Short-term exposure to ultrafine particles and mortality and hospital admissions due to respiratory and cardiovascular diseases in Copenhagen, Denmark

Concentration, speciation and risk effects of multiple environmentally sensitive trace elements in respirable fine-grained fly ash

Respirable fine-grained fly ash (RFA) is captured very inefficiently by existing air purification devices of power plant, leading to increasing concerns regarding their migration and subsequent interaction with body due to fine particle size and its complex toxic composition. Trace elements of RFA in three groups with five different sizes between 8-13 µm were analyzed in terms of available concentration, speciation and risk effects. The concentration, pollution level and ecological risk level of elements in RFA were related to particle sizes. Chronic non-carcinogenic effect risk (NER) and carcinogenic effect risk (CER) were negatively correlated with particle size. The individual weight of exposed subjects, corresponding trace elements concentration and ingestion rate in RFA were three significant variables influencing CER. NER and CER had a tenfold exaggerated effect when calculated using total element concentration of RFA. In addition to individual differences and exposure conditions, trace element properties, speciation and available concentration were the dominant factor responsible for ecological and environmental effects of trace elements in RFA, following the order As>Ni, Mn>Cr>Pb>Cu>Zn. Results of this work highlight the effects and differences of trace elements in RFA on ecology and health, and provide a basis for further pollution control and human health warning.

The impact of air pollution on asthma: clinical outcomes, current epidemiology, and health disparities

INTRODUCTION

Air pollution has been shown to have a significant impact on morbidity and mortality of respiratory illnesses including asthma.

AREAS COVERED

Outdoor air pollution consists of a mixture of individual pollutants including vehicle traffic and industrial pollution. Studies have implicated an array of individual components of air pollution, with PM2.5, NO2, SO2, and ozone being the most classically described, and newer literature implicating other pollutants such as black carbon and volatile organic compounds. Epidemiological and cohort studies have described incidence and prevalence of pollution-related asthma and investigated both acute and chronic air pollution exposure as they relate to asthma outcomes. There is an increasing body of literature tying disparities in pollution exposure to clinical outcomes. In this narrative review, we assessed the published research investigating the association of pollution with asthma outcomes, focusing on the adult population and health care disparities.

EXPERT OPINION

Pollution has multiple deleterious effects on respiratory health but there is a lack of data on individualized pollution monitoring, making it difficult to establish a temporal relationship between exposure and symptoms, thereby limiting our understanding of safe exposure levels. Future research should focus on more personalized monitoring and treatment plans for mitigating exposure.