Potential risks to human respiratory health from "acid fog": evidence from experimental studies of volunteers

Investigations on the Influence of Chemical Compounds on Fog Microphysical Parameters

Lab experiments related to artificial fog studies are limited due to instrument sensitivity to small fog and aerosol particles; therefore, the goal of this work is to evaluate aerosol solute effects on fog physical properties in a lab environment. To reach the goal, an automated fog-generating system was designed and that includes controlled chemical compounds dissolved in pure water. In the analysis, the impact of changing the mass concentration of potassium dihydrogen phosphate—KH2PO4, urea-CO(NH2)2, and potassium hexacyanoferrate trihydrate-K3(Fe(CN)6) on fog droplet size spectra is studied, because visibility is directly related to fog droplet spectra and aerosol composition. In the experiment, various microphysical conditions, including fog droplet size and volume concentration, were analyzed as a function of changing aerosol composition/spectra and fixed thermodynamic conditions. The results showed that fog droplet size spectra vary with the addition of chemical impurities to the pure water volume. For example, increasing KH2PO4 concentration compared to distilled water volume resulted in a higher mean particle size, which led to faster droplet settlement, and that resulted in cleaning air more efficiently compared to pure water fog. Overall, both issues and challenges of the experimental fog generating system with respect to water and aerosol solutions resembling CRBN (chemical, radiological, biological, and nuclear agents) characteristics are provided and evaluated.

The Influence of Asian Dust, Haze, Mist, and Fog on Hospital Visits for Airway Diseases

Background

Asian dust is known to have harmful effects on the respiratory system. Respiratory conditions are also influenced by environmental conditions regardless of the presence of pollutants. The same pollutant can have different effects on the airway when the air is dry compared with when it is humid. We investigated hospital visits for chronic obstructive pulmonary disease (COPD) and asthma in relation to the environmental conditions.

Methods

We conducted a retrospective study using the Korean National Health Insurance Service claims database of patients who visited hospitals in Chuncheon between January 2006 and April 2012. Asian dust, haze, mist, and fog days were determined using reports from the Korea Meteorological Administration. Hospital visits for asthma or COPD on the index days were compared with the comparison days. We used two-way case-crossover techniques with one to two matching.

Results

The mean hospital visits for asthma and COPD were 59.37 ± 34.01 and 10.04 ± 6.18 per day, respectively. Hospital visits for asthma significantly increased at lag0 and lag1 for Asian dust (relative risk [RR], 1.10; 95% confidence interval [CI], 1.01-1.19; p<0.05) and haze (RR, 1.13; 95% CI, 1.06-1.22; p<0.05), but were significantly lower on misty (RR, 0.89; 95% CI, 0.80-0.99; p<0.05) and foggy (RR, 0.89; 95% CI, 0.84-0.93; p<0.05) days than on control days. The hospital visits for COPD also significantly increased on days with Asian dust (RR, 1.29; 95% CI, 1.05-1.59; p<0.05), and were significantly lower at lag4 for foggy days, compared with days without fog (RR, 0.85; 95% CI, 0.75-0.97; p<0.05).

Conclusion

Asian dust showed an association with airway diseases and had effects for several days after the exposure. In contrast to Asian dust, mist and fog, which occur in humid air conditions, showed the opposite effects on airway diseases, after adjusting to the pollutants. It would require more research to investigate the effects of various air conditions on airway diseases.

Acid fog: effects on respiratory function and symptoms in healthy and asthmatic volunteers

Acidic air pollutants generally are dissolved in water droplets. Mean droplet diameter may range from more than 10 microns in dense fog to less than 1 micron at low relative humidity. Droplet size influences the deposition of inhaled acid within the respiratory tract and thus may influence toxicity. To help assess health risks from acid pollution, we performed controlled exposures of normal and asthmatic volunteers to sulfuric acid aerosols at nominal concentrations of 0 (control), 500, 1000, and 2000 micrograms/m3. Exposures lasted 1 hr with intermittent heavy exercise. Response was assessed by lung function tests and symptom questionnaires. Under foggy conditions (mean droplet size 10 microns, temperature 50 degrees F), no marked effects on lung function were found. However, both normal and asthmatic subjects showed statistically significant dose-related increases in respiratory symptoms. In a separate study, normal subjects exposed at 70 degrees F with mean droplet size 0.9 microns showed no marked effect on function or symptoms. Asthmatics showed dose-related decrements in forced expiratory performance and increases in symptoms, most obvious at 1000 and 2000 micrograms/m3. The different results of the two studies probably reflect an influence of droplet size, but further investigation is needed to confirm this. The aggregate results suggest that only mild, if any, short-term respiratory irritant effects are likely at acid concentrations attained in ambient pollution.