Agency, Harwell Science and Innovation Campus, Chilton, UK
| | - Alice Middleton
- Air Quality & Public Health Group, Environmental Hazards and Emergencies Department, Radiation, Chemicals and Environmental Hazards, Science Group, UK Health Security Agency, Harwell Science and Innovation Campus, Chilton, UK
| | - Tim Marczylo
- Toxicology Department, Radiation, Chemicals and Environmental Hazards, Science Group, UK Health Security Agency, Harwell Science and Innovation Campus, Chilton, UK
| | - Sani Dimitroulopoulou
- Air Quality & Public Health Group, Environmental Hazards and Emergencies Department, Radiation, Chemicals and Environmental Hazards, Science Group, UK Health Security Agency, Harwell Science and Innovation Campus, Chilton, UK.
| |
Collapse
|
8
|
Vergerio G, Becchio C. Pursuing occupants' health and well-being in building management: Definition of new metrics based on indoor air parameters. BUILDING AND ENVIRONMENT 2022; 223:109447. [PMID: 35937084 PMCID: PMC9339165 DOI: 10.1016/j.buildenv.2022.109447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2022] [Revised: 06/10/2022] [Accepted: 07/20/2022] [Indexed: 06/15/2023]
Abstract
The spread of COVID-19 has affected the lives of millions of people. Pandemic has made people more sensitive to health issues. In particular, the growing concern for the virus spread in confined spaces has promoted the necessity to improve indoor air quality. Literature is stressing how buildings must be designed and operated pursuing occupants' health and well-being, with a particular attention for indoor air parameters. This poses the challenge of monitoring and assessing these aspects through proper metrics. In this paper the approach towards a multi-step assessment procedure embedding in buildings assessment health and well-being related variables and indicators is elaborated. They are intended to inform a building manager of the potential influence of air conditions on human health and well-being. Moreover, a set of monetary metrics (i.e., impacts) is proposed to translate energy and indoor air related building performances into euros, putting the basis for a comprehensive economic evaluation. The application of the set of proposed metrics to an Italian hotel (i.e., Italian pilot of H2020 MOBISTYLE project), enabled to map some indoor air conditions causing health concerns, and to identify clusters of guests with best and worst indoor air conditions, to be targeted by new management strategies. Despite case study specific limitations, the application exemplified how the methodology can expand the traditional energy-based performance assessment for building management towards indoor air domain and the related economic impacts, with implication on results in terms of overall economic performance of the building from both a private and public perspective.
Collapse
Affiliation(s)
- Giulia Vergerio
- TEBE-IEEM Research Group, Energy Department, Politecnico di Torino, Corso Duca degli Abruzzi, 24, 10129, Turin, Italy
| | - Cristina Becchio
- TEBE-IEEM Research Group, Energy Department, Politecnico di Torino, Corso Duca degli Abruzzi, 24, 10129, Turin, Italy
| |
Collapse
|
9
|
Pulliero A, Iodice S, Pesatori AC, Vigna L, Khalid Z, Bollati V, Izzotti A. The Relationship between Exposure to Airborne Particulate and DNA Adducts in Blood Cells in an Urban Population of Subjects with an Unhealthy Body Mass Index. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095761. [PMID: 35565154 PMCID: PMC9105958 DOI: 10.3390/ijerph19095761] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 05/04/2022] [Accepted: 05/06/2022] [Indexed: 01/27/2023]
Abstract
Bulky DNA adducts are a combined sign of aromatic chemical exposure, as well as an individual's ability to metabolically activate carcinogens and repair DNA damage. The present study aims to investigate the association between PM exposure and DNA adducts in blood cells, in a population of 196 adults with an unhealthy BMI (≥25). For each subject, a DNA sample was obtained for quantification of DNA adducts by sensitive32P post-labelling methods. Individual PM10 exposure was derived from daily mean concentrations measured by single monitors in the study area and then assigned to each subject by calculating the mean of the 30 days (short-term exposure), and of the 365 (long-term exposure) preceding enrolment. Multivariable linear regression models were used to study the association between PM10 and DNA adducts. The majority of analysed samples had bulky DNA adducts, with an average value of 3.7 ± 1.6 (mean ± SD). Overall, the findings of the linear univariate and multiple linear regression showed an inverse association between long-term PM10 exposure and adduct levels; this unexpected result might be since the population consists of subjects with an unhealthy BMI, which might show an atypical reaction to airborne urban pollutants; a hermetic response which happens when small amounts of pollutants are present. Pollutants can linger for a long time in the adipose tissue of obese persons, contributing to an increase in oxidative DNA damage, inflammation, and thrombosis when exposure is sustained.
Collapse
Affiliation(s)
- Alessandra Pulliero
- Department of Health Sciences, University of Genoa, 16132 Genoa, Italy;
- Correspondence: ; Tel.: +39-010-3538509
| | - Simona Iodice
- Epiget Lab, Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy; (S.I.); (A.C.P.); (V.B.)
| | - Angela Cecilia Pesatori
- Epiget Lab, Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy; (S.I.); (A.C.P.); (V.B.)
- Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy;
| | - Luisella Vigna
- Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy;
| | - Zumama Khalid
- Department of Health Sciences, University of Genoa, 16132 Genoa, Italy;
| | - Valentina Bollati
- Epiget Lab, Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy; (S.I.); (A.C.P.); (V.B.)
| | - Alberto Izzotti
- Department of Experimental Medicine, University of Genoa, 16132 Genoa, Italy;
- IRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy
| |
Collapse
|
10
|
Trevisi R, Antignani S, Botti T, Buresti G, Carpentieri C, Leonardi F, Bochicchio F. Cost-effectiveness analysis to assess the protection of workers from exposure to radon at work: A first application to Italian retail shops. JOURNAL OF ENVIRONMENTAL RADIOACTIVITY 2022; 242:106780. [PMID: 34856448 DOI: 10.1016/j.jenvrad.2021.106780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 11/11/2021] [Accepted: 11/24/2021] [Indexed: 06/13/2023]
Abstract
For the implementation of the requirements in the Council Directive 2013/59/Euratom (2013 EUBSS), the cost-effectiveness analysis (CEA) is generally considered a useful tool to compare different radon policies aimed at reducing radon exposure both at home and at work. In the framework of the EU funded RADPAR project, a methodology to perform CEA analysis of radon control in dwellings was developed - and used also for WHO's radon recommendations of 2009 - and it is based on the evaluation of the health effectiveness in terms of life years and/or QALYs (Quality Adjusted Life Years) gained. In this work, starting from the RADPAR model used for dwellings, a so-called RADPAR4workplaces model was developed to carry out CEA focused on reduction of radon exposure at workplaces. In particular, different radon policies in existing workplaces were considered and their cost-effectiveness were estimated, as a case study, for the Italian retail shops located at ground floor. Main results show that a policy that requires remedial actions where radon concentration is above a certain reference level (RL) and that recommends them also below this RL has a good cost-effectiveness ratio and it is more effective than a policy with no provisions for radon levels below RL. In particular, the further implementation of remediation below RL improves the health effectiveness increasing QALYs gained of 20% while cost per QALY increases of only 14%. Finally, promoting the remediation of workplaces below RL, QALYs gained and cost per QALY increase of about 80% and 20%, respectively, if remediation rate rises from 10% to 50% below RL.
Collapse
Affiliation(s)
| | - Sara Antignani
- ISS - Centro Nazionale Par la Protezione dalle Radiazioni e Fisica Computazionale, Viale Regina Elena, 299 Roma, Italy
| | - Teresa Botti
- INAIL - DiMEILA, Via Fontana Candida,1 Monte Porzio Catone (RM), Italy.
| | - Giuliana Buresti
- INAIL - DiMEILA, Via Fontana Candida,1 Monte Porzio Catone (RM), Italy
| | - Carmela Carpentieri
- ISS - Centro Nazionale Par la Protezione dalle Radiazioni e Fisica Computazionale, Viale Regina Elena, 299 Roma, Italy
| | - Federica Leonardi
- INAIL - DiMEILA, Via Fontana Candida,1 Monte Porzio Catone (RM), Italy
| | - Francesco Bochicchio
- ISS - Centro Nazionale Par la Protezione dalle Radiazioni e Fisica Computazionale, Viale Regina Elena, 299 Roma, Italy
| |
Collapse
|
11
|
Indoor Air Quality and Health Outcomes in Employees Working from Home during the COVID-19 Pandemic: A Pilot Study. ATMOSPHERE 2021. [DOI: 10.3390/atmos12121665] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
Indoor air quality (IAQ) has a substantial impact on public health. Since the beginning of the COVID-19 pandemic, more employees have worked remotely from home to minimize in-person contacts. This pilot study aims to measure the difference in workplace IAQ before and during the pandemic and its impact on employees’ health. The levels of fine particulate matter (PM2.5) and total volatile organic chemicals (tVOC) were measured in the employees’ offices before the COVID-19 pandemic and at homes while working from home during the pandemic using Foobot air monitors. The frequencies of six sick building syndrome (SBS) symptoms were evaluated at each period of monitoring. The result showed PM2.5 levels in households while working from home were significantly higher than in offices while working at the office for all participants (p < 0.05). The PM2.5 levels in all households exceeded the health-based annual mean standard (12 µg/m3), whereas 90% of offices were in compliance. The tVOC levels were all below the standard (500 µg/m3). We also found a higher frequency of SBS symptoms were observed while working from home as the IAQ was worse at home. This study suggested that working from home might have a detrimental health impact due to poor IAQ and providing interventions to remote employees should be considered.
Collapse
|
12
|
Elsaid AM, Mohamed HA, Abdelaziz GB, Ahmed MS. A critical review of heating, ventilation, and air conditioning (HVAC) systems within the context of a global SARS-CoV-2 epidemic. PROCESS SAFETY AND ENVIRONMENTAL PROTECTION : TRANSACTIONS OF THE INSTITUTION OF CHEMICAL ENGINEERS, PART B 2021; 155:230-261. [PMID: 34566275 PMCID: PMC8450051 DOI: 10.1016/j.psep.2021.09.021] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Revised: 09/12/2021] [Accepted: 09/13/2021] [Indexed: 05/06/2023]
Abstract
The Coronavirus disease (COVID-19) has spread over the world, resulting in more than 225 million patients, and 4.7 million deaths in September 2021. It also caused panic and terror, halted numerous activities, and resulted in the world economy deteriorates. It altered human behavior and compelled people to alter their lifestyles to avoid infection. Air conditioning systems are one of the most important sectors that must be considered because of the pandemic SARS-CoV-2 all over the world. Air is used as a heat transfer medium in heating, ventilation, and air conditioning (HVAC) systems. The air contains a variety of pollutants, viruses, and bacteria, all of which have an impact on and destroy human life. Significantly in summer, people spend more time in air conditioners which results in lower levels of vitamin D and melatonin which may affect the functioning of their immune system and are susceptible to receiving SARS-CoV-2 from other individuals. As an important component of air conditioning and ventilation systems, the air filter plays a significant role. As a result, researchers must work harder to improve its design to prevent the ultra-small particles loaded with COVID-19. This paper contributes to the design of existing HVAC systems in terms of their suitability and impact on the spread of the hybrid SARS-CoV-2 epidemic, as well as efforts to obtain a highly efficient air filter to remove super-sized particles for protection against epidemic infection. In addition, important guideline recommendations have been extracted to limit the spread of the SARS-CoV-2 throughout the world and to get the highest quality indoor air in air-conditioned places.
Collapse
Affiliation(s)
- Ashraf Mimi Elsaid
- Department of Refrigeration and Air Conditioning Technology, Faculty of Technology and Education, Helwan University, Cairo 11282, Egypt
| | - Hany A Mohamed
- Department of Mechanical Engineering, Faculty of Engineering, Assiut University, Asyut 71516, Egypt
- Mechanical Engineering Department, Higher Technological Institute, 10th Ramadan, Ramadan City 44634, Egypt
| | - Gamal B Abdelaziz
- Mechanical Department, Faculty of Technology and Education, Suez University, Suez, Egypt
| | - M Salem Ahmed
- Mechanical Department, Faculty of Technology and Education, Sohag University, Sohag, Egypt
| |
Collapse
|
13
|
High Levels of Fine Particulate Matter (PM 2.5) Concentrations from Burning Solid Fuels in Rural Households of Butajira, Ethiopia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136942. [PMID: 34209476 PMCID: PMC8297326 DOI: 10.3390/ijerph18136942] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 05/24/2021] [Accepted: 06/18/2021] [Indexed: 01/06/2023]
Abstract
The use of solid fuel, known to emit pollutants which cause damage to human health, is the primary energy option in Ethiopia. Thus, the aim of this study was to measure the level of household air pollution by using the 24-h mean concentration of fine particulate matter (PM2.5) in 150 randomly recruited households in rural Butajira, Ethiopia. Data relating to household and cooking practices were obtained by conducting face-to-face interviews with the mothers. The 24-h mean (standard deviation) and median PM2.5 concentrations were 410 (220) and 340 µg/m3, respectively. Households using only traditional stoves and those who did not open the door or a window during cooking had a significantly higher mean concentration compared with their counterparts. There is a statistically significant correlation between the mean concentration of PM2.5 and the self-reported cooking duration. The pollution level was up to 16 times higher than the WHO 24-h guideline limit of 25 μg/m3, thus leaving the mothers and children who spend the most time at the domestic hearth at risk of the adverse health effects from solid fuel use in Ethiopia. Thus, effective short- and long-term interventions are urgently needed.
Collapse
|
14
|
Matthaios VN, Liu M, Li L, Kang CM, Vieira CLZ, Gold DR, Koutrakis P. Sources of indoor PM 2.5 gross α and β activities measured in 340 homes. ENVIRONMENTAL RESEARCH 2021; 197:111114. [PMID: 33812873 DOI: 10.1016/j.envres.2021.111114] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Revised: 03/24/2021] [Accepted: 03/28/2021] [Indexed: 06/12/2023]
Abstract
Particle radioactivity (PR) exposure has been linked to adverse health effects. PR refers to the presence of α- and β-emitting radioisotopes attached to fine particulate matter (PM2.5). This study investigated sources contributing to indoor PM2.5 gross α- and β-radioactivity levels. We measured activity from long-lived radon progeny radionuclides from archived PM2.5 samples collected in 340 homes in Massachusetts during the period 2006-2010. We analyzed the data using linear mixed effects models and positive matrix factorization (PMF) analysis. Indoor PM2.5 gross α-activity levels were correlated with sulfur (S), iron (Fe), bromine (Br), vanadium (V), sodium (Na), lead (Pb), potassium (K), calcium (Ca), silicon (Si), zinc (Zn), arsenic (As), titanium (Ti), radon (222Rn) and black carbon (BC) concentrations (p <0.05). Indoor PM2.5 β-activity was correlated with S, As, antimony (Sb), Pb, Br and BC. We identified four indoor PM2.5 sources: outdoor air pollution (62%), salt aerosol source (14%), fireworks and environmental tobacco smoke (7%) and indoor mixed dust (17%). Outdoor air pollution was the most significant contributor to indoor PM2.5 α- and β-activity levels. The contributions of this source were during the summer months and when windows were open. Indoor mixed dust was also found to contribute to PM2.5 α-activity. PM2.5 α-activity was further associated with radon during winter months, showing radon's important role as an indoor source of ionizing radiation.
Collapse
Affiliation(s)
- Vasileios N Matthaios
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Also at: School of Geography Earth and Environmental Science, University of Birmingham, UK.
| | - Man Liu
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Longxiang Li
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Choong-Min Kang
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Carolina L Z Vieira
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Diane R Gold
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Harvard Medical School, Boston, MA, USA
| | - Petros Koutrakis
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| |
Collapse
|
15
|
Shahriyari HA, Nikmanesh Y, Jalali S, Tahery N, Zhiani Fard A, Hatamzadeh N, Zarea K, Cheraghi M, Mohammadi MJ. Air pollution and human health risks: mechanisms and clinical manifestations of cardiovascular and respiratory diseases. TOXIN REV 2021. [DOI: 10.1080/15569543.2021.1887261] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
| | - Yousef Nikmanesh
- Gastroenterohepatology Research Center, Shiraz University of Medical Science, Shiraz, Iran
| | - Saeid Jalali
- Department of Environmental Health Engineering, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Noorollah Tahery
- Department of Nursing, School of Nursing, Abadan Faculty of Medical Sciences, Abadan, Iran
| | - Akram Zhiani Fard
- Instructor Medical Education, Department of Public Health, Esfarayen Faculty of Medical Sciences, Esfarayen, Iran
| | - Nasser Hatamzadeh
- Department of Health Promotion and Education, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Kourosh Zarea
- Department of Nursing, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Maria Cheraghi
- Cancer Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mohammad Javad Mohammadi
- Department of Environmental Health Engineering, School of Public Health and Environmental Technologies Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| |
Collapse
|
16
|
Nazaroff WW. Residential air-change rates: A critical review. INDOOR AIR 2021; 31:282-313. [PMID: 33403728 DOI: 10.1111/ina.12785] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 12/13/2020] [Indexed: 05/26/2023]
Abstract
Air-change rate is an important parameter influencing residential air quality. This article critically assesses the state of knowledge regarding residential air-change rates, emphasizing periods of normal occupancy. Cumulatively, about 40 prior studies have measured air-change rates in approximately 10,000 homes using tracer gases, including metabolic CO2 . The central tendency of the air-change rates determined in these studies is reasonably described as lognormal with a geometric mean of 0.5 h-1 and a geometric standard deviation of 2.0. However, the geometric means of individual studies vary, mainly within the range 0.2-1 h-1 . Air-change rates also vary with time in residences. Factors influencing the air-change rate include weather (indoor-outdoor temperature difference and wind speed), the leakiness of the building envelope, and, when present, operation of mechanical ventilation systems. Occupancy-associated factors are also important, including window opening, induced exhaust from flued combustion, and use of heating and cooling systems. Empirical and methodological challenges remain to be effectively addressed. These include clarifying the time variation of air-change rates in residences during occupancy and understanding the influence of time-varying air-change rates on tracer-gas measurement techniques. Important opportunities are available to improve understanding of air-change rates and interzonal flows as factors affecting the source-to-exposure relationships for indoor air pollutants.
Collapse
Affiliation(s)
- William W Nazaroff
- Department of Civil and Environmental Engineering, University of California, Berkeley, CA, USA
| |
Collapse
|
17
|
Wolkoff P, Azuma K, Carrer P. Health, work performance, and risk of infection in office-like environments: The role of indoor temperature, air humidity, and ventilation. Int J Hyg Environ Health 2021; 233:113709. [PMID: 33601136 DOI: 10.1016/j.ijheh.2021.113709] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 02/02/2021] [Accepted: 02/03/2021] [Indexed: 12/12/2022]
Abstract
Epidemiological and experimental studies have revealed the effects of the room temperature, indoor air humidity, and ventilation on human health, work and cognitive performance, and risk of infection. In this overview, we integrate the influence of these important microclimatic parameters and assess their influence in offices based on literature searches. The dose-effect curves of the temperature describe a concave shape. Low temperature increases the risk of cardiovascular and respiratory diseases and elevated temperature increases the risk of acute non-specific symptoms, e.g., dry eyes, and respiratory symptoms. Cognitive and work performance is optimal between 22 °C and 24 °C for regions with temperate or cold climate, but both higher and lower temperatures may deteriorate the performances and learning efficiency. Low temperature may favor virus viability, however, depending on the status of the physiological tissue in the airways. Low indoor air humidity causes vulnerable eyes and airways from desiccation and less efficient mucociliary clearance. This causes elevation of the most common mucous membrane-related symptoms, like dry and tired eyes, which deteriorates the work performance. Epidemiological, experimental, and clinical studies support that intervention of dry indoor air conditions by humidification alleviates symptoms of dry eyes and airways, fatigue symptoms, less complaints about perceived dry air, and less compromised work performance. Intervention of dry air conditions by elevation of the indoor air humidity may be a non-pharmaceutical treatment of the risk of infection by reduced viability and transport of influenza virus. Relative humidity between 40 and 60% appears optimal for health, work performance, and lower risk of infection. Ventilation can reduce both acute and chronic health outcomes and improve work performance, because the exposure is reduced by the dilution of the indoor air pollutants (including pathogens, e.g., as virus droplets), and in addition to general emission source control strategies. Personal control of ventilation appears an important factor that influences the satisfaction of the thermal comfort due to its physical and positive psychological impact. However, natural ventilation or mechanical ventilation can become sources of air pollutants, allergens, and pathogens of outdoor or indoor origin and cause an increase in exposure. The "health-based ventilation rate" in a building should meet WHO's air quality guidelines and dilute human bio-effluent emissions to reach an acceptable perceived indoor air quality. Ventilation is a modifying factor that should be integrated with both the indoor air humidity and the room temperature in a strategic joint control to satisfy the perceived indoor air quality, health, working performance, and minimize the risk of infection.
Collapse
Affiliation(s)
- Peder Wolkoff
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100, Copenhagen Ø, Denmark.
| | - Kenichi Azuma
- Dept Environmental Medicine and Behavioral Science, Kindai University, Faculty of Medicine, Osakasayama, Osaka, Japan.
| | - Paolo Carrer
- Dept Biomedical and Clinical Sciences "L. Sacco", University of Milan, 20157, Milan, Italy.
| |
Collapse
|
18
|
Wickliffe JK, Stock TH, Howard JL, Frahm E, Simon-Friedt BR, Montgomery K, Wilson MJ, Lichtveld MY, Harville E. Increased long-term health risks attributable to select volatile organic compounds in residential indoor air in southeast Louisiana. Sci Rep 2020; 10:21649. [PMID: 33303920 PMCID: PMC7730171 DOI: 10.1038/s41598-020-78756-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2020] [Accepted: 11/24/2020] [Indexed: 11/13/2022] Open
Abstract
Volatile organic compounds (VOCs) represent a broad class of chemicals, many of which can be found in indoor air including residential indoor air. VOCs derive from a variety of sources including cleaning products, cooking practices, fragrances and fresheners, hobbies and at-home work behaviors. This study examined residential indoor air in homes (n = 99) in southeast Louisiana using passive organic vapor monitors and gas chromatography/mass spectrometry to determine if select VOCs were present, at what concentrations, and if those posed any potential long-term health risks. Twenty-nine VOCs were targeted in cross-sectional analyses using a 48-h sampling period. Twelve VOCs were detected in most of the homes sampled including xylenes, pinenes, benzene, toluene, ethylbenzene, hexane, pentane, chloroform, and carbon tetrachloride. Concentrations of alkanes and BTEX compounds were highly correlated (Spearman's r > 0.63, p < 0.0001). Using health risk measures (i.e. reference concentrations [RfCs] and inhalation unit risks [IURs]) available from the USEPA non-cancer risk assessments and cancer risk assessments were developed for some of these VOCs. Alkanes and BTEX compounds likely come from the same indoor source(s). Using existing health standards published by the USEPA, no unacceptable non-cancer risks were evident except under extremely high concentrations. Lifetime cancer risks, on the other hand, may well be considered unacceptable for chloroform and benzene (upper IUR) and for the combination of chloroform, benzene, and carbon tetrachloride. These exceeded a 1 in 10,000 cancer risk threshold in 35-50% of our simulations. Further study of residential indoor air in low-income women's homes in this area is needed. Including a larger number of VOCs may reveal yet more potential health risks.
Collapse
Affiliation(s)
- Jeffrey K Wickliffe
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2100 #8360, New Orleans, LA, 70112, USA.
| | - Thomas H Stock
- Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center At Houston, 1200 Pressler Street, Houston, TX, 77030, USA
| | - Jessi L Howard
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2100 #8360, New Orleans, LA, 70112, USA
| | - Ericka Frahm
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2100 #8360, New Orleans, LA, 70112, USA
| | - Bridget R Simon-Friedt
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2100 #8360, New Orleans, LA, 70112, USA
| | - Krista Montgomery
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2100 #8360, New Orleans, LA, 70112, USA
| | - Mark J Wilson
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2100 #8360, New Orleans, LA, 70112, USA
| | - Maureen Y Lichtveld
- Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, Suite 2100 #8360, New Orleans, LA, 70112, USA
| | - Emily Harville
- Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, 1440 Canal Street, New Orleans, LA, 70112, USA
| |
Collapse
|
19
|
Indoor Exposure to Selected Air Pollutants in the Home Environment: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238972. [PMID: 33276576 PMCID: PMC7729884 DOI: 10.3390/ijerph17238972] [Citation(s) in RCA: 129] [Impact Index Per Article: 32.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Revised: 11/22/2020] [Accepted: 11/27/2020] [Indexed: 11/17/2022]
Abstract
(1) Background: There is increasing awareness that the quality of the indoor environment affects our health and well-being. Indoor air quality (IAQ) in particular has an impact on multiple health outcomes, including respiratory and cardiovascular illness, allergic symptoms, cancers, and premature mortality. (2) Methods: We carried out a global systematic literature review on indoor exposure to selected air pollutants associated with adverse health effects, and related household characteristics, seasonal influences and occupancy patterns. We screened records from six bibliographic databases: ABI/INFORM, Environment Abstracts, Pollution Abstracts, PubMed, ProQuest Biological and Health Professional, and Scopus. (3) Results: Information on indoor exposure levels and determinants, emission sources, and associated health effects was extracted from 141 studies from 29 countries. The most-studied pollutants were particulate matter (PM2.5 and PM10); nitrogen dioxide (NO2); volatile organic compounds (VOCs) including benzene, toluene, xylenes and formaldehyde; and polycyclic aromatic hydrocarbons (PAHs) including naphthalene. Identified indoor PM2.5 sources include smoking, cooking, heating, use of incense, candles, and insecticides, while cleaning, housework, presence of pets and movement of people were the main sources of coarse particles. Outdoor air is a major PM2.5 source in rooms with natural ventilation in roadside households. Major sources of NO2 indoors are unvented gas heaters and cookers. Predictors of indoor NO2 are ventilation, season, and outdoor NO2 levels. VOCs are emitted from a wide range of indoor and outdoor sources, including smoking, solvent use, renovations, and household products. Formaldehyde levels are higher in newer houses and in the presence of new furniture, while PAH levels are higher in smoking households. High indoor particulate matter, NO2 and VOC levels were typically associated with respiratory symptoms, particularly asthma symptoms in children. (4) Conclusions: Household characteristics and occupant activities play a large role in indoor exposure, particularly cigarette smoking for PM2.5, gas appliances for NO2, and household products for VOCs and PAHs. Home location near high-traffic-density roads, redecoration, and small house size contribute to high indoor air pollution. In most studies, air exchange rates are negatively associated with indoor air pollution. These findings can inform interventions aiming to improve IAQ in residential properties in a variety of settings.
Collapse
|
20
|
Abstract
The purpose of this study is to model air pollution with the PM2.5 suspended particulate in a single-family house located in Bialystok. A linear regression model was developed that describes the relationship between the concentration of PM2.5 (response variable) in a building and external factors: concentrations of PM10 and PM2.5 particulates, air temperature and relative humidity (independent variables). Statistical and substantive verification of the model indicates that the concentration of PM10 in outdoor air is the variable most strongly affecting the concentration of harmful PM2.5 in indoor air. The model therefore allows estimating the concentration of PM2.5 in the building on the basis of data on the concentration of PM10 outside the tested object, which can be useful for assessing indoor air quality without using a measuring tool inside the building. Excel and GRETL were used to develop the model.
Collapse
|
21
|
Lampi J, Hyvärinen A, Erhola M, Haahtela T, Haukipuro K, Haverinen-Shaughnessy U, Jalkanen K, Karvala K, Lappalainen S, Reijula K, Rämö H, Sainio M, Salmela A, Salminen M, Vasankari T, Pekkanen J. Healthy people in healthy premises: the Finnish Indoor Air and Health Programme 2018-2028. Clin Transl Allergy 2020; 10:4. [PMID: 31969979 PMCID: PMC6966831 DOI: 10.1186/s13601-020-0308-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Accepted: 01/03/2020] [Indexed: 11/29/2022] Open
Abstract
Clean and fresh indoor air supports health and well-being. However, indoor air can contain pollutants that can cause a variety of symptoms and reduce well-being. Individual exposure agents can also increase the risk of certain diseases. Finns have taken major steps to improve the quality of indoor air for several decades. The primary focus of these activities has been the prevention and reduction of exposure to poor indoor air quality through guidance and regulation directing remediation of damaged buildings. Nevertheless, reported symptoms related to poor indoor air quality are common in Finland. In addition to exposure to indoor air pollutants, this may be partly due to the lively public discussion on the health risks caused by poor indoor air quality, conflicting views between experts, and mistrust towards public authorities, building owners and builders. Because of the scale of the indoor air problems in Finland, people’s needs for reliable information and support, and the major costs involved, there is a call for new evidence-based methods, perspectives and solutions. Therefore, the Finnish Institute for Health and Welfare initiated the Finnish Indoor Air and Health Programme 2018–2028 together with a number of collaborators and stakeholders. The primary, long-term objective of the programme is to reduce hazards to health and well-being linked to indoor environments in Finland. To fulfill this objective, the programme will focus on the promotion of human health and well-being, the prevention of hazards, improved communication and engage the whole health-care sector to manage better patients´ symptoms and complaints. The 10-year Finnish Indoor Air and Health Programme consists of four areas that aim (1) to increase understanding of the effects of indoor environments on health and well-being; (2) to develop the management of problems linked to indoor environments; (3) to improve the treatment and working and functional capacity of people with symptoms and illnesses; and (4) to strengthen the competence in matters related to indoor environments. The progress of the programme and reaching the predefined, quantitative goals will be monitored throughout the programme.
Collapse
Affiliation(s)
- Jussi Lampi
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland
| | - Anne Hyvärinen
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland
| | - Marina Erhola
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland.,Päijät-Häme Joint Authority for Health and Wellbeing, Lahti, Finland
| | | | | | - Ulla Haverinen-Shaughnessy
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland.,5Tampere University, Tampere, Finland
| | - Kaisa Jalkanen
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland
| | - Kirsi Karvala
- 6Finnish Institute of Occupational Health, Helsinki, Finland
| | | | - Kari Reijula
- 3University of Helsinki, Helsinki, Finland.,6Finnish Institute of Occupational Health, Helsinki, Finland
| | - Hannele Rämö
- Finnish Housing Health Association, Helsinki, Finland
| | - Markku Sainio
- 6Finnish Institute of Occupational Health, Helsinki, Finland
| | - Anniina Salmela
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland
| | - Mika Salminen
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland
| | - Tuula Vasankari
- 8Finnish Lung Health Association, Helsinki, Finland.,9University of Turku, Turku, Finland
| | - Juha Pekkanen
- Finnish Institute for Health and Welfare, Helsinki and Kuopio, Finland.,3University of Helsinki, Helsinki, Finland
| |
Collapse
|
22
|
Spinazzè A, Campagnolo D, Cattaneo A, Urso P, Sakellaris IA, Saraga DE, Mandin C, Canha N, Mabilia R, Perreca E, Mihucz VG, Szigeti T, Ventura G, de Oliveira Fernandes E, de Kluizenaar Y, Cornelissen E, Hänninen O, Carrer P, Wolkoff P, Cavallo DM, Bartzis JG. Indoor gaseous air pollutants determinants in office buildings-The OFFICAIR project. INDOOR AIR 2020; 30:76-87. [PMID: 31593610 DOI: 10.1111/ina.12609] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Revised: 09/06/2019] [Accepted: 09/29/2019] [Indexed: 06/10/2023]
Abstract
The aim of this study was to identify determinants of aldehyde and volatile organic compound (VOC) indoor air concentrations in a sample of more than 140 office rooms, in the framework of the European OFFICAIR research project. A large field campaign was performed, which included (a) the air sampling of aldehydes and VOCs in 37 newly built or recently retrofitted office buildings across 8 European countries in summer and winter and (b) the collection of information on building and offices' characteristics using checklists. Linear mixed models for repeated measurements were applied to identify the main factors affecting the measured concentrations of selected indoor air pollutants (IAPs). Several associations between aldehydes and VOCs concentrations and buildings' structural characteristic or occupants' activity patterns were identified. The aldehyde and VOC determinants in office buildings include building and furnishing materials, indoor climate characteristics (room temperature and relative humidity), the use of consumer products (eg, cleaning and personal care products, office equipment), as well as the presence of outdoor sources in the proximity of the buildings (ie, vehicular traffic). Results also showed that determinants of indoor air concentrations varied considerably among different type of pollutants.
Collapse
Affiliation(s)
- Andrea Spinazzè
- Department of Science and High Technology, University of Insubria, Como, Italy
| | - Davide Campagnolo
- Department of Science and High Technology, University of Insubria, Como, Italy
| | - Andrea Cattaneo
- Department of Science and High Technology, University of Insubria, Como, Italy
| | - Patrizia Urso
- Department of Biomedical and Clinical Sciences-Hospital "L. Sacco", University of Milan, Milano, Italy
- Radiotherapy Department, Clinica Luganese Moncucco, Lugano, Switzerland
| | - Ioannis A Sakellaris
- Department of Mechanical Engineering, University of Western Macedonia, Kozani, Greece
| | - Dikaia E Saraga
- Department of Mechanical Engineering, University of Western Macedonia, Kozani, Greece
| | - Corinne Mandin
- Scientific and Technical Centre for Building, University Paris Est, Marne-la-Vallée, France
| | - Nuno Canha
- Instituto Superior Técnico, Centro de Ciências e Tecnologias Nucleares, Universidade de Lisboa, Bobadela, Portugal
| | - Rosanna Mabilia
- Department of Biology, Agriculture and Food Science, National Research Council, Roma, Italy
| | - Erica Perreca
- Department of Biology, Agriculture and Food Science, National Research Council, Roma, Italy
| | - Victor G Mihucz
- Cooperative Research Centre for Environmental Sciences, Eötvös Loránd University, Budapest, Hungary
| | | | - Gabriela Ventura
- Institute of Science and Innovation in Mechanical Engineering and Industrial Management, Porto, Portugal
| | | | - Yvonne de Kluizenaar
- The Netherlands Organization for Applied Scientific Research (TNO), The Hague, The Netherlands
| | - Eric Cornelissen
- The Netherlands Organization for Applied Scientific Research (TNO), The Hague, The Netherlands
| | - Otto Hänninen
- Department of Health Protection, National Institute for Health and Welfare, Kuopio, Finland
| | - Paolo Carrer
- Department of Biomedical and Clinical Sciences-Hospital "L. Sacco", University of Milan, Milano, Italy
| | - Peder Wolkoff
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Domenico M Cavallo
- Department of Science and High Technology, University of Insubria, Como, Italy
| | - John G Bartzis
- Department of Mechanical Engineering, University of Western Macedonia, Kozani, Greece
| |
Collapse
|
23
|
Mueller W, Steinle S, Pärkkä J, Parmes E, Liedes H, Kuijpers E, Pronk A, Sarigiannis D, Karakitsios S, Chapizanis D, Maggos T, Stamatelopoulou A, Wilkinson P, Milner J, Vardoulakis S, Loh M. Urban greenspace and the indoor environment: Pathways to health via indoor particulate matter, noise, and road noise annoyance. ENVIRONMENTAL RESEARCH 2020; 180:108850. [PMID: 31670081 DOI: 10.1016/j.envres.2019.108850] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 10/18/2019] [Accepted: 10/20/2019] [Indexed: 05/06/2023]
Abstract
BACKGROUND/AIM The exposome includes urban greenspace, which may affect health via a complex set of pathways, including reducing exposure to particulate matter (PM) and noise. We assessed these pathways using indoor exposure monitoring data from the HEALS study in four European urban areas (Edinburgh, UK; Utrecht, Netherlands; Athens and Thessaloniki, Greece). METHODS We quantified three metrics of residential greenspace at 50 m and 100 m buffers: Normalised Difference Vegetation Index (NDVI), annual tree cover density, and surrounding green land use. NDVI values were generated for both summer and the season during which the monitoring took place. Indoor PM2.5 and noise levels were measured by Dylos and Netatmo sensors, respectively, and subjective noise annoyance was collected by questionnaire on an 11-point scale. We used random-effects generalised least squares regression models to assess associations between greenspace and indoor PM2.5 and noise, and an ordinal logistic regression to model the relationship between greenspace and road noise annoyance. RESULTS We identified a significant inverse relationship between summer NDVI and indoor PM2.5 (-1.27 μg/m3 per 0.1 unit increase [95% CI -2.38 to -0.15]) using a 100 m residential buffer. Reduced (i.e., <1.0) odds ratios (OR) of road noise annoyance were associated with increasing summer (OR = 0.55 [0.31 to 0.98]) and season-specific (OR = 0.55 [0.32 to 0.94]) NDVI levels, and tree cover density (OR = 0.54 [0.31 to 0.93] per 10 percentage point increase), also at a 100 m buffer. In contrast to these findings, we did not identify any significant associations between greenspace and indoor noise in fully adjusted models. CONCLUSIONS We identified reduced indoor levels of PM2.5 and noise annoyance, but not overall noise, with increasing outdoor levels of certain greenspace indicators. To corroborate our findings, future research should examine the effect of enhanced temporal resolution of greenspace metrics during different seasons, characterise the configuration and composition of green areas, and explore mechanisms through mediation modelling.
Collapse
Affiliation(s)
- William Mueller
- Institute of Occupational Medicine, Edinburgh, UK; London School of Hygiene & Tropical Medicine, UK.
| | | | - Juha Pärkkä
- VTT Technical Research Centre of Finland, Finland
| | - Eija Parmes
- VTT Technical Research Centre of Finland, Finland
| | | | | | | | | | | | | | - Thomas Maggos
- National Centre for Scientific Research 'Demokritos', Athens, Greece
| | | | | | - James Milner
- London School of Hygiene & Tropical Medicine, UK
| | | | - Miranda Loh
- Institute of Occupational Medicine, Edinburgh, UK
| |
Collapse
|
24
|
Study of Indoor Ventilation Based on Large-Scale [DNS by a Domain Decomposition Method. Symmetry (Basel) 2019. [DOI: 10.3390/sym11111416] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This paper presents a large-scale Domain Decomposition Method (DDM) based Direct Numerical Simulation (DNS) for predicting the behavior of indoor airflow, where the aim is to design a comfortable and efficient indoor air environment of modern buildings. An analogy of the single-phase convection problems is applied, and the pressure stabilized domain decomposition method is used to symmetrize the linear systems of Navier-Stokes equations and the convection-diffusion equation. Furthermore, a balancing preconditioned conjugate gradient method is utilized to deal with the interface problem caused by domain decomposition. The entire simulation model is validated by comparing the numerical results with that of recognized experimental and numerical data from previous literature. The transient behavior of indoor airflow and its complexity in the ventilated room are discussed; the velocity and vortex distribution of airflow are investigated, and its possible influence on particle accumulation is classified.
Collapse
|
25
|
TVOCs and PM 2.5 in Naturally Ventilated Homes: Three Case Studies in a Mild Climate. SUSTAINABILITY 2019. [DOI: 10.3390/su11226225] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
In southern Europe, the present stock of social housing is ventilated naturally, with practice varying in the different seasons of the year. In winter, windows are kept closed most of the day with the exception of short periods for ventilation, whereas the rest of the year the windows are almost permanently open. In cold weather, air changes depend primarily on the air infiltrating across the envelope and when the temperature is warm, on the air flowing in through open windows. CO2, PM2.5, and TVOC concentration patterns were gathered over a year’s time in three social housing developments in southern Europe with different airtightness conditions and analyzed to determine possible relationships between environmental parameters and occupants’ use profiles. Correlations were found between TVOC and CO2 concentrations, for human activity was identified as the primary source of indoor contaminants: peak TVOC concentrations were related to specific household activities such as cooking or leisure. Indoor and outdoor PM2.5 concentrations were likewise observed to be correlated, although not linearly due to the presence of indoor sources. Ventilation as presently practiced in winter appears to be insufficient to dilute indoor contaminants in all three buildings, nor does summertime behavior guarantee air quality.
Collapse
|
26
|
Koivisto AJ, Kling KI, Hänninen O, Jayjock M, Löndahl J, Wierzbicka A, Fonseca AS, Uhrbrand K, Boor BE, Jiménez AS, Hämeri K, Maso MD, Arnold SF, Jensen KA, Viana M, Morawska L, Hussein T. Source specific exposure and risk assessment for indoor aerosols. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 668:13-24. [PMID: 30851679 DOI: 10.1016/j.scitotenv.2019.02.398] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2019] [Revised: 02/20/2019] [Accepted: 02/25/2019] [Indexed: 05/19/2023]
Abstract
Poor air quality is a leading contributor to the global disease burden and total number of deaths worldwide. Humans spend most of their time in built environments where the majority of the inhalation exposure occurs. Indoor Air Quality (IAQ) is challenged by outdoor air pollution entering indoors through ventilation and infiltration and by indoor emission sources. The aim of this study was to understand the current knowledge level and gaps regarding effective approaches to improve IAQ. Emission regulations currently focus on outdoor emissions, whereas quantitative understanding of emissions from indoor sources is generally lacking. Therefore, specific indoor sources need to be identified, characterized, and quantified according to their environmental and human health impact. The emission sources should be stored in terms of relevant metrics and statistics in an easily accessible format that is applicable for source specific exposure assessment by using mathematical mass balance modelings. This forms a foundation for comprehensive risk assessment and efficient interventions. For such a general exposure assessment model we need 1) systematic methods for indoor aerosol emission source assessment, 2) source emission documentation in terms of relevant a) aerosol metrics and b) biological metrics, 3) default model parameterization for predictive exposure modeling, 4) other needs related to aerosol characterization techniques and modeling methods. Such a general exposure assessment model can be applicable for private, public, and occupational indoor exposure assessment, making it a valuable tool for public health professionals, product safety designers, industrial hygienists, building scientists, and environmental consultants working in the field of IAQ and health.
Collapse
Affiliation(s)
- Antti Joonas Koivisto
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen DK-2100, Denmark.
| | - Kirsten Inga Kling
- National Centre for Nano Fabrication and Characterization, Technical University of Denmark, Fysikvej 307, 2800 Kgs. Lyngby, Denmark
| | - Otto Hänninen
- National Institute for Health and Welfare (THL), Kuopio, Finland
| | | | - Jakob Löndahl
- Division of Ergonomics and Aerosol Technology, Department of Design Sciences, Lund University, Box 118, SE-22100 Lund, Sweden
| | - Aneta Wierzbicka
- Division of Ergonomics and Aerosol Technology, Department of Design Sciences, Lund University, Box 118, SE-22100 Lund, Sweden
| | - Ana Sofia Fonseca
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen DK-2100, Denmark
| | - Katrine Uhrbrand
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen DK-2100, Denmark
| | - Brandon E Boor
- Lyles School of Civil Engineering, Purdue University, 550 Stadium Mall Drive, West Lafayette, IN 47907, United States; Ray W. Herrick Laboratories, Center for High Performance Buildings, Purdue University, 177 South Russell Street, West Lafayette, IN 47907, United States
| | - Araceli Sánchez Jiménez
- Centre for Human Exposure Science (CHES), Institute of Occupational Medicine (IOM), Research Avenue North, Riccarton, Edinburgh EH14 4AP, UK
| | - Kaarle Hämeri
- University of Helsinki, Institute for Atmospheric and Earth System Research (INAR), PL 64, FI-00014 Helsinki, Finland
| | - Miikka Dal Maso
- Aerosol Physics, Faculty of Natural Science, Tampere University of Technology, Tampere, Finland
| | - Susan F Arnold
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN, United States
| | - Keld A Jensen
- National Research Centre for the Working Environment, Lersø Parkallé 105, Copenhagen DK-2100, Denmark
| | - Mar Viana
- Institute of Environmental Assessment and Water Research (IDAEA-CSIC), C/ Jordi Girona 18, 08034 Barcelona, Spain
| | - Lidia Morawska
- International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, Qld, Australia
| | - Tareq Hussein
- University of Helsinki, Institute for Atmospheric and Earth System Research (INAR), PL 64, FI-00014 Helsinki, Finland; The University of Jordan, Department of Physics, Amman 11942, Jordan
| |
Collapse
|
27
|
Fang M, Mirutse G, Guo L, Ma X. Role of socioeconomic status and housing conditions in geriatric depression in rural China: a cross-sectional study. BMJ Open 2019; 9:e024046. [PMID: 31110082 PMCID: PMC6530296 DOI: 10.1136/bmjopen-2018-024046] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
OBJECTIVES The primary aim of this study was to describe the socioeconomic status (SES), housing conditions and depression of the elderly in rural China, as well as to examine the associations between depression and SES and housing conditions using the China Health and Retirement Longitudinal Study (CHARLS). DESIGN This is a cross-sectional study. SETTING A nationally representative sample of elderly in rural China. PARTICIPANTS A total of 4585 elderly adults in 2015 in rural China. OUTCOME MEASURES Prevalence and risk factors of depression among rural elderly. RESULTS Among the participants in this study, approximately 46.15% (2116/4585) reported depressive symptoms (10-item Center for Epidemiologic Studies Depression Scale [CESD-10] score >10) in rural China. The results revealed significant associations between higher scores on CESD-10 (indicating more symptoms of depression) and lowest personal annual income (OR=1.63, 95% CI 1.290 to 2.060), polluting cooking fuel (OR=1.16, 95% CI 1.018 to 1.321), toilet without seat (OR=1.273, 95% CI 1.056 to 1.535), as well as having no bath facility (OR=1.172, 95% CI 1.025 to 1.341) after adjustment for confounders. CONCLUSION Elderly in rural China experienced severe depressive symptoms. Lowest personal annual income, polluting cooking fuel, toilet without seat and having no bath facility were significantly associated with more depressive symptoms. Caution needs to be taken in generalising the findings of this study to the rest of the population in China since its highly selected sample.
Collapse
Affiliation(s)
- Mingwang Fang
- West China School of Public Health, Sichuan University, Chengdu, China
| | | | - Ling Guo
- Department of Health Management, Chongqing Nursing Vocational College, Chongqing, China
| | - Xiao Ma
- West China School of Public Health, Sichuan University, Chengdu, China
| |
Collapse
|
28
|
Jantzen K, Jensen A, Kermanizadeh A, Elholm G, Sigsgaard T, Møller P, Roursgaard M, Loft S. Inhalation of House Dust and Ozone Alters Systemic Levels of Endothelial Progenitor Cells, Oxidative Stress, and Inflammation in Elderly Subjects. Toxicol Sci 2019; 163:353-363. [PMID: 29767793 DOI: 10.1093/toxsci/kfy027] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Ambient air pollution including ozone and especially particulate matter represents important causes of cardiovascular disease. However, there is limited knowledge on indoor air dust with respect to this risk and the potential interactions between dust and ozone. Here, we exposed 23 healthy elderly subjects for 5.5 h, to either clean air, house dust at 275 µg/m3 (diameter < 2.5 µm), ozone at 100 ppb or combined house dust and ozone in a double-blinded randomized cross-over study. The combined house dust and ozone exposure was associated with a 48% (95% CI 24%-65%) decrease as compared with the clean air exposure, in CD34+KDR+ late endothelial progenitor cells (EPCs) per leukocyte in the blood shortly after exposure, whereas none of the single exposures resulted in a significant effect. The combined exposure also increased reactive oxygen species production capacity in granulocytes and monocytes as well as an up-regulation of interleukin-8 mRNA levels in leukocytes. Ozone alone reduced the gene expression of tumor necrosis factor and C-C motif chemokine ligand 2, while dust alone showed no effects. The combined exposure to house dust and ozone also reduced levels of oxidized purines in DNA consistent with concomitant up-regulation of mRNA of the repair enzyme 8-oxoguanine DNA glycosylase. The reduction in late EPCs can be an indicator of cardiovascular risk caused by the combination of pulmonary oxidative stress induced by ozone and the inflammatory potential of the house dust. These data were corroborated with in vitro findings from exposed human macrophages and endothelial cells.
Collapse
Affiliation(s)
- Kim Jantzen
- Section of Environmental Health, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1014 Copenhagen, Denmark
| | - Annie Jensen
- Section of Environmental Health, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1014 Copenhagen, Denmark
| | - Ali Kermanizadeh
- Section of Environmental Health, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1014 Copenhagen, Denmark
| | - Grethe Elholm
- Section of Environment, Occupation and Health, Department of Public Health, Aarhus University, 8000 Aarhus, Denmark
| | - Torben Sigsgaard
- Section of Environment, Occupation and Health, Department of Public Health, Aarhus University, 8000 Aarhus, Denmark
| | - Peter Møller
- Section of Environmental Health, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1014 Copenhagen, Denmark
| | - Martin Roursgaard
- Section of Environmental Health, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1014 Copenhagen, Denmark
| | - Steffen Loft
- Section of Environmental Health, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1014 Copenhagen, Denmark
| |
Collapse
|
29
|
Fang M, Chen J, Guo L, Ma X. Gender Differences in Geriatric Depressive Symptoms in Rural China: The Role of Physical Housing Environments and Living Arrangements. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16050774. [PMID: 30836602 PMCID: PMC6427662 DOI: 10.3390/ijerph16050774] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/15/2018] [Revised: 02/14/2019] [Accepted: 02/20/2019] [Indexed: 11/25/2022]
Abstract
Physical housing environment and living arrangements are significant determinants of health, particularly in developing countries, although results are mixed. We conducted this study to examine the gender differences in geriatric depressive symptoms in rural China, and further explored the influence of housing environments and living arrangements on depressive symptoms. The data used for this study were from the third wave of the nationally representative China Health and Retirement Longitudinal Study (CHARLS) survey in 2015; a total of 2056 females and 2529 males were included in this study. According to the analysis findings, 46.15% of the respondents had depressive symptoms based on the CES-D, with a statistically significant gender difference of 54.32% in females and 39.50% in males. Logistic Regression findings identified that with regard to the items of physical housing environments, toilets without seats (OR = 1.349) and the unavailability of bathing facilities (OR = 1.469) were statistically associated with depressive symptoms among male participants, whereas for female participants the use of polluting fuels (OR = 1.248) and living arrangements (i.e., living with children, OR = 1.430) was statistically associated with depressive symptoms. Statistically significant gender differences were found for having shower or bath facilities and our findings underscored that physical housing environments and living arrangements were associated with depressive symptoms for both genders. Moreover, the study revealed that a slight gender difference exists in terms of geriatric depression in rural China. Females are more likely to become depressed than their male counterparts with the same characteristics.
Collapse
Affiliation(s)
- Mingwang Fang
- Department of Health-Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu 610041, China.
| | - Jinfeng Chen
- Department of Health-Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu 610041, China.
| | - Ling Guo
- Department of Health management, Chongqing Nursing Vocational College, Chongqing 402763, China.
| | - Xiao Ma
- Department of Health-Related Social and Behavioral Science, West China School of Public Health, Sichuan University, Chengdu 610041, China.
| |
Collapse
|
30
|
Bolookat F, Hassanvand MS, Faridi S, Hadei M, Rahmatinia M, Alimohammadi M. Assessment of bioaerosol particle characteristics at different hospital wards and operating theaters: A case study in Tehran. MethodsX 2018; 5:1588-1596. [PMID: 30622921 PMCID: PMC6313819 DOI: 10.1016/j.mex.2018.11.021] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
This study was aimed to investigate the types and number of bacterial and fungal bioaerosols in indoor air of hospitals according to the type of wards and operating theaters. Bacterial and fungal samples were collected using the passive sampling method of 1/1/1 scheme during a six months' period in the Khatam-Al-Anbia hospital, Tehran, Iran. A simple linear regression was used to determine the relationship between bioaerosol concentrations and the number of active beds. Bacterial bioaerosol concentrations were mainly higher than fungi in all sampling sites. A significant association was found between airborne fungal concentrations and the numbers of beds (R2 = 0.76, p < 0.05), but not observed for bacteria (R2 = 0.02, p < 0.05). Our findings provided an exposure database of airborne bacterial and fungal bioaerosol in hospital wards and operating theaters in Tehran. •Due to the importance of the exposure risk to bioaerosols for patients and medical personnel, we focused on identification of the density and diversity of bacterial and fungal bioaerosols in different wards and operating theaters.•Our results showed that the numbers of the beds have a significant effect on airborne fungal concentrations.•The results of this study can be used to set indoor air quality standards for hospital wards and operating theatres.
Collapse
Affiliation(s)
- Fatemeh Bolookat
- Department of Environment Engineering, Faculty of Environment & Energy, Islamic Azad University Science and Research Branch, Tehran, Iran
| | - Mohammad Sadegh Hassanvand
- Center for Air Pollution Research, Institute for Environmental Research, Tehran University of Medical Sciences, Tehran, Iran
- Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Sasan Faridi
- Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mostafa Hadei
- Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoumeh Rahmatinia
- Student Research Committee, Department of Environmental Health Engineering, School of Public Health and safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mahmood Alimohammadi
- Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Center for Water Quality Research (CWQR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran
- Health Equity Research Center (HERC), Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
31
|
Macchi C, Ferri N, Favero C, Cantone L, Vigna L, Pesatori AC, Lupo MG, Sirtori CR, Corsini A, Bollati V, Ruscica M. Long-term exposure to air pollution raises circulating levels of proprotein convertase subtilisin/kexin type 9 in obese individuals. Eur J Prev Cardiol 2018; 26:578-588. [DOI: 10.1177/2047487318815320] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Aims Exposure to airborne particulate matter has been consistently associated with early death and increased morbidity, particularly raising the risk of cardiovascular disease. Obesity, one of the leading cardiovascular disease risk factors, increases susceptibility to the adverse effects of particulate matter exposure. Proprotein convertase subtilisin/kexin type 9 has been related to a large number of cardiovascular risk factors, e.g. atherogenic lipoproteins, arterial stiffness and platelet activation. Thus, the present study was aimed at evaluating, in a series of obese individuals, the effects of particulate matter less than 10 µm in diameter (PM10) on proprotein convertase subtilisin/kexin type 9 circulating levels. Methods and results In 500 obese subjects, participating in the cross-sectional Susceptibility to Particle Health Effects, miRNAs and Exosomes (SPHERE) study, we evaluated the effects of long- and short-term PM10 exposure on circulating proprotein convertase subtilisin/kexin type 9 levels. In the studied individuals (body mass index: 33.3 ± 5.2 kg/m2) with an annual average PM10 exposure of 40.12 ± 4.71 µg/m3, proprotein convertase subtilisin/kexin type 9 levels were 248.7 ± 78.6 ng/mL. In univariate analysis, PM10 exposure (annual average) was associated with proprotein convertase subtilisin/kexin type 9 levels (β=1.83, standard error = 0.75, p = 0.014). Interestingly, in a multivariable linear regression model, this association was observed only for carriers of lower concentrations of interferon-γ, whereas it was lost in the presence of higher interferon-γ levels. Proprotein convertase subtilisin/kexin type 9 levels were positively associated with the Framingham Risk Score, which was raised by 15.8% for each 100 ng/ml rise of proprotein convertase subtilisin/kexin type 9. Conclusions In obese individuals, more sensitive to the damaging effects of environmental air pollution, PM10 exposure positively associates with proprotein convertase subtilisin/kexin type 9 plasma levels especially in those with low levels of interferon-γ.
Collapse
Affiliation(s)
- Chiara Macchi
- Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Italy
| | - Nicola Ferri
- Dipartimento di Scienze del Farmaco, Università degli Studi di Padova, Italy
| | - Chiara Favero
- EPIGET Department of Clinical Sciences and Community Health, University of Milan, Italy
| | - Laura Cantone
- EPIGET Department of Clinical Sciences and Community Health, University of Milan, Italy
| | - Luisella Vigna
- Fondazione Cà Granda, IRCCS Ospedale Maggiore Policlinico, Italy
| | - Angela C Pesatori
- EPIGET Department of Clinical Sciences and Community Health, University of Milan, Italy
- Fondazione Cà Granda, IRCCS Ospedale Maggiore Policlinico, Italy
| | - Maria G Lupo
- Dipartimento di Scienze del Farmaco, Università degli Studi di Padova, Italy
| | - Cesare R Sirtori
- Centro Dislipidemie, ASST Grande Ospedale Metropolitano Niguarda, Italy
| | - Alberto Corsini
- Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Italy
- IRCCS, Multimedica, Italy
| | - Valentina Bollati
- EPIGET Department of Clinical Sciences and Community Health, University of Milan, Italy
- Fondazione Cà Granda, IRCCS Ospedale Maggiore Policlinico, Italy
| | - Massimiliano Ruscica
- Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Italy
| |
Collapse
|
32
|
Emo B, Hu LW, Yang BY, Mohammed KA, Geneus C, Vaughn M, Qian Z(M, Dong GH. Housing characteristics, home environmental factors, and pulmonary function deficit in Chinese children: Results from the Seven Northeast Cities (SNEC) Study. Facets (Ott) 2018. [DOI: 10.1139/facets-2017-0036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
To assess the effects of housing characteristics and home environmental factors on lung function of Chinese children, 6740 children (aged 6–16 years) were recruited from seven cities in Northeast China in 2012. Performance of lung function was determined by comparison of forced vital capacity (FVC), forced expiratory volume (FEV1), peak expiratory flow (PEF), and maximal mid-expiratory flow (MMEF). Multivariate regression models were used to evaluate the associations with lung function deficit. The results showed that housing conditions were associated with lung function deficit in children. The adjusted odds ratios were 0.47 (95% CI: 0.26–0.83) for FVC for “ping-fang” housing compared with “dan-yuan-lou-fang” housing and 2.90 (95% CI: 2.43–3.47) for FEV1 with home renovations completed within two years compared with counterparts. The linear regression models consistently showed a significant association of housing conditions and home environmental factors with lung function measurements across subjects. A residence taller than seven stories was negatively associated with FEV1 ( β = −55; 95% CI: −97 to −13). In conclusion, housing conditions and home environmental factors are particularly important to the development of lung function and respiratory health in children. These factors are concerning and action should be taken to improve them.
Collapse
Affiliation(s)
- Brett Emo
- Department of Environmental and Occupational Health, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104, USA
| | - Li-Wen Hu
- Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
| | - Bo-Yi Yang
- Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
| | - Kahee A. Mohammed
- Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104, USA
| | - Christian Geneus
- Department of Environmental and Occupational Health, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104, USA
| | - Michael Vaughn
- School of Social Work, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104, USA
| | - Zhengmin (Min) Qian
- Department of Epidemiology, College for Public Health and Social Justice, Saint Louis University, Saint Louis, MO 63104, USA
| | - Guang-Hui Dong
- Guangzhou Key Laboratory of Environmental Pollution and Health Risk Assessment, Department of Preventive Medicine, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
| |
Collapse
|
33
|
Burden of Mortality and Disease Attributable to Multiple Air Pollutants in Warsaw, Poland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14111359. [PMID: 29117145 PMCID: PMC5707998 DOI: 10.3390/ijerph14111359] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 09/29/2017] [Accepted: 11/02/2017] [Indexed: 12/21/2022]
Abstract
Air pollution is a significant public health issue all over the world, especially in urban areas where a large number of inhabitants are affected. In this study, we quantify the health burden due to local air pollution for Warsaw, Poland. The health impact of the main air pollutants, PM, NOX, SO₂, CO, C₆H₆, BaP and heavy metals is considered. The annual mean concentrations are predicted with the CALPUFF air quality modeling system using the year 2012 emission and meteorological data. The emission field comprises point, mobile and area sources. The exposure to these pollutants was estimated using population data with a spatial resolution of 0.5 × 0.5 km². Changes in mortality and in disability-adjusted life-years (DALYs) were estimated with relative risk functions obtained from literature. It has been predicted that local emissions cause approximately 1600 attributable deaths and 29,000 DALYs per year. About 80% of the health burden was due to exposure to fine particulate matter (PM2.5). Mobile and area sources contributed 46% and 52% of total DALYs, respectively. When the inflow from outside was included, the burden nearly doubled to 51,000 DALYs. These results indicate that local decisions can potentially reduce associated negative health effects, but a national-level policy is required for reducing the strong environmental impact of PM emissions.
Collapse
|
34
|
Pergoli L, Cantone L, Favero C, Angelici L, Iodice S, Pinatel E, Hoxha M, Dioni L, Letizia M, Albetti B, Tarantini L, Rota F, Bertazzi PA, Tirelli AS, Dolo V, Cattaneo A, Vigna L, Battaglia C, Carugno M, Bonzini M, Pesatori AC, Bollati V. Extracellular vesicle-packaged miRNA release after short-term exposure to particulate matter is associated with increased coagulation. Part Fibre Toxicol 2017; 14:32. [PMID: 28899404 PMCID: PMC5594543 DOI: 10.1186/s12989-017-0214-4] [Citation(s) in RCA: 64] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Accepted: 08/16/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Exposure to particulate matter (PM) is associated with increased incidence of cardiovascular disease and increased coagulation, but the molecular mechanisms underlying these associations remain unknown. Obesity may increase susceptibility to the adverse effects of PM exposure, exacerbating the effects on cardiovascular diseases. Extracellular vesicles (EVs), which travel in body fluids and transfer microRNAs (miRNAs) between tissues, might play an important role in PM-induced cardiovascular risk. We sought to determine whether the levels of PM with an aerodynamic diameter ≤ 10 μm (PM10) are associated with changes in fibrinogen levels, EV release, and the miRNA content of EVs (EV-miRNAs), investigating 1630 overweight/obese subjects from the SPHERE Study. RESULTS Short-term exposure to PM10 (Day before blood drawing) was associated with an increased release of EVs quantified by nanoparticle tracking analysis, especially EVs derived from monocyte/macrophage components (CD14+) and platelets (CD61+) which were characterized by flow cytometry. We first profiled miRNAs of 883 subjects by the QuantStudio™ 12 K Flex Real Time PCR System and the top 40 EV-miRNAs were validated through custom miRNA plates. Nine EV-miRNAs (let-7c-5p; miR-106a-5p; miR-143-3p; miR-185-5p; miR-218-5p; miR-331-3p; miR-642-5p; miR-652-3p; miR-99b-5p) were downregulated in response to PM10 exposure and exhibited putative roles in cardiovascular disease, as highlighted by integrated network analysis. PM10 exposure was significantly associated with elevated fibrinogen levels, and five of the nine downregulated EV-miRNAs were mediators between PM10 exposure and fibrinogen levels. CONCLUSIONS Research on EVs opens a new path to the investigation of the adverse health effects of air pollution exposure. EVs have the potential to act both as markers of PM susceptibility and as potential molecular mechanism in the chain of events connecting PM exposure to increased coagulation, which is frequently linked to exposure and CVD development.
Collapse
Affiliation(s)
- Laura Pergoli
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Laura Cantone
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Chiara Favero
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Laura Angelici
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Simona Iodice
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy
| | - Eva Pinatel
- Institute for Biomedical Technologies (ITB), National Research Council (CNR), Segrate, Milan, Italy
| | - Mirjam Hoxha
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Laura Dioni
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Marilena Letizia
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Benedetta Albetti
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Letizia Tarantini
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Federica Rota
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy
| | - Pier Alberto Bertazzi
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy.,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy
| | - Amedea Silvia Tirelli
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy
| | - Vincenza Dolo
- Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Andrea Cattaneo
- Department of Science and High Technology, University of Insubria, Como, Italy
| | - Luisella Vigna
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy
| | - Cristina Battaglia
- Department of Medical Biotechnology and Translational Medicine, Università degli Studi di Milano, 20129, Milan, Italy
| | - Michele Carugno
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy
| | - Matteo Bonzini
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy.,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy
| | - Angela Cecilia Pesatori
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy.,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy
| | - Valentina Bollati
- EPIGET LAB, Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Via san Barnaba 8, 20122, Milan, Italy. .,Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Unit of Occupational Medicine, Milan, Italy.
| |
Collapse
|
35
|
Bourdrel T, Bind MA, Béjot Y, Morel O, Argacha JF. Cardiovascular effects of air pollution. Arch Cardiovasc Dis 2017; 110:634-642. [PMID: 28735838 DOI: 10.1016/j.acvd.2017.05.003] [Citation(s) in RCA: 243] [Impact Index Per Article: 34.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 05/15/2017] [Accepted: 05/17/2017] [Indexed: 12/31/2022]
Abstract
Air pollution is composed of particulate matter (PM) and gaseous pollutants, such as nitrogen dioxide and ozone. PM is classified according to size into coarse particles (PM10), fine particles (PM2.5) and ultrafine particles. We aim to provide an original review of the scientific evidence from epidemiological and experimental studies examining the cardiovascular effects of outdoor air pollution. Pooled epidemiological studies reported that a 10μg/m3 increase in long-term exposure to PM2.5 was associated with an 11% increase in cardiovascular mortality. Increased cardiovascular mortality was also related to long-term and short-term exposure to nitrogen dioxide. Exposure to air pollution and road traffic was associated with an increased risk of arteriosclerosis, as shown by premature aortic and coronary calcification. Short-term increases in air pollution were associated with an increased risk of myocardial infarction, stroke and acute heart failure. The risk was increased even when pollutant concentrations were below European standards. Reinforcing the evidence from epidemiological studies, numerous experimental studies demonstrated that air pollution promotes a systemic vascular oxidative stress reaction. Radical oxygen species induce endothelial dysfunction, monocyte activation and some proatherogenic changes in lipoproteins, which initiate plaque formation. Furthermore, air pollution favours thrombus formation, because of an increase in coagulation factors and platelet activation. Experimental studies also indicate that some pollutants have more harmful cardiovascular effects, such as combustion-derived PM2.5 and ultrafine particles. Air pollution is a major contributor to cardiovascular diseases. Promotion of safer air quality appears to be a new challenge in cardiovascular disease prevention.
Collapse
Affiliation(s)
- Thomas Bourdrel
- Radiology Department, Imaging Medical Centre Étoile-Neudorf, 67100 Strasbourg, France.
| | - Marie-Abèle Bind
- Department of Statistics, Harvard University Faculty of Arts and Sciences, MA 02138-2901 Cambridge, USA
| | - Yannick Béjot
- Department of Neurology, Dijon Stroke Registry, University Hospital and Medical School of Dijon, University of Burgundy, 21079 Dijon cedex, France
| | - Olivier Morel
- Cardiology Department, Nouvel Hôpital Civil, University of Strasbourg, 67000 Strasbourg, France
| | | |
Collapse
|
36
|
Boulanger G, Bayeux T, Mandin C, Kirchner S, Vergriette B, Pernelet-Joly V, Kopp P. Socio-economic costs of indoor air pollution: A tentative estimation for some pollutants of health interest in France. ENVIRONMENT INTERNATIONAL 2017; 104:14-24. [PMID: 28395145 DOI: 10.1016/j.envint.2017.03.025] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2016] [Revised: 03/30/2017] [Accepted: 03/31/2017] [Indexed: 05/28/2023]
Abstract
An evaluation of the socio-economic costs of indoor air pollution can facilitate the development of appropriate public policies. For the first time in France, such an evaluation was conducted for six selected pollutants: benzene, trichloroethylene, radon, carbon monoxide, particles (PM2.5 fraction), and environmental tobacco smoke (ETS). The health impacts of indoor exposure were either already available in published works or were calculated. For these calculations, two approaches were followed depending on the available data: the first followed the principles of quantitative health risk assessment, and the second was based on concepts and methods related to the health impact assessment. For both approaches, toxicological data and indoor concentrations related to each target pollutant were used. External costs resulting from mortality, morbidity (life quality loss) and production losses attributable to these health impacts were assessed. In addition, the monetary costs for the public were determined. Indoor pollution associated with the selected pollutants was estimated to have cost approximately €20 billion in France in 2004. Particles contributed the most to the total cost (75%), followed by radon. Premature death and the costs of the quality of life loss accounted for approximately 90% of the total cost. Despite the use of different methods and data, similar evaluations previously conducted in other countries yielded figures within the same order of magnitude.
Collapse
Affiliation(s)
- Guillaume Boulanger
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Maisons-Alfort, France.
| | - Thomas Bayeux
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Maisons-Alfort, France
| | - Corinne Mandin
- University of Paris-Est, Scientific and Technical Center for Building (CSTB)/Observatory of Indoor Air Quality, Marne-la-Vallée, France
| | - Séverine Kirchner
- University of Paris-Est, Scientific and Technical Center for Building (CSTB)/Observatory of Indoor Air Quality, Marne-la-Vallée, France
| | - Benoit Vergriette
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Maisons-Alfort, France
| | - Valérie Pernelet-Joly
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Maisons-Alfort, France
| | - Pierre Kopp
- University of Paris-Sorbonne 1, Paris, France
| |
Collapse
|
37
|
Vardoulakis S, Dear K, Wilkinson P. Challenges and Opportunities for Urban Environmental Health and Sustainability: the HEALTHY-POLIS initiative. Environ Health 2016; 15 Suppl 1:30. [PMID: 26960714 PMCID: PMC4895271 DOI: 10.1186/s12940-016-0096-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Cities around the world face many environmental health challenges including contamination of air, water and soil, traffic congestion and noise, and poor housing conditions exacerbated by unsustainable urban development and climate change. Integrated assessment of these risks offers opportunities for holistic, low carbon solutions in the urban environment that can bring multiple benefits for public health. The Healthy-Polis consortium aims to protect and promote urban health through multi-disciplinary, policy-relevant research on urban environmental health and sustainability. We are doing this by promoting improved methods of health risk assessment, facilitating international collaboration, contributing to the training of research scientists and students, and engaging with key stakeholders in government, local authorities, international organisations, industry and academia. A major focus of the consortium is to promote and support international research projects coordinated between two or more countries. The disciplinary areas represented in the consortium are many and varied, including environmental epidemiology, modelling and exposure assessment, system dynamics, health impact assessment, multi-criteria decision analysis, and other quantitative and qualitative approaches. This Healthy-Polis special issue presents a range of case studies and reviews that illustrate the need for a systems-based understanding of the urban environment.
Collapse
Affiliation(s)
- Sotiris Vardoulakis
- Environmental Change Department, Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, OX11 0RQ, UK.
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK.
| | - Keith Dear
- Duke Global Health Institute, Duke Kunshan University, Kunshan, 215316, China
| | - Paul Wilkinson
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, WC1E 7HT, UK
| |
Collapse
|
38
|
Woods M, Crabbe H, Close R, Studden M, Milojevic A, Leonardi G, Fletcher T, Chalabi Z. Decision support for risk prioritisation of environmental health hazards in a UK city. Environ Health 2016; 15 Suppl 1:29. [PMID: 26961184 PMCID: PMC4895771 DOI: 10.1186/s12940-016-0099-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND There is increasing appreciation of the proportion of the health burden that is attributed to modifiable population exposure to environmental health hazards. To manage this avoidable burden in the United Kingdom (UK), government policies and interventions are implemented. In practice, this procedure is interdisciplinary in action and multi-dimensional in context. Here, we demonstrate how Multi Criteria Decision Analysis (MCDA) can be used as a decision support tool to facilitate priority setting for environmental public health interventions within local authorities. We combine modelling and expert elicitation to gather evidence on the impacts and ranking of interventions. METHODS To present the methodology, we consider a hypothetical scenario in a UK city. We use MCDA to evaluate and compare the impact of interventions to reduce the health burden associated with four environmental health hazards and rank them in terms of their overall performance across several criteria. For illustrative purposes, we focus on heavy goods vehicle controls to reduce outdoor air pollution, remediation to control levels of indoor radon, carbon monoxide and fitting alarms, and encouraging cycling to target the obesogenic environment. Regional data was included as model evidence to construct a ratings matrix for the city. RESULTS When MCDA is performed with uniform weights, the intervention of heavy goods vehicle controls to reduce outdoor air pollution is ranked the highest. Cycling and the obesogenic environment is ranked second. CONCLUSIONS We argue that a MCDA based approach provides a framework to guide environmental public health decision makers. This is demonstrated through an online interactive MCDA tool. We conclude that MCDA is a transparent tool that can be used to compare the impact of alternative interventions on a set of pre-defined criteria. In our illustrative example, we ranked the best intervention across the equally weighted selected criteria out of the four alternatives. Further work is needed to test the tool with decision makers and stakeholders.
Collapse
Affiliation(s)
- Mae Woods
- Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, OX11 0RQ, UK.
- Department of Cell and Developmental Biology, University College London, London, WC1E 6BT, UK.
| | - Helen Crabbe
- Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, OX11 0RQ, UK.
| | - Rebecca Close
- Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, OX11 0RQ, UK.
| | - Mike Studden
- Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, OX11 0RQ, UK
| | - Ai Milojevic
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK.
| | - Giovanni Leonardi
- Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, OX11 0RQ, UK.
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK.
| | - Tony Fletcher
- Centre for Radiation, Chemical and Environmental Hazards, Public Health England, Chilton, OX11 0RQ, UK.
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK.
| | - Zaid Chalabi
- Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London, WC1H 9SH, UK.
| |
Collapse
|