PM2.5 exposure to marijuana smoke on golf courses and other public outdoor locations: A pilot observational study.

Secondhand exposure to cannabis smoke occurs in public outdoor locations due to outdoor smoking or leakage of indoor smoking. Very little is known regarding the actual levels of exposure. This study examined PM2.5 exposure to marijuana smoke, focusing on one type of public outdoor location - golf courses where illegal marijuana consumption is increasingly common. Based on 24 visits to 10 courses over a 6-month period, >20 % visits encountered marijuana smoke, with peak PM2.5 exposures up to 149 µg/m3. The levels of exposure depended upon the source type (smoking versus vaping) and the proximity to the smoker/vaper. Ten additional investigations were performed to measure marijuana secondhand exposure in other public outdoor locations (near a smoker in a public park, near a parked car with in-car smoking/vaping, and near a residential garage with indoor smoking/vaping). 23 encounters of marijuana exposure events were documented in total. Average outdoor exposures to PM2.5 close to public outdoor smoking and vaping (on golf courses and a public park) were >3 times as high as those near a car or a building with indoor marijuana emissions. The average outdoor exposure caused by the leakage of in-car secondhand smoke was higher than that caused by in-building emissions.

Measuring PM2.5 concentrations from secondhand tobacco vs. marijuana smoke in 9 rooms of a detached 2-story house.

The widespread legalization of recreational marijuana raises growing concerns about exposure to secondhand marijuana smoke. An important location for marijuana smoking is the home, but few measurements of air pollutant concentrations in the home are available for a marijuana joint fully smoked in one of its rooms. We used research grade calibrated real-time continuous PM2.5 air monitors in controlled 5-hour experiments to measure fine particle concentrations in the 9 rooms of a detached, two-story, 4-bedroom home with either a tobacco cigarette or a marijuana joint fully smoked in the home's living room. The master bedroom's door was closed, and the other bedroom doors were open, as was the custom of occupants of this residence. In two experiments with a Marlboro tobacco cigarette smoked by a machine in the living room, the 5-hour mean PM2.5 concentrations in 9 rooms of the home were 15.2 µg/m3 (SD 5.6 µg/m3) and 15.0 µg/m3 (SD 3.7 µg/m3). In contrast, three experiments with pre-rolled marijuana joints smoked in the same manner in the living room produced 5-hour mean PM2.5 concentrations of 38.9 µg/m3 (SD 10.6 µg/m3), 79.8 µg/m3 (SD 25.7 µg/m3) and 80.7 µg/m3 (SD 28.8 µg/m3). In summary, the average secondhand PM2.5 concentrations from smoking a marijuana joint in the home were found to be 4.4 times as great as the secondhand PM2.5 concentrations from smoking a tobacco cigarette. Opening 3 windows by 12.7 cm reduced the high PM2.5 concentrations from marijuana smoking by 67 %, but the PM2.5 levels still exceeded those produced by tobacco smoking with the windows closed.

Effectiveness of air purifier on health outcomes and indoor particles in homes of children with allergic diseases in Fresno, California: A pilot study.

OBJECTIVE: Epidemiologic studies indicate that indoor air pollution is correlated with morbidity caused by allergic diseases. We evaluated the effectiveness of reducing the levels of indoor fine particulate matter <2.5 micrometer diameter (PM2.5) in Fresno, California using air purifiers on health outcomes in children with asthma and/or allergic rhinitis. METHODS: The active group (with air purifiers) and the control group consisted of eight houses each. Air purifiers were installed in the living rooms and bedrooms of the subjects in the active group during the entire 12-week study duration. Childhood asthma control test, peak flow rate monitoring, and nasal symptom scores were evaluated at weeks 0, 6, and 12. RESULTS: At 12 weeks, the active group showed a trend toward an improvement of childhood asthma control test scores and mean evening peak flow rates, whereas the control group showed deterioration in the same measures. Total and daytime nasal symptoms scores significantly reduced in the active group (p = 0.001 and p = 0.011, respectively). The average indoor PM2.5 concentrations reduced by 43% (7.42 to 4.28 µg/m3) in the active group (p = 0.001). CONCLUSIONS: Intervention with air purifiers reduces indoor PM2.5 levels with significant improvements in nasal symptoms in children with allergic rhinitis in Fresno.

Measuring Indoor Air Quality and Engaging California Indian Stakeholders at the Win-River Resort and Casino: Collaborative Smoke-Free Policy Development.

Most casinos owned by sovereign American Indian nations allow smoking, even in U.S. states such as California where state laws restrict workplace smoking. Collaborations between casinos and public health workers are needed to promote smoke-free policies that protect workers and patrons from secondhand tobacco smoke (SHS) exposure and risks. Over seven years, a coalition of public health professionals provided technical assistance to the Redding Rancheria tribe in Redding, California in establishing a smoke-free policy at the Win-River Resort and Casino. The coalition provided information to the casino general manager that included site-specific measurement of employee and visitor PM2.5 personal exposure, area concentrations of airborne nicotine and PM2.5, visitor urinary cotinine, and patron and staff opinions (surveys, focus groups, and a Town Hall meeting). The manager communicated results to tribal membership, including evidence of high SHS exposures and support for a smoke-free policy. Subsequently, in concert with hotel expansion, the Redding Rancheria Tribal Council voted to accept a 100% restriction of smoking inside the casino, whereupon PM2.5 exposure in main smoking areas dropped by 98%. A 70% partial-smoke-free policy was instituted ~1 year later in the face of revenue loss. The success of the collaboration in promoting a smoke-free policy, and the key element of air quality feedback, which appeared to be a central driver, may provide a model for similar efforts.

Determining PM2.5 calibration curves for a low-cost particle monitor: common indoor residential aerosols.

Real-time particle monitors are essential for accurately estimating exposure to fine particles indoors. However, many such monitors tend to be prohibitively expensive for some applications, such as a tenant or homeowner curious about the quality of the air in their home. A lower cost version (the Dylos Air Quality Monitor) has recently been introduced, but it requires appropriate calibration to reflect the mass concentration units required for exposure assessment. We conducted a total of 64 experiments with a suite of instruments including a Dylos DC1100, another real-time laser photometer (TSI SidePak™ Model AM-510 Personal Aerosol Monitor), and a gravimetric sampling apparatus to estimate Dylos calibration factors for emissions from 17 different common indoor sources including cigarettes, incense, fried bacon, chicken, and hamburger. Comparison of minute-by-minute data from the Dylos with the gravimetrically calibrated SidePak yielded relationships that enable the conversion of the raw Dylos particle counts less than 2.5 µm (in #/0.01 ft(3)) to estimated PM2.5 mass concentration (e.g. µg m(-3)). The relationship between the exponentially-decaying Dylos particle counts and PM2.5 mass concentration can be described by a theoretically-derived power law with source-specific empirical parameters. A linear relationship (calibration factor) is applicable to fresh or quickly decaying emissions (i.e., before the aerosol has aged and differential decay rates introduce curvature into the relationship). The empirical parameters for the power-law relationships vary greatly both between and within source types, although linear factors appear to have lower uncertainty. The Dylos Air Quality Monitor is likely most useful for providing instantaneous feedback and context on mass particle levels in home and work situations for field-survey or personal awareness applications.

Outdoor fine and ultrafine particle measurements at six bus stops with smoking on two California arterial highways--results of a pilot study.

UNLABELLED: As indoor smoking bans have become widely adopted, some U.S. communities are considering restricting smoking outdoors, creating a need for measurements of air pollution near smokers outdoors. Personal exposure experiments were conducted with four to five participants at six sidewalk bus stops located 1.5-3.3 m from the curb of two heavily traveled California arterial highways with 3300-5100 vehicles per hour. At each bus stop, a smoker in the group smoked a cigarette. Gravimetrically calibrated continuous monitors were used to measure fine particle concentrations (aerodynamic diameter < or = 2.5 microm; PM2.5) in the breathing zones (within 0.2 m from the nose and mouth) of each participant. At each bus stop, ultrafine particles (UFP), wind speed, temperature, relative humidity, and traffic counts were also measured. For 13 cigarette experiments, the mean PM2.5 personal exposure of the nonsmoker seated 0.5 m from the smoker during a 5-min cigarette ranged from 15 to 153 microg/m3. Of four persons seated on the bench, the smoker received the highest PM2.5 breathing-zone exposure of 192 microg/m3. There was a strong proximity effect: nonsmokers at distances 0.5, 1.0, and 1.5 m from the smoker received mean PM2.5 personal exposures of 59, 40, and 28 microg/m3, respectively, compared with a background level of 1.7 microg/m3. Like the PM2.5 concentrations, UFP concentrations measured 0.5 m from the smoker increased abruptly when a cigarette started and decreased when the cigarette ended, averaging 44,500 particles/cm3 compared with the background level of 7200 particles/cm3. During nonsmoking periods, the UFP background concentrations showed occasional peaks due to traffic, whereas PM2.5 background concentrations were extremely low. The results indicate that a single cigarette smoked outdoors at a bus stop can cause PM2.5 and UFP concentrations near the smoker that are 16-35 and 6.2 times, respectively, higher than the background concentrations due to cars and trucks on an adjacent arterial highway. IMPLICATIONS: Rules banning smoking indoors have been widely adopted in the United States and in many countries. Some communities are considering smoking bans that would apply to outdoor locations. Although many measurements are available of pollutant concentrations from secondhand smoke at indoor locations, few measurements are available of exposure to secondhand smoke outdoors. This study provides new data on exposure to fine and ultrafine particles from secondhand smoke near a smoker outdoors. The levels are compared with the exposure measured next to a highway. The findings are important for policies that might be developed for reducing exposure to secondhand smoke outdoors.

Stochastic modeling of short-term exposure close to an air pollution source in a naturally ventilated room: an autocorrelated random walk method.

For an actively emitting source such as cooking or smoking, indoor measurements have shown a strong "proximity effect" within 1 m. The significant increase in both the magnitude and variation of concentration near a source is attributable to transient high peaks that occur sporadically-and these "microplumes" cause great uncertainty in estimating personal exposure. Recent field studies in naturally ventilated rooms show that close-proximity concentrations are approximately lognormally distributed. We use the autocorrelated random walk method to represent the time-varying directionality of indoor emissions, thereby predicting the time series and frequency distributions of concentrations close to an actively emitting point source. The predicted 5-min concentrations show good agreement with measurements from a point source of CO in a naturally ventilated house-the measured and predicted frequency distributions at 0.5- and 1-m distances are similar and approximately lognormal over a concentration range spanning three orders of magnitude. By including the transient peak concentrations, this random airflow modeling method offers a way to more accurately assess acute exposure levels for cases where well-defined airflow patterns in an indoor space are not available.

Real-time particle monitor calibration factors and PM2.5 emission factors for multiple indoor sources.

Indoor sources can greatly contribute to personal exposure to particulate matter less than 2.5 µm in diameter (PM2.5). To accurately assess PM2.5 mass emission factors and concentrations, real-time particle monitors must be calibrated for individual sources. Sixty-six experiments were conducted with a common, real-time laser photometer (TSI SidePak™ Model AM510 Personal Aerosol Monitor) and a filter-based PM2.5 gravimetric sampler to quantify the monitor calibration factors (CFs), and to estimate emission factors for common indoor sources including cigarettes, incense, cooking, candles, and fireplaces. Calibration factors for these indoor sources were all significantly less than the factory-set CF of 1.0, ranging from 0.32 (cigarette smoke) to 0.70 (hamburger). Stick incense had a CF of 0.35, while fireplace emissions ranged from 0.44-0.47. Cooking source CFs ranged from 0.41 (fried bacon) to 0.65-0.70 (fried pork chops, salmon, and hamburger). The CFs of combined sources (e.g., cooking and cigarette emissions mixed) were linear combinations of the CFs of the component sources. The highest PM2.5 emission factors per time period were from burned foods and fireplaces (15-16 mg min(-1)), and the lowest from cooking foods such as pizza and ground beef (0.1-0.2 mg min(-1)).

Measurement of the proximity effect for indoor air pollutant sources in two homes.

Personal exposure to air pollutants can be substantially higher in close proximity to an active source due to non-instantaneous mixing of emissions. The research presented in this paper quantifies this proximity effect for a non-buoyant source in 2 naturally ventilated homes in Northern California (CA), assessing its spatial and temporal variation and the influence of factors such as ventilation rate on its magnitude. To quantify how proximity to residential sources of indoor air pollutants affects human exposure, we performed 16 separate monitoring experiments in the living rooms of two detached single-family homes. CO (as a tracer gas) was released from a point source in the center of the room at a controlled emission rate for 5-12 h per experiment, while an array of 30-37 real-time monitors simultaneously measured CO concentrations with 15 s time resolution at radial distances ranging from 0.25-5 m under a range of ventilation conditions. Concentrations measured in close proximity (within 1 m) to the source were highly variable, with 5 min averages that typically varied by >100-fold. This variability was due to short-duration (<1 min) pollutant concentration peaks ("microplumes") that were frequently recorded in close proximity to the source. We decomposed the random microplume component from the total concentrations by subtracting predicted concentrations that assumed uniform, instantaneous mixing within the room and found that these microplumes can be modeled using a 3-parameter lognormal distribution. Average concentrations measured within 0.25 m of the source were 6-20 times as high as the predicted well-mixed concentrations.

Determination of response of real-time SidePak AM510 monitor to secondhand smoke, other common indoor aerosols, and outdoor aerosol.

The amount of light scattered by airborne particles inside an aerosol photometer will vary not only with the mass concentration, but also with particle properties such as size, shape, and composition. This study conducted controlled experiments to compare the measurements of a real-time photometer, the SidePak AM510 monitor (SidePak), with gravimetric mass. PM sources tested were outdoor aerosols, and four indoor combustion sources: cigarettes, incense, wood chips, and toasting bread. The calibration factor for rescaling the SidePak measurements to agree with gravimetric mass was similar for the cigarette and incense sources, but different for burning wood chips and toasting bread. The calibration factors for ambient urban aerosols differed substantially from day to day, due to variations in the sources and composition of outdoor PM. A field evaluation inside a casino with active smokers yielded calibration factors consistent with those obtained in the controlled experiments with cigarette smoke.

Modeling exposure close to air pollution sources in naturally ventilated residences: association of turbulent diffusion coefficient with air change rate.

For modeling exposure close to an indoor air pollution source, an isotropic turbulent diffusion coefficient is used to represent the average spread of emissions. However, its magnitude indoors has been difficult to assess experimentally due to limitations in the number of monitors available. We used 30-37 real-time monitors to simultaneously measure CO at different angles and distances from a continuous indoor point source. For 11 experiments involving two houses, with natural ventilation conditions ranging from <0.2 to >5 air changes per h, an eddy diffusion model was used to estimate the turbulent diffusion coefficients, which ranged from 0.001 to 0.013 m² s⁻¹. The model reproduced observed concentrations with reasonable accuracy over radial distances of 0.25-5.0 m. The air change rate, as measured using a SF6 tracer gas release, showed a significant positive linear correlation with the air mixing rate, defined as the turbulent diffusion coefficient divided by a squared length scale representing the room size. The ability to estimate the indoor turbulent diffusion coefficient using two readily measurable parameters (air change rate and room dimensions) is useful for accurately modeling exposures in close proximity to an indoor pollution source.

Fine particle air pollution and secondhand smoke exposures and risks inside 66 US casinos.

Smoking bans often exempt casinos, exposing occupants to fine particles (PM(2.5)) from secondhand smoke. We quantified the relative contributions to PM(2.5) from both secondhand smoke and infiltrating outdoor sources in US casinos. We measured real-time PM(2.5), particulate polycyclic aromatic hydrocarbons (PPAH), and carbon dioxide (CO(2)) (as an index of ventilation rate) inside and outside 8 casinos in Reno, Nevada. We combined these data with data from previous studies, yielding a total of 66 US casinos with smoking in California, Delaware, Nevada, New Jersey, and Pennsylvania, developing PM(2.5) frequency distributions, with 3 nonsmoking casinos for comparison. Geometric means for PM(2.5) were 53.8 µg/m(3) (range 18.5-205 µg/m(3)) inside smoking casinos, 4.3 µg/m(3) (range 0.26-29.7 µg/m(3)) outside those casinos, and 3.1 µg/m(3) (range 0.6-9 µg/m(3)) inside 3 nonsmoking casinos. In a subset of 21 Reno and Las Vegas smoking casinos, PM(2.5) in gaming areas averaged 45.2 µg/m(3) (95% CI, 37.7-52.7 µg/m(3)); adjacent nonsmoking casino restaurants averaged 27.2 µg/m(3) (95% CI, 17.5-36.9 µg/m(3)), while PM(2.5) outside the casinos averaged 3.9 µg/m(3) (95% CI, 2.5-5.3 µg/m(3)). For a subset of 10 Nevada and Pennsylvania smoking casinos, incremental (indoor-outdoor) PM(2.5) was correlated with incremental PPAH (R(2)=0.79), with ventilation rate-adjusted smoker density (R(2)=0.73), and with smoker density (R(2)=0.60), but not with ventilation rates (R(2)=0.15). PPAH levels in 8 smoking casinos in 3 states averaged 4 times outdoors. The nonsmoking casinos' PM(2.5) (n=3) did not differ from outdoor levels, nor did their PPAH (n=2). Incremental PM(2.5) from secondhand smoke in approximately half the smoking casinos exceeded a level known to produce cardiovascular morbidity in nonsmokers after less than 2h of exposure, posing acute health risks to patrons and workers. Casino ventilation and air cleaning practices failed to control secondhand smoke PM(2.5). Drifting PM(2.5) from secondhand smoke contaminated unseparated nonsmoking areas. Smoke-free casinos reduced PM(2.5) to the same low levels found outdoors.

Measurement of fine particles and smoking activity in a statewide survey of 36 California Indian casinos.

Despite California's 1994 statewide smoking ban, exposure to secondhand smoke (SHS) continues in California's Indian casinos. Few data are available on exposure to airborne fine particles (PM2.5) in casinos, especially on a statewide basis. We sought to measure PM2.5 concentrations in Indian casinos widely distributed across California, exploring differences due to casino size, separation of smoking and non-smoking areas, and area smoker density. A selection of 36 out of the 58 Indian casinos throughout California were each visited for 1-3 h on weekend or holiday evenings, using two or more concealed monitors to measure PM2.5 concentrations every 10 s. For each casino, the physical dimensions and the number of patrons and smokers were estimated. As a preliminary assessment of representativeness, we also measured eight casinos in Reno, NV. The average PM2.5 concentration for the smoking slot machine areas (63 µg/m³) was nine times as high as outdoors (7 µg/m³), whereas casino non-smoking restaurants (29 µg/m³) were four times as high. Levels in non-smoking slot machine areas varied: complete physical separation reduced concentrations almost to outdoor levels, but two other separation types had mean levels that were 13 and 29 µg/m³, respectively, higher than outdoors. Elevated PM2.5 concentrations in casinos can be attributed primarily to SHS. Average PM2.5 concentrations during 0.5-1 h visits to smoking areas exceeded 35 µg/m³ for 90% of the casino visits.

Model-based reconstruction of the time response of electrochemical air pollutant monitors to rapidly varying concentrations.

Electrochemical sensors are commonly used to measure concentrations of gaseous air pollutants in real time, especially for personal exposure investigations. The monitors are small, portable, and have suitable response times for estimating time-averaged concentrations. However, for transient exposures to air pollutants lasting only seconds to minutes, a non-instantaneous time response can cause measured values to diverge from actual input concentrations, especially when the pollutant fluctuations are pronounced and rapid. Using 38 Langan carbon monoxide (CO) monitors, which can be set to log data every 2 s, we found electrochemical sensor response times of 30-50 s. We derived a simple model based on Fick's Law to reconstruct a close to accurate time series from logged data. Starting with experimentally measured data for repetitive step input signals of alternating high and low CO concentrations, we were able to reconstruct a much improved 2-s concentration time series using the model. We also utilized the model to examine errors in monitor measurements for different averaging times. By selecting the averaging time based on the response time of the monitor, the error between actual and measured pollutant levels can be minimized. The methodology presented in this study is useful when aiming to accurately determine a time series of rapidly time-varying concentrations, such as for locations close to an active point source or near moving traffic.

The effects of human activities on exposure to particulate matter and bioaerosols in residential homes.

Indoor and outdoor airborne particle mass, protein, endotoxin and (1 --> 3)-beta-D-glucan in three size fractions (PM2.5, PM10, and TSP) were measured in ten single-family homes, along with quantifying household activities in the sampling room. Correlations between human activity levels and elevations in the indoor concentrations of particles and biomarkers were evaluated using four approaches for distinguishing activity levels: diurnal differences, the number of occupants, self-estimated occupancy, and activity strength. The concentrations of particles, protein, endotoxin and (1 --> 3)-beta-D-glucan in all three size fractions (PM < 2.5 microm, PM10-2.5, and PM >10 microm) were found, in most cases, to be significantly elevated during the day, and with higher activity levels in the room. The coarser fractions of particle mass and bioaerosols were more strongly correlated with human activity levels. Activity strength was the most statistically robust measure for relating human activities to indoor bioaerosol levels. While self-estimated activity and analysis of diurnal differences both offer reasonable (but not perfect) alternatives to activity strength, the number of occupants appears to be a weaker indicator for homes.

Wind tunnel measurements of the dilution of tailpipe emissions downstream of a car, a light-duty truck, and a heavy-duty truck tractor head.

The particle and gaseous pollutants in vehicle exhaust emissions undergo rapid dilution with ambient air after exiting the tailpipe. The rate and extent of this dilution can greatly affect both the size evolution of primary exhaust particles and the potential for formation of ultrafine particles. Dilution ratios were measured inside of a wind tunnel in the region immediately downstream of the tailpipe using model vehicles (approximately one-fifth to one-seventh scale models) representing a light-duty truck, a passenger car, and a heavy-duty tractor head (without the trailer). A tracer gas (ethene) was released at a measured flow rate from the tailpipe, and 60 sampling probes placed downstream of the vehicle simultaneously sampled gas tracer concentrations in the near-wake (first few vehicle heights) and far-wake regions (beyond 10 vehicle heights). Tests using different tunnel wind speeds show the range of dilution ratios that can be expected as a function of vehicle type and downstream distance (i.e., time). The vehicle shape quite strongly influences dilution profiles in the near-wake region but is much less important in the far-wake region. The tractor generally produces higher dilution rates than the automobile and light-duty truck under comparable conditions.

Dilution rates for tailpipe emissions: effects of vehicle shape, tailpipe position, and exhaust velocity.

The rate at which motor vehicle exhaust undergoes dilution with ambient air will greatly affect the size distribution characteristics of the particulate emissions. Wind tunnel experiments were conducted to investigate the impacts of vehicle shape, tailpipe orientation, and exhaust exit velocity on the dilution profiles under steady driving conditions for three model vehicles: a light-duty truck, a passenger car, and a heavy-duty tractor head. A three dimensional array of 60 sensors provided simultaneous measurements of dilution ratios for the emissions in the near- and far-wake regions downstream of the vehicle. The processes underlying the observations were investigated via nondimensionalization. Many of the trends seen substantially downstream can be well generalized using a simple nondimensionalization technique; however, this is not true in the near-wake region (within a downstream distance equivalent to a few vehicle heights). In the near-wake region, using the vehicle width and length to normalize for the vehicle shape is not enough to fully account for the variations seen. Including the exhaust flow rate in the nondimensionalization process is effective further downwind but does not adequately capture the complexity in the near-wake region. Tailpipe orientation and location are also shown to be influential factors affecting the near-wake dilution characteristics.

Enhanced acute responses in an experimental exposure model to biomass smoke inhalation in chronic obstructive pulmonary disease.

Chronic obstructive pulmonary diseases (COPD) may increase air pollution-related mortality. The relationship of immune mechanisms to mortality caused by fine particulates in healthy and COPD populations is incompletely understood. The objective of this study was to determine whether fine particulates from a single biomass fuel alter stress and inflammation biomarkers in people with COPD. Healthy and COPD subjects were exposed to smoke in a controlled indoor setting. Immune responses were quantified by measuring cell surface marker expression with flow-cytometric analysis and mRNA levels with quantitative reverse transcriptase-polymerase chain reactions in whole blood before and after exposure. Preexposure COPD subjects had more leukocytes, mainly CD14(+) monocytes and neutrophils, but fewer CD3(+) T cells. Fifty-seven of 186 genes were differentially expressed between healthy and COPD subjects' peripheral blood mononuclear cells (PBMCs). Of these, only nuclear factor (NF)-kappa B1, TIMP-1, TIMP-2, and Duffy genes were up-regulated in COPD subjects. At 4 hours post smoke exposure, monocyte levels decreased only in healthy subjects. Fifteen genes, particular to inflammation, immune response, and cell-to-cell signaling, were differentially expressed in COPD subjects, versus 4 genes in healthy subjects. The authors observed significant differences in subjects' PBMCs, which may elucidate the adverse effects of air pollution particulates on people with COPD.

Effect of building construction on Aspergillus concentrations in a hospital.

Air samples taken in a hospital undergoing construction and analyzed with a quantitative polymerase chain reaction (qPCR) assay for the Aspergillus genus did not show elevated concentrations of Aspergillus or particulate matter with a diameter of 5 microm or less in patient areas. Air samples from the construction zone indicated the containment system, which used polyethylene film barrier and negative pressure, was effective.

Real-time PCR for detection of the Aspergillus genus.

Aspergillus is a genus of mold that has strong indoor sources, including several species capable of acting as opportunistic pathogens. Previous studies suggest that Aspergillus could serve as an indicator for abnormal mold growth or moisture, making it an important genus for environmental monitoring. Here, a quantitative polymerase chain reaction (qPCR, or real-time PCR) assay is presented for Aspergillus. The assay shows good specificity for the genus, detecting all Aspergillus species tested, although a few non-Aspergillus species are also amplified. Sensitivity testing demonstrates that DNA representing one conidium can be detected. A validation study compared qPCR results against direct microscopy counts using A. fumigatus conidia aerosolized into a laboratory chamber. The assay was then used to quantify Aspergillus in indoor air samples, demonstrating its utility for environmental monitoring. Analysis of a small number of clinical sputum samples showed complete agreement with culturing results.