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Frankel TE, Crowell C, Giancarlo L, Hydorn D, Odhiambo BK. Investigating the potential impacts of coal ash runoff on the freshwater Seminole ramshorn snail (Planorbella duryi) under laboratory conditions. CHEMOSPHERE 2023; 310:136815. [PMID: 36241101 DOI: 10.1016/j.chemosphere.2022.136815] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Revised: 10/03/2022] [Accepted: 10/06/2022] [Indexed: 06/16/2023]
Abstract
Coal fly ash is an industrial waste product generated by coal fired powerplants which has been shown to contain elevated concentrations of several toxic trace metals. When stored in landfills or other repositories, these trace metals can enter nearby surface waters via a number of routes including leaching or runoff. Our study examined 1) the presence and concentration of eleven trace elements in a range of lab-created coal ash leachate solutions at neutral pH using ICP-OES, 2) the physiological effects of these leachate solutions on a freshwater gastropod (Planorbella duryi), and 3) the ability of these trace metals to bioaccumulate in the tissues of exposed individuals. As, Cd, Cu, Mg, Mn, and Pb were detected in solutions at increasing concentrations concurrent with ash concentration. Exposure to leachates caused significant delays in embryonic development, reduced juvenile shell growth, decreases in egg and clutch production, and the display of avoidance behaviors. Tissues of exposed snails contained elevated concentrations of As, Cd, Cu, and Cr, with bioconcentration factors 177,550 times higher in cadmium and 85,468 times higher in arsenic in the highest treatment compared to control organisms. Our results highlight the potential harmful effects of coal ash leachates on a novel freshwater invertebrate species using several unique methodologies, providing key information regarding their potential impacts on surrounding aquatic ecosystems.
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Affiliation(s)
- T E Frankel
- Department of Earth and Environmental Sciences, University of Mary Washington, Fredericksburg, VA, USA, 22401.
| | - C Crowell
- Department of Earth and Environmental Sciences, University of Mary Washington, Fredericksburg, VA, USA, 22401
| | - L Giancarlo
- Department of Chemistry and Physics, University of Mary Washington, Fredericksburg, VA, USA, 22401
| | - D Hydorn
- Department of Mathematics, University of Mary Washington, Fredericksburg, VA, USA, 22401
| | - B K Odhiambo
- Department of Earth and Environmental Sciences, University of Mary Washington, Fredericksburg, VA, USA, 22401
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Zierold KM, Sears CG, Myers JV, Brock GN, Zhang CH, Sears L. Exposure to coal ash and depression in children aged 6-14 years old. ENVIRONMENTAL RESEARCH 2022; 214:114005. [PMID: 35944620 PMCID: PMC10725726 DOI: 10.1016/j.envres.2022.114005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 07/20/2022] [Accepted: 07/25/2022] [Indexed: 05/29/2023]
Abstract
BACKGROUND When coal is burned for energy, coal ash, a hazardous waste product, is generated. Throughout the world, over 1 billion tons of coal ash is produced yearly. In the United States, over 78 million tons of coal ash was produced in 2019. Fly ash, the main component of coal ash contains neurotoxic metal (loid)s that may affect children's neurodevelopment and mental health. The objective of this study was to investigate the association between fly ash and depressive problems in children aged 6-14 years old. METHODS Children and their parents/guardians were recruited from 2015 to 2020. Tobit regression and logistic regression were used to assess the association between coal fly ash and depressive problems. To determine fly ash presence, Scanning Electron Microscopy was conducted on polycarbonate filters containing PM10 from the homes of the study participants. Depressive problems in children were measured using the Depressive Problems DSM and withdrawn/depressed syndromic problem scales of the Child Behavior Checklist. RESULTS In covariate-adjusted Tobit regression models, children with fly ash on the filter had higher scores on the DSM Depressive Problems (3.13 points; 95% CI = 0.39, 5.88) compared with children who did not have fly ash on the filter. Logistic regression supported these findings. CONCLUSION Coal ash is one of the largest waste streams in the U.S, but it is not classified as a hazardous waste by the Environmental Protection Agency. To our knowledge, no studies have assessed the impact of coal ash on children's mental health. This study highlights the need for further research into the effects of coal ash exposure on children's mental health, and improved regulations on release and storage of coal ash.
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Affiliation(s)
- Kristina M Zierold
- Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
| | - Clara G Sears
- Department of Environmental Medicine, University of Louisville, Louisville, KY, USA.
| | - John V Myers
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, OH, USA.
| | - Guy N Brock
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, OH, USA.
| | - Charlie H Zhang
- Department of Geographic & Environmental Sciences, University of Louisville, Louisville, KY, USA.
| | - Lonnie Sears
- Department of Pediatrics, University of Louisville, Louisville, KY, USA.
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Wang X, Garrabrants AC, Chen Z, van der Sloot HA, Brown KG, Qiu Q, Delapp RC, Hensel B, Kosson DS. The influence of redox conditions on aqueous-solid partitioning of arsenic and selenium in a closed coal ash impoundment. JOURNAL OF HAZARDOUS MATERIALS 2022; 428:128255. [PMID: 35042166 DOI: 10.1016/j.jhazmat.2022.128255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 12/17/2021] [Accepted: 01/07/2022] [Indexed: 06/14/2023]
Abstract
A closed coal ash impoundment case study characterized the effects of field redox conditions on arsenic and selenium partitioning through monitoring of porewater and subsurface gas in conjunction with geochemical speciation modeling. When disposed coal ash materials and porewater were recovered for testing, oxidation led to lower arsenic and higher selenium concentrations in leaching test extracts compared to porewater measurements. Multiple lines of evidence suggest multiple mechanisms of arsenic retention are plausible and the concurrent presence of several redox processes and conditions (e.g., methanogenesis, sulfate reduction, and Fe(III)-reduction) controlled by spatial gradients and dis-equilibrium. Geochemical speciation modeling indicated that, under reducing field conditions, selenium was immobilized through the formation of insoluble precipitates Se(0) or FeSe while arsenic partitioning was affected by a progression of reactions including changes in arsenic speciation, reduction in adsorption due to dissolution and recrystallization of hydrous ferric oxides, and precipitation of arsenic sulfide minerals.
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Affiliation(s)
- Xinyue Wang
- Department of Civil and Environmental Engineering, Vanderbilt University, Nashville, TN 37235, United States
| | - Andrew C Garrabrants
- Department of Civil and Environmental Engineering, Vanderbilt University, Nashville, TN 37235, United States
| | - Zhiliang Chen
- Department of Civil and Environmental Engineering, Vanderbilt University, Nashville, TN 37235, United States
| | - Hans A van der Sloot
- Hans van der Sloot Consultancy, Glenn Millerhof 29, 1628 TS Hoorn, The Netherlands
| | - Kevin G Brown
- Department of Civil and Environmental Engineering, Vanderbilt University, Nashville, TN 37235, United States
| | - Qili Qiu
- School of Environmental Engineering, Nanjing Institute of Technology, Nanjing 211167, China
| | - Rossane C Delapp
- Department of Civil and Environmental Engineering, Vanderbilt University, Nashville, TN 37235, United States
| | - Bruce Hensel
- Electric Power Research Institute (EPRI), 3420 Hillview Avenue, Palo Alto, CA 94304, United States
| | - David S Kosson
- Department of Civil and Environmental Engineering, Vanderbilt University, Nashville, TN 37235, United States.
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Sears L, Myers JV, Sears CG, Brock GN, Zhang C, Zierold KM. Manganese body burden in children is associated with reduced visual motor and attention skills. Neurotoxicol Teratol 2021; 88:107021. [PMID: 34428495 PMCID: PMC8578377 DOI: 10.1016/j.ntt.2021.107021] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 08/05/2021] [Accepted: 08/18/2021] [Indexed: 10/20/2022]
Abstract
Manganese (Mn) is an essential element, however, children with moderate to high Mn exposure can exhibit neurobehavioral impairments. One way Mn appears to affect brain function is through altering dopaminergic systems involved with motor and cognitive control including frontal - striatal brain systems. Based on the risk for motor and attention problems, we evaluated neurobehavioral function in 255 children at risk for Mn exposure due to living in proximity to coal ash storage sites. Proton Induced X-ray Emissions (PIXE) analysis was conducted on finger and toenails samples. Multiple neuropsychological tests were completed with the children. Fifty-five children had Mn concentrations above the limit of detection (LOD) (median concentration = 3.95 ppm). Children with detectable Mn concentrations had reduced visual motor skills (β = -5.62, CI: -9.11, -2.12, p = 0.008) and more problems with sustained attention, based on incorrect responses on a computerized attention test, (β = 0.40, CI: 0.21, 0.59, p < 0.001) compared with children who had Mn concentrations below the LOD. Findings suggest that Mn exposure impacts attention and motor control possibly due to neurotoxicity involving basal ganglia and forebrain regions. Visual-motor and attention tests may provide a sensitive measure of Mn neurotoxicity, useful for evaluating the effects of exposure in children and leading to better treatment options.
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Affiliation(s)
- Lonnie Sears
- Department of Pediatrics, University of Louisville, Louisville, KY, USA..
| | - John V Myers
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, OH, USA.
| | - Clara G Sears
- Division of Environmental Medicine, University of Louisville, Louisville, KY, USA.
| | - Guy N Brock
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, OH, USA.
| | - Charlie Zhang
- Department of Geography & Geosciences, University of Louisville, Louisville, KY, USA.
| | - Kristina M Zierold
- Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, AL, USA.
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Zierold KM, Myers JV, Brock GN, Sears CG, Sears LL, Zhang CH. Nail Samples of Children Living near Coal Ash Storage Facilities Suggest Fly Ash Exposure and Elevated Concentrations of Metal(loid)s. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2021; 55:9074-9086. [PMID: 34132542 PMCID: PMC10725724 DOI: 10.1021/acs.est.1c01541] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Children who live near coal-fired power plants are exposed to coal fly ash, which is stored in landfills and surface impoundments near residential communities. Fly ash has the potential to be released as fugitive dust. Using data collected from 263 children living within 10 miles of coal ash storage facilities in Jefferson and Bullitt Counties, Kentucky, USA, we quantified the elements found in nail samples. Furthermore, using principal component analysis (PCA), we investigated whether metal(loid)s that are predominately found in fly ash loaded together to indicate potential exposure to fly ash. Concentrations of several neurotoxic metal(loid)s, such as chromium, manganese, and zinc, were higher than concentrations reported in other studies of both healthy and environmentally exposed children. From PCA, it was determined that iron, aluminum, and silicon in fly ash were found to load together in the nails of children living near coal ash storage facilities. These metal(loid)s were also highly correlated with each other. Last, results of geospatial analyses partially validated our hypothesis that children's proximity to power plants was associated with elevated levels of concentrations of fly ash metal(loid)s in nails. Taken together, nail samples may be a powerful tool in detecting exposure to fly ash.
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Affiliation(s)
- Kristina M Zierold
- Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham 35294, Alabama, United States
| | - John V Myers
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus 43210, Ohio, United States
| | - Guy N Brock
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus 43210, Ohio, United States
| | - Clara G Sears
- Department of Epidemiology, Brown University, Providence 02912, Rhode Island, United States
| | - Lonnie L Sears
- Department of Pediatrics, University of Louisville, Louisville 40292, Kentucky, United States
| | - Charlie H Zhang
- Department of Geography & Geosciences, University of Louisville, Louisville 40292, Kentucky, United States
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Zierold KM, Sears CG, Hagemeyer AN, Brock GN, Polivka BJ, Zhang CH, Sears L. Protocol for measuring indoor exposure to coal fly ash and heavy metals, and neurobehavioural symptoms in children aged 6 to 14 years old. BMJ Open 2020; 10:e038960. [PMID: 33234632 PMCID: PMC7684807 DOI: 10.1136/bmjopen-2020-038960] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Revised: 10/12/2020] [Accepted: 10/25/2020] [Indexed: 02/02/2023] Open
Abstract
INTRODUCTION Fly ash is a waste product generated from burning coal for electricity. It is comprised of spherical particles ranging in size from 0.1 µm to over 100 µm in diameter that contain trace levels of heavy metals. Large countries such as China and India generate over 100 million tons per year while smaller countries like Italy and France generate 2 to 3 million tons per year. The USA generates over 36 million tons of ash, making it one of the largest industrial waste streams in the nation. Fly ash is stored in landfills and surface impoundments exposing communities to fugitive dust and heavy metals that leach into the groundwater. Limited information exists on the health impact of exposure to fly ash. This protocol represents the first research to assess children's exposure to coal fly ash and neurobehavioural outcomes. METHODS We measure indoor exposure to fly ash and heavy metals, and neurobehavioural symptoms in children aged 6 to 14 years old. Using air pollution samplers and lift tape samples, we collect particulate matter ≤10 µm that is analysed for fly ash and heavy metals. Toenails and fingernails are collected to assess body burden for 72 chemical elements. Using the Behavioural Assessment and Research System and the Child Behaviour Checklist, we collect information on neurobehavioural outcomes. Data collection began in September 2015 and will continue until February 2021. ETHICS AND DISSEMINATION This study was approved by the Institutional Review Boards of the University of Louisville (#14.1069) and the University of Alabama at Birmingham (#300003807). We have collected data from 267 children who live within 10 miles of two power plants. Children are at a greater risk for environmental exposure which justifies the rationale for this study. Results of this study will be distributed at conferences, in peer-reviewed journals and to the participants of the study.
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Affiliation(s)
- Kristina M Zierold
- Environmental Health Sciences, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Clara G Sears
- Epidemiology, Brown University, Providence, Rhode Island, USA
| | - Abby N Hagemeyer
- Epidemiology and Population Health, University of Louisville, Louisville, Kentucky, USA
| | - Guy N Brock
- Bioinformatics and the Center for Biostatistics, The Ohio State University, Columbus, Ohio, USA
| | - Barbara J Polivka
- School of Nursing, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Charlie H Zhang
- Department of Geography and Geosciences, College of Arts and Sciences, University of Louisville, Louisville, Kentucky, USA
| | - Lonnie Sears
- Department of Pediatrics, Health Sciences Center, University of Louisville, Louisville, Kentucky, USA
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Zierold KM, Odoh C. A review on fly ash from coal-fired power plants: chemical composition, regulations, and health evidence. REVIEWS ON ENVIRONMENTAL HEALTH 2020; 35:401-418. [PMID: 32324165 DOI: 10.1515/reveh-2019-0039] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Accepted: 03/09/2020] [Indexed: 05/29/2023]
Abstract
Throughout the world, coal is responsible for generating approximately 38% of power. Coal ash, a waste product, generated from the combustion of coal, consists of fly ash, bottom ash, boiler slag, and flue gas desulfurization material. Fly ash, which is the main component of coal ash, is composed of spherical particulate matter with diameters that range from 0.1 μm to >100 μm. Fly ash is predominately composed of silica, aluminum, iron, calcium, and oxygen, but the particles may also contain heavy metals such as arsenic and lead at trace levels. Most nations throughout the world do not consider fly ash a hazardous waste and therefore regulations on its disposal and storage are lacking. Fly ash that is not beneficially reused in products such as concrete is stored in landfills and surface impoundments. Fugitive dust emissions and leaching of metals into groundwater from landfills and surface impoundments may put people at risk for exposure. There are limited epidemiological studies regarding the health effects of fly ash exposure. In this article, the authors provide an overview of fly ash, its chemical composition, the regulations from nations generating the greatest amount of fly ash, and epidemiological evidence regarding the health impacts associated with exposure to fly ash.
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Affiliation(s)
- Kristina M Zierold
- Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Chisom Odoh
- Rehabilitation and Health Services, University of North Texas, Denton, TX, USA
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Sears L, Sears CG, Myers JV, Brock GN, Zierold KM. Associations of the Behavioral Assessment and Research System (BARS) neurobehavioral outcomes with attention problems in children living near coal ash storage sites. Neurotoxicology 2020; 81:11-17. [PMID: 32810513 DOI: 10.1016/j.neuro.2020.08.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2020] [Revised: 07/26/2020] [Accepted: 08/10/2020] [Indexed: 10/23/2022]
Abstract
Environmental exposures have been linked to childhood problems with overactivity, attention, and impulse control, and an increased risk of attention deficit hyperactivity disorder (ADHD) diagnosis. Two approaches to identify these types of exposure-related neurobehavioral problems include the use of computerized tests, such as the Behavioral Assessment and Research System (BARS), as well as the use of behavior rating scales. To assess comparability of these two types of measures, we analyzed data from 281 children aged 6 to 14 years enrolled in a 5-year research study investigating coal ash exposure and neurobehavioral health. All children lived in proximity of coal ash storage sites. We administered six computer tests from the BARS and obtained behavior measures from the parent-completed Child Behavior Checklist (CBCL) ADHD DSM oriented scale. BARS test performance was associated with age indicating that the tests could be used to evaluate neurodevelopmental changes over time or across a wide age range. Tests within the BARS including Continuous Performance (CPT) false alarm (standardized estimate 1.57, 95% confidence interval (CI) (0.67, 2.48), adjusted p = 0.006), Selective Attention (SAT) wrong count (standardized estimate 2.8, 95% CI (1.17, 4.44), adjusted p = 0.006), and SAT proportion correct (standardized estimate -2.45, 95% CI (-4.01, -0.88), adjusted p = 0.01) were associated with attention and impulse control problems on the CBCL after adjustment for multiple comparisons. Findings support that the BARS can contribute to research on environmental exposures by assessing subclinical behaviors related to ADHD such as sustained attention, impulse control, response inhibition, associative learning, and short-term memory. Future research can examine relationships of these BARS measures with biomarkers of neurotoxic exposures related to living near coal ash storage sites to better identify the potential risk for ADHD-related behaviors among children living near coal ash storage sites.
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Affiliation(s)
- Lonnie Sears
- Department of Pediatrics, University of Louisville, Louisville, Kentucky, USA.
| | - Clara G Sears
- Department of Epidemiology, Brown University, Providence, Rhode Island, USA.
| | - John V Myers
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, Ohio, USA.
| | - Guy N Brock
- Department of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, Ohio, USA.
| | - Kristina M Zierold
- Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, Alabama, USA.
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Sex differences in the association between exposure to indoor particulate matter and cognitive control among children (age 6-14 years) living near coal-fired power plants. Neurotoxicol Teratol 2020; 78:106855. [PMID: 31917336 DOI: 10.1016/j.ntt.2020.106855] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 12/18/2019] [Accepted: 01/01/2020] [Indexed: 01/09/2023]
Abstract
Coal fly ash consists of inhalable particulate matter with varying concentrations of neurotoxic metals. Children living near coal-fired power plants with coal fly ash storage facilities may be exposed to coal fly ash when it escapes as fugitive dust emissions into surrounding communities. Previous research on outdoor particulate matter air pollution of similar aerodynamic diameter (PM10) suggests exposure may be associated with impaired cognitive control. The purpose of this research was to investigate sex-differences in the association between exposure to indoor PM10 and cognitive control among children (n = 221), ages 6-14 years, living near coal-fired power plants with fly ash storage facilities. In an ongoing community-based study, we measured indoor PM10 concentrations in participants' housing units and used performance measures from the BARS (Behavior Assessment and Research System) Continuous Performance Test (CPT) and Selective Attention Test (SAT) to assess neurotoxic effects on cognitive control. In adjusted negative binomial regression models, we found children living in housing units with higher indoor PM10 concentrations had a higher risk of commission errors on the CPT (incidence rate ratio (IRR) = 1.22 per interquartile range difference (IQR = 0.72 μg/m3) in natural log-transformed PM10 concentrations; 95% CI = 1.01, 1.46) and SAT (IRR = 1.14; 95% CI = 1.01, 1.28). Furthermore, child sex modified the association between PM10 concentration and CPT commission errors. Among females, higher PM10 concentration was associated with higher risk of CPT commission errors (IRR = 1.39; 95% CI = 1.06, 1.82), but we found no association among males (IRR = 1.01; 95% CI = 0.79, 1.30). We found no association between PM10 concentrations and CPT or SAT response latency. Our results suggest females living near coal-fired plants with coal fly ash storage facilities may be more susceptible to impaired cognitive control associated with particulate matter exposure. Children living near coal-fired power plants with coal fly ash storage facilities who are exposed to particulate matter may have an increased risk of impulse control problems.
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Odoh C, Sears CG, Tompkins LK, Hagemeyer AN, Pfeiffer JA, Polivka BJ, Sears L, Brock GN, Zhang C, Zierold KM. Recruitment strategies and challenges: Lessons learned from a coal ash and children's health study. Res Nurs Health 2019; 42:446-457. [PMID: 31599010 PMCID: PMC10725728 DOI: 10.1002/nur.21986] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Accepted: 09/25/2019] [Indexed: 02/05/2023]
Abstract
The purpose of this paper is to describe the approaches and recruitment strategies of a study focused on the impact of coal fly ash on neurobehavioral performance among children living in proximity to coal-burning power plants. Challenges encountered with each recruitment approach are highlighted as well as solutions used to overcome those challenges and ultimately enroll children and one of their parents or guardians. To ensure participants were distributed throughout the study area, geographical information systems were used to guide recruitment and achieve the target sample size (N = 300). Several approaches were employed to recruit the number of needed participants, including "shoe leather" or door-to-door recruitment, placement of flyers and brochures in public spaces, mailings to targeted addresses, media announcements, and local government outreach. Since September 2015, 265 participants have been enrolled in the study using a combination of the described recruitment approaches. Even with a well-designed plan, it is important to re-examine strategies at every step to maximize recruitment efforts. Researcher flexibility in adapting to new strategies is vital in facilitating recruitment efforts, and the recruitment of participants in the study remains a dynamic and evolving process.
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Affiliation(s)
- Chisom Odoh
- Department of Rehabilitation and Health Services, University of North Texas, Denton, Texas
| | - Clara G. Sears
- Department of Epidemiology, Brown University, Providence, Rhode Island
| | | | - Abby N. Hagemeyer
- Department of Epidemiology, University of Louisville, Louisville, Kentucky
| | - Jack A. Pfeiffer
- Department of Epidemiology, University of Louisville, Louisville, Kentucky
| | - Barbara J. Polivka
- School of Nursing, University of Kansas Medical Center, Kansas City, Kansas
| | - Lonnie Sears
- Department of Pediatrics, University of Louisville, Louisville, Kentucky
| | - Guy N. Brock
- Department of Biomedical Informatics, The Ohio State University, Columbus, Ohio
| | - C. Zhang
- Department of Geography and Geosciences, University of Louisville, Louisville, Kentucky
| | - Kristina M. Zierold
- Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, Alabama
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Hagemeyer AN, Sears CG, Zierold KM. Respiratory Health in Adults Residing Near a Coal-Burning Power Plant with Coal Ash Storage Facilities: A Cross-Sectional Epidemiological Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16193642. [PMID: 31569347 PMCID: PMC6801683 DOI: 10.3390/ijerph16193642] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/12/2019] [Revised: 09/24/2019] [Accepted: 09/26/2019] [Indexed: 11/16/2022]
Abstract
Coal ash, the byproduct of burning coal made up of small particles, including heavy metals and radioactive elements, is discarded in open-air landfills where it can be emitted into the air, contributing to air pollution in the surrounding community. Few regulations exist regarding the storage, disposal, and transport of coal ash. There is limited research on the health impacts of coal ash exposure on communities. The purpose of this study was to examine the prevalence of respiratory symptoms among adults exposed to coal ash and non-exposed adults. A cross-sectional epidemiological study was conducted among two populations: one exposed to coal ash and one not exposed to coal ash. Perception of health (p-Value < 0.0001), cough (Adjusted Odds Ratio (AOR) = 5.30, 95% Confidence Intervals (CI) = 2.60-11), shortness of breath (AOR = 2.59, 95% CI = 1.56-4.31), hoarseness (AOR = 4.02, 95% CI = 2.45-6.60), respiratory infections (AOR = 1.82, 95% CI = 1.14-2.89), and mean overall respiratory health score (p-Value < 0.0001) were all statistically significantly greater in exposed adults (N = 231) when compared to non-exposed adults (N = 170). Adults residing near the coal ash facility were more likely to report respiratory symptoms than the non-exposed population. More research on the health impact of coal ash and storage regulations needs to be conducted.
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Affiliation(s)
- Abby N Hagemeyer
- Department of Epidemiology and Population Health, University of Louisville, Louisville, KY 40292, USA
| | - Clara G Sears
- Department of Epidemiology, Brown University, Providence, RI 02912, USA
| | - Kristina M Zierold
- Department of Environmental Health Sciences, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
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12
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Zierold KM, Hagemeyer AN, Sears CG. Health symptoms among adults living near a coal-burning power plant. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2019; 75:289-296. [PMID: 31267832 DOI: 10.1080/19338244.2019.1633992] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Coal ash is a waste product generated when coal is burned for energy. The purpose of this study was to assess health symptoms in adults living near a coal-burning power plant and compare the symptoms to a non-exposed population. A community-based mixed methods study was conducted with four neighborhoods adjacent to a coal-burning power plant. The comparison population was not exposed to coal ash and did not live near a coal-burning power plant. Adults who lived near the coal-burning power plant were significantly more likely to suffer from respiratory (AOR = 5.27, 95% CI = 2.16-12.0), gingiva (AOR = 2.46, 95% CI = 1.46-4.15), and skin symptoms (AOR = 3.37, 95% CI = 2.09-5.43). Results suggest that health symptoms may develop in people living near coal-burning power plants.
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Affiliation(s)
- K M Zierold
- School of Public Health, Department of Epidemiology and Population Health, University of Louisville, Louisville, Kentucky, USA
| | | | - C G Sears
- Brown University, Providence, Rhode Island, USA
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Sears CG, Zierold KM. Health of Children Living Near Coal Ash. Glob Pediatr Health 2017; 4:2333794X17720330. [PMID: 28804748 PMCID: PMC5533260 DOI: 10.1177/2333794x17720330] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2016] [Revised: 05/21/2017] [Accepted: 06/09/2017] [Indexed: 01/04/2023] Open
Abstract
Coal ash, generated from coal combustion, is composed of small particles containing metals and other elements, such as metalloids. Coal ash is stored in open-air impoundments, frequently near communities. The objective of this study was to evaluate the prevalence of health and sleep problems in children living near coal ash and compare these prevalences to children not living near coal ash. In 2013 to 2014, we conducted a cross-sectional survey in a community adjacent to coal ash storage sites and a community not exposed to coal ash. Overall, 111 children who lived near coal ash were in the study; 55.9% (62) were males, 44.1% (49) were females, and the mean age was 10.3 years (SD = 3.9). Descriptive statistics and logistic regression were used to compare the prevalence of health and sleep problems. Attention-deficit hyperactivity disorder (P = .02), gastrointestinal problems (P = .01), difficulty falling asleep (P = .007), frequent night awakenings (P < .001), teeth grinding (P = .03), and complaint of leg cramps (P < .001) were significantly greater in the children living near coal ash. When adjusting for covariates, the odds of allergies excluding asthma, attention-deficit hyperactivity disorder, gastrointestinal problems, difficulty falling asleep, frequent night awakenings, sleep talking, and complaint of leg cramps were greater in children living near coal ash compared to children not living near coal ash (nonexposed). Several components of coal ash, such as heavy metals like lead, mercury, and arsenic, may be associated with health and sleep problems in children. More research is needed to investigate this relationship.
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Community views about the health and exposure of children living near a coal ash storage site. J Community Health 2015; 40:357-63. [PMID: 25204532 DOI: 10.1007/s10900-014-9943-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Coal ash, a waste product generated from burning coal, is composed of small particles comprised of highly toxic elements. Coal ash particles contain heavy metals such as arsenic, lead, and mercury, as well as polyaromatic hydrocarbons and radioactive elements. Most coal ash is stored in landfills and ponds, often located in close proximity to low income communities. Currently, there are no federal regulations governing the storage and transport of coal ash; however the Environmental Protection Agency proposed a coal ash rule in 2010, which could designate coal ash as a hazardous waste. This is the first article to assess community impact from coal ash storage, by exploring parents' perceptions of their children's health and its relationship to chronic exposure to coal ash. This was a community-based study involving four neighborhoods adjacent to a large coal ash storage facility. Focus groups were conducted with community members and the transcripts were analyzed to identify themes regarding children's health, children's exposure to coal ash, and behaviors done to protect children from exposure. The majority of parents (85 %) reported that their children suffered from health conditions; specifically respiratory and emotional and behavioral disorders. Parents highlighted ways in which their children were exposed to coal ash, although many felt they were constantly exposed just by living in the area. Parents felt strongly that exposure to coal ash from the landfill is affecting the health and well-being of their children. Some parents attempted protective behaviors, but most parents felt helpless in reducing children's exposure.
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Otter RR, McKinney D, Brown B, Lainer S, Monroe W, Hubbs D, Read B. Bioaccumulation of metals in three freshwater mussel species exposed in situ during and after dredging at a coal ash spill site (Tennessee Valley Authority Kingston Fossil Plant). ENVIRONMENTAL MONITORING AND ASSESSMENT 2015; 187:334. [PMID: 25957195 DOI: 10.1007/s10661-015-4578-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/26/2015] [Accepted: 04/29/2015] [Indexed: 06/04/2023]
Abstract
On December 22, 2008, a dike containing coal fly ash at the Tennessee Valley Authority Kingston Fossil Plant (TN, USA) failed, and within months, dredging operations began to remove ash-contaminated sediments. The purpose of this study was to investigate differences in the bioaccumulation of metals in three mussel species during and after dredging operations. Mussels were caged for approximately 1 year during dredging and after, and then mussel condition index values and As, Cd, Cr, Pb, Ni, Se, Hg, U, Fe, Mg, Al, Sb, Ba, Be, Co, Cu, Mn, Mo, Ag, Sr, Tl, V, and Zn concentrations in soft tissue were determined via inductively coupled plasma-mass spectrometery. Overall, the differences observed in metal bioaccumulation and mussel health suggest that mussels in the immediate downstream area of the dredging site may have been impacted, as evidenced by a significant decrease in mussel condition index values, but that this impact did not result in increased tissue concentrations of metals.
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Affiliation(s)
- Ryan R Otter
- Department of Biology, Middle Tennessee State University, Box 60, Murfreesboro, TN, 37132, USA,
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