Demetrios Moschandreas

Residential environmental measurements in the national human exposure assessment survey (NHEXAS) pilot study in Arizona: preliminary results for pesticides and VOCs.

A major objective of the National Human Exposure Assessment Survey (NHEXAS) performed in Arizona was to conduct residential environmental and biomarker measurements of selected pesticides (chlorpyrifos, diazinon), volatile organic compounds (VOCs; benzene, toluene, trichloroethene, formaldehyde, 1,3-butadiene), and metals for total human exposure assessments. Both personal (e.g., blood, urine, dermal wipes, 24 h duplicate diet) and microenvironmental (e.g., indoor and outdoor air, house dust, foundation soil) samples were collected in each home in order to describe individual exposure via ingestion, inhalation, and dermal pathways, and to extrapolate trends to larger populations. This paper is a preliminary report of only the microenvironmental and dermal wipe data obtained for the target pesticides and VOCs, and provides comparisons with results from similar studies. Evaluations of total exposure from all sources and pathways will be addressed in future papers. The pesticides and VOCs all showed log-normal distributions of concentrations in the Arizona population sampled, and in most cases were detected with sufficient frequency to allow unequivocal description of the concentration by media at the 90th, 75th, and 50th (median) percentiles. Those combinations of pollutant and media, in which a large fraction of the measurements were below the detection limit of the analysis method used, included trichloroethene, 1,3-butadiene, and formaldehyde in outdoor air; chlorpyrifos and diazinon in outdoor air; and diazinon in dermal and window sill wipes. In general, indoor air concentrations were higher than outdoor air concentrations for all VOCs and pesticides investigated, and VOC levels were in good agreement with levels reported in other studies. In addition, the agreement obtained between co-located VOC samplers indicated that the low-cost diffusional badges used to measure concentrations are probably adequate for use in future monitoring studies. For the pesticides, the median levels found in indoor samples agreed well with other studies, although the levels corresponding to the upper 0.1–1% of the population were considerably higher than levels reported elsewhere, with indoor air levels as high as 3.3 and 20.5 µg/m3 for chlorpyrifos and diazinon, respectively. These data showed excellent correlation (Pearson and Spearman correlation coefficients of 0.998 and 0.998, respectively) between chlorpyrifos in indoor air and in the corresponding dermal wipes, and relatively poor correlation between chlorpyrifos in dust (µg/g or µg/m2) and dermal wipes (Pearson=0.055 µg/g and 0.015 µg/m2; Spearman=0.644 µg/g and 0.578 µg/m2). These data suggest the importance of dermal penetration of semi-volatiles as a route of residential human exposure.

Temporal and Spatial Variation of Fungal Concentrations in Indoor Air

The aim of this study was to determine temporal and spatial variation of airborne concentrations of viable fungi in 2 single-family houses during the period of the year that such levels are mostly determined by indoor sources. One of the subject residences had moisture problems (the index residence), the other did not have any moisture problems (the reference residence). The concentrations of viable fungi in indoor air were determined a total of 6 times during the winter with 2 six-stage impactors (Andersen 10-800) in 2 rooms in both of the houses. The total concentrations of viable fungi and concentrations of Penicillium, Aspergillus, and Aspergillus versicolor

Exposure apportionment: ranking food items by their contribution to dietary exposure.

This paper identifies and ranks food items by estimating their contribution to the dietary exposure of the US population and 19 subpopulation groups. Contributions to dietary exposures to arsenic, cadmium, chromium, lead, nickel, benzene, chlorpyrifos, and diazinon are estimated using either the Dietary Exposure Potential Model (DEPM) approach, the National Human Exposure Assessment Survey Arizona (NHEXAS-AZ) approach or the combination of the two. The DEPM is a computer model that uses several national databases of food consumption and residue concentrations for estimating dietary. The DEPM approach ranks the contribution of food items to the total dietary exposure using two methods, the direct method that ranks contributions by population exposure magnitude and the weighted method that ranks by subpopulation exposure magnitude. The DEPM approach identifies highly exposed subpopulations and a relatively small number of food items contributing the most to dietary exposure. The NHEXAS-AZ approach uses the NHEXAS-AZ database containing food consumption data for each subject and chemical residues of a composite of food items consumed by each subject in 1 day during the sampling week. These data are then modeled to obtain estimates of dietary exposure to chemical residues. The third approach uses the NHEXAS-AZ consumption data with residue values from the national residue database. This approach also estimates percent contributions to exposure of each ranked food item for the Arizona population. Dietary exposures estimated using the three approaches are compared. The DEPM results indicate groups with highest dietary exposures include Nonnursing Infants, Children 1–6, Hispanic, Non-Hispanic White, Western, Northeast and Poverty 0–130%. The use of the Combined National Residue Database (CNRD) identifies 43 food items as primary contributors to total dietary exposure; they contribute a minimum of 68% of the total dietary exposure to each of the eight chemical residues. The percent contribution of ranked food items estimated using the NHEXAS samples is smaller than those obtained from the western US population via the DEPM. This indicates differences in consumption characteristics of the two groups with respect to the ranked food items. Six of 15 food items consumed by the NHEXAS-AZ subjects per day are ranked food items contributing between 56% and 70% of the estimated NHEXAS-AZ dietary exposure to each of the eight chemical residues. The difference between total dietary exposure estimates from the DEPM and NHEXAS-AZ approaches varies by chemical residue and is attributable to differences in sampling and analytical methods, and geographic areas represented by the data. Most metal exposures estimated using the NHEXAS consumption data with the CNRD have lower values than those estimated via the other approaches, possibly because the NHEXAS-AZ residue values are higher than the CNRD values. In addition, exposure estimates are seemingly affected by the difference in demographic characteristics and factors that affect types and amounts of food consumed. Efficient control strategies for reducing dietary exposure to chemical residues may be designed by focusing on the relatively small number of food items having similar ingredients that contribute substantively to the total ingestion exposure.

Scenario–model–parameter: a new method of cumulative risk uncertainty analysis

The recently developed concepts of aggregate risk and cumulative risk rectify two limitations associated with the classical risk assessment paradigm established in the early 1980s. Aggregate exposure denotes the amount of one pollutant available at the biological exchange boundaries from multiple routes of exposure. Cumulative risk assessment is defined as an assessment of risk from the accumulation of a common toxic effect from all routes of exposure to multiple chemicals sharing a common mechanism of toxicity. Thus, cumulative risk constitutes an improvement over the classical risk paradigm, which treats exposures from multiple routes as independent events associated with each specific route. Risk assessors formulate complex models and identify many realistic scenarios of exposure that enable them to estimate risks from exposures to multiple pollutants and multiple routes. The increase in complexity of the risk assessment process is likely to increase risk uncertainty. Despite evidence that scenario and model uncertainty contribute to the overall uncertainty of cumulative risk estimates, present uncertainty analysis of risk estimates accounts only for parameter uncertainty and excludes model and scenario uncertainties. This paper provides a synopsis of the risk assessment evolution and associated uncertainty analysis methods. This evolution leads to the concept of the scenario-model-parameter (SW) cumulative risk uncertainty analysis method. The SMP uncertainty analysis is a multiple step procedure that assesses uncertainty associated with the use of judiciously selected scenarios and models of exposure and risk. Ultimately, the SMP uncertainty analysis method compares risk uncertainty estimates determined using all three sources of uncertainty with conventional risk uncertainty estimates obtained using only the parameter source. An example of applying the SMP uncertainty analysis to cumulative risk estimates from exposures to two pesticides indicates that inclusion of scenario and model sources.

The National Human Exposure Assessment Survey (NHEXAS) study in Arizona—introduction and preliminary results

The objective of the National Human Exposure Assessment Survey (NHEXAS) in Arizona is to determine the multimedia distribution of total human exposure to environmental pollutants in the classes of metals, pesticides, and volatile organic compounds (VOCs) for the population of Arizona. This was accomplished by studying a probability-based sample of the total population in Arizona with a nested design for the different stages of sampling (954 Stage I, 505 Stage II, and 179 Stage III participants). This report compares the study population demographics with those from the U.S. Census and provides preliminary data on the distributions of the example pollutant for each class, lead for metals, chlorpyrifos for pesticides, and benzene for metals. The probability-based sample age and gender demographics compare reasonably well with the Census data (1990 Census and 1996 Census Estimate). The race/ethnicity compared less well with 21% Hispanics in the 1996 Census Estimate and 42% Hispanics in the entire NHEXAS-Arizona sample and 30% Hispanics as Stage III participants for this study. The chemical analyses of the various media (yard soil, foundation soil, house dust, indoor air, outdoor air, drinking water, food, and beverage) show generally low levels of the representative pollutants. The 50th percentiles of the distributions are generally near or below the analytical detection limits, and applicable Federal action limits were rarely exceeded.

Chapter three: methodology of exposure modeling

In this chapter, the concept of exposure assessment and its evolution is introduced, and evaluated by critically appraising the pertinent literature as it applies to exposures to Particulate Matter (PM). Exposure measurement or estimation methodologies and models are reviewed. Three exposure/measurement methodologies are assessed. Estimation methods focus on source evaluation and attribution, sources include those outdoors and indoors as well as in occupational and in-transit environments. Fate and transport models and their inputs are addressed to estimate concentrations outdoors and indoors; source attribution techniques help focus on the contributing sources. Activity pattern techniques are also reviewed and their use in exposure models to estimate inhalation exposure to PM is presented. Deterministic, regression and other stochastic models of exposure to PM are reviewed and evaluated. Strengths, limitations, assumptions and affirmations of the use of exposure assessment as an integral component of risk assessment and risk management are discussed in the conclusions and discussions section of this work.

Indoor air pollution

Although official efforts to control air pollution have traditionally focused on outdoor air, it is now apparent that elevated contaminant concentrations are common inside some private and public buildings. Concerns about potential public health problems due to indoor air pollution are based on evidence that urban residents typically spend more than 90 percent of their time indoors, concentrations of some contaminants are higher indoors than outdoors, and for some pollutants personal exposures are not characterized adequately by outdoor measurements. Among the more important indoor contaminants associated with health or irritation effects are passive tobacco smoke, radon decay products, carbon monoxide, nitrogen dioxide, formaldehyde, asbestos fibers, microorganisms and aeroallergens. Efforts to assess health risks associated with indoor air pollution are limited by insufficient information about the number of people exposed, the pattern and severity of exposures, and the health consequences of exposures. An overall strategy should be developed to investigate indoor exposures, health effects, control options, and public policy alternatives.

Occurrence and Characteristics of Moisture Damage in Residential Buildings as a Function of Occupant and Engineer Observations

Questionnaires collected from occupants and visual inspections have been used to assess exposure related to moisture damage in buildings. Aims of this study were to find out if observations of moisture damage made by occupants were different from observations made by an independent inspector, and if inspectors’ observations were independent of the observing inspector. Interviewer-administered questionnaires were collected from occupants of 363 residences; subsequently, the buildings were inspected by a civil engineer. A second examination was done in 15 buildings by another engineer with similar training and work experience. The questionnaire collected from the occupants included the same items as the inspectors’ checklists related to occurrence of moisture damage, visible mould growth and odours. The inspectors collected additional data including moisture and temperature measurements and estimated size of damage. The inspector observed more damage sites than the occupants, and the overall agreement between the inspector and the occupants was poor (average 0.23). On the other hand, the agreement between the 2 inspectors was higher (average 0.41). Overall, the results suggest that studies related to moisture damage in buildings should preferably include standardised inspections by trained staff.

Estimating effects of moisture damage repairs on students' health-a long-term intervention study.

Health symptom questionnaire responses were collected from upper secondary and high school students (n=245) before comprehensive repairs of moisture damage in the school. The questionnaire study was repeated 1 year (n=227), 3 years (n=256), and 5 years (n=233) after the repairs. The data were analyzed both in cross-sectional design including all respondents, and longitudinally including paired observations of those individuals who had responded both before and after the repairs. In addition, the effect of intervention on health symptoms was analyzed using generalized estimating equations (GEEs), taking into account within-subject correlation between repeated measurements. Compared to the situation before the repairs, the situation after the repairs was significantly improved in most of the 20 symptoms studied among the cross-sectional study populations. However, improvement was not so clear in the paired analysis and GEE analysis among the students who responded to three repeated questionnaires. The results indicate that the repairs succeeded in the sense that new cases of symptomatic students were no longer expected. However, the reversibility of symptoms among the group of exposed individuals may need to be considered separately.

The effects of woodburning on the indoor residential air quality

Abstract Data from suburban residences in the Boston metropolitan area reveal a potential adverse impact on indoor air quality from woodburning in woodstoves and fireplaces. Ambient pollutant concentrations at each residence were compared to corresponding pollutant levels indoors at three locations (kitchen, bedroom, and activity room). Individual gaseous pollutant samples were averaged on an hourly basis while 24-h integrated samples of particulate matter were obtained. Ten gaseous pollutants were sampled along with total suspended particulates (TSP). Chemical analyses further determined ten components of TSP including trace metals, benzo-a-pyrene(B)aP, respirable suspended particulates (RSP), and water soluble sulfates and nitrates. Monitoring lasted two weeks at each residence and was conducted under occupied, real-life, conditions. Observed, elevated indoor concentrations of TSP, RSP, and BaP are attributed to woodburning. Data indicate that average indoor TSP concentrations during woodburning periods were about three times corresponding levels during nonwoodburning periods. The primary 24-h national ambient air quality standard (NAAQS) for TSP was exceeded once indoors during fireplace use, and the secondary, 24-h TSP NAAQS, was also exceeded indoors by RSP concentrations. Indoor BaP concentrations during woodstove use averaged five times more than during nonwoodburning periods. At this stage, results are only indicative, but the potential impact from elevated indoor concentrations of TSP, RSP, and BaP, attributed to woodburning, may have long-term health implications.