Long-Term Exposure of Nitrogen Oxides Air Pollution (NO2) Impact for Coronary Artery Lesion Progression-Pilot Study

BACKGROUND

The potentially harmful effects of air pollution on the human health have been already presented in epidemiological studies, suggesting a strong association with increased morbidity and mortality. The aim of the study was to evaluate a possible relationship between coronary artery lesion progression related to habitation place (cities vs. villages) and air pollution.

METHODS

There were 148 (101 men and 47 women) patients with a median age of 70 (63-74) years enrolled into retrospective analysis based on the coronary angiography results and their habitation place. Patients with stable coronary syndrome, who underwent repeated percutaneous coronary interventions were enrolled into the analysis based on demographical and clinical characteristics combined with annual exposure to air pollution (PM2.5, PM10, and NO2).

RESULTS

The results of multivariable regression analysis showed a significant relationship between coronary artery lesion progression requiring percutaneous intervention and NO2 chronic exposure in patients living in cities of Poland (OR 2.00, 95% CI: 0.41-9.62, p < 0.001). The predictive value of air pollution exposure at habitation place for coronary artery lesion progression requiring percutaneous intervention was evaluated by receiver-operator curve analysis, which revealed an area under the curve of 0.939, yielding a sensitivity of 87.1% and specificity of 90.7%.

CONCLUSIONS

Coronary artery lesion progression can be related to chronic exposure to NO2 air pollution in patients living in cities in Poland.

Does exposure to nature make children more intelligent? Analysis in Polish children with and without ADHD

Previous studies have shown that exposure to nature and physical activity (PA) may be associated with higher intelligence in children. We examined whether there is an association between lifelong exposure to greenspace and bluespace and intelligence in children aged 10-13 with and without attention deficit hyperactivity disorder (ADHD), and whether PA mediates this association. The sample (N = 714) was collected within the NeuroSmog case-control study, where children with (N = 206) and without ADHD (N = 508) were recruited from 18 towns in Southern Poland. Nature exposure was estimated as the sum of the z-scores of the objective and perceived measures. Objective greenspace exposure was defined as the percentage of grass and tree cover in 500 m and 1 km buffers around lifelong residential addresses, respectively. Objective bluespace exposure was defined as the percentage of water cover in 500 m and 1 km buffers. Perceived greenspace/bluespace was measured as the parent-rated availability, quality, and use of greenspace/bluespace. Intelligence was assessed using the Polish version of the Stanford-Binet Intelligence Scales, 5th edition (SB5). SB5 Full Scale Intelligence Quotient (IQ), Nonverbal IQ, Verbal IQ, five factor and ten subtest scores were analysed as outcomes. The associations between nature and IQ scores were assessed by linear regressions separately for cases and controls, adjusting the models for sex, parental education, and urbanicity. Structural equation modeling was implemented to test whether PA mediated the association between nature and intelligence. None of the greenspace or bluespace measures were consistently associated with intelligence. PA was not found to be a mediator. We did not find evidence that higher lifelong nature exposure is associated with higher intelligence in Polish schoolchildren with or without ADHD. This casts doubts on whether exposure to nature has relevant influence on IQ.

Air pollution and attention in Polish schoolchildren with and without ADHD

BACKGROUND

Development and functioning of attention-a key component of human cognition-can be affected by environmental factors. We investigated whether long- and short-term exposure to particulate matter with aerodynamic diameter < 10 μm (PM₁₀) and nitrogen dioxide (NO₂) are related to attention in 10- to 13- year-old children living in Polish towns and cities recruited in the NeuroSmog case-control study.

METHODS

We investigated associations between air pollution and attention separately in children with attention deficit hyperactivity disorder (ADHD, n = 187), a sensitive, at-risk population with impaired attention and population-based typically developing children (TD, n = 465). Alerting, orienting, and executive aspects of attention were measured using the Attention Network Test (ANT), while inhibitory control was measured with the Continuous Performance Test (CPT). We assessed long-term exposure to NO₂ and PM₁₀ using novel hybrid land use regression (LUR) models. Short-term exposures to NO₂ and PM₁₀ were assigned to each subject using measurements taken at the air pollution monitoring station nearest to their home address. We tested associations for each exposure-outcome pair using adjusted linear and negative binomial regressions.

RESULTS

We found that long-term exposures to both NO₂ and PM₁₀ were associated with worse visual attention in children with ADHD. Short-term exposure to NO₂ was associated with less efficient executive attention in TD children and higher error rates in children with ADHD. It was also associated with shorter CPT response times in TD children; however, this effect was accompanied by a trend towards more CPT commission errors, suggestive of more impulsive performance in these subjects. Finally, we found that short-term PM₁₀ exposure was associated with fewer omission errors in CPT in TD children.

CONCLUSIONS

Exposure to air pollution, especially short-term exposure to NO₂, may have a negative impact on attention in children. In sensitive populations, this impact might be different than in the general population.

Modelling benzo(a)pyrene concentrations for different meteorological conditions - Analysis of lung cancer cases and associated economic costs

Air pollution originating from the household presents a significant burden to public health, especially during the wintertime in countries, such as Poland, where coal substantially contributes to the energy market. One of the most hazardous components of particulate matter is benzo(a)pyrene (BaP). This study focusses on the impact of different meteorological conditions on BaP concentrations in Poland and associated impacts on human health and economic burdens. For this study, we used the EMEP MSC-W atmospheric chemistry transport model with meteorological data from the Weather Research and Forecasting model to analyze the spatial and temporal distribution of BaP over Central Europe. The model setup has two nested domains, with the inner domain at 4 km × 4 km over Poland, which is a hotspot for BaP concentrations. The outer domain covers countries surrounding Poland in coarser resolution (12 × 812 km), to ensure that transboundary pollution is properly characterized in the modelling. We investigated the sensitivity to variability in winter meteorological conditions on BaP levels and impacts using data from 3 years: 1) 2018, which represents average meteorological conditions during the winter season (BASE run), 2) 2010 with a cold winter (COLD), and 3) 2020 with a warm winter (WARM). The ALPHA-RiskPoll model was used to analyze the lung cancer cases and associated economic costs. The results show that the majority of Poland exceeds the target level of benzo(a)pyrene (1 ng m^-3) mainly due to high concentrations during the cold months. High concentrations of BaP have serious health implications and the number of lung cancers in Poland due to BaP exposure varies from 57 to 77 cases for the WARM and COLD years, respectively. It is reflected in the economic costs, which ranged from 136, through 174 to 185 million euros/year for the WARM, BASE and COLD model runs, respectively.

Association of residential and school green- and bluespace with academic performance in 10-13-year-old Polish schoolchildren with and without attention deficit hyperactivity disorder

BACKGROUND

Several studies, mostly based on the USA data, have reported that school greenspace was associated with better academic performance. However, nearly all of them were conducted on aggregated data. We are among the first individual data-based studies worldwide to examine whether exposure to school and residential green- and bluespace can boost academic performance.

METHODS

NeuroSmog is an ongoing case-control study investigating the impact of air pollution on brain development in children with and without attention deficit hyperactivity disorder (ADHD). 658 children aged 10 to 13 years from 18 large and small towns in southern Poland constituted the analytical sample. Information about latest end-of-year school grades in Polish and maths was collected by the parent report while perceived academic performance in these subjects was collected by the Youth Self-Report. Tree, grass, and water cover, as well as overall vegetation, were abstracted in Euclidean buffers of 500 and 1000 m around concurrent school and residential addresses. Perceived green- and bluespace data were also collected. Adjusted for age, sex, parent education, financial situation, and urbanicity, logistic models were fitted to assess the associations between each exposure-outcome pair.

RESULT

We found no consistent associations between academic performance and school or residential green- and bluespace. This held true for children with and without ADHD.

CONCLUSIONS

Higher residential and school green- and bluespace do not seem to be sufficient for better academic performance.

Winter sources of PM2.5 pollution in Podkowa Leśna, a Central-European garden town (Mazovia, Poland)

The paper analyzes PM_2.5 aerosol samples collected in Podkowa Leśna, a garden town in Mazovia, Central Poland, for 15 days in winter 2019. We determined the mass concentrations in the air of PM_2.5 and PM_2.5-bound organic carbon, elemental carbon, levoglucosan, and nine polycyclic aromatic hydrocarbons (PAHs). PM_2.5 ranged from 11 to 51 μg m^-3 (mean 31 μg m^-3) and contained less than 32% organic carbon, 4% elemental carbon, 1% levoglucosan, and 0.12% total PAHs. The analysis based on positive matrix factorization (PMF) indicated two sources of PM_2.5 of similar strength - burning vehicle fuels and biomass burning for residential heating. Levoglucosan originated exclusively from biomass burning, while 90% of elemental carbon was from vehicle emissions. About 62% of organic carbon, 85% of benzo(a)anthracene and 55-65% of the remaining PAHs originated from biomass burning. Compared to many worldwide locations, PM_2.5, organic carbon, elemental carbon, and levoglucosan in Podkowa were among the lowest. The benzo(a)pyrene concentrations were the highest, while other PAHs were intermediate. However, the mass fractions of PAHs in Podkowa PM_2.5 were the highest among the four locations available for comparison. That may indicate the low quality of fuel-burning processes. PAH-related inhalation cancer risk based on PAH carcinogenic potency in Podkowa appeared marginal. This work aims to induce local administrative actions to improve air quality in garden towns.

NeuroSmog: Determining the Impact of Air Pollution on the Developing Brain: Project Protocol

Exposure to airborne particulate matter (PM) may affect neurodevelopmental outcomes in children. The mechanisms underlying these relationships are not currently known. We aim to assess whether PM affects the developing brains of schoolchildren in Poland, a country characterized by high levels of PM pollution. Children aged from 10 to 13 years (n = 800) are recruited to participate in this case-control study. Cases (children with attention deficit hyperactivity disorder (ADHD)) are being recruited by field psychologists. Population-based controls are being sampled from schools. The study area comprises 18 towns in southern Poland characterized by wide-ranging levels of PM. Comprehensive psychological assessments are conducted to assess cognitive and social functioning. Participants undergo structural, diffusion-weighted, task, and resting-state magnetic resonance imaging (MRI). PM concentrations are estimated using land use regression models, incorporating information from air monitoring networks, dispersion models, and characteristics of roads and other land cover types. The estimated concentrations will be assigned to the prenatal and postnatal residential and preschool/school addresses of the study participants. We will assess whether long-term exposure to PM affects brain function, structure, and connectivity in healthy children and in those diagnosed with ADHD. This study will provide novel, in-depth understanding of the neurodevelopmental effects of PM pollution.

Assessing critical load exceedances and ecosystem impacts of anthropogenic nitrogen and sulphur deposition at unmanaged forested catchments in Europe

Anthropogenic emissions of nitrogen (N) and sulphur (S) compounds and their long-range transport have caused widespread negative impacts on different ecosystems. Critical loads (CLs) are deposition thresholds used to describe the sensitivity of ecosystems to atmospheric deposition. The CL methodology has been a key science-based tool for assessing the environmental consequences of air pollution. We computed CLs for eutrophication and acidification using a European long-term dataset of intensively studied forested ecosystem sites (n = 17) in northern and central Europe. The sites belong to the ICP IM and eLTER networks. The link between the site-specific calculations and time-series of CL exceedances and measured site data was evaluated using long-term measurements (1990-2017) for bulk deposition, throughfall and runoff water chemistry. Novel techniques for presenting exceedances of CLs and their temporal development were also developed. Concentrations and fluxes of sulphate, total inorganic nitrogen (TIN) and acidity in deposition substantially decreased at the sites. Decreases in S deposition resulted in statistically significant decreased concentrations and fluxes of sulphate in runoff and decreasing trends of TIN in runoff were more common than increasing trends. The temporal developments of the exceedance of the CLs indicated the more effective reductions of S deposition compared to N at the sites. There was a relation between calculated exceedance of the CLs and measured runoff water concentrations and fluxes, and most sites with higher CL exceedances showed larger decreases in both TIN and H⁺ concentrations and fluxes. Sites with higher cumulative exceedance of eutrophication CLs (averaged over 3 and 30 years) generally showed higher TIN concentrations in runoff. The results provided evidence on the link between CL exceedances and empirical impacts, increasing confidence in the methodology used for the European-scale CL calculations. The results also confirm that emission abatement actions are having their intended effects on CL exceedances and ecosystem impacts.

Radical oxidation of methyl vinyl ketone and methacrolein in aqueous droplets: Characterization of organosulfates and atmospheric implications

In-cloud processing of volatile organic compounds is one of the significant routes leading to secondary organic aerosol (SOA) in the lower troposphere. In this study, we demonstrate that two atmospherically relevant α,β-unsaturated carbonyls, i.e., but-3-en-2-on (methyl vinyl ketone, MVK) and 2-methylopropenal (methacrolein, MACR), undergo sulfate radical-induced transformations in dilute aqueous systems under photochemical conditions to form organosulfates previously identified in ambient aerosols and SOA generated in smog chambers. The photooxidation was performed under sun irradiation in unbuffered aqueous solutions containing carbonyl precursors at a concentration of 0.2 mmol and peroxydisulfate as a source of sulfate radicals (SO₄^-) at a concentration of 0.95 mmol. UV-vis analysis of solutions showed the fast decay of unsaturated carbonyl precursors in the presence of sulfate radicals. The observation confirms the capacity of sulfate radicals to transform the organic compounds into SOA components in atmospheric waters. Detailed interpretation of high-resolution negative ion electrospray ionization tandem mass spectra allowed to assign molecular structures to multiple aqueous organosulfate products, including an abundant isoprene-derived organosulfate C₄H₈SO₇ detected at m/z 199. The results highlight the solar aqueous-phase reactions as a potentially significant route for biogenic SOA production in clouds at locations where isoprene oxidation occurs. A recent modelling study suggests that such processes could likely contribute to 20-30 Tg year^-1 production of SOA, referred to as aqSOA, which is a non-negligible addition to the still underestimated budget of atmospheric aerosol.

Long-term changes (1990-2015) in the atmospheric deposition and runoff water chemistry of sulphate, inorganic nitrogen and acidity for forested catchments in Europe in relation to changes in emissions and hydrometeorological conditions

The international Long-Term Ecological Research Network (ILTER) encompasses hundreds of long-term research/monitoring sites located in a wide array of ecosystems that can help us understand environmental change across the globe. We evaluated long-term trends (1990-2015) for bulk deposition, throughfall and runoff water chemistry and fluxes, and climatic variables in 25 forested catchments in Europe belonging to the UNECE International Cooperative Programme on Integrated Monitoring of Air Pollution Effects on Ecosystems (ICP IM). Many of the IM sites form part of the monitoring infrastructures of this larger ILTER network. Trends were evaluated for monthly concentrations of non-marine (anthropogenic fraction, denoted as x) sulphate (xSO₄) and base cations x(Ca+Mg), hydrogen ion (H⁺), inorganic N (NO₃ and NH₄) and ANC (Acid Neutralising Capacity) and their respective fluxes into and out of the catchments and for monthly precipitation, runoff and air temperature. A significant decrease of xSO₄ deposition resulted in decreases in concentrations and fluxes of xSO₄ in runoff, being significant at 90% and 60% of the sites, respectively. Bulk deposition of NO₃ and NH₄ decreased significantly at 60-80% (concentrations) and 40-60% (fluxes) of the sites. Concentrations and fluxes of NO₃ in runoff decreased at 73% and 63% of the sites, respectively, and NO₃ concentrations decreased significantly at 50% of the sites. Thus, the LTER/ICP IM network confirms the positive effects of the emission reductions in Europe. Air temperature increased significantly at 61% of the sites, while trends for precipitation and runoff were rarely significant. The site-specific variation of xSO₄ concentrations in runoff was most strongly explained by deposition. Climatic variables and deposition explained the variation of inorganic N concentrations in runoff at single sites poorly, and as yet there are no clear signs of a consistent deposition-driven or climate-driven increase in inorganic N exports in the catchments.

[New rules of the bathing water quality management]

Directive 2006/7/EC concerning the management of bathing water quality and repealing directive 76/160/ EEC, adopted in 2006, resulted in changes polish laws and regulations of this topic, which were necessary to comply with the new Directive. These included Water Act and three regulations: on bathing water quality surveillance, on bathing waters register and on bathing water profile. The main changes in the sanitary surveillance on bathing waters quality and their consequences for bathers has been discussed in the article. According to new regulations conducting bathing water quality monitoring was handed over to organizers of bathing sites and local government. Bathing water supervision and water quality assessment is in Polish Sanitary Inspection competence. Unique solution of polish law is division of bathing places into two categories: bathing sites and places used for bathing. In a consequence regulations "create" another category of such objects like places used according to custom for bathing by neighbourhood people, which will be left without any supervision. There is significant threat that new formal aspects combined with organisers burdened with supervision and finance responsibilities, will lead to decrease number of bathing sites in favour of growing number of places used for bathing. This can in consequence diminish bathers health safety.

[Potential human health effects of PM10 exposure in Poland]

Short and long-term exposure to people of the fine particulate matter concentrations (PM10) cause ill-health endpoints such as increased hospital admissions for respiratory and cardio. vascular disease. Many researches and studies have also shown the associations with increased daily mortality, in total and due to cardiovascular and respiratory causes. The adverse health effect associated with the PM10 is observed mainly in the high density populated area where threshold values are excided. Estimation of the level of selected ill-health endpoints (mentioned above) as a result of the PM10 exposure in some areas in Poland was the main aim of the project. Final results have been done based on AirQ software, elaborated and delivered by WHO, and measurements from National Air Quality Monitoring System. The maximum values of mentioned ill-health endpoints (calculated per 100 thousand inhabitants) were obtained for high density and polluted industrial regions in the southern part of Poland. The best situation concerning indicators is observed in the northern part of the country.