Air pollution and public health: emerging hazards and improved understanding of risk

Peat smoke inhalation alters blood pressure, baroreflex sensitivity, and cardiac arrhythmia risk in rats

Wildland fires (WF) are linked to adverse health impacts related to poor air quality. The cardiovascular impacts of emissions from specific biomass sources are however unknown. The purpose of this study was to assess the cardiovascular impacts of a single exposure to peat smoke, a key regional WF air pollution source, and relate these to baroreceptor sensitivity and inflammation. Three-month-old male Wistar-Kyoto rats, implanted with radiotelemeters for continuous monitoring of heart rate (HR), blood pressure (BP), and spontaneous baroreflex sensitivity (BRS), were exposed once, for 1-hr, to filtered air or low (0.38 mg/m³ PM) or high (4.04 mg/m³) concentrations of peat smoke. Systemic markers of inflammation and sensitivity to aconitine-induced cardiac arrhythmias, a measure of latent myocardial vulnerability, were assessed in separate cohorts of rats 24 hr after exposure. PM size (low peat = 0.4-0.5 microns vs. high peat = 0.8-1.2 microns) and proportion of organic carbon (low peat = 77% vs. high peat = 65%) varied with exposure level. Exposure to high peat and to a lesser extent low peat increased systolic and diastolic BP relative to filtered air. In contrast, only exposure to low peat elevated BRS and aconitine-induced arrhythmogenesis relative to filtered air and increased circulating levels of low-density lipoprotein cholesterol, complement components C3 and C4, angiotensin-converting enzyme (ACE), and white blood cells. Taken together, exposure to peat smoke produced overt and latent cardiovascular consequences that were likely influenced by physicochemical characteristics of the smoke and associated adaptive homeostatic mechanisms.

Narrative review of non-pharmaceutical behavioural measures for the prevention of COVID-19 (SARS-CoV-2) based on the Health-EDRM framework

INTRODUCTION

Non-pharmaceutical measures to facilitate a response to the COVID-19 pandemic, a disease caused by novel coronavirus SARS-CoV-2, are urgently needed. Using the World Health Organization (WHO) health emergency and disaster risk management (health-EDRM) framework, behavioural measures for droplet-borne communicable diseases and their enabling and limiting factors at various implementation levels were evaluated.

SOURCES OF DATA

Keyword search was conducted in PubMed, Google Scholar, Embase, Medline, Science Direct, WHO and CDC online publication databases. Using the Oxford Centre for Evidence-Based Medicine review criteria, 10 bottom-up, non-pharmaceutical prevention measures from 104 English-language articles, which published between January 2000 and May 2020, were identified and examined.

AREAS OF AGREEMENT

Evidence-guided behavioural measures against transmission of COVID-19 in global at-risk communities were identified, including regular handwashing, wearing face masks and avoiding crowds and gatherings.

AREAS OF CONCERN

Strong evidence-based systematic behavioural studies for COVID-19 prevention are lacking.

GROWING POINTS

Very limited research publications are available for non-pharmaceutical measures to facilitate pandemic response.

AREAS TIMELY FOR RESEARCH

Research with strong implementation feasibility that targets resource-poor settings with low baseline health-EDRM capacity is urgently needed.

Association analysis of Suboptimal health Status: a cross-sectional study in China

Background

Suboptimal health status (SHS) among urban residents is commonplace in China. However, factors influencing SHS have not been thoroughly explored, especially with regard to the effects of internal factors (e.g., personality and health awareness) on SHS.

Methods

A cross-sectional study was conducted with a nationally representative sample of 5460 Chinese urban residents..SHS was measured using the Suboptimal Health Mesurement Scale Version 1.0. Demographic information, and information pertaining to lifestyle behaviors, environmental factors, and internal factors were abtained through a questionnaire. The associations between demographic information, lifestyle behaviors, environmental factors, internal factors and SHS were assessed using logistic regression.

Results

Of the 5460 participants (with a mean age of 41.56 ±  16.14 years), 2640 (48.4 %) were men. Out of 36 variables, 23 were significantly associated with SHS: age (odds ratio [OR]: 1.014), an education level of high school/junior college (OR: 1.443) , marital status (OR: 1.899), area of registered permanent residence (OR: 0.767), monthly household income (p < 0.001) , exposure to second-hand smoke (p = 0.001), alcohol drinking (OR: 1.284), bad eating habits (OR: 1.717), not sleeping before 11 p.m. every day (p = 0.002), spending time online more than five hours a day (OR: 1.526), having a good relationship with parents during one’s growth period (OR: 0.602), living with good quality air (OR:0.817), living in not crowded conditions (OR:0.636), having a harmonious neighborhood (OR:0.775), having adequate fitness facilities (OR:0.783), one’s health being affected by two-child policy (OR: 1.468) and medical policies (OR: 1.265) , high adverse quotient (OR: 0.488), many (≥3 kinds) interests and hobbies (OR: 0.617), mature and steady personality traits (OR: 0.469) , a high attention to one’s health (OR: 0.833), and effective health promotion induced by leading a leisurely lifestyle (OR: 0.466) were significantly associated with SHS.

Conclusions

All these variables were included demographic information, lifestyle behaviors, environmental factors and internal factors. Our study supports the benefits of controlling both internal and external factors in preventing suboptimal health.

Comparison of quantitation methods in proteomics to define relevant toxicological information on AhR activation of HepG2 cells by BaP

The application of quantitative proteomics provides a new and promising tool for standardized toxicological research. However, choosing a suitable quantitative method still puzzles many researchers because the optimal method needs to be determined. In this study, we investigated the advantages and limitations of two of the most commonly used global quantitative proteomics methods, namely label-free quantitation (LFQ) and tandem mass tags (TMT). As a case study, we exposed hepatocytes (HepG2) to the environmental contaminant benzo[a]pyrene (BaP) using a concentration of 2 μM. Our results revealed that both methods yield a similar proteome coverage, in which for LFQ a wider range of fold changes was observed but with less significant p-values compared to TMT. We detected 37 and 47 significantly enriched pathways by LFQ and TMT, respectively, with 17 overlapping pathways. To define the minimally required effort in proteomics as a benchmark, we artificially reduced the LFQ, and TMT data sets stepwise and compared the pathway enrichment. Thereby, we found that fewer proteins are necessary for detecting significant enrichment of pathways in TMT compared to LFQ, which might be explained by the higher reproducibility of the TMT data that was observed. In summary, we showed that the TMT approach is the preferable one when investigating toxicological questions because it offers a high reproducibility and sufficient proteome coverage in a comparably short time.

Implications for air quality management of changes in air quality during lockdown in Auckland (New Zealand) in response to the 2020 SARS-CoV-2 epidemic

The current changes in vehicle movement due to 'lockdown' conditions (imposed in cities worldwide in response to the COVID-19 epidemic) provide opportunities to quantify the local impact of 'controlled interventions' on air quality and establish baseline pollution concentrations in cities. Here, we present a case study from Auckland, New Zealand, an isolated Southern Hemisphere city, which is largely unaffected by long-range pollution transport or industrial sources of air pollution. In this city, traffic flows reduced by 60-80% as a result of a government-led initiative to contain the virus by limiting all transport to only essential services. In this paper, ambient pollutant concentrations of NO₂, O₃, BC, PM_2.5, and PM₁₀ are compared between the lockdown period and comparable periods in the historical air pollution record, while taking into account changes in the local meteorology. We show that this 'natural experiment' in source emission reductions had significant but non-linear impacts on air quality. While emission inventories and receptor modelling approaches confirm the dominance of traffic sources for NO_x (86%), and BC (72%) across the city, observations suggest a consequent reduction in NO₂ of only 34-57% and a reduction in BC of 55-75%. The observed reductions in PM_2.5 (still likely to be dominated by traffic emissions), and PM₁₀ (dominated by sea salt, traffic emissions to a lesser extent, and affected by seasonality) were found to be significantly less (8-17% for PM_2.5 and 7-20% for PM₁₀). The impact of this unplanned controlled intervention shows the importance of establishing accurate, local-scale emission inventories, and the potential of the local atmospheric chemistry and meteorology in limiting their accuracy.

A review of the impact of outdoor and indoor environmental factors on human health in China

The Intergovernmental Panel on Climate Change (IPCC) reported that global climate change has led to the increased occurrence of extreme weather events. In the context of global climate change, more evidence indicates that abnormal meteorological conditions could increase the risk of epidemiological mortality and morbidity. In this study, using a systematic review, we evaluated a total of 175 studies (including 158 studies on outdoor environment and 17 studies on indoor environment) to summarize the impact of outdoor and indoor environment on human health in China using the database of PubMed, Web of Science, the Cochrane Library, and Embase. In particular, we focused on studies about cardiovascular and respiratory mortality and morbidity, the prevalence of digestive system diseases, infectious diseases, and preterm birth. Most of the studies we reviewed were conducted in three of the metropolises of China, including Beijing, Guangzhou, and Shanghai. For the outdoor environment, we summarized the effects of climate change-related phenomena on health, including ambient air temperature, diurnal temperature range (DTR), temperature extremes, and so on. Studies on the associations between temperature and human health accounted for 79.7% of the total studies reviewed. We also screened out 19 articles to explore the effect of air temperature on cardiovascular diseases in different cities in the final meta-analysis. Besides, modern lifestyle involves a large amount of time spent indoors; therefore, indoor environment also plays an important role in human health. Nevertheless, studies on the impact of indoor environment on human health are rarely reported in China. According to the limited reports, adverse indoor environment could impose a high health risk on children.

Using miniaturised scanning mobility particle sizers to observe size distribution patterns of quasi-ultrafine aerosols inhaled during city commuting

Portable miniaturised scanning mobility particle sizer (SMPS) instruments measuring atmospheric particles within the 10-241 nm size range were used to track particle number size distributions and concentrations during near-simultaneous pedestrian, bicycle, bus, car, tram and subway commuting journeys in Barcelona, Spain on 4th-6th July 2018. The majority of particles in this size range were <100 nm, with k-means cluster analysis identifying peaks at 15-22 nm, 30-40 nm, and 45-75 nm. Around 10-25% of the particles measured however were >100 nm (especially in the subway environment) and so lie outside the commonly defined range of "ultrafine" particles (UFP, or <100 nm particles). The study demonstrated in detail how personal exposure to quasi-UFP (QUFP, <241 nm), most of which present in the city streets are produced by road traffic, varies greatly depending on the transport mode and route chosen. Proximity to fresh traffic exhaust sources, such as in a car with open windows, on-road cycling, walking downwind of busy roads, or in a subway station contaminated by roadside air, enhances commuter exposure to particles <30 nm in size. In contrast, travelling inside air-conditioned bus or tram offers greater protection to the commuter from high concentrations of fresh exhaust. Ultrafine number size distributions in traffic-contaminated city air typically peak in the size range 30-70 nm, but they can be shifted to finer sizes not only by increased content of fresh proximal exhaust emissions but also by bursts of new particle formation (NPF) events in the city. One such afternoon photochemical nucleation NPF event was identified during our Barcelona study and recognised in different transport modes, including underground in the subway system. The integration of static urban background air monitoring station information with particle number concentration and size distribution data obtained from portable miniaturised SMPS instruments during commuting journeys opens new approaches to investigating city air quality by offering a level of detail not previously available.

Liaison between exposure to sub-micrometric particulate matter and allergic response in children from a petrochemical industry city

The study examines the association between exposure to sub-micrometric Particulate Matter (PM₁) and allergic response in a group of sensitive young children (age: 2-10 years) from Ploiesti city, Romania. The city is the only urban agglomeration in Europe surrounded by four oil refineries. A panel study was conducted by collecting medical information from children with respiratory illnesses and atopy (n = 135). Hot Spot Analysis revealed the areas of the city that are susceptible to high levels of PM₁. We found a close interaction between exposure to PM₁ outdoor concentrations and various physiological changes and clinical symptoms in children including triggering of allergic reactions, rhinitis, alteration of lung function, upper and lower respiratory tract symptoms, and bronchial asthma. During the 2-year study period, the incidence of hospitalizations was 40.7%. Strong correlations (p < 0.001) were observed between the PM₁ exposure and hospitalizations, and exposure and Immunoglobulin E (IgE). PM₁ exposure was also correlated with eosinophils (p < 0.05). Another positive correlation was observed between hospitalizations and IgE levels (p < 0.05). The mean results of tested indicators were as follows: wheezing (5.3, 95% CI (1.4-1.8); Coeff. of var. (CV) = 30%), IgE (382, 95% CI (349-445); CV = 102%), and EO% (5.3, 95% CI (3.3-4.2); CV = 69.5%). We can conclude that exposure to PM₁ influenced the frequency of wheezing episodes, increased hospitalizations, and the levels of allergic blood indicators in children, especially in infants and pre-schoolers. CAPSULE: Exposure to sub-micrometric particles (PM₁) influences the frequency of wheezing episodes, hospitalizations, and the levels of allergic blood indicators in children, especially in infants and pre-schoolers.

Identification of Long-Range Transport Pathways and Potential Source Regions of PM2.5 and PM10 at Akedala Station, Central Asia

Cluster analyses, potential source contribution function (PSCF) and concentration-weight trajectory (CWT) were used to identify the main transport pathways and potential source regions with hourly PM2.5 and PM10 concentrations in different seasons from January 2017 to December 2019 at Akedala Station, located in northwest China (Central Asia). The annual mean concentrations of PM2.5 and PM10 were 11.63 ± 9.31 and 19.99 ± 14.39 µg/m3, respectively. The air pollution was most polluted in winter, and the dominant part of PM10 (between 54 to 76%) constituted PM2.5 aerosols in Akedala. Particulate pollution in Akedala can be traced back to eastern Kazakhstan, northern Xinjiang, and western Mongolia. The cluster analyses showed that the Akedala atmosphere was mainly affected by air masses transported from the northwest. The PM2.5 and PM10 mainly came with air masses from the central and eastern regions of Kazakhstan, which are characterized by highly industrialized and semi-arid desert areas. In addition, the analyses of the pressure profile of back-trajectories showed that air mass distribution were mainly distributed above 840 hPa. This indicates that PM2.5 and PM10 concentrations were strongly affected by high altitude air masses. According to the results of the PSCF and CWT methods, the main potential source areas of PM2.5 were very similar to those of PM10. In winter and autumn, the main potential source areas with high weighted PSCF values were located in the eastern regions of Kazakhstan, northern Xinjiang, and western Mongolia. These areas contributed the highest PM2.5 concentrations from 25 to 40 µg/m3 and PM10 concentrations from 30 to 60 µg/m3 in these seasons. In spring and summer, the potential source areas with the high weighted PSCF values were distributed in eastern Kazakhstan, northern Xinjiang, the border between northeast Kazakhstan, and southern Russia. These areas contributed the highest PM2.5 concentrations from 10 to 20 µg/m3 and PM10 concentrations from 20 to 60 µg/m3 in these seasons.

On-Chip Chemiresistive Sensor Array for On-Road NO x Monitoring with Quantification

The adverse effects of air pollution on respiratory health make air quality monitoring with high spatial and temporal resolutions essential especially in cities. Despite considerable interest and efforts, the application of various types of sensors is considered immature owing to insufficient sensitivity and cross-interference under ambient conditions. Here, a fully integrated chemiresistive sensor array (CSA) with parts-per-trillion sensitivity is demonstrated with its application for on-road NO x monitoring. An analytical model is suggested to describe the kinetics of the sensor responses and quantify molecular binding affinities. Finally, the full characterization of the system is connected to implement on-road measurements on NO x vapor with quantification as its ultimate field application. The obtained results suggest that the CSA shows potential as an essential unit to realize an air-quality monitoring network with high spatial and temporal resolutions.

Air Pollution and Asthma: Mechanisms of Harm and Considerations for Clinical Interventions

There is global concern regarding the harmful impact of polluted air on the respiratory health of patients with asthma. Multiple epidemiologic studies have shown ongoing associations between high levels of air pollution and poor early life lung growth, development of allergic sensitization, development of asthma, airway inflammation, acutely impaired lung function, respiratory tract infections, and asthma exacerbations. However, studies have often yielded inconsistent findings, and not all studies have found significant associations; this may be related to both variations in statistical, measurement, and modeling methodologies between studies as well as differences in the concentrations and composition of air pollution globally. Overall, this variation in findings suggests we still do not fully understand the effects of ambient pollution on the lungs and on the evolution and exacerbation of airway diseases. There is clearly a need to augment epidemiologic studies with experimental studies to clarify the underlying mechanistic basis for the adverse responses reported and to identify the key gaseous and particle-related components within the complex air pollution mixture driving these outcomes. Some progress toward these aims has been made. This article reviews studies providing an improved understanding of causal pathways linking air pollution to asthma development and exacerbation. The article also considers potential strategies to reduce asthma morbidity and mortality through regulation and behavioral/pharmacologic interventions, including a consideration of pollutant avoidance strategies and antioxidant and/or vitamin D supplementation.

Public Health Threat Assessment of Vehicular Load Index-Induced Urban Air Pollution Indices Near Traffic Intersections In Central India

OBJECTIVES

To assess traffic vehicular load, levels of various air pollutants, their correlation at selected traffic intersections of Bhopal city and to suggest suitable public health measures.

METHODS

A transverse study was conducted by convenience sampling with equated distribution among vehicular load-based large (Group1:G1: 10 TI), medium (Group2:G2: 5 TI), and small (Group3:G3: 5 TI) traffic-intersections (TI) through a systematic stratified random selection of study sites to assess traffic vehicle load index (VLI).

RESULTS

VLI,G1 (cumulative mean: 16.31; day-time (DT): 19.03, DT range 11.68-51.49; night-time (NT): 13.59, NT range 11.7-18.0), VLI,G2 (cumulative mean: 0.965; DT:0.971, DT range 08.56-11.67; NT: 0.960, NT range 07.54-11.39), and VLI,G3 (cumulative mean: 06.17; DT:06.08, DT range 04.12-06.86; NT: 06.27, NT range 03.74-07.53). There is a significant intergroup difference of the mean (G1 vs G2: p=0.03); (G1 vs G3: p=0.002); (G2 vs G3: p=0.003). The range of VLI is found to be wide within G1 (DT; 11.68-51.49; NT 11.7-18.00) as compared to narrow range in G2 (DT; 8.56-11.67; NT7.54-11.39) and G3 (DT; 4.12-6.86; NT 3.74-7.53).

CONCLUSION

High air pollution noted at TIs and associated exposure to unprotected commuters pose public-health risks. It has long-term health consequences requiring focused multidisciplinary preventive interventions.

Air quality mitigation in European cities: Status and challenges ahead

Cities are currently at the core of air quality (AQ) improvement. The present work provides an overview of AQ management strategies and outcomes in 10 European cities (Antwerp, Berlin, Dublin, Madrid, Malmö, Milan, Paris, Plovdiv, Prague, Vienna) in 2018, and their evolution since 2013 (same cities, plus Ploiesti and Vilnius), based on first-hand input from AQ managers. The status of AQ mitigation in 2018, and its evolution since 2013, were assessed. While results evidenced that the majority of mitigation strategies targeted road traffic, emerging sources such as inland shipping, construction/demolition and recreational wood burning were identified. Several cities had in 2018 the ambition to continue decreasing air pollution concentrations to meet WHO guidelines, an ambition which had not yet been identified in 2013. Specific needs identified by all of the cities assessed were tools to quantify the effectiveness of mitigation strategies and for cost-benefit analysis, as well as specific and up to date technical guidance on real-world road vehicle emissions. The cities also requested guidance to identify mitigation measures promoting co-benefits, e.g., in terms of AQ, climate change, and noise. Support from administrations at local-regional-national-EU scales, and especially involving local policy-makers early on in the air quality management process, was considered essential. This work provides insight into the drivers of successful/unsuccessful AQ policies as well as on the challenges faced during their implementation. We identify knowledge gaps and provide input to the research and policy-making communities as to specific needs of cities.

Personal black carbon and ultrafine particles exposures among high school students in urban China

Air pollution is a major public health challenge in the highly urbanized megacities of China. However, knowledge on exposure to ambient unregulated air pollutants such as black carbon (BC) and ultrafine particles (UFP) among the Chinese population, especially among urban high school students who may have highly variable time-activity patterns, is scarce. To address this, the personal exposures to BC and UFP of high school students (aged 17 to 18) in Chengdu, China were measured at 1-min intervals via portable samplers. Monitoring lasted for 2 consecutive 24-h periods with days classified as "school days" or "non-school days". Time-activity diaries and measurements were combined to explore spatial, temporal, and behavioral factors that contribute to different exposure profiles. The overall geometric means of BC and UFP were 3.60 μg/m³ and 1.83 × 10⁴p/cm³, respectively with notable spatiotemporal variation in exposures observed. In general, the household and transport microenvironments were the predominant contributors to total BC (74.5%) and UFP (36.5%) exposure. However, the outdoor public microenvironment was found to have significantly higher overall average levels of BC than the household and transport microenvironments (p < 0.001) while also presenting the greatest exposure dose intensity (EDI - a measure of exposure in a microenvironment in proportion to time spent in that environment) of 4.79. The largest overall average level of UFP occurred in the indoor public microenvironment followed by transport. The outdoor public microenvironment also presented the greatest EDI of UFP (4.17). This study shows notable spatiotemporal variety in exposure patterns and will inform future exposure and population health studies. The high EDI outdoors may mean that health positive activities, such as exercise, may be being undermined by ambient pollution.

Micro-RNAs: Crossroads between the Exposure to Environmental Particulate Pollution and the Obstructive Pulmonary Disease

Environmental pollution has reached a global echo and represents a serious problem for human health. Air pollution encompasses a set of hazardous substances, such as particulate matter and heavy metals (e.g., cadmium, lead, and arsenic), and has a strong impact on the environment by affecting groundwater, soil, and air. An adaptive response to environmental cues is essential for human survival, which is associated with the induction of adaptive phenotypes. The epigenetic mechanisms regulating the expression patterns of several genes are promising candidates to provide mechanistic and prognostic insights into this. Micro-RNAs (miRNAs) fulfil these features given their ability to respond to environmental factors and their critical role in determining phenotypes. These molecules are present in extracellular fluids, and their expression patterns are organ-, tissue-, or cell-specific. Moreover, the experimental settings for their quantitative and qualitative analysis are robust, standardized, and inexpensive. In this review, we provide an update on the role of miRNAs as suitable tools for understanding the mechanisms behind the physiopathological response to toxicants and the prognostic value of their expression pattern associable with specific exposures. We look at the mechanistic evidence associable to the role of miRNAs in the processes leading to environmental-induced pulmonary disease (i.e., chronic obstructive pulmonary disease).

Perfluorooctanoic acid in indoor particulate matter triggers oxidative stress and inflammation in corneal and retinal cells

To investigate the particle size distribution of particulate matter and the concentration of specific perfluorinated compounds in indoor dust samples from several locations. Then, we used cell-based assays to investigate the effect of perfluorinated compounds on human corneal epithelial (HCEpiC), endothelial cells (HCEC) and retinal pigment epithelial cells (RPE). Indoor dust samples were collected at five different locations and PM_50–10, PM_10–2.5, and PM_2.5–1 were fractionized. The presence and levels of 8:2 fluorotelomer alcohol, 10:2 fluorotelomer alcohol, and perfluorooctanoic acid were detected by gas chromatography–mass spectrometry. The effect of perfluorooctanoic acid on the activation of reactive oxygen species, transepithelial resistance as well as the expression of interleukin (IL)-6 and IL-8 were determined. The basolateral media of human corneal epithelial or human corneal endothelial cells were used to treat human corneal endothelial or retinal pigment epithelial cells, respectively to indicate the potential of ocular surface inflammation may result in retinal inflammation. Among perfluorinated compounds, only perfluorooctanoic acid was detected in all indoor dust samples. Perfluorooctanoic acid had the highest concentration among all perfluorinated compounds in the samples. Exposure to perfluorooctanoic acid impaired tight junction sealing and increased the levels of reactive oxygen species in human corneal epithelial cells. In human corneal epithelial cells, secretion of IL-6 and IL-8 in both apical and basolateral media was promoted significantly by perfluorooctanoic acid treatment. Stimulation with the basolateral media from perfluorooctanoic acid-treated human corneal epithelial cells induced inflammation in human corneal endothelial cells. The treatment of retinal pigment epithelial cells with the basolateral media from stimulated human corneal endothelial cells also elicited the secretion of proinflammatory cytokines. The results indicate that perfluorooctanoic acid exposure impaired the tight junction of corneal cells and caused inflammatory reactions in the retina. Exposure of the cornea to perfluorooctanoic acid contained in particulate matter might induce oxidative stress and inflammation in the retina and represent a risk factor for age-related macular degeneration.

Prophylaxis of dental caries in children from polluted regions

To be living at the most advanced technological area in history is to exist and face pollution one of the most serious threats to all living things on the planet. There is evidence that anthropogenic and technological pollutions cause a considerable number of health problems and stomatological in particular. This article demonstrates the results gained by administration of vitamin-macro element complex “Calcinova” and sorbent “Enterosgel” in correction of enzymes responsible for biotransformation of xenobiotics in blood serum of children from the polluted areas. It has been established the high efficiency of recommended scheme on caries prophylaxis that is proved by positive biochemical indexes in blood serum of this children observed 30 month after the beginning of the investigation. As a result of the introduced prophylaxis, we have noticed the significant improvement of biochemical indexes in children with tooth decay. The findings reflect a certain rise in activity of enzymes responsible for elimination of xenobiotics such as alcohol-dehydrogenase (ADH) and glutathione-S-transferase (GST) obtained from the blood serum of children from the main group comparing to the control group.

Short-term exposure to particulate matter (PM10 and PM2.5), nitrogen dioxide (NO2), and ozone (O3) and all-cause and cause-specific mortality: Systematic review and meta-analysis

BACKGROUND

Air pollution is a leading cause of mortality and morbidity worldwide. Short-term exposure (from one hour to days) to selected air pollutants has been associated with human mortality. This systematic review was conducted to analyse the evidence on the effects of short-term exposure to particulate matter with aerodynamic diameters less or equal than 10 and 2.5 µm (PM_10, PM_2.5), nitrogen dioxide (NO₂), and ozone (O₃), on all-cause mortality, and PM₁₀ and PM_2.5 on cardiovascular, respiratory, and cerebrovascular mortality.

METHODS

We included studies on human populations exposed to outdoor air pollution from any source, excluding occupational exposures. Relative risks (RRs) per 10 µg/m³ increase in air pollutants concentrations were used as the effect estimates. Heterogeneity between studies was assessed using 80% prediction intervals. Risk of bias (RoB) in individual studies was analysed using a new domain-based assessment tool, developed by a working group convened by the World Health Organization and designed specifically to evaluate RoB within eligible air pollution studies included in systematic reviews. We conducted subgroup and sensitivity analyses by age, sex, continent, study design, single or multicity studies, time lag, and RoB. The certainty of evidence was assessed for each exposure-outcome combination. The protocol for this review was registered with PROSPERO (CRD42018087749).

RESULTS

We included 196 articles in quantitative analysis. All combinations of pollutants and all-cause and cause-specific mortality were positively associated in the main analysis, and in a wide range of sensitivity analyses. The only exception was NO₂, but when considering a 1-hour maximum exposure. We found positive associations between pollutants and all-cause mortality for PM₁₀ (RR: 1.0041; 95% CI: 1.0034-1.0049), PM_2.5 (RR: 1.0065; 95% CI: 1.0044-1.0086), NO₂ (24-hour average) (RR: 1.0072; 95% CI: 1.0059-1.0085), and O₃ (RR: 1.0043; 95% CI: 1.0034-1.0052). PM₁₀ and PM_2.5 were also positively associated with cardiovascular, respiratory, and cerebrovascular mortality. We found some degree of heterogeneity between studies in three exposure-outcome combinations, and this heterogeneity could not be explained after subgroup analysis. RoB was low or moderate in the majority of articles. The certainty of evidence was judged as high in 10 out of 11 combinations, and moderate in one combination.

CONCLUSIONS

This study found evidence of a positive association between short-term exposure to PM₁₀, PM_2.5, NO₂, and O₃ and all-cause mortality, and between PM₁₀ and PM_2.5 and cardiovascular, respiratory and cerebrovascular mortality. These results were robust through several sensitivity analyses. In general, the level of evidence was high, meaning that we can be confident in the associations found in this study.

COVID-19 pandemic persuaded lockdown effects on environment over stone quarrying and crushing areas

Stone quarrying and crushing spits huge stone dust to the environment and causes threats to ecosystem components as well as human health. Imposing emergency lockdown to stop infection of COVID 19 virus on 24.03.2020 in India has created economic crisis but it has facilitated environment to restore its quality. Global scale study has already proved the qualitative improvement of air quality but its possible impact at regional level is not investigated yet. Middle catchment of Dwarka river basin of Eastern India is well known for stone quarrying and crushing and therefore the region is highly polluted. The present study has attempted to explore the impact of forced lockdown on environmental components like Particulate matter (PM) 10, Land surface temperature (LST), river water quality, noise using image and field derived data in pre and during lockdown periods. Result clearly exhibits that Maximum PM10 concentration was 189 to 278 μg/m3 in pre lockdown period and it now ranges from 50 to 60 μg/m3 after 18 days of the commencement of lockdown in selected four stone crushing clusters. LST is reduced by 3-5 °C, noise level is dropped to <65dBA which was above 85dBA in stone crusher dominated areas in pre lockdown period. Adjacent river water is qualitatively improved due to stoppage of dust release to the river. For instance, total dissolve solid (TDS) level in river water adjacent to crushing unit is attenuated by almost two times. When entire world is worried about the appropriate policies for abating environmental pollution, this emergency lockdown shows an absolute way i.e. pollution source management may restore environment and ecosystem with very rapid rate.

Vehicular PM Emissions and Urban Public Health Sustainability: A Probabilistic Analysis for Dhaka City

Particulate Matter (PM) pollution is generally considered as a prime indicator of urban air quality and is linked to human health hazards. As vehicles are a vital component of an urban setting, the risks of particulate pollution need to be assessed. An emission modelling is essential for that, and thus stochastic modelling approach involving Monte Carlo simulation technique was applied, aiming to reduce the uncertainty in emission modelling. The risks scenarios for the emissions were generated for 2019 (present state) and 2024 (future), integrating the probability of emissions and the associated AQI (Air Quality Index). Despite the vehicles being a minor source of PM in Dhaka (compared to the contribution from other sources), about one-third of the city is found under high risk due to the exhaust particulate pollution; having the potentiality to cover more than 60% of the city in the coming years, affecting the urban public health sustainability. However, the extent of implementation of planning and management strategies can revert the scenarios for the city, which can plausibly reduce the risk from 80% to 50%, or even to a no-risk state.

The impact of prenatal exposure to PM2.5 on childhood asthma and wheezing: a meta-analysis of observational studies

With the accelerated pace of economic development and modernization, air pollution has become one of the most focused public health problems. However, the impact of particulate matter exposure during pregnancy on childhood asthma and wheezing remains controversial. We performed this meta-analysis to explore the relationship between prenatal exposure to PM2.5 and childhood asthma and wheezing. Candidate papers were searched on PubMed, Web of Science, Embase, and Cochrane Library before July 15, 2019. The main characteristics of the included studies were extracted, and the quality was evaluated by the Newcastle-Ottawa Scale (NOS). A sensitivity analysis was performed to assess the impact of individual studies on the combined effects. The Egger and Begg tests were conducted to examine the publication bias. Nine studies were included in the final analysis. Prenatal exposure to PM2.5 significantly increased the risk of childhood asthma and wheezing (OR = 1.06, 95% CI 1.02-1.11; per 5 μg/m3). Maternal exposure was more strongly related to childhood asthma and wheezing before age 3 (OR = 1.15, 95% CI 1.00-1.31; per 5 μg/m3) than after (OR = 1.04, 95% CI 1.00-1.09; per 5 μg/m3). Children in developed countries showed more severe effects (OR = 1.14, 95% CI 1.02-1.27; per 5 μg/m3). Children who were born to mothers with higher levels of prenatal exposure were at higher risk of asthma and wheezing (OR = 1.07, 95% CI 1.02-1.13; per 5 μg/m3). This meta-analysis indicated that the impact of PM2.5 on childhood asthma and wheezing begins as early as utero, so regulating pollutant emission standards and strengthening prenatal protection are crucial to maternal and child health.

Particulate Matter Induces Tissue OxInflammation: From Mechanism to Damage

Significance: Oxidative stress and oxidative damage are central hypothetical mechanisms for the adverse effects of airborne particulate matter (PM). Activation of inflammatory cells capable of generating reactive oxygen and nitrogen species is another proposed damage pathway. Understanding the interplay between these responses can help us understand the adverse health effects attributed to breathing polluted air. Recent Advances: The consequences of PM exposure on different organs are oxidative damage, decreased function, and inflammation, which can lead to the development/exacerbation of proinflammatory disorders. Mitochondrial damage is also an important event in PM-induced cytotoxicity. Critical Issues: Reactive oxygen species (ROS) are generated during phagocytosis of the particles, leading to enhancement of oxidative stress and triggering the inflammatory response. The activation of inflammatory signaling pathways results in the release of cytokines and other mediators, which can further induce ROS production by activating endogenous enzymes, leading to a positive feedback loop, which can aggravate the effects triggered by PM exposure. Future Directions: Further research is required to elucidate the exact mechanisms by which PM exposure results in adverse health effects, in terms of the relationship between the redox responses triggered by the presence of the particles and the inflammation observed in the different organs, so the development/exacerbation of PM-associated health problems can be prevented.

microRNA expression profiles and personal monitoring of exposure to particulate matter

An increasing number of findings from epidemiological studies support associations between exposure to air pollution and the onset of several diseases, including pulmonary, cardiovascular and neurodegenerative diseases, and malignancies. However, intermediate, and potentially mediating, biological mechanisms associated with exposure to air pollutants are largely unknown. Previous studies on the human exposome have shown that the expression of certain circulating microRNAs (miRNAs), regulators of gene expression, are altered upon exposure to traffic-related air pollutants. In the present study, we investigated the relationship between particulate matter (PM) smaller than 2.5 μm (PM_2.5), PM_2.5 absorbance (as a proxy of black carbon and soot), and ultrafine-particles (UFP, smaller than 0.1 μm), measured in healthy volunteers by 24 h personal monitoring (PEM) sessions and global expression levels of peripheral blood miRNAs. The PEM sessions were conducted in four European countries, namely Switzerland (Basel), United Kingdom (Norwich), Italy (Turin), and The Netherlands (Utrecht). miRNAs expression levels were analysed using microarray technology on blood samples from 143 participants. Seven miRNAs, hsa-miR-24-3p, hsa-miR-4454, hsa-miR-4763-3p, hsa-miR-425-5p, hsa-let-7d-5p, hsa-miR-502-5p, and hsa-miR-505-3p were significantly (FDR corrected) expressed in association with PM_2.5 personal exposure, while no significant association was found between miRNA expression and the other pollutants. The results obtained from this investigation suggest that personal exposure to PM_2.5 is associated with miRNA expression levels, showing the potential for these circulating miRNAs as novel biomarkers for air pollution health risk assessment.

Temporal and spatial statistical analysis of ambient air quality of Assam (India)

Present paper represents the spatio-temporal variation of air quality and performances of geostatistical tools for the identification of pollutants zone in various districts of Assam (India). Geographic Information System (GIS) and geostatistical analysis were utilized to estimate the spatio-temporal variations (2015-2017) of gaseous and particulate air pollutants. Data of 23 fixed monitoring stations were collected from the Central Pollution Control Board (CPCB). It was observed that SO₂ and NO_x concentrations are the major pollutants to the deterioration of air quality in Assam State. Exploratory data analysis was considered for the determination of spatial and temporal patterns of air pollutants. Air Quality index (AQI) was calculated based on the air pollutants and particulate matter. Radial Basis Function (RBF) interpolation techniques were used to analyze the spatial and temporal variation of air quality in Assam. Cross-validation is applied to evaluate the accuracy of interpolation methods in terms of Root Mean Square Error (RMSE), Mean Absolute Percentage Error (MAPE), Nash-Sutcliffe Equation (NSE) and Accuracy Factor (ACFT). In 2015, the high value of AQI portrayed in the central and northeast of the state. In 2016, the central and entire east of the study area was recorded the highest value of AQI. In 2017, it was observed that mostly the central part of the state recorded the high value of AQI. The spatio-temporal variation trend of air pollutants provides sound scientific basis for its management and control. This information of air pollution congregation would be valuable for urban planners and decision architects to efficiently administer air quality for health and environmental purposes.

IMPLICATIONS

Guwahati is one of the most polluted cities in India provided a novel evidence to find out the impact of air pollution. Present study has been suffered from several limitations, like (i) the daily or weekly concentration of air pollutants was not gained due to limited monitoring technique, (2) dearth of regular information of PM2.5 collection, which were not regularly connected. Present study is used to estimate the spatio-temporal variations (2015-2017) of gaseous and particulate air pollutants using GIS and spatial statistical approach. Probably, this is the first study to report the spatial and temporal variation of air quality distribution in Assam. Results showed there is a negative impact on the ambient air quality status of Assam. These industries and mining areas contribute significantly to the air pollution in this deltaic region. This district-wise information of air pollution congregation would be valuable for urban planners and decision architects to efficiently administer air quality for health and environmental purposes. The dissimilarity in geographical dissemination of the pollutant concentration has been more helpful in seasonal inevitability. Consequently, a continuous set of data and more parameters can be included to attain more reliable results.

Plastic smoke aerosol: Nano-sized particle distribution, absorption/fluorescent properties, dysregulation of oxidative processes and synaptic transmission in rat brain nerve terminals

Smoke from plastic waste incineration in an open air travels worldwide and is a major source of air pollution particulate matter (PM) that is very withstand to degradation and hazard to human health. Suspension of smoke aerosol components in water occurs during rains and fire extinguishing. Here, water-suspended plastic smoke aerosol (WPS) preparations suitable for biotesting were synthesized. It has been revealed using dynamic light scattering that WPS contained major nano-sized (∼30 nm) PM fraction, and this result was confirmed by electron microscopy. Optical absorption of WPS was in the UV region and an increase in λ_ex led to a red-shift in fluorescence emission with a corresponding decrease in fluorescence intensity. WPS was analyzed in neurotoxicity studies in vitro using presynaptic rat cortex nerve terminals (synaptosomes). Generation of spontaneous reactive oxygen species (ROS) detected using fluorescent dye 2',7-dichlorofluorescein in nerve terminals was decreased by WPS (10-50 μg/ml) in a dose-dependent manner. WPS also reduced the H₂O₂-evoked ROS production in synaptosomes, thereby influencing cellular oxidative processes and this effect was similar to that for carbon nanodots. WPS (0.1 mg/ml) decreased the synaptosomal membrane potential and synaptic vesicle acidification in fluorimetric experiments. WPS (1.0 mg/ml) attenuated the synaptosomal transporter-mediated uptake of excitatory and inhibitory neurotransmitters, L-[¹⁴C]glutamate and [³H]GABA, respectively. This can lead to an excessive increase in the glutamate concentration in the synaptic cleft and neurotoxicity via over activation of ionotropic glutamate receptors. Therefore, WPS was neurotoxic and provoked presynaptic malfunction through changes of oxidative activity, reduction of the membrane potential, synaptic vesicle acidification, and transporter-mediated uptake of excitatory and inhibitory neurotransmitters in nerve terminals. In summary, synthesis and emission to the environment of ultrafine PM occur during combustion of plastics, thereby polluting air and water resources, and possibly triggering development of neuropathologies.

Source identification and pollution degree of deposited dust on green space in Tehran

The information about concentration, sources, and pollution degree of heavy metals belong to deposited dust (DS) can be used for decision-making in air quality control, removal role of green space, and urban forest management. The objectives of the study were to identify and evaluate DS pollution degree with the introduction of a new index. DS samples were collected from five tree species. The concentration of heavy metals and pollution degree of DS were evaluated by enrichment factors (EF), geoaccumulation index (I_geo), modified degrees of contamination (mC_d), and a new comprehensive index as weighted degree of contamination factor (wC_d). The values of EF showed that all samples were significant to extremely high enrichment and DS samples were emitted from anthropogenic activities. I_geo values indicated that DS samples were polluted by Cd (80-97%) and Pb (100%). In addition, mC_d results showed more than 67% of samples were unpolluted. There was a clear fact that I_geo results showed high pollution levels for Pb, Cd, and low for Ni, and the mCd results were incompatible with them. When all heavy metals were used without their importance to mC_d, calculation can cause bias from reality. For this reason, the new index was suggested as wC_d for all heavy metals that its results showed high to very high degree of pollution and that it was compatible with other indices results.

Exposure to respirable and fine dust particle over North-Central India: chemical characterization, source interpretation, and health risk analysis

This study enhances the understanding of the particulate matters (PM_2.5 and PM₁₀) and their physical and chemical behavior over the Taj Mahal, Agra, in North-Central India. The mass concentration was determined, and the shape and size of the particles and chemical characterizations have been carried out using SEM-EDX. The high level and significant variation of PM₁₀ (162.2 µg m^-3) and PM_2.5 (83.9 µg m^-3) were observed. The exceedance factor of the present study region is in critical and moderate condition. Morphological characterization reveals the particles of different shapes and sizes, while elemental analysis shows the presence of Si, Al, Fe, Ca, K, Cl, Mg, Na, Cu, and Zn. The dominance of Si indicated the contribution of natural sources, i.e., soil over this region. Three significant sources, viz. soil/road paved dust/vegetative emissions, vehicular/industrial emissions, and intermingling of dust and combustion particles, have been identified using principal component analysis over North-Central India. Health risk analysis of particulate matter identified carcinogenic and non-carcinogenic metals in the present study, which comes in contact with human beings during inhalation. The non-carcinogenic risk was much higher than the acceptable level. The high carcinogenic risks were found in Zn in PM₁₀ and Cu in PM_2.5 for both children and adults.

The association between short-term residential black carbon concentration on blood pressure in a general population sample

BACKGROUND

Exposure to black carbon indoors may be associated with blood pressure; however, evidence is limited to vulnerable subpopulations and highly exposed individuals. Our objective was to explore the relationship between indoor black carbon at various exposure windows on resting blood pressure in a general population sample.

METHODS

Black carbon was measured in the home of 76 individuals aged 10-71 in New Orleans, Louisiana. Exposure was measured every 1 minute for up to 120 hours using an AE51 microaethalometer. Systolic blood pressure and diastolic blood pressure were measured at the conclusion of exposure monitoring.

RESULTS

In adjusted models, at all exposure windows, increasing black carbon was associated with increased systolic blood pressure. The period 0-72 hours prior to blood pressure measurement showed the strongest effect; a 1 μg/m³ increase in black carbon was associated with a 7.55 mm Hg (P = .02) increase in systolic blood pressure. The relationship was stronger in participants reporting doctor-diagnosed hypertension (β = 6.47 vs β = 3.27). Black carbon was not associated with diastolic blood pressure.

CONCLUSION

Increasing black carbon concentration indoors is positively associated with increasing systolic blood pressure with the most relevant exposure window being 0-72 hours prior to blood pressure measurement. Individuals with hypertension may be a more susceptible population.

Ambient air pollution and its influence on human health and welfare: an overview

Human health is closely related to his environment. The influence of exposure to air pollutants on human health and well-being has been an interesting subject and gained much volume of research over the last 50 years. In general, polluted air is considered one of the major factors leading to many diseases such as cardiovascular and respiratory disease and lung cancer for the people. Besides, air pollution adversely affects the animals and deteriorates the plant environment. The overarching objective of this review is to explore the previous researches regarding the causes and sources of air pollution, how to control it and its detrimental effects on human health. The definition of air pollution and its sources were introduced extensively. Major air pollutants and their noxious effects were detailed. Detrimental impacts of air pollution on human health and well-being were also presented.

The hazardous effects of the environmental toxic gases on amyloid beta-peptide aggregation: A theoretical perspective

Alzheimer's disease (AD) is one of the leading causes of dementia in elderly people. It has been well documented that the exposure to environmental toxins such as CO, CO₂, SO₂ and NO₂ that are present in the air is considered as a hallmark for the progression of Alzheimer's disease. However, their actual mechanism by which environmental toxin triggers the aggregation of Aβ42 peptide at the molecular and atomic levels remain unknown. In this study, molecular dynamics simulation was carried out to study the aggregation mechanism of the Aβ₄₂ peptide due to its interaction of toxic gas (CO, CO₂, SO₂ and NO₂). During the 400 ns simulation, all the Aβ₄₂ interacted toxic gas (CO, CO₂, SO_2, and NO₂) complexes have smaller Root Mean Square Deviation values when compared to the Aβ₄₂ peptide, which shows that the interaction of toxic gases (CO, CO₂, SO_2, and NO₂) would increase the Aβ₄₂ peptide structural stability. The radius of gyration analysis also supports that Aβ₄₂ interacted CO₂ and SO₂ complexes have the minimum value in the range of 0.95 nm and 1.5 nm. It is accounted that the Aβ₄₂ interacted CO₂ and SO₂ complexes have a greater compact structure in comparison to Aβ₄₂ interacted CO and NO₂ complexes. Furthermore, all the Aβ₄₂ interacted toxic gas (CO, CO₂, SO_2, and NO₂) complexes exhibited an enhanced secondary structural probability for coil and turn regions with a reduced α-helix probability, which indicates that the interaction of toxic gases may enhance the toxicity and aggregation of Aβ₄₂.

Ambient Air Pollution Exposure Association with Anaemia Prevalence and Haemoglobin Levels in Chinese Older Adults

BACKGROUND

Health effects of air pollution on anaemia have been scarcely studied worldwide. We aimed to explore the associations of long-term exposure to ambient air pollutants with anaemia prevalence and haemoglobin levels in Chinese older adults.

METHODS

We used two-level linear regression models and modified Poisson regression with robust error variance to examine the associations of particulate matter (PM) and nitrogen dioxide (NO₂) on haemoglobin concentrations and the prevalence of anaemia, respectively, among 10,611 older Chinese adults enrolled in World Health Organization (WHO) Study on global AGEing and adult health (SAGE) China. The average community exposure to ambient air pollutants (PM with an aerodynamic diameter of 10 μm or less (PM₁₀), 2.5 μm or less (PM_2.5), 1 μm or less (PM₁) and nitrogen dioxide (NO₂)) for each participant was estimated using a satellite-based spatial statistical model. Haemoglobin levels were measured for participants from dried blood spots. The models were controlled for confounders.

RESULTS

All the studied pollutants were significantly associated with increased anaemia prevalence in single pollutant model (e.g., the prevalence ratios associated with an increase in inter quartile range in three years moving average PM₁₀ (1.05; 95% CI: 1.02-1.09), PM_2.5 (1.11; 95% CI: 1.06-1.16), PM₁ (1.13; 95% CI: 1.06-1.20) and NO₂ (1.42; 95% CI: 1.34-1.49), respectively. These air pollutants were also associated with lower concentrations of haemoglobin: PM₁₀ (-0.53; 95% CI: -0.67, -0.38); PM_2.5 (-0.52; 95% CI: -0.71, -0.33); PM₁ (-0.55; 95% CI: -0.69, -0.41); NO₂ (-1.71; 95% CI: -1.85, -1.57) respectively.

CONCLUSIONS

Air pollution exposure was significantly associated with increased prevalence of anaemia and decreased haemoglobin levels in a cohort of older Chinese adults.

Nanoparticle exposure and hazard in the ceramic industry: an overview of potential sources, toxicity and health effects

The ceramic industry is an industrial sector of great impact in the global economy that has been benefiting from advances in materials and processing technologies. Ceramic manufacturing has a strong potential for airborne particle formation and emission, namely of ultrafine particles (UFP) and nanoparticles (NP), meaning that workers of those industries are at risk of potential exposure to these particles. At present, little is known on the impact of engineered nanoparticles (ENP) on the environment and human health and no established Occupational Exposure Limits (OEL) or specific regulations to airborne nanoparticles (ANP) exposure exist raising concerns about the possible consequences of such exposure. In this paper, we provide an overview of the current knowledge on occupational exposure to NP in the ceramic industry and their impact on human health. Possible sources and exposure scenarios, a summary of the existing methods for evaluation and monitoring of ANP in the workplace environment and proposed Nano Reference Values (NRV) for different classes of NP are presented. Case studies on occupational exposure to ANP generated at different stages of the ceramic manufacturing process are described. Finally, the toxicological potential of intentional and unintentional ANP that have been identified in the ceramic industry workplace environment is discussed based on the existing evidence from in vitro and in vivo inhalation toxicity studies.

Short-term effect of PM1 on hospital admission for ischemic stroke: A multi-city case-crossover study in China

This study aims to examine the association between short-term exposures to PM₁, PM_2.5 and PM₁₀ (particulate matter with aerodynamic diameters ≤1 μm, ≤2.5 μm and ≤10 μm, respectively) and hospital admission for ischemic stroke in China. Daily counts of hospital admission for ischemic stroke were collected in 5 hospitals in China during November 2013 to October 2015. Daily concentrations of PM₁, PM_2.5 and PM₁₀ were collected in 5 cities where the hospitals were located. A time-stratified case-crossover design was used to examine the hospital-specific PM-ischemic stroke association after controlling for potential confounders. Then the effect estimates were pooled using a random-effect meta-analysis. A total of 68,122 hospital admissions for ischemic stroke were identified from 5 hospitals during the study period. The pooled results showed that exposures to PM₁, PM_2.5 and PM₁₀ were significantly associated with increased hospital admission for ischemic stroke on the current day and previous 1 day. The RRs (relative risk associated with per 10 μg/m³ increase in each pollutant) and 95%CIs (confidence intervals) for the cumulative effects of PM₁, PM_2.5 and PM₁₀ on ischemic stroke during lag 0-1 days were 1.014 (1.005, 1.0023), 1.007 (1.000, 1.014) and 1.005 (1.001, 1.009), respectively. In total, 3.5%, 3.6% and 4.1% of hospital admissions for ischemic stroke could be attributable to PM₁, PM_2.5 and PM₁₀, respectively. Exposures to ambient PM₁, PM_2.5 and PM₁₀ pollution showed acute adverse effects on hospital admission for ischemic stroke. The health effects of PM₁ should be considered by policy-makers.

Association of fine particulate matter exposure with acute noncardiovascular critical illnesses and in-hospital outcomes in patients receiving intensive cardiac care

Background

The effect of short-term exposure to fine particulate matter (PM_2.5) on the incidence of acute noncardiovascular critical illnesses (ANCIs) and clinical outcomes is unknown in patients with acute cardiovascular diseases.

Methods

We conducted a retrospective study in 2337 admissions to an intensive cardiac care unit (ICCU) from June 2016 to May 2017. We used the 2-day average PM_2.5 concentration before ICCU admission to estimate the individual exposure level, and patients were divided into 3 groups according to the concentration tertiles. Major ANCI was defined as the composite of acute respiratory failure, acute kidney injury, gastrointestinal hemorrhage, or sepsis. The primary endpoint was all-cause death or discharge against medical advice in extremely critical condition.

Results

During the 12-month study period, the annual median concentration of PM_2.5 in Chengdu, China was 48 μg/m³ (IQR, 33–77 μg/m³). More than 20% of admissions were complicated by major ANCI, and the primary endpoints occurred in 7.6% of patients during their hospitalization. The association of short-term PM_2.5 exposure levels with the incidence of acute respiratory failure (adjusted OR [odds ratio] =1.31, 95% CI [confidence interval]1.12–1.54) and acute kidney injury (adjusted OR = 1.20, 95% CI 1.02–1.41) showed a significant trend. Additionally, there were numerically more cases of sepsis (adjusted OR = 1.21, 95% CI 0.92–1.60) and gastrointestinal hemorrhage (adjusted OR = 1.29, 95% CI 0.94–1.77) in patients with higher exposure levels. After further multivariable adjustment, short-term PM_2.5 exposure levels were still significantly associated with incident major ANCI (adjusted OR = 1.32, 95% CI 1.12–1.56), as well as a higher incidence of the primary endpoint (adjusted OR = 1.52, 95% CI 1.09–2.12).

Conclusion

Short-term PM_2.5 exposure before ICCU admission was associated with an increased risk of incident major ANCI and worse in-hospital outcomes in patients receiving intensive cardiac care.

Air-Pollution Control in an Emergent Market: Does It Work? Evidence from Romania

Economic development in a national and international context must be based on a sustainability strategy established on the systemic interaction between the economic, sociocultural, and ecological environments. Today, the world is confronted by many challenges related to climate change and natural-resource flows, including waste streams resulting from economic activity. The need for national and European environmental standards and the work of an environment monitoring authority to reduce air pollution are highlighted by economic and industrial activities. Thus, our research focused on determining if emissions of sulfur dioxide (SO₂), nitrogen (NO₂), and particulate matter 10 (PM₁₀) are influenced by planned and unplanned inspections made by competent authorities from Romania. We built a regression model that estimates the influence of economic measures imposed by the authorities on reducing industrial air pollution. Preliminary results showed that the number of inspections negatively influences air pollution, indicating that national and local authorities in Romania are striving to maintain air quality and are conducting more inspections when air pollution is high.

Small-area methods for investigation of environment and health

Small-area studies offer a powerful epidemiological approach to study disease patterns at the population level and assess health risks posed by environmental pollutants. They involve a public health investigation on a geographical scale (e.g. neighbourhood) with overlay of health, environmental, demographic and potential confounder data. Recent methodological advances, including Bayesian approaches, combined with fast-growing computational capabilities, permit more informative analyses than previously possible, including the incorporation of data at different scales, from satellites to individual-level survey information. Better data availability has widened the scope and utility of small-area studies, but has also led to greater complexity, including choice of optimal study area size and extent, duration of study periods, range of covariates and confounders to be considered and dealing with uncertainty. The availability of data from large, well-phenotyped cohorts such as UK Biobank enables the use of mixed-level study designs and the triangulation of evidence on environmental risks from small-area and individual-level studies, therefore improving causal inference, including use of linked biomarker and -omics data. As a result, there are now improved opportunities to investigate the impacts of environmental risk factors on human health, particularly for the surveillance and prevention of non-communicable diseases.

Black carbon over an urban atmosphere in northern peninsular Southeast Asia: Characteristics, source apportionment, and associated health risks

Black carbon (BC) has been demonstrated to pose significant negative impacts on climate and human health. Equivalent BC (EBC) measurements were conducted using a 7-wavelength aethalometer, from March to May 2016, over an urban atmosphere, viz., Chiang Mai (98.957°E, 18.795°N, 373 m above sea level), Thailand in northern peninsular Southeast Asia. Daily variations in aerosol light absorption were mainly governed by open fire activities in the region. The mean mass-specific absorption cross-section (MAC) value of EBC at 880 nm was estimated to be 9.3 m² g^-1. The median EBC mass concentration was the highest in March (3.3 μg m^-3) due to biomass-burning (comprised of forest fire and agricultural burning) emissions accompanied by urban air pollution within the planetary boundary layer under favorable meteorological conditions. Daily mean absorption Ångström exponent (AAE_470/950) varied between 1.3 and 1.7 and could be due to variations in EBC emission sources and atmospheric mixing processes. EBC source apportionment results revealed that biomass-burning contributed significantly more to total EBC concentrations (34-92%) as compared to fossil-fuel (traffic emissions). Health risk estimates of EBC in relation to different health outcomes were assessed in terms of passive cigarette equivalence, highlighting the considerable health effects associated with exposure to EBC levels. As a necessary action, the reduction of EBC emissions would promote considerable climate and health co-benefits.

Isovitexin Increases Stem Cell Properties and Protects Against PM2.5 in Keratinocytes

Background/Aim: Fine airborne particles of Particular Matter of less than 2.5 micrometers (PM _2.5 ) have been recognized as a dominant air contamination causing critical health concerns. Herein, we determined whether isovitexin, a natural plant-derived compound could protect PM_2.5-mediated oxidative stress and induce stemness in epidermal cells. Materials and Methods: Cell viability was detected by the 3-(4,5-dimethylthiazol-2-yl)-2,5 diphenyltetrazolium bromide (MTT) assay. Reactive oxygen species (ROS) were determined by flow cytometry with 2',7'-dichlorofluorescin diacetate (DCFH-DA). Protein hallmarks of stem cells were examined by western blot analysis. Results: PM_2.5 treatment for 30 min increased the levels of intracellular ROS. Pre-treatment of cells with 10-50 μM of isovitexin dramatically inhibited the ROS induced by PM_2.5. Antioxidant efficacy of isovitexin was also determined by the ROS scavenging activity against 2,2-diphenyl-2-picrylhydrazyl (DPPH), ABTS and superoxide anion radicals. In addition, we found that isovitexin enhanced the stem cell properties of keratinocytes, indicated by the significant increase in the levels of stem cell proteins. Conclusion: Isovitexin can be potentially used as an effective compound for preventing skin damage.

Human Inhalation Exposure to Aerosol and Health Effect: Aerosol Monitoring and Modelling Regional Deposited Doses

Since poor air quality affects human health in the short and long term, much research has been performed on indoor and outdoor aerosol exposure; however, there is a lack of specific data on the exposure and health risks of inhalable aerosols that contain bioaerosol in different environments of human life. To investigate the potential exposure to inhalable aerosols (in the monitoring of particulate matter (PM) based on R modeling, variations of PM depend on the ventilation system and bioaerosols based on size distribution) in various environments, the special viability and culturability of bioaerosols and their deposition doses in the respiratory system were evaluated. We conducted exposure assessments on inhalable aerosols in various indoor environments (childcare facilities, schools, commercial buildings, elderly and homes). The fractions of PM (PM₁₀, PM₄ and PM_2.5) were investigated and, for the bioaerosol, the viability, culturability, inhalation daily dose and the deposited dose of the aerosol in the respiratory system were calculated to evaluate the human health effects. For two years, the distribution of the indoor PM concentration was high in all PM fractions in schools and commercial buildings, and low in the elderly and at homes. For airborne bacteria, the highest concentrations were shown in the childcare facility during the four seasons, while airborne fungi showed high concentrations in the buildings during the spring and summer, which showed significant differences from other investigated environments (between the buildings and elderly and homes: p < 0.05). The viability and culturability for the bioaerosol showed no significant difference in all environments, and the correlation between inhalable PM and bioaerosol obtained from the six-stage impactor showed that the coefficient of determination (R²) between coarse particles (PM_10–2.5, the size of stage 2–3) and cultivable airborne bacteria ranged from 0.70 (elderly and homes) to 0.84 (school) during the summer season.

Atmospheric deposition of hazardous elements and its accumulation in both soil and grain of winter wheat in a lead-zinc smelter contaminated area, Central China

Hazardous elements (HEs) and its deposition from atmosphere have become a major healthy and environmental concern worldwide, however, the risks to food safety of deposited HE are still largely unknown, especially for wheat grains (Triticum aestivum L.). This research was to characterize atmospheric deposition of high HEs [such as lead (Pb), cadmium (Cd) and arsenic (As)] at deposited site (TS) and assess its impacts on the soil and winter wheat accumulation in a lead‑zinc smelter contaminated area of Central China. Results indicated that deposited As, Cd and Pb at TS site were 31.15, 15.94 and 281.86 mg m^-2 during the winter wheat growing season, contributing 86.9%, 81.7% and 80.4% to the annual total, respectively. Most of deposited HEs were retained in top 35-cm soil, resulting in soil Cd concentration above the national soil regulatory limit (0.6 mg kg^-1; GB 15618-2018). The newly deposited HEs could contribute 57.7-88.2% and 16.2-29.1% to total HEs of wheat grains in clean soil based on a soil transplanted experiment and in contaminated soil based on a two-year in-situ experiment, respectively. Moreover, the newly deposited HEs significantly increased HE concentration of wheat grain by 22.9-57.5% in the contaminated soil when an immobilizing amendment were applied (p < 0.05), and grain Cd concentration exceeded the national grain limit (0.1 mg kg^-1; GB 2762-2017). Thus, deposited HE could be accumulated in soil and wheat grain and decrease the remediation effectiveness of passivation amendments in contaminated soils, which would raise a public awareness of HE deposition and provide a scientific data in support of environmental pollution control and remediation.

The association between PM2.5 exposure and suicidal ideation: a prefectural panel study

Background

Suicidal ideation is subject to serious underestimation among existing public health studies. While numerous factors have been recognized in affecting suicidal thoughts and behaviors (STB), the associated environmental risks have been poorly understood. Foremost among the various environment risks were air pollution, in particular, the PM2.5. The present study attempted to examine the relationship between PM_2.5 level and local weekly index of suicidal ideation (ISI).

Methods

Using Internet search query volumes in Baidu (2017), the largest internet search engine in China, we constructed a prefectural panel data (278 prefectures, 52 weeks) and employed dynamic panel GMM system estimation to analyze the relationship between weekly concentration of PM2.5 (Mean = 87 μg·m^− 3) and the index of suicidal ideation (Mean = 49.9).

Results

The results indicate that in the spring and winter, a 10 μg·m^− 3 increase in the prior week’s PM_2.5 in a Chinese city is significantly associated with 0.020 increase in ISI in spring and a 0.007 increase in ISI in winter, after taking account other co-pollutants and meteorological conditions.

Conclusion

We innovatively proposed the measure of suicidal ideation and provided suggestive evidence of a positive association between suicidal ideation and PM_2.5 level.

Climate-change information, health-risk perception and residents' environmental complaint behavior: an empirical study in China

Motivating residents to deliver environmental complaints is beneficial for environmental authorities to help them manage environmental issues and alleviate the adverse effects caused by climate change. The major aim of the present study is to understand how climate-change information and residents' health-risk perceptions (both physical and mental dimensions) affect residents' environmental complaint behavior. The research framework was developed according to planned behavior theory, risk perception behavior and information behavior models. This framework was empirically assessed by employing questionnaire survey data gathered from 1273 respondents in China. The results indicate that climate-change information and residents' health-risk perceptions have all significantly positive effects on residents' attitudes toward environmental complaints and their intention to submit environmental complaints. Meanwhile, residents' health-risk perception is also positively affected by climate-change information. Mental health-risk perception plays a much stronger role in determining a residents' attitude and intention to submit an environmental complaint than does physical health-risk perception. Furthermore, attitude toward environmental complaint, perceived behavioral control and subjective norm all have significantly positive effects on a residents' intention to submit an environmental complaint. Additionally, this study also addresses the intention-behavior gap and suggests a positive relationship between intention and behavior. The present study may provide some practical implications to motivate residents to submit environmental complaints.