Airborne particles in indoor environment of homes, schools, offices and aged care facilities: The main routes of exposure

Exposure to airborne particulate matter in working from office and working from home employees

The main aim of this study is to quantitatively evaluate the differences, in terms of exposure to PM (particulate matter), between WFO (working-from-office) and WFH (working-from-home) conditions. Two measurement surveys were performed: a long-term and a short-term campaign, focused on the monitoring of personal exposure to size-fractionated PM in these different working conditions. Results of the long-term campaign show that the WFH subject is exposed to higher (up to 4 times) PM concentration, compared to the WFO subject. Specific activities performed by the subjects impacted their exposure concentrations, even if the most relevant contribution to total exposure was made by desk work. Results of the short-term campaign indicate that the subjects can be divided into two groups: subjects most exposed during the WFH mode (HE_H - Higher_Exposure_Home) and subjects most exposed during the WFO mode (HE_O - Higher_Exposure_Office). HE_H group is exposed to levels of pollutants up to 4 times higher in the domestic than in the office environment, during the moment of desk work. The HE_O group is exposed to higher (double) concentration levels during desk work during the WFO day. Considering the possible growing trend towards remote work it is important to evaluate these "new domestic offices" comprehensively.

Bangkok school indoor air quality: monitoring and intervention by positive pressure fresh air system

A PM2.5 crisis in Thailand has caused the Thai government and public to be increasingly concerned about children's exposure to PM2.5 during time in school. This study is a part of a project to create a modeled effective school indoor air quality management for the Bangkok Metropolitan Administration (BMA). We measured air quality and environment in 10 Bangkok school rooms, including CO2, CO, O3, PM2.5, PM10, TVOCPID, formaldehyde, airborne bacteria and fungi, and gaseous organic contaminants. The indoor-to-outdoor concentration ratios indicated that either outdoor sources or indoor + outdoor sources were the predominant contributors to PM in naturally ventilated classrooms. Meanwhile, PM levels in air-conditioned classrooms strongly depended on class activities. CO2 measurements showed that the air-conditioned classrooms had a low 0.4 per hour air change rate and total fungal counts also reached 800 CFU m-3. Analysis of gaseous organic compounds showed that the two most abundant were aliphatic and aromatic hydrocarbons, accounting for 60% by mass concentration. Interestingly, 2-ethyl-1-hexanol, a mucous membrane irritant, was detected in all study rooms. In one naturally ventilated classroom, we implemented a positive pressure fresh air system to mitigate in-class PM levels; it kept PM levels below 20 μg m-3 throughout the class day. Students reported a 20-37% increase in satisfaction with the perceived indoor environmental quality and reported reduced rates in all symptoms of the sick building syndrome after implementing the positive pressure system.

Airborne respiratory aerosol transport and deposition in a two-person office using a novel diffusion-based numerical model

BACKGROUND

The COVID-19 pandemic was caused by the SARS-CoV-2 coronaviruses transmitted mainly through exposure to airborne respiratory droplets and aerosols carrying the virus.

OBJECTIVE

To assess the transport and dispersion of respiratory aerosols containing the SARS-CoV-2 virus and other viruses in a small office space using a diffusion-based computational modeling approach.

METHODS

A 3-D computational model was used to simulate the airflow inside the 70.2 m3 ventilated office. A novel diffusion model accounting for turbulence dispersion and gravitational sedimentation was utilized to predict droplet concentration transport and deposition. The numerical model was validated and used to investigate the influences of partition height and different ventilation rates on the concentration of respiratory aerosols of various sizes (1, 10, 20, and 50 µm) emitted by continuous speaking.

RESULTS

An increase in the hourly air change rate (ACH) from 2.0 to 5.6 decreased the 1 μm droplet concentration inside the office by a factor of 2.8 and in the breathing zone of the receptor occupant by a factor of 3.2. The concentration at the receptor breathing zone is estimated by the area-weighted average of a 1 m diameter circular disk, with its centroid at the center of the receptor mannequin mouth. While all aerosols were dispersed by airflow turbulence, the gravitational sedimentation significantly influenced the transport of larger aerosols in the room. The 1 and 10 μm aerosols remained suspended in the air and dispersed throughout the room. In contrast, the larger 20 and 50 μm aerosols deposited on the floor quickly due to the gravitational sedimentation. Increasing the partition between cubicles by 0.254 m (10") has little effect on the smaller aerosols and overall exposure.

IMPACT

This paper provides an efficient computational model for analyzing the concentration of different respiratory droplets and aerosols in an indoor environment. Thus, the approach could be used for assessing the influence of the spatial concentration variations on exposure for which the fully mixed model cannot be used.

Different airborne particulates trigger distinct immune pathways leading to peanut allergy in a mouse model

BACKGROUND

Environmental exposure to peanut through non-oral routes is a risk factor for peanut allergy. Early-life exposure to air pollutants, including particulate matter (PM), is associated with sensitization to foods through unknown mechanisms. We investigated whether PM promotes sensitization to environmental peanut and the development of peanut allergy in a mouse model.

METHODS

C57BL/6J mice were co-exposed to peanut and either urban particulate matter (UPM) or diesel exhaust particles (DEP) via the airways and assessed for peanut sensitization and development of anaphylaxis following peanut challenge. Peanut-specific CD4+ T helper (Th) cell responses were characterized by flow cytometry and Th cytokine production. Mice lacking select innate immune signaling genes were used to study mechanisms of PM-induced peanut allergy.

RESULTS

Airway co-exposure to peanut and either UPM- or DEP-induced systemic sensitization to peanut and anaphylaxis following peanut challenge. Exposure to UPM or DEP triggered activation and migration of lung dendritic cells to draining lymph nodes and induction of peanut-specific CD4+ Th cells. UPM- and DEP-induced distinct Th responses, but both stimulated expansion of T follicular helper (Tfh) cells essential for peanut allergy development. MyD88 signaling was critical for UPM- and DEP-induced peanut allergy, whereas TLR4 signaling was dispensable. DEP-induced peanut allergy and Tfh-cell differentiation depended on IL-1 but not IL-33 signaling, whereas neither cytokine alone was necessary for UPM-mediated sensitization.

CONCLUSION

Environmental co-exposure to peanut and PM induces peanut-specific Tfh cells and peanut allergy in mice.

Organic toxicants and emerging contaminants in hospital interiors before and during the SARS-CoV2 pandemic: alkanes and PAHs

Indoor pollution and deposition dust (DD), in particular, are acquiring concern, due to long exposure time and importance of intake by humans through contact and ingestion. Hospitals look a special category of sites, owing to peculiar contaminants affecting them and to presence of people prone to adverse effects induced by toxicants. Four in-field campaigns aimed at understanding the chemical composition of DD were performed in five Italian hospitals. Measurements were performed before (autumn 2019), during (spring 2021), and after (winter 2022) the peak of SARS-CoV2 and when restrictions caused by pandemic were revoked (winter 2023). Parallel measurements were made outdoors (2022), as well as in a university and a dwelling. Targeted contaminants were n-alkanes and polycyclic aromatic hydrocarbons (PAHs), while iso- and anteiso-alkanes were analyzed to assess the impact of tobacco smoking. Total n-alkanes ranged from 3.9 ± 2.3 to 20.5 ± 4.2 mg/g, with higher percentages of short chain homologs in 2019. PAHs ranged from 0.24 ± 0.22 to 0.83 ± 0.50 mg/g, with light congeners (≤ 228 a.m.u.) always exceeding the heavy ones (≥ 252 a.m.u.). According to carbon preference indexes, alkanes originated overall from anthropogenic sources. Microorganisms resulted to affect a hospital, and tobacco smoke accounted for ~ 4-20‰ of DD mass. As for PAH sources, the diagnostic concentration ratios suggested the concourse of biological matter burning and vehicle emission. Benzo[a]pyrene equivalent carcinogenic and mutagenic potencies of depositions at hospitals ranged ~ 9-39 μg/g and ~ 15-76 μg/g, respectively, which seems of concern for health. DD composition in hospitals was different from that outside the premises, as well as that found at university and at dwelling.

Harm from Residential Indoor Air Contaminants

This study presents a health-centered approach to quantify and compare the chronic harm caused by indoor air contaminants using disability-adjusted life-year (DALY). The aim is to understand the chronic harm caused by airborne contaminants in dwellings and identify the most harmful. Epidemiological and toxicological evidence of population morbidity and mortality is used to determine harm intensities, a metric of chronic harm per unit of contaminant concentration. Uncertainty is evaluated in the concentrations of 45 indoor air contaminants commonly found in dwellings. Chronic harm is estimated from the harm intensities and the concentrations. The most harmful contaminants in dwellings are PM2.5, PM10-2.5, NO2, formaldehyde, radon, and O3, accounting for over 99% of total median harm of 2200 DALYs/105 person/year. The chronic harm caused by all airborne contaminants in dwellings accounts for 7% of the total global burden from all diseases.

Analysis of inequalities in personal exposure to PM2.5: A modelling study for the Greater London school-aged population

Exposure to air pollution can lead to negative health impacts, with children highly susceptible due to their immature immune and lung systems. Childhood exposure may vary by socio-economic status (SES) due to differences in both outdoor and indoor air pollution levels, the latter of which depends on, for example, building quality, overcrowding and occupant behaviours; however, exposure estimates typically rely on the outdoor component only. Quantifying population exposure across SES requires accounting for variations in time-activity patterns, outdoor air pollution concentrations, and concentrations in indoor microenvironments that account for pollution-generating occupant behaviours and building characteristics. Here, we present a model that estimates personal exposure to PM2.5 for ~1.3 million children aged 4-16 years old in the Greater London region from different income groups. The model combines 1) A national time-activity database, which gives the percentage of each group in different residential and non-residential microenvironments throughout a typical day; 2) Distributions of modelled outdoor PM2.5 concentrations; 3) Detailed estimates of domestic indoor concentrations for different housing and occupant typologies from the building physics model, EnergyPlus, and; 4) Non-domestic concentrations derived from a mass-balance approach. The results show differences in personal exposure across socio-economic groups for children, where the median daily exposure across all scenarios (winter/summer and weekends/weekdays) is 17.2 μg/m3 (95%CIs: 12.1 μg/m3-41.2 μg/m3) for children from households in the lowest income quintile versus 14.5 μg/m3 (95%CIs: 11.5 μg/m3 - 27.9 μg/m3) for those in the highest income quintile. Though those from lower-income homes generally fare worse, approximately 57 % of London's school-aged population across all income groups, equivalent to 761,976 children, have a median daily exposure which exceeds guideline 24-h limits set by the World Health Organisation. The findings suggest residential indoor sources of PM2.5 are a large contributor to personal exposure for school children in London. Interventions to reduce indoor exposure in the home (for example, via the maintenance of kitchen extract ventilation and transition to cleaner cooking fuels) should therefore be prioritised along with the continued mitigation of outdoor sources in Greater London.

Indoor exposure to ultrafine particles related to domestic activities: A systematic review and meta-analysis

Ultrafine particles (< 100 nm) are of increasing concern because of their toxicological potential. Emission processes suggest their presence in all environments, including at home, where particularly at-risk populations may be exposed. However, knowledge of their impact on health is still limited, due to difficulties in properly assessing exposure in epidemiological studies. In this context, the objective of this study was to provide a complete summary of indoor exposure to ultrafine particles in highly industrialised countries by examining the domestic activities that influence such exposure. We conducted a systematic review, according to PRISMA guidelines using PubMed, Web of Science and Scopus up to and including 2021. We carried out a qualitative and quantitative analysis of the selected studies with a standardised template. Exposure circumstances, measurement methods, and results were analysed. Finally, a meta-analysis of the measured concentrations was performed to study exposure levels during domestic activities. The review included 69 studies resulting in the analysis of 346 exposure situations. Nine main groups of activities were identified: cooking, which was the most studied, smoking, the use of air-fresheners, cleaning, heating, personal care, printing, do-it-yourself activities, and others. Over 50 different processes were involved in these activities. Based on available particle number concentrations, the highest average of mean concentrations was associated with grilling (14,400 × 103 cm-3), and the lowest with wood stove (18 × 103 cm-3). The highest average of peak concentrations was that for the use of hair dryers (695 × 103 cm-3), and the lowest for the use of air cleaners (11 × 103 cm-3). A hierarchy of domestic activities and related processes leading to ultrafine particle exposure is provided, along with average exposure concentrations at home. However, more extensive measurement campaigns are needed under real-life conditions to improve assessments of indoor exposure to ultrafine particles.

Exposure hazards of particles and volatile organic compounds emitted from material extrusion 3D printing: Consolidation of chamber study data

Ultrafine particles and volatile organic compounds (VOCs) have been detected from material extrusion 3D printing, which is widely used in non-industrial environments. This study consolidates data of 447 particle emission and 58 VOC emission evaluations from a chamber study using a standardized testing method with various 3D printing scenarios. The interquartile ranges of the observed emission rates were 109-1011 #/h for particles and 0.2-1.0 mg/h for total VOC. Print material contributed largely to the variations of particle and total VOC emissions and determined the most abundantly emitted VOCs. Printing conditions and filament specifications, included printer brand, print temperature and speed, build plate heating setup, filament brand, color and composite, also affected emissions and resulted in large variations observed in emission profiles. Multiple regression showed that particle emissions were more impacted by various print conditions than VOC emissions. According to indoor exposure modeling, personal and residential exposure scenarios were more likely to result in high exposure levels, often exceeding recommended exposure limits. Hazardous VOCs commonly emitted from 3D printing included aromatics, aldehydes, alcohols, ketones, esters and siloxanes, among which were various carcinogens, irritants and developmental and reproductive toxins. Therefore, 3D printing emits a complex mixture of ultrafine particles and various hazardous chemicals, exposure to which may exceed recommended exposure limits and potentially induce acute, chronic, or developmental health effects for users depending on exposure scenarios.

Diurnal pattern of Poaceae and Betula pollen flight in Central Europe

In Central Europe the most common allergies are provoked by grass or birch pollen allergens. We determined the intra-daily behavior of airborne pollen grains of grasses (Poaceae) and birch (Betula ssp.) in Central Europe, based on data obtained from a network of automatic pollen monitors over Europe (www.pollenscience.eu). Our aim was to determine the time of day when the lowest concentrations occur, to provide allergic individuals the optimal time to ventilate their homes. The study was carried out in three Central European capitals, Berlin (Germany), Paris-Saclay (France), and Luxembourg (Luxembourg), as well as in eight stations in Germany (Altötting, Feucht, Garmisch-Partenkirchen, Hof, Marktheidenfeld, Mindelheim, Munich and Viechtach). The diurnal rhythm of these eleven locations was analyzed for either the complete, first week, peak week, peak day and last week of the pollen season. The data studied were reported as pollen/m3 measured in 3 h periods. Stations were classified as city, semi-populated or countryside areas using land-use and population density criteria. Grass pollen has a more pronounced diurnal rhythm than birch pollen concentrations. A significant difference was observed when comparing day (6-21 h) versus night (21-6 h) for all stations. No difference was detected between city and countryside for both pollen types, although for Poaceae a longer period of maximum concentrations was observed in big cities and higher day/night-time differences were registered in the countryside (6.4) than in cities (3.0). The highest pollen concentrations were observed between 9 and 18 h for grass, but the rhythm was less pronounced for birch pollen. For allergic individuals who want to bring in fresh air in their homes, we recommend opening windows after 21 h, but even better early in the morning between 6 and 9 h before pollinations (re)starts.

Integrative proteomics and metabolomics analysis of non-observable acute effect level PM2.5 induced accumulative effects in AC16 cells

Chronic exposure to very low ambient PM2.5 has been linked to cardiovascular risks in epidemiological observation, which also brought doubts on its safety threshold. In this study, we approached this question by chronic exposure of AC16 to the non-observable acute effect level (NOAEL) PM2.5 5 μg/mL and its positive reference 50 μg/mL, respectively. The doses were respectively defined on the cell viabilities >95% (p = 0.354) and >90% (p = 0.004) when treated acutely (24 h). To mimic the long-term exposure, AC16 was cultured from the 1st to 30th generations and treated with PM2.5 24 h in every three generations. The integration of proteomic and metabolomic analysis was applied, and 212 proteins and 172 metabolites were significantly altered during the experiments. The NOAEL PM2.5 induced both dose- and time-dependent disruption, which showed the dynamic cellular proteomic response and oxidation accumulation, the main metabolomics changes were ribonucleotide, amino acid, and lipid metabolism that have involved in stressed gene expression, and starving for energy metabolism and lipid oxidation. In summary, these pathways interacted with the monotonically increasing oxidative stress and led to the accumulated damage in AC16 and implied that the safe threshold of PM2.5 may be non-existent when a long-term exposure occurred.

Air pollution perception bias: Mismatch between air pollution exposure and perception of air quality in real-time contexts

Air pollution perception biases hinder the public's awareness of actual air quality. Past studies that examined the association and mismatch between actual and perceived air quality neglected individuals' dynamic exposure and their activity, travel, spatial, temporal, and social contexts. Using data collected with real-time air pollutant sensors and ecological momentary assessment (EMA), this study investigated the association and mismatch between momentary air pollution exposure and perceived air quality. It also examined how activity type, travel mode, spatial and temporal contexts, and social factors contribute to this disparity. The results show that exposure to air pollution is significantly higher in residential areas (1.777 μg/m3) and transportation land-use areas (2.863 μg/m3) compared to commercial areas. Exposure in the evening is 1.308 μg/m3 higher than in the afternoon. Working or studying activities are associated with 2.863 μg/m3 lower exposure, and individuals perceive air quality as good when working or studying and in residential areas. Conversely, individuals assess air quality as poor in railway travel contexts and being accompanied by friends. This study also reveals the nonstationary association between air pollution exposure and perceived air quality. The odds of underestimating air pollution are 1.8-2.7 times as high as that in residential areas and 2.1 to 2.6 times that in transportation land-use areas when compared to commercial areas. Implementing targeted mitigation measures in these contexts can enhance public awareness of air pollution.

Subway station dust-induced pulmonary inflammation may be due to the dysfunction of alveolar macrophages: Possible contribution of bound elements

With its increasing value as a means of public transportation, the health effects of the air in subway stations have attracted public concern. In the current study, we investigated the pulmonary toxicity of dust collected from an air purifier installed on the platform of the busiest subway station in Seoul. We found that the dust contained various elements which are attributable to the facilities and equipment used to operate the subway system. Particularly, iron (Fe), chromium (Cr), zirconium (Zr), barium (Ba), and molybdenum (Mo) levels were more notable in comparison with those in dust collected from the ventilation chamber of a subway station. To explore the health effects of inhaled dust, we first instilled via the trachea in ICR mice for 13 weeks. The total number of pulmonary macrophages increased significantly with the dose, accompanying hematological changes. Dust-laden alveolar macrophages and inflammatory cells accumulated in the perivascular regions in the lungs of the treated mice, and pulmonary levels of CXCL-1, TNF-α, and TGF-β increased clearly compared with the control. The CCR5 and CD54 level expressed on BAL cell membranes was also enhanced following exposure to dust, whereas the CXCR2 level tended to decrease in the same samples. In addition, we treated the dust to alveolar macrophages (known as dust cells), lysosomal and mitochondrial function decreased, accompanied by cell death, and NO production was rapidly elevated with concentration. Moreover, the expression of autophagy- (p62) and anti-oxidant (SOD-2)-related proteins increased, and the expression of inflammation-related genes was dramatically up-regulated in the dust-treated cells. Therefore, we suggest that dysfunction of alveolar macrophages may importantly contribute to dust-induced inflammatory responses and that the exposure concentrations of Cr, Fe, Mo, Zr, and Ba should be considered carefully when assessing the health risks associated with subway dust. We also hypothesize that the bound elements may contribute to dust-induced macrophage dysfunction by inhibiting viability.

Airway and systemic biomarkers of health effects after short-term exposure to indoor ultrafine particles from cooking and candles - A randomized controlled double-blind crossover study among mild asthmatic subjects

BACKGROUND

There is insufficient knowledge about the systemic health effects of exposure to fine (PM_2.5) and ultrafine particles emitted from typical indoor sources, including cooking and candlelight burning. We examined whether short-term exposure to emissions from cooking and burning candles cause inflammatory changes in young individuals with mild asthma. Thirty-six non-smoking asthmatics participated in a randomized controlled double-blind crossover study attending three exposure sessions (mean PM_2.5 µg/m³_; polycyclic aromatic hydrocarbons ng/m³): (a) air mixed with emissions from cooking (96.1; 1.1), (b) air mixed with emissions from candles (89.8; 10), and (c) clean filtered air (5.8; 1.0). Emissions were generated in an adjacent chamber and let into a full-scale exposure chamber where participants were exposed for five hours. Several biomarkers were assessed in relation to airway and systemic inflammatory changes; the primary outcomes of interest were surfactant Protein-A (SP-A) and albumin in droplets in exhaled air - novel biomarkers for changes in the surfactant composition of small airways. Secondary outcomes included cytokines in nasal lavage, cytokines, C-reactive protein (CRP), epithelial progenitor cells (EPCs), genotoxicity, gene expression related to DNA-repair, oxidative stress, and inflammation, as well as metabolites in blood. Samples were collected before exposure start, right after exposure and the next morning.

RESULTS

SP-A in droplets in exhaled air showed stable concentrations following candle exposure, while concentrations decreased following cooking and clean air exposure. Albumin in droplets in exhaled air increased following exposure to cooking and candles compared to clean air exposure, although not significant. Oxidatively damaged DNA and concentrations of some lipids and lipoproteins in the blood increased significantly following exposure to cooking. We found no or weak associations between cooking and candle exposure and systemic inflammation biomarkers including cytokines, CRP, and EPCs.

CONCLUSIONS

Cooking and candle emissions induced effects on some of the examined health-related biomarkers, while no effect was observed in others; Oxidatively damaged DNA and concentrations of lipids and lipoproteins were increased in blood after exposure to cooking, while both cooking and candle emissions slightly affected the small airways including the primary outcomes SP-A and albumin. We found only weak associations between the exposures and systemic inflammatory biomarkers. Together, the results show the existence of mild inflammation following cooking and candle exposure.

Inhalational exposure to formaldehyde, carcinogenic, and non-carcinogenic risk assessment: A systematic review

Formaldehyde is one of the most widely used substances in a variety of industries, although it was classified as a human carcinogen by the International Agency for Research on Cancer (IARC). The present systematic review was conducted to retrieve studies related to occupational exposure to formaldehyde until November 2, 2022. Aims of the study were to identify workplaces exposed to formaldehyde, to investigate the formaldehyde concentrations in various occupations and to evaluate carcinogenic and non-carcinogenic risks caused by respiratory exposure to this chemical among workers. A systematic search was done in Scopus, PubMed and Web of Science databases to find the studies done in this field. In this review, studies that did not meet the criteria specified by Population, Exposure, Comparator, and Outcomes (PECO) approach were excluded. In addition, the inclusion of studies dealing with the biological monitoring of FA in the body and review studies, conference articles, books, and letters to the editors were avoided. The quality of the selected studies was also evaluated using the Joanna Briggs Institute (JBI) checklist for analytic-cross-sectional studies. Finally, 828 studies were found, and after the investigations, 35 articles were included in this study. The results revealed that the highest formaldehyde concentrations were observed in waterpipe cafes (1,620,000 μg/m³) and anatomy and pathology laboratories (4237.5 μg/m³). Carcinogenic and non-carcinogenic risk indicated the potential health effects for employees due to respiratory exposure as acceptable levels of CR = 1.00 × 10^-4 and HQ = 1, respectively were reported to be exceeded in more than 71% and 28.57% of the investigated studies. Therefore, according to the confirmation of formaldehyde's adverse health effects, it is necessary to adopt targeted strategies to reduce or eliminate exposure to this compound from the occupational usage.

Findings of indoor air pollution and childhood obesity in a cross-sectional study of Chinese schoolchildren

BACKGROUND

Air pollution exposures are increasingly suspected to influence the development of childhood adiposity, especially focusing on outdoor exposure, but few studies investigated indoor exposure and childhood obesity.

OBJECTIVES

We aimed to examine the association between exposure to multiple indoor air pollutants and childhood obesity in Chinese schoolchildren.

METHODS

In 2019, we recruited 6499 children aged 6-12 years from five Chinese elementary schools in Guangzhou, China. We measured age-sex-specific body mass index z score (z-BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) on standard procedures. Four different indoor air pollution (IAP) exposures, including cooking oil fumes (COFs), home decoration, secondhand smoke (SHS), and incense burning, were collected by questionnaire and then converted into an IAP exposure index with four categories. Association between indoor air pollutants and childhood overweight/obesity as well as four obese anthropometric indices were assessed by logistic regression models and multivariable linear regression models, respectively.

RESULTS

Children exposed to ≥3 types of indoor air pollutants had higher z-BMI (coefficient [β]:0.142, 95% confidence interval [CI]:0.011-0.274) and higher risk of overweight/obesity (odd ratio [OR]:1.27, 95%CI:1.01-1.60). And a dose-response relationship was discovered between the IAP exposure index and z-BMI as well as overweight/obesity (p_{for trend}<0.05). We also found that exposure to SHS and COFs was positively associated with z-BMI and overweight/obesity (p < 0.05). Moreover, there was a significant interaction between SHS exposure and COFs on the higher risk of overweight/obesity among schoolchildren. Boys appear more susceptible to multiple indoor air pollutants than girls.

CONCLUSIONS

Indoor air pollution exposures were positively associated with higher obese anthropometric indices and increased odds of overweight/obesity in Chinese schoolchildren. More well-designed cohort studies are needed to verify our results.

Characterization of Polycyclic Aromatic Hydrocarbons (PAHs) associated with fine aerosols in ambient atmosphere of high-altitude urban environment in Sikkim Himalaya

Polycyclic Aromatic Hydrocarbons (PAHs) compounds are ubiquitous in ambient air due to their persistence, carcinogenicity, and mutagenicity. Gangtok being one of the cleanest cities in India located in Eastern Himalayan region, witnesses high developmental activities with enhanced urbanization affecting the ambient air quality. The present study aims to measure PM_2.5 and PAHs in the ambient atmosphere of the Sikkim Himalaya to understand the influence of natural and anthropogenic activities on aerosol loading and their chemical characteristics. The PM_2.5 samples were collected and analysed for the duration from Jan 2020 to Feb 2021.The seasonal mean concentrations of PM_2.5 and PAHs were observed to be high during autumn and low during summer season. Overall, the annual mean concentration of PM_2.5 was found higher than the prescribed limit of World Health Organization and National Ambient Air Quality Standards. The concentration of the 16 individual PAHs were found to be highest during autumn season (55.26 ± 37.15 ng/m³). Among the different PAHs, the annual mean concentration of fluorene (3.29 ± 4.07 ng/m³) and naphthalene (1.15 ± 3.76 ng/m³) were found to be the highest and lowest, respectively. The Molecular Diagnostic Ratio (MDR) test reveals higher contribution from heavy traffic activities throughout the winter and autumn seasons. The other possible sources identified over the region are fossil fuel combustion, and biomass burning. The multivariate statistical analysis (Multifactor Principal Component Analysis) also indicates a strong association between PM_2.5 /PAHs and meteorological variables across the region in different seasons. The precipitation and wind pattern during the study period suggests that major contribution of the PM_2.5 and PAHs were from local sources, with minimal contribution from long-range transport. The findings are important for comprehending the trends of PAH accumulation over a high-altitude urban area, and for developing sustainable air quality control methods in the Himalayan region.

Quantifying the dynamic characteristics of indoor air pollution using real-time sensors: Current status and future implication

People generally spend most of their time indoors, making indoor air quality be of great significance to human health. Large spatiotemporal heterogeneity of indoor air pollution can be hardly captured by conventional filter-based monitoring but real-time monitoring. Real-time monitoring is conducive to change air assessment mode from static and sparse analysis to dynamic and massive analysis, and has made remarkable strides in indoor air evaluation. In this review, the state of art, strengths, challenges, and further development of real-time sensors used in indoor air evaluation are focused on. Researches using real-time sensors for indoor air evaluation have increased rapidly since 2018, and are mainly conducted in China and the USA, with the most frequently investigated air pollutants of PM_2.5. In addition to high spatiotemporal resolution, real-time sensors for indoor air evaluation have prominent advantages in 3-dimensional monitoring, pollution peak and source identification, and short-term health effect evaluation. Huge amounts of data from real-time sensors also facilitate the modeling and prediction of indoor air pollution. However, challenges still remain in extensive deployment of real-time sensors indoors, including the selection, performance, stability, as well as calibration of sensors. In future, sensors with high performance, long-term stability, low price, and low energy consumption are welcomed. Furthermore, more target air pollutants are also expected to be detected simultaneously by real-time sensors in indoor air monitoring.

Monitoring and apportioning sources of indoor air quality using low-cost particulate matter sensors

Air quality is one of the most important factors in public health. While outdoor air quality is widely studied, the indoor environment has been less scrutinised, even though time spent indoors is typically much greater than outdoors. The emergence of low-cost sensors can help assess indoor air quality. This study provides a new methodology, utilizing low-cost sensors and source apportionment techniques, to understand the relative importance of indoor and outdoor air pollution sources upon indoor air quality. The methodology is tested with three sensors placed in different rooms inside an exemplar house (bedroom, kitchen and office) and one outdoors. When the family was present, the bedroom had the highest average concentrations for PM_2.5 and PM₁₀ (3.9 ± 6.8 ug/m³ and 9.6 ± 12.7 μg/m³ respectively), due to the activities undertaken there and the presence of softer furniture and carpeting. The kitchen, while presenting the lowest PM concentrations for both size ranges (2.8 ± 5.9 ug/m³ and 4.2 ± 6.9 μg/m³ respectively), presented the highest PM spikes, especially during cooking times. Increased ventilation in the office resulted in the highest PM₁ concentration (1.6 ± 1.9 μg/m³), highlighting the strong effect of infiltration of outdoor air for the smallest particles. Source apportionment, via positive matrix factorisation (PMF), showed that up to 95 % of the PM₁ was found to be of outdoor sources in all the rooms. This effect was reduced as particle size increased, with outdoor sources contributing >65 % of the PM_2.5, and up to 50 % of the PM₁₀, depending on the room studied. The new approach to elucidate the contributions of different sources to total indoor air pollution exposure, described in this paper, is easily scalable and translatable to different indoor locations.

Distribution and the trend of airborne particles and bio-aerosol concentration in pediatric intensive care units with different ventilation setting at two hospitals in Riyadh, Saudi Arabia

OBJECTIVE

To examine the distribution and the trend of airborne particles and bio-aerosol concentration in pediatric intensive care units (PICUs) in two tertiary care hospitals with different ventilation setting.

METHODS

Hospitals A but not B is provided with a central HEPA filter. PICUs in both hospitals were categorized into protective environment (PE) with room HEPA filter, semi-protective environment (SPE) with portable air-purifier, and non-protective environment (NPE) with neither system. Fine particles (≤ 2.5 µm) and coarse particles (≤ 10.0 µm) were obtained using optical particle counter (Lighthouse Handheld 3016) and total bacterial (TBC) and fungal (TFC) counts were obtained using Andersen air sampler.

RESULTS

Hospital B had significantly higher levels of fine and coarse particles (in all room), TBC (in PE), but not TFC compared with matched rooms in hospital A. In hospital B, the levels of fine particles, coarse particles, and TBC were lowest in SPE (p < 0.001, p = 0.004, and p = 0.006, respectively) while TFC was lowest in NPE (p = 0.014). Airborne particles, TBC, and TFC had variable trends with some of the indoor peaks follow outdoor peaks. Gram-positive bacteria (69 %) were the predominant bacteria in hospital A while bacterial flora (70 %) were the predominant bacteria in hospital B (p < 0.001 for each).

CONCLUSIONS

The levels of airborne contaminants and microbial counts in PICUs are significantly affected by the ventilation system and to less extent by outdoor levels. The results indicated that advanced filtration system and central HEPA filters play a significant role in the reduction of indoor fine particulates and TBC.

How does particulate air pollution affect barrier functions and inflammatory activity of lung vascular endothelium?

Both particulate matter and gaseous components of air pollution have already been shown to increase cardiovascular mortality in numerous studies. It is, however, important to note that on their way to the bloodstream the polluting agents pass the lung barrier. Inside the alveoli, particles of approximately 0.4-1 μm are most efficiently deposited and commonly undergo phagocytosis by lung macrophages. Not only the soluble agents, but also particles fine enough to leave the alveoli enter the bloodstream in this finite part of the endothelium, reaching thus higher concentrations in close proximity of the alveoli and endothelium. Additionally, deposits of particulate matter linger in direct proximity of the endothelial cells and may induce inflammation, immune responses, and influence endothelial barrier dysfunction thus increasing PM bioavailability in positive feedback. The presented discussion provides an overview of possible components of indoor PM and how endothelium is thus influenced, with emphasis on lung vascular endothelium and clinical perspectives.

Utility of outdoor central site monitoring in assessing exposure of school children to ultrafine particles

Epidemiological studies investigating the association between daily particle exposure and health effects are frequently based on a single monitoring site located in an urban background. Using a central site in epidemiological time-series studies has been established based on the premises of low spatial variability of particles within the areas of interest and hence the adequacy of the central sites to monitor the exposure. This is true to a large extent in relation to larger particles (PM_2.5, PM₁₀) that are typically monitored and regulated. However, the distribution of ultrafine particles (UFP), which in cities predominantly originate from traffic, is heterogeneous. With increasing pressure to improve the epidemiology of UFP, an important question to ask is, whether central site monitoring is representative of community exposure to this size fraction of particulate matter; addressing this question is the aim of this paper. To achieve this aim, we measured personal exposure to UFP, expressed as particle number concentration (PNC), using Philips Aerasense Nanotracers (NT) carried by the participants of the study, and condensation particle counters (CPC) or scanning mobility particle sizers (SMPS) at central fixed-site monitoring stations. The measurements were conducted at three locations in Brisbane (Australia), Cassino (Italy) and Accra (Ghana). We then used paired t-tests to compare the average personal and average fixed-site PNC measured over the same 24-h, and hourly, periods. We found that, at all three locations, the 24-h average fixed-site PNC was no different to the personal PNC, when averaged over the study period and all the participants. However, the corresponding hourly averages were significantly different at certain times of the day. These were generally times spent commuting and during cooking and eating at home. Our analysis of the data obtained in Brisbane, showed that maximum personal exposure occurred in the home microenvironment during morning breakfast and evening dinner time. The main source of PNC for personal exposure was from the home-microenvironment. We conclude that the 24-h average PNC from the central-site can be used to estimate the 24-h average personal exposure for a community. However, the hourly average PNC from the central site cannot consistently be used to estimate hourly average personal exposure, mainly because they are affected by very different sources.

Investigation of the Exposure of Schoolchildren to Ultrafine Particles (PM0.1) during the COVID-19 Pandemic in a Medium-Sized City in Indonesia

The health risk of schoolchildren who were exposed to airborne fine and ultrafine particles (PM0.1) during the COVID-19 pandemic in the Jambi City (a medium-sized city in Sumatra Island), Indonesia was examined. A questionnaire survey was used to collect information on schoolchildren from selected schools and involved information on personal profiles; living conditions; daily activities and health status. Size-segregated ambient particulate matter (PM) in school environments was collected over a period of 24 h on weekdays and the weekend. The personal exposure of PM of eight selected schoolchildren from five schools was evaluated for a 12-h period during the daytime using a personal air sampler for PM0.1 particles. The schoolchildren spent their time mostly indoors (~88%), while the remaining ~12% was spent in traveling and outdoor activities. The average exposure level was 1.5~7.6 times higher than the outdoor level and it was particularly high for the PM0.1 fraction (4.8~7.6 times). Cooking was shown to be a key parameter that explains such a large increase in the exposure level. The PM0.1 had the largest total respiratory deposition doses (RDDs), particularly during light exercise. The high level of PM0.1 exposure by indoor sources potentially associated with health risks was shown to be important.

A pilot biomonitoring study of air pollution in the urban area of Sarajevo, Bosnia and Herzegovina: genotoxicity assessment in buccal cells

Air pollution, recognized as a human carcinogen, is a significant cause of death in industrial and developing countries, and Bosnia and Herzegovina (B&H) is one of the leading countries for air pollution-caused death rate and has the poorest urban air quality in Europe. Despite a population decrease, urban air pollution in B&H has increased due to traffic pollution and still intensive use of solid fuel for heating and cooking. Human biomonitoring studies, regarding the described air pollution, have not been conducted before, and particularly have not been conducted in the region of Sarajevo. Good health, well-being, and environmental protection are part of the 17 defined Sustainable Development Global Goals. Accordingly, this study aimed to determine baseline levels of DNA damage in a group of Sarajevo citizens and to compare seasonal variations in DNA damage in relation to the reported levels of air pollution. From 33 individuals included in the study, samples were collected in the summer and winter seasons. The buccal micronucleus cytome (BMCyt) assay and comet assay in leucocytes isolated from saliva were performed. Mean values and standard deviations of log-transformed tail intensity (%), tail length (µm), and tail moment results in winter were 1.14 ± 0.23, 2.20 ± 0.14, and 1.03 ± 0.29, respectively, while in the summer season those values were 1.19 ± 0.19, 2.25 ± 0.17, and 1.07 ± 0.25, respectively. No significant differences were found for the comet assay parameters. Nevertheless, BMCyt results showed significant increases in micronuclei (P = .008), binuclear cells (P = .04), karyolysis (P = .0003), condensed chromatin (P = .03), and pyknosis (P = .002) in winter. Although the results of comet and BMCyt assays are not in accordance, this study contributes to the human air pollution biomonitoring in Sarajevo, B&H, and based on the genotoxic effects of air pollution evidenced by the BMCyt biomarker further studies of this kind are necessary.

Air pollution in Sarajevo, Bosnia and Herzegovina, assessed by plant comet assay

Bosnia and Herzegovina (B&H) is among the European countries with the highest rate of air pollution-related death cases and the poorest air quality. The main causes are solid fuel consumption, traffic, and the poorly developed or implemented air pollution reduction policies. In addition, the city of Sarajevo, the capital of B&H, suffers temperature inversion episodes in autumn/winter months, which sustain air pollution. Human biomonitoring studies may be confounded by the lifestyle of subjects or possible metabolic alterations. Therefore, this study aimed to evaluate Ligustrum vulgare L. as a model for air pollution monitoring by measuring DNA damage at one rural and two urban sites. DNA damage was measured as tail intensity (TI) in L. vulgare leaves, considering seasonal, sampling period, leaf position and staging, and spatial (urban versus rural) variation. Effects of COVID-19 lockdown on TI were assessed by periodical monitoring at one of the selected sites, while in-house grown L. vulgare plants were used to test differences between outdoor and indoor air pollution effects for the same sampling period. Significantly higher TI was generally observed in leaves collected in Campus in December 2020 and 2021 compared with March (P < 0.0001). Outer and adult leaves showed higher TI values, except for the rural site where no differences for these categories were found. Leaves collected in the proximity of the intensive traffic showed significantly higher TI values (P < 0.001), regardless of the sampling period and the stage of growth. In regards to the COVID-19 lockdown, higher TI (P < 0.001) was registered in December 2020, after the lockdown period, than in periods before COVID-19 outbreak or immediately after the lockdown in 2020. This also reflects mild air pollution conditions in summer. TI values for the in-house grown leaves were significantly lower compared to those in situ. Results showed that L. vulgare may present a consistent model for the air pollution biomonitoring but further studies are needed to establish the best association between L. vulgare physiology, air quality data, and air pollution effects.

Using low-cost sensors to assess real-time comfort and air quality patterns in indoor households

People spend most of their time in indoor environments without knowing about the air quality in these spaces. In this study, indoor low-cost sensors were used (for 5 months) to assess the comfort and air quality patterns in two indoor households. To strengthen the robustness of the considered approach and build confidence in the obtained comfort and indoor air quality (IAQ) levels, the sensor measurements were also compared against information from reference monitoring equipment; in which, high correlation coefficients were obtained (> 0.85) and also low errors (on average 22%). The IAQ results were strongly influenced by the residents' activity and behaviour, the outdoor weather conditions, and indoor/outdoor air pollution sources. Overall, the recommended values of temperature and relative humidity for the occupant's comfort in indoor environments were not fulfilled. The highest particulate matter (PM) levels were recorded at the weekend (on average +14% higher), while maximum CO₂ and CO levels were obtained on the weekdays (on average +9% higher). PM daily profiles followed the outdoor concentrations with the maximum levels at the end of the night and the lowest values in the early morning/mid-afternoon. The highest and lowest CO₂ concentrations were registered in the early morning (< 1536 ppm) and mid-afternoon (< 627 ppm), respectively, while the CO daily profiles showed a high impact of outdoor emissions, with the minimum concentrations up to 0.81 mg m^-3 (at 10 a.m. or 6 p.m.), and a maximum concentration of 1.87 mg m^-3 (at 10 p.m.). Real-time comfort conditions and IAQ levels are a powerful approach to providing fast decisions to minimise human exposure and prevent negative health impacts.

Experimental and numerical analysis of indoor air quality affected by outdoor air particulate levels (PM1.0, PM2.5 and PM10), room infiltration rate, and occupants' behaviour

This study conducted an experimental analysis of how indoor air quality (IAQ) is influenced by the outdoor air pollutants levels, infiltration rate, and occupants' behaviours. The impacts of these factors on IAQ were analyzed using on-site measurements and numerical simulations. The results contribute to a better understanding of how to control the Indoor Particulate Level (IPL) for the specific conditions of the studied building. Results showed that occupant behaviour was the primary factor in determining the IPL, significantly changing the number of outdoor particles introduced to the building. Moreover, it was found that the IPL was exponentially correlated to the Outdoor Particulate Level (OPL). Based on numerical simulations, this study concluded that smaller particles do not always have more chance than larger particles of accessing the indoor environment through the building envelope. Meanwhile, a steady-state indoor particle concentration numerical model was established and verified using the 4-fold cross-validation method. Finally, simulation results identified that the room infiltration rate had a positive linear impact on IAQ if the OPL was under 30 μg/m³. This is because the increased air exchange rate can help to dilute indoor air pollutants when the outdoor air is relatively clean.

High contribution from outdoor air to personal exposure and potential inhaled dose of PM2.5 for indoor-active university students

People spend most of their time indoors, isolated from the outdoor environment where serious air pollution usually occurs. To what extent outdoor air pollution contributes to their daily personal exposure and inhaled dose? To fill this knowledge gap, an exposure assessment study was conducted for indoor-active university students during a wintertime period of hazy and non-hazy (clear) days in Beijing. Indoor and outdoor fine particulate matter (PM_2.5) samples were collected at six indoor microenvironments, and two outdoor environments representing traffic and ambient exposure in the university, respectively, to estimate the personal exposure of students. The average daily personal exposure and poteantial inhaled dose on hazy days (124.8 ± 72.3 μg m^-3 and 2.74 ± 1.53 mg) were much higher than that on clear days (57.5 ± 31.9 μg m^-3 and 1.26 ± 0.59 mg), indicating a significant influence from the ambient air quality. The indoor PM_2.5 concentrations were significantly and positively correlated with the outdoor ones (r = 0.67-0.96) with an F_INF (infiltration factor) range of 0.44-0.81 during sampling periods. The outdoor-origin air contributed 68%-95% to the total indoor PM_2.5, the average of which was higher during haze events (87%) than clear periods (73%). Correspondingly, outdoor-origin PM_2.5 contributed around 105.4 μg m^-3 and 2.41 mg (85% and 89%) to the daily exposure and inhaled dose of college students on hazy days, respectively, compared to just 39.2 μg m^-3 and 0.95 mg (68% and 75%) on clear days. Our results highlight the significant contribution of outdoor-origin PM_2.5 occurred indoor to both the daily personal exposure and inhaled dose due to air pollution filtration between outdoor and indoor environments. These also suggest a continuous effort not only on ambient air quality improvements, but also on environmental friendly building for public health protection with lower exposure.

Indoor PM2.5 from occupied residences in Sweden caused higher inflammation in mice compared to outdoor PM2.5

We spend most of our time indoors; however, little is known about the effects of exposure to aerosol particles indoors. We aimed to determine differences in relative toxicity and physicochemical properties of PM_2.5 collected simultaneously indoors (PM_{2.5 INDOOR} ) and outdoors (PM_{2.5 OUTDOOR} ) in 15 occupied homes in southern Sweden. Collected particles were extracted from filters, pooled (indoor and outdoor separately), and characterized for chemical composition and endotoxins before being tested for toxicity in mice via intratracheal instillation. Various endpoints including lung inflammation, genotoxicity, and acute-phase response in lung and liver were assessed 1, 3, and 28 days post-exposure. Chemical composition of particles used in toxicological assessment was compared to particles analyzed without extraction. Time-resolved particle mass and number concentrations were monitored. PM_{2.5 INDOOR} showed higher relative concentrations (μg mg^-1 ) of metals, PAHs, and endotoxins compared to PM_{2.5 OUTDOOR} . These differences may be linked to PM_{2.5 INDOOR} causing significantly higher lung inflammation and lung acute-phase response 1 day post-exposure compared to PM_{2.5 OUTDOOR} and vehicle controls, respectively. None of the tested materials caused genotoxicity. PM_{2.5 INDOOR} displayed higher relative toxicity than PM_{2.5 OUTDOOR} under the studied conditions, that is, wintertime with reduced air exchange rates, high influence of indoor sources, and relatively low outdoor concentrations of PM. Reducing PM_{2.5 INDOOR} exposure requires reduction of both infiltration from outdoors and indoor-generated particles.

Diurnal trends of indoor and outdoor fluorescent biological aerosol particles in a tropical urban area

We evaluated diurnal trends of size-resolved indoor and outdoor fluorescent biological airborne particles (FBAPs) and their contributions to particulate matter (PM) within 0.5-20 μm. After a ten-week continuous sampling via two identical wideband integrated bioaerosol sensors, we found that both indoor and outdoor diurnal trends of PM were driven by its bioaerosol component. Outdoors, the median [interquartile range] FBAP mass concentration peaked at 8.2 [5.8-9.9] μg/m³ around sunrise and showed a downtrend from 6:00 to 18:00 during the daytime and an uptrend during the night. The nighttime FBAP level was 1.8 [1.4-2.2] times higher than that during the daytime, and FBAPs accounted for 45 % and 56 % of PM during daytime and nighttime, respectively. Indoors, the rise in concentrations of FBAPs smaller than 1 μm coincided with the starting operation of the heating, ventilation, and air conditioning (HVAC) system at 6:00, and the concentration peaked at 8:00 and dropped to the daily average by noontime. This indicated that the starting operation of the HVAC system dislodged the overnight settled and accumulated fine bioaerosols into the indoor environment. For particles larger than 1 μm, the variation of mass concentration was driven by occupancy. Based on regression modeling, the contributions of indoor PM, non-FBAP, and FBAP sources to indoor mass concentrations were estimated to be 93 %, 67 %, and 97 % during the occupied period.

Reactive Chlorine Emissions from Cleaning and Reactive Nitrogen Chemistry in an Indoor Athletic Facility

Indoor gas-phase radical sources are poorly understood but expected to be much different from outdoors. Several potential radical sources were measured in a windowless, light-emitting diode (LED)-lit room in a college athletic facility over a 2 week period. Alternating measurements between the room air and the supply air of the heating, ventilation, and air-conditioning system allowed an assessment of sources. Use of a chlorine-based cleaner was a source of several photolabile reactive chlorine compounds, including ClNO₂ and Cl₂. During cleaning events, photolysis rates for these two compounds were up to 0.0023 pptv min^-1, acting as a source of chlorine atoms even in this low-light indoor environment. Unrelated to cleaning events, elevated ClNO₂ was often observed during daytime and lost to ventilation. The nitrate radical (NO₃), which is rapidly photolyzed outdoors during daytime, may persist in low-light indoor environments. With negligible photolysis, loss rates of NO₃ indoors were dominated by bimolecular reactions. At times with high NO₂ and O₃ ventilated from outdoors, N₂O₅ was observed. Elevated ClNO₂ measured concurrently suggests the formation through heterogeneous reactions, acting as an additional source of reactive chlorine within the athletic facility and outdoors.

Measuring students' exposure to particulate matter (PM) pollution across microenvironments and seasons using personal air monitors

Particulate matter (PM) pollution is a significant concern in public health, yet children's exposure is not adequately characterized. This study evaluated PM exposures among primary school-aged children in NYS across different microenvironments. This study helps fill existing knowledge gaps by characterizing PM exposure among this population across seasons and microenvironments. Sixty students were recruited from randomly selected public primary schools representing various socioeconomic statuses. Individual real-time exposure to PM_2.5 was measured continuously using AirBeam personal monitors for 48 h. Children were consistently exposed to higher PM_2.5 concentrations in the fall (median: fall = 2.84, spring = 2.31, winter = 0.90 µg/m³). At school, 2.19% of PM_2.5 measurements exceeded the EPA annual fine particle standard, 12 µg/m³ (winter = 7.38%, fall = 2.39%, spring = 1.38%). In classrooms, PM_1-4 concentrations were higher in spring and overnight, while PM_7-10 concentrations were higher in fall and school hours. At home, 37.2% of fall measurements exceeded EPA standards (spring = 10.39%, winter = 4.37%). Overall, PM_2.5 levels in classrooms and during transportation never rose above the EPA standard for any significant length of time. However, PM_2.5 levels routinely exceeded these standards at home, in the fall, and the evening. More extensive studies are needed to confirm these results.

Adaptation among aged care and disability service providers in response to the COVID-19 pandemic: Lessons for the future

Aged care and disability service organizations are critical infrastructure. However, in 2020, restrictions were introduced to reduce the infection risk of the coronavirus disease 2019 (COVID-19), and these organizations needed to quickly devise COVID-safe ways of working to continue to meet the needs of their clients. To investigate how these organizations adapted their service delivery and which innovations they felt were worthwhile for sustaining beyond the COVID-19 pandemic, interviews were undertaken with representatives from 26 aged care and disability service organizations across three states in Australia (Western Australia, New South Wales, and Victoria). Findings revealed that organizations adapted their practices across three key innovation areas: (1) developing new approaches or expanding existing services, particularly around food provision, social connection, information dissemination, and technology support; (2) modifying the mode of service delivery, through safe in-person contact or offering alternative online services; and (3) reducing bureaucracy and introducing remote working. A common theme across all service innovations was the strong focus on providing clients and staff with choice and control. Moving forward, many organizations wanted to integrate and maintain these innovations, as they were associated with additional benefits such as increased client health and safety, service flexibility, and sufficient human resources to serve clients. However, continued maintenance of some initiatives require additional resourcing. The continuation of COVID-19 pandemic adaptations and, indeed, ongoing innovation, would therefore be facilitated by greater flexibility of funding to allow organizations and their clients to determine the service types and modes that best meet their needs. Further, these innovations have implications for sector-wide best practice.

A systematic review of ventilation conditions and airborne particulate matter levels in urban offices

Many working activities are carried out in office buildings that are located in urban areas. Several studies have shown that these workplaces are likely to present poor indoor environmental quality (IEQ) due to inadequate ventilation rates, compromised thermal comfort conditions, and/or high concentration of air pollutants, such as particulate matter. This study aimed to review ventilation conditions, based on carbon dioxide (CO₂ ) concentrations, and indoor airborne particulate matter (PM_2.5 and PM₁₀ ) levels assessed in offices worldwide. The approach carried out in this work followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six databases (Scopus, Web of Science, PubMed, Inspec, Science Direct, and Dimensions) were used to search for peer-reviewed articles on the subject of IEQ, in particular, those reporting data for the levels of CO₂ and particulate matter in offices, published during the last decade. Firstly, 394 records were identified, resulting in 23 articles included in the review after the screening process and the implementation of eligibility criteria. Based on the results and considering the mean concentration reported, office environments present, in general, acceptable ventilation conditions (mean: 665 ppm). However, the few cases of studies that reported CO₂ values exceeding 1000 ppm identified situations of high occupancy density and inadequate operation of heating, ventilation, and air conditioning (HVAC) systems as the unequivocal causative factors. In turn, PM_2.5 and PM₁₀ seemed to be IEQ parameters that are even more critical to be tackled in offices, with the reported overall mean values (36 and 63 μg/m³ ) exceeding the current World Health Organization (WHO) guidelines (15 and 45 μg/m³ ). The highest aerosol concentrations were typically found in naturally ventilated buildings and were mostly associated with the influence of high levels of particles introduced indoors through the outdoor air. Overall, measures for improving IEQ in offices toward promoting healthy and safe environments for workers include strategies to periodically control IEQ, ensure the adequate percentage of fresh air and maintenance of the mechanical ventilation systems (operation, maintenance, and air filtration efficiency), and adjust occupancy to the room dimensions and ventilation conditions.

A scientometric analysis of indoor air pollution research during 1990-2019

Indoor air pollution (IAP) is one of the leading risk factors for various adverse health outcomes including premature deaths globally. Even though research related to IAP has been carried out, bibliometric studies with particular emphasis on this topic have been lacking. Here, we investigated IAP research from 1990 to 2019 retrieved from the Web of Science database through a comprehensive and systematic scientometric analysis using the CiteSpace 5.7.R2, a powerful tool for visualizing structural, temporal patterns and trends of a scientific field. There was an exponential increase in publications, however, with a stark difference between developed and developing countries. The journals publishing IAP related research had multiple disciplines; 'Indoor Air' journal that focuses solely on IAP issues ranked fifth among top-cited journals. The terms like 'global burden', 'comparative risk assessment,' 'household air pollution (HAP)', 'ventilation', 'respiratory health', 'emission factor', 'impact,' 'energy', 'household', 'India' were the current topical subject where author Kirk R. Smith was identified with a significant contribution. Research related to rural, fossil-fuel toxicity, IAP, and exposure-assessment had the highest citation burst signifying the particular attention of scientific communities to these subjects. Overall, this study examined the evolution of IAP research, identified the gaps and provided future research directions.

Potential ecological and health risks of heavy metals for indoor and corresponding outdoor dust in Hefei, Central China

The harm caused by indoor dust has received increasing attention in recent years. However, current studies have ignored comparisons with the corresponding outdoor dust. This study aimed to investigate the distribution of heavy metals in indoor and corresponding outdoor dust and the ecological and health risks they pose in Hefei, Central China. We analyzed O/I (outdoor/indoor concentration ratios) values, background comparison, and correlation analysis (heavy metal concentrations vs. particle size) and found that Cu, Zn, and Cd mainly existed in indoor sources, while V, Co, and As mainly existed in outdoor sources, and both family sizes and floor number influenced the variation of O/I. Through a new potential ecological risk assessment method, we determined that Cd risk levels in indoor and outdoor dust were extreme and high to extreme, respectively. Additionally, the carcinogenic risks of Ni, As, and Cr were not negligible. The risk of indoor dust was higher than that of outdoor dust for the heavy metals studied, implying a poor indoor environment. Notably, indoor dust from families with smaller sizes, lower floors, and smokers had higher ecological and carcinogenic risks.

Source apportionment of children daily exposure to particulate matter

The present study aims to investigate the sources of particulate pollution in indoor and outdoor environments, with focus on determining their contribution to the exposure of children to airborne particulate matter (PM). To this end, parallel indoor and outdoor measurements were carried out for a selection of 40 homes and 5 schools between September 2017 and October 2018. PM2.5 and PM2.5-10 samples were collected during five days in each microenvironment (ME) and analysed by X-Ray Fluorescence (XRF), for the determination of elements, and by a thermal-optical technique, for the measurement of organic and elemental carbon. The source apportionment analysis of the PM composition data, by means of the receptor model SoFi (Source Finder) 8 Pro, resulted in the identification of nine sources: exhaust and non-exhaust emissions from traffic, secondary particles, heavy oil combustion, industry, sea salt, soil, city dust, and an indoor source characterized by high levels of organic carbon. Integrated daily exposure to PM2.5 was on average 21 μg/m³. The organic matter, resulting from cleaning, cooking, smoking and biological material, was the major source contributing by 31% to the PM2.5 exposure. The source city dust, which was highly influenced by the resuspension of dust in classrooms, was the second main source (26%), followed by traffic (24%). The major sources affecting the integrated exposure to PM10, which was on average 33 μg/m³, were the city dust (39%), indoor organics (24%) and traffic (16%). This study provides important information for the design of measures to reduce the exposure of children to PM.

A systematic literature review on indoor PM2.5 concentrations and personal exposure in urban residential buildings

Particulate matter with an aerodynamic diameter less than 2.5μm (PM_2.5) is currently a major air pollutant that has been raising public attention. Studies have found that short/long-term exposure to PM_2.5 lead detrimental health effects. Since people in most region of the world spend a large proportion of time in dwellings, personal exposure to PM_2.5 in home microenvironment should be carefully investigated. The objective of this review is to investigate and summary studies in terms of personal exposure to indoor PM_2.5 pollutants from the literature between 2000 and 2021. Factors from both outdoor and indoor environment that have impact on indoor PM_2.5 levels were explicated. Exposure studies were verified relating to individual activity pattern and exposure models. It was found that abundant investigations in terms of personal exposure to indoor PM_2.5 is affected by factors including concentration level, exposure duration and personal diversity. Personal exposure models, including microenvironment model, mathematical model, stochastic model and other simulation models of particle deposition in different regions of human airway are reviewed. Further studies joining indoor measurement and simulation of PM_2.5 concentration and estimation of deposition in human respiratory tract are necessary for individual health protection.

Role of ventilation on the transmission of viruses in buildings, from a single zone to a multizone approach

In a virus pandemic context, buildings ventilation has been recognized as a solution for preventing transmission of the virus in aerosolized form. The impact of the widespread recommendation of window opening and sealing door on ventilation circuits needs to be considered with a multizone approach. We modeled the airflow distribution in a building where people are isolating in a pandemic context, including one infected person. We analyzed the impact of opening the window and sealing the door in the quarantine room on exposures and probability of infection for occupants of the flat and of adjacent flats. In order to study the sensitivity of the results, we tested three ventilation systems: balanced, exhaust-only, and humidity-based demand-controlled, and several window- and door-opening strategies. When the door of the quarantine room is sealed, we observe that opening the window in the quarantine room always results in increased exposure and probability of infection for at least one other occupant, including in neighbors' apartments. When all internal doors are opened, we observe moderate impacts, with rather an increase of exposure of the occupants of the same apartments and of their probability of infection, and a decrease for the occupants located in other apartments. Based on the analysis on the airflows distribution in this case study, we conclude that sealing the internal door has more influence than opening the window of the quarantine room, whatever the ventilation system. We observe that this widespread recommendation to open the window of a quarantine room and to seal the door is based on the consideration of a single zone model. We illustrate the importance of moving from such a single zone approach to a multizone approach for quantifying ventilation and airing impacts in multizone buildings as residences in order to prevent epidemics of viruses such as SARS-CoV-2. It highlights the need of air leakage databases.

Effects of Evaporative Cooling Air Conditioning on Classroom Pollutants and Thermal Environment

Indoor particles and carbon dioxide concentration are major indices to evaluate indoor air quality. Based on the two-dimensional filler sieving model of the direct evaporative cooling segment, the porous media model was used for the simulation of the water filler section, the filtering efficiency of particle was simulated by adjusting the water drenching density and airflow velocity in different operating conditions. The three-dimensional classroom model used to change the exhaust outlet position and control the use of air conditioners simulated the indoor thermal environment and the changes in pollutant concentration. The Euler method and Lagrangian method were used to analyze the indoor flow field and particle sieving in the direct evaporation section, respectively. Conclusions show that in the application of evaporative cooling and stratum ventilation air conditioning system in classroom, the position of the exhaust port affects the concentration of carbon dioxide in the student's breathing area. The water filler section can effectively reduce the concentration of particle and carbon dioxide supplied indoors. The filtration efficiency of particle in outdoor air passing through the direct evaporative cooling section based on diffusion, inertial collision, and interception is affected by the combined effect of particle size, onward wind speed, and water spray density. The filtration efficiency of particle increases as the density of the spray water increases. With the increase of head-on wind speed, the filtration efficiency of coarse particulate matter is higher than that of fine particulate matter. The research results help policy makers decide whether to install evaporative cooling air conditioning in schools and determine which exhaust outlet positions are most effective in improving indoor air quality.

Performance assessment of NOVA SDS011 low-cost PM sensor in various microenvironments

Over the last 10 years, as a possible alternative to the conventional approach to air quality monitoring, real-time monitoring systems that use low-cost sensors and sensor platforms have been frequently applied. Generally, the long-term characteristics of low-cost PM sensors and monitoring have not been thoroughly documented except for a few widely used sensors and monitors. This article addresses the laboratory and field validation of three low-cost PM monitors of the same type that use the NOVA SDS011 PM sensor module over a 1-year period. In outdoor environments, we co-located low-cost PM monitors with GRIMM EDM180 monitors at the National Air Quality Monitoring stations. In indoor environments, we co-located them with a Turnkey Osiris PM monitor. Several performance aspects of the PM monitors were examined: operational data coverage, linearity of response, accuracy, precision, and inter-sensor variability. The obtained results show that inter-monitor R values were typically higher than 0.95 regardless of the environment. The tested monitors demonstrate high linearity in comparison with PM₁₀ and PM_2.5 concentrations measured in outdoor air with reference-equivalent instrumentation with R² values ranging from 0.52 up to 0.83. In addition, very good agreement (R² values ranging from 0.93 up to 0.97) with the gravimetric PM₁₀ and PM_2.5 method is obtained in the indoor environment (30 < RH < 70%). High RH (over 70%) negatively affected the PM monitors' response, especially in the case of PM₁₀ concentrations (high overestimation).

The dynamics of SARS-CoV-2 infectivity with changes in aerosol microenvironment

Understanding the factors that influence the airborne survival of viruses such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in aerosols is important for identifying routes of transmission and the value of various mitigation strategies for preventing transmission. We present measurements of the stability of SARS-CoV-2 in aerosol droplets (∼5 to 10 µm equilibrated radius) over timescales spanning 5 s to 20 min using an instrument to probe survival in a small population of droplets (typically 5 to 10) containing ∼1 virus/droplet. Measurements of airborne infectivity change are coupled with a detailed physicochemical analysis of the airborne droplets containing the virus. A decrease in infectivity to ∼10% of the starting value was observable for SARS-CoV-2 over 20 min, with a large proportion of the loss occurring within the first 5 min after aerosolization. The initial rate of infectivity loss was found to correlate with physical transformation of the equilibrating droplet; salts within the droplets crystallize at relative humidities (RHs) below 50%, leading to a near-instant loss of infectivity in 50 to 60% of the virus. However, at 90% RH, the droplet remains homogenous and aqueous, and the viral stability is sustained for the first 2 min, beyond which it decays to only 10% remaining infectious after 10 min. The loss of infectivity at high RH is consistent with an elevation in the pH of the droplets, caused by volatilization of CO₂ from bicarbonate buffer within the droplet. Four different variants of SARS-CoV-2 were compared and found to have a similar degree of airborne stability at both high and low RH.

Survey of residential indoor particulate matter measurements 1990-2019

We surveyed literature on measurements of indoor particulate matter in all size fractions, in residential environments free of solid fuel combustion (other than wood for recreation or space heating). Data from worldwide studies from 1990 to 2019 were assembled into the most comprehensive collection to date. Out of 2752 publications retrieved, 538 articles from 433 research projects met inclusion criteria and reported unique data, from which more than 2000 unique sets of indoor PM measurements were collected. Distributions of mean concentrations were compiled, weighted by study size. Long-term trends, the impact of non-smoking, air cleaners, and the influence of outdoor PM were also evaluated. Similar patterns of indoor PM distributions for North America and Europe could reflect similarities in the indoor environments of these regions. Greater observed variability for all regions of Asia may reflect greater heterogeneity in indoor conditions, but also low numbers of studies for some regions. Indoor PM concentrations of all size fractions were mostly stable over the survey period, with the exception of observed declines in PM2.5 in European and North American studies, and in PM10 in North America. While outdoor concentrations were correlated with indoor concentrations across studies, indoor concentrations had higher variability, illustrating a limitation of using outdoor measurements to approximate indoor PM exposures.

Accumulated oxidative stress risk in HUVECs by chronic exposure to non-observable acute effect levels of PM2.5

Few studies have reported the accumulation of non-observable acute effect (NOAE) of PM_2.5, especially exposure to the NOAE doses (NOAEDs) of PM_2.5 in chronic way. To address this issue, HUVECs were cultured from the 1st to 30th generations (G1 to G30) and treated by the NOAED PM_2.5 once every three passages. The generational changes of oxidative damage markers, inflammatory factors, and cell adhesion molecules (CAMs) were monitored in HUVECs at G6, G12, G18, G24, and G30, and proteomes at G18 and G30, respectively. The oxidative damages monotonically accumulated with exposure time elongation and PM_2.5 dose increases. Similar to the oxidative trends, VCAM1 and ICAM1 significantly and dose-dependently increased at G30. However, many inflammatory factors altered with complex patterns to respond the NOAEDs' PM_2.5. Proteomic results demonstrated most proteins expressed stably, and the generational proteome alterations were more apparent than the NOAEDs' PM_2.5 induced ones. The PM_2.5-related proteins varied much, but only few can cross the doses and generations. These observations suggested that the proteins changed holistically rather than individually. In summary, SOD1, SUMO2, and H3F3A may initiate HUVESs responses to PM_2.5, and then broadcast and accumulate the NOAE via DNA repair, immune response, and glycolysis.

Formation of cluster mode particles (1-3 nm) in preschools

This study is the first study that reports the cluster particle (1-3 nm) formation (CPF) in two modern preschools located in Nur-Sultan city of Kazakhstan from October 28 to November 27, 2019. The average particle number concentration and mode diameter values during major CPF events in Preschool I and Preschool II were found to be 1.90 × 10⁶ (SD 6.43 × 10⁶) particles/cm³ and 1.60 (SD 0.85) nm, and 1.11 × 10⁹ (SD 5.46 × 10⁹) particles/cm³ and 2.16 (SD 1.47) nm, respectively. The ultraviolet PM concentration reached as high as 7 μg/m³ in one of the measurement days. The estimated emission rate in Preschool I for CPF events was 9.57 × 10⁹ (SD 1.92 × 10⁹) particles/min. For Preschool II, the emission rate was 7.25 × 10⁹ (SD 12.4 × 10⁹) particles/min. We identified primary cluster particles (CPs) emitted directly from the sources such as candle burning, and secondary CPs formed as a result of the oxidation of indoor VOCs or smoking VOCs. The secondary CPs are likely to be SOA. Indoor VOCs were mainly emitted during cleaning activities as well as during painting and gluing. Indoor VOCs are the controlling factors in the CPF events. Changes in the training and cleaning programs may result in significant reductions in the exposure of the children to CPs.

Time and spatially resolved tracking of the air quality in local public transport

As an indoor environment, public transport is subject to special conditions with many passengers in a comparatively small space. Therefore, both an efficient control of the climatic parameters and a good air exchange are necessary to avoid transmission and spread of respiratory diseases. However, in such a dynamic system it is practically impossible to determine pathogenic substances with the necessary temporal and spatial resolution, but easy-to-measure parameters allow the air quality to be assessed in a passenger compartment. Carbon dioxide has already proven to be a useful indicator, especially in environments with a high occupancy of people. Airborne particulate matter can also be an important aspect for assessing the air quality in an indoor space. Consequently, the time courses of temperature, relative humidity, carbon dioxide and particulate matter (PM₁₀) were tracked and evaluated in local public transport buses, trams and trains in the Brunswick/Hanover region. In all measurements, the climatic conditions were comfortable for the passengers. Carbon dioxide was strongly correlated with occupancy and has proven to be the most informative parameter. The PM₁₀ concentration, however, often correlated with the dynamics of people when getting on and off, but not with the occupancy. Sensors, equipped with integrated GPS, were installed in the passenger cabins and were found to be useful for recording location-related effects such as stops. The results of this study show that the online recording of simple parameters is a valuable tool for assessing air quality as a function of time, location and number of people. When the occupancy is high, a low carbon dioxide level indicates good ventilation, which automatically reduces the risk of infection. It is therefore recommended to take more advantage of low-cost sensors as a control for air conditioning systems in passenger cabins and for evaluations of the dynamics in public transport.

Effect of energy renovation and occupants' activities on airborne particle concentrations in Swedish rental apartments

Exposure to airborne particles causes detrimental health effects, hence their assessment in indoor environments, where people spend most of the time, is important. The influence of energy renovation and occupants' activities on airborne particle concentrations was assessed in seven occupied Swedish residences. Ultrafine particle (UFP, <100 nm) number concentrations, PM2.5 (<2.5 μm) and black carbon (BC, <900 nm) mass concentrations were simultaneously measured inside and outside before, after renovation, and during follow-up. The average indoor UFP number concentrations increased from 6200 (±4070) cm^-3 before renovation to 12,700 (±6040) cm^-3 during the follow up, as the number of indoor activities doubled. Indoor UFP number concentrations depended mainly on frequency and type of occupants' activities in studied residences (e.g., cooking, candle burning). The average indoor PM2.5 concentration decreased from 8.6 (±5.8) μg m^-3 before renovation to 2.5 (±1.3) μg m^-3 during follow up, as the activities that generated PM2.5 decreased, and infiltration of outdoor particles could have been decreased due to renovation measures. However, the indication of infiltration decrease during the follow up, assessed on the basis of indoor to outdoor ratios during non-activity times (with no influence of occupants' activities), was not observed after the renovation and should be treated with caution. In this study indoor PM2.5 and BC were influenced by activities and outdoor concentrations. Reduction of exposure to indoor UFP, might be obtained by optimization of kitchen exhaust flows. An improved design of supply air inlets in mechanical exhaust ventilation systems may reduce PM2.5 infiltration. Occupants' logbook records, needed for identification of sources contributing to particle exposure, proved useful but not always accurate compared to technical measurements of activities and UFP concentrations. Development of simple and reliable activity detection systems is needed to complement logbooks and allow accurate assessment of source contribution to particle exposure in homes and associated health effects.