Human exposure to ozone in school and office indoor environments

The joint effect of long-term exposure to multiple air pollutants on non-accidental and cause-specific mortality: A longitudinal cohort study

The long-term joint impacts of fine particulate matter (PM2.5), nitrogen dioxide (NO2), and ozone (O3) on mortality are inconclusive. To bridge this research gap, we included 283,568 adults from the Taiwan MJ cohort between 2005 and 2016 and linked with the mortality data until 31 May 2019. Participants' annual average exposures to PM2.5, NO2, and O3 were estimated using satellite-based spatial-temporal models. We applied elastic net-regularised Cox models to construct a weighted environmental risk score (WERS) for the joint effects of three pollutants on non-accidental, cardiovascular, and cancer mortality and evaluated the contribution of each pollutant. The three pollutants jointly raised non-accidental mortality risk with a WERS hazard ratio (HR) of 1.186 (95% CI: 1.118-1.259) per standard deviation increase in each pollutant and weights of 72.8%, 15.2%, and 12.0% for PM2.5, NO2, and O3, respectively. The WERS increased cardiovascular death risk [HR: 1.248 (1.042-1.496)], with PM2.5 as the first contributor and O3 as the second. The WERS also elevated the cancer death risk [HR: 1.173 (1.083-1.270)], where PM2.5 played the dominant role and NO2 ranked second. Coordinated control of these three pollutants can optimise the health benefits of air quality improvements.

Squalene Depletion in Skin Following Human Exposure to Ozone under Controlled Chamber Conditions

A major component of human skin oil is squalene, a highly unsaturated hydrocarbon that protects the skin from atmospheric oxidants. Skin oil, and thus squalene, is continuously replenished on the skin surface. Squalene is also quickly consumed through reactions with ozone and other oxidants. This study examined the extent of squalene depletion in the skin oils of the forearm of human volunteers after exposure to ozone in a climate chamber. Temperature, relative humidity (RH), skin coverage by clothing, and participants' age were varied in a controlled manner. Concentrations of squalene were determined in skin wipe samples collected before and after ozone exposure. Exposures to ozone resulted in statistically significant decreases in post-exposure squalene concentrations compared to pre-exposure squalene concentrations in the skin wipes when squalene concentrations were normalized by concentrations of co-occurring cholesterol but not by co-occurring pyroglutamic acid (PGA). The rate of squalene loss due to ozonolysis was lower than its replenishment on the skin surface. Within the ranges examined, temperature and RH did not significantly affect the difference between normalized squalene levels in post-samples versus pre-samples. Although not statistically significant, skin coverage and age of the volunteers (three young adults, three seniors, and three teenagers) did appear to impact squalene depletion on the skin surfaces.

Influence of Ventilation on Formation and Growth of 1-20 nm Particles via Ozone-Human Chemistry

Ozone reaction with human surfaces is an important source of ultrafine particles indoors. However, 1-20 nm particles generated from ozone-human chemistry, which mark the first step of particle formation and growth, remain understudied. Ventilation and indoor air movement could have important implications for these processes. Therefore, in a controlled-climate chamber, we measured ultrafine particles initiated from ozone-human chemistry and their dependence on the air change rate (ACR, 0.5, 1.5, and 3 h-1) and operation of mixing fans (on and off). Concurrently, we measured volatile organic compounds (VOCs) and explored the correlation between particles and gas-phase products. At 25-30 ppb ozone levels, humans generated 0.2-7.7 × 1012 of 1-3 nm, 0-7.2 × 1012 of 3-10 nm, and 0-1.3 × 1012 of 10-20 nm particles per person per hour depending on the ACR and mixing fan operation. Size-dependent particle growth and formation rates increased with higher ACR. The operation of mixing fans suppressed the particle formation and growth, owing to enhanced surface deposition of the newly formed particles and their precursors. Correlation analyses revealed complex interactions between the particles and VOCs initiated by ozone-human chemistry. The results imply that ventilation and indoor air movement may have a more significant influence on particle dynamics and fate relative to indoor chemistry.

Investigation of RH effect on uncommon limonene ozonolysis products and SOA formation in indoor air with real time measurement techniques

Scientific interest in SOA influence on indoor air quality increases since last 20 years. It is well known, that particles of nano-sized diameter pose a threat for human health causing, among others: eye, upper airway irritation, inflammatory response in cells, worsening asthma, hypertension, diabetes, and central nervous dysfunction. Terpenes are reactive VOCs, commonly emitted in indoor air and considered to be SOA precursors by oxidation reactions. The aim of this study was to investigate the relative humidity influence on i) formation of limonene ozonolysis products and ii) SOA formation process - especially the first steps of it. We managed to determine 4 uncommon limonene ozonolysis products (m/z: 43, 83, 99 and 110) appearing in the PTR-TOF-MS mass spectra with the same frequency as well-known formaldehyde, acetone, acetic acid and formic acid. We also detected m/z 75 and m/z 115 formed under dry conditions and m/z 111 and m/z 125 formed under humid conditions. Detected masses formula is proposed with probability >70 % and the probability is derived from the deviation of the exact mass to the measured one and the isotope distribution. SMPS data analysis allowed us to conclude that RH around 40% increases particle mass concentration, regardless initial limonene concentration. Unfortunately, conclusions about RH influence on particle number concentration are inconsistent. Under low initial terpene concentration, RH around 40% decreases particle number concentration. However, for high initial limonene concentration, RH around 40% caused increase in particle number concentration. Obtained results allowed to conclude, that i) RH influences both particle number and particle mass concentration, ii) initial substrate concentration influences SOA formation altering the RH effect, iii) comparison of results and drawing conclusions is difficult due to different experimental protocols in the literature and due to the number of factors influencing SOA formation initiated by terpene oxidation.

Lung injuries induced by ozone exposure in female mice: Potential roles of the gut and lung microbes

Ozone (O3) is one of the most harmful pollutants affecting health. However, the potential effects of O3 exposure on microbes in the gut-lung axis related to lung injuries remain elusive. In this study, female mice were exposed to 0-, 0.5- and 1-ppm O3 for 28 days, followed by routine blood tests, lung function tests and histopathological examination of the colon, nasal cavity and lung. Mouse faeces and lungs were collected for 16s rRNA sequencing to assess the overall microbiological profile and screen for key differential enriched microbes (DEMs). The key DEMs in faecal samples were Butyricimonas, Rikenellaceae RC9 and Escherichia-Shigella, whereas those in lung samples were DNF00809, Fluviicola, Bryobacter, Family XII AD3011 group, Sharpea, MND1 and unclassified Phycisphaeraceae. After a search in microbe-disease databases, these key DEMs were found to be associated with lung diseases such as lung neoplasms, cystic fibrosis, pneumonia, chronic obstructive pulmonary disease, respiratory distress syndrome and bronchiectasis. Subsequently, we used transcriptomic data from Gene Expression Omnibus (GEO) with exposure conditions similar to those in this study to cross-reference with Comparative Toxicogenomic Database (CTD). Il-6 and Ccl2 were identified as the key causative genes and were validated. The findings of this study suggest that exposure to O3 leads to significant changes in the microbial composition of the gut and lungs. These changes are associated with increased levels of inflammatory factors in the lungs and impaired lung function, resulting in an increased risk of lung disease. Altogether, this study provides novel insights into the role of microbes present in the gut-lung axis in O3 exposure-induced lung injury.

The public-health significance of far-UVC-induced indoor ozone and its associated secondary chemistry

There has been much recent interest in whole-room far-UVC (wavelength around 222 nm) to markedly and safely reduce overall levels of airborne pathogens in occupied indoor locations. Far-UVC light produces very low levels of ozone-in real-world scenarios induced ozone levels of less than 10 ppb, and much less in moderately or well-ventilated rooms compliant with US far-UVC dose recommendations, and very much less in rooms compliant with international far-UVC dose standards. At these very low ozone levels, there is no epidemiological evidence of increased health risks from any of the very large outdoor ozone studies, whether from ozone alone or from ozone plus associated pollutants. Indoors, at the low ozone concentrations of relevance here, ozone does not react rapidly enough with preexisting airborne volatile organic compounds to compete with even extremely low levels of room ventilation, so significant ozone-induced ultrafine particle production is very unlikely. Direct measurements in real-life room scenarios are consistent with these conclusions. A potential exception is the cleaning material limonene, which has an unusually high ozone interaction cross-section; in the far-UVC context, turning off far-UVC lights during cleaning with limonene products would be reasonable.

Art and craft material use patterns by pre-school and elementary school children at home and school: a year long survey for refining exposure assessments

BACKGROUND

Use frequency and times are critical parameters for estimating realistic chemical exposures associated with the use of consumer products. Very limited information is available in the published literature for children's use patterns of art and craft materials at home and school.

OBJECTIVE

Conduct a year-long survey of art materials use at home and school by pre-school and elementary school children, teachers, and parents which can be used to refine chemical exposure assessments for these consumer products.

METHODS

Parent and teacher online surveys were conducted on the daily use of markers and monthly use of fifteen additional art and craft materials.

RESULTS

Daily marker use by elementary children was widespread at home and school (65% and 80%, respectively). On average, pre-school and elementary students used markers for 27 min per day, more than double daily home use. Adults used markers for longer durations relative to their children/students with teachers reporting the highest average daily usage time. School use of general art materials exceeded home use for both age groups, with elementary children using art materials more frequently than their pre-school counterparts. Examples of how these data can be used to refine exposure estimates are provided.

SIGNIFICANCE

Accurate art material usage data contributes to refined estimates of chemical exposure for these consumer products.

IMPACT STATEMENT

A year-long online survey was conducted which measured daily frequency and duration use for markers and comparable monthly use of other art materials for pre-school and elementary school children, their parents and teachers. Such use information is critical for estimating chemical exposures associated with this class of consumer products.

Effects of Allergen Exposure and Environmental Risk Factors in Schools on Childhood Asthma

PURPOSE OF REVIEW

This review aims to assess the prevalence of common allergen exposures and environmental risk factors for asthma in schools, examine the underlying mechanisms of these environmental risk factors, and explore possible prevention strategies.

RECENT FINDINGS

Cockroach, mouse, dust mites, fungi, viral infections, ozone pollution, and cleaning products are common allergen exposures and environmental risk factors in schools which may affect asthma morbidity. Novel modifiable environmental risk factors in schools are also being investigated to identify potential associations with increased asthma morbidity. While several studies have investigated the benefit of environmental remediation strategies in schools and their impact on asthma morbidity, future studies are warranted to further define the effects of modifiable risk factors in schools and determine whether school mitigation strategies may help improve asthma symptoms in students with asthma.

Multiphase Kinetic Modeling of Air Pollutant Effects on Protein Modification and Nitrotyrosine Formation in Epithelial Lining Fluid

Exposure to ambient air pollution is a major risk factor for human health. Inhalation of air pollutants can enhance the formation of reactive species in the epithelial lining fluid (ELF) of the respiratory tract and can lead to oxidative stress and oxidative damage. Here, we investigate the chemical modification of proteins by reactive species from air pollution and endogenous biological sources using an extended version of the multiphase chemical kinetic model KM-SUB-ELF 2.0 with a detailed mechanism of protein modification. Fine particulate matter (PM2.5) and nitrogen dioxide (•NO2) act synergistically and increase the formation of nitrotyrosine (Ntyr), a common biomarker of oxidative stress. Ozone (O3) is found to be a burden on the antioxidant defense system but without substantial influence on the Ntyr concentration. In simulations with low levels of air pollution, the Ntyr concentration in the ELF is consistent with the range of literature values for bronchoalveolar lavage fluid from healthy individuals. With high levels of air pollution, however, we obtain strongly elevated Ntyr concentrations. Our model analysis shows how chemical reactions of air pollutants can modify proteins and thus their functionality in the human body, elucidating a molecular pathway that may explain air pollutant effects on human health.

Adverse short-term effects of ozone on cardiovascular mortalities modified by season and temperature: a time-series study

Introduction

Ambient ozone pollution becomes critical in China. Conclusions on the short-term effects of ozone on cardiovascular mortality have been controversial and limited on cause-specific cardiovascular mortalities and their interactions with season and temperature. This research aimed to investigate the short-term effects of ozone and the modifications of season and temperature on cardiovascular mortality.

Methods

Cardiovascular death records, air pollutants, and meteorological factors in Shenzhen from 2013 to 2019 were analyzed. Daily 1-h maximum of ozone and daily maximum 8-h moving average of ozone were studied. Generalized additive models (GAMs) were applied to evaluate their associations with cardiovascular mortalities in sex and age groups. Effect modifications were assessed by stratifying season and temperature.

Results

Distributed lag impacts of ozone on total cardiovascular deaths and cumulative effects on mortality due to ischemic heart disease (IHD) were most significant. Population under 65 years old was most susceptible. Majority of significant effects were found in warm season, at high temperature, and at extreme heat. Ozone-associated risks in total deaths caused by hypertensive diseases reduced in warm season, while risks in IHD in males increased at high temperature. Extreme heat enhanced ozone effects on deaths caused by CVDs and IHD in the population under 65 years old.

Discussion

The revealed cardiovascular impacts of ozone below current national standard of air quality suggested improved standards and interventions in China. Higher temperature, particularly extreme heat, rather than warm season, could significantly enhance the adverse effects of ozone on cardiovascular mortality in population under 65 years old.

Critical review on emerging health effects associated with the indoor air quality and its sustainable management

Indoor air quality (IAQ) is one of the fundamental elements affecting people's health and well-being. Currently, there is a lack of awareness among people about the quantification, identification, and possible health effects of IAQ. Airborne pollutants such as volatile organic compounds (VOCs), particulate matter (PM), sulfur dioxide (SO2), carbon monoxide (CO), nitrous oxide (NO), polycyclic aromatic hydrocarbons (PAHs) microbial spores, pollen, allergens, etc. primarily contribute to IAQ deterioration. This review discusses the sources of major indoor air pollutants, molecular toxicity mechanisms, and their effects on cardiovascular, ocular, neurological, women, and foetal health. Additionally, contemporary strategies and sustainable methods for regulating and reducing pollutant concentrations are emphasized, and current initiatives to address and enhance IAQ are explored, along with their unique advantages and potentials. Due to their longer exposure times and particular physical characteristics, women and children are more at risk for poor indoor air quality. By triggering many toxicity mechanisms, including oxidative stress, DNA methylation, epigenetic modifications, and gene activation, indoor air pollution can cause a range of health issues. Low birth weight, acute lower respiratory tract infections, Sick building syndromes (SBS), and early death are more prevalent in exposed residents. On the other hand, the main causes of incapacity and early mortality are lung cancer, chronic obstructive pulmonary disease, and cardiovascular disorders. It's crucial to acknowledge anticipated research needs and implemented efficient interventions and policies to lower health hazards.

Affective disorder and brain alterations in children and adolescents exposed to outdoor air pollution

BACKGROUND

Childhood and adolescence are critical periods for the development of the brain. However, a limited number of studies have explored how air pollution may associate with affective symptoms in youth.

METHODS

We performed a comprehensive review of the existing research on the associations between outdoor air pollution and affective disorders, suicidality, and the evidence for brain changes in youth. PRISMA guidelines were followed and PubMed, Embase, Web of Science, Cochrane Library, and PsychINFO databases were searched from their inception to June 2022.

RESULTS

From 2123 search records, 28 papers were identified as being relevant for studying the association between air pollution and affective disorders (n = 14), suicide (n = 5), and neuroimaging-based evidence of brain alterations (n = 9). The exposure levels and neuropsychological performance measures were highly heterogeneous and confounders including traffic-related noise, indoor air pollution, and social stressors were not consistently considered. Notwithstanding, 10 out of the 14 papers provide evidence that air pollution is associated with increased risk of depression symptoms, and 4 out of 5 papers provide evidence that air pollution might trigger suicidal attempts and behaviors. Besides, 5 neuroimaging studies revealed decreased gray-matter volume in the Cortico-Striato-Thalamo-Cortical neurocircuitry, and two found white matter hyperintensities in the prefrontal lobe.

CONCLUSIONS

Outdoor air pollution is associated with increased risks of affective disorders and suicide in youth, and there is evidence for associated structural and functional brain abnormalities. Future studies should determine the specific effects of each air pollutant, the critical exposure levels, and population susceptibility.

A Geo-AI-based ensemble mixed spatial prediction model with fine spatial-temporal resolution for estimating daytime/nighttime/daily average ozone concentrations variations in Taiwan

High levels of ground level ozone (O₃) are associated with detrimental health concerns. Most of the studies only focused on daily average and daytime trends due to the presence of sunlight that initiates its formation. However, atmospheric chemical reactions occur all day, thus, nighttime concentrations should be given equal importance. In this study, geospatial-artificial intelligence (Geo-AI) which combined kriging, land use regression (LUR), machine learning, an ensemble learning, was applied to develop ensemble mixed spatial models (EMSMs) for daily, daytime, and nighttime periods. These models were used to estimate the long-term O₃ spatio-temporal variations using a two-decade worth of in-situ measurements, meteorological parameters, geospatial predictors, and social and season-dependent factors. From the traditional LUR approach, the performance of EMSMs improved by 60% (daytime), 49% (nighttime), and 57% (daily). The resulting daily, daytime, and nighttime EMSMs had a high explanatory power with and adjusted R² of 0.91, 0.91, and 0.88, respectively. Estimation maps were produced to examine the changes before and during the implementation of nationwide COVID-19 restrictions. These results provide accurate estimates and its diurnal variation that will support pollution control measure and epidemiological studies.

Heterogeneous chemistry of ozone with floor cleaning agent: Implications of secondary VOCs in the indoor environment

Human daily activities such as cooking, and cleaning can affect the indoor air quality by releasing primary emitted volatile organic compounds (VOCs), as well as by the secondary product compounds formed through reactions with ozone (O₃) and hydroxyl radicals (OH). However, our knowledge about the formation processes of the secondary VOCs is still incomplete. We performed real-time measurements of primary VOCs released by commercial floor-cleaning detergent and the secondary product compounds formed by heterogeneous reaction of O₃ with the constituents of the cleaning agent by use of high-resolution mass spectrometry. We measured the uptake coefficients of O₃ on the cleaning detergent at different relative humidities in dark and under different light intensities (320 nm < λ < 400 nm) relevant for the indoor environment. On the basis of the detected compounds we developed tentative reaction mechanisms describing the formation of the secondary VOCs. Intriguingly, under light irradiation the formation of valeraldehyde was observed based on the photosensitized chemistry of acetophenone which is a constituent of the cleaning agent. Finally, we modeled the observed mixing ratios of three aldehydes, glyoxal, methylglyoxal, and 4-oxopentanal with respect to real-life indoor environment. The results suggest that secondary VOCs initiated by ozone chemistry can additionally impact the indoor air pollution.

Effect modification by temperature on the association between O3 and emergency ambulance dispatches in Japan: A multi-city study

Numerous epidemiological studies have reported that ozone (O₃) and temperature are independently associated with health outcomes, but modification of the effects of O₃ on health outcomes by temperature, and vice versa, has not been fully described. This study aimed to investigate effect modification by temperature on the association between O₃ and emergency ambulance dispatches (EADs) in Japan. Data on daily air pollutants, ambient temperature, and EADs were obtained from eight Japanese cities from 2007 to 2015. A distributed lag non-linear model combined with Poisson regression was performed with temperature as a confounding factor and effect modifier to estimate the effects of O₃ on EADs at low (<25th percentile), moderate (25th-75th percentile), and high (>75th percentile) temperature for each city. The estimates obtained from each city were pooled by random-effects meta-analysis. When temperature was entered as a confounder, the estimated effects of O₃ on EADs for all acute, cardiovascular, and respiratory illnesses were largest at lag 0 (current-day lag). Therefore, this lag was used to further estimate the effects of O₃ on EADs in each temperature category. The estimated effects of O₃ on EADs for all acute, cardiovascular, and respiratory illnesses in all eight Japanese cities increased with increasing temperature. Specifically, a 10 ppb increase in O₃ was associated with 0.80 % (95 % CI: 0.25 to 1.35), 0.19 % (95 % CI: -0.85 to 1.25), and 1.14 % (95 % CI: -0.01 to 2.31) increases in the risk of EADs for all acute, cardiovascular, and respiratory illnesses, respectively, when city-specific daily temperature exceeded the 75th percentile. Our findings suggest that the association between O₃ and EADs for all acute, cardiovascular, and respiratory illnesses is the highest during high temperature. Finding of this study can be used to develop potential mitigation measures against O₃ exposure in high temperature environment to reduce its associated adverse health effects.

Interventions for improving indoor and outdoor air quality in and around schools

Students spend nearly one third of their typical day in the school environment, where they may be exposed to harmful air pollutants. A consolidated knowledge base of interventions to reduce this exposure is required for making informed decisions on their implementation and wider uptake. We attempt to fill this knowledge gap by synthesising the existing scientific literature on different school-based air pollution exposure interventions, their efficiency, suitability, and limitations. We assessed technological (air purifiers, HVAC - Heating Ventilation and Air Conditioning etc.), behavioural, physical barriers, structural, school-commute and policy and regulatory interventions. Studies suggest that the removal efficiency of air purifiers for PM_2.5, PM₁₀, PM₁ and BC can be up to 57 %, 34 %, 70 % and 58 %, respectively, depending on the air purification technology compared with control levels in classroom. The HVAC system combined with high efficiency filters has BC, PM₁₀ and PM_2.5 removal efficiency up to 97 %, 34 % and 30 %, respectively. Citizen science campaigns are effective in reducing the indoor air pollutants' exposure up to 94 %. The concentration of PM₁₀, NO₂, O₃, BC and PNC can be reduced by up to 60 %, 59 %, 16 %, 63 % and 77 %, respectively as compared to control conditions, by installing green infrastructure (GI) as a physical barrier. School commute interventions can reduce NO₂ concentration by up to 23 %. The in-cabin concentration reduction of up to 77 % for PM_2.5, 43 % for PNC, 89 % for BC, 74 % for PM₁₀ and 75 % for NO₂, along with 94 % reduction in tailpipe emission of total particles, can be achieved using clean fuels and retrofits. No stand-alone method is found as the absolute solution for controlling pollutants exposure, their combined application can be effective in most of the scenarios. More research is needed on assessing combined interventions, and their operational synchronisation for getting the optimum results.

Associations of ozone exposure with gestational diabetes mellitus and glucose homeostasis: Evidence from a birth cohort in Shanghai, China

BACKGROUND

Associations between individual exposure to ozone (O₃) and gestational diabetes mellitus (GDM) have rarely been investigated, and critical windows of O₃ exposure for GDM have not been identified.

OBJECTIVES

We aimed to explore the associations of gestational O₃ exposure with GDM and glucose homeostasis as well as to identify the potential critical windows.

METHODS

A total of 7834 pregnant women were included. Individual O₃ exposure concentrations were evaluated using a high temporal-spatial resolution model. Each participant underwent an oral glucose tolerance test (OGTT) to screen for GDM between 24 and 28 gestational weeks. Multiple logistic and multiple linear regression models were used to estimate the associations of O₃ with GDM risks and with blood glucose levels of OGTT, respectively. Distributed lag nonlinear models (DLNMs) were used to estimate the critical windows of O₃ exposure for GDM.

RESULTS

Nearly 13.29 % of participants developed GDM. After controlling for covariates, we observed increased GDM risks per IQR increment of O₃ exposure in the first trimester (OR = 1.738, 95 % CI: 1.002-3.016) and the first two trimesters (OR = 1.576, 95 % CI: 1.005-2.473). Gestational O₃ exposure was positively associated with increased fasting blood glucose (the first trimester: β = 2.964, 95 % CI: 1.529-4.398; the first two trimesters: β = 1.620, 95 % CI: 0.436-2.804) and 2 h blood glucose (the first trimester: β = 6.569, 95 % CI: 1.775-11.363; the first two trimesters: β = 6.839, 95 % CI: 2.896-10.782). We also observed a concentration-response relationship of gestational O₃ exposure with GDM risk, as well as fasting and 2 h blood glucose levels. Additionally, 5-10 gestational weeks was identified as a critical window of O₃ exposure for GDM development.

CONCLUSION

In summary, we found that gestational O₃ exposure disrupts glucose homeostasis and increases the risk of GDM in pregnant women. Furthermore, 5-10 gestational weeks could be a critical window for the effects of O₃ exposure on GDM.

Gas-phase and PM2.5-bound phthalates in nail salons: characteristics, exposure via inhalation, and influencing factors

This study aimed to investigate the characteristics of, exposure to, and factors influencing gas-phase and PM_2.5-bound phthalates (PAEs) in nail salons. Data on both indoor and outdoor gas-phase and PM_2.5-bound PAEs, carbon dioxide (CO₂), temperature, and relative humidity were collected in nail salons. We also used questionnaires to survey building characteristics and occupants' behaviors. The average total gas-phase and PM_2.5-bound PAE concentrations indoors were higher than those outdoors by 6 and 3 times, respectively. Diethyl phthalate, diisobutyl phthalate (DiBP), di-n-butyl phthalate (DnBP), and di-(2-ethylhexyl) phthalate (DEHP) were the predominant compounds among both the gas-phase and PM_2.5-bound PAEs in indoor air. The volume of the salon's space or the difference of indoor and outdoor CO₂ concentrations (dCO₂) was significantly associated with indoor PAE concentrations. The ratios of PM_2.5-bound to gas-phase PAEs, especially high-molecular-weight PAEs, were positively associated with the dCO₂ concentrations. Higher ratios of indoor to outdoor PM_2.5-bound DiBP, DnBP, and DEHP concentrations were discovered when more clients visited each day. Building characteristics, ventilation conditions, and occupants' activities have influences on the gas-phase and particle-phase PAEs. The study identifies the characteristics of gas-phase and PM_2.5-bound PAEs in nail salons and their influencing factors.

Assessment of indoor air quality and risk of COVID-19 infection in Spanish secondary school and university classrooms

Despite the risk of transmission of SARS-CoV-2, Spanish educational centers were reopened after six months of lockdown. Ventilation was mostly adopted as a preventive measure to reduce the transmission risk of the virus. However, it could also affect indoor air quality (IAQ). Therefore, here we evaluate the ventilation conditions, COVID-19 risk, and IAQ in secondary school and university classrooms in Toledo (central Spain) from November 2020 to June 2021. Ventilation was examined by monitoring outdoor and indoor CO₂ levels. CO₂, occupancy and hygrothermal parameters, allowed estimating the relative transmission risk of SARS-CoV-2 (Alpha and Omicron BA.1), H _r, under different scenarios, using the web app COVID Risk ^airborne . Additionally, the effect of ventilation on IAQ was evaluated by measuring indoor/outdoor (I/O) concentration ratios of O₃, NO₂, and suspended particulate matter (PM). University classrooms, particularly the mechanically ventilated one, presented better ventilation conditions than the secondary school classrooms, as well as better thermal comfort conditions. The estimated H _r for COVID-19 ranged from intermediate (with surgical masks) to high (no masks, teacher infected). IAQ was generally good in all classrooms, particularly at the university ones, with I/O below unity, implying an outdoor origin of gaseous pollutants, while the source of PM was heterogeneous. Consequently, controlled mechanical ventilation systems are essential in educational spaces, as well as wearing well-fitting FFP2-N95 masks indoors is also highly recommended to minimize the transmission risk of COVID-19 and other airborne infectious diseases.

The effect of built-in and portable ionizers on in-cabin ozone concentrations in light-duty vehicles

This paper investigates the effects of ionizers on the ozone concentration within vehicle cabins by using a series of measurements combined with a kinetic box model. Testing consisted of measuring ozone concentration during static tests where the ventilation of the test vehicle was turned on and off depending on the test. This testing was repeated for three different portable ionizers and two vehicles with built-in ionizers. Ionizer A produced ozone at a rate of ∼0.04 ppb s^-1 (∼0.68 mg h^-1), which increased the in-cabin O₃ concentrations of a Mitsubishi Mirage to ∼10 ppb with the fan off and ∼6 ppb in the recirculation mode. In the fresh air mode, in-cabin O₃ concentrations were dominated by outdoor-to-indoor transport. Ionizer B and C produced O₃ at a rate of less than 0.008 ppb s^-1 (<0.14 mg h^-1); however, during retesting, ionizer C was shown to emit large amounts of ozone for short amounts of time while being tested up close. The same testing was completed on vehicles with built-in ionizers; these produced <0.01 ppb s^-1 (<0.32 mg h^-1 in the Buick Enclave and <0.25 mg h^-1 in the Hyundai Genesis), and in-cabin O₃ concentrations were again dominated by outdoor-to-indoor transport with fresh air ventilation. While ionizers are currently regulated, the negative impact they have on in cabin air quality is important to continue monitoring.

Recent advances on SOA formation in indoor air, fate and strategies for SOA characterization in indoor air - A review

Recent studies proves that indoor air chemistry differs in many aspects from atmospheric one. People send up to 90 % of their life indoors being exposed to pollutants present in gas, particle and solid phase. Particle phase indoor is composed of particles emitted from various sources, among which there is an indoor source - secondary chemical reactions leading to formation of secondary organic aerosol (SOA). Lately, researchers' attentions turned towards the ultrafine particles, for there are still a lot of gaps in knowledge concerning this field of study, while there is evidence of negative influence of ultrafine particles on human health. Presented review sums up current knowledge about secondary particle formation in indoor environment and development of analytical techniques applied to study those processes. The biggest concern today is studying ROS, for their lifetime in indoor air is very short due to reactions at the very beginning of terpene oxidation process. Another interesting aspect that is recently discovered is monoterpene autooxidation process that leads to HOMs formation that in turn can influence SOA formation yield. A complex studies covering gas phase and particle phase characterization, but also toxicological studies are crucial to fully understand indoor air chemistry leading to ultrafine particle formation.

Effectiveness of air-purifying devices and measures to reduce the exposure to bioaerosols in school classrooms

The SARS-CoV-2 pandemic, which suddenly appeared at the beginning of 2020, revealed our knowledge deficits in terms of ventilation and air pollution control. It took many weeks to realize that aerosols are the main route of transmission. The initial attempt to hold back these aerosols through textile masks seemed almost helpless, although there is sufficient knowledge about the retention capacity of fabric filters for aerosols. In the absence of a sufficient number of permanently installed heating, ventilation, and air conditioning systems, three main approaches are pursued: (a) increasing the air exchange rate by supplying fresh air, (b) using mobile air purifiers, and (c) disinfection by introducing active substances into the room air. This article discusses the feasibility of these different approaches critically. It also provides experimental results of air exchange measurements in a school classroom that is equipped with a built-in fan for supplying fresh air. With such a fan and a window tilted at the appropriate distance, an air exchange rate of 5/h can be set at a low power level and without any significant noise pollution. Heat balance calculations show that no additional heat exchanger is necessary in a normal classroom with outside temperatures above 10°C. Furthermore, a commercial mobile air purifier is studied in a chamber and a test room setup in order to examine and evaluate the efficiency of such devices against viable viruses under controlled and realistic conditions. For this purpose, bacteriophages of the type MS2 are used. Both window ventilation and air purifiers were found to be suitable to reduce the concentration of phages in the room.

Quantifying ecological and health risks of ground-level O3 across China during the implementation of the "Three-year Action Plan for Cleaner Air"

After China implemented the Air Pollution Prevention and Control Action Plan (APPCAP), PM_2.5 concentrations decreased but were still higher than national standards in major areas and ozone (O₃) concentration increased unintentionally. To further decrease PM_2.5 concentrations and reduce days with severe air pollution, the government promulgated the "Three-year (2018-2020) Action Plan for Cleaner Air" (the Three-year Action Plan) in 2018. During the three-year Action Plan, a few studies reported a continuous decline in PM_2.5, but it is unclear whether O₃ and its effects also increase with the decrease of PM_2.5 like during APPCAP. In this study, for the first time, we systematically assessed changes in ground-level O₃ concentrations and related ecological and health risks during the period of the Three-year Action Plan using nationwide O₃ measurements. The national MDA8, Exceedance, and SOMO35 indicators were reduced by 3.8%, 28.5%, and 12.6%, respectively, ecological risk indicators of M12, M7, SUM06, AOT40, and W126 were reduced by 5.4%, 5.6%, 19.5%, 15.4%, and 18.6%, respectively, from 2018 to 2020. Spatially, the greatest reduction in all the indicators except MDA8 occurred in Pearl River Delta, followed by Fen Wei Plains, while Beijing-Tianjin-Hebei, Chengdu-Chongqing, and Yangtze River Delta presented relatively small reductions. Between 2018 and 2020, the production losses caused by O₃ for wheat and rice decreased by 21.4% and 17.6%, respectively. Long-term exposure to O₃ across China over 2020 was estimated to cause about 160,795 (95% CI: 81,515-312,983) for all-cause mortality, 107,128 (95% CI: 36,703-173,823) for cardiovascular mortality, and 34,444 (95% CI: 0-72,609) for respiratory mortality, indicating decreases of 9.93%, 9.86%, and 9.78%, respectively, compared to the year 2018. Taken together, our results provided the first direct evidence for China's efforts to control O₃ pollution in recent years.

A Health Impact and Economic Loss Assessment of O3 and PM2.5 Exposure in China From 2015 to 2020

China is in a critical air quality management stage. Rapid industrial development and urbanization has resulted in non-ignorable air pollution, which seriously endangers human health. Assessment of the health impacts and economic losses of air pollution is essential for the prevention and control policy formulation. Based on ozone (O₃) and fine particulate matter concentration (PM_2.5) monitoring data in 331 Chinese cities from 2015 to 2020, this study evaluated the health effects and the corresponding economic losses of O₃ and PM_2.5 pollution on three health endpoints. The ratio of population exposed to O₃ levels that exceeded the Chinese Ambient Air Quality Standards (CAAQS) increased from 13.35% in 2015 to 14.15% in 2020, which resulted in 133,415 (2015) - 156,173 (2020) all-cause deaths, 88,941 (2015) - 104,051 (2020) cardiovascular deaths, and 28,614 (2015) - 33,456 (2020) respiratory deaths. The ratio of population exposed to PM_2.5 levels that exceeded the CAAQS decreased, but in many regions, especially in North China and the Yangtze River Delta, the PM_2.5 concentration remained high. By 2020, nearly half of the population in China was still exposed to PM_2.5 levels that exceeded the CAAQS, and the corresponding economic losses reached CNY 3.46 and 3.05 billion, respectively. These results improved the understanding of the spatial-temporal variation trends of major air pollutants at city scale in China, and emphasize the continued coordination urgently needed for controlling O₃ and PM_2.5 following the implementation of the 2013 policy to mitigate air pollution to protect human health.

Ozone Initiates Human-Derived Emission of Nanocluster Aerosols

Nanocluster aerosols (NCAs, particles <3 nm) are important players in driving climate feedbacks and processes that impact human health. This study reports, for the first time, NCA formation when gas-phase ozone reacts with human surfaces. In an occupied climate-controlled chamber, we detected NCA only when ozone was present. NCA emissions were dependent on clothing coverage, occupant age, air temperature, and humidity. Ozone-initiated chemistry with human skin lipids (particularly their primary surface reaction products) is the key mechanism driving NCA emissions, as evidenced by positive correlations with squalene in human skin wipe samples and known gaseous products from ozonolysis of skin lipids. Oxidation by OH radicals, autoxidation reactions, and human-emitted NH₃ may also play a role in NCA formation. Such chemical processes are anticipated to generate aerosols of the smallest size (1.18-1.55 nm), whereas larger clusters result from subsequent growth of the smaller aerosols. This study shows that whenever we encounter ozone indoors, where we spend most of our lives, NCAs will be produced in the air around us.

COVID-19 restrictions and their influences on ambient air, surface water and plastic waste in a coastal megacity, Chennai, India

Anthropogenic activities experienced a pause due to the nationwide lockdown, imposed to contain the rapid spread of COVID-19 in the third week of March 2020. The impacts of suspension of industrial activities, vehicular transport and other businesses for three months (25 March-30 June) on the environmental settings of Chennai, a coastal megacity was assessed. A significant reduction in the key urban air pollutants [PM_2.5 (66.5%), PM₁₀ (39.5%), NO₂ (94.1%), CO (29%), O₃ (45.3%)] was recorded as an immediate consequence of the reduced anthropogenic activities. Comparison of water quality of an urban river Adyar, between pre-lockdown and lockdown, showed a substantial drop in the dissolved inorganic N (47%) and suspended particulate matter (41%) during the latter period. During the pandemic, biomedical wastes in India showed an overall surge of 17%, which were predominantly plastic. FTIR-ATR analysis confirmed the polymers such as polypropylene (25.4%) and polyester (15.4%) in the personal protective equipment.

Does ozone inhalation cause adverse metabolic effects in humans? A systematic review

We utilized a practical, transparent approach for systematically reviewing a chemical-specific evidence base. This approach was used for a case study of ozone inhalation exposure and adverse metabolic effects (overweight/obesity, Type 1 diabetes [T1D], Type 2 diabetes [T2D], and metabolic syndrome). We followed the basic principles of systematic review. Studies were defined as "Suitable" or "Supplemental." The evidence for Suitable studies was characterized as strong or weak. An overall causality judgment for each outcome was then determined as either causal, suggestive, insufficient, or not likely. Fifteen epidemiologic and 33 toxicologic studies were Suitable for evidence synthesis. The strength of the human evidence was weak for all outcomes. The toxicologic evidence was weak for all outcomes except two: body weight, and impaired glucose tolerance/homeostasis and fasting/baseline hyperglycemia. The combined epidemiologic and toxicologic evidence was categorized as weak for overweight/obesity, T1D, and metabolic syndrome,. The association between ozone exposure and T2D was determined to be insufficient or suggestive. The streamlined approach described in this paper is transparent and focuses on key elements. As systematic review guidelines are becoming increasingly complex, it is worth exploring the extent to which related health outcomes should be combined or kept distinct, and the merits of focusing on critical elements to select studies suitable for causal inference. We recommend that systematic review results be used to target discussions around specific research needs for advancing causal determinations.

Personal exposure to air pollution and respiratory health of COPD patients in London

Previous studies have investigated the effects of air pollution on chronic obstructive pulmonary disease (COPD) patients using either fixed-site measurements or a limited number of personal measurements, usually for one pollutant and a short time period. These limitations may introduce bias and distort the epidemiological associations as they do not account for all the potential sources or the temporal variability of pollution.

We used detailed information on individuals’ exposure to various pollutants measured at fine spatiotemporal scale to obtain more reliable effect estimates. A panel of 115 patients was followed up for an average continuous period of 128 days carrying a personal monitor specifically designed for this project that measured temperature, nitrogen dioxide (NO₂), ozone (O₃), nitric oxide (NO), carbon monoxide (CO), and particulate matter with aerodynamic diameter <2.5 and <10 μm at 1-min time resolution. Each patient recorded daily information on respiratory symptoms and measured peak expiratory flow (PEF). A pulmonologist combined related data to define a binary variable denoting an “exacerbation”. The exposure–response associations were assessed with mixed effects models.

We found that gaseous pollutants were associated with a deterioration in patients’ health. We observed an increase of 16.4% (95% CI 8.6–24.6%), 9.4% (95% CI 5.4–13.6%) and 7.6% (95% CI 3.0–12.4%) in the odds of exacerbation for an interquartile range increase in NO₂, NO and CO, respectively. Similar results were obtained for cough and sputum. O₃ was found to have adverse associations with PEF and breathlessness. No association was observed between particulate matter and any outcome.

Our findings suggest that, when considering total personal exposure to air pollutants, mainly the gaseous pollutants affect COPD patients’ health.

Significant adverse associations were found between the respiratory health of COPD patients and their personal exposure to gaseous pollutants measured using portable sensors over 6 months. No significant associations were found for particulate pollutants.https://bit.ly/3aqMT6O

Coordinated control of PM2.5 and O3 is urgently needed in China after implementation of the "Air pollution prevention and control action plan"

To improve air quality, China formulated the Air Pollution Prevention and Control Action Plan (APPCAP) in 2013. In the present study, the changes in the concentration of air pollutants after the implementation of APPCAP were investigated based on nationwide monitoring data. From the results, it is evident that the annual mean concentrations of PM_2.5, PM₁₀, SO₂, and CO show a significant downward trend over 2015-2018, with decreasing rates of 3.4, 4.1, 3.8, and 70 μg m^-3/year, respectively. However, no significant change was found in NO₂ while maximum daily 8 h average O₃ concentration (MDA8 O₃) was increased by 3.4 μg m^-3/year during the four years. Spatially, the highest decrease in PM_2.5 was found in Beijing-Tianjin-Hebei (BTH), followed by central China and northeast China, while the Pearl River Delta (PRD), Yungui Plateau, and northwest China showed less decreases. MDA8 O₃ had a higher increase in BTH, central China, Yangtze River Delta (YRD), and PRD. With the decrease in PM_2.5 in recent years, cumulative population exposure to PM_2.5 gradually decreased, whereas there was still more than 65% of the population exposing to annual PM_2.5 higher than the standard of 35 μg m^-3 in 2018. In contrast, the health effects of O₃ gradually increased with 13.1%, 14.3%, 20.4%, and 21.7% of the population exposed to unhealthy O₃ levels in summer from 2015 to 2018. O₃ pollution is causing severe health risks with estimated nationwide mortality of 70,024 (95% CI: 55,510-84,501), 79,159 (95% CI: 62,750-95,525), 105,150 (95% CI: 83,378-126,852), and 104,404 (95% CI: 82,784-125,956) in the four years, respectively. This clearly shows that the target of air pollution control in China shifts and coordinated control of PM_2.5 and O₃ is urgently needed after the successful implementation of APPCAP.

UV, ozone, and COVID-19 transmission in Ontario, Canada using generalised linear models

BACKGROUND

Quantifying the impact of environmental factors on COVID-19 transmission is crucial in preventing more cases. Ultraviolet (UV) radiation and ozone (O₃) have reported antimicrobial properties but few studies have examined associations with community infectivity of COVID-19. Research suggests UV light can be preventative while the effect of O₃ is contested. We sought to determine the relationship between UV, O₃, and COVID-19 incidence in Ontario, Canada.

METHODS

In our time series analyses, we calculated daily incidence rates and reproductive number (R_t) from 34,975 cases between January and June 2020 across 34 Ontario Public Health Units. We used generalised linear models, adjusting for potential confounders, to calculate point estimates (PE) and 95% confidence intervals (CI) for UV and O₃. Analyses were further stratified by age groups and outbreaks at institutions versus community.

RESULTS

We found that 1-week averaged UV was significantly associated with a 13% decrease (95% CI: 0.80-0.96) in overall COVID-19 R_t, per unit increase. A negative association with UV was also significant among community outbreaks (PE: 0.88, 95% CI: 0.81-0.96) but not institutional outbreaks (PE: 0.94, 95% CI: 0.85-1.03). A positive association of O₃ with COVID-19 incidence is strongly suggested among institutional outbreak cases (PE: 1.06, 95% CI: 1.00-1.13).

CONCLUSION

Our study found evidence to support the hypothesis that higher UV reduced transmission of COVID-19 and some evidence that ground-level O₃ positively influenced COVID-19 transmission. Setting of infection should be strongly considered as a factor in future research. UV and O₃ may explain some of COVID-19's seasonal behaviour.

Comparison of hospitalization and mortality associated with short-term exposure to ambient ozone and PM2.5 in Canada

BACKGROUND

Hospitalization and mortality (H-M) have been linked to air pollution separately. However, previous studies have not adequately compared whether air pollution is a stronger risk factor for hospitalization or mortality. This study aimed to investigate differences in H-M risk from short-term ozone and PM_2.5 exposures, and determine whether differences are modified by season, age, and sex.

METHODS

Daily ozone, PM_2.5, temperature, and all-cause H-M counts (ICD-10, A00-R99) were collected for 22-24 Canadian cities for up to 29 years. Generalized additive Poisson models were employed to estimate associations between each pollutant and health outcome, which were compared across season (warm, cold, or year-round), age (all ages or seniors > 65), and sex.

RESULTS

Overall, ozone and PM_2.5 showed higher season-specific risk of mortality than hospitalization: warm-season ozone: 0.54% (95% credible interval, 0.20, 0.85) vs. 0.14% (0.02, 0.27) per 10 ppb; and year-round PM_2.5: 0.90% (0.33, 1.41) vs. 0.29% (0.03, 0.56) per 10 μg/m³. While age showed little H-M difference, sex appeared to be a modifier of H-M risk. While females had higher mortality risk, males had higher hospitalization risk: for females, ozone 0.87% (0.36, 1.35) vs. -0.03% (-0.18, 0.11) and PM_2.5 1.19% (0.40, 1.90) vs. 0.19% (-0.10, 0.47); and for males ozone 0.20% (-0.28, 0.65) vs. 0.35% (0.18, 0.51).

CONCLUSION

This study found H-M differences attributable to ozone and PM_2.5, suggesting that both are stronger risk factors for mortality than hospitalization. In addition, there were clear H-M differences by sex: specifically, females showed higher mortality risk and males showed higher hospitalization risk.

Indoor PM2.5 removal efficiency of two different non-thermal plasma systems

The use of non-thermal plasma (NTP) generators in air processing systems and their duct networks to improve indoor air quality (IAQ) has grown considerably in recent years. This paper reviews the advantages and disadvantages of NTP generators for IAQ improvement in biological, chemical and particulate pollutant terms. Also, it assesses and compares the ability of a multipin corona discharge (MPCD) and a dielectric barrier discharge (DBD) generator to reduce the concentration of fine particulate matter (PM2.5) in recycled, unfiltered air in a refrigeration chamber. The MPCD generator was found to have a higher PM2.5 removal efficiency; also, it was faster in removing pollutants, used less energy, and produced much less ozone. The fact that the MPCD generator performed better was seemingly the result of its increased ion production mainly. NTP generators, however, cannot match air filtration media purifiers in this respect as the latter are much more effective in removing particles. Besides, NTP-based air purifying technology continues to be subject to a major drawback, namely: the formation of ozone as a by-product. In any case, the ozone generation was uncorrelated to ion emission when using different technologies.

Real-time measurements of PM2.5 and ozone to assess the effectiveness of residential indoor air filtration in Shanghai homes

Portable air cleaners are increasingly used in polluted areas in an attempt to reduce human exposure; however, there has been limited work characterizing their effectiveness at reducing exposure. With this in mind, we recruited forty-three children with asthma from suburban Shanghai and deployed air cleaners (with HEPA and activated carbon filters) in their bedrooms. During both 2-week filtration and non-filtration periods, low-cost PM_2.5 and O₃ air monitors were used to measure pollutants indoors, outdoors, and for personal exposure. Indoor PM_2.5 concentrations were reduced substantially with the use of air cleaners, from 34 ± 17 to 10 ± 8 µg/m³ , with roughly 80% of indoor PM_2.5 estimated to come from outdoor sources. Personal exposure to PM_2.5 was reduced from 40 ± 17 to 25 ± 14 µg/m³ . The more modest reductions in personal exposure and high contribution of outdoor PM_2.5 to indoor concentrations highlight the need to reduce outdoor PM_2.5 and/or to clean indoor air in multiple locations. Indoor O₃ concentrations were generally low (mean = 8±4 ppb), and no significant difference was seen by filtration status. The concentrations of pollutants and the air cleaner effectiveness were highly variable over time and across homes, highlighting the usefulness of real-time air monitors for understanding individual exposure reduction strategies.

Ultrafine particle emission from floor cleaning products

The new particle formation due to the use of cleaning products containing volatile organic compounds (VOCs) in indoor environments is well documented in the scientific literature. Indeed, the physical-chemical process occurring in particle nucleation due to VOC-ozone reactions was deepened as well as the effect of the main influencing parameters (ie, temperature, ozone). Nonetheless, proper quantification of the emission under actual meteo-climatic conditions and ozone concentrations is not available. To this end, in the present paper the emission factors of newly generated ultrafine particles due to the use of different floor cleaning products under actual temperature and relative humidity conditions and ozone concentrations typical of the summer periods were evaluated. Tests in a chamber and in an actual indoor environment were performed measuring continuously particle number concentrations and size distributions during cleaning activities. The tests revealed that a significant particle emission in the nucleation mode was present for half of the products under investigation with emission factors up to 1.1 × 10¹¹ part./m² (8.8 × 10¹⁰ part./mL_product ), then leading to an overall particle emission comparable to other well-known indoor sources when cleaning wide surfaces.

Factors affecting variability in gaseous and particle microenvironmental air pollutant concentrations in Hong Kong primary and secondary schools

School-age children are particularly susceptible to exposure to air pollutants. To quantify factors affecting children's exposure at school, indoor and outdoor microenvironmental air pollutant concentrations were measured at 32 selected primary and secondary schools in Hong Kong. Real-time PM₁₀ , PM_2.5 , NO_2, and O₃ concentrations were measured in 76 classrooms and 23 non-classrooms. Potential explanatory factors related to building characteristics, ventilation practice, and occupant activities were measured or recorded. Their relationship with indoor measured concentrations was examined using mixed linear regression models. Ten factors were significantly associated with indoor microenvironmental concentrations, together accounting for 74%, 61%, 46%, and 38% of variations observed for PM_2.5 , PM₁₀ , O_3, and NO₂ microenvironmental concentrations, respectively. Outdoor concentration is the single largest predictor for indoor concentrations. Infiltrated outdoor air pollution contributes to 90%, 70%, 75%, and 50% of PM_2.5 , PM₁₀ , O_3, and NO₂ microenvironmental concentrations, respectively, in classrooms during school hours. Interventions to reduce indoor microenvironmental concentrations can be prioritized in reducing ambient air pollution and infiltration of outdoor pollution. Infiltration factors derived from linear regression models provide useful information on outdoor infiltration and help address the gap in generalizable parameter values that can be used to predict school microenvironmental concentrations.

Ozone Gas Inhibits SARS-CoV-2 Transmission and Provides Possible Control Measures

The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused millions of deaths currently. Mounting effective responses to the pandemic have become top priorities for governments around the world. Laboratory experiments have confirmed for the first time that fumigation with ozone (O₃) at low O₃ doses (7500–15,000 μg m⁻³·min) can inhibit the SARS-CoV-2 and inactivate the virus at high O₃ doses (129,000 μg m⁻³·min). The RNA copy number of SARS-CoV-2 significantly decreased (95.9–97.7% reduction) when exposed to O₃ at a low concentration of 250 μg m⁻³ for 30 and 60 min. A significant negative relationship between the numbers of confirmed SARS-CoV-2 cases and ambient O₃ in Chinese cities indicated that the spread of SARS-CoV-2 may have been inhibited by high O₃. An analysis of data from Chongqing showed that the transmission of COVID-19 increased when the O₃ mixing ratios in the air were relatively low, and transmission decreased when O₃ increased. Based on these findings, we also propose a new Safety O₃ Emission (SOE) method to increase indoor O₃ to levels (< 160 μg m⁻³) that inhibit the transmission of the SARS-CoV-2 but are not harmful for humans. This could serve as timely and low-cost solution for suppressing COVID-19 outbreaks throughout the world.

Heterogeneous Ozonolysis of Tetrahydrocannabinol: Implications for Thirdhand Cannabis Smoke

Thirdhand smoke (THS) deposits to surfaces following smoking events and is a source of chemical exposure to humans. However, the evolution of THS in indoor environments is not well understood. Cannabis THS is a chemically distinct and prevalent form of THS, which has not been studied. The heterogeneous reaction of Δ⁹-tetrahydrocannabinol (THC), a major component of cannabis smoke, with ozone was examined as a pure compound and within cannabis smoke. Oxidative decay via ozonolysis and product formation were monitored by liquid chromatography-tandem mass spectrometry. Epoxide, dicarbonyl, and secondary ozonide THC reaction products were detected from both pure THC and cannabis experiments, with the product ratios dependent on relative humidity. The observed reaction kinetics for loss of THC on glass and cotton surfaces are consistent with a relatively short loss lifetime, which will be strongly dependent on the film thickness, ozone mixing ratio, and ozone reactivity of the surface substrate. The low volatility of THC and its oxidation products suggest that their contributions to thirdhand cannabis smoke will be less significant than the role that nicotine plays in thirdhand tobacco smoke.

Human exposure to air contaminants in sports environments

The aim of this review was to investigate human exposure to relevant indoor air contaminants, predictors affecting the levels, and the means to reduce the harmful exposure in indoor sports facilities. Our study revealed that the contaminants of primary concern are the following: particulate matter in indoor climbing, golf, and horse riding facilities; carbon dioxide and particulate matter in fitness centers, gymnasiums, and sports halls; Staphylococci on gymnasium surfaces; nitrogen dioxide and carbon monoxide in ice hockey arenas; carbon monoxide, nitrogen oxide(s), and particulate matter in motor sports arenas; and disinfection by-products in indoor chlorinated swimming pools. Means to reduce human exposure to indoor contaminants include the following: adequate mechanical ventilation with filters, suitable cleaning practices, a limited number of occupants in fitness centers and gymnasiums, the use of electric resurfacers instead of the engine powered resurfacers in ice hockey arenas, carefully regulated chlorine and temperature levels in indoor swimming pools, properly ventilated pools, and good personal hygiene. Because of the large number of susceptible people in these facilities, as well as all active people having an increased respiratory rate and airflow velocity, strict air quality requirements in indoor sports facilities should be maintained.

Influence of indoor chemistry on the emission of mVOCs from Aspergillus niger molds

People spend 80% of their time indoors exposed to poor air quality due to mold growth in humid air as well as human activities (painting, cooking, cleaning, smoking…). To better understand the impact of molds on indoor air quality, we studied the emission of microbial Volatile Organic Compounds (mVOCs) from Aspergillus niger, cultivated on malt agar extract, using a high-resolution proton transfer reaction- time of flight- mass spectrometer (PTR-TOF-MS). These emissions were studied for different cultivation time and indoor relative humidities. Our results show that the concentration of the known C₄-C₉ mVOCs tracers of the microbial activity (like 1-octen-3-ol, 3-methylfuran, 2-pentanone, dimethyl sulfide, dimethyl disulfide, nitromethane, 1,3-octadiene…) was the highest in the early stage of growth. However, these emissions decreased substantially after a cultivation time of 10-14 days and were highly affected by the relative humidity. In addition, the emissions of certain mVOCs were sensitive to indoor light, suggesting an impact of photochemistry on the relative amounts of indoor mVOCs. Based on this study, an estimation of the mVOC concentration for a standard living room was established at different air exchange rates and their indoor lifetimes toward hydroxyl radicals and ozone were also estimated. These findings give insights on possible mVOCs levels in moisture-damaged buildings for an early detection of microbial activity and new evidences about the effect of indoor light on their emission.

High-Efficiency Air Cleaning Reduces Indoor Traffic-Related Air Pollution and Alters Indoor Air Chemistry in a Near-Roadway School

Schools in proximity to roadways expose students to traffic-related air pollution (TRAP). We investigate impacts of air-cleaning on indoor TRAP levels and indoor chemistry in a renovated school adjacent an interstate highway. We monitor air pollutants pre- and post-renovation and quantify efficiency of particle (MERV8 and 16 filters) and gas (functionalized activated carbon) air-cleaning. Time-resolved measurements show air-cleaning systems are effective, with in situ particle removal efficiency >94% across 10 nm to 10 μm. Activated carbon removed BTEX and NO₂ with variability in removal efficiency. Over eight months of monitoring, NO₂ removal efficiency was 96% initially and decreased to 61%; and BTEX removal efficiency was >80% or increased to >80%. Air-cleaning reduced indoor TRAP to below or near urban background. Air-cleaning systems suppressed indoor chemistry by reducing indoor levels of oxidants (NO₂, O₃) and reactive organics of indoor origin. When the air cleaning system was inactive, our data show that indoor SOA formation within the school was elevated. Loss rates of NO₂ and O₃ through the air-cleaning system were ∼1.5-2.4 h^-1 and ∼2.3 h^-1, respectively. Air-cleaning was 83% and 69% efficient, respectively, in removing monoterpenes and isoprene. By suppressing precursors, scaling calculations show air-cleaning prevented ∼3.4 mg/h of indoor SOA formation due to indoor ozone-monoterpene chemistry. For comparison, we estimate that filtration removed ∼130 mg/h of PM_0.01-0.3.

Media Reporting on Air Pollution: Health Risk and Precautionary Measures in National and Regional Newspapers

Exposure to air pollution is one of the primary global health risk factors, yet individuals lack the knowledge to engage in individual risk mitigation and the skills to mobilize for the change necessary to reduce such risks. News media is an important tool for influencing individual actions and support for public policies to reduce environmental threats; thus, a lack of news coverage of such issues may exacerbate knowledge deficits. This study examines the reporting of health risks and precautionary measures regarding air pollution in national and regional print news. We conducted a content analysis of two national and two local newspapers covering the USA's most polluted region during a 5-year period. Coders identified information on threat, self-efficacy, protective measures and information sources. Nearly 40% of air pollution news articles mentioned human health risks. Fewer than 10% of news stories about air pollution provided information on the precautionary measures necessary for individuals to take action to mitigate their risk. Local newspapers did not report more threat (Χ² = 1.931, p = 0.165) and efficacy (Χ² = 1.118, p = 0.209) information. Although air pollution levels are high and continue to rise at alarming rates, our findings suggest that news media reporting is not conducive to raising environmental health literacy.

Development of Hourly Indoor PM2.5 Concentration Prediction Model: The Role of Outdoor Air, Ventilation, Building Characteristic, and Human Activity

Exposure to indoor particulate matter less than 2.5 µm in diameter (PM2.5) is a critical health risk factor. Therefore, measuring indoor PM2.5 concentrations is important for assessing their health risks and further investigating the sources and influential factors. However, installing monitoring instruments to collect indoor PM2.5 data is difficult and expensive. Therefore, several indoor PM2.5 concentration prediction models have been developed. However, these prediction models only assess the daily average PM2.5 concentrations in cold or temperate regions. The factors that influence PM2.5 concentration differ according to climatic conditions. In this study, we developed a prediction model for hourly indoor PM2.5 concentrations in Taiwan (tropical and subtropical region) by using a multiple linear regression model and investigated the impact factor. The sample comprised 93 study cases (1979 measurements) and 25 potential predictor variables. Cross-validation was performed to assess performance. The prediction model explained 74% of the variation, and outdoor PM2.5 concentrations, the difference between indoor and outdoor CO2 levels, building type, building floor level, bed sheet cleaning, bed sheet replacement, and mosquito coil burning were included in the prediction model. Cross-validation explained 75% of variation on average. The results also confirm that the prediction model can be used to estimate indoor PM2.5 concentrations across seasons and areas. In summary, we developed a prediction model of hourly indoor PM2.5 concentrations and suggested that outdoor PM2.5 concentrations, ventilation, building characteristics, and human activities should be considered. Moreover, it is important to consider outdoor air quality while occupants open or close windows or doors for regulating ventilation rate and human activities changing also can reduce indoor PM2.5 concentrations.

Development of low-cost indoor air quality monitoring devices: Recent advancements

The use of low-cost sensor technology to monitor air pollution has made remarkable strides in the last decade. The development of low-cost devices to monitor air quality in indoor environments can be used to understand the behaviour of indoor air pollutants and potentially impact on the reduction of related health impacts. These user-friendly devices are portable, require low-maintenance, and can enable near real-time, continuous monitoring. They can also contribute to citizen science projects and community-driven science. However, low-cost sensors have often been associated with design compromises that hamper data reliability. Moreover, with the rapidly increasing number of studies, projects, and grey literature based on low-cost sensors, information got scattered. Intending to identify and review scientifically validated literature on this topic, this study critically summarizes the recent research pertinent to the development of indoor air quality monitoring devices using low-cost sensors. The method employed for this review was a thorough search of three scientific databases, namely: ScienceDirect, IEEE, and Scopus. A total of 891 titles published since 2012 were found and scanned for relevance. Finally, 41 research articles consisting of 35 unique device development projects were reviewed with a particular emphasis on device development: calibration and performance of sensors, the processor used, data storage and communication, and the availability of real-time remote access of sensor data. The most prominent finding of the study showed a lack of studies consisting of sensor performance as only 16 out of 35 projects performed calibration/validation of sensors. An even fewer number of studies conducted these tests with a reference instrument. Hence, a need for more studies with calibration, credible validation, and standardization of sensor performance and assessment is recommended for subsequent research.

Passenger comfort and ozone pollution exposure in an air-conditioned bus microenvironment

Ground-level ozone is the primary source of air pollution in China, particularly during the warmer months. In this study, we investigated the exposure status of ozone pollution and the temperature distribution in an air-conditioned bus in Jinan during the evening peak period based on field measurements obtained with a handheld portable particle counter and indigo disulfonate spectrophotometry. Statistical analysis showed that the passengers experienced poor air quality within the confines of the bus due to the poor air quality outside. Furthermore, the level of passenger comfort was dissatisfactory because of the high temperature, thereby highlighting the urgent need to improve the current situation. Numerical simulations were conducted using FLUENT software to explore the impacts of the air supply angle, the opening and closing of the bus door, and the chemical reaction between ozone and its precursors on the diffusion and distribution of ozone, the temperature, and the airflow field. The results indicated that high concentrations of ozone were present in the middle and front regions of the bus. Pollution can be reduced by keeping the bus door open for no longer than 20 s when waiting for other passengers, and the best optimization effect in relation to the temperature and passenger comfort was determined as an air supply angle of 30°. In addition, the average individual daily intake of ozone was combined with other relevant parameters to assess the exposure level. It is recommended that the elderly and children should avoid peak time travel to reduce their exposure to ozone (inhalation dose values > 60 μg/m³ and > 56 μg/m³ according to simulations, respectively). These findings are expected to effectively improve the air quality and passenger comfort levels in busses, thereby protecting the health of passengers and reducing carbon usage.

Temporal trends in associations between ozone and circulatory mortality in age and sex in Canada during 1984-2012

BACKGROUND

Considerable research has been conducted on the association between ground-level ozone (ozone) and various causes of mortality, but the relationships by age and sex (biological) have been inconsistent, and temporal trends remain unexplored.

OBJECTIVES

The study goals are to investigate the adverse health effects of short-term exposure to ozone on circulatory mortality by age and sex, and to examine trends in annual health effects.

METHODS

Daily ozone, temperature, and circulatory mortality counts (ICD I00-I99) were collected for 24 urban cities for 29 years (1984-2012). Associations between ozone and circulatory mortality were estimated using generalized additive Poisson models for season (warm vs. cold), age [base (≥1) vs. seniors (>65)], and sex, accounting for confounders (calendar-time, temperature, day of the week). City-specific estimates were pooled to represent national associations through Bayesian hierarchical models.

RESULTS

While the cold season returned insignificant estimates, the warm season showed statistically significant associations: a 10 ppb increase in ozone was associated with 0.7% increase in circulatory mortality with a 95% posterior interval of 0.2%, 1.1%. One-day lagged ozone in the warm season showed little age differences [0.7% (0.23%, 1.12%) vs. 0.8% (0.22%, 1.27%)], but visible sex differences: females were at a higher circulatory mortality risk than males [1.1% (0.31%, 1.71%) vs. 0.3% (-0.46%, 0.98%)]. Annual estimates suggest overall up-down temporal changes; a slightly increasing trend until 2002-2004, and a generally decreasing trend thereafter.

CONCLUSION

This study found noticeable sex-related differences in circulatory mortality attributable to short-term exposure to ozone. Further research is warranted to understand whether sex alone, or unknown interactions with other factors derived the differences, and to clarify the specific biological mechanisms underlying differences in risk estimates between females and males.

Non-commercial Air Purifier—The Effectiveness and Safety

(1) Background: On the Internet, we can find the guidelines for homemade air purifiers. One of the solutions includes the use of a low-cost ozone generator to decrease the level of odors and biological contaminants. However, the authors do not notify about hazardous effects of ozone generation on human health; (2) Methods: We elaborated our test results on the bacterial and fungal aerosol reduction by the use of two technical solutions of homemade air purifiers. First, including a mesh filter and ozone generator, second including an ozone generator, mesh filter, and carbon filter. (3) Conclusions: After 20 min of ozone generation, the concentration of bacteria decreased by 78% and 48% without and with a carbon filter, while fungi concentration was reduced in the lower range 63% and 40%, respectively. Based on our test results, we proposed a precise periodical operation of homemade air purifier to maintain the permissible level of ozone for the occupants.

Associations Between the Breakroom Built Environment, Worker Health Habits, and Worker Health Outcomes: A Pilot Study Among Public Transit Rail Operators

OBJECTIVE

To investigate the association between the breakroom built environment and worker health outcomes.

METHODS

We conducted this study in a mass transit organization (rail). We collected a user-reported breakroom quality score (worker survey), a worksite health promotion score (validated audit tool), and self-reported worker health outcomes (survey).

RESULTS

Among the 12 breakrooms audited and 127 rail operators surveyed, the average worksite health promotion score was 9.1 (out of 15) and the average user-reported breakroom quality was 3.1 (out of 7). After multivariable regression, breakrooms with higher worksite health promotion scores and user-reported breakroom quality were associated with lower odds of depression and fewer medical disability days.

CONCLUSIONS

This cross-sectional study demonstrates an association between the quality of the breakroom built environment and worker health, specifically depression and medical disability days.

Review of the characteristics and possible health effects of particles emitted from laser printing devices

Many studies have shown that the use of laser printing devices (LPDs) contributes to the release of particles into the indoor environment. However, after more than two decades of research, the physicochemical properties of LPD-emitted particles and the possible health effects from exposure to particles are still heavily debated. We therefore carried out a critical review of the published studies around emissions and health effects of LPD-emitted particles, aiming at elucidating the nature of these particles and their potential health risks. Realizing the varying methodologies of the studies, a classification of the reviewed studies is adopted, resulting in three categories of emission studies (chamber experiment, office/room measurement, and photocopy shop measurement), and three types of health studies (in vitro/animal studies, human studies in the real world, and human studies in controlled settings). The strengths and limitations of each type of study are discussed in-depth, which in turn helps to understand the cause of divergent results. Overall, LPD-emitted particles are mainly condensed or secondary-formed semi-volatile organic compounds (SVOCs), while solid toner particles account for a very small fraction. The health risk from exposure to LPD-emitted particles is small compared with the health risk from exposure to ambient particles.

PM2.5 and ozone in office environments and their potential impact on human health

It is important to have good indoor air quality, especially in indoor office environments, in order to enhance productivity and maintain good work performance. This study investigated the effects of indoor office activities on particulate matter of less than 2.5 μm (PM_2.5) and ozone (O₃) concentrations, assessing their potential impact on human health. Measurements of indoor PM_2.5 and O₃ concentrations were taken every 24 h during the working days in five office environments located in a semi-urban area. As a comparison, the outdoor concentrations were derived from the nearest Continuous Air Quality Monitoring Station. The results showed that the average 24 h of indoor and outdoor PM_2.5 concentrations were 3.24 ± 0.82 μg m^-3 and 17.4 ± 3.58 μg m^-3 respectively, while for O₃ they were 4.75 ± 4.52 ppb and 21.5 ± 5.22 ppb respectively. During working hours, the range of PM_2.5 concentrations were 1.00 μg m^-3 to 6.10 μg m^-3 while for O₃ they were 0.10 ppb to 38.0 ppb. The indoor to outdoor ratio (I/O) for PM_2.5 and O₃ was <1, thus indicating a low infiltration of outdoor sources. The value of the hazard quotient (HQ) for all sampling buildings was <1 for both chronic and acute exposures, indicating that the non-carcinogenic risks are negligible. Higher total cancer risk (CR) value for outdoors (2.67E-03) was observed compared to indoors (4.95E-04) under chronic exposure while the CR value for acute exposure exceeded 1.0E-04, thus suggesting a carcinogenic PM_2.5 risk for both the indoor and outdoor environments. The results of this study suggest that office activities, such as printing and photocopying, affect indoor O₃ concentrations while PM_2.5 concentrations are impacted by indoor-related contributions.