The incidence of upper respiratory infections in children is related to the concentration of vanadium in indoor dust aggregates.

Background: It has been reported that the disease-initiated and disease-mediated effects of aerosol pollutants can be related to concentration, site of deposition, duration of exposure, as well as the specific chemical composition of pollutants. Objectives: To investigate the microelemental composition of dust aggregates in primary schools of Vilnius and determine trace elements related to acute upper respiratory infections among 6-to 11-year-old children. Methods: Microelemental analysis of aerosol pollution was performed using dust samples collected in the classrooms of 11 primary schools in Vilnius from 2016 to 2020. Sites included areas of its natural accumulation behind the radiator heaters and from the surface of high cupboards. The concentrations of heavy metals (Pb, W, Sb, Sn, Zr, Zn, Cu, Ni, Mn, Cr, V, and As) in dust samples were analyzed using a SPECTRO XEPOS spectrometer. The annual incidence rates of respiratory diseases in children of each school were calculated based on data from medical records. Results: The mean annual incidence of physician-diagnosed acute upper respiratory infections (J00-J06 according to ICD-10A) among younger school-age children was between 25.1 and 71.3% per school. A significant correlation was found between vanadium concentration and the number of episodes of acute upper respiratory infections during each study year from 2016 to 2020. The lowest was r = 0.67 (p = 0.024), and the highest was r = 0.82 (p = 0.002). The concentration of vanadium in the samples of dust aggregates varied from 12.7 to 52.1 parts per million (ppm). No significant correlations between the other trace elements and the incidence of upper respiratory infections were found, which could be caused by a small number of study schools and relatively low concentrations of other heavy metals found in the samples of indoor dust aggregates. Conclusion: A significant and replicable correlation was found between the concentration of vanadium in the samples of natural dust aggregates collected in primary schools and the incidence of acute upper respiratory infections in children. Monitoring the concentration of heavy metals in the indoor environment can be an important instrument for the prevention and control of respiratory morbidity in children.

Parents underestimate fatigue in younger children aged 5-7 years with asthma but not in older children.

AIM: To assess fatigue in children aged 2-17 years with asthma from both child and parent perspectives and describe associated factors. METHODS: Fatigue scores were self-reported by children aged 5-17 years old and proxy-reported by parents or carers for all children. The Pediatric Quality of Life Inventory Multidimensional Fatigue Scale was used. Fatigue scores ranged from 0 to 100, higher scores meant less fatigue. RESULTS: There were 527 children and parents enrolled. The mean overall fatigue score by self-report was 72.7 ± 15.8 and by proxy report was 75.8 ± 16.3. Self-reported fatigue score was lower in children aged 5-7 years (71.5 ± 15.9) compared to proxy-reported score (76.3 ± 15.5). Proxy and self-reported fatigue scores were similar between parents and older children. Fatigue scores were lower in association with poor asthma control and receipt of social support. Lower self-reported, but not proxy-reported, fatigue score was related to asthma severity. Lower proxy-reported, but not self-reported, fatigue score was related to the child being older and having shortness of breath. CONCLUSION: Parents underestimated the fatigue of younger children aged 5-7 years, but fatigue scores were similar between parents and older children. Both clinical and social factors are associated with fatigue in children with asthma.

On the additional risk for human health in the use of sandblasting of building walls.

In 2021, concentrations of heavy metals (Ba, Cr, Fe, Mn, Pb, Ru, Sr, Zn, Zr) and radiocesium (137Cs) were measured in 13 locations in Vilnius in surface samples of walls and facades of buildings built of yellow bricks in order to evaluate possible aerosol air pollution due to sandblasting. The activity concentrations of 137Cs appeared there as a result of global fallout and precipitation of the products of the accident at the Chernobyl Nuclear Power Plant, and the concentration of Pb, as a component of road transport emissions. Other trace elements turned out to be impurities in the material of yellow bricks. In spring 2018, sandblasting of the walls of the building adjacent to the school led to the long-term significant aerosol contamination of school premises (up to 660 µg/m3). Due to sandblasting, the surface of the school sport yard was covered with a thin layer of scraped particles, which were transported by gusts of wind into the school premises. Sandblasting of walls and facades can also be a source of aerosols with 137Cs activity concentrations reaching ~ 40 Bq/kg and Pb - up to 98 ppm. Estimates show that along with 137Cs, the formation of aerosols with activity concentrations of 239, 240Pu reaching 1.6 Bq/kg is possible. Isotopes of 239, 240Pu are analogues of calcium and, when ingested, are deposited in the bones. The ingress of radioactive aerosols into the respiratory tract, especially of children of primary school age, creates additional risks of malignant diseases.

Indoor air pollution effects on pediatric asthma are submicron aerosol particle-dependent.

The school environment is crucial for the child's health and well-being. On the other hand, the data about the role of school's aerosol pollution on the etiology of chronic non-communicable diseases remain scarce. This study aims to evaluate the level of indoor aerosol pollution in primary schools and its relation to the incidence of doctor's diagnosed asthma among younger school-age children. The cross-sectional study was carried out in 11 primary schools of Vilnius during 1 year of education from autumn 2017 to spring 2018. Particle number (PNC) and mass (PMC) concentrations in the size range of 0.3-10 µm were measured using an Optical Particle Sizer (OPS, TSI model 3330). The annual incidence of doctor's diagnosed asthma in each school was calculated retrospectively from the data of medical records. The total number of 6-11 years old children who participated in the study was 3638. The incidence of asthma per school ranged from 1.8 to 6.0%. Mean indoor air pollution based on measurements in classrooms during the lessons was calculated for each school. Levels of PNC and PMC in schools ranged between 33.0 and 168.0 particles/cm3 and 1.7-6.8 µg/m3, respectively. There was a statistically significant correlation between the incidence of asthma and PNC as well as asthma and PMC in the particle size range of 0.3-1 µm (r = 0.66, p = 0.028) and (r = 0.71, p = 0.017) respectively. No significant correlation was found between asthma incidence and indoor air pollution in the particle size range of 0.3-2.5 and 0.3-10 µm.   Conclusion: We concluded that the number and mass concentrations of indoor air aerosol pollution in primary schools in the particle size range of 0.3-1 µm are primarily associated with the incidence of doctor's diagnosed asthma among younger school-age children. What is Known: • Both indoor and outdoor aerosol pollution is associated with bronchial asthma in children. What is New: • The incidence of bronchial asthma among younger school age children is related to indoor air quality in primary schools. • Aerosol pollutants in the size range of 0.3-1 µm in contrast to larger size range particles can play major role in the etiology of bronchial asthma in children.

Global Alliance against Chronic Respiratory Diseases demonstration project: aerosol pollution and its seasonal peculiarities in primary schools of Vilnius.

BACKGROUND: The growing public health concern caused by non-communicable diseases in urban surroundings cannot be solved by health care alone; therefore a multidisciplinary approach is mandatory. This study aimed to evaluate the airborne aerosol pollution level in primary schools as possible factor influencing origin and course of the diseases in children. METHODS: Seasonal aerosol particle number concentration (PNC) and mass concentration (PMC) were studied in the randomly selected eleven primary schools in the Lithuanian capital, Vilnius, as model of a middle-size Eastern European city. Total PNC in the size range from 0.01 to >1.0 µm in diameter was measured using a condensation particle counter. Using an optical particle sizer, PNC was measured and PMC estimated for particles from 0.3 to 10.0 µm. A descriptive statistics was used to estimate the aerosol pollution levels. RESULTS: During all seasons, local cafeterias in the absence of ventilation were the main sources of the elevated levels of indoor PMC and PNC (up to 97,500 particles/cm). The other sources of airborne particulates were the children's activity during the lesson breaks with PMC up to 586 µg/m. Soft furniture, carpets in the classrooms and corridors were responsible for PMC up to 200 µg/m. Outdoor aerosol pollution (up to 18,170 particles/cm) was higher for schools in city center. Elevated air pollution in classrooms also resulted from intermittent sources, such as construction work during classes (200-1000 µg/m) and petrol-powered lawn trimmers (up to 66,400 particles/cm). CONCLUSION: The results of our survey show that even in a relatively low polluted region of Eastern Europe there are big differences in aerosol pollution within middle-sized city. Additional efforts are needed to improve air quality in schools: more frequent wet cleaning, monitoring the operation of ventilation systems, a ban on construction works during school year, on a use of sandblasting mechanisms in the neighborhood of schools.

On the seasonal aerosol pollution levels and its sources in some primary schools in Vilnius, Lithuania.

Aerosol particle number (PNC) and mass concentrations (PMC) were studied in 11 primary schools during the 2017-2018 school years (from September to May) in Vilnius, Lithuania, with the aim to evaluate the main aerosol pollution sources and its levels. Expeditious information on the total aerosol particle concentration over the full range of sizes (from 0.01 to > 1 µm) was estimated using a condensation particle counter (CPC). Particle number and mass concentrations in the size range of 0.3-10 µm were measured and estimated using an optical particle sizer (OPS). The use of aerosol particle size spectra (OPS) in school lodgements facilitated the identification of the main sources of indoor air pollution. The main sources responsible for the elevated levels of indoor PN and PM aerosol concentrations were determined: local canteens in the absence of ventilation (particle concentrations up to 97,500 part/cm3 (CPC)), the school-grader activity during the lesson breaks (275-586 µg/m3), soft furniture and carpets in the classrooms and corridors (~ 200 µg/m3), and in some cases (city center) elevated outdoor aerosol pollution levels (16800-18,170 part/cm3). Elevated aerosol pollution levels were also due to the occasional sources: construction works during lessons (200-1000 µg/m3), scraping the exterior walls of buildings near schools (up to 1600 µg/m3), and the use of petrol-powered trimmers during cutting of green plantings (22500-66,400 part/cm3 (CPC)).