Autism-like symptoms by exposure to air pollution and valproic acid-induced in male rats.

Exposure to air pollution during prenatal or neonatal periods is associated with autism spectrum disorder (ASD) according to epidemiology studies. Furthermore, prenatal exposure to valproic acid (VPA) has also been found to be associated with an increased prevalence of ASD. To assess the association between simultaneous exposure to VPA and air pollutants, seven exposure groups of rats were included in current study (PM2.5 and gaseous pollutants exposed - high dose of VPA (PGE-high); PM2.5 and gaseous pollutants exposed - low dose of VPA (PGE-low); gaseous pollutants only exposed - high dose of VPA (GE-high); gaseous pollutants only exposed - low dose of VPA (GE-low); clean air exposed - high dose of VPA (CAE-high); clean air exposed - low dose of VPA (CAE-low) and clean air exposed (CAE)). The pollution-exposed rats were exposed to air pollutants from embryonic day (E0) to postnatal day 42 (PND42). In all the induced groups, decreased oxidative stress biomarkers, decreased oxytocin receptor (OXTR) levels, and increased the expression of interleukin 6 (IL-6), interleukin 1ß (IL-1ß), and tumor necrosis factor alpha (TNF-α) were found. The volumes of the cerebellum, hippocampus, striatum, and prefrontal decreased in all induced groups in comparison to CAE. Additionally, increased numerical density of glial cells and decreased of numerical density of neurons were found in all induced groups. Results show that simultaneous exposure to air pollution and VPA can cause ASD-related behavioral deficits and air pollution reinforced the mechanism of inducing ASD ̉s in VPA-induced rat model of autism.

The detection of SARS-CoV-2 RNA in indoor air of dental clinics during the COVID-19 pandemic.

In the indoor environment of dental clinics, dental personnel and patients are exposed to a risk of infection because of the transmission of SARS-CoV-2 via particles or droplets. This study investigated the presence of SARS-CoV-2 RNA in indoor air of dental clinics in Tehran, Iran. Air sampling was done (n = 36) collecting particulate samples on PTFE filters at flow rates of 30 to 58 L/min. The samples were analyzed with novel coronavirus nucleic acid diagnostic real-time PCR kits. Only 13 out of 36 samples were positive for SARS-CoV-2 RNA. Logistic regression showed that sampling site's volume, PM2.5 concentration, number of people, and number of active patient treatment units were significantly positively related with the presence of SARS-CoV-2 RNA. Thus, strategies to control the spread of COVID-19 should include reducing the number of infected people in dental clinics, adding filtration systems, and/or improving ventilation conditions.

Effect of short-term exposure to air pollution on COVID-19 mortality and morbidity in Iranian cities.

Purpose: The association between air pollutant (PM2.5, PM10, NO2, and O3) concentrations and daily number of COVID-19 confirmed cases and related deaths were evaluated in three major Iranian cities (Tehran, Mashhad, and Tabriz). Methods: Hourly concentrations of air pollutants and daily number of PCR-confirmed cases and deaths of COVID-19 were acquired (February 20th, 2020 to January 4th, 2021). A generalized additive model (GAM) assuming a quasi-Poisson distribution was used to model the associations in each city up to lag-day 7 (for mortality) and 14 (for morbidity). Then, the city-specific estimates were meta-analyzed using a fixed effect model to obtain the overall relative risks (RRs). Results: A total of 114,964 confirmed cases and 21,549 deaths were recorded in these cities. For confirmed cases, exposure to PM2.5, NO2, and O3 for several lag-days showed significant associations. In case of mortality, meta-analysis estimated that the RRs for PM2.5, PM10, NO2, and O3 concentrations were 1.06 (95% CI: 0.99, 1.13), 1.06 (95% CI: 0.93, 1.19), 1.15 (95% CI: 0.93, 1.38), and 1.07 (95% CI: 0.84, 1.31), respectively. Despite several positive associations with all air pollutants over multiple lag-days, COVID-19 mortality was only significantly associated with NO2 on lag-days 0-1 and 1 with the RRs of 1.35 (95% CI: 1.04, 1.67) and 1.16 (95% CI: 1.02, 1.31), respectively. Conclusion: This study showed that air pollution can be a factor exacerbating COVID-19 infection and clinical outcomes. Actions should be taken to reduce the exposure of the public and particularly patients to ambient air pollutants. Supplementary Information: The online version contains supplementary material available at 10.1007/s40201-021-00736-4.

A systematic review and meta-analysis of human biomonitoring studies on exposure to environmental pollutants in Iran.

Population exposure to environmental contaminants can be precisely observed through human biomonitoring studies. The present study aimed to systematically review all the biomonitoring studies conducted in Iran on some selected carcinogen environmental pollutants. In this systematic review study, 11 carcinogen agents were selected including arsenic, cadmium, chromium, nickel, lindane, benzene, trichloroethylene (TCE), pentachlorophenol (PCP), radon-222, radium-224, - 226, - 228, and tobacco smoke. The Web of Science, PubMed, and Scopus databases were searched for peer-reviewed articles published in English. After several screening steps, data were extracted from the studies. Meta-analyses (a random-effect model using the DerSimonian-Laired method) were performed only for the biomarkers with more than three eligible articles, including cadmium in blood and breast milk, and arsenic in breast milk. Methodological quality of the studies was assessed using the Newcastle-Ottawa Quality Assessment Scale adapted for cross-sectional studies. Of the 610 articles found in the database search, 30 studies were eligible for qualitative review, and 13 were included in the meta-analysis (cadmium in blood (n = 3), cadmium in breast milk (n = 6), and arsenic in breast milk (n = 4)). The overall pooled average concentrations (95% CI) of cadmium in blood, cadmium in breast milk, and arsenic in breast milk were 0.11 (95% CI: 0.08, 0.14), 5.38 (95% CI: 3.60, 6.96), and 1.42 (95% CI: 1.02, 1.81) µg/L, respectively. These values were compared with the biomarker concentrations in other countries and health-based guideline values. This study showed that there is a need for comprehensive action plans to reduce the exposure of general population to these environmental contaminants.

Presence of SARS-CoV-2 in the air of public places and transportation.

This study investigated the presence of SARS-CoV-2 in air of public places such as shopping centers, a post office, banks, governmental offices, and public transportation facilities including an airport, subways, and buses in Tehran, Iran. A total of 28 air samples were collected from the eight groups of public and transportation locations. The airborne particle samples were collected on PTFE or glass fiber filters using two types of samplers with flow rates of 40 and 3.5 L/min, respectively. The viral samples were leached and concentrated, and RNA was extracted from each. The presence of viral RNA was evaluated using novel coronavirus nucleic acid diagnostic real time PCR kits. In 64% of the samples, SARS-CoV-2 RNA (62% and 67% from the public places and transportation, respectively) was detected. Positive samples were detected in banks (33%), shopping centers (100%), governmental offices (50%), the airport (80%), subway stations (50%), subway trains (100%), and buses (50%). Logistic regression showed that number of people present during the sampling and the sampled air volume were positively associated with presence of SARS-CoV-2; while the percentage of people with masks, air temperature, and sampling site's volume were negatively related to SARS-CoV-2's presence. However, none of these associations were statistically significant. This study showed that most public places and transportation vehicles were contaminated with SARS-CoV-2. Thus, strategies to control the spread of COVID-19 should include reducing the number of people in indoor spaces, more intense disinfection of transport vehicles, and requiring people to wear masks.

Effects of PM2.5 and gases exposure during prenatal and early-life on autism-like phenotypes in male rat offspring.

BACKGROUND: Epidemiological studies have reported associations between elevated air pollution and autism spectrum disorders (ASD). However, we hypothesized that exposure to air pollution that mimics real world scenarios, is a potential contributor to ASD. The exact etiology and molecular mechanisms underlying ASD are not well understood. Thus, we assessed whether changes in OXTR levels may be part of the mechanism linking PM2.5/gaseous pollutant exposure and ASD. The current in-vivo study investigated the effect of exposure to fine particulate matter (PM2.5) and gaseous pollutants on ASD using behavioral and molecular experiments. Four exposure groups of Wistar rats were included in this study: 1) particulate matter and gaseous pollutants exposed (PGE), 2) gaseous pollutants only exposed (GE), 3) autism-like model (ALM) with VPA induction, and 4) clean air exposed (CAE) as the control. Pregnant dams and male pups were exposed to air pollutants from embryonic day (E0) to postnatal day (PND21). RESULTS: The average ± SD concentrations of air pollutants were: PM2.5: 43.8 ± 21.1 µg/m3, CO: 13.5 ± 2.5 ppm, NO2: 0.341 ± 0.100 ppm, SO2: 0.275 ± 0.07 ppm, and O3: 0.135 ± 0.01 ppm. The OXTR protein level, catalase activity (CAT), and GSH concentrations in the ALM, PGE, and GE rats were lower than those in control group (CAE). However, the decrements in the GE rats were smaller than other groups. Also in behavioral assessments, the ALM, PGE, and GE rats demonstrated a repetitive /restricted behavior and poor social interaction, but the GE rats had weaker responses compared to other groups of rats. The PGE and GE rats showed similar trends in these tests compared to the VPA rats. CONCLUSIONS: This study suggested that exposure to ambient air pollution contributed to ASD and that OXTR protein may serve as part of the mechanism linking them.

Short-term effects of particulate matter during desert and non-desert dust days on mortality in Iran.

BACKGROUND: Increased atmospheric particulate matter (PM) concentrations are commonly observed during desert dust days in Iran, but there is still no evidence of their effects on human health. We aimed to evaluate the association between daily mortality and exposure to PM10 and PM2.5 during dust and non-dust days in Tehran and Ahvaz, two major Middle Eastern cities with different sources, intensity, and frequency of desert dust days. METHODS: We identified desert dust days based on exceeding a daily PM10 concentration threshold of 150 µg/m3 between 2014 and 2017, checking for low PM2.5/PM10 ratio typical of dust days. We used a time-stratified case-crossover design to estimate the short-term effects of PM10 and PM2.5 concentrations on daily mortality during dust and non-dust days. Data was analyzed using conditional Poisson regression models. RESULTS: Higher concentrations of PM and frequency of desert dust days were observed in Ahvaz rather than Tehran. In Ahvaz, the effect of PM10 at lag 0 was much higher during dust days, an increment of 10 µg/m3 was associated with 3.28% (95%CI = [2.42, 4.15]) increase of daily mortality, than non-dust days, 1.03% (95%CI = [-0.02, 2.08]), while in Tehran, was slightly higher during non-dust days, 0.72% (95%CI = [0.23, 1.23]), than in dust days, 0.49% (95%CI = [-0.22, 1.20]). No statistically significant associations were observed between PM2.5 and daily mortality in Ahvaz, while in Teheran the effect of PM2.5 increased significantly during non-dust days at lag 2, 1.89% (95%CI = [0.83, 1.2.95] and lag 3, 1.88% (95%CI = [0.83, 1.2.95]). CONCLUSION: The study provides evidence that exposure to PM during Middle East dust days is an important risk factor to human health in arid regions and areas affected by desert dust events.

Comparative health risk assessment of in-vehicle exposure to formaldehyde and acetaldehyde for taxi drivers and passengers: Effects of zone, fuel, refueling, vehicle's age and model.

This study aimed to assess the carcinogenic and non-carcinogenic risks of in-vehicle exposure in Tehran, Iran to formaldehyde and acetaldehyde for different models of taxis, and to explore the effects of city zone, taxi vehicle type, the taxi's age (<1, 1-5, 5-10), fuel type (gasoline, CNG, and LPG), and refueling activities on the estimated health risks based on previously measured concentrations. The overall and age-specific carcinogenic and non-carcinogenic risks of these compounds for taxi drivers and passengers were estimated separately using Monte Carlo simulations. Three scenarios of exposure frequency were defined for taxis commuting in different zones of city: Restricted Traffic Zone (RTZ) and Odd-Even Zone (OEZ) as two plans to reduce air pollution, and no-restriction zone (NRZ). The carcinogenic risks for drivers and passengers, the average risks of formaldehyde and acetaldehyde for most cases were above the 1 × 10-4. The health risks were greater in Restricted Traffic Zone (RTZ) and Odd-Even Zone (OEZ) in comparison to no-restriction zone (NRZ). The carcinogenic risk from formaldehyde exposures were higher than those for acetaldehyde in all cases. Taxis fueled with LPG showed lower cancer risks for both acetaldehyde and formaldehyde. Refueling increased the carcinogenic risk from both compounds. For non-carcinogenic risks from acetaldehyde, the average hazard ratios for both drivers and passengers were >1, indicating a non-negligible risk. Cancer and non-cancer risks for the taxi drivers were greater than the passengers given the higher time of occupancy. The present study showed that transportation in taxis can impose significant long-term health risks to both passengers and drivers. Development and investment in cleaner choices for public transportations are required.

Investigating the effect of several factors on concentrations of bioaerosols in a well-ventilated hospital environment.

This study characterized and quantified the bacterial and fungal bioaerosols in nine wards of the Razavi Hospital (Mashhad, Iran) that is equipped with an advanced heating, ventilating, and air conditioning (HVAC) system including HEPA filters for air cleaning. In this study, 432 samples were taken from the indoor air of multiple hospital wards during the morning and afternoon shifts during summer and autumn. The particle number concentrations with sizes of > 0.3, > 0.5, > 1, > 2, > 5, and > 10 µm were measured using a 6-channel handheld particle counter. A greater diversity of bioaerosol types were observed during the morning shifts and during summer. The microbial load was not affected significantly by the temperature, relative humidity, working shift, season, and number of visitors, indicating the effectiveness of a well-designed ventilation system to eliminate site-specific variations. For microbial number concentrations, a significant correlation was only observed between the number of particles with a diameter of > 10 µm and the airborne microbial loading. Thus, passive sampling may not properly reflect the actual concentrations of smaller bioaerosols. In conclusion, HEPA filters in the HVAC system successfully decreased the bioaerosol concentrations in the hospital environment. Additionally, we recommend that active sampling be used in cases where a well-functioning HVAC system exists.

Indoor concentrations of VOCs in beauty salons; association with cosmetic practices and health risk assessment.

BACKGROUND: The use of cosmetic products in beauty salons emits numerous kinds of toxic air pollutants. The objectives of this study were to measure the concentrations of benzene, toluene, ethylbenzene, xylene, formaldehyde, and acetaldehyde in 20 large beauty salons in Tehran and relate the observed concentrations to environmental and occupational characteristics of the salons. METHODS: Samples were collected from inside and outside air of 20 selected salons located in different areas of the city. Several additional parameters were recorded during the sampling process including surface area, number of active employees, type of ventilation, type of ongoing treatments, temperature, humidity. Deterministic and stochastic health risk assessment of the compounds were performed. RESULTS: Indoor concentrations of each pollutant were significantly higher than its outdoor concentrations. Health risk assessment showed that benzene, formaldehyde and acetaldehyde represent a possible cancer risk in the beauty salons. In addition, toluene, ethylbenzene, and xylene had negligible non-carcinogenic risks. Ventilation with air purifier, and fan with open window were more effective than using just a fan. Concentrations of benzene and toluene were affected by the number of hair dying treatments. The concentration of xylene was affected by the number of hair styling. The concentration of formaldehyde was affected by the number of hair styling and number of nail treatments. CONCLUSION: With improved ventilation and requirements for reformulated cosmetic, concentrations of toxic air pollutants in beauty salons could be reduced.

Correction to: Indoor and outdoor concentrations of BTEX and formaldehyde in Tehran, Iran: effects of building characteristics and health risk assessment.

The original publication of this paper contains a mistake. The correct name and affiliation of the 3rd Author is presented in this paper.

Indoor and outdoor concentrations of BTEX and formaldehyde in Tehran, Iran: effects of building characteristics and health risk assessment.

BTEX (benzene, toluene, ethylbenzene, xylene) and formaldehyde are toxic compounds that can induce adverse health effect in humans. This study measured in-home and ambient concentrations of BTEX and formaldehyde across Tehran, Iran. These pollutants were sampled from the indoor and adjacent outdoor air of 45 houses (9 in each city zone) during the winter of 2015. Sampling was repeated three times for each house. The analyses were performed according to NIOSH procedures. The effect of flooring material, wall covering, ventilation system, heating system, height above ground, presence of attached garages, and distance from highways was evaluated. In addition, carcinogenic and non-carcinogenic risks of these compounds were assessed. The average indoor concentrations of benzene, toluene, ethylbenzene, xylene, and formaldehyde were 53.2, 21.5, 14.4, 21.1, and 17.9 µg/m3, respectively. The average outdoor concentrations of benzene, toluene, ethylbenzene, xylene, and formaldehyde were 43.5, 26.2, 10.0, 19.1, and 6.9 µg/m3, respectively. Separate regression models showed that wall coating, ventilation system, heating system, flat level, and distance from highways explained 29, 60, 16, 60, and 59% of the BTEX concentrations, respectively. Houses with oil painted walls and parquet flooring had higher concentrations of BTEX and formaldehyde, respectively. The health risk assessment found that the carcinogenic risks of benzene and formaldehyde exceeded 1 × 10-4 and represent a definite risk. New buildings can be designed based on the results of this study to use better materials and optimum building designs to reduce exposure to these toxic air pollutants.

Investigation of in-cabin volatile organic compounds (VOCs) in taxis; influence of vehicle's age, model, fuel, and refueling.

The air pollutant species and concentrations in taxis' cabins can present significant health impacts on health. This study measured the concentrations of benzene, toluene, ethylbenzene, xylene (BTEX), formaldehyde, and acetaldehyde in the cabins of four different taxi models. The effects of taxi's age, fuel type, and refueling were investigated. Four taxi models in 3 age groups were fueled with 3 different fuels (gas, compressed natural gas (CNG), and liquefied petroleum gas (LPG)), and the concentrations of 6 air pollutants were measured in the taxi cabins before and after refueling. BTEX, formaldehyde, and acetaldehyde sampling were actively sampled using NIOSH methods 1501, 2541, and 2538, respectively. The average BTEX concentrations for all taxi models were below guideline values. The average concentrations (±SD) of formaldehyde in Model 1 to Model 4 taxis were 889 (±356), 806 (±323), 1144 (±240), and 934 (±167) ppbv, respectively. Acetaldehyde average concentrations (±SD) in Model 1 to Model 4 taxis were 410 (±223), 441 (±241), 443 (±210), and 482 (±91) ppbv, respectively. Refueling increased the in-vehicle concentrations of pollutants primarily the CNG and LPG fuels. BTEX concentrations in all taxi models were significantly higher for gasoline. Taxi age inversely affected formaldehyde and acetaldehyde. In conclusion, it seems that refueling process and substitution of gasoline with CNG and LPG can be considered as solutions to improve in-vehicle air concentrations for taxis.

Mortality assessment attributed to long-term exposure to fine particles in ambient air of the megacity of Tehran, Iran.

Few studies regarding the health effects of long-term exposure to particulate matter with an aerodynamic diameter of 2.5 µm or less (PM2.5) have been carried out in Asia or the Middle East. The objective of our study was to assess total, lung cancer and chronic obstructive pulmonary disease (COPD) mortality attributed to long-term exposure to PM2.5 among adults aged over 30 years in Tehran from March 2013 to March 2016 using AirQ+ software. AirQ+ modeling software was used to estimate the number of deaths attributed to PM2.5 concentrations higher than 10 µg m-3. Air quality data were obtained from the Department of Environment (DOE) and Tehran Air Quality Control Company (TAQCC). Only valid stations with data completeness of 75% in all 3 years were selected for entry into the model. The 3-year average of the 24-h concentrations was 39.17 µg m-3. The results showed that the annual average concentration of PM2.5 in 2015-2016 was reduced by 13% compared to that in 2013-2014. The annual average number of all natural, COPD, and lung cancer deaths attributable to long-term exposure to PM2.5 in adults aged more than 30 years was 5073, 158, and 142 cases, respectively. The results of all three health endpoints indicate that the mortality attributable to PM2.5 decreased yearly from 2013 to 2016 and that the reduced mortality was related to a corresponding reduction in the PM2.5 concentration. Considering these first positive results, the steps that have been currently taken for reducing air pollution in Tehran should be continued to further improve the already positive effects of these measures on reducing health outcomes.

Elemental and carbonaceous characterization of TSP and PM10 during Middle Eastern dust (MED) storms in Ahvaz, Southwestern Iran.

Middle Eastern dust (MED) storms carry large amounts of dust particles to the Southern and Western cities of Iran. This study aimed to characterize the elemental and carbonaceous composition of total suspended particles (TSP) and PM10 in Ahvaz, Iran. TSP and PM10 samples were collected using two separate high-volume air samplers. The sampling program was performed according to EPA guidelines and resulted in 72 samples. Twenty-eight elements and two carbonaceous components in TSP and PM10 were measured. Over the entire study period, the mean concentration (SD) of TSP and PM10 was 1548.72 µg/m3 (1965.11 µg/m3) and 1152.35 µg/m3 (1510.34 µg/m3), respectively. The order of concentrations of major species were Si > Al > Ca > OC > Na > B > Zn > Mn > K > Mg and Si > Ca > Al > Na > OC > B > K > Mn > Cu > Mg for TSP and PM10, respectively. Almost all elements (except for Cd, Cr, and Cu) and carbonaceous components (except for organic carbon) had dust days/non-dust days (DD/NDD) ratios higher than 1, implying that all components are somehow affected by dust storms. Crustal elements constituted the major portion of particles for both TSP and PM10 in both DDs and NDDs. The enrichment factor of elements such as Ca, Fe, K, Mg, Na, and Ti was near unity. Species such as Al, Ca, Fe, K, Na, Si, and EC had high correlation coefficients in both TSP and PM10 (except for EC). In conclusion, Ahvaz is exposed to high concentrations of TSP and PM10 during the MED period. Immediate actions must be planned to decrease the high concentrations of particulate matter in Ahvaz's ambient air.

Estimation of the residential radon levels and the annual effective dose in dwellings of Shiraz, Iran, in 2015.

INTRODUCTION: Radon is the second most important cause of lung cancer after smoking. Thus, the determination of indoor radon concentrations in dwellings and workplaces is an important public health concern. The purpose of this research was to measure the concentration of radon gas in residential homes and public places in the city of Shiraz and its relationship with the type and age of the buildings as well as the type of materials used to construct the building (brick, block). We also determined the radon dosages that occupants of the building would receive. METHODS: The present study is a descriptive-analytical and cross-sectional research that was conducted on the building's indoor air in the city of Shiraz in 2015. Using geographic information system (GIS) software and a spatial sampling cell with an area of 25 square kilometers, 200 points were selected. In this study, we used passive diffusive samplers as Solid State Nuclear Track Detector (SSNTD) CR-39 polycarbonate films for three months in the winter. Sampling was conducted in accordance with the U.S. Environmental Protection Agency's protocol. We determined the concentrations of radon gas at the time of sampling, and calibration factors were determined. The data were analyzed by IBM-SPSS, version 20, descriptive statistics, Kruskal-Wallis, and Mann-Whitney tests. RESULTS: This study showed that the average radon concentration was 57.6 ± 33.06 Bq/m(3) in residential dwellings. The average effective dose was 1.45 mSv/y. The concentration of radon in 5.4% of the houses was found to be greater than 100 Bq/m(3), which is above the level allowed by the World Health Organization (WHO). CONCLUSION: Since radon is the second leading cause of lung cancer, it seems necessary to increase the public's awareness of this issue and to take action to reduce radon in homes when the concentrations are above the WHO's guideline.

Characterization of ionic composition of TSP and PM10 during the Middle Eastern Dust (MED) storms in Ahvaz, Iran.

Because of the recent frequent observations of major dust storms in southwestern cities in Iran such as Ahvaz, and the importance of the ionic composition of particulate matters regarding their health effects, source apportionment, etc., the present work was conducted aiming at characterizing the ionic composition of total suspended particles (TSP) and particles on the order of ∼10 µm or less (PM(10)) during dust storms in Ahvaz in April-September 2010. TSP and PM(10) samples were collected and their ionic compositions were determined using an ion chromatography. Mean concentrations of TSP and PM(10) were 1,481.5 and 1,072.9 µg/m(3), respectively. Particle concentrations during the Middle Eastern Dust (MED) days were up to four times higher than those in normal days. Ionic components contributed to only 9.5% and 11.3% of the total mass of TSP and PM(10), respectively. Crustal ions were most abundant during dust days, while secondary ions were dominant during non-dust days. Ca(2+)/Na(+) and Cl(-)/Na(+) ratios can be considered as the indicators for identification of the MED occurrence. It was found that possible chemical forms of NaCl, (NH(4))(2)SO(4), KCl, K(2)SO(4), CaCl(2), Ca(NO(3))(2), and CaSO(4) may exist in TSP. Correlation between the anionic and cationic components suggests slight anion and cation deficiencies in TSP and PM(10) samples, though the deficiencies were negligible.