Activity Pattern of Urban Adult Students in an Eastern Mediterranean Society

Exploring the impact of particulate matter on mortality in coastal Mediterranean environments

Air pollution is one of the most important problems the world is facing nowadays, adversely affecting public health and causing millions of deaths every year. Particulate matter is a criteria pollutant that has been linked to increased morbidity, as well as all-cause and cause-specific mortality. However, this association remains under-investigated in smaller-size cities in the Eastern Mediterranean, which are also frequently affected by heat waves and dust storms. This study explores the impact of particulate matter with an aerodynamic diameter ≤ 10 μm (PM₁₀) and ≤ 2.5 μm (PM_2.5) on mortality (all-cause, cardiovascular, respiratory) in two coastal cities in the Eastern Mediterranean; Thessaloniki, Greece and Limassol, Cyprus. Generalized additive Poisson models were used to explore overall and gender-specific associations, controlling for long- and short-term patterns, day of week and the effect of weather variables. Moreover, the effect of different lags, season, co-pollutants and dust storms on primary associations was investigated. A 10 μg/m³ increase in PM_2.5 resulted in 1.10 % (95 % CI: -0.13, 2.34) increase in cardiovascular mortality in Thessaloniki, and in 3.07 % (95 % CI: -0.90, 7.20) increase in all-cause mortality in Limassol on the same day. Additionally, significant positive associations were observed between PM_2.5 as well as PM₁₀ and mortality at different lags up to seven days. Interestingly, an association with dust storms was observed only in Thessaloniki, having a protective effect, while the gender-specific analysis revealed significant associations only for the males in both cities. The outcome of this study highlights the need of city- or county-specific public health interventions to address the impact of climate, population lifestyle behaviour and other socioeconomic factors that affect the exposure to air pollution and other synergistic effects that alter the effect of PM on population health.

Optimized office lighting advances melatonin phase and peripheral heat loss prior bedtime

Improving indoor lighting conditions at the workplace has the potential to support proper circadian entrainment of hormonal rhythms, sleep, and well-being. We tested the effects of optimized dynamic daylight and electric lighting on circadian phase of melatonin, cortisol and skin temperatures in office workers. We equipped one office room with an automated controller for blinds and electric lighting, optimized for dynamic lighting (= Test room), and a second room without any automated control (= Reference room). Young healthy participants (n = 34) spent five consecutive workdays in each room, where individual light exposure data, skin temperatures and saliva samples for melatonin and cortisol assessments were collected. Vertical illuminance in the Test room was 1177 ± 562 photopic lux (mean  ± SD) , which was 320 lux higher than in the Reference room (p < 0.01). Melanopic equivalent daylight (D65) illuminance was 931 ± 484 melanopic lux in the Test room and 730 ± 390 melanopic lux in the Reference room (p < 0.01). Individual light exposures resulted in a 50 min earlier time of half-maximum accumulated illuminance in the Test than the Reference room (p < 0.05). The melatonin secretion onset and peripheral heat loss in the evening occurred significantly earlier with respect to habitual sleeptime in the Test compared to the Reference room (p < 0.05). Our findings suggest that optimized dynamic workplace lighting has the potential to promote earlier melatonin onset and peripheral heat loss prior bedtime, which may be beneficial for persons with a delayed circadian timing system.

Development and Testing of a Modular Sunlight Transport System Employing Free-Form Mirrors

The energy consumption of artificial lighting and its impacts on health have stimulated research into natural lighting systems. However, natural lighting system designs are mainly custom, making them costly and difficult to replicate. This study took an office space as a testing field in order to develop a highly adaptable and adjustable modular natural light illumination system. We divided the system into multiple module designs, demonstrated the use of simple development and fabrication processes and integrated a freeform reflector into the system. In creating a freeform mirror, the optical simulation results of the tested field were regressed (through polynomial regression) to achieve a uniformly illuminated plane, and a high-efficiency light-emitting system was produced. Finally, an active heliostat was used to collect sunlight, combined with actual manufacturing verification and measurement results, in order to create an excellent indoor lighting system. As a result, we presented a low-cost and easy-to-design natural light illumination system for the assisted lighting of office areas.

Seasonal variation in indoor concentrations of air pollutants in residential buildings

Indoor concentrations of PM₁₀, PM_2.5, CO, and CO₂ were measured in 25 naturally ventilated urban residences during the winter and summer seasons in Alexandria, Egypt. Ambient air samples were also collected simultaneously for comparison to indoor measurements. Furthermore, data for air exchange rates, home characteristics, and indoor activities during sampling were collected. It was found that the average indoor PM₁₀, PM_2.5, CO, and CO₂ concentrations for all homes in winter were 119.4 ± 30.9 μg/m³, 85.2 ± 25.8 μg/m³, 1.6 ± 0.8 ppm, and 692.4 ± 144.6 ppm, respectively. During summer, the average indoor levels were 98.8 ± 21.8 μg/m³, 67.8 ± 14.9 μg/m³, 0.5 ± 0.5 ppm, and 558.2 ± 66.2 ppm, respectively. The results indicate that the indoor daily averages of PM₁₀ and PM_2.5 concentrations were higher than the World Health Organization (WHO) guidelines for all selected homes in the two sampling periods. For CO and CO₂ levels, the indoor daily averages for all monitored homes were less than the WHO guideline and the American National Standards Institute/American Society of Heating, Refrigerating and Air-Conditioning Engineers, Inc. (ANSI/ASHRAE) Standard 62.1, respectively. A strong seasonal variability was observed, with air quality being particularly poor in winter. Due to increased ventilation rates in summer, indoor levels of air pollutants were strongly dependent on ambient levels, while in winter the indoor concentrations were more strongly affected by indoor sources due to increased human activities and poor ventilation. In addition, stronger indoor/outdoor correlation of air pollutants' levels was found in summer than in winter probably due to higher ventilation and infiltration in the summer. The study also attempted to understand the potential sources and the various determinants that influence indoor PM, CO, and CO₂ concentrations in the two seasons. The findings can assist policymakers to better understand the indoor air pollution problem and to provide a sound basis for the development of proper national IAQ standards in Egypt.Implications: Personal exposure is considerably influenced by indoor air pollution which increases health risks. Assessment of indoor air quality has become a more significant issue in Egypt as people tend to spend most of their time inside buildings, especially in their homes. Currently, there is a lack of research on residential indoor air quality in Egyptian cities in terms of the spatial and temporal variation which prevents an accurate assessment of the current situation to develop effective mitigation measures and to establish national indoor air quality standards. This article is considered the first research studying the effect of seasonality on indoor concentrations of PM₁₀, PM_2.5, CO, and CO₂ in urban residences in Alexandria. It also studies the indoor/outdoor relationship of air pollutants' levels and identifies their major sources as well as the various determinants that influence their indoor concentrations.

Associations between ventilation and children's asthma and allergy in naturally ventilated Chinese homes

Building ventilation is important for occupants' health. There are few studies of associations between home ventilation and occupant's health in China. During 2013-2016, we measured ventilation in 399 homes in Tianjin and Cangzhou, China, and surveyed the health history of children. Ventilation rates were measured using mass balance of occupant generated CO₂ . The associations of home ventilation with children's asthma and allergy were analyzed in different strata of time and space. A low bedroom ventilation at night was significantly associated with an increased proportion of rhinitis among children (rhinitis current, adjusted odds ratio (AOR): 1.59; 95% confidence interval (CI): 1.01-2.49; diagnosed rhinitis, AOR: 3.02 (1.16-7.89)). Our findings suggest a dose-response relationship between ventilation rate at night in children's bedrooms and rhinitis current. The night-time ventilation rate in bedrooms has a greater association with rhinitis than the whole home ventilation rate during daytime.

A Survey on Daily Activity Inclination and Health Complaints among Urban Youth in Malaysia

Environmental influence is one of the attributing factors for health status. Chronic interaction with electronic display technology and lack of outdoor activities might lead to health issues. Given the concerns about the digital impact on lifestyle and health challenges, we aimed to investigate the daily activity inclination and health complaints among the Malaysian youth. A self-administered questionnaire covering lifestyle and health challenges was completed by 220 youths aged between 16 and 25. There were a total of 22 questions. Seven questions inspected the patterns of indoor and outdoor activities. Fifteen questions focused on the visual and musculoskeletal symptoms linked to both mental and physical health. The total time spent indoors (15.0 ± 5.4 hours/day) was significantly higher than that spent outdoors (2.5 ± 2.6 hours/day) (t = 39.01, p < 0.05). Total time engrossed in sedentary activities (13.0 ± 4.5 hours/day) was significantly higher than that in nonsedentary activities (4.5 ± 3.8 hours/day) comprised of indoor sports and any outdoor engagements (t = 27.10, p < 0.05). The total time spent on electronic related activities (9.5 ± 3.7 hours/day) was were higher than time spent on printed materials (3.4 ± 1.6 hours/day) (t = 26.01, p < 0.05). The association of sedentary activities was positive in relation to tired eyes (χ² = 17.58, p < 0.05), sensitivity to bright light (χ² = 12.10, p < 0.05), and neck pain (χ² = 17.27, p < 0.05) but negative in relation to lower back pain (χ² = 8.81, p < 0.05). Our youth spent more time in building and engaged in sedentary activities, predominantly electronic usage. The health-related symptoms, both visual and musculoskeletal symptoms, displayed a positive association with a sedentary lifestyle and a negative association with in-building time.

Indoor Particle Concentrations, Size Distributions, and Exposures in Middle Eastern Microenvironments

There is limited research on indoor air quality in the Middle East. In this study, concentrations and size distributions of indoor particles were measured in eight Jordanian dwellings during the winter and summer. Supplemental measurements of selected gaseous pollutants were also conducted. Indoor cooking, heating via the combustion of natural gas and kerosene, and tobacco/shisha smoking were associated with significant increases in the concentrations of ultrafine, fine, and coarse particles. Particle number (PN) and particle mass (PM) size distributions varied with the different indoor emission sources and among the eight dwellings. Natural gas cooking and natural gas or kerosene heaters were associated with PN concentrations on the order of 100,000 to 400,000 cm−3 and PM2.5 concentrations often in the range of 10 to 150 µg/m3. Tobacco and shisha (waterpipe or hookah) smoking, the latter of which is common in Jordan, were found to be strong emitters of indoor ultrafine and fine particles in the dwellings. Non-combustion cooking activities emitted comparably less PN and PM2.5. Indoor cooking and combustion processes were also found to increase concentrations of carbon monoxide, nitrogen dioxide, and volatile organic compounds. In general, concentrations of indoor particles were lower during the summer compared to the winter. In the absence of indoor activities, indoor PN and PM2.5 concentrations were generally below 10,000 cm−3 and 30 µg/m3, respectively. Collectively, the results suggest that Jordanian indoor environments can be heavily polluted when compared to the surrounding outdoor atmosphere primarily due to the ubiquity of indoor combustion associated with cooking, heating, and smoking.

Black Carbon and Particulate Matter Concentrations in Eastern Mediterranean Urban Conditions: An Assessment Based on Integrated Stationary and Mobile Observations

There is a paucity of comprehensive air quality data from urban areas in the Middle East. In this study, portable instrumentation was used to measure size-fractioned aerosol number, mass, and black carbon concentrations in Amman and Zarqa, Jordan. Submicron particle number concentrations at stationary urban background sites in Amman and Zarqa exhibited a characteristic diurnal pattern, with the highest concentrations during traffic rush hours (2–5 × 104 cm−3 in Amman and 2–7 × 104 cm−3 in Zarqa). Super-micron particle number concentrations varied considerably in Amman (1–10 cm−3). Mobile measurements identified spatial variations and local hotspots in aerosol levels within both cities. Walking paths around the University of Jordan campus showed increasing concentrations with proximity to main roads with mean values of 8 × 104 cm−3, 87 µg/m3, 62 µg/m3, and 7.7 µg/m3 for submicron, PM10, PM2.5, and black carbon (BC), respectively. Walking paths in the Amman city center showed moderately high concentrations (mean 105 cm−3, 120 µg/m3, 85 µg/m3, and 8.1 µg/m3 for submicron aerosols, PM10, PM2.5, and black carbon, respectively). Similar levels were found along walking paths in the Zarqa city center. On-road measurements showed high submicron concentrations (>105 cm−3). The lowest submicron concentration (<104 cm−3) was observed near a remote site outside of the cities.

Spatiotemporal analysis of human exposure to halogenated flame retardant chemicals

Human exposure to flame retardants occurs in microenvironments due to their ubiquitous presence in consumer products and building materials. Recent research suggests higher levels of exposure through elevated surface dust (ESD) compared to floor dust (FD). However, it is unclear whether this pattern is consistent in different microenvironments beyond the home. We hypothesized that time spent in various microenvironments will significantly modify the pattern of human exposure to flame retardant chemicals in ESD and FD. We tested this hypothesis by collecting time activity diaries from 43 participants; and by estimating human exposure to 10 polybrominated diphenyl ether and 8 non-polybrominated diphenyl ether flame retardant chemicals, based on chemical concentrations measured in different microenvironments visited by the participants. The results of paired t-tests show that, with some notable exceptions, estimates of human exposure to most chemicals through ESD are statistically significantly higher for ∑PBDE (p=0.00) and ∑non-PBDEs (p=0.00) than through FD. This study reinforces the need to integrate temporal, locational, and elevation dimensions in assessing human exposure to potentially toxic flame retardant chemicals.

Indoor-to-outdoor relationship of aerosol particles inside a naturally ventilated apartment - A comparison between single-parameter analysis and indoor aerosol model simulation

The indoor-to-outdoor relationship of aerosol particles is affected by several mechanisms including penetration, ventilation rate, dry deposition rate and sources. Understanding the effect of these factors is essential for a deeper knowledge of the indoor-to-outdoor relationship. In real-life conditions, it is difficult to analyze these factors in a naturally ventilated environment. In this study, a naturally ventilated and an occupied apartment was used to investigate the indoor-to-outdoor relationship of aerosol particles by applying two different techniques; single-parameter analysis and indoor aerosol model simulation. The indoor aerosol model simulation approach can describe the effect of these factors based on high time-resolution calculations and it is a powerful and robust approach. Single parameter analysis is very simple to apply but it is valid under certain conditions. In the absence of indoor activities (i.e. nighttime) and based on the particle number concentrations, the I/O ratio was <1 during spring but ~1.2 during winter. Based on the indoor aerosol model simulation results for the coarse fraction, the penetration factor (P) was 0.3-1, the ventilation rate (λ) was 0.1-2h^-1, and the deposition rate (λ_d) was ~0.15h^-1. The coarse particles concentration was strongly affected by indoor activities. During extreme mechanical activities (e.g. vacuum cleaning), the concentration increased by a factor of 9 (source strength ~160particles/h). During children play, the coarse fraction concentration increased by a factor of 3 (source strength ~10particles/h). Spraying an insect pesticide increased the coarse fraction concentration by a factor of 9 (source strength ~420particles/h). Water-pipe tobacco smoking produced huge amounts of both micron and submicron particulate matter; it caused the coarse fraction concentration to significantly increase by a factor of 18 (source strength ~140particles/h). The use of natural gas heater affected the submicron fraction only and did not affect the micron fraction.