1
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Wu Y, Pei C, Wang X, Wang Y, Huang D, Shi S, Kou S, Shen Z, Li S, He Y, Wang F, Wang Z. Probiotics improve lung function and QOL in participants with exposure to fine particulate matter air pollution: a randomized, double-blind, placebo-controlled clinical trial. Food Funct 2025; 16:3627-3642. [PMID: 40241632 DOI: 10.1039/d4fo05254d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/18/2025]
Abstract
Background: Probiotics have been reported to alleviate pulmonary inflammation through the gut-lung axis. However, their effects on PM2.5-induced toxic reactions have not yet been well studied. Objective: This study aims to investigate the effects of probiotics on lung function and quality of life in participants exposed to PM2.5, as well as to explore the potential mechanisms underlying these effects. Methods: 120 volunteers were randomly assigned in a double-blind manner to receive either a placebo or 2.5 × 109 cfu g-1 LGG probiotics once daily for four consecutive weeks, with a follow-up period of 6 months. An analysis of covariance was conducted for data statistics, using PM2.5 exposure and baseline measurements as covariates. Least squares means and their 95% confidence intervals were calculated to explore the effect of PM2.5 exposure on changes in the intestinal microbiota. A mixed linear model analysis was used to construct a model with baseline values and PM2.5 exposure as covariates to analyse the effects of PM2.5 on SF-36, COOP/WONCA charts, and lung function, and the intervention effect of LGG on these parameters. Results: 120 participants were included. Probiotic intervention demonstrated benefits in the Shannon index and β diversity. After the probiotic intervention, the scores of quality-of-life charts increased during the follow-up period. The pulmonary function indicators, including FEV1, FEF50%, and FEF75%, were statistically different from those in the placebo group. Conclusion: Probiotic intervention can reshape the gut microbiota, offering potential benefits for improving the quality of life in participants chronically exposed to PM2.5.
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Affiliation(s)
- Yongcan Wu
- Chongqing College of Traditional Chinese Medicine, Chongqing, 402760, PR China
- Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, PR China
| | - Caixia Pei
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Xiaomin Wang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Yilan Wang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Demei Huang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Shihua Shi
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Shuo Kou
- School of Public Health, Zhejiang Chinese Medical University, Hangzhou, 310053, PR China
| | - Zherui Shen
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Shuiqin Li
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Yacong He
- School of Pharmacy, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, PR China.
| | - Fei Wang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
| | - Zhenxing Wang
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, PR China.
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2
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Comotti A, Alberti I, Spolidoro GCI, Vassilopoulou E, Agostoni C, Bonzini M, Carugno M, Milani GP. Air pollution and hospitalization risk in infants with bronchiolitis: A systematic review and meta-analysis. Pediatr Allergy Immunol 2025; 36:e70102. [PMID: 40358039 PMCID: PMC12070665 DOI: 10.1111/pai.70102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2025] [Revised: 04/24/2025] [Accepted: 04/28/2025] [Indexed: 05/15/2025]
Abstract
Bronchiolitis is one of the leading causes of hospitalization among infants. Established risk factors include young age, prematurity, and exposure to tobacco smoke. Emerging evidence suggests that air pollution may also contribute to the burden of respiratory diseases. However, its link with bronchiolitis hospitalizations remains debated. To address this, we conducted a systematic review and meta-analysis to assess whether exposure to air pollutants is associated with an increased risk of hospitalization for bronchiolitis in infants. A systematic review and meta-analysis were conducted following the PRISMA guidelines. PubMed, Embase, and Web of Science were searched up to May 2024. Eligible studies examined the relationship between air pollutants and bronchiolitis hospitalizations in infants up to 2 years of age. Meta-analyses were performed to estimate the association between pollutant levels and hospitalization risk. Out of 788 identified studies, 23 met the inclusion criteria. Studies were heterogeneous regarding design, adjustment for confounders, and statistical approaches. Particulate matter with diameter ≤2.5 μm (PM2.5) or ≤10 μm (PM10) and nitrogen dioxide (NO2) were the most studied pollutants, with positive associations found between short-, medium-, and long-term exposure and increased hospitalization risk. Meta-analyses showed a 2%-9% increase in hospitalization risk for exposure to PM2.5, PM10, and NO2; however, statistical significance was reached only for short-term exposure to PM10. In contrast, data on sulfur dioxide, carbon monoxide, ozone, and black carbon were sparse and inconsistent. PM2.5, PM10, and NO2 are likely relevant risk factors for an increased risk of hospitalization for bronchiolitis in infants. Further research using a standardized approach is needed to clarify the role of other pollutants in bronchiolitis.
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Affiliation(s)
- Anna Comotti
- Occupational Medicine UnitFoundation IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilanItaly
| | - Ilaria Alberti
- Pediatric UnitFoundation IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilanItaly
| | | | - Emilia Vassilopoulou
- Pediatric UnitFoundation IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilanItaly
- Department of Clinical Sciences and Community HealthUniversity of MilanMilanItaly
- Department of Nutritional Sciences and DieteticsInternational Hellenic UniversityThessalonikiGreece
| | - Carlo Agostoni
- Pediatric UnitFoundation IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilanItaly
- Department of Clinical Sciences and Community HealthUniversity of MilanMilanItaly
| | - Matteo Bonzini
- Occupational Medicine UnitFoundation IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilanItaly
- Department of Clinical Sciences and Community HealthUniversity of MilanMilanItaly
| | - Michele Carugno
- Occupational Medicine UnitFoundation IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilanItaly
- Department of Clinical Sciences and Community HealthUniversity of MilanMilanItaly
| | - Gregorio Paolo Milani
- Pediatric UnitFoundation IRCCS Ca' Granda Ospedale Maggiore PoliclinicoMilanItaly
- Department of Clinical Sciences and Community HealthUniversity of MilanMilanItaly
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3
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Agathokleous S, Kedwell K, Casado C, Asbach C, Fonseca AS, Liisberg JB, Jensen SB, Jensen KA, Rodríguez JA, Karanasiou A, Lehmann M, Moreno T. Air quality in a bus depot and a way of improving it: effect of using air purifiers. ENVIRONMENTAL POLLUTION (BARKING, ESSEX : 1987) 2025; 375:126310. [PMID: 40288630 DOI: 10.1016/j.envpol.2025.126310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2025] [Revised: 04/15/2025] [Accepted: 04/24/2025] [Indexed: 04/29/2025]
Abstract
This study assessed airborne particulate matter and black carbon concentrations and their distribution inside a restricted bus depot over two campaigns. Particles with a diameter <2.5 μm were evenly distributed across the depot, influenced by limited bus activity and the depot's spacious layout with three entrances and one exit, facilitating particle dispersion. Their average baseline concentration was 25.2 μg m-3, 4.6 times higher than outdoor levels, primarily driven by bus emissions and maintenance activities. Number concentrations of particles smaller than 0.3 μm (0.01-0.3 μm) averaged 1.3 × 103 particles cm-3, while larger particles (0.3-10 μm) averaged 33 × 100 particles cm-3. Black carbon averaged 1.3 μg m-3. Concentration peaks occurred from 23:00-9:00 and 16:00-18:00 due to bus activities, maintenance, and soil resuspension. The impact of air purifiers on air quality was also investigated focusing on their location, number, and air volume flow for optimal results. APs operating at half air volume flow and placed within 6 m of the measurement equipment achieved reductions of up to 45.2 % for PM2.5 and 73.6 % for particles sized 0.3-10 μm. However, air purifiers were much less effective for particles <0.3 μm. Crossed airflows and higher air volume flow decreased effectiveness due to turbulence and particle resuspension. This study underscores the need for optimized air purifiers placement, air volume flow settings, and operational strategies to mitigate air pollution in (semi-)closed transport environments like bus depots, improving air quality and health for passengers and workers.
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Affiliation(s)
- S Agathokleous
- Institute of Environmental Assessment and Water Research (IDAEA), CSIC, Barcelona, 08034, Spain; Dept. of Natural Resources and Environment, Industrial and TIC Engineering (EMIT-UPC), Manresa, 08242, Spain
| | - K Kedwell
- MANN+HUMMEL GmbH, Ludwigsburg, 71636, Germany
| | - C Casado
- CARTIF Technology Centre, Valladolid, 47151, Spain
| | - C Asbach
- Institute of Energy and Environmental Technoloy e. V. (IUTA), Duisburg, 47229, Germany
| | - A S Fonseca
- The National Research Centre for the Working Environment (NFA), 2100, Denmark
| | - J B Liisberg
- The National Research Centre for the Working Environment (NFA), 2100, Denmark
| | - S B Jensen
- The National Research Centre for the Working Environment (NFA), 2100, Denmark
| | - K A Jensen
- The National Research Centre for the Working Environment (NFA), 2100, Denmark
| | - J A Rodríguez
- Urban Buses of Valladolid, S.A. (AUVASA), Valladolid, 47008, Spain
| | - A Karanasiou
- Institute of Environmental Assessment and Water Research (IDAEA), CSIC, Barcelona, 08034, Spain
| | - M Lehmann
- MANN+HUMMEL GmbH, Ludwigsburg, 71636, Germany
| | - T Moreno
- Institute of Environmental Assessment and Water Research (IDAEA), CSIC, Barcelona, 08034, Spain.
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Eom YS, Ahn S, Shadbegian R. Willingness to pay to reduce mortality risks from particulate matter and value of statistical life: Evidence from stated air purifier rental choices in South Korea. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2025; 373:123407. [PMID: 39708683 DOI: 10.1016/j.jenvman.2024.123407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2024] [Revised: 10/31/2024] [Accepted: 11/16/2024] [Indexed: 12/23/2024]
Abstract
This paper investigates individuals' averting behavior that utilizes a durable good, high-functioning air purifiers, to reduce risk from exposure to coarse (PM10) and fine (PM2.5) particulate matter, to estimate a value of statistical life (VSL) for use in benefit-cost analysis in South Korea. We present an interactive risk ladder, developed specifically for this study, to 1218 respondents in a national web-based contingent valuation survey to elicit their perceived risks from the exposure to PM10 and PM2.5 with and without the use of high-functioning air purifiers (i.e., averting behavior). Respondents' stated preferences for high-functioning air purifiers for both PM10 and PM2.5 were, as expected, influenced by both rental price increases and perceived risk reductions, as well as respondent's attitudes, experience, and demographics. The risk/rent trade-offs implied by contingent discrete choices suggest consumers are willing to pay (WTP) high rent premiums ($30/month for PM10 risk reductions and $62-$64/month for PM2.5 risk reductions) for small perceived risk reductions. Annualized WTP measures for perceived risk reductions of PM10 and PM2.5 imply VSL estimates in the range of $1.4-$2.5 million USD ($2018).
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Affiliation(s)
- Young Sook Eom
- Jeonbuk National University, Department of Economics, Jeonju, South Korea
| | - SoEun Ahn
- Korea Environment Institute, Sejong, South Korea
| | - Ron Shadbegian
- Appalachian State University, Department of Economics, Boone, NC, USA.
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5
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Jiang J, Liu J, Wang C, Yin Y, Pei J, Gao Y, Wang Y, Hyun O, Park H. Exploring the long-term performance of air purifiers in removing particulate matter and formaldehyde across different residential environments. ENVIRONMENTAL RESEARCH 2024; 263:120194. [PMID: 39427945 DOI: 10.1016/j.envres.2024.120194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2024] [Revised: 10/17/2024] [Accepted: 10/18/2024] [Indexed: 10/22/2024]
Abstract
Household air purifiers are widely used to enhance indoor air quality. However, limited information exists regarding the factors that influence their long-term performance. This study investigates the impact of various residential environments on the long-term efficacy of air purifiers. We deployed household air purifiers in three distinct environments: oily fumes (Group A), non-oily fumes (Group C), and a mixture of oily and non-oily fumes (Groups B-I and B-II). The selected air filter consisted of melt-blown polypropylene and activated carbon, materials commonly employed in commercial applications. The results demonstrated that the control efficiency of air purifiers in non-oily fume environments surpassed that in oily fume environments. After 12 months of operation, particulate matter (PM) concentrations rose by 92.7% and 76.5% in oily and non-oily fume environments, respectively. This increase was primarily attributed to the loss of electrostatic attraction in the polypropylene material due to the organic matter in oily particulate matter. After operating for 1000 h, the clean air delivery rate (CADR) attenuation rates for particulate matter were 70.6%, 19.9%, 16.7%, and 12.5% in Groups A, B-I, B-II, and C, respectively. The CADR attenuation rates for formaldehyde were 80.6%, 48.4%, 38.9%, and 37.3% in the same groups. Additionally, we developed a real-time prediction model for the service life of air purifiers using data from online sensors. When operated for 12 h daily at varying PM concentrations, the filters had an expected service life of 29-97 days in non-oily fume environments and 66-220 days in oily fume environments.
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Affiliation(s)
- Jiaru Jiang
- Tianjin Key Laboratory of Indoor Air Environmental Quality Control, School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China
| | - Junjie Liu
- Tianjin Key Laboratory of Indoor Air Environmental Quality Control, School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China
| | - Chenhua Wang
- Tianjin Key Laboratory of Indoor Air Environmental Quality Control, School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China.
| | - Yihui Yin
- Department of Building Environment and Energy Engineering, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, 999077, China
| | - Jingjing Pei
- Tianjin Key Laboratory of Indoor Air Environmental Quality Control, School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China
| | - Yuebo Gao
- Tianjin Key Laboratory of Indoor Air Environmental Quality Control, School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China
| | - Yushuang Wang
- Tianjin Key Laboratory of Indoor Air Environmental Quality Control, School of Environmental Science and Engineering, Tianjin University, Tianjin, 300072, China
| | - Okchun Hyun
- Air Solution R&D Lab., LG Electronics, Seoul, South Korea
| | - Hyungho Park
- Air Solution R&D Lab., LG Electronics, Seoul, South Korea
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6
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Gupta N, Abd EL-Gawaad N, Mallasiy L. Hospital-borne hazardous air pollutants and air cleaning strategies amid the surge of SARS-CoV-2 new variants. Heliyon 2024; 10:e38874. [PMID: 39449698 PMCID: PMC11497388 DOI: 10.1016/j.heliyon.2024.e38874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 09/20/2024] [Accepted: 10/01/2024] [Indexed: 10/26/2024] Open
Abstract
Indoor air pollutants and airborne contamination removal have been challenging in healthcare facilities. The airborne transmission control and HVAC system may collapse in hospitals due to the highly infectious respiratory disease-associated patient surge, like COVID-19. Common air filtration systems and HVAC systems enhance the patients' comfort and support indoor hygiene, hitherto insufficient to control highly infectious airborne pathogens and hospital-borne pollutants such as radon, PM2.5, patient droplets, VOC, high CO2, and anesthetic gases. This review summarized important air cleaning interventions to enhance HVAC efficiency and indoor safety. We discussed efficient air cleaning and ventilation strategies including air filtration, air ionization, passive removal materials (PRM), and UVGI to minimize cross-contamination in hospital wards.
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Affiliation(s)
- Nishant Gupta
- Medical Research & Development, River Engineering Private Limited, Ecotec-3, Greater Noida, India
| | - N.S. Abd EL-Gawaad
- Department of Physics, Faculty of Science, King Khalid University, Abha, 62529, Saudi Arabia
| | - L.O. Mallasiy
- Department of Home Economics, Faculty of Science and Arts in Tihama, King Khalid University, Muhayil Asir, 61913, Saudi Arabia
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7
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Olszewska PK, Pinkos J, Borkowski D, Jablonski M. Modeling the Geometry and Filter Composite of the Air Cleaner. MATERIALS (BASEL, SWITZERLAND) 2024; 17:4969. [PMID: 39459674 PMCID: PMC11509376 DOI: 10.3390/ma17204969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2024] [Revised: 10/03/2024] [Accepted: 10/06/2024] [Indexed: 10/28/2024]
Abstract
Air pollution is currently the most significant environmental factor posing a threat to the health and lives of European residents. It is a key cause of poor health, particularly respiratory and cardiovascular diseases. The primary aim of the study was to numerically determine the impact of the air purifier model's geometry on the distribution of air within a room and to conduct experimental tests on the filtration efficiency and preliminary antibacterial activity of filtration composites. The scope of the work included designing an air purifier model in the form of a pendant lamp and performing computer simulations in Ansys software to identify the optimal shape. The experimental research focused on developing filtration composites consisting of nonwoven fabric with an active hydrosol layer, meltblown nonwovens and a carbon filter. The study results showed that the SMMS composite with 50% thyme and carbon nonwoven exhibited the highest filtration efficiency for both small and large particles.
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Affiliation(s)
- Pola Kalina Olszewska
- Institute of Architecture of Textiles, Lodz University of Technology, 90-924 Lodz, Poland
| | - Justyna Pinkos
- Institute of Architecture of Textiles, Lodz University of Technology, 90-924 Lodz, Poland
| | - Dominik Borkowski
- Lukasiewicz Research Network—Lodz Institute of Technology, 19/27 M. Sklodowskiej-Curie, 90-570 Lodz, Poland;
| | - Maciej Jablonski
- Institute of Architecture of Textiles, Lodz University of Technology, 90-924 Lodz, Poland
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8
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Liu J, Wang P, Shang L, Ye F, Liu L, He Z. Adverse Associations of Long-Term Exposure to PM 2.5 and Its Components with Platelet Traits among Subway Shift-Workers without Air Purifier Use. TOXICS 2024; 12:529. [PMID: 39195631 PMCID: PMC11359941 DOI: 10.3390/toxics12080529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Revised: 07/09/2024] [Accepted: 07/11/2024] [Indexed: 08/29/2024]
Abstract
Air purifier use, shift work, and long-term exposure to fine particulate matter (PM2.5) are linked to platelet abnormality. However, the role of air purifier use and shift work in the individual or joint associations of PM2.5 and its components with platelet indices are largely unknown. A total of 8772 participants were recruited from a population of subway workers in China. PM2.5 and its component data were obtained from the Tracking Air Pollution in China dataset. The role of air purifier use and shift work in the association between PM2.5 and its components and platelet indices were analyzed. Among shift workers without air purifier use, positive associations of PM2.5 and each component in PM2.5 with the mean platelet volume (MPV) or platelet counts (PLT) were observed, whereas negative associations of PM2.5 and each component in PM2.5 with the platelet distribution width (PDW) were observed. Furthermore, estimated changes (95%CIs) in PLT, MPV, and PDW in response to each 10th percentile increment in the mixture of PM2.5 and its components were 0.8657 (0.2496, 1.4819), 0.0192 (0.0054, 0.0329), and -0.0648 (-0.0945, -0.0351), respectively, and sulfate in PM2.5 was the major contributor to those associations. Long-term exposure to PM2.5 and its components was related to increased platelet disorders among shift workers without air purifier use, and those associations were mainly attributed to sulfate in PM2.5.
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Affiliation(s)
- Junling Liu
- Wuhan Center for Disease Control and Prevention, Wuhan 430024, China; (J.L.); (P.W.); (L.S.)
| | - Pei Wang
- Wuhan Center for Disease Control and Prevention, Wuhan 430024, China; (J.L.); (P.W.); (L.S.)
| | - Lv Shang
- Wuhan Center for Disease Control and Prevention, Wuhan 430024, China; (J.L.); (P.W.); (L.S.)
| | - Fang Ye
- School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; (F.Y.); (L.L.)
| | - Li Liu
- School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; (F.Y.); (L.L.)
| | - Zhenyu He
- Wuhan Center for Disease Control and Prevention, Wuhan 430024, China; (J.L.); (P.W.); (L.S.)
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9
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Paddy EN, Afolabi OOD, Sohail M. Exploring toilet plume bioaerosol exposure dynamics in public toilets using a Design of Experiments approach. Sci Rep 2024; 14:10665. [PMID: 38724540 PMCID: PMC11082142 DOI: 10.1038/s41598-024-61039-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 04/30/2024] [Indexed: 05/12/2024] Open
Abstract
Bioaerosols generated during toilet flushing can contribute to the spread of airborne pathogens and cross-contamination in indoor environments. This presents an increased risk of fomite-mediated or aerosol disease transmission. This study systematically investigated the factors contributing to increased bioaerosol exposure following toilet flushing and developed an empirical model for predicting the exposure-relevant bioaerosol concentration. Air in a toilet cubicle was sampled by impaction after seeding with Clostridium difficile spores. Design of Experiments (DoE) main effects screening and full factorial design approaches were then employed to investigate the significant factors that heighten the risk of exposure to bioaerosols post-flush. Our findings reveal that the inoculated bacterial concentration (C), time elapsed after flushing (t), lateral distance (d), and mechanical ventilation (v) are significant predictors of bioaerosol concentration, with p-values < 0.05. The interaction term, C × d showed a marked increase in bioaerosol concentration up to 232 CFU/m3 at the closest proximity and highest pathogen load. The interplay of C and t (C × t) demonstrated a time-dependent attenuation of bioaerosol viability, with concentrations peaking at 241 CFU/m3 immediately post-flush and notably diminishing over time. The lateral distance and time post-flush (d × t) interaction also revealed a gradual decrease in bioaerosol concentration, highlighting the effectiveness of spatial and temporal dilution in mitigating bioaerosol exposure risks. Furthermore, there is an immediate rise in relative humidity levels post-flush, impacting the air quality in the toilet environment. This study not only advances our understanding of exposure pathways in determining bioaerosol exposure, but also offers pivotal insights for designing targeted interventions to reduce bioaerosol exposure. Recommendations include designing public toilets with antimicrobial surfaces, optimizing ventilation, and initiating timely disinfection protocols to prioritise surfaces closest to the toilet bowl during peak exposure periods, thereby promoting healthier indoor environments and safeguarding public health in high-traffic toilet settings.
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Affiliation(s)
- Elizabeth N Paddy
- School of Architecture, Building and Civil Engineering, Loughborough University, Loughborough, Leicestershire, UK.
| | - Oluwasola O D Afolabi
- School of Architecture, Building and Civil Engineering, Loughborough University, Loughborough, Leicestershire, UK
| | - M Sohail
- School of Architecture, Building and Civil Engineering, Loughborough University, Loughborough, Leicestershire, UK
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10
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Abstract
Ubiquitous environmental exposures increase cardiovascular disease risk via diverse mechanisms. This review examines personal strategies to minimize this risk. With regard to fine particulate air pollution exposure, evidence exists to recommend the use of portable air cleaners and avoidance of outdoor activity during periods of poor air quality. Other evidence may support physical activity, dietary modification, omega-3 fatty acid supplementation, and indoor and in-vehicle air conditioning as viable strategies to minimize adverse health effects. There is currently insufficient data to recommend specific personal approaches to reduce the adverse cardiovascular effects of noise pollution. Public health advisories for periods of extreme heat or cold should be observed, with limited evidence supporting a warm ambient home temperature and physical activity as strategies to limit the cardiovascular harms of temperature extremes. Perfluoroalkyl and polyfluoroalkyl substance exposure can be reduced by avoiding contact with perfluoroalkyl and polyfluoroalkyl substance-containing materials; blood or plasma donation and cholestyramine may reduce total body stores of perfluoroalkyl and polyfluoroalkyl substances. However, the cardiovascular impact of these interventions has not been examined. Limited utilization of pesticides and safe handling during use should be encouraged. Finally, vasculotoxic metal exposure can be decreased by using portable air cleaners, home water filtration, and awareness of potential contaminants in ground spices. Chelation therapy reduces physiological stores of vasculotoxic metals and may be effective for the secondary prevention of cardiovascular disease.
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Affiliation(s)
- Luke J Bonanni
- Grossman School of Medicine (L.J.B.), NYU Langone Health, New York, NY
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11
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Montaluisa-Mantilla MS, García-Encina P, Lebrero R, Muñoz R. Botanical filters for the abatement of indoor air pollutants. CHEMOSPHERE 2023; 345:140483. [PMID: 37863205 DOI: 10.1016/j.chemosphere.2023.140483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 10/16/2023] [Accepted: 10/17/2023] [Indexed: 10/22/2023]
Abstract
Nowadays, people spend 80-90% of their time indoors, while recent policies on energy efficient and safe buildings require reduced building ventilation rates and locked windows. These facts have raised a growing concern on indoor air quality, which is currently receiving even more attention than outdoors pollution. Prevention is the first and most cost-effective strategy to improve indoor air quality, but once pollution is generated, a battery of physicochemical technologies is typically implemented to improve air quality with a questionable efficiency and at high operating costs. Biotechnologies have emerged as promising alternatives to abate indoor air pollutants, but current bioreactor configurations and the low concentrations of indoor air pollutants limit their widespread implementation in homes, offices and public buildings. In this context, recent investigations have shown that potted plants can aid in the removal of a wide range of indoor air pollutants, especially volatile organic compounds (VOCs), and can be engineered in aesthetically attractive configurations. The original investigations conducted by NASA, along with recent advances in technology and design, have resulted in a new generation of botanical biofilters with the potential to effectively mitigate indoor air pollution, with increasing public aesthetics acceptance. This article presents a review of the research on active botanical filters as sustainable alternatives to purify indoor air.
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Affiliation(s)
- María Sol Montaluisa-Mantilla
- Institute of Sustainable Processes, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain; Department of Chemical Engineering and Environmental Technology, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain.
| | - Pedro García-Encina
- Institute of Sustainable Processes, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain; Department of Chemical Engineering and Environmental Technology, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain.
| | - Raquel Lebrero
- Institute of Sustainable Processes, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain; Department of Chemical Engineering and Environmental Technology, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain.
| | - Raúl Muñoz
- Institute of Sustainable Processes, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain; Department of Chemical Engineering and Environmental Technology, University of Valladolid, Dr. Mergelina s/n., Valladolid, 47011, Spain.
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12
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Murphy J, Tharumakunarajah R, Holden KA, King C, Lee AR, Rose K, Hawcutt DB, Sinha IP. Impact of indoor environment on children's pulmonary health. Expert Rev Respir Med 2023; 17:1249-1259. [PMID: 38240133 DOI: 10.1080/17476348.2024.2307561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 01/16/2024] [Indexed: 02/01/2024]
Abstract
INTRODUCTION A child's living environment has a significant impact on their respiratory health, with exposure to poor indoor air quality (IAQ) contributing to potentially lifelong respiratory morbidity. These effects occur throughout childhood, from the antenatal period through to adolescence. Children are particularly susceptible to the effects of environmental insults, and children living in socioeconomic deprivation globally are more likely to breathe air both indoors and outdoors, which poses an acute and long-term risk to their health. Adult respiratory health is, at least in part, determined by exposures and respiratory system development in childhood, starting in utero. AREAS COVERED This narrative review will discuss, from a global perspective, what contributes to poor IAQ in the child's home and school environment and the impact that indoor air pollution exposure has on respiratory health throughout the different stages of childhood. EXPERT OPINION All children have the right to a living and educational environment without the threat of pollution affecting their health. Action is needed at multiple levels to address this pressing issue to improve lifelong respiratory health. Such action should incorporate a child's rights-based approach, empowering children, and their families, to have access to clean air to breathe in their living environment.
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Affiliation(s)
- Jared Murphy
- Department of Women's and Children's Health, University of Liverpool, Liverpool, UK
| | | | - Karl A Holden
- Department of Women's and Children's Health, University of Liverpool, Liverpool, UK
- Lab to Life Child Health Data Centre, Alder Hey Children's Hospital, Liverpool, UK
| | - Charlotte King
- Department of Women's and Children's Health, University of Liverpool, Liverpool, UK
| | - Alice R Lee
- Department of Women's and Children's Health, University of Liverpool, Liverpool, UK
- Lab to Life Child Health Data Centre, Alder Hey Children's Hospital, Liverpool, UK
| | - Katie Rose
- Department of Respiratory Medicine, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
| | - Daniel B Hawcutt
- Department of Women's and Children's Health, University of Liverpool, Liverpool, UK
- NIHR Alder Hey Clinical Research Facility, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
| | - Ian P Sinha
- Department of Women's and Children's Health, University of Liverpool, Liverpool, UK
- Department of Respiratory Medicine, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
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13
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An overview of SARS-CoV-2 transmission and engineering strategies to mitigate risk. JOURNAL OF BUILDING ENGINEERING 2023; 73:106737. [PMCID: PMC10165872 DOI: 10.1016/j.jobe.2023.106737] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 04/24/2023] [Accepted: 04/30/2023] [Indexed: 10/31/2024]
Abstract
The spread of the COVID-19 pandemic has profoundly affected every aspect of our lives. To date, experts have acknowledged that airborne transmission is a key piece of the SARS-CoV-2 puzzle. Nevertheless, the exact mechanism of airborne transmission of SARS-CoV-2 remains unclear. Recent works have shown the spreading of SARS-CoV-2 through numerical modeling and experimental works, but the successful applications of engineering approaches in reducing the spread of SARS-CoV-2 are lacking. In this review, the environmental factors that influence the transmission risk of SARS-CoV-2, such as ventilation flow rates, humidity, and temperature, are discussed. Besides, additional macro and micro weather factors, regional and global transmission, and the variants of the spread of SARS-CoV-2 are also reviewed. Engineering approaches that practically reduce the risks of SARS-CoV-2 transmissions are reported. Given the complex human behavior, environmental properties, and dynamic nature of the SARS-CoV-2 virus, it is reasonable to summarize that SARS-CoV-2 may not be eradicated even with the timely implementation of interventions. Therefore, more research exploring the potential cost-effective ways to control the transmission rate of SARS-CoV-2 may be a worthwhile pursuit to moderate the current crisis.
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14
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Katushabe C, Kumaran S, Masabo E. Internet of things based visualisation of effect of air pollution on the lungs using HEPA filters air cleaner. Heliyon 2023; 9:e17799. [PMID: 37539206 PMCID: PMC10395148 DOI: 10.1016/j.heliyon.2023.e17799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 06/27/2023] [Accepted: 06/28/2023] [Indexed: 08/05/2023] Open
Abstract
The impact of air quality on human health and the environment is very significant, with poor air quality being responsible for numerous deaths and environmental damage worldwide. Whereas a number of studies have been done to monitor the quality of air with help of emerging technologies, little has been done to visualize its effect on health particularly on the lungs. The study explores an approach that combines Internet of Things (IoT) technology with High Efficiency Particulate Air (HEPA) filters air cleaner to monitor and visualize the effects of air pollution on lung health, highlighting the significant damage that poor air quality causes particularly on the lungs graphically. To achieve this, a 3D display of the lungs is modelled using HEPA filters, which changes colour based on the air pollutant concentrations detected by IoT-based sensors. The collected air quality data is then transmitted to Thingspeak, a visualization platform for further analysis. It is observed that the colour of the 3D lung display changed to black over time as air pollutant concentrations increased which in our study is an indicator of unhealthy lung. The study presents an innovative approach to visualize the effects of air pollution on lung health using IoT and HEPA filters air cleaner, which could have significant implications for public health policies aimed at mitigating the harmful effects of air pollution, particularly on lung health.
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Affiliation(s)
- Calorine Katushabe
- African Center of Excellence in Internet of Things (ACEIoT), College of Science and Technology (C.S.T.), University of Rwanda, Nyarugenge, Kigali, P.O. Box 3900, Kigali, Rwanda
- Department of Computer Science & Information Technology, Faculty of Computing, Library and Information Science, Kabale University, Street, Kabale, P.O. Box 317, Kabale, Uganda
| | - Santhi Kumaran
- School of ICT, Copperbelt University, KITWE, KITWE, P.O. Box: 21692, KITWE, Zambia
| | - Emmanuel Masabo
- African Center of Excellence in Data Science (ACEDS), College of Business and Economics (CBE), University of Rwanda, Kigali, Kigali, P.O. Box 3900, Kigali, Rwanda
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15
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Rey-Hernández JM, Arroyo-Gómez Y, San José-Alonso JF, Rey-Martínez FJ. Assessment of natural ventilation strategy to decrease the risk of COVID 19 infection at a rural elementary school. Heliyon 2023; 9:e18271. [PMID: 37539099 PMCID: PMC10393631 DOI: 10.1016/j.heliyon.2023.e18271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 07/07/2023] [Accepted: 07/13/2023] [Indexed: 08/05/2023] Open
Abstract
Natural ventilation in low-budget elementary schools is the main focus to ensure the health and comfort of its occupants, specifically when looking at the global pandemic related to SARS-COV-2. This paper presents an experimental and novel study of natural ventilation in a public elementary school (Los Zumacales), with a particularly low economic budget. The study was carried out during the winter months of the Covid 19 pandemic. The school is located in the rural area of Castilla y León (North-Western Spain) far from high traffic roads. In this study, a methodology of measuring CO2 concentration was applied in nine classrooms in a school. The experimental study shows the level of natural ventilation in each classroom, expressed in Air Changes per Hour (ACH), using the Decay CO2 concentration method. The method is proven by comparing the experimental values of the obtained ACH with those determined by the most powerful methods to achieve appropriate ventilation levels. Thus, ensuring health protection protocol in rural schools, against the COVID 19 pandemic. Harvard guide and Spanish regulations (RITE), two widely recognized methods have been used together with the experimentally obtained standard by Rey et al. Only one classroom showed a value lower than 3 indicating poor ventilation. In this study, the degree of thermal comfort in the nine classrooms were also analyzed according to the EN15251 standard. An average indoor temperature of approximately 19 °C was obtained, and the relative humidity was stable and correct according to Spanish regulations. In addition, the risk of infection in each classroom was estimated following the international method recommended by the federation of European Heating, Ventilation, and Air Conditioning Associations (REHVA). The probability of infection in all the cases studied was less than 14%. Therefore, this study provides a strong response against infections illnesses, such as Covid 19, in educational buildings where economic budgets of their facilities are low in both, maintenance and investment.
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Affiliation(s)
- Javier M. Rey-Hernández
- Department of Mechanical Engineering, Fluid Mechanics and Thermal Engines, Engineering School, University of Málaga (UMa), 29014 Málaga, Spain
- Thermotechnology Consolidated Research Unit (UIC 053), University of Valladolid, Spain
- Energetics Research Group (TEP139), University of Málaga, Spain
- Institute of Advanced Production Technologies (ITAP), Spain
| | - Yolanda Arroyo-Gómez
- Department of Energy and Fluid Mechanics, School of Engineering (EII), University of Valladolid (UVa), 47002 Valladolid, Spain
- Thermotechnology Consolidated Research Unit (UIC 053), University of Valladolid, Spain
- Institute of Advanced Production Technologies (ITAP), Spain
| | - Julio F. San José-Alonso
- Department of Energy and Fluid Mechanics, School of Engineering (EII), University of Valladolid (UVa), 47002 Valladolid, Spain
- Thermotechnology Consolidated Research Unit (UIC 053), University of Valladolid, Spain
- Institute of Advanced Production Technologies (ITAP), Spain
| | - Francisco J. Rey-Martínez
- Department of Energy and Fluid Mechanics, School of Engineering (EII), University of Valladolid (UVa), 47002 Valladolid, Spain
- Thermotechnology Consolidated Research Unit (UIC 053), University of Valladolid, Spain
- Institute of Advanced Production Technologies (ITAP), Spain
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16
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Shi B, Yu X, Pu Y, Wang D. A theoretical study on the filtration efficiency and dust holding performance of pleated air filters. Heliyon 2023; 9:e17944. [PMID: 37539126 PMCID: PMC10395295 DOI: 10.1016/j.heliyon.2023.e17944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 06/27/2023] [Accepted: 07/03/2023] [Indexed: 08/05/2023] Open
Abstract
Filter media composed of electrostatically charged nonwovens is the key device in an air purifier. Pleated filters are constructed from a cardboard frame with lattice faces containing a filter media reinforce by an expanded support grid, which have more surface area for trapping contaminants and capture airborne contaminants more effectively than non-pleated air filters. The aim of this work is to investigate the dominant factors on the filtration efficiency and dust holding performance of pleated filter by using a modified numerical model. It is found that geometric parameters of pleated filter play important roles to efficiency of the air purifier based on particle loading and filtration efficiency. The stable structural parameters include bending angle of pleated filter material in the range of 0∼60° and the ratio of bending portion less than 0.5. Lower filling degree and shorter length of pleated filter unit exhibit similar stability of efficiency, indicating that the change of structural parameters has little effects on the filtration performance. The knowledge obtained in this work provides concrete reference for the design of high-performance air-cleaner element.
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Affiliation(s)
- Bo Shi
- State Key Laboratory of Organic-Inorganic Composites, Beijing University of Chemical Technology, Beijing 100029, China
- Research Center of the Ministry of Education for High Gravity Engineering and Technology, Beijing University of Chemical Technology, Beijing 100029, China
| | - Xinyi Yu
- State Key Laboratory of Organic-Inorganic Composites, Beijing University of Chemical Technology, Beijing 100029, China
- Research Center of the Ministry of Education for High Gravity Engineering and Technology, Beijing University of Chemical Technology, Beijing 100029, China
| | - Yuan Pu
- Research Center of the Ministry of Education for High Gravity Engineering and Technology, Beijing University of Chemical Technology, Beijing 100029, China
| | - Dan Wang
- State Key Laboratory of Organic-Inorganic Composites, Beijing University of Chemical Technology, Beijing 100029, China
- Research Center of the Ministry of Education for High Gravity Engineering and Technology, Beijing University of Chemical Technology, Beijing 100029, China
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17
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Kim CG, Lee S, Kim M, Cao VA, Kim SY, Nah J. Synergistic Enhancement of Filtering Efficiency and Antibacterial Performance of a Nanofiber Air Filter Decorated with Electropolarized Lithium-Doped ZnO Nanorods. ACS APPLIED MATERIALS & INTERFACES 2023; 15:20977-20986. [PMID: 37070411 DOI: 10.1021/acsami.3c00744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2023]
Abstract
According to clinical case reports, bacterial co-infection with COVID-19 can significantly increase mortality, with Staphylococcus aureus (S. aureus) being one of the most common pathogens causing complications such as pneumonia. Thus, during the pandemic, research on imparting air filters with antibacterial properties was actively initiated, and several antibacterial agents were investigated. However, air filters with inorganic nanostructures on organic nanofibers (NFs) have not been investigated extensively. This study aimed to demonstrate the efficiency of electropolarized poly(vinylidene fluoride-trifluoroethylene) (PVDF-TrFE) NFs decorated with Li-doped ZnO nanorods (NRs) to improve the filtering ability and antibacterial activity of the ultrathin air filter. The surfactant was loaded onto the ZnO─known for its biocompatibility and low toxicity─nanoparticles (NPs) and transferred to the outer surface of the NFs, where Li-doped ZnO NRs were grown. The Li-doped ZnO NR-decorated NF effectively enhanced the physical filtration efficiency and antibacterial properties. Additionally, by exploiting the ferroelectric properties of Li-doped ZnO NRs and PVDF-TrFE NFs, the filter was electropolarized to increase its Coulombic interaction with PMs and S. aureus. As a result, the filter exhibited a 90% PM1.0 removal efficiency and a 99.5% sterilization rate against S. aureus. The method proposed in this study provides an effective route for simultaneously improving the air filter performance and antibacterial activity.
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Affiliation(s)
- Chang Geun Kim
- Department of Electrical Engineering, Chungnam National University, Daejeon 34134, Korea
| | - Sol Lee
- Department of Electrical Engineering, Chungnam National University, Daejeon 34134, Korea
| | - Minje Kim
- Department of Electrical Engineering, Chungnam National University, Daejeon 34134, Korea
| | - Viet Anh Cao
- Department of Electrical Engineering, Chungnam National University, Daejeon 34134, Korea
| | - Soo Young Kim
- College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea
| | - Junghyo Nah
- Department of Electrical Engineering, Chungnam National University, Daejeon 34134, Korea
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18
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Dewika M, Markandan K, Irfan NA, Mohd Abdah MAA, Ruwaida JN, Sara YY, Khalid M. Review of microplastics in the indoor environment: Distribution, human exposure and potential health impacts. CHEMOSPHERE 2023; 324:138270. [PMID: 36878370 DOI: 10.1016/j.chemosphere.2023.138270] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 02/25/2023] [Accepted: 02/27/2023] [Indexed: 06/18/2023]
Abstract
The emergence of microplastics (MPs) pollution as a global environmental concern has attracted significant attention in the last decade. The majority of the human population spends most of their time indoors, leading to increased exposure to MPs contamination through various sources such as settled dust, air, drinking water and food. Although research on indoor MPs has intensified significantly in recent years, comprehensive reviews on this topic remain limited. Therefore, this review comprehensively analyses the occurrence, distribution, human exposure, potential health impact and mitigation strategies of MPs in the indoor air environment. Specifically, we focus on the risks associated with finer MPs that can translocate into the circulatory system and other organs, emphasizing the need for continued research to develop effective strategies to mitigate the risks associated with MPs exposure. Our findings suggest that indoor MPs impose potential risk to human health, and strategies for mitigating exposure should be further explored.
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Affiliation(s)
- M Dewika
- Centre of American Education, Sunway University, Bandar Sunway, 47500, Selangor, Malaysia.
| | - Kalaimani Markandan
- Faculty of Engineering, Technology and Built Environment, UCSI University, Kuala Lumpur, Malaysia
| | - N Ahmad Irfan
- Centre of American Education, Sunway University, Bandar Sunway, 47500, Selangor, Malaysia
| | - Muhammad Amirul Aizat Mohd Abdah
- Graphene & Advanced 2D Materials Research Group (GAMRG), School of Engineering and Technology, Sunway University, No. 5, Jalan Universiti, Bandar Sunway, 47500, Petaling Jaya, Selangor, Malaysia; Sunway Materials Smart Science & Engineering (SMS2E) Research Cluster, Sunway University, No. 5, Jalan Universiti, Bandar Sunway, Petaling Jaya, Selangor, 47500, Malaysia
| | - J Nor Ruwaida
- Air Resources Research Laboratory, Malaysia Japan International Institute of Technology, 54100, UTM, Kuala Lumpur, Malaysia
| | - Y Y Sara
- Faculty of Civil Engineering & Technology, University Malaysia Perlis, Kompleks Pusat Pengajian Jejawi 3, 02600, Arau, Perlis, Malaysia
| | - Mohammad Khalid
- Graphene & Advanced 2D Materials Research Group (GAMRG), School of Engineering and Technology, Sunway University, No. 5, Jalan Universiti, Bandar Sunway, 47500, Petaling Jaya, Selangor, Malaysia; Sunway Materials Smart Science & Engineering (SMS2E) Research Cluster, Sunway University, No. 5, Jalan Universiti, Bandar Sunway, Petaling Jaya, Selangor, 47500, Malaysia; Uttaranchal University, Dehradun, 248007, Uttarakhand, India.
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19
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Achilleos S, Michanikou A, Kouis P, Papatheodorou SI, Panayiotou AG, Kinni P, Mihalopoulos N, Kalivitis N, Kouvarakis G, Galanakis E, Michailidi E, Tymvios F, Chrysanthou A, Neophytou M, Mouzourides P, Savvides C, Vasiliadou E, Papasavvas I, Christophides T, Nicolaou R, Avraamides P, Kang CM, Middleton N, Koutrakis P, Yiallouros PK. Improved indoor air quality during desert dust storms: The impact of the MEDEA exposure-reduction strategies. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 863:160973. [PMID: 36539092 DOI: 10.1016/j.scitotenv.2022.160973] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 11/28/2022] [Accepted: 12/12/2022] [Indexed: 06/17/2023]
Abstract
Desert dust storms (DDS) are natural events that impact not only populations close to the emission sources but also populations many kilometers away. Countries located across the main dust sources, including countries in the Eastern Mediterranean, are highly affected by DDS. In addition, climate change is expanding arid areas exacerbating DDS events. Currently, there are no intervention measures with proven, quantified exposure reduction to desert dust particles. As part of the wider "MEDEA" project, co-funded by LIFE 2016 Programme, we examined the effectiveness of an indoor exposure-reduction intervention (i.e., decrease home ventilation during DDS events and continuous use of air purifier during DDS and non-DDS days) across homes and/or classrooms of schoolchildren with asthma and adults with atrial fibrillation in Cyprus and Crete-Greece. Participants were randomized to a control or intervention groups, including an indoor intervention group with exposure reduction measures and the use of air purifiers. Particle sampling, PM10 and PM2.5, was conducted in participants' homes and/or classrooms, between 2019 and 2022, during DDS-free weeks and during DDS days for as long as the event lasted. In indoor and outdoor PM10 and PM2.5 samples, mass and content in main and trace elements was determined. Indoor PM2.5 and PM10 mass concentrations, adjusting for premise type and dust conditions, were significantly lower in the indoor intervention group compared to the control group (PM2.5-intervention/PM2.5-control = 0.57, 95% CI: 0.47, 0.70; PM10-intervention/PM10-control = 0.59, 95% CI: 0.49, 0.71). In addition, the PM2.5 and PM10 particles of outdoor origin were significantly lower in the intervention vs. the control group (PM2.5 infiltration intervention-to-control ratio: 0.49, 95% CI: 0.42, 0.58; PM10 infiltration intervention-to-control ratio: 0.68, 95% CI: 0.52, 0.89). Our findings suggest that the use of air purifiers alongside decreased ventilation measures is an effective protective measure that reduces significantly indoor exposure to particles during DDS and non-DDS in high-risk population groups.
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Affiliation(s)
- Souzana Achilleos
- Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus; Cyprus International Institute for Environmental and Public Health, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
| | - Antonis Michanikou
- Respiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus
| | - Panayiotis Kouis
- Respiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus
| | - Stefania I Papatheodorou
- Cyprus International Institute for Environmental and Public Health, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
| | - Andrie G Panayiotou
- Cyprus International Institute for Environmental and Public Health, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Paraskevi Kinni
- Cyprus International Institute for Environmental and Public Health, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus; Respiratory Physiology Laboratory, Medical School, University of Cyprus, Nicosia, Cyprus; Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Nikos Mihalopoulos
- Department of Chemistry, University of Crete, Heraklion, Crete, Greece; National Observatory of Athens, Athens, Greece
| | - Nikos Kalivitis
- Department of Chemistry, University of Crete, Heraklion, Crete, Greece
| | | | - Emmanouil Galanakis
- Department of Pediatrics, Medical School, University of Crete, Heraklion, Crete, Greece
| | - Eleni Michailidi
- Department of Pediatrics, Medical School, University of Crete, Heraklion, Crete, Greece
| | | | | | - Marina Neophytou
- Environmental Fluid Mechanics Laboratory, Department of Civil and Environmental Engineering, University of Cyprus, Nicosia, Cyprus
| | - Petros Mouzourides
- Environmental Fluid Mechanics Laboratory, Department of Civil and Environmental Engineering, University of Cyprus, Nicosia, Cyprus
| | - Chrysanthos Savvides
- Air Quality and Strategic Planning Section, Department of Labour Inspection, Ministry of Labour and Social Insurance, Nicosia, Cyprus
| | - Emily Vasiliadou
- Air Quality and Strategic Planning Section, Department of Labour Inspection, Ministry of Labour and Social Insurance, Nicosia, Cyprus
| | - Ilias Papasavvas
- Department of Cardiology, Nicosia General Hospital, Nicosia, Cyprus
| | | | - Rozalia Nicolaou
- Department of Cardiology, Nicosia General Hospital, Nicosia, Cyprus
| | | | - Choong-Min Kang
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Nicos Middleton
- Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Petros Koutrakis
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
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Shin D, Kim Y, Hong K, Lee G, Park I, Han B. The Actual Efficacy of an Air Purifier at Different Outdoor PM 2.5 Concentrations in Residential Houses with Different Airtightness. TOXICS 2022; 10:616. [PMID: 36287896 PMCID: PMC9610078 DOI: 10.3390/toxics10100616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 10/06/2022] [Accepted: 10/13/2022] [Indexed: 06/16/2023]
Abstract
It is important to control airborne particles in residential houses for protecting human health. Indoor particulate matter of <2.5 μm (PM2.5) can be effectively monitored and managed using an air purifier. In this study, the actual clean air delivery rates in residential houses (CADRActual) were acquired by comparing decay rates of fine particles with and without operations of the air purifier under actual conditions, following the standard CADR of an air purifier obtained in a closed test chamber. The measurements of CADRActual at different outdoor PM2.5 concentrations over a month in two residential houses revealed different airtightness levels, compared to the standardized clean air delivery rate of the air purifier (CADRAP). Air changes per hour at 50 Pa (ACH50) was 4.8 h−1 for “house A” (built in 2007) and 2.1 h−1 for “house B” (built in 2018). The CADR of the air purifier used in this study was 10.6 m3/min, while the averaged CADRActual at the “house A” was 7.2 m3/min (approximately 66% of the CADR of the air purifier) and 9.5 m3/min at “house B” (approximately 90% of the CADR of the air purifier). Under the outdoor PM2.5 concentrations of <35 μg/m3, the averaged CADRActual of house A and house B were 7.8 ± 0.3 and 9.7 ± 0.4 m3/min, respectively. However, under the outdoor PM2.5 concentrations of >35 μg/m3, the analogous averaged concentrations were 6.8 ± 0.6 and 9.6 ± 0.3 m3/min for houses A and B, respectively. The measured CADRActual agreed well with the theoretical estimates of CADRActual acquired by the mass balance equation using the infiltration rate of ACH50/20. We also estimated CADRActual/CADRAP for house C built in 2017, where the ACH50 was 1.8 h−1. Overall, this study demonstrated how CADRActual/CADRAP of an air purifier at residential houses can be predicted according to outdoor PM2.5 concentration and airtightness of the house. As shown, it can be closer to 1 at lower ACH50 houses and at lower outdoor PM2.5 concentrations.
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Affiliation(s)
- Dongho Shin
- Department of Sustainable Environment Research, Korea Institute of Machinery & Materials, Daejeon 34103, Korea
| | - Younghun Kim
- Department of Sustainable Environment Research, Korea Institute of Machinery & Materials, Daejeon 34103, Korea
- Department of Mechanical Engineering, Yonsei University, Seoul 03722, Korea
| | - Keejung Hong
- Department of Sustainable Environment Research, Korea Institute of Machinery & Materials, Daejeon 34103, Korea
| | - Gunhee Lee
- Department of Sustainable Environment Research, Korea Institute of Machinery & Materials, Daejeon 34103, Korea
| | - Inyong Park
- Department of Sustainable Environment Research, Korea Institute of Machinery & Materials, Daejeon 34103, Korea
| | - Bangwoo Han
- Department of Sustainable Environment Research, Korea Institute of Machinery & Materials, Daejeon 34103, Korea
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21
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Rohra H, Pipal AS, Satsangi PG, Taneja A. Revisiting the atmospheric particles: Connecting lines and changing paradigms. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 841:156676. [PMID: 35700785 DOI: 10.1016/j.scitotenv.2022.156676] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 06/09/2022] [Accepted: 06/09/2022] [Indexed: 06/15/2023]
Abstract
Historically, the atmospheric particles constitute the most primitive and recent class of air pollutants. The science of atmospheric particles erupted more than a century ago covering more than four decades of size, with past few years experiencing major advancements on both theoretic and data-based observational grounds. More recently, the plausible recognition between particulate matter (PM) and the diffusion of the COVID-19 pandemic has led to the accretion of interest in particle science. With motivation from diverse particle research interests, this paper is an 'old engineer's survey' beginning with the evolution of atmospheric particles and identifies along the way many of the global instances signaling the 'size concept' of PM. A theme that runs through the narrative is a 'previously known' generational evolution of particle science to the 'newly procured' portfolio of knowledge, with important gains on the application of unmet concepts and future approaches to PM exposure and epidemiological research.
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Affiliation(s)
- Himanshi Rohra
- Department of Chemistry, Savitribai Phule Pune University, Pune 411007, India
| | - Atar Singh Pipal
- Centre for Environmental Sustainability and Human Health, Ming Chi University of Technology, Taishan, New Taipei 243089, Taiwan
| | - P G Satsangi
- Department of Chemistry, Savitribai Phule Pune University, Pune 411007, India
| | - Ajay Taneja
- Department of Chemistry, Dr. Bhimrao Ambedkar University, Agra 282002, India.
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22
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Wu X, Zhang Y, Hou F, Wang H, Zhou J, Yu W. The energy and time saving coordinated control methods of CO2, VOCs, and PM2.5 in office buildings. PLoS One 2022; 17:e0275157. [PMID: 36166418 PMCID: PMC9514625 DOI: 10.1371/journal.pone.0275157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 09/12/2022] [Indexed: 11/29/2022] Open
Abstract
Indoor air pollution is complex and serious. In fact, an on-site investigation of an office building revealed that the concentration of three typical pollutants (CO2, VOCs, PM2.5) exceeded the Chinese standard. To identify a better control method to achieve good indoor air quality, an orthogonal experiment was carried out in an environmental chamber to compare the control time and energy consumption of four control methods (purifier+ and window+, purifier+ and window-, purified fresh air 240 m3/h and purified fresh air 400 m3/h) to meet the standard established for pollutants. The purifier+ and window+ method was found to be more effective in most conditions, with a control time reduced by 8.06% and energy consumption reduced by 11.91% compared with the traditional control method of purified fresh air 240 m3/h. This research highlights the optimal control strategy for the air quality in office buildings under different pollution conditions.
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Affiliation(s)
- Xiaochun Wu
- School of Civil Engineering, Chongqing University, Chongqing, China
- Western Investment Limited Company of China Construction Third Engineering Bureau, Chengdu, Sichuan, China
| | - Yan Zhang
- School of Civil Engineering, Chongqing University, Chongqing, China
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, China
- National Centre for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, China
| | - Fang Hou
- School of Civil Engineering, Chongqing University, Chongqing, China
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, China
- National Centre for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, China
| | - Huichao Wang
- Western Investment Limited Company of China Construction Third Engineering Bureau, Chengdu, Sichuan, China
| | - Jianjie Zhou
- Western Investment Limited Company of China Construction Third Engineering Bureau, Chengdu, Sichuan, China
| | - Wei Yu
- School of Civil Engineering, Chongqing University, Chongqing, China
- Joint International Research Laboratory of Green Buildings and Built Environments (Ministry of Education), Chongqing University, Chongqing, China
- National Centre for International Research of Low-carbon and Green Buildings (Ministry of Science and Technology), Chongqing University, Chongqing, China
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23
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O'Piela DR, Durisek GR, Escobar YNH, Mackos AR, Wold LE. Particulate matter and Alzheimer's disease: an intimate connection. Trends Mol Med 2022; 28:770-780. [PMID: 35840480 PMCID: PMC9420776 DOI: 10.1016/j.molmed.2022.06.004] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Revised: 05/09/2022] [Accepted: 06/10/2022] [Indexed: 10/17/2022]
Abstract
The environmental role in disease progression has been appreciated for decades; however, understanding how airborne toxicant exposure can affect organs beyond the lungs is an underappreciated area of scientific inquiry. Particulate matter (PM) includes various gases, liquids, and particles in suspension and is produced by industrial activities such as fossil fuel combustion and natural events including wildfires and volcanic eruptions. Although agencies have attempted to reduce acceptable airborne particulate levels, with urbanization and population growth, these policies have been only moderately effective in mitigating disease progression. A growing area of research is focused on the role of PM exposure in the progression of Alzheimer's disease (AD). This review will summarize the knowns and unknowns of this expanding field.
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Affiliation(s)
- Devin R O'Piela
- Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, USA; College of Nursing, The Ohio State University, Columbus, OH, USA
| | - George R Durisek
- Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, USA; College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Yael-Natalie H Escobar
- Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, USA; College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Amy R Mackos
- Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, USA; College of Nursing, The Ohio State University, Columbus, OH, USA
| | - Loren E Wold
- Dorothy M. Davis Heart and Lung Research Institute, The Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, USA; College of Nursing, The Ohio State University, Columbus, OH, USA; Department of Physiology and Cell Biology, The Ohio State University College of Medicine and Wexner Medical Center, Columbus, OH, USA.
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24
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Zhou B, Liu T, Yi S, Huang Y, Guo Y, Huang S, Zhou C, Zhou R, Cao H. Reducing the Effectiveness of Ward Particulate Matter, Bacteria and Influenza Virus by Combining Two Complementary Air Purifiers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10446. [PMID: 36012090 PMCID: PMC9408449 DOI: 10.3390/ijerph191610446] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 08/17/2022] [Accepted: 08/20/2022] [Indexed: 06/15/2023]
Abstract
Air purifiers should pay much attention to hospital-associated infections, but the role of a single air purifier is limited. The goal of this study was to evaluate the effectiveness of the combined application of the nonequilibrium positive and negative oxygen ion purifier (PNOI) and the high-efficiency particulate air filter (HEPA) on a complex, polluted environment. Two of the better performing purifiers were selected before the study. The efficacy of their use alone and in combination for purification of cigarette particulate matter (PM), Staphylococcus albicans, and influenza virus were then evaluated under a simulated contaminated ward. PNAI and HEPA alone are deficient. However, when they were combined, they achieved 98.44%, 99.75%, and 100% 30 min purification rates for cigarette PM, S. albus, and influenza virus, respectively. The purification of pollution of various particle sizes and positions was optimized and reduced differentials, and a subset of airborne influenza viruses is inactivated. Furthermore, they were superior to ultraviolet disinfection for microbial purification in air. This work demonstrates the strong purification capability of the combined application of these two air purifiers for complex air pollution, which provides a new idea for infection control in medical institutions.
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Affiliation(s)
- Bingliang Zhou
- Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Microbiology, School of Public Health, Southern Medical University, Guangzhou 510515, China
| | - Tiantian Liu
- School of Public Health, Guangdong Pharmaceutical University, Guangzhou 510310, China
| | - Siqi Yi
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou 510180, China
| | - Yuanyuan Huang
- Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Microbiology, School of Public Health, Southern Medical University, Guangzhou 510515, China
| | - Yubing Guo
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou 510180, China
| | - Si Huang
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou 510180, China
| | - Chengxing Zhou
- Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Microbiology, School of Public Health, Southern Medical University, Guangzhou 510515, China
| | - Rong Zhou
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou 510180, China
| | - Hong Cao
- Guangdong Provincial Key Laboratory of Tropical Disease Research, Department of Microbiology, School of Public Health, Southern Medical University, Guangzhou 510515, China
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25
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Zhang F, Shi L, Liu S, Shi J, Cheng M. Indoor Air Quality in Tujia Dwellings in Hunan, China: Field Tests, Numerical Simulations, and Mitigation Strategies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:8396. [PMID: 35886247 PMCID: PMC9325221 DOI: 10.3390/ijerph19148396] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 06/30/2022] [Accepted: 07/07/2022] [Indexed: 12/21/2022]
Abstract
Air pollution is a major health hazard. The traditional habits and unique ethnic fire culture in Hunan Tujia region result in the long-term exposure of residents, especially elderly people, to pollutants. In this study, we conducted field monitoring and assessment of indoor pollutants in the residential houses of Hunan Tujia families and subsequently visualised and simulated fire pollutants in representative residential houses by using fire-dynamic-simulator software. Pollutant-control strategies, using passive smoke collectors and resizing windows, were proposed and simulated for validation. The results revealed that passive smoke collectors reduced the pollutant concentration in the hall house by 43.96%. Furthermore, the optimal window size was 1500 mm × 1500 mm, and the most reasonable windowsill height of the firepit was 1800 mm. The results of the study can be used to improve the indoor air quality of Tujia dwellings and mitigate the adverse health effects of exposure to indoor air pollution without restricting ethnic beliefs and traditional customs.
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Affiliation(s)
- Fupeng Zhang
- School of Architecture and Art, Central South University, Changsha 410075, China; (F.Z.); (L.S.); (M.C.)
- Health Building Research Center, Central South University, Changsha 410075, China
| | - Lei Shi
- School of Architecture and Art, Central South University, Changsha 410075, China; (F.Z.); (L.S.); (M.C.)
- Health Building Research Center, Central South University, Changsha 410075, China
| | - Simian Liu
- School of Architecture and Art, Central South University, Changsha 410075, China; (F.Z.); (L.S.); (M.C.)
- Health Building Research Center, Central South University, Changsha 410075, China
| | - Jiaqi Shi
- School of Architecture and Art, Central South University, Changsha 410075, China; (F.Z.); (L.S.); (M.C.)
- Health Building Research Center, Central South University, Changsha 410075, China
- College of Architecture, Changsha University of Science & Technology, Changsha 410114, China
| | - Mengfei Cheng
- School of Architecture and Art, Central South University, Changsha 410075, China; (F.Z.); (L.S.); (M.C.)
- Health Building Research Center, Central South University, Changsha 410075, China
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26
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Wittkopp S, Walzer D, Thorpe L, Roberts T, Xia Y, Gordon T, Thurston G, Brook R, Newman JD. Portable air cleaner use and biomarkers of inflammation: A systematic review and meta-analysis. AMERICAN HEART JOURNAL PLUS : CARDIOLOGY RESEARCH AND PRACTICE 2022; 18:100182. [PMID: 38390226 PMCID: PMC10883590 DOI: 10.1016/j.ahjo.2022.100182] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/24/2024]
Abstract
Fine particulate matter air pollution (PM2.5) is a major contributor to cardiovascular morbidity and mortality, potentially via increased inflammation. PM2.5 exposure increases inflammatory biomarkers linked to cardiovascular disease, including CRP, IL-6 and TNFα. Portable air cleaners (PACs) reduce individual PM2.5 exposure but evidence is limited regarding whether PACs also reduce inflammatory biomarkers. We performed a systematic review and meta-analysis of trials evaluating the use of PACs to reduce PM2.5 exposure and inflammatory biomarker concentrations. We identified English-language articles of randomized sham-controlled trials evaluating high efficiency particulate air filters in non-smoking, residential settings measuring serum CRP, IL-6 and TNFα before and after active versus sham filtration, and performed meta-analysis on the extracted modeled percent change in biomarker concentration across studies. Of 487 articles identified, we analyzed 14 studies enrolling 778 participants that met inclusion criteria. These studies showed PACs reduced PM2.5 by 61.5 % on average. Of the 14 included studies, 10 reported CRP concentrations in 570 participants; these showed active PAC use was associated with 7 % lower CRP (95 % CI: -14 % to 0.0 %, p = 0.05). Nine studies of IL-6, with 379 participants, showed active PAC use was associated with 13 % lower IL-6 (95 % CI: [-23 %, -3 %], p = 0.009). Six studies, with 269 participants, reported TNF-α and demonstrated no statistical evidence of difference between active and sham PAC use. Portable air cleaners that reduce PM2.5 exposure can decrease concentrations of inflammatory biomarkers associated with cardiovascular disease. Additional studies are needed to evaluate clinical outcomes and other biomarkers.
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Affiliation(s)
- Sharine Wittkopp
- Leon H. Charney Division of Cardiology, NYU Grossman School of Medicine, United States of America
| | - Dalia Walzer
- Department of Medicine, NYU Grossman School of Medicine, United States of America
| | - Lorna Thorpe
- Department of Population Health, NYU Grossman School of Medicine, United States of America
| | - Timothy Roberts
- Department of Population Health, NYU Grossman School of Medicine, United States of America
| | - Yuhe Xia
- Division of Biostatistics, NYU Grossman School of Medicine, United States of America
| | - Terry Gordon
- Department of Environmental Medicine, NYU Grossman School of Medicine, United States of America
| | - George Thurston
- Department of Environmental Medicine, NYU Grossman School of Medicine, United States of America
| | - Robert Brook
- Division of Cardiovascular Diseases, Wayne State University, United States of America
| | - Jonathan D Newman
- Leon H. Charney Division of Cardiology, NYU Grossman School of Medicine, United States of America
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