Characteristics of airborne particles in stone quarrying areas: Human exposure assessment and mitigation.

This investigation aims to assess the levels of human exposure to airborne particulate matter (PM) in various locations of a natural stone quarry for the first time based on simultaneous measurements of both PM mass and number concentrations (PMC and PNC). A quarry located in Danang city, Vietnam, considered to be a "hotspot" of air pollution in the city, was selected for detailed investigations. Both PMC and PNC were found to be significantly higher (1.2-6.0 times) within the quarry compared to surrounding areas. Mechanical activities during mining, notably crushing, screening, hauling, and loading stones, contributed to increased emissions of PM in the coarser mode (1-10 µm) compared to the accumulation mode (0.1-1 µm) and thus increased deposition of PM1-10 in the human upper respiratory tract. In contrast, combustion activities, especially the diesel engine exhaust from various machines and vehicles used in the quarry, resulted in increased emissions of small particles in the accumulation mode that dominated the PNC and in their deposition in the lower respiratory tract. Simultaneous measurements of PNC and PMC revealed that the PM counts were strongly associated with PM deposition in the alveolar region (accounting for ≈ 76% of total PNC of particles less than 10 µm, N10), while the PM mass concentration was a better indicator of the deposition of PM in the head airway region (≈92% of total PMC of PM10). Overall, this study demonstrates the significance of measuring both PNC and PMC to assess PM exposure levels, regional respiratory doses, and potential health effects associated with human exposure to PM generated from stone quarrying activities. The novelty of this work is the integration of real-time mass and number concentrations of PM over the size range from 20 nm to 10 µm to provide insights into respiratory deposited doses of size-fractionated PM among quarry workers.

Health risks and perceptions of residents exposed to multiple sources of air pollutions: A cross-sectional study on landfill and stone mining in Danang city, Vietnam.

Health risks and perceptions of residents living nearby landfills or stone mines/quarries have been well documented; however, the multiple impacts of these two pollution sources have yet to be investigated. This study aims at giving insights into the impacts of residents exposed to two pollution sources in Danang city, Vietnam: Khanh Son landfill and Phuoc Tuong quarry. In this cross-sectional study, 7-point-Likert scale questionnaires were used to collect information from 314 respondents which were divided into three groups: i) Landfill-Stone mine (LS) exposed group within 1 km from both sources, ii) Stone mine (ST) exposed group within 1 km from the stone mine, and iii) the far-exposed group about 2-3 km from the two emission sites. Air pollutants (including H2S, CH4, and total suspended particles (TSP)) and noise levels were also sampled. In addition, we estimated the potential health risk assessment due to the exposure to hydrogen sulphide in the study areas. The findings have shown that 1) There is a statistical difference (p-value < 0.001) between the two exposed groups and far-exposed group regarding health risks and residents' perceptions; 2) Compared to the ST exposed group, the LS exposed group statistically showed a higher perception to bad odours and skin diseases; lower satisfaction with regards to the personal health condition and the operation of the landfill; and higher willingness to change current living locations; and 3) There is evidence to indicate that elevated concentrations of air pollutants are associated with the high self-reported health risks and residents' perceptions. Urgent actions should be focused on the LS exposed group, landfill and quarry operations to prevent further adverse health effects.

Assessment of Home-Based and Mobility-Based Exposure to Black Carbon in an Urban Environment: A Pilot Study.

The combustion of fossil fuels is a significant source of particulate-bound black carbon (BC) in urban environments. The personal exposure (PE) of urban dwellers to BC and subsequent health impacts remain poorly understood due to a lack of observational data. In this study, we assessed and quantified the levels of PE to BC under two exposure scenarios (home-based and mobility-based exposure) in the city of Trivandrum in India. In the home-based scenario, the PE to BC was assessed in a naturally ventilated building over 24 h each day during the study period while in the mobility-based scenario, the PE to BC was monitored across diverse microenvironments (MEs) during the day using the same study protocol for consistency. Elevated BC concentrations were observed during the transport by motorcycle (26.23 ± 2.33 µg/m3) and car (17.49 ± 2.37 µg/m3). The BC concentrations observed in the MEs decreased in the following order: 16.58 ± 1.38 µg/m3 (temple), 13.78 ± 2.07 µg/m3 (restaurant), 11.44 ± 1.37 µg/m3 (bus stop), and 8.27 ± 1.88 µg/m3 (home); the standard deviations represent the temporal and spatial variations of BC concentrations. Overall, a relatively larger inhaled dose of BC in the range of 148.98-163.87 µg/day was observed for the mobility-based scenario compared to the home-based one (118.10-137.03 µg/day). This work highlights the importance of reducing PE to fossil fuel-related particulate emissions in cities for which BC is a good indicator. The study outcome could be used to formulate effective strategies to improve the urban air quality as well as public health.

Assessing private provider perceptions and the acceptability of video observed treatment technology for tuberculosis treatment adherence in three cities across Viet Nam.

BACKGROUND: The World Health Organization recently recommended Video Observed Therapy (VOT) as one option for monitoring tuberculosis (TB) treatment adherence. There is evidence that private sector TB treatment has substandard treatment follow-up, which could be improved using VOT. However, acceptability of VOT in the private sector has not yet been evaluated. METHODS: We conducted a cross-sectional survey employing a theoretical framework for healthcare intervention acceptability to measure private provider perceptions of VOT across seven constructs in three cities of Viet Nam: Ha Noi, Ho Chi Minh City, and Hai Phong. We investigated the differences in private providers' attitudes and perceptions of VOT using mixed ordinal models to test for significant differences in responses between groups of providers stratified by their willingness to use VOT. RESULTS: A total of 79 private providers completed the survey. Sixty-two providers (75%) indicated they would use VOT if given the opportunity. Between private providers who would and would not use VOT, there were statistically significant differences (p≤0.001) in the providers' beliefs that VOT would help identify side effects faster and in their confidence to monitor treatment and provide differentiated care with VOT. There were also significant differences in providers' beliefs that VOT would save them time and money, address problems faced by their patients, benefit their practice and patients, and be relevant for all their patients. CONCLUSION: Private providers who completed the survey have positive views towards using VOT and specific subpopulations acknowledge the value of integrating VOT into their practice. Future VOT implementation in the private sector should focus on emphasizing the benefits and relevance of VOT during recruitment and provide programmatic support for implementing differentiated care with the technology.