Metal concentration of PM(2.5) and PM(10) particles and seasonal variations in urban and rural environment of Agra, India

Three monthly 24-hour samples of airborne aerosols (PM(10) and PM(2.5)) were collected at an urban and a rural site of the North central, semi-arid part of India during May 2006 to March 2008. Seven trace metals (Pb, Zn, Ni, Fe, Mn, Cr and Cu) were determined for both sizes. The annual mean concentration for PM(10) was 154.2 microg/m(3) and 148.4 microg/m(3) at urban and rural sites whereas PM(2.5) mean concentration was 104.9 microg/m(3) and 91.1 microg/m(3) at urban and rural sites, respectively. Concentrations of PM(10) and PM(2.5) have been compared with prescribed WHO standards and NAAQS given by CPCB India and were found to be higher. Weekday/weekend variations of PM(10) and PM(2.5) have been studied at both monitoring sites. Lower particulate pollutant levels were found during weekends, which suggested that anthropogenic activities are major contributor of higher ambient particulate concentration during weekdays. Significant seasonal variations of particulate pollutants were obtained using the daily average concentration of PM(10) and PM(2.5) during the study period. PM(2.5)/PM(10) ratios at urban and rural sites were also determined during the study period, which also showed variation between the seasons. Three factors have been identified using Principal Component Analysis at the sampling sites comprising resuspension of road dust due to vehicular activities, solid waste incineration, and industrial emission at urban site whereas resuspension of soil dust due to vehicular emission, construction activities and wind blown dust carrying industrial emission, were common sources at rural site.

Clinical and bacteriological responses to three antibiotic regimens for acute exacerbations of cystic fibrosis: ticarcillin-tobramycin, azlocillin-tobramycin, and azlocillin-placebo

In a randomized, double-blind study, cystic fibrosis patients 11-30 years of age with an acute exacerbation of their pulmonary disease were treated with either ticarcillin-tobramycin, azlocillin-tobramycin, or azlocillin-placebo for 10 days. There was significant improvement in Shwachman scores and pulmonary function tests. Concentrations of sputum bacteria were significantly reduced, but after therapy patients had a mean of 10(7) bacteria/ml of sputum. Pseudomonas was transiently eliminated in only one patient. The three regimens had similar impacts on pulmonary function and sputum bacterial concentration. Antibiotic resistance was noted more frequently in the azlocillin-placebo group, but this trend was not statistically significant. Improvement in pulmonary function did not correlate with bacteriological response. Four weeks after discharge, 62% of the improvement in forced expiratory volume in one second and 75% of the improvement in vital capacity remained, but concentrations of sputum bacteria had returned to pretreatment levels, and antibiotic-resistant bacteria persisted.

Contamination of vegetables of different seasons with organophosphorous pesticides and related health risk assessment in northern India

India is an agrarian country. The use of pesticides, herbicides and fungicides were introduced in India during the mid-sixties, which are now being used on a large scale and is a common feature of Indian agriculture. The main intention of the introduction of pesticides was to prevent and control insects, pests and diseases in the field crops. Initially the use of pesticides reduced pest attack and paved way for increasing the crop yield as expected. Simultaneously, increased use of chemical pesticides has resulted in contamination of environment and also caused many long-term affect on the society. In the present study an effort has been made to evaluate the residual concentration of selected organophosphorous pesticides (methyl parathion, chlorpyriphos and malathion) in vegetables grown in different seasons (summer, rainy and winter). Data obtained was then used for estimating the potential health risk associated with the exposure to these pesticides. The pesticides residue concentrations in vegetables of different season shows that the winter vegetables are the most contaminated followed by summer and rainy vegetables. The concentration of the various pesticides were well below the established tolerances but continuous consumption of such vegetables even with moderate contamination level can accumulate in the receptor's body and may prove fatal for human population in the long term. The analysis of health risk estimates indicated that chlorpyriphos and malathion did not poses a direct hazard, however, exposure to methyl parathion has been found to pose some risk to human health.

Indoor air quality of houses located in the urban environment of Agra, India

Increased concern over the adverse health effects of air pollution has highlighted the need for air-pollution measurements, especially in urban areas, where many sources of air pollutants are normally monitored outdoors as part of obligations under the National Air Quality Strategies. Very little is known about air pollution indoors. In fact, the largest exposure to health-damaging indoor pollution probably occurs in the developing world, not in households, schools, and offices of developed countries where most research and control efforts have been focused to date. As a result much of the health impacts from air pollution worldwide seem to occur among the poorest and most vulnerable populations. The authors in their earlier studies have confirmed the importance of ambient air in determining the quality of air indoors. In this study an observation of air quality indoors and outdoors of domestic homes located in an urban environment from October 2004 to December 2005 in Agra, north central India, is performed. The purpose of this study was to characterize the indoor/outdoor (I/O) relationship of airborne pollutants and recognize their probable source in all three seasons, that is, winter, summer, and rainy season. Concentrations of SO(2), NO(2), CO(2), Cl(2), H(2)S, NH(3), RSPM, and PAH were monitored simultaneously and I/O ratios were calculated. In order to investigate the effect of seasonality on indoor and ambient air quality, winter to summer and winter to monsoon average ratios were calculated. It is apparent that there is a general pattern of increasing levels from monsoon to summer to winter, and similarly from outdoor to indoor air. Regressions analysis had been done to further investigate the influence of outdoor air-pollutant concentrations on indoor concentrations. The most probable categories of sources for these pollutants have been identified by using principal-component analysis. Indoor air pollution is a complex function of energy housing and behavioral factors. On the basis of this study and observations, some interventions are also suggested.

Exposure profiles, seasonal variation and health risk assessment of BTEX in indoor air of homes at different microenvironments of a terai province of northern India

BTEX are known for their ability to deteriorate human health. A monitoring study was conducted at Gorakhpur, for a span of one year. BTEX were sampled by drawing air through activated charcoal tubes, using a low flow SKC model 220 pump. Samples were extracted with CS₂ followed by subjecting the aromatic fraction to GC-FID. The mean concentration of BTEX was highest at agricultural (54.3 μg m^-3) followed by industrial (18.2 μg m^-3), roadside (12.3 μg m^-3) and residential site (6.1 μg m^-3). Toluene levels were higher than benzene at all the sites except agricultural site, where benzene concentration exceeded toluene. Seasonal variation showed highest BTEX concentration during winters (32.56 μg m^-3) followed by monsoon (19.90 μg m^-3) and summers (14.44 μg m^-3). At each site, BTEX levels increased with decrease in temperature. Benzene and toluene levels were plotted against indoor temperature, which revealed a significant linear correlation (p < 0.001) for each plot. BTEX concentrations were compared between different sites using Student's t and Mann Whitney U tests. Value of integrated lifetime cancer risk (ILTCR) was higher than 10^-6 for benzene at all the sites, while for ethylbenzene, it was only higher at agricultural site. Cumulative hazard index (HI) was lower than 1.0 at all the sites.

Challenges in translational drug research in neuropathic and inflammatory pain: the prerequisites for a new paradigm

AIM

Despite an improved understanding of the molecular mechanisms of nociception, existing analgesic drugs remain limited in terms of efficacy in chronic conditions, such as neuropathic pain. Here, we explore the underlying pathophysiological mechanisms of neuropathic and inflammatory pain and discuss the prerequisites and opportunities to reduce attrition and high-failure rate in the development of analgesic drugs.

METHODS

A literature search was performed on preclinical and clinical publications aimed at the evaluation of analgesic compounds using MESH terms in PubMed. Publications were selected, which focused on (1) disease mechanisms leading to chronic/neuropathic pain and (2) druggable targets which are currently under evaluation in drug development. Attention was also given to the role of biomarkers and pharmacokinetic-pharmacodynamic modelling.

RESULTS

Multiple mechanisms act concurrently to produce pain, which is a non-specific manifestation of underlying nociceptive pathways. Whereas these manifestations can be divided into neuropathic and inflammatory pain, it is now clear that inflammatory mechanisms are a common trigger for both types of pain. This has implications for drug development, as the assessment of drug effects in experimental models of neuropathic and chronic pain is driven by overt behavioural measures. By contrast, the use of mechanistic biomarkers in inflammatory pain has provided the pharmacological basis for dose selection and evaluation of non-steroidal anti-inflammatory drugs (NSAIDs).

CONCLUSION

A different paradigm is required for the identification of relevant targets and candidate molecules whereby pain is coupled to the cause of sensorial signal processing dysfunction rather than clinical symptoms. Biomarkers which enable the characterisation of drug binding and target activity are needed for a more robust dose rationale in early clinical development. Such an approach may be facilitated by quantitative clinical pharmacology and evolving technologies in brain imaging, allowing accurate assessment of target engagement, and prediction of treatment effects before embarking on large clinical trials.

Characteristics of polycyclic aromatic hydrocarbons in indoor and outdoor atmosphere in the North central part of India

Twenty-three polycyclic aromatic hydrocarbons (PAHs) were measured simultaneously in indoor and outdoor environment of ten homes at urban and roadside sites in the north central part of India during winter season (November 2006 to February 2007). The average concentration of total PAH (TPAH) was 1946.84 ng/m(3) in kitchen, 1666.78 ng/m(3) in living room and 1212.57 ng/m(3) in outdoors at urban site, whereas at roadside site it was 2824.87 ng/m(3), 2161.26 ng/m(3)(,) and 3294.28 ng/m(3) in kitchen, living room and outdoors respectively. The two, three and four ring PAHs were predominant in vapour phase, while the five, six ring PAHs were primarily associated with the particulate phase. The concentration trends of the PAHs in present study were naphthalene>2-methylnaphthalene>1-methylnaphthalene>biphenyl>acenaphthylene in indoor and outdoor environment of both the sites. The spatial trend of total PAHs concentrations in the house located at urban sites, was kitchen>living room>outdoors whereas at roadside site, the trend was outdoors>kitchen>living room. Correlation analysis has been used to identify the sources of PAHs. The correlation between CO(2) and ratio of living room/outdoors (L/O) and kitchen/outdoor (K/O) of total PAHs concentration for two sites was found to be significant.

Association Between Placental Polycyclic Aromatic Hydrocarbons (PAHS), Oxidative Stress, and Preterm Delivery: A Case-Control Study

Polycyclic aromatic hydrocarbons are known to disturb the antioxidant defense system, which may indirectly contribute to induction of early pregnancy in women. Therefore, the present investigation was designed to offer preliminary information about exposure to PAHs by estimating their placental levels and its association with oxidative stress as well as with preterm birth. Placenta tissue samples were drawn after delivery from 84 healthy pregnant women, recruited at a local nursing home of Agra, India, and levels of PAHs were quantified by gas chromatograph equipped with flame ionization detector. To evaluate redox status biomarkers, malondialdehyde (MDA) and glutathione (GSH) were determined in placenta tissue. Significantly elevated levels of benzo(a)pyrene and MDA while decreasing trend of GSH was found in women with preterm delivery group (study) than women with a full-term delivery group (control). Results demonstrated higher, but statistically insignificant (p > 0.05), levels of naphthalene, anthracene, fluorene, pyrene, benzo(b)fluoranthene, benzo(k)fluoranthene, indeno[1,2,3-cd]pyrene, dibenzo(ah)anthracene, and benzo(ghi)perylene in the study group than the control group. However, higher and lower molecular weight PAHs showed significant correlation for the depletion trend of GSH sights upon an example of oxidative stress mechanism. Because of limited statistical power and absence of controlled confounders, this study does not provide an ample involvement of PAHs with preterm delivery but increased MDA and decreased GSH in cases than controls gives the possible contribution of PAHs to early delivery.

Treatment of vitiligo

Vitiligo, particularly in darker skinned individuals, is a psychosocial disaster. With patient education, proper therapeutic selection and persistence, favorable repigmentation can be achieved in the majority of individuals with vitiligo. Attention to the activity state of the disease, the type, location and extent of the vitiligo must be carefully balanced against the patient's expectations, time commitment and assumption of risks. In this review, Dr Taneja succinctly summarizes the wide range of therapeutic options available today for the vitiligo patient.

Polycyclic aromatic hydrocarbons (PAHs) concentrations and related carcinogenic potencies in soil at a semi-arid region of India

A study of polycyclic aromatic hydrocarbons in surface soil was conducted at selected locations in Agra (semi-arid region of India) for a span of one year in order to ascertain the contamination levels. The concentrations of PAH were measured at four locations in the city of Agra, which covers industrial, residential, roadside and agricultural areas. The samples were extracted with hexane by ultrasonic agitation. The extracts were then fractioned on a silica-gel column and the aromatic fraction was subjected to HPLC. The average concentration of total PAH in all samples was 12.1 microg g(-1) and the range was from 3.1 microg g(-1) to 28.5 microg g(-1). The maximum concentrations of PAHs were found to be in winter season. The concentration of PAH decreased in the order chrysene > benzo(b)fluoranthene > fluoranthene. Factor analysis suggests that the mixed signature of all the sources are intermediate between vehicular and combustion activities.

Exposure levels and health risk assessment of ambient BTX at urban and rural environments of a terai region of northern India

Benzene, toluene and xylene (BTX) belong to an important group of aromatic volatile organic compounds (VOCs) that are usually emitted from various sources. BTX play a vital role in the tropospheric chemistry as well as pose health hazard to human beings. Thus, an investigation of ambient benzene, toluene and xylene (BTX) was conducted at urban and rural sites of Gorakhpur for a span of one year in order to ascertain the contamination levels. The sampling of BTX was performed by using a low-flow SKC Model 220 sampling pump equipped with activated coconut shell charcoal tubes with a flow rate of 250 ml/min for 20-24 h. The analysis was in accordance with NIOSH method 1501. The efficiency of pump was checked weekly using regulated rotameters with an accuracy of ±1%. The samples were extracted with CS₂ with occasional agitation and analyzed by GC-FID. The total BTX concentration ranged from 3.4 μg m^-3 to 45.4 μg m^-3 with mean value 30.95 μg m^-3 and median 24.8 μg m^-3. The mean concentration of total BTX was maximum during winter (39.3 μg m^-3), followed by summer (28.4 μg m^-3) and monsoon season (25.1 μg m^-3). The mean concentration of BTX at urban site (11.8 μg m^-3) was higher than that at rural site (8.8 μg m^-3). At both the sites, T/B and X/B ratios were highest in monsoon and lowest in winters. Toluene against benzene plot shows R² value of 0.96 and 0.49 at urban and rural sites respectively. Higher R² value at urban site clearly indicates similar sources of emission for benzene and toluene. At both the sites, the estimated integrated lifetime cancer risk (ILTCR) for benzene exceeded the threshold value of 1E-06 whereas the individual hazard quotients (HQ) for BTX did not exceed unity at any of the sites.

Environmental toxic metals in placenta and their effects on preterm delivery-current opinion

Preterm birth is a significant public reproductive health concern globally; Furthermore, preterm birth has long-lasting medical and pecuniary burdens on the society. Moreover, preterm birth is well-established as the underlying cause of low birth weight in infants as well as neonatal mortality. A growing body of literature suggests that the etiology of preterm delivery in women is elusive; however, countless environmental factors are considered responsible for preterm birth. Environmental contaminants that are toxic metals such as lead, cadmium, arsenic, and mercury are familiar confounding factors for preterm birth globally. Recent studies have indicated that these toxic heavy metals induce oxidative stress in the trophoblastic placental tissue by producing reactive oxygen species that alter the mechanism of antioxidants possibly leading to preterm birth. Moreover, no obvious mechanism underlying metal-induced oxidative stress in the placenta has been identified until date. Consequently, this review offers an outline of the currently existing scientific information on the association of toxic metals and redox status of the placental tissue with preterm birth. Furthermore, this study critically recognizes the gaps related to the deleterious effect of metals on the gestation period in scientific literature.

Efficacy of patient-initiated follow-up clinics in secondary care: a systematic review

Patient-initiated follow up (PIFU) is an initiative that allows patients to initiate hospital follow-up appointments on an 'as required' basis compared with the traditional 'physician-initiated' model. The main principle is to reduce inappropriate regular follow-up appointments. In this systematic review, we attempt to address its efficacy for outpatient secondary level care. Using Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, an electronic literature search was performed independently by two authors using pre-defined search terms across EMBASE, Ovid MedLine, PubMed, PSYCINFO and the Cochrane Library databases. Articles were included if they specifically evaluated any aspect of PIFU. Studies evaluating non-outpatient-based, primary level-based and nurse-led clinic appointments were excluded. A total of 747 articles was reviewed, and six were finally included for the systematic review. Three studies analysed efficacy of PIFU with regards to rheumatological disease and found that there was no deleterious clinical effect and a trend towards increased satisfaction and quality of life including lower costs in the PIFU group. Two studies looked at PIFU and inflammatory bowel disease and identified some clinical benefit and lower costs and equivalent satisfaction and QoL with the PIFU group. A further study looked at PIFU in stage 1 breast cancer and did not find any significant differences in outcomes. There is evidence to suggest that PIFU systems result in fewer overall outpatient appointments in secondary care led services while maintaining equivalent if not better patient satisfaction, quality of life and clinical outcomes across a range of chronic conditions.

Organochlorine pesticides residue in placenta and their influence on anthropometric measures of infants

The objective of this study is to evaluate the influence of placental concentrations of some organochlorine pesticides on newborn's anthropometric measurements (height, weight, head circumference & ponderal index). For this study, we have collected 90 placental tissue samples for the measurement of Dichlorodiphenyltrichloroethane (DDT) & Hexachlocyclohexane (HCH) by Gas Chromatography equipped with Electron Capture Detector (GC-ECD). Regression analysis were performed between outcome variables such as birth weight, birth height, head circumference, ponderal index and independent variable i.e., organochlorine pesticide concentrations. In case of birth weight, there was a substantial decrease of 5.81, 1.94, 4.71, and 2.64 g for 1 ppb (μg/L) increase in placental α-HCH, β-HCH, γ-HCH, and total HCH concentrations respectively. Significant decrease of 2.02 and 0.43 kg/m³ in ponderal index was found with 1 μg/L increase of total-HCH and total DDT concentrations in placenta. The results of this study support an association between environmental exposure to organochlorine pesticides and anthropometric development of the fetus leading to a significant reduction in its birth weight and ponderal index, slight and non-significant reduction in birth height and head circumference. Efforts should be made to reduce exposure of women of reproductive age in relation to long-term impact on health.

Organochlorine pesticide contamination of ground water in the city of Hyderabad

Organochlorine pesticides are ubiquitous and persistent organic pollutants used widely throughout the world. Due to the extensive use in agriculture, organic environmental contaminants such as HCH, DDT along with other organochlorine pesticides are distributed globally by transport through air and water. The main aim of present study is to determine contamination levels of organochlorine pesticides in the ground water of Hyderabad City. Water samples were collected from 28 domestic well supplies of the city. For this study, random sampling technique was applied, all the samples were collected in high purity glass bottles and refrigerated at 4 degrees C until analysis. Solid Phase Extraction (SPE) is used for the extraction of organochlorine pesticide residues in water sample. The collected water samples were pre-filtered through a 0.45 microg glass fiber filter (Wattman GF/F) to remove particulate matter and were acidified with hydrochloric acid (6N) to pH 2.5. Methanol modifier (BDH, for pesticide residue analysis, 10 mL) was added to water sample for better extraction. SPE using pre-packed reversed phase octadecyl (C-18 bonded silica) contained in cartridges was used for sample preparation. Prior to the extraction, the C-18 bonded phase, which contains 500 mg of bonded phase, was washed with 20 mL methanol. The sample was mixed well and allowed to percolate through the cartridges with flow rate of 10-15 mL/min under vacuum. After sample extraction, suction continued for 15 min to dry the packing material and pesticides trapped in the C-18 bonded phases were eluted by passing 10 mL hexane and fraction was evaporated in a gentle steam of Nitrogen. In all samples pesticide residues were analyzed by GC (Chemito-8510) with Ni63 ECD detector. Helium was used as carrier gas and nitrogen was used as make up gas. The injection technique was split/split less. All the samples analyzed were found to be contaminated with four pesticides i.e. DDT, beta-Endosulfan, alpha-Endosulfan and Lindane. DDT was found to range between 0.15 and 0.19 microg L(-1), beta-Endosulfan ranges between 0.21 and 0.87 microg L(-1), alpha-Endosulfan ranges between 1.34 and 2.14 microg L(-1) and Lindane ranges between 0.68 and 1.38 microg L(-1) respectively. These concentrations of pesticides in the water samples were found to be above their respective Acceptable Daily Intake (ADI) values for Humans.

Study of air-soil exchange of polycyclic aromatic hydrocarbons (PAHs) in the north-central part of India--a semi arid region

Soil is the major environmental reservoir of organic compounds and soil-air exchange is a key process in governing the environmental fate of these compounds on a regional and global scale. Samples of air and soil were collected to study the levels of PAHs in the air and soil of the Agra region. Concentrations of PAH measured at four locations in the city of Agra, covers industrial, residential, roadside and agricultural areas. Samples were extracted with hexane by ultrasonic agitation. Extracts were then fractioned on a silica-gel column and the aromatic fraction was analysed by GC-MS. The mean concentration of the total PAH (T-PAH) in the air of Agra was 24.95, 17.95 and 14.25 ng m(-3), during winter, monsoon and summer respectively. The average concentration of T-PAH in the soil of Agra was 12.50, 8.25 and 6.44 μg g(-1) in winter, monsoon and summer seasons respectively. The aim of this study was to investigate the rate of approach to equilibrium partitioning of PAHs between air and soil compartments and to determine the direction of net flux of the studied PAH between air and soil. Calculated soil-air fugacity quotients indicate that the soil may now be a source of some lighter weight PAHs to the atmosphere, whereas it appears to be still acting as a long-term sink for the heavier weight PAHs to some extent in this region.

Trace element concentration in fine particulate matter (PM2.5) and their bioavailability in different microenvironments in Agra, India: a case study

Exposure to airborne particulate matter results in the deposition of millions of particle in the lung; consequently, there is need for monitoring them particularly in indoor environments. Case study was conducted in three different microenvironments, i.e., urban, rural and roadside to examine the elemental bioavailability in fine particulate matter and its potential health risk. The samples were collected on polytetrafluoroethylene filter paper with the help of fine particulate sampler during August-September, 2012. The average mass concentration of PM2.5 was 71.23 µg m(-3) (rural), 45.33 µg m(-3) (urban) and 36.71 µg m(-3) (roadside). Elements in PM2.5 were analyzed by inductively coupled plasma atomic emission spectroscopy. Percentage bioavailability was determined to know the amount of soluble fraction that is actually taken across the cell membrane through inhalation pathway. Cadmium and lead were found to have cancer risk in a risk evaluation using an Integrated Risk Information system.

Personal and ambient PM2.5 exposure assessment in the city of Agra

Human exposure to fine particles can have significant harmful effects on the respiratory and cardiovascular system. To investigate daily exposure characteristics to PM2.5 with ambient concentrations in an urban environment, a personal exposure measurements were conducted for school children, office workers and at their residents, in the city of Taj 'Agra', India. In order to account for all the sources of particulate matter exposure, measurements on several different days during December 2013 to February 2014 were carried out. Personal environment monitors (PEM) and APM 550 were used to measure PM2.5 concentration. The research findings provide insight into possible sources and their interaction with human activities in modifying the human exposure levels.

Monitoring of organochlorine pesticide residues in summer and winter vegetables from Agra, India - a case study

Analysis of summer and winter vegetable samples during 2002-2003 for pesticidal contamination was carried out on Gas Chromatograph-Electron Capture Detector with capillary columns. The contamination levels of winter vegetables (average concentration of 4.57, 6.80 and 5.47 ppb respectively for Lindane, Endosulphan and DDT) were found to be slightly higher than the summer vegetables (average concentration of 4.47, 3.14 and 2.82 ppb respectively for Lindane, Endosulphan and DDT). The concentration of these organochlorine pesticides in summer and winter vegetables were well below the established tolerances but continuous consumption of such vegetables even with moderate contamination level can accumulate in the receptor's body and may lead to chronic effects that could be fatal.

Pesticides exposure through environment and risk of pre-term birth: a study from Agra city

Pre-term birth is an increasingly prevalent complex condition with multiple risk factors including environmental pollutants. Evidences linking organochlorine pesticides with adverse pregnancy outcomes are inconsistent for link between organochlorine pesticides and adverse pregnancy outcomes. We performed a case-control study of 50 cases of full-term births and 40 cases of pre-term births in this study. Placental organochlorine pesticides like metabolites of dichlorodiphenyltrichloroethane that is, (p,p-DDE, p,p-DDT and o,p-DDD) and isomers of hexachlorocyclohexane (α, β, γ and δ HCH) were analyzed by gas chromatography. Although the mean levels of pesticide were found higher in the placenta of the women with pre-term delivery cases placentas, but only α-HCH, total-HCH, p,p-DDE and total-DDT were found statistically significant. It was observed that pesticide exposed women were approximately 1.7 times more likely to deliver pre-term baby as compare to pregnant women that were not exposed to any pesticides. We also observed that increasing maternal age reduced the risk of having pre-term birth (OR = 0.99). Among all pesticides, α-HCH was found to be strongest isomer to induce premature baby birth (p < 0.001). This study found that pregnant women's age and chronic disease, baby's weight at the time of birth and α-HCH were important risk factors for pre-term births.

Indoor/outdoor relationships of carbon monoxide and oxides of nitrogen in domestic homes with roadside, urban and rural locations in a central Indian region

Indoor air quality (IAQ) has been a matter of public concern these days whereas air pollution is normally monitored outdoors as part of obligations under the National air quality strategies. Much little is known about levels of air pollution indoors. Simultaneous measurements of indoor and outdoor carbon monoxide (CO) and oxides of nitrogen (NO and NO2) concentrations were conducted at three different environments, i.e. rural, urban and roadside in Agra, India, using YES - 205 multigas monitor during the winter season, i.e. October 2002-February 2003. A statistical correlation analysis of indoor concentration levels with outdoor concentrations was carried out. CO was maximum at roadside locations with indoor concentrations 2072.5 +/- 372 p.p.b. and outdoor concentrations 1220 +/- 281 p.p.b. (R2 = 0.005). Oxides of nitrogen were found maximum at urban site; NO concentration was 385 +/- 211 and 637 +/- 269 p.p.b. for indoors and outdoors respectively (R2 = 0.90792), where as NO2 concentration was 255 +/- 146 p.p.b. for indoors and 460 +/- 225 p.p.b. for outdoors (R2 = 0939464). Although indoor concentration at all the houses of the three sites have a positive correlation with outdoor concentration, CO variation indoors was very less due to outdoor sources. An activity schedule of inside and outside these homes were also prepared to see its influence and concentrations of pollutants. As standards for indoor air were not available for the Indian conditions these were compared with the known standards of other countries, where as outdoor concentrations were compared with the standards given by the Central Pollution Control board, which shows that indoor concentrations of both NO(x) and CO lie below permissible limits but outdoor concentrations of NO(x) cross the standard limits.

PRACTICAL IMPLICATIONS

''India currently bears the largest number of indoor air pollution (IAP) related health problems in world. An estimated 500,000 women & children die in India each year due to IAP-related cause--this is 25% of estimated IAP-related deaths worldwide. This study will be useful for policy makers, health related officials, academicians and Scientists who have interest in countries of developing world''.