[The Integrated Environmental Health Impact of emissions from a steel plant in Taranto and from a power plant in Brindisi, (Apulia Region, Southern Italy)]. / L'impatto ambientale e sanitario delle emissioni dell'impianto siderurgico di Taranto e della centrale termoelettrica di Brindisi.

OBJECTIVES: to estimate the environmental and health impact attributable to PM2.5 emissions from the ex-ILVA steel plant in Taranto and the ENEL power plant in Brindisi (Apulia Region, Southern Italy). DESIGN: a SPRAY Lagrangian dispersion model was used to estimate PM2.5 concentrations and population weighted exposures following the requirements of the Integrated Environmental Authorization (IEA) of the two plants under study. Available concentration-response functions (OMS/HRAPIE and updates) were used to estimate the number of attributable premature deaths. SETTING AND PARTICIPANTS: residents in the 40 municipalities of the domains of the VDS (assessment of health damage, according to the Regional Law n. 21/2012) of Brindisi (source: Italian National Institute of Statistics 2011 Census) and residents in Taranto, Statte, and Massafra (source: cohort study). MAIN OUTCOME MEASURES: mortality from natural causes, cardiovascular and respiratory diseases, and lung cancer attributable to PM2.5. Incremental lifetime cumulative risks (ILCRs) for lung cancer associated to PM2.5 exposure. RESULTS: there was a reduction of the estimated impacts from the pre to the post IEA-scenarios in both Taranto and Brindisi. In Taranto, ILCRs greater than 1x10-4; were estimated in 2010 and 2012; the ILCR was greater than 1x10-4; in the district of Tamburi (near the plant) also for the 2015 scenario. ILCRs estimated for Brindisi were between 1x10-6; and 4x10-5;. CONCLUSIONS: the Integrated Environmental Health Impact Assessment confirmed the results of the VDS conducted according to the toxicological risk assessment approach. An unacceptable risk was estimated for Tamburi also for the 2015 scenario, characterized by a production of 4.7 million tons of steel, about half compared to one foreseen by the IEA (8 mt.).

Industrial air pollution and mortality in the Taranto area, Southern Italy: A difference-in-differences approach.

BACKGROUND: A large steel plant close to the urban area of Taranto (Italy) has been operating since the sixties. Several studies conducted in the past reported an excess of mortality and morbidity from various diseases at the town level, possibly due to air pollution from the plant. However, the relationship between air pollutants emitted from the industry and adverse health outcomes has been controversial. We applied a variant of the "difference-in-differences" (DID) approach to examine the relationship between temporal changes in exposure to industrial PM10 from the plant and changes in cause-specific mortality rates at area unit level. METHODS: We examined a dynamic cohort of all subjects (321,356 individuals) resident in the Taranto area in 1998-2010 and followed them up for mortality till 2014. In this work, we included only deaths occurring on 2008-2014. We observed a total of 15,303 natural deaths in the cohort and age-specific annual death rates were computed for each area unit (11 areas in total). PM10 and NO2 concentrations measured at air quality monitoring stations and the results of a dispersion model were used to estimate annual average population weighted exposures to PM10 of industrial origin for each year, area unit and age class. Changes in exposures and in mortality were analyzed using Poisson regression. RESULTS: We estimated an increased risk in natural mortality (1.86%, 95% confidence interval [CI]: -0.06, 3.83%) per 1 µg/m3 annual change of industrial PM10, mainly driven by respiratory causes (8.74%, 95% CI: 1.50, 16.51%). The associations were statistically significant only in the elderly (65+ years). CONCLUSIONS: The DID approach is intuitively simple and reduces confounding by design. Under the multiple assumptions of this approach, the study indicates an effect of industrial PM10 on natural mortality, especially in the elderly population.

Long-term emission sampling validation for PCDD/Fs control of compliance to permitted Emission Limit Values at a large sinter plant.

Continuous sampling of emission into air of dioxins has been one of the targets of Directive 2010/75/EU Of The European Parliament And Of The Council on industrial emissions (Integrated Pollution Prevention and Control, IED Directive) since year 2010. The present research was aimed at verifying the applicability of a long-term sampling system at the sinter plant of a large steel works in Taranto, Southern Italy, and to perform its validation compared to the standard reference method. Automated long-term samplings of 15 and 30 d were performed in parallel with manual short-term sampling, the latter with a frequency of two per week. Concentrations range was 0.05-0.20 ng I-TEQ/N m3 thus ensuring good coverage around the level of interest of 0.1 ng I-TEQ/N m3, as a typical Emission Limit Value for combustion plants. In addition the long-term device was used for short-time sampling in parallel with manual sampling showing an external variability between ± 0.05 ng I-TEQ/N m3 thus proving to be acceptable. As a result of the successful validation trial the long term emission sampling was enforced as Emission Limit Value official control technique.

Spatial distribution of kidney disease in the contaminated site of Taranto (Italy).

BACKGROUND: Exposure to heavy metals has been associated with kidney disease. We investigated the spatial distribution of kidney disease in the industrially contaminated site of Taranto. METHODS: Cases were subjects with a first hospital discharge diagnosis of kidney disease. Cases affected by specific comorbidities were excluded. Standardized Hospitalization Ratios (SHRs) were computed for low/high exposure area and for modeled spatial distribution of cadmium and fine particulate matter. RESULT: Using the high/low exposure approach, in subjects aged 20-59 years residing in the high exposure area a significant excess of hospitalization was observed in males and a non-significant excess in females. No excesses were observed in subjects aged 60 years and over. The analysis by the modeling approach did not show a significant association with the greatest pollution impact area. CONCLUSION: Due to the excesses of hospitalization observed in the high/low exposure approach, a continuing epidemiological surveillance of residents and occupational groups is warranted.

Angiogenic activity in vivo of the particulate matter (PM10).

BACKGROUND: Particulate matter (PM) is the most efficient vehicle for the inhalation and absorption of toxic substances into the body. METHOD: The present study was aimed at testing the hypothesis that PM10 samples collected on quartz filters exert an angiogenic activity in vivo in the chick embryo chorioallantoic membrane (CAM) assay. RESULTS: When the low, medium, and high PM10 concentrations filters were tested in the CAM assay, an increasing number of microvessels was detectable after 4 days of applications of the filters. Moreover, at histological level, numerous microvessels and a dense inflammatory infiltrate were recognizable in the CAM mesenchyme. CONCLUSION: Our data show a clear dose-response relationship between the dose variable (PM10 and Bap) and the outcome variable. So far, the PM10 target value is determined on the basis of regulatory agreements and is not health-based. In addition, the mere gravimetric measure of PM10 cannot be considered a fully reliable surrogate of the overall toxicity of the mixture.

Automated Collection of Real-Time Alerts of Citizens as a Useful Tool to Continuously Monitor Malodorous Emissions.

The evaluation of odor emissions and dispersion is a very arduous topic to face; the real-time monitoring of odor emissions, the identification of chemical components and, with proper certainty, the source of annoyance represent a challenge for stakeholders such as local authorities. The complaints of people, often not systematic and variously distributed, in general do not allow us to quantify the perceived annoyance. Experimental research has been performed to detect and evaluate olfactory annoyance, based on field testing of an innovative monitoring methodology grounded in automatic recording of citizen alerts. It has been applied in Taranto, in the south of Italy where a relevant industrial area is located, by using Odortel(®) for automated collection of citizen alerts. To evaluate its reliability, the collection system has been integrated with automated samplers, able to sample odorous air in real time, according to the citizen alerts of annoyance and, moreover, with meteorological data (especially the wind direction) and trends in odor marker compounds, recorded by air quality monitoring stations. The results have allowed us, for the first time, to manage annoyance complaints, test their reliability, and obtain information about the distribution and entity of the odor phenomena, such that we were able to identify, with supporting evidence, the source as an oil refinery plant.

Contribution of harbour activities and ship traffic to PM2.5, particle number concentrations and PAHs in a port city of the Mediterranean Sea (Italy).

In this work, an assessment of the impact of ship traffic and related harbour activities (loading/unloading of ships and hotelling in harbour) on PM 2.5 and particle number concentrations (PNC) separating the contribution associated to ship traffic from that of harbour-related activities is reported. Further, an assessment of the impact and environmental risks associated to polycyclic aromatic hydrocarbon (PAH) concentrations was performed. Results refer to the city of Brindisi (88,500 inhabitants) in the south-eastern part of Italy and its harbour (with yearly 9.5 Mt of goods, over 520,000 passengers and over 175,000 vehicles). PM2.5 and PNC concentrations show a clear daily pattern correlated with daily ship traffic pattern in the harbour. High temporal resolution measurements and correlations with wind direction were used to estimate the average direct contribution to measured concentrations of this source. The average relative contribution of ship traffic was 7.4% (±0.5%) for PM2.5 and 26% (±1%) for PNC. When the contribution associated to harbour-related activities is added, the percentages become 9.3% (±0.5%) for PM2.5 and 39% (±1%) for PNC. In the site analysed, air coming from the harbour/industrial sector was richer in PAHs (5.34 ng/m3) than air sampled from all directions (3.89 ng/m3). The major compounds were phenanthrene, fluoranthene and pyrene, but the congener profiles were different in the two direction sectors: air from the harbour/industrial sector was richer in phenanthrene and fluorene, which are the most abundant PAHs in ship emissions. Results showed that lighter PAHs are associated to the gas phase, while high molecular weight congeners are mostly present in the particulate phase. The impact on the site studied of the harbour/industrial source to PAHs was 56%(range, 29-87%).

POP emissions from a large sinter plant in Taranto (Italy) over a five-year period following enforcement of new legislation.

PCDD/F in exhaust gas emission samples was determined by the Environmental Agency of Apulia for a sinter plant located in Taranto (Italy) starting from June 2007 following an Agreement Act between plant owners and the Regional Government with the aim to assess and improve the environmental performances of the plant. The first two sampling campaigns yielded results ranging between 3.42 and 8.34 ng I-TE/Nm(3) that were soon considered revelatory of a high potential impact on the surrounding environment and the public, prompting for immediate action. As a first outcome, a Regional Regulation (LR 44/2008) was enforced in order to reduce PCDD/F emissions by plants operating in the metal sector, including sinter plants. After installation of a urea addition plant to the sinter mix as a process-integrated abatement technique the emissions ranged from 0.86 to 3.59 ng I-TE/Nm(3). In order to reach compliance to the newly introduced emission limit value of 0.4 ng I-TE/Nm(3) the urea plant was removed in favour of active-carbon injection as an end-of-pipe technique. Subsequently, during year 2011 emission values ranged from 0.095 to 1.97 ng I-TE/Nm(3), while in 2012 the observed range was 0.058 to 0.91 ng I-TE/Nm(3). As a better evaluation of the potential impact of the sinter plant emissions, a yearly mass-flow was estimated using exhaust gas PCDD/F concentrations and plant operational parameters (3.4 M Nm(3)/h). Mass-flow was estimated to be as high as 165 g I-TE/year for 2007 using yearly average concentrations or 248 g I-TE/year using the peak-value of 8.34 ng I-TE/Nm(3).

[Cancer risk for coke-oven workers in the Taranto steel plant]. / Rischio da cancerogeni nella cokeria dello stabilimento siderurgico di Taranto.

Taranto coke oven batteries create a carcinogenic risk because of workers' exposure to PAHs, benzene and asbestos. Because of the vicinity to the city and the inadequacy of measures of pollution control, a risk also exists for the general population. Although the issue of environmental reclaim had been addressed by a specific law (DPR 23.04.1998), the solution to close the oldest batteries had been adopted through and enforced by the city administration and the Court. However, a recent agreement between ILVA and the Apulia Regional Administration has allowed to restart the use of some ovens, after simple revamping.