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1.
Int J Hyg Environ Health ; 222(3): 347-354, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30638980

RESUMO

Indoor air quality (IAQ) and exposure to indoor chemicals are widely discussed in terms of personal discomfort and health risks. In contrast to ambient air and working environments, legally binding regulations are only partially established for indoor contaminants, and other available European guidelines are limited. To correct these deficits, the German Committee on Indoor Guide Values (AIR), formerly known as the Ad hoc Working Group (Ad hoc AG), performed health assessments of indoor air contaminants. The main tasks were to develop toxicologically based indoor air guide values, health-based guideline values, and reference values largely based on the 95th percentile of the concentrations found in a reference population. Here, we provide a comprehensive overview of the indoor air values set in Germany and discuss the basis of their derivation. This overview includes a description of legally binding standards, indoor air guide values for 38 substances or groups, and guidelines for TVOC (total volatile organic compounds), particulate matter, and carbon dioxide as well as risk-related guidelines for carcinogenic substances.


Assuntos
Poluição do Ar em Ambientes Fechados/legislação & jurisprudência , Poluição do Ar em Ambientes Fechados/prevenção & controle , Exposição por Inalação/legislação & jurisprudência , Exposição por Inalação/prevenção & controle , Poluentes Atmosféricos/análise , Poluentes Atmosféricos/normas , Alemanha , Regulamentação Governamental , Humanos , Exposição por Inalação/análise , Exposição por Inalação/normas , Concentração Máxima Permitida
2.
J Water Health ; 16(6): 947-957, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30540269

RESUMO

While disinfection of swimming pools is indispensable for microbiological safety, it may lead to the formation of disinfection by-products. Most studies agree that inhalation exposure is the predominant pathway of the associated health risks, but assumptions are based on concentrations measured in water and evaporation models. Pool water and air were sampled in 19 swimming pools. Trihalomethanes were detected in all sites; chloroform being the most abundant species. Concentrations ranged between 12.8-71.2 µg/L and 11.1-102.2 µg/m3 in pool water and air, respectively. The individual lifetime carcinogenic risk associated with chloroform in swimming pools exceeded 10-6 in all age groups for recreational swimmers and 10-5 for elite swimmers and staff, even if the pool complied with the national standards. Inhalation exposure was estimated and found to be the most relevant, however, different mass transfer models from water measurements significantly under- or overestimated the health burden compared to direct calculation from the concentration in air. The observed health risks call for defining regulatory values and monitoring requirement of indoor air quality in swimming pools.


Assuntos
Desinfetantes/análise , Exposição por Inalação/normas , Piscinas , Purificação da Água/métodos , Clorofórmio , Desinfecção , Política Ambiental , Humanos , Exposição por Inalação/legislação & jurisprudência , Exposição por Inalação/estatística & dados numéricos , Natação , Trialometanos , Purificação da Água/legislação & jurisprudência
3.
PLoS Med ; 15(7): e1002604, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29990353

RESUMO

BACKGROUND: Policies to mitigate climate change by reducing greenhouse gas (GHG) emissions can yield public health benefits by also reducing emissions of hazardous co-pollutants, such as air toxics and particulate matter. Socioeconomically disadvantaged communities are typically disproportionately exposed to air pollutants, and therefore climate policy could also potentially reduce these environmental inequities. We sought to explore potential social disparities in GHG and co-pollutant emissions under an existing carbon trading program-the dominant approach to GHG regulation in the US and globally. METHODS AND FINDINGS: We examined the relationship between multiple measures of neighborhood disadvantage and the location of GHG and co-pollutant emissions from facilities regulated under California's cap-and-trade program-the world's fourth largest operational carbon trading program. We examined temporal patterns in annual average emissions of GHGs, particulate matter (PM2.5), nitrogen oxides, sulfur oxides, volatile organic compounds, and air toxics before (January 1, 2011-December 31, 2012) and after (January 1, 2013-December 31, 2015) the initiation of carbon trading. We found that facilities regulated under California's cap-and-trade program are disproportionately located in economically disadvantaged neighborhoods with higher proportions of residents of color, and that the quantities of co-pollutant emissions from these facilities were correlated with GHG emissions through time. Moreover, the majority (52%) of regulated facilities reported higher annual average local (in-state) GHG emissions since the initiation of trading. Neighborhoods that experienced increases in annual average GHG and co-pollutant emissions from regulated facilities nearby after trading began had higher proportions of people of color and poor, less educated, and linguistically isolated residents, compared to neighborhoods that experienced decreases in GHGs. These study results reflect preliminary emissions and social equity patterns of the first 3 years of California's cap-and-trade program for which data are available. Due to data limitations, this analysis did not assess the emissions and equity implications of GHG reductions from transportation-related emission sources. Future emission patterns may shift, due to changes in industrial production decisions and policy initiatives that further incentivize local GHG and co-pollutant reductions in disadvantaged communities. CONCLUSIONS: To our knowledge, this is the first study to examine social disparities in GHG and co-pollutant emissions under an existing carbon trading program. Our results indicate that, thus far, California's cap-and-trade program has not yielded improvements in environmental equity with respect to health-damaging co-pollutant emissions. This could change, however, as the cap on GHG emissions is gradually lowered in the future. The incorporation of additional policy and regulatory elements that incentivize more local emission reductions in disadvantaged communities could enhance the local air quality and environmental equity benefits of California's climate change mitigation efforts.


Assuntos
Poluição do Ar/efeitos adversos , Poluição do Ar/legislação & jurisprudência , Carbono/efeitos adversos , Monitoramento Ambiental/legislação & jurisprudência , Exposição por Inalação/efeitos adversos , Exposição por Inalação/legislação & jurisprudência , Material Particulado/efeitos adversos , Características de Residência , Poluição do Ar/prevenção & controle , California , Mudança Climática , Regulamentação Governamental , Efeito Estufa/legislação & jurisprudência , Efeito Estufa/prevenção & controle , Gases de Efeito Estufa/efeitos adversos , Nível de Saúde , Humanos , Exposição por Inalação/prevenção & controle , Avaliação de Programas e Projetos de Saúde , Medição de Risco , Fatores de Risco , Determinantes Sociais da Saúde/legislação & jurisprudência , Fatores de Tempo
5.
J Appl Toxicol ; 36(11): 1379-91, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27283874

RESUMO

Asthma, a chronic respiratory disease, can be aggravated by exposure to certain chemical irritants. The objectives were first to investigate the extent to which experimental observations on asthmatic subjects are taken into consideration in connection with the registration process under the EU REACH regulation, and second, to determine whether asthmatics are provided adequate protection by the derived no-effect levels (DNELs) for acute inhalation exposure. We identified substances for which experimental data on the pulmonary functions of asthmatics exposed to chemicals under controlled conditions are available. The effect concentrations were then compared with DNELs and other guideline and limit values. As of April 2015, only 2.6% of 269 classified irritants had available experimental data on asthmatics. Fourteen of the 22 identified substances with available data were fully registered under REACH and we retrieved 114 reliable studies related to these. Sixty-three of these studies, involving nine of the 14 substances, were cited by the REACH registrants. However, only 17 of the 114 studies, involving four substances, were regarded as key studies. Furthermore, many of the DNELs for acute inhalation were higher than estimated effect levels for asthmatics, i.e., lowest observed adverse effect concentrations or no-observed adverse effect concentrations, indicating low or no safety margin. We conclude that REACH registrants tend to disregard findings on asthmatics when deriving these DNELs. In addition, we found examples of DNELs, particularly among those derived for workers, which likely do not provide adequate protection for asthmatics. Copyright © 2016 The Authors Journal of Applied Toxicology Published by John Wiley & Sons Ltd.


Assuntos
Poluentes Ocupacionais do Ar/toxicidade , Asma/induzido quimicamente , Exposição por Inalação/análise , Exposição Ocupacional/análise , Saúde Ocupacional/legislação & jurisprudência , União Europeia , Regulamentação Governamental , Humanos , Exposição por Inalação/legislação & jurisprudência , Exposição por Inalação/normas , Concentração Máxima Permitida , Nível de Efeito Adverso não Observado , Exposição Ocupacional/legislação & jurisprudência , Exposição Ocupacional/normas , Saúde Ocupacional/normas , Níveis Máximos Permitidos , Local de Trabalho/normas
6.
BMJ Open ; 5(4): e007266, 2015 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-25838509

RESUMO

OBJECTIVES: In the cotton industry of Pakistan, 15 million people are employed and exposed to cotton dust, toxic chemicals, noise and physical hazards. The aim of this study was to determine the prevalence of health symptoms, particularly respiratory symptoms, and to measure cotton dust and endotoxin levels in different textile factories of Faisalabad, Pakistan. METHODS: A cross-sectional investigation was performed in a representative sample of 47 cotton factories in the Faisalabad region in Punjab, Pakistan. Respiratory symptoms of 800 workers were documented by questionnaire. Occupational safety in the factories was assessed by a trained expert following a checklist, and dust and endotoxin levels in different work areas were measured. RESULTS: Prevalence of respiratory disease symptoms (fever, shortness of breath, chest tightness and cough) was generally high and highest in the weaving section of the cotton industry (20-40% depending on symptoms). This section also displayed the poorest occupational safety ratings and the highest levels of inhalable cotton dust (mean±SD 4.6±2.5 vs 0.95±0.65 mg/m(3) in compact units). In contrast, endotoxin levels were highest in the spinning section (median 1521 EU/m(3)), where high humidity is maintained. CONCLUSIONS: There are still poor working conditions in the cotton industry in Pakistan where workers are exposed to different occupational hazards. More health symptoms were reported from small weaving factories (power looms). There is a dire need for improvements in occupational health and safety in this industrial sector with particular focus on power looms.


Assuntos
Poluentes Ocupacionais do Ar/efeitos adversos , Poeira/análise , Monitoramento Ambiental/métodos , Exposição por Inalação/efeitos adversos , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Doenças Respiratórias/epidemiologia , Indústria Têxtil , Poluentes Ocupacionais do Ar/análise , Fibra de Algodão , Estudos Transversais , Endotoxinas/análise , Monitoramento Ambiental/legislação & jurisprudência , Feminino , Humanos , Exposição por Inalação/legislação & jurisprudência , Masculino , Doenças Profissionais/prevenção & controle , Exposição Ocupacional/legislação & jurisprudência , Exposição Ocupacional/prevenção & controle , Saúde Ocupacional , Paquistão/epidemiologia , Formulação de Políticas , Prevalência , Doenças Respiratórias/prevenção & controle , Inquéritos e Questionários , Indústria Têxtil/legislação & jurisprudência
7.
Environ Res ; 138: 461-8, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25794848

RESUMO

The smoke-free legislation implemented in Spain in 2006 imposed a partial ban on smoking in public and work places, but the result did not meet expectations. Therefore, a more restrictive anti-smoking law was passed five years later in 2011 prohibiting smoking in all public places, on public transport, and the workplace. With the objective of assessing the impact of the latter anti-smoking legislation on children's exposure to second-hand smoke (SHS), we assessed parent's smoking habits and children's urine cotinine (UC) concentrations in 118 boys before (2005-2006) and after (2011-2012) the introduction of this law. Repeated cross-sectional follow-ups of the "Environment and Childhood Research Network" (INMA-Granada), a Spanish population-based birth cohort study, at 4-5 years old (2005-2006) and 10-11 years old (2011-2012), were designed. Data were gathered by ad-hoc questionnaire, and median UC levels recorded as an objective indicator of overall SHS exposure. Multivariable logistic regression was used to examine the association between parent's smoking habits at home and SHS exposure, among other potential predictors. An increase was observed in the prevalence of families with at least one smoker (39.0% vs. 50.8%) and in the prevalence of smoking mothers (20.3% vs. 29.7%) and fathers (33.9% vs. 39.0%). Median UC concentration was 8.0ng/mL (interquartile range [IQR]: 2.0-21.8) before legislation onset and 8.7ng/mL (IQR: 2.0-24.3) afterwards. In the multivariable analysis, the smoking status of parents and smoking habits at home were statistically associated with the risk of SHS exposure and with UC concentrations in children. These findings indicate that the recent prohibition of smoking in enclosed public and workplaces in Spain has not been accompanied by a decline in the exposure to SHS among children, who continue to be adversely affected. There is a need to target smoking at home in order to avoid future adverse health effects in a population that has no choice in the acceptance or not of SHS exposure-derived risk.


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Exposição por Inalação , Fumar/legislação & jurisprudência , Poluição por Fumaça de Tabaco/análise , Poluição do Ar em Ambientes Fechados/legislação & jurisprudência , Criança , Pré-Escolar , Cotinina/urina , Estudos Transversais , Seguimentos , Humanos , Exposição por Inalação/legislação & jurisprudência , Masculino , Prevalência , Fumar/epidemiologia , Espanha/epidemiologia , Inquéritos e Questionários , Fatores de Tempo , Poluição por Fumaça de Tabaco/legislação & jurisprudência
8.
Am J Public Health ; 105(4): 772-8, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25713937

RESUMO

OBJECTIVES: We examined the impact of Rule 4901, aimed at reducing residential wood burning, on particulate matter levels and hospitalizations in the San Joaquin Valley Air Basin (SJVAB). METHODS: Using general linear mixed models and generalized estimating equation models, we compared levels of particulate matter and of hospital admissions (age groups = 45-64 and ≥ 65 years) in the SJVAB for cardiovascular disease (CVD), ischemic heart disease (IHD), and chronic obstructive pulmonary disease during the burn seasons before (2000-2003) and after (2003-2006) implementation. RESULTS: After implementation, we observed reductions of 12%, 11%, and 15% in particulate matter 2.5 micrometers in diameter or smaller (PM2.5), and 8%, 7%, and 11% in coarse particles, in the entire SJVAB and in rural and urban regions of the air basin, respectively. Among those aged 65 years and older, Rule 4901 was estimated to prevent 7%, 8%, and 5% of CVD cases, and 16%, 17%, and 13% of IHD cases, in the entire SJVAB and in rural and urban regions, respectively. CONCLUSIONS: The study suggests that Rule 4901 is effective at reducing wintertime ambient PM2.5 levels and decreasing hospital admissions for heart disease among people aged 65 years and older.


Assuntos
Doenças Cardiovasculares/epidemiologia , Hospitalização/estatística & dados numéricos , Material Particulado/análise , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Madeira , Idoso , Poluentes Atmosféricos/análise , Poluição do Ar/análise , Poluição do Ar/legislação & jurisprudência , California , Feminino , Humanos , Exposição por Inalação/análise , Exposição por Inalação/legislação & jurisprudência , Masculino , Pessoa de Meia-Idade , Características de Residência , Estações do Ano
9.
Med Lav ; 104 Suppl 1: 3-20, 2013.
Artigo em Italiano | MEDLINE | ID: mdl-24640081

RESUMO

We are going to consider the specific applications of the new legal system and of the most recent body of laws to those work environments of particular risk, such as healthcare facilities and in particular operating rooms. In such environments, volatile chemicals classified as "dangerous" are used with consequent exposure to "chemical risk", both of those persons professionally involved, depending on the type of activity, and of the patients to whom such activities are addressed in the same environment. Once the chemical risk is framed in the existing regulatory system, it must be specifically evaluated the application of the same principle to the particular chemical risk arising from the use of anesthetic agents in the operating room, for example sevoflurane and desflurane, being careful to test wether and how much this risk can be eliminated or reduced to minimum in relation to the new achievements of the technical progress. So, as soon as the quality of "dangerous chemical agent" of the "volatile chemicals" and of the "volatile liquid anesthetic" (sevoflurane and desflurane) as well--which are characterized by a lower degree of toxicity and for this reason are mostly used in current chemical practice, preferable to some anesthetic gases such as nitrous oxide--is legally verified, it is necessary to relate the scientific and technical data which result from the current "state of art" also to the other binding regulations that are imposed for the "prevention and protection from chemical agents", according to the relative Title IX of the TUSL (Unique text for Safety and Health at Work).


Assuntos
Anestésicos Inalatórios/efeitos adversos , Exposição por Inalação/legislação & jurisprudência , Exposição por Inalação/prevenção & controle , Exposição Ocupacional/legislação & jurisprudência , Exposição Ocupacional/prevenção & controle , Salas Cirúrgicas/legislação & jurisprudência , Desflurano , Monitoramento Ambiental , Instalações de Saúde/legislação & jurisprudência , Humanos , Isoflurano/efeitos adversos , Isoflurano/análogos & derivados , Itália , Éteres Metílicos/efeitos adversos , Óxido Nitroso/efeitos adversos , Guias de Prática Clínica como Assunto , Medição de Risco , Fatores de Risco , Sevoflurano
10.
Asian Pac J Cancer Prev ; 14(11): 6845-50, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24377615

RESUMO

BACKGROUND: This study was performed to gather data on second-hand smoke (SHS) concentrations in a range of public venues following the implementation of partial Smoke-Free Legislation in Malaysia in 2004. MATERIALS AND METHODS: PM2.5 was measured as a marker of SHS levels in a total of 61 restaurants, entertainment centres, internet cafes and pubs in Kuala Lumpur, Malaysia. RESULTS: Under the current smoke-free laws smoking was prohibited in 42 of the 61 premises. Active smoking was observed in nearly one-third (n=12) of these. For premises where smoking was prohibited and no active smoking observed, the mean (standard deviation) indoor PM2.5 concentration was 33.4 (23.8) µg/m3 compared to 187.1 (135.1) µg/m3 in premises where smoking was observed The highest mean PM2.5 was observed in pubs [361.5 (199.3) µg/m3]. CONCLUSIONS: This study provides evidence of high levels of SHS across a range of hospitality venues, including about one-third of those where smoking is prohibited, despite 8 years of smoke-free legislation. Compliance with the legislation appeared to be particularly poor in entertainment centres and internet cafes. Workers and non-smoking patrons continue to be exposed to high concentrations of SHS within the hospitality industry in Malaysia and there is an urgent need for increased enforcement of existing legislation and consideration of more comprehensive laws to protect health.


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Exposição por Inalação/análise , Logradouros Públicos , Poluição por Fumaça de Tabaco/análise , Poluição por Fumaça de Tabaco/legislação & jurisprudência , Poluição do Ar em Ambientes Fechados/legislação & jurisprudência , Poluição do Ar em Ambientes Fechados/prevenção & controle , Humanos , Exposição por Inalação/legislação & jurisprudência , Exposição por Inalação/prevenção & controle , Malásia , Poluição por Fumaça de Tabaco/prevenção & controle
12.
J Hazard Mater ; 241-242: 267-78, 2012 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-23072984

RESUMO

As back diffusion gases from automobiles are significant sources of in-vehicular pollution, we investigated eight automobiles, five for back diffusion (driving) measurements and three for reference conditions (non-driving). To characterize the back diffusion emission conditions, seven volatile organic compounds (VOC) and four carbonyl compounds (CCs) were measured along with dilution-to-threshold (D/T) ratio. The data obtained from back diffusion measurements were examined after having been divided into three subcategories: (i) driving and non-driving, (ii) with and without automobile upgrading (sealing the inner line), and (iii) differences in CO emission levels. Among the VOCs, the concentrations of toluene (T) was found to be the highest (range: 13.6-155 ppb), while benzene (0.19-1.47 ppb) was hardly distinguishable from its ambient levels. Other VOCs (xylene, trimethylbenzene, and styrene) were generally below <1 ppb. Unlike VOCs, the concentrations (ppb) of CCs were seen at fairly enhanced levels: 30.1-95 (formaldehyde), 34.6-87.2 (acetaldehyde), 4.56-34.7 (propionaldehyde), and 3.45-68.8 (butyraldehyde). The results of our study suggest that the back diffusion phenomenon, if occurring, can deteriorate in-vehicle air, especially with the most imminent health hazards from a compound such as formaldehyde in view of its exceedance pattern over common guidelines.


Assuntos
Poluentes Atmosféricos/análise , Automóveis/normas , Resíduos Perigosos/análise , Exposição por Inalação/análise , Emissões de Veículos/análise , Difusão , Monitoramento Ambiental/legislação & jurisprudência , Monitoramento Ambiental/métodos , Humanos , Exposição por Inalação/legislação & jurisprudência , Concentração Máxima Permitida , República da Coreia , Volatilização
15.
Tob Control ; 21(5): 511-3, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22016506

RESUMO

OBJECTIVE: To determine current secondhand smoke (SHS) concentrations in bars previously assessed as part of an evaluation of Scottish smoke-free legislation 5 years ago. DESIGN: Comparison between SHS levels measured in 2006 and 2011 in 39 pubs in 2 Scottish cities. METHODS: Fine particulate matter (PM(2.5)) was measured discreetly for 30 min in each bar on one or two visits 5 years after the previous visit in May/June 2006. These 5-year follow-up visits were undertaken on the same day of the week and at approximately the same time of day. RESULTS: Average PM(2.5) levels measured in a total of 51 bar visits in 2011 were 12 µg/m(3) (range 2-155 µg/m(3)) compared to 20 µg/m(3) (range 6-104 µg/m(3)) in the period immediately after the ban in 2006. Fine particulate concentrations in all but two visits in 2011 were comparable to PM(2.5) levels measured in outside ambient air on the same day, with 92% of visits (n=47) providing 30-min average PM(2.5) concentrations less than 25 µg/m(3). CONCLUSIONS: These results are one of the longest follow-up of any national smoke-free legislation and indicate that, 5 years after introduction, compliance is high and that the legislation continues to provide bar workers and non-smoking customers protection from SHS.


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Exposição por Inalação/análise , Restaurantes/legislação & jurisprudência , Abandono do Hábito de Fumar/legislação & jurisprudência , Fumar/legislação & jurisprudência , Poluição por Fumaça de Tabaco/análise , Poluição do Ar em Ambientes Fechados/legislação & jurisprudência , Seguimentos , Humanos , Exposição por Inalação/legislação & jurisprudência , Escócia , Poluição por Fumaça de Tabaco/legislação & jurisprudência
16.
J Environ Monit ; 14(1): 165-71, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22095294

RESUMO

A comparison of various averaging techniques to calculate the Average Exposure Indicator (AEI) specified in European Directive 2008/50/EC for particulate matter in ambient air has been performed. This was done for data from seventeen sites around the UK for which PM(10) mass concentration data is available for the years 1998-2000 and 2008-2010 inclusive. The results have shown that use of the geometric mean produces significantly lower AEI values within the required three year averaging periods and slightly lower changes in the AEI value between the three year averaging periods than the use of the arithmetic mean. The use of weighted means in the calculation, using the data capture at each site as the weighting parameter, has also been tested and this is proposed as a useful way of taking account of the confidence of each data set.


Assuntos
Poluentes Atmosféricos/análise , Poluição do Ar/estatística & dados numéricos , Monitoramento Ambiental/métodos , Exposição por Inalação/análise , Material Particulado/análise , Poluição do Ar/legislação & jurisprudência , Monitoramento Ambiental/legislação & jurisprudência , Monitoramento Ambiental/normas , Monitoramento Ambiental/estatística & dados numéricos , Europa (Continente) , Humanos , Exposição por Inalação/legislação & jurisprudência , Exposição por Inalação/normas , Exposição por Inalação/estatística & dados numéricos , Tamanho da Partícula
17.
Tob Control ; 21(5): 488-91, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21836161

RESUMO

UNLABELLED: Although exposure to secondhand smoke (SHS) is reportedly high in prison, few studies have measured this in the prison environment, and none have done so in Europe. We measured two indicators of SHS exposure (particulate matter PM10 and nicotine) in fixed locations before (2009) and after (2010) introduction of a partial smoking ban in a Swiss prison. Access to smoking cessation support was available to detainees throughout the study. OBJECTIVES: To measure SHS before and after the introduction of a partial smoking ban. METHODS: Assessment of particulate matter PM10 (suspended microparticles of 10 µm) and nicotine in ambient air, collected by real-time aerosol monitor and nicotine monitoring devices. RESULTS: The authors observed a significant improvement of nicotine concentrations in the air after the introduction of the smoking ban (before: 7.0 µg/m(3), after: 2.1 µg/m(3), difference 4.9 µg/m(3), 95% CI for difference: 0.52 to 9.8, p=0.03) but not in particulate matter PM10 (before: 0.11 mg/m(3), after: 0.06 mg/m(3), difference 0.06 mg/m(3), 95% CI for difference of means: -0.07 to 0.19, p=0.30). CONCLUSIONS: The partial smoking ban was followed by a decrease in nicotine concentrations in ambient air. These improvements can be attributed to the introduction of the smoking ban since no other policy change occurred during this period. Although this shows that concentrations of SHS decreased significantly, protection was still incomplete and further action is necessary to improve indoor air quality.


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Exposição por Inalação/análise , Nicotina/análise , Prisões/legislação & jurisprudência , Abandono do Hábito de Fumar/legislação & jurisprudência , Fumar/legislação & jurisprudência , Poluição por Fumaça de Tabaco/análise , Ar/análise , Poluição do Ar em Ambientes Fechados/legislação & jurisprudência , Monitoramento Ambiental/métodos , Humanos , Exposição por Inalação/legislação & jurisprudência , Suíça , Poluição por Fumaça de Tabaco/legislação & jurisprudência
18.
Tob Control ; 21(5): 460-4, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21680561

RESUMO

OBJECTIVE: To determine particulate matter smaller than 2.5 µm (PM(2.5)) levels at various hospitality and entertainment venues of Karachi, Pakistan. METHODS: This was a descriptive cross-sectional study conducted at various locations in Karachi, during July 2009. Sampling was performed at 20 enclosed public places, including hospitality (restaurants and cafés) and entertainment (snooker/billiard clubs and gaming zones) venues. PM(2.5) levels were measured using an aerosol monitor. RESULTS: All entertainment venues had higher indoor PM(2.5) levels as compared to the immediate outdoors. The indoor PM(2.5) levels ranged from 25 to 390 µg/m(3) and the outdoor PM(2.5) levels ranged from 18 to 96 µg/m(3). The overall mean indoor PM(2.5) level was 138.8 µg/m(3) (± 112.8). Among the four types of venues, the highest mean indoor PM(2.5) level was reported from snooker/billiard clubs: 264.7 µg/m(3) (± 85.4) and the lowest from restaurants: 66.4 µg/m(3) (± 57.6) while the indoor/outdoor ratio ranged from 0.97 to 10.2, highest being at the snooker/billiard clubs. The smoking density ranged from 0.21 to 0.57, highest being at gaming zones. The indoor PM(2.5) concentration and smoking density were not significantly correlated (Spearman's correlation coefficient = 0.113; p = 0.636). CONCLUSIONS: This study demonstrates unacceptably high levels of PM(2.5) exposure associated with secondhand smoke (SHS) at various entertainment venues of Karachi even after 8 years since the promulgation of smoke-free ordinance (2002) in Pakistan; however, better compliance may be evident at hospitality venues. The results of this study call for effective implementation and enforcement of smoke-free environment at public places in the country.


Assuntos
Poluição do Ar em Ambientes Fechados/análise , Monitoramento Ambiental , Exposição por Inalação/análise , Atividades de Lazer , Restaurantes , Fumar/efeitos adversos , Poluição por Fumaça de Tabaco/análise , Poluição do Ar em Ambientes Fechados/legislação & jurisprudência , Estudos Transversais , Humanos , Exposição por Inalação/legislação & jurisprudência , Paquistão , Restaurantes/legislação & jurisprudência , Fumar/legislação & jurisprudência , Poluição por Fumaça de Tabaco/legislação & jurisprudência
19.
Res Rep Health Eff Inst ; (172): 5-82, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23409510

RESUMO

INTRODUCTION: Hot spots are areas where concentrations of one or more air toxics--organic vapors or particulate matter (PM)--are expected to be elevated. The U.S. Environmental Protection Agency's (EPA*) screening values for air toxics were used in our definition of hot spots. According to the EPA, a screening value "is used to indicate a concentration of a chemical in the air to which a person could be continually exposed for a lifetime ... and which would be unlikely to result in a deleterious effect (either cancer or noncancer health effects)" (U.S. EPA 2006). Our characterization of volatile organic compounds (VOCs; namely 18 hydrocarbons, methyl tert-butyl ether [MTBE], acetone, and aldehydes) was added onto our ongoing National Cancer Institute-funded study of lung cancer and particulate pollutant concentrations (PM with an aerodynamic diameter < or = 2.5 microm [PM2.5], elemental carbon [EC], and organic carbon [OC]) and source apportionment of the U.S. trucking industry. We focused on three possible hot spots within the trucking terminals: upwind background areas affected by nearby industrial parks; downwind areas affected by upwind and terminal sources; and the loading docks and mechanic shops within terminal as well as the interior of cabs of trucks being driven on city, suburban, and rural streets and on highways. METHODS: In Phase 1 of our study, 15 truck terminals across the United States were each visited for five consecutive days. During these site visits, sorbent tubes were used to collect 12-hour integrated samples of hydrocarbons and aldehydes from upwind and downwind fence-line locations as well as inside truck cabs. Meteorologic data and extensive site information were collected with each sample. In Phase 2, repeat visits to six terminals were conducted to test the stability of concentrations across time and judge the representativeness of our previous measurements. During the repeat site visits, the sampling procedure was expanded to include real-time sampling for total hydrocarbon (HC) and PM2.5 at the terminal upwind and downwind sites and inside the truck cabs, two additional monitors in the yard for four-quadrant sampling to better characterize the influence of wind, and indoor sampling in the loading dock and mechanic shop work areas. RESULTS: Mean and median concentrations of VOCs across the sampling locations in and around the truck terminals showed significant variability in the upwind concentrations as well as in the intensity of exposures for drivers, loading-dock workers, and mechanics. The area of highest concentrations varied, although the lowest concentrations were always found in the upwind background samples. However, the downwind samples, which included the terminal's contribution, were on average only modestly higher than the upwind samples. In the truck terminal, the mechanic-shop-area concentrations were consistently elevated for many of the VOCs (including the xylenes, alkanes, and acetone) and particulates; the loading-dock concentrations had relatively high concentrations of 1,3-butadiene, formaldehyde, and acetaldehyde; and nonsmoking driver exposures were elevated for benzene, MTBE, styrene, and hexane. Also, the loading dock and yard background concentrations for EC and PM2.5 were highly correlated with many of the VOCs (50% of pairs tested with Spearman r > 0.5 and 75% with r > 0.4); in the mechanic shop VOCs were correlated with EC but not PM2.5 (r = 0.4-0.9 where significant); and for driver exposures VOC correlations with EC and PM2.5 were relatively low, with the exception of a few aromatics, primarily benzene (r = 0.4-0.5). A principal component analysis of background source characteristics across the terminal locations that had repeat site visits identified three different groupings of variables (the "components"). This analysis suggested that a strong primary factor for hydrocarbons (alkanes and aromatics) was the major contributor to VOC variability in the yard upwind measurement. Aldehydes and acetone, which loaded onto the second and third components, were responsible for a smaller contribution to VOC variability. A multi-layer exposure model was constructed using structural equation modeling techniques that significantly predicted the yard upwind concentrations of individual VOCs as a function of wind speed, road proximity, and regional location (R2 = 0.5-0.9). This predicted value for the yard background concentration was then used to calculate concentrations for the loading dock and mechanic shop. Finally, we conducted a detailed descriptive analysis of the real-time data collected in the yard and in truck cabs during the six repeat site visits, which included more than 50 12-hour sessions at each sampling location. The real-time yard monitoring results suggested that under some conditions there was a clear upwind-to-downwind trend indicating a terminal contribution, which was not apparent in the integrated sampling data alone. They also suggested a nonlinear relationship with wind speed: calm conditions (wind speed < 2 mph) were associated with erratic upwind-downwind differences, lower wind speeds (2 to 10 mph) favored transport with little dilution, and higher wind speeds (> 10 mph) favored dilution and dispersal (more so for VOCs than for PM). Finally, an analysis of the real-time data for driver exposures in trucks with a global positioning system (GPS) matched with geographic information system (GIS) data suggested a clear influence of traffic and industrial sources along a given route with peaks in driver exposures. These peaks were largely associated with traffic, major intersections, idling at the terminals, and pickup and delivery (P&D) periods. However, VOCs and PM2.5 had different exposure patterns: VOCs exposures increased when the vehicle was stopped, and PM2.5 exposures increased during travel in traffic. CONCLUSIONS: All three types of testing sites--upwind and downwind fence-line locations and inside truck cabs while in heavy traffic--met the established definition for a hot spot by having periods with concentrations of pollutants that exceeded the EPA's screening values. Most frequently, the pollutants with concentrations exceeding the screening values were formaldehyde, acetaldehyde, and EC (which serves as a marker for diesel particulate); less frequently they were 1,3-butadiene and benzene. In the case of the downwind location of a single truck terminal without an aggregation of other sources, high concentrations of VOCs and PM were infrequent. Using structural equation modeling, a model was developed that could identify combinations of conditions and factors likely to produce hot spots. Source apportionment analyses showed that EC came predominantly from diesel emissions. As expected from the sites studied, organic vapors associated with vehicle emissions (C6-C8 alkanes and aromatics) were the predominant components of VOCs, followed by formaldehyde and acetaldehyde. For driver exposures, high VOC values were associated with stopped vehicles, and high PM2.5 values were associated with conditions during driving.


Assuntos
Poluentes Atmosféricos/toxicidade , Poluição do Ar/análise , Exposição por Inalação/análise , Veículos Automotores , Exposição Ocupacional/análise , Emissões de Veículos/toxicidade , Poluentes Atmosféricos/análise , Poluição do Ar/legislação & jurisprudência , Poluição do Ar/estatística & dados numéricos , Monitoramento Ambiental , Gasolina/análise , Avaliação do Impacto na Saúde , Humanos , Hidrocarbonetos/análise , Exposição por Inalação/legislação & jurisprudência , Exposição por Inalação/estatística & dados numéricos , Exposição Ocupacional/legislação & jurisprudência , Exposição Ocupacional/estatística & dados numéricos , Tamanho da Partícula , Material Particulado/análise , Estados Unidos , United States Environmental Protection Agency/legislação & jurisprudência , Emissões de Veículos/análise , Emissões de Veículos/legislação & jurisprudência , Tempo (Meteorologia)
20.
Int J Health Serv ; 41(2): 239-54, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21563623

RESUMO

The intent of this essay is to highlight the global reorganization of the asbestos industry over the period 1970-2007. Descriptive analysis illustrates that asbestos consumption in the industrialized countries declined precipitously over this period, in juxtaposition to a notable increase in consumption in the developing countries. In 2007, asbestos consumption in the developing countries was more than two million metric tons but negligible elsewhere in the world economy. The author argues that as asbestos increasingly became the focus of government oversight in the industrialized countries, continued capital accumulation efforts necessitated displacement of risk to the developing countries. The global revitalization of asbestos production and consumption over the period 1970-2007 presents numerous challenges in terms of occupational and environmental health hazards in the developing countries. It has the potential, moreover, to prefigure a significant expansion of asbestos-related disease into the 21st century, absent a global ban on asbestos use.


Assuntos
Amianto , Indústrias/tendências , Amianto/economia , Amianto/intoxicação , Países em Desenvolvimento , Saúde Global , Regulamentação Governamental , Humanos , Exposição por Inalação/efeitos adversos , Exposição por Inalação/economia , Exposição por Inalação/legislação & jurisprudência , Doenças Profissionais/etiologia , Exposição Ocupacional/efeitos adversos , Exposição Ocupacional/economia , Exposição Ocupacional/legislação & jurisprudência , Responsabilidade Social
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