1
|
Waugh DW, He Z, Zaitchik B, Peng RD, Diette GB, Hansel NN, Matsui EC, Breysse PN, Breysse DH, Koehler K, Williams D, McCormack MC. Indoor heat exposure in Baltimore: does outdoor temperature matter? Int J Biometeorol 2021; 65:479-488. [PMID: 33089367 DOI: 10.1007/s00484-020-02036-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2020] [Revised: 10/06/2020] [Accepted: 10/14/2020] [Indexed: 06/11/2023]
Abstract
Heat exposure of a population is often estimated by applying temperatures from outdoor monitoring stations. However, this can lead to exposure misclassification if residents do not live close to the monitoring station and temperature varies over small spatial scales due to land use/built environment variability, or if residents generally spend more time indoors than outdoors. Here, we compare summertime temperatures measured inside 145 homes in low-income households in Baltimore city with temperatures from the National Weather Service weather station in Baltimore. There is a large variation in indoor temperatures, with daily-mean indoor temperatures varying from 10 °C lower to 10 °C higher than outdoor temperatures. Furthermore, there is only a weak association between the indoor and outdoor temperatures across all houses, indicating that the outdoor temperature is not a good predictor of the indoor temperature for the residences sampled. It is shown that much of the variation is due to differences in the availability of air conditioning (AC). Houses with central AC are generally cooler than outdoors (median difference of - 3.4 °C) while those with no AC are generally warmer (median difference of 1.4 °C). For the collection of houses with central or room AC, there is essentially no relationship between indoor and outdoor temperatures, but for the subset of houses with no AC, there is a weak relationship (correlation coefficient of 0.36). The results presented here suggest future epidemiological studies of indoor exposure to heat would benefit from information on the availability of AC within the population.
Collapse
Affiliation(s)
- D W Waugh
- Department of Earth and Planetary Sciences, Johns Hopkins University School of Arts and Sciences, Baltimore, MD, USA.
| | - Z He
- Department of Earth and Planetary Sciences, Johns Hopkins University School of Arts and Sciences, Baltimore, MD, USA
| | - B Zaitchik
- Department of Earth and Planetary Sciences, Johns Hopkins University School of Arts and Sciences, Baltimore, MD, USA
| | - R D Peng
- Department of Biostatistics, Johns Hopkins University School of Public Health, Baltimore, MD, USA
| | - G B Diette
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - N N Hansel
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - E C Matsui
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - P N Breysse
- Department of Environmental Health Sciences, Johns Hopkins University School of Public Health, Baltimore, MD, USA
| | - D H Breysse
- Department of Environmental Health Sciences, Johns Hopkins University School of Public Health, Baltimore, MD, USA
| | - K Koehler
- Department of Environmental Health Sciences, Johns Hopkins University School of Public Health, Baltimore, MD, USA
| | - D Williams
- Department of Environmental Health Sciences, Johns Hopkins University School of Public Health, Baltimore, MD, USA
| | - M C McCormack
- Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
- Department of Environmental Health Sciences, Johns Hopkins University School of Public Health, Baltimore, MD, USA
| |
Collapse
|
2
|
Zhang C, Ramsey C, Berical A, Yu L, Leng L, McGinnis KA, Song Y, Michael H, McCormack MC, Allore H, Morris A, Crothers K, Bucala R, Lee PJ, Sauler M. A functional macrophage migration inhibitory factor promoter polymorphism is associated with reduced diffusing capacity. Am J Physiol Lung Cell Mol Physiol 2018; 316:L400-L405. [PMID: 30520689 DOI: 10.1152/ajplung.00439.2018] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Cigarette smoke exposure is the leading modifiable risk factor for chronic obstructive pulmonary disease (COPD); however, the clinical and pathologic consequences of chronic cigarette smoke exposure are variable among smokers. Macrophage migration inhibitory factor (MIF) is a pleiotropic cytokine implicated in the pathogenesis of COPD. Within the promoter of the MIF gene is a functional polymorphism that regulates MIF expression (-794 CATT5-8 microsatellite repeat) ( rs5844572 ). The role of this polymorphim in mediating disease susceptibility to COPD-related traits remains unknown. We performed a cross-sectional analysis of DNA samples from 641 subjects to analyze MIF-794 CATT5-8 ( rs5844572 ) polymorphism by standard methods. We generated multivariable logistic regression models to determine the risk of low expressing MIF alleles for airflow obstruction [defined by forced expiratory volume in 1 s (FEV1)/forced vital capacity ratio <0.70] and an abnormal diffusion capacity [defined by a diffusion capacity for carbon monoxide (DLCO) percent predicted <80%]. We then used generalized linear models to determine the association of MIF genotypes with FEV1 percent predicted and DLCO percent predicted. The MIF-794 CATT5 allele was associated with an abnormal diffusion capacity in two cohorts [odds ratio (OR): 9.31, 95% confidence interval (CI): 1.97-4.06; and OR: 2.21, 95% CI: 1.03-4.75]. Similarly, the MIF-794 CATT5 allele was associated with a reduced DLCO percentage predicted in these two cohorts: 63.5 vs. 70.0 ( P = 0.0023) and 60.1 vs. 65.4 ( P = 0.059). This study suggests an association between a common genetic polymorphism of an endogenous innate immune gene, MIF, with reduced DLCO, an important measurement of COPD severity.
Collapse
Affiliation(s)
- C Zhang
- Department of Medicine Saint Louis University Hospital , Saint Louis, Missouri
| | - C Ramsey
- Yale Center for Medical Informatics, Yale School of Medicine , New Haven, Connecticut
| | - A Berical
- Department of Medicine, Boston University School of Medicine , Boston, Massachusetts
| | - L Yu
- Department of Medicine, Massachusetts General Hospital , Boston, Massachusetts
| | - L Leng
- Department of Medicine, Yale School of Medicine , New Haven, Connecticut
| | - K A McGinnis
- Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut
| | - Y Song
- Department of Medicine, Yale School of Medicine , New Haven, Connecticut
| | - H Michael
- Department of Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania
| | - M C McCormack
- Department of Medicine, Johns Hopkins University , Baltimore, Maryland
| | - H Allore
- Department of Medicine, Yale School of Medicine , New Haven, Connecticut
| | - A Morris
- Department of Medicine, University of Pittsburgh , Pittsburgh, Pennsylvania
| | - K Crothers
- Department of Medicine, University of Washington School of Medicine , Seattle, Washington
| | - R Bucala
- Department of Medicine, Yale School of Medicine , New Haven, Connecticut
| | - P J Lee
- Department of Medicine, Yale School of Medicine , New Haven, Connecticut
| | - M Sauler
- Department of Medicine, Yale School of Medicine , New Haven, Connecticut
| |
Collapse
|
3
|
Berman JD, McCormack MC, Koehler KA, Connolly F, Clemons-Erby D, Davis MF, Gummerson C, Leaf PJ, Jones TD, Curriero FC. School environmental conditions and links to academic performance and absenteeism in urban, mid-Atlantic public schools. Int J Hyg Environ Health 2018; 221:800-808. [PMID: 29784550 DOI: 10.1016/j.ijheh.2018.04.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2018] [Revised: 04/26/2018] [Accepted: 04/30/2018] [Indexed: 10/17/2022]
Abstract
School facility conditions, environment, and perceptions of safety and learning have been investigated for their impact on child development. However, it is important to consider how the environment separately influences academic performance and attendance after controlling for school and community factors. Using results from the Maryland School Assessment, we considered outcomes of school-level proficiency in reading and math plus attendance and chronic absences, defined as missing 20 or more days, for grades 3-5 and 6-8 at 158 urban schools. Characteristics of the environment included school facility conditions, density of nearby roads, and an index industrial air pollution. Perceptions of school safety, learning, and institutional environment were acquired from a School Climate Survey. Also considered were neighborhood factors at the community statistical area, including demographics, crime, and poverty based on school location. Poisson regression adjusted for over-dispersion was used to model academic achievement and multiple linear models were used for attendance. Each 10-unit change in facility condition index, denoting worse quality buildings, was associated with a decrease in reading (1.0% (95% CI: 0.1-1.9%) and math scores (0.21% (95% CI: 0.20-0.40), while chronic absences increased by 0.75% (95% CI: 0.30-1.39). Each log increase the EPA's Risk Screening Environmental Indicator (RSEI) value for industrial hazards, resulted in a marginally significant trend of increasing absenteeism (p < 0.06), but no association was observed with academic achievement. All results were robust to school-level measures of racial composition, free and reduced meals eligibility, and community poverty and crime. These findings provide empirical evidence for the importance of the community and school environment, including building conditions and neighborhood toxic substance risk, on academic achievement and attendance.
Collapse
Affiliation(s)
- J D Berman
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
| | - M C McCormack
- Johns Hopkins School of Medicine, Baltimore, MD, United States.
| | - K A Koehler
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
| | - F Connolly
- Baltimore Education Research Consortium, Baltimore, MD, United States.
| | - D Clemons-Erby
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
| | - M F Davis
- Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
| | - C Gummerson
- Johns Hopkins School of Medicine, Baltimore, MD, United States.
| | - P J Leaf
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
| | - T D Jones
- Office of Achievement and Accountability, Baltimore City Public Schools, Baltimore, MD, United States.
| | - F C Curriero
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
| |
Collapse
|
4
|
Bose S, Rivera-Mariani F, Chen R, Williams D, Belli A, Aloe C, McCormack MC, Breysse PN, Hansel NN. Domestic exposure to endotoxin and respiratory morbidity in former smokers with COPD. Indoor Air 2016; 26:734-42. [PMID: 26547489 PMCID: PMC5324735 DOI: 10.1111/ina.12264] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Accepted: 10/31/2015] [Indexed: 05/28/2023]
Abstract
Indoor air pollution has been linked to adverse chronic obstructive pulmonary disease (COPD) health, but specific causative agents have not yet been identified. We evaluated the role of indoor endotoxin exposure upon respiratory health in former smokers with COPD. Eighty-four adults with moderate to severe COPD were followed longitudinally and indoor air and dust samples collected at baseline, 3 and 6 months. Respiratory outcomes were repeatedly assessed at each time point. The associations between endotoxin exposure in air and settled dust and health outcomes were explored using generalizing estimating equations in multivariate models accounting for confounders. Dust endotoxin concentrations in the main living area were highest in spring and lowest in fall, while airborne endotoxins remained steady across seasons. Airborne and dust endotoxin concentrations were weakly correlated with one another (rs = +0.24, P = 0.005). Endotoxin concentrations were not significantly associated with respiratory symptoms, rescue medication use, quality of life, or severe exacerbations. In vitro whole-blood assays of the pro-inflammatory capacity of PM10 filters with and without endotoxin depletion demonstrated that the endotoxin component of indoor air pollution was not the primary trigger for interleukin-1β release. Our findings support that endotoxin is not the major driver in the adverse effects of indoor PM upon COPD morbidity.
Collapse
Affiliation(s)
- S Bose
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
| | - F Rivera-Mariani
- Department of Biology, Miami Dade College Wolfson Campus, Miami, FL, USA
| | - R Chen
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - D Williams
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - A Belli
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - C Aloe
- Division of Pediatric Allergy and Immunology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
| | - M C McCormack
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - P N Breysse
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - N N Hansel
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| |
Collapse
|
5
|
Paulin LM, Diette GB, Scott M, McCormack MC, Matsui EC, Curtin-Brosnan J, Williams DL, Kidd-Taylor A, Shea M, Breysse PN, Hansel NN. Home interventions are effective at decreasing indoor nitrogen dioxide concentrations. Indoor Air 2014; 24:416-24. [PMID: 24329966 PMCID: PMC4909253 DOI: 10.1111/ina.12085] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2013] [Accepted: 12/09/2013] [Indexed: 05/07/2023]
Abstract
UNLABELLED Nitrogen dioxide (NO2 ), a by-product of combustion produced by indoor gas appliances such as cooking stoves, is associated with respiratory symptoms in those with obstructive airways disease. We conducted a three-armed randomized trial to evaluate the efficacy of interventions aimed at reducing indoor NO2 concentrations in homes with unvented gas stoves: (i) replacement of existing gas stove with electric stove; (ii) installation of ventilation hood over existing gas stove; and (iii) placement of air purifiers with high-efficiency particulate air (HEPA) and carbon filters. Home inspection and NO2 monitoring were conducted at 1 week pre-intervention and at 1 week and 3 months post-intervention. Stove replacement resulted in a 51% and 42% decrease in median NO2 concentration at 3 months of follow-up in the kitchen and bedroom, respectively (P = 0.01, P = 0.01); air purifier placement resulted in an immediate decrease in median NO2 concentration in the kitchen (27%, P < 0.01) and bedroom (22%, P = 0.02), but at 3 months, a significant reduction was seen only in the kitchen (20%, P = 0.05). NO2 concentrations in the kitchen and bedroom did not significantly change following ventilation hood installation. Replacing unvented gas stoves with electric stoves or placement of air purifiers with HEPA and carbon filters can decrease indoor NO2 concentrations in urban homes. PRACTICAL IMPLICATIONS Several combustion sources unique to the residential indoor environment, including gas stoves, produce nitrogen dioxide (NO2), and higher NO2 concentrations, are associated with worse respiratory morbidity in people with obstructive lung disease. A handful of studies have modified the indoor environment by replacing unvented gas heaters; this study, to our knowledge, is the first randomized study to target unvented gas stoves. The results of this study show that simple home interventions, including replacement of an unvented gas stove with an electric stove or placement of HEPA air purifiers with carbon filters, can significantly decrease indoor NO2 concentrations.
Collapse
Affiliation(s)
- L. M. Paulin
- Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - G. B. Diette
- Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
- Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - M. Scott
- Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - M. C. McCormack
- Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
- Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - E. C. Matsui
- Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - J. Curtin-Brosnan
- Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - D. L. Williams
- Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - A. Kidd-Taylor
- Department of Health Policy and Management, School of Community and Health Policy, Morgan State University, Baltimore, MD, USA
| | - M. Shea
- Delmarva Foundation, Columbia, MD, USA
| | - P. N. Breysse
- Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - N. N. Hansel
- Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA
- Department of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| |
Collapse
|
6
|
Fernandes JR, Salinas HM, Broelsch GF, McCormack MC, Meppelink AM, Randolph MA, Redmond RW, Austen WG. Abstract 27. Plast Reconstr Surg 2013. [DOI: 10.1097/01.prs.0000429972.39131.e3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
7
|
|
8
|
Mazique D, Diette GB, Breysse PN, Matsui EC, McCormack MC, Curtin-Brosnan J, Williams DL, Peng RD, Hansel NN. Predictors of airborne endotoxin concentrations in inner city homes. Environ Res 2011; 111:614-7. [PMID: 21429483 PMCID: PMC3085396 DOI: 10.1016/j.envres.2011.03.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2010] [Revised: 02/24/2011] [Accepted: 03/01/2011] [Indexed: 05/22/2023]
Abstract
Few studies have assessed in home factors which contribute to airborne endotoxin concentrations. In 85 inner city Baltimore homes, we found no significant correlation between settled dust and airborne endotoxin concentrations. Certain household activities and characteristics, including frequency of dusting, air conditioner use and type of flooring, explained 36-42% of the variability of airborne concentrations. Measurements of both airborne and settled dust endotoxin concentrations may be needed to fully characterize domestic exposure in epidemiologic investigations.
Collapse
Affiliation(s)
- D Mazique
- Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD 21205, USA
| | | | | | | | | | | | | | | | | |
Collapse
|
9
|
McCormack MC, Nowak KC, Koch RJ. The effect of copper tripeptide and tretinoin on growth factor production in a serum-free fibroblast model. Arch Facial Plast Surg 2001; 3:28-32. [PMID: 11176716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
OBJECTIVE To evaluate the effect of copper tripeptide and tretinoin on normal and keloid-producing dermal fibroblasts in a serum-free in vitro model. The cellular response was described in terms of viability and secretion of basic fibroblast growth factor (bFGF) and transforming growth factor-beta1 (TGF-beta1). METHODS Primary cell lines were established from patient facial skin samples obtained during surgery and plated in serum-free media. At 0 hour, copper tripeptide (1 x 10 (-9) mol/L), tretinoin (1 x 10 (-5) mol/L), or appropriate control vehicle was added. Cell counts and viability were established at 24, 72, and 120 hours. Supernatants were collected at the same intervals and were assessed for bFGF and TGF-beta1 concentrations using the enzyme-linked immunosorbent assay technique. RESULTS Cell lines showed viability between 86% and 96% (mean, 92%) throughout the experiment. Tretinoin-treated normal fibroblasts secreted more bFGF than did controls at 24 hours (P<.05). Tretinoin-treated keloid-producing fibroblasts secreted more TGF-beta1 than did controls at 120 hours (P<.05). Keloid-producing fibroblasts treated with copper tripeptide secreted less TGF-beta1 than did controls at 24 hours (P<.05); a similar trend was observed in normal fibroblasts. CONCLUSIONS Normal fibroblasts treated with tretinoin produced more bFGF than did controls, and this might partially explain the clinically observed tightening effects of tretinoin. Normal and keloid-producing dermal fibroblasts treated with copper tripeptide secreted less TGF-beta1 than did controls, suggesting a possible clinical use for decreasing excessive scar formation.
Collapse
Affiliation(s)
- M C McCormack
- Division of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, Stanford, Calif 94305-5328, USA
| | | | | |
Collapse
|