Polycyclic aromatic hydrocarbons, brachial artery distensibility and blood pressure among children residing near an oil refinery.

BACKGROUND: Polycyclic aromatic hydrocarbons (PAH) are produced by the burning and processing of fuel oils, and have been associated with oxidant stress, insulin resistance and hypertension in adults. Few studies have examined whether adolescents are susceptible to cardiovascular effects of PAHs. OBJECTIVE: To study associations of PAH exposure with blood pressure (BP) and brachial artery distensibility (BAD), an early marker of arterial wall stiffness, in young boys attending three schools in Jeddah, Saudi Arabia in varying proximity to an oil refinery. METHODS: Air samples collected from the three schools were analyzed for PAHs. PAH metabolites (total hydroxyphenanthrenes and 1-hydroxypyrene) were measured in urine samples from 184 adolescent males, in whom anthropometrics, heart rate, pulse pressure, brachial artery distensibility and blood pressure were measured. Descriptive, bivariate and multivariable analyses were performed to assess relationships of school location and urinary PAH metabolites with cardiovascular measures. RESULTS: Total suspended matter was significantly higher (444 ± 143 µg/m(3)) at the school near the refinery compared to a school located near a ring road (395 ± 65 µg/m(3)) and a school located away from vehicle traffic (232 ± 137 µg/m(3)), as were PAHs. Systolic (0.47 S D units, p = 0.006) and diastolic (0.53 SD units, p < 0.001) BP Z-scores were highest at the school near the refinery, with a 4.36-fold increase in prehypertension (p = 0.001), controlling for confounders. No differences in pulse pressure, BAD and heart rate were noted in relationship to school location. Urinary total hydroxyphenanthrenes and 1-hydroxypyrene were not associated with cardiovascular outcomes. CONCLUSIONS: Proximity to an oil refinery in Saudi Arabia is associated with prehypertension and increases in PAH and particulate matter exposures. Further study including insulin resistance measurements, better control for confounding, and longitudinal measurement is indicated.

The effects of meteorological factors on atmospheric bioaerosol concentrations--a review.

Over land surfaces a quarter of the total airborne particulate may be made up of biological material in the form of pollen, fungal spores, bacteria, viruses, or fragments of plant and animal matter. Meteorological variables affect the initial release of this material and its dispersal once airborne. Temperature and water availability will affect the size of the source and will control the release of some actively released fungal spores. Inertly released material will become airborne when the drying of the surface reduces bonding forces, and when the material is disrupted by sufficiently strong air movement or by mechanical disturbance. The wind speed necessary to disrupt material is noted to be less on a plant surface than on the ground surface. Measurements of the concentrations of airborne material near dominant sources are reviewed for both area sources, and for point sources such as sewage and waste treatment works, agricultural practices, and diseased animals. The concentration of airborne material remote from sources is considered along with the effects of on and off shore winds and some examples of long distance transport of material. The vertical concentration of bacteria is noted to decline less rapidly than that of fungal spores. The short-term variation of pollen, fungal spore, and bacterial concentrations are also considered.