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1.
Philos Trans A Math Phys Eng Sci ; 378(2183): 20190314, 2020 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-32981430

RESUMEN

Air pollution has been recognized as a threat to human health since the time of Hippocrates, ca 400 BC. Successive written accounts of air pollution occur in different countries through the following two millennia until measurements, from the eighteenth century onwards, show the growing scale of poor air quality in urban centres and close to industry, and the chemical characteristics of the gases and particulate matter. The industrial revolution accelerated both the magnitude of emissions of the primary pollutants and the geographical spread of contributing countries as highly polluted cities became the defining issue, culminating with the great smog of London in 1952. Europe and North America dominated emissions and suffered the majority of adverse effects until the latter decades of the twentieth century, by which time the transboundary issues of acid rain, forest decline and ground-level ozone became the main environmental and political air quality issues. As controls on emissions of sulfur and nitrogen oxides (SO2 and NOx) began to take effect in Europe and North America, emissions in East and South Asia grew strongly and dominated global emissions by the early years of the twenty-first century. The effects of air quality on human health had also returned to the top of the priorities by 2000 as new epidemiological evidence emerged. By this time, extensive networks of surface measurements and satellite remote sensing provided global measurements of both primary and secondary pollutants. Global emissions of SO2 and NOx peaked, respectively, in ca 1990 and 2018 and have since declined to 2020 as a result of widespread emission controls. By contrast, with a lack of actions to abate ammonia, global emissions have continued to grow. This article is part of a discussion meeting issue 'Air quality, past present and future'.


Asunto(s)
Contaminación del Aire , Lluvia Ácida , Contaminantes Atmosféricos/análisis , Contaminación del Aire/efectos adversos , Contaminación del Aire/historia , Contaminación del Aire/legislación & jurisprudencia , Ciudades , Ecosistema , Monitoreo del Ambiente , Eutrofización , Salud Global/historia , Historia del Siglo XVII , Historia del Siglo XVIII , Historia del Siglo XIX , Historia del Siglo XX , Historia del Siglo XXI , Historia Antigua , Historia Medieval , Humanos , Ozono/análisis , Material Particulado/análisis , Tecnología de Sensores Remotos
3.
Haematologica ; 102(4): 666-675, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-27909222

RESUMEN

Sickle cell disease is an increasing global health burden. This inherited disease is characterized by a remarkable phenotypic heterogeneity, which can only partly be explained by genetic factors. Environmental factors are likely to play an important role but studies of their impact on disease severity are limited and their results are often inconsistent. This study investigated associations between a range of environmental factors and hospital admissions of young patients with sickle cell disease in London and in Paris between 2008 and 2012. Specific analyses were conducted for subgroups of patients with different genotypes and for the main reasons for admissions. Generalized additive models and distributed lag non-linear models were used to assess the magnitude of the associations and to calculate relative risks. Some environmental factors significantly influence the numbers of hospital admissions of children with sickle cell disease, although the associations identified are complicated. Our study suggests that meteorological factors are more likely to be associated with hospital admissions for sickle cell disease than air pollutants. It confirms previous reports of risks associated with wind speed (risk ratio: 1.06/standard deviation; 95% confidence interval: 1.00-1.12) and also with rainfall (1.06/standard deviation; 95% confidence interval: 1.01-1.12). Maximum atmospheric pressure was found to be a protective factor (0.93/standard deviation; 95% confidence interval: 0.88-0.99). Weak or no associations were found with temperature. Divergent associations were identified for different genotypes or reasons for admissions, which could partly explain the lack of consistency in earlier studies. Advice to patients with sickle cell disease usually includes avoiding a range of environmental conditions that are believed to trigger acute complications, including extreme temperatures and high altitudes. Scientific evidence to support such advice is limited and sometimes confusing. This study shows that environmental factors do explain some of the variations in rates of admission to hospital with acute symptoms in sickle cell disease, but the associations are complex, and likely to be specific to different environments and the individual's exposure to them. Furthermore, this study highlights the need for prospective studies with large numbers of patients and standardized protocols across Europe.


Asunto(s)
Anemia de Células Falciformes/epidemiología , Ambiente , Exposición a Riesgos Ambientales , Hospitalización , Vigilancia en Salud Pública , Adolescente , Adulto , Anciano , Niño , Preescolar , Progresión de la Enfermedad , Exposición a Riesgos Ambientales/efectos adversos , Humanos , Londres/epidemiología , Persona de Mediana Edad , Oportunidad Relativa , Paris/epidemiología , Factores de Riesgo , Adulto Joven
4.
Environ Sci Technol ; 51(13): 7511-7519, 2017 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-28621543

RESUMEN

Municipal Waste Incineration (MWI) is regulated through the European Union Directive on Industrial Emissions (IED), but there is ongoing public concern regarding potential hazards to health. Using dispersion modeling, we estimated spatial variability in PM10 concentrations arising from MWIs at postcodes (average 12 households) within 10 km of MWIs in Great Britain (GB) in 2003-2010. We also investigated change points in PM10 emissions in relation to introduction of EU Waste Incineration Directive (EU-WID) (subsequently transposed into IED) and correlations of PM10 with SO2, NOx, heavy metals, polychlorinated dibenzo-p-dioxins/furan (PCDD/F), polycyclic aromatic hydrocarbon (PAH) and polychlorinated biphenyl (PCB) emissions. Yearly average modeled PM10 concentrations were 1.00 × 10-5 to 5.53 × 10-2 µg m-3, a small contribution to ambient background levels which were typically 6.59-2.68 × 101 µg m-3, 3-5 orders of magnitude higher. While low, concentration surfaces are likely to represent a spatial proxy of other relevant pollutants. There were statistically significant correlations between PM10 and heavy metal compounds (other heavy metals (r = 0.43, p = <0.001)), PAHs (r = 0.20, p = 0.050), and PCBs (r = 0.19, p = 0.022). No clear change points were detected following EU-WID implementation, possibly as incinerators were operating to EU-WID standards before the implementation date. Results will be used in an epidemiological analysis examining potential associations between MWIs and health outcomes.


Asunto(s)
Contaminantes Atmosféricos , Incineración , Dibenzodioxinas Policloradas , Benzofuranos , Salud Ambiental , Monitoreo del Ambiente , Humanos , Modelos Teóricos , Reino Unido
6.
Occup Environ Med ; 73(5): 300-7, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26884048

RESUMEN

OBJECTIVES: There is evidence of adverse associations between short-term exposure to traffic-related pollution and health, but little is known about the relative contribution of the various sources and particulate constituents. METHODS: For each day for 2011-2012 in London, UK over 100 air pollutant metrics were assembled using monitors, modelling and chemical analyses. We selected a priori metrics indicative of traffic sources: general traffic, petrol exhaust, diesel exhaust and non-exhaust (mineral dust, brake and tyre wear). Using Poisson regression models, controlling for time-varying confounders, we derived effect estimates for cardiovascular and respiratory hospital admissions at prespecified lags and evaluated the sensitivity of estimates to multipollutant modelling and effect modification by season. RESULTS: For single day exposure, we found consistent associations between adult (15-64 years) cardiovascular and paediatric (0-14 years) respiratory admissions with elemental and black carbon (EC/BC), ranging from 0.56% to 1.65% increase per IQR change, and to a lesser degree with carbon monoxide (CO) and aluminium (Al). The average of past 7 days EC/BC exposure was associated with elderly (65+ years) cardiovascular admissions. Indicated associations were higher during the warm period of the year. Although effect estimates were sensitive to the adjustment for other pollutants they remained consistent in direction, indicating independence of associations from different sources, especially between diesel and petrol engines, as well as mineral dust. CONCLUSIONS: Our results suggest that exhaust related pollutants are associated with increased numbers of adult cardiovascular and paediatric respiratory hospitalisations. More extensive monitoring in urban centres is required to further elucidate the associations.


Asunto(s)
Contaminación del Aire/efectos adversos , Enfermedades Cardiovasculares , Exposición a Riesgos Ambientales/efectos adversos , Hospitalización , Material Particulado/efectos adversos , Enfermedades Respiratorias , Emisiones de Vehículos , Adolescente , Adulto , Anciano , Contaminantes Atmosféricos/efectos adversos , Aluminio/efectos adversos , Monóxido de Carbono/efectos adversos , Enfermedades Cardiovasculares/inducido químicamente , Enfermedades Cardiovasculares/terapia , Niño , Preescolar , Humanos , Lactante , Recién Nacido , Londres , Persona de Mediana Edad , Vehículos a Motor , Enfermedades Respiratorias/inducido químicamente , Enfermedades Respiratorias/terapia , Hollín/efectos adversos , Emisiones de Vehículos/análisis , Adulto Joven
7.
Respirology ; 17(1): 7-19, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21942967

RESUMEN

Research confirming the detrimental impact poor ambient air quality and episodes of abnormally high pollutants has on public health, plus differential susceptibility, calls for improved understanding of this complex topic among all walks of society. The public and particularly, vulnerable groups, should be aware of their quality of air, enabling action to be taken in the event of increased pollution. Policy makers must have a sound awareness of current air quality and future trends, to identify issues, guide policies and monitor their effectiveness. These attitudes are dependent upon air pollution monitoring, forecasting and reporting, serving all interested parties. Apart from the underlying national regulatory obligation a country has in reporting air quality information, data output serves several purposes. This review focuses on provision of real-time data and advanced warnings of potentially health-damaging events, in the form of national air quality indices and proactive alert services. Some of the challenges associated with designing these systems include technical issues associated with the complexity of air pollution and its science. These include inability to provide precise exposure concentrations or guidance on long-term/cumulative exposures or effects from pollutant combinations. Other issues relate to the degree to which people are aware and positively respond to these services. Looking to the future, mobile devices such as cellular phones, equipped with sensing applications have potential to provide dynamic, temporally and spatially precise exposure measures for the mass population. The ultimate aim should be to empower people to modify behaviour-for example, when to increase medication, the route/mode of transport taken to school or work or the appropriate time to pursue outdoor activities-in a way that protects their health as well as the quality of the air they breathe.


Asunto(s)
Contaminantes Atmosféricos/efectos adversos , Contaminación del Aire/efectos adversos , Monitoreo del Ambiente , Salud Pública/normas , Monóxido de Carbono/efectos adversos , Femenino , Humanos , Masculino , Óxido Nítrico/efectos adversos , Ozono/efectos adversos , Material Particulado/efectos adversos , Formulación de Políticas , Salud Pública/tendencias , Dióxido de Azufre/efectos adversos
8.
Environ Int ; 161: 107092, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-35074633

RESUMEN

There is increasing evidence of potential health impacts from both aircraft noise and aircraft-associated ultrafine particles (UFP). Measurements of noise and UFP are however scarce near airports and so their variability and relationship are not well understood. Particle number size distributions and noise levels were measured at two locations near Gatwick airport (UK) in 2018-19 with the aim to characterize particle number concentrations (PNC) and link PNC sources, especially UFP, with noise. Positive Matrix Factorization was used on particle number size distribution to identify these sources. Mean PNC (7500-12,000 p cm-3) were similar to those measured close to a highly trafficked road in central London. Peak PNC (94,000 p cm-3) were highest at the site closer to the runway. The airport source factor contributed 17% to the PNC at both sites and the concentrations were greatest when the respective sites were downwind of the runway. However, the main source of PNC was associated with traffic emissions. At both sites noise levels were above the recommendations by the WHO (World Health Organisation). Regression models of identified UFP sources and noise suggested that the largest source of noise (LAeq-1hr) above background was associated with sources of fresh traffic and urban UFP depending on the site. Noise and UFP correlations were moderate to low suggesting that UFP are unlikely to be an important confounder in epidemiological studies of aircraft noise and health. Correlations between UFP and noise were affected by meteorological factors, which need to be considered in studies of short-term associations between aircraft noise and health.


Asunto(s)
Contaminantes Atmosféricos , Aeropuertos , Contaminantes Atmosféricos/análisis , Monitoreo del Ambiente , Londres , Tamaño de la Partícula , Material Particulado/análisis , Emisiones de Vehículos/análisis
9.
Environ Sci Process Impacts ; 23(12): 1949-1960, 2021 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-34847215

RESUMEN

Determining the concentration of carbonaceous particles in ambient air is important for climate modelling, source attribution and air quality management. This study presents the difficulties associated with the interpretation of apparent long-term changes in the mass absorption cross section (MAC) of carbonaceous particles in London and south-east England based on equivalent black carbon (eBC) and elemental carbon (EC) measurements between 2014 and 2019. Although these two measurement techniques were used to determine the concentration of carbonaceous aerosols, the concentrations of eBC and EC changed at different rates at all sites, and exhibited different long-term trends. eBC measurements obtained using aethalometer instruments for traffic and urban background sites demonstrated consistent trends, showing decreases in concentrations of up to -12.5% y-1. The EC concentrations showed no change at the urban background location, a similar change to eBC at the traffic site and a significant upward trend of +10% y-1 was observed at the rural site. Despite these differences, the trends in the MAC values decreased at all sites in a similar way, with rates of change from -5.5% y-1 to -10.1% y-1. The different trends and magnitudes of change for the eBC and EC concentrations could lead to uncertainty in quantifying the efficacy of intervention measures and to different conclusions for policy making. This paper provides possible explanations of the observed decrease in MAC values over time.


Asunto(s)
Contaminantes Atmosféricos , Aerosoles/análisis , Contaminantes Atmosféricos/análisis , Carbono/análisis , Monitoreo del Ambiente , Londres , Material Particulado/análisis , Políticas , Estaciones del Año
10.
Epidemiology ; 21(4): 501-11, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-20502338

RESUMEN

BACKGROUND: Epidemiologic evidence suggests that exposure to ambient particulate matter is associated with adverse health effects. Little is known, however, about which components of the particulate mixture (size, number, source, toxicity) are most relevant to health. We investigated associations of a range of particle metrics with daily deaths and hospital admissions in London. METHODS: Daily concentrations of particle mass (PM10, PM2.5, and PM(10-2.5)), measured using gravimetric, tapered-element-oscillating, and filter-dynamic-measurement-system samplers, as well as particle number concentration and particle composition (carbon, sulfate, nitrate and chloride), were collected from a background monitoring station in central London between 2000 and 2005. All-cause and cause-specific deaths and emergency admissions to hospital in London for the same period were also collected. A Poisson regression time-series model was used in the analysis. RESULTS: The results were not consistent across the various outcomes and lags. Particle number concentration was associated with daily mortality and admissions, particularly for cardiovascular diseases lagged 1-day; increases in particle number concentration (10,166 n/cm3) were associated with 2.2% (95% confidence interval = 0.6% to 3.8%) and 0.6% (-0.4% to 1.7%) increases in cardiovascular deaths and admissions, respectively. Secondary pollutants, especially nonprimary PM2.5, nitrate and sulfate, were more important for respiratory outcomes. CONCLUSIONS: This study provides some evidence that specific components of the particle mixture for air pollutants may be relevant to specific diseases. Interpretation should be cautious, however, in particular because exposures were based upon data from a single centrally located monitoring site. There is a need for replication with more comprehensive exposure data, both in London and elsewhere.


Asunto(s)
Material Particulado/efectos adversos , Salud Urbana/estadística & datos numéricos , Contaminación del Aire/efectos adversos , Contaminación del Aire/análisis , Contaminación del Aire/estadística & datos numéricos , Enfermedades Cardiovasculares/inducido químicamente , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/mortalidad , Intervalos de Confianza , Servicio de Urgencia en Hospital/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Humanos , Londres/epidemiología , Mortalidad , Material Particulado/análisis , Distribución de Poisson , Análisis de Regresión , Factores de Tiempo
11.
Environ Sci Technol ; 44(21): 8295-301, 2010 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-20886897

RESUMEN

Firework events are capable of inducing particulate matter (PM) episodes that lead to exceedances of regulatory limit values. As short-term peaks in ambient PM concentration have been associated with negative impacts on respiratory and cardiovascular health, we performed a detailed study of the consequences of firework events in London on ambient air quality and PM composition. These changes were further related to the oxidative activity of daily PM samples by assessing their capacity to drive the oxidation of physiologically important lung antioxidants including ascorbate, glutathione and urate (oxidative potential, OP). Twenty-four hour ambient PM samples were collected at the Marylebone Road sampling site in Central London over a three week period, including two major festivals celebrated with pyrotechnic events: Guy Fawkes Night and Diwali. Pyrotechnic combustion events were characterized by increased gas phase pollutants levels (NO(x) and SO(2)), elevated PM mass concentrations, and trace metal concentrations (specifically Sr, Mg, K, Ba, and Pb). Relationships between NO(x), benzene, and PM(10) were used to apportion firework and traffic source fractions. A positive significant relationship was found between PM oxidative burden and individual trace metals associated with each of these apportioned source fractions. The level of exposure to each source fraction was significantly associated with the total OP. The firework contribution to PM total OP, on a unit mass basis, was greater than that associated with traffic sources: a 1 µg elevation in firework and traffic PM fraction concentration was associated with a 6.5 ± 1.5 OP(T) µg(-1) and 5.2 ± 1.4 OP(T) µg(-1) increase, respectively. In the case of glutathione depletion, firework particulate OP (3.5 ± 0.8 OP(GSH) µg(-1)) considerably exceeded that due to traffic particles (2.2 ± 0.8 OP(GSH) µg(-1)). Therefore, in light of the elevated PM concentrations caused by firework activity and the increased oxidative activity of this PM source, there is value in examining if firework derived PM is related to acute respiratory outcomes.


Asunto(s)
Contaminantes Atmosféricos/análisis , Sustancias Explosivas/efectos adversos , Estrés Oxidativo , Material Particulado/análisis , Contaminantes Atmosféricos/toxicidad , Monitoreo del Ambiente , Humanos , Exposición por Inhalación/efectos adversos , Exposición por Inhalación/análisis , Metales/análisis , Óxido Nítrico/análisis , Material Particulado/toxicidad
12.
Sci Total Environ ; 740: 140059, 2020 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-32927570

RESUMEN

Due to a lack of routine monitoring, bespoke measurements are required to develop ultrafine particle (UFP) land use regression (LUR) models, which is especially challenging in megacities due to their large area. As an alternative, for London, we developed separate models for three urban residential areas, models combining two areas, and models using all three areas. Models were developed against annual mean ultrafine particle count cm-3 estimated from repeated 30-min fixed-site measurements, in different seasons (2016-2018), at forty sites per area, that were subsequently temporally adjusted using continuous measurements from a single reference site within or close to each area. A single model and 10 models were developed for each individual area and combination of areas. Within each area, sites were split into 10 groups using stratified random sampling. Each of the 10 models were developed using 90% of sites. Hold-out validation was performed by pooling the 10% of sites held-out each time. The transferability of models was tested by applying individual and two-area models to external area(s). In model evaluation, within-area mean squared error (MSE) R2 ranged from 14% to 48%. Transferring individual- and combined-area models to external areas without calibration yielded MSE-R2 ranging from -18 to 0. MSE-R2 was in the range 21% to 41% when using particle number count (PNC) measurements in external areas to calibrate models. Our results suggest that the UFP models could be transferred to other areas without calibration in London to assess relative ranking in exposures but not for estimating absolute values of PNC.

13.
Environ Int ; 134: 104845, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31230843

RESUMEN

BACKGROUND: Few studies have investigated congenital anomalies in relation to municipal waste incinerators (MWIs) and results are inconclusive. OBJECTIVES: To conduct a national investigation into the risk of congenital anomalies in babies born to mothers living within 10 km of an MWI associated with: i) modelled concentrations of PM10 as a proxy for MWI emissions more generally and; ii) proximity of residential postcode to nearest MWI, in areas in England and Scotland that are covered by a congenital anomaly register. METHODS: Retrospective population-based cohort study within 10 km of 10 MWIs in England and Scotland operating between 2003 and 2010. Exposure was proximity to MWI and log of daily mean modelled ground-level particulate matter ≤10 µm diameter (PM10) concentrations. RESULTS: Analysis included 219,486 births, stillbirths and terminations of pregnancy for fetal anomaly of which 5154 were cases of congenital anomalies. Fully adjusted odds ratio (OR) per doubling in PM10 was: 1·00 (95% CI 0·98-1·02) for all congenital anomalies; 0·99 (0·97-1·01) for all congenital anomalies excluding chromosomal anomalies. For every 1 km closer to an MWI adjusted OR was: 1·02 (1·00-1·04) for all congenital anomalies combined; 1·02 (1·00-1·04) for all congenital anomalies excluding chromosomal anomalies; and, for specific anomaly groups, 1·04 (1·01-1·08) for congenital heart defect sand 1·07 (1·02-1·12) for genital anomalies. DISCUSSION: We found no increased risk of congenital anomalies in relation to modelled PM10 emissions, but there were small excess risks associated with congenital heart defects and genital anomalies in proximity to MWIs. These latter findings may well reflect incomplete control for confounding, but a possible causal effect cannot be excluded.


Asunto(s)
Incineración , Estudios de Cohortes , Anomalías Congénitas , Inglaterra , Femenino , Humanos , Embarazo , Estudios Retrospectivos , Escocia
14.
Environ Int ; 135: 105345, 2020 02.
Artículo en Inglés | MEDLINE | ID: mdl-31810011

RESUMEN

Ultrafine particles (UFP) are suspected of having significant impacts on health. However, there have only been a limited number of studies on sources of UFP compared to larger particles. In this work, we identified and quantified the sources and processes contributing to particle number size distributions (PNSD) using Positive Matrix Factorization (PMF) at six monitoring stations (four urban background and two street canyon) from four European cities: Barcelona, Helsinki, London, and Zurich. These cities are characterised by different meteorological conditions and emissions. The common sources across all stations were Photonucleation, traffic emissions (3 sources, from fresh to aged emissions: Traffic nucleation, Fresh traffic - mode diameter between 13 and 37 nm, and Urban - mode diameter between 44 and 81 nm, mainly traffic but influenced by other sources in some cities), and Secondary particles. The Photonucleation factor was only directly identified by PMF for Barcelona, while an additional split of the Nucleation factor (into Photonucleation and Traffic nucleation) by using NOx concentrations as a proxy for traffic emissions was performed for all other stations. The sum of all traffic sources resulted in a maximum relative contributions ranging from 71 to 94% (annual average) thereby being the main contributor at all stations. In London and Zurich, the relative contribution of the sources did not vary significantly between seasons. In contrast, the high levels of solar radiation in Barcelona led to an important contribution of Photonucleation particles (ranging from 14% during the winter period to 35% during summer). Biogenic emissions were a source identified only in Helsinki (both in the urban background and street canyon stations), that contributed importantly during summer (23% in urban background). Airport emissions contributed to Nucleation particles at urban background sites, as the highest concentrations of this source took place when the wind was blowing from the airport direction in all cities.


Asunto(s)
Contaminantes Atmosféricos , Monitoreo del Ambiente , Emisiones de Vehículos , Ciudades , Europa (Continente) , Londres , Tamaño de la Partícula , Material Particulado
15.
Ann Hematol ; 88(6): 529-33, 2009 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18769920

RESUMEN

Sickle cell anaemia (SCA; HbSS) is characterised by its clinical variability, which is only partly explained by known genetic factors. Environmental factors are known to contribute to acute problems but their importance in chronic complications has not been analysed. We have studied 93 children with SCA in a single institution, who underwent transcranial Doppler scanning and steady-state blood tests in 2006. These data were correlated with each individual's exposure to pollution from dust (PM(10)), nitric oxide (NO) and nitrogen dioxide (NO(2)). This exposure was derived from patient postcodes and detailed street-level maps of average pollutant levels in 2006. All the pollutants correlated closely with each other. Increased exposure to pollution correlated with a significant reduction in total bilirubin levels, with a trend towards lower levels of lactate dehydrogenase and aspartate transaminase. There was significant correlation between extracranial internal carotid artery blood velocity and PM(10) exposure. These studies suggest that chronic exposure to air pollutants could explain some variability in SCA. The lower levels of bilirubin and other markers of haemolysis with increased exposure to air pollutants could be mediated by increased exposure to NO.


Asunto(s)
Contaminantes Atmosféricos/efectos adversos , Contaminación del Aire/efectos adversos , Anemia de Células Falciformes/sangre , Anemia de Células Falciformes/patología , Adolescente , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Anemia de Células Falciformes/enzimología , Niño , Preescolar , Femenino , Humanos , Masculino
16.
Environ Pollut ; 249: 1-12, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30875529

RESUMEN

Paris and London are Europe's two megacities and both experience poor air quality with systemic breaches of the NO2 limit value. Policy initiatives have been taken to address this: some European-wide (e.g. Euro emission standards); others local (e.g. Low Emission Zone, LEZ). Trends in NOX, NO2 and particulate matter (PM10, PM2.5) for 2005-2016 in background and roadside locations; and trends in traffic increments were calculated in both cities to address their impact. Trends in traffic counts and the distribution in Euro standards for diesel vehicles were also evaluated. Linear-mixed effect models were built to determine the main determinants of traffic concentrations. There was an overall increase in roadside NO2 in 2005-2009 in both cities followed by a decrease of ∼5% year-1 from 2010. Downward trends were associated with the introduction of Euro V heavy vehicles. Despite NO2 decreasing, at current rates, roads will need 20 (Paris) and 193 years (London) to achieve the European Limit Value (40 µg m-3 annual mean). Euro 5 light diesel vehicles were associated with the decrease in roadside PM10. An increase in motorcycles in London since 2010 contributed to the lack of significant trend in PM2.5 roadside increment in 2010-16.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminación del Aire/estadística & datos numéricos , Monitoreo del Ambiente , Contaminación del Aire/análisis , Ciudades , Europa (Continente) , Londres , Paris , Material Particulado/análisis , Emisiones de Vehículos/análisis
17.
Environ Int ; 124: 216-235, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30654328

RESUMEN

Although poor air quality can have a negative impact on human health, studies have shown suboptimal levels of adherence to health advice associated with air quality alerts. The present study compared the behavioural impact of the UK Air Quality Index (DAQI) with an alternative message format, using a 2 (general population vs. at-risk individuals) X 2 (usual DAQI messages vs. behaviourally enhanced messages) factorial design. Messages were sent via a smartphone application. Eighty-two participants were randomly allocated to the experimental groups. It was found that the enhanced messages (targeting messages specificity and psychosocial predictors of behaviour change) increased intentions to make permanent behavioural changes to reduce exposure, compared to the control group (V = 0.23). This effect was mediated by a reduced perception of not having enough time to follow the health advice received (b = -0.769, BCa CI [-2.588, 0.533]). It was also found that higher worry about air pollution, perceived severity, perceived efficacy of the recommended behaviour and self-efficacy were predictive of self-reported behaviour change at four weeks. In response to a real moderate air quality alert, among those with a pre-existing lung condition, more respondents in the intervention group reported to have used their preventer inhaler compared to the control group (V = 0.49). On the other hand, the two message formats performed similarly when intentions were collected in relation to a hypothetical high air pollution scenario, with all groups showing relatively high intentions to change behaviours. This study expands the currently limited understanding of how to improve the behavioural impact of existing air quality alerts.


Asunto(s)
Contaminación del Aire , Teléfono Inteligente , Adolescente , Adulto , Práctica Clínica Basada en la Evidencia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Aplicaciones Móviles , Envío de Mensajes de Texto , Adulto Joven
18.
Lancet Public Health ; 4(1): e28-e40, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30448150

RESUMEN

BACKGROUND: Low emission zones (LEZ) are an increasingly common, but unevaluated, intervention aimed at improving urban air quality and public health. We investigated the impact of London's LEZ on air quality and children's respiratory health. METHODS: We did a sequential annual cross-sectional study of 2164 children aged 8-9 years attending primary schools between 2009-10 and 2013-14 in central London, UK, following the introduction of London's LEZ in February, 2008. We examined the association between modelled pollutant exposures of nitrogen oxides (including nitrogen dioxide [NO2]) and particulate matter with a diameter of less than 2·5 µm (PM2·5) and less than 10 µm (PM10) and lung function: postbronchodilator forced expiratory volume in 1 s (FEV1, primary outcome), forced vital capacity (FVC), and respiratory or allergic symptoms. We assigned annual exposures by each child's home and school address, as well as spatially resolved estimates for the 3 h (0600-0900 h), 24 h, and 7 days before each child's assessment, to isolate long-term from short-term effects. FINDINGS: The percentage of children living at addresses exceeding the EU limit value for annual NO2 (40 µg/m3) fell from 99% (444/450) in 2009 to 34% (150/441) in 2013. Over this period, we identified a reduction in NO2 at both roadside (median -1·35 µg/m3 per year; 95% CI -2·09 to -0·61; p=0·0004) and background locations (-0·97; -1·56 to -0·38; p=0·0013), but not for PM10. The effect on PM2·5 was equivocal. We found no association between postbronchodilator FEV1 and annual residential pollutant attributions. By contrast, FVC was inversely correlated with annual NO2 (-0·0023 L/µg per m3; -0·0044 to -0·0002; p=0·033) and PM10 (-0·0090 L/µg per m3; -0·0175 to -0·0005; p=0·038). INTERPRETATION: Within London's LEZ, a smaller lung volume in children was associated with higher annual air pollutant exposures. We found no evidence of a reduction in the proportion of children with small lungs over this period, despite small improvements in air quality in highly polluted urban areas during the implementation of London's LEZ. Interventions that deliver larger reductions in emissions might yield improvements in children's health. FUNDING: National Institute for Health Research Biomedical Research Centre at Guy's and St Thomas' National Health Service (NHS) Foundation Trust and King's College London, NHS Hackney, Lee Him donation, and Felicity Wilde Charitable Trust.


Asunto(s)
Contaminación del Aire/estadística & datos numéricos , Trastornos Respiratorios/epidemiología , Niño , Salud Infantil/estadística & datos numéricos , Estudios Transversales , Exposición a Riesgos Ambientales , Humanos , Londres/epidemiología , Salud Urbana/estadística & datos numéricos
19.
Sci Total Environ ; 609: 1464-1474, 2017 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-28800689

RESUMEN

Despite much work in recent years, vehicle emissions remain a significant contributor in many areas where air quality standards are under threat. Policy-makers are actively exploring options for next generation vehicle emission control and local fleet management policies, and new monitoring technologies to aid these activities. Therefore, we report here on findings from two separate but complementary blind evaluation studies of one new-to-market real-world monitoring option, HEAT LLC's Emission Detection And Reporting system or EDAR, an above-road open path instrument that uses Differential Absorption LIDAR to provide a highly sensitive and selective measure of passing vehicle emissions. The first study, by Colorado Department of Public Health and Environment and Eastern Research Group, was a simulated exhaust gas test exercise used to investigate the instrumental accuracy of the EDAR. Here, CO, NO, CH4 and C3H8 measurements were found to exhibit high linearity, low bias, and low drift over a wide range of concentrations and vehicle speeds. Instrument accuracy was high (R2 0.996 for CO, 0.998 for NO; 0.983 for CH4; and 0.976 for C3H8) and detection limits were 50 to 100ppm for CO, 10 to 30ppm for NO, 15 to 35ppmC for CH4, and, depending on vehicle speed, 100 to 400ppmC3 for C3H8. The second study, by the Universities of Birmingham and Leeds and King's College London, used the comparison of EDAR, on-board Portable Emissions Measurement System (PEMS) and car chaser (SNIFFER) system measurements collected under real-world conditions to investigate in situ EDAR performance. Given the analytical challenges associated with aligning these very different measurements, the observed agreements (e.g. EDAR versus PEMS R2 0.92 for CO/CO2; 0.97 for NO/CO2; ca. 0.82 for NO2/CO2; and, 0.94 for PM/CO2) were all highly encouraging and indicate that EDAR also provides a representative measure of vehicle emissions under real-world conditions.

20.
Environ Pollut ; 218: 463-474, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27450415

RESUMEN

A large number of policy initiatives are being taken at the European level, across the United Kingdom and in London to improve air quality and reduce population exposure to harmful pollutants from traffic emissions. Trends in roadside increments of nitrogen oxides (NOX), nitrogen dioxide (NO2), particulate matter (PM), black carbon (CBLK) and carbon dioxide (CO2) were examined at 65 London monitoring sites for two periods of time: 2005-2009 and 2010-2014. Between 2005 and 2009 there was an overall increase in NO2 reflecting the growing evidence of real world emissions from diesel vehicles. Conversely, NO2 decreased by 10%·year-1 from 2010 onwards along with PM2.5 (-28%·year-1) and black carbon (-11%·year-1). Downwards trends in air pollutants were not fully explained by changes in traffic counts therefore traffic exhaust emission abatement policies were proved to be successful in some locations. PM10 concentrations showed no significant overall change suggesting an increase in coarse particles which offset the decrease in tailpipe emissions; this was especially the case on roads in outer London where an increase in the number of Heavy Good Vehicles (HGVs) was seen. The majority of roads with increasing NOX experienced an increase in buses and coaches. Changes in CO2 from 2010 onwards did not match the downward predictions from reduced traffic flows and improved fleet efficiency. CO2 increased along with increasing HGVs and buses. Polices to manage air pollution provided differential benefits across London's road network. To investigate this, k-means clustering technique was applied to group roads which behaved similarly in terms of trends to evaluate the effectiveness of policies to mitigate traffic emissions. This is the first time that London's roadside monitoring sites have been considered as a population rather than summarized as a mean behaviour only, allowing greater insight into the differential changes in air pollution abatement policies.


Asunto(s)
Contaminantes Atmosféricos/análisis , Contaminación del Aire/legislación & jurisprudencia , Política Ambiental , Emisiones de Vehículos/legislación & jurisprudencia , Contaminación del Aire/análisis , Dióxido de Carbono/análisis , Monitoreo del Ambiente/métodos , Londres , Vehículos a Motor , Dióxido de Nitrógeno/análisis , Óxidos de Nitrógeno/análisis , Material Particulado/análisis , Hollín/análisis , Reino Unido , Emisiones de Vehículos/análisis
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