Andrea Hinwood

The short-term effects of air pollution on daily mortality in four Australian cities

Objective: To examine the short‐term health effects of air pollution on daily mortality in four Australian cities (Brisbane, Melbourne, Perth and Sydney), where more than 50% of Australians reside.

Exposure to Inorganic Arsenic in Soil Increases Urinary Inorganic Arsenic Concentrations of Residents Living in Old Mining Areas

The short term human exposure studies conducted on populations exposed to high concentrations of inorganic arsenic in soil have been inconsistent in demonstrating a relationship between environmental concentrations and exposure measures. In Australia there are many areas with very high arsenic concentrations in residential soil most typically associated with gold mining activities in rural areas. This study aimed to investigate the relationship between environmental arsenic and urinary inorganic arsenic concentrations in a population living in a gold mining area (soil arsenic concentrations between 9 and 9900 mg kg−1), and a control population with low arsenic levels in soil (between 1 and 80 mg kg−1). Risk factors for increased urinary arsenic concentrations were also explored. There was a weak but significant relationship between soil arsenic concentrations and inorganic urinary arsenic concentration with a Spearman correlation coefficient of 0.39. When participants with greater than 100 mg kg−1 arsenic in residential soil were selected, the coefficient increased to 0.64. The geometric mean urinary inorganic arsenic concentration for the exposed group was 1.64 µg L−1 (<detection limit −28.4 µg L−1) and for the control group was 1.18 µg L−1 (<detection limit −4.69 µg L−1). Participants with residential soil in excess of 1000 mg kg−1 recorded a geometric mean urinary inorganic arsenic concentration of 2.46 µg L−1. In a random effects linear regression model, soil arsenic concentration was the significant predictor of increased urinary arsenic concentrations. Season was shown to have a significant influence on urinary inorganic arsenic concentrations. Other factors such as age, gender and hours of contact with soil may also be important risk factors. These results show that high concentrations of arsenic in soil can make a contribution to urinary inorganic arsenic concentrations.

The relationship between changes in daily air pollution and hospitalizations in Perth, Australia 1992–1998: A case-crossover study

Abstract A case-crossover study was undertaken to investigate the relationship between daily air pollutant concentrations and daily hospitalizations for selected disease categories in Perth, Western Australia. Daily measurements of particles (measured by nephelometry and PM2.5), photochemical oxidants (measured as ozone), nitrogen dioxide (NO2) and carbon monoxide (CO) concentrations were obtained from 1992 to 1998 via a metropolitan network of monitoring stations. Daily PM2.5 concentrations were estimated using monitored data, modelling and interpolation. Hospital morbidity data for respiratory, cardiovascular (CVD), gastrointestinal (GI) diseases, chronic obstructive pulmonary diseases (COPD) excluding asthma; pneumonia/influenza diseases; and asthma were obtained and categorized into all ages, less than 15 years and greater than 65 years. Gastrointestinal morbidity was used as a control disease. The data were analyzed using conditional logistic regression. The results showed a small number of significant associations for daily changes in particle concentrations, nitrogen dioxide and carbon monoxide for the respiratory diseases, CODP, pneumonia, asthma and CVD hospitalizations. Changes in ozone concentrations were not significantly associated with any disease outcomes. These data provide useful information on the potential health impacts of air pollution in an airshed with very low sulphur dioxide concentrations and lower nitrogen dioxide concentrations commonly found in many other cities.

The relationship between outdoor air quality and respiratory symptoms in young children

Abstract The aim of this study was to investigate the relationship between air pollution and respiratory symptoms in young children. A total of 263 children at high risk of developing asthma or atopy were recruited antenatally and all respiratory symptoms experienced by the children were recorded by their parents for five years. Daily pollutant concentrations and meteorological data (ambient temperature and humidity) were collected from network monitoring sites. Logistic regression models investigating relationships between individual air pollutants and respiratory symptoms showed significant associations between Ozone (O3) (1 h and 8 h) concentrations and raised body temperature (lag 0); Carbon monoxide (CO) (8 h) and wheeze/rattle and runny/blocked nose (lag 5 and additive exposure over 5 days); Nitrogen dioxide (NO2) (24 h) concentrations and cough (lag 0 and additive exposure over 5 days) and PM2.5 and visibility (BSP) (1 h) with cough (lag 0). These associations were observed even though air pollutant concentrations were below national standards throughout the study period.

Maternal exposure to metals—Concentrations and predictors of exposure

A variety of metals are important for biological function but have also been shown to impact health at elevated concentrations, whereas others have no known biological function. Pregnant women are a vulnerable population and measures to reduce exposure in this group are important. We undertook a study of maternal exposure to the metals, aluminium, arsenic, copper, cobalt, chromium, lithium, manganese, nickel, selenium, tin, uranium and zinc in 173 participants across Western Australia. Each participant provided a whole blood and urine sample, as well as drinking water, residential soil and dust samples and completed a questionnaire. In general the concentrations of metals in all samples were low with the notable exception of uranium (blood U mean 0.07 µg/L, range <0.01-0.25 µg/L; urinary U mean 0.018 µg/g creatinine, range <0.01-0.199 µg/g creatinine). Factors that influenced biological concentrations were consumption of fish which increased urinary arsenic concentrations, hobbies (including mechanics and welding) which increased blood manganese concentrations and iron/folic acid supplement use which was associated with decreased concentrations of aluminium and nickel in urine and manganese in blood. Environmental concentrations of aluminium, copper and lithium were found to influence biological concentrations, but this was not the case for other environmental metals concentrations. Further work is underway to explore the influence of diet on biological metals concentrations in more detail. The high concentrations of uranium require further investigation.

Cancer incidence and high environmental arsenic - concentrations in rural populations: results of an ecological study

A number of ecological studies have suggested associations between arsenic in drinking water and increased rates of some cancers. To investigate associations in areas with high environmental arsenic concentrations, geographical areas with surface soil inorganic arsenic concentrations of >100 mg/kg and/ or drinking water arsenic concentrations >0.01 mg/l were selected and the relationship with cancer incidence explored. Standardised incidence rates (SIRs) for cancer were generated for 22 areas between 1982 and 1991 using Victorian Cancer Registry data and Victorian cancer rates as a baseline. SIRs were also generated for combined areas according to environmental exposure type, i.e. whether an area had high soil and/or high water arsenic concentrations. The SIRs for both males and females for the combined 22 areas were increased for all cancers 1.06 (95% confidence interval, CI; 1.03-1.09), prostate cancer 1.14 (1.05-1.23), kidney cancer 1.16 (0.98-1.37), melanoma 1.36 (1.24-1.48), chronic myeloid leukemia ...

Cadmium, lead and mercury exposure in non smoking pregnant women

Recent literature suggests that exposure to low concentrations of heavy metals may affect both maternal and child health. This study aimed to determine the biological heavy metals concentrations of pregnant women as well as environmental and dietary factors that may influence exposure concentrations. One hundred and seventy three pregnant women were recruited from Western Australia, each providing a sample of blood, first morning void urine, residential soil, dust and drinking water samples. Participants also completed a questionnaire which included a food frequency component. All biological and environmental samples were analysed for heavy metals using ICP-MS. Biological and environmental concentrations of lead and mercury were generally low (Median Pb Drinking Water (DW) 0.04 µg/L; Pb soil <3.0 µg/g; Pb dust 16.5 µg/g; Pb blood 3.67 µg/L; Pb urine 0.55; µg/L Hg DW <0.03; Hg soil <1.0 µg/g; Hg dust <1.0 µg/g; Hg blood 0.46 µg/L; Hg urine <0.40 µg/L). Cadmium concentrations were low in environmental samples (Median CdDW 0.02 µg/L; Cdsoil <0.30 ug/g; Cddust <0.30) but elevated in urine samples (Median 0.55 µg/L, creatinine corrected 0.70 µg/g (range <0.2-7.06 µg/g creatinine) compared with other studies of pregnant women. Predictors of increased biological metals concentrations in regression models for blood cadmium were residing in the Great Southern region of Western Australia and not using iron/folic acid supplements and for urinary cadmium was having lower household annual income. However, these factors explained little of the variation in respective biological metals concentrations. The importance of establishing factors that influence low human exposure concentrations is becoming critical in efforts to reduce exposures and hence the potential for adverse health effects.

Concentrations of polybrominated diphenyl ethers (PBDEs) in residential dust samples from Western Australia

Polybrominated diphenyl ethers (PBDEs) are one of the most common types of brominated flame retardants applied to foams, plastics and textiles to prevent fires. These flame retardants are now regulated and are either banned or being voluntarily phased. However, as these chemicals are persistent humans continue to be exposed. Dust has been identified as an important source of exposure and hence residential concentrations are of interest. The aim of this paper was to determine the concentrations of PBDEs in samples of residential dust from the homes of pregnant women in Western Australia. Thirty residential dust samples were analysed for concentrations of 32 PBDE congeners. Samples were collected from urban and rural areas. PBDEs were detected in all residential dust samples with the sum of the most common PBDEs (Σ(7) of BDEs 47, 99, 100, 153, 154, 183 and 209) ranging from 60.4 to 82400 ng g(-1) (median 571 ng g(-1)). DecaBDE makes up the highest proportion of PBDEs in residential dust, on average 66% of Σ(32)PBDEs. We did not find a relationship between housing characteristics nor the presence of appliances and PBDE concentrations. Dust from urban areas had significantly higher concentrations of BDE-209 and Σ(32)PBDEs than dust from rural areas of Western Australia (p values 0.01 and 0.03 respectively). PBDEs were present in residential dust in Western Australia at concentrations higher than reported previously in Australia. Further investigation of sources with a larger sample size is required to determine associations between PBDE concentrations and potential exposure sources and geographical regions.

Peat fires and air quality: volatile organic compounds and particulates.

There are numerous localized peat deposits on the Swan Coastal Plain, an urban and rural bioregion otherwise dominated by wetland ecosystems in southwestern Australia. Hydrological change is significant in the bioregion: urban development encroaches on wetlands, groundwater extraction provides the city population with most of its water, and rainfall declines will not recharge aquifers in the future. The wetland processes which contribute to the formation of these peat deposits have therefore changed and are becoming vulnerable to fire events with residents increasingly exposed to peat smoke. There is an imperative to characterise this peat smoke to determine if exposures are harmful or toxic, and opportunities to do so in this setting arise due to the absence of bushfire smoke which has confounded other international studies. We have measured volatile organic compounds (VOCs) and particulate concentrations from an opportunistic assessment of two peat fires. SUMMA canister grab samples and a portable GCMS were used to determine the VOCs with high 1h benzene concentrations of 16 and 30 ppm v/v. PM10 and PM2.5 particulate data were collected using an Osiris continuous analyser with 24h concentrations recorded at varying time periods (within a 5 months timeframe) ranging from 1h maximums of between 23-37 microgm(-3) for PM10 and 50.5-106 microgm(-3) for PM2.5. While the 24h averages were generally below national air quality standards, elevated 1h concentrations were observed on numerous occasions and on most days. Given the proximity of residential development to many peat deposits, a drying climate and the increased risk of arson in peri-urban environments, the health impacts of exposure to peat smoke need to be determined and if necessary measures developed to prevent exposure (which would include maintaining wetland sediment integrity so as to reduce its vulnerability to fire).

Assessing urinary levoglucosan and methoxyphenols as biomarkers for use in woodsmoke exposure studies

A major contributor to particle concentrations in urban airsheds is domestic woodsmoke and smoke arising from wildfires or management burns. Particle concentrations in urban airsheds have been associated with a wide range of health effects. There has been little research into the contribution of biomass burning to studies of human health due to the complexity of attributing effects in the presence of multiple sources of pollutants and the variability in the nature and conditions of biomass burning. A significant advance is the use of biomarkers of exposure; methoxyphenol and levoglucosan; specific compounds produced following the combustion of lignins and detected in urine. Levoglucosan has not previously been assessed for its usefulness as a marker of human exposure. We report for the first time levoglucosan concentrations in urine. Twelve participants were recruited and asked to provide spot urine samples pre- and post-exposure to a fire training exercise. Both levoglucosan and methoxyphenol were detected in the urine of participants. There was no significant increase in these compounds post-exposure to smoke arising from the fire training. Further work is required to assess this biomarker for human exposure studies and in particular the role of diet and previous exposure.