John L. Durant

Near-highway pollutants in motor vehicle exhaust: A review of epidemiologic evidence of cardiac and pulmonary health risks

There is growing evidence of a distinct set of freshly-emitted air pollutants downwind from major highways, motorways, and freeways that include elevated levels of ultrafine particulates (UFP), black carbon (BC), oxides of nitrogen (NOx), and carbon monoxide (CO). People living or otherwise spending substantial time within about 200 m of highways are exposed to these pollutants more so than persons living at a greater distance, even compared to living on busy urban streets. Evidence of the health hazards of these pollutants arises from studies that assess proximity to highways, actual exposure to the pollutants, or both. Taken as a whole, the health studies show elevated risk for development of asthma and reduced lung function in children who live near major highways. Studies of particulate matter (PM) that show associations with cardiac and pulmonary mortality also appear to indicate increasing risk as smaller geographic areas are studied, suggesting localized sources that likely include major highways. Although less work has tested the association between lung cancer and highways, the existing studies suggest an association as well. While the evidence is substantial for a link between near-highway exposures and adverse health outcomes, considerable work remains to understand the exact nature and magnitude of the risks.

Mutagenicity of C24H14 PAH in human cells expressing CYP1A1.

Relatively little is known about the mutagenicity of C24H14 PAH, a diverse group of five- and six-ring PAH, some of which are present at trace levels in the environment. To better understand the mutagenicity of this class of compounds, 11 C24H14 PAH, including benzo[a]perylene, benzo[b]perylene, dibenzo[a,e]fluoranthene, dibenzo[a,f]fluoranthene, dibenzo[j,l]fluoranthene, dibenzo[a,h]pyrene, dibenzo[a,i]pyrene, dibenzo[e,l]pyrene, naphtho[1,2-b]fluoranthene, naphtho[2,3-a]pyrene, and naphtho[2,3-e]pyrene, were tested in a mutagenicity assay based on human h1A1v2 cells. h1A1v2 cells are a line of human B-lymphoblastoid cells that have been engineered to express cytochrome P4501A1 (CYP1A1), an enzyme capable of metabolizing promutagenic PAH. Mutagenicity was measured at the thymidine kinase (tk) locus following a 72-h exposure period. Our results show that nine of the compounds were mutagenic. Benzo[a]perylene, dibenzo[a,e]fluoranthene, dibenzo[a,i]pyrene, and naphtho[2,3-a]pyrene were the most potent mutagens, having minimum mutagenic concentrations (MMC) (i.e., the dose at which the induced response was twice that of the negative controls) in the 1-5 ng/ml range. Benzo[b]perylene, dibenzo[a,h]pyrene, dibenzo[a,f]fluoranthene, and naphtho[2,3-e]pyrene were somewhat less potent mutagens, having MMC in the 10-30 ng/ml range. Dibenzo[e,l]pyrene, which had an MMC of 280 ng/ml, was the least potent mutagen. Dibenzo[j,l]fluoranthene and naphtho[1,2-b]fluoranthene were not mutagenic at the doses tested (1-3000 ng/ml). The most mutagenic compounds were also quite toxic. At the highest doses tested, benzo[a]perylene, dibenzo[a,e]fluoranthene, dibenzo[a,i]pyrene, dibenzo[a,h]pyrene, and dibenzo[a,f]fluoranthene induced > 60% killing, and naphtho[2,3-a]pyrene and naphtho[2,3-e]pyrene induced > 50% killing. Benzo[b]perylene, dibenzo[e,l]pyrene, dibenzo[j,l]fluoranthene, and naphtho[1,2-b]fluoranthene induced < 50% killing at the highest doses tested. Comparing these results to a previous study in which nine other C24H14 PAH were tested for mutagenicity in this same assay, it was found that dibenzo[a]pyrene isomers were generally more mutagenic than the other groups of C24H14 PAH tested. These observations are discussed with emphasis given to identifying C24H14 PAH that may be important environmental mutagens.

Estimating the contributions of mobile sources of PAH to urban air using real-time PAH monitoring

Motor vehicles are a significant source of airborne polycyclic aromatic hydrocarbons (PAH) in many urban areas. Traditional approaches used in determining the relative contributions of individual vehicle types to the total amount of PAH in air have been based on the analysis of integrated samples of airborne particles and gases for the presence of chemical tracers indicative of the vehicles from which the chemicals derived. As an alternative, we have used a photoelectric aerosol sensor (PAS) capable of measuring PAH levels in real-time in the emissions plumes from motor vehicles. We placed the PAS near a traffic-light in Kenmore Square, a busy crossroads in downtown Boston (MA, USA). A video camera co-located at the site recorded the vehicles passing the sensor, and this record was correlated with the PAS data. During a 5-day monitoring period (approximately 59 h) in the summer of 1998, over 34,000 motor vehicles were counted and classified and over 24,000 PAS readings were recorded (frequency = 1/8.6 s). The composition of the vehicle population was 94% passenger vehicles, 1.4% buses, 2.6% small trucks, 1.3% medium trucks, 0.35% large trucks, and 0.45% garbage and construction trucks. In analyzing the PAS data, it was assumed that the highest PAS measurements--those that exceeded the 95% critical level of the 5-min moving average of all the PAS measurements--were indicative of primary vehicular emissions. We found that approximately 46% of the mass of particle-bound PAH (i.e. approximately 46% of the integrated area under the PAS signal vs. time plots) was attributable to primary emissions from motor vehicles passing the sensor. Of this, 35-61% was attributable to passenger vehicles (cars, pickup trucks, and sports utility vehicles) and 39-65% was attributable to non-passenger vehicles [buses (14-23%), small trucks (12-20%), medium trucks (8.4-14%), large trucks (2.9-4.8%) and garbage and construction trucks (1.9-3.2%)]. Our results suggest that on a per vehicle basis, buses and trucks--the majority of which run on diesel fuel--emitted greater amounts of particle-bound PAH than passenger vehicles. Overall, we found that real-time photoelectric aerosol sensing (in combination with video photography) is useful for estimating the contributions of airborne PAB from different vehicle types. Due to the physical constraints of our monitoring site and the high volumes of traffic, however, it was not possible to uniquely attribute PAS signals to individual vehicles.

An hourly regression model for ultrafine particles in a near-highway urban area.

Estimating ultrafine particle number concentrations (PNC) near highways for exposure assessment in chronic health studies requires models capable of capturing PNC spatial and temporal variations over the course of a full year. The objectives of this work were to describe the relationship between near-highway PNC and potential predictors, and to build and validate hourly log-linear regression models. PNC was measured near Interstate 93 (I-93) in Somerville, MA using a mobile monitoring platform driven for 234 h on 43 days between August 2009 and September 2010. Compared to urban background, PNC levels were consistently elevated within 100-200 m of I-93, with gradients impacted by meteorological and traffic conditions. Temporal and spatial variables including wind speed and direction, temperature, highway traffic, and distance to I-93 and major roads contributed significantly to the full regression model. Cross-validated model R(2) values ranged from 0.38 to 0.47, with higher values achieved (0.43 to 0.53) when short-duration PNC spikes were removed. The model predicts highest PNC near major roads and on cold days with low wind speeds. The model allows estimation of hourly ambient PNC at 20-m resolution in a near-highway neighborhood.

Development of risk maps to minimize uranium exposures in the Navajo Churchrock mining district

BackgroundDecades of improper disposal of uranium-mining wastes on the Navajo Nation has resulted in adverse human and ecological health impacts as well as socio-cultural problems. As the Navajo people become increasingly aware of the contamination problems, there is a need to develop a risk-communication strategy to properly inform tribal members of the extent and severity of the health risks. To be most effective, this strategy needs to blend accepted risk-communication techniques with Navajo perspectives such that the strategy can be used at the community level to inform culturally- and toxicologically-relevant decisions about land and water use as well as mine-waste remediation.ObjectiveThe objective of this study was to develop GIS-based thematic maps as communication tools to clearly identify high risk exposure areas and offer alternatives to minimize public and ecological health impacts.MethodsThematic maps were produced that incorporated data derived from environmental sampling and public health surveys. The maps show the location and quality of unregulated water resources and identify regulated water sources that could be used as alternatives. In addition, the maps show the location of contaminated soil and sediment areas in which disturbance of surface deposits should be avoided. Preliminary feedback was collected from an informal Navajo working group to assess the clarity and efficacy of this proposed communication method.ResultsThe working group found the maps to be both clear and effective, and made suggestions for improvements, such as the addition of more map features. The working group predicted that once the maps are presented to the public, water hauling and soil use behaviors will change, and dialogue with chapter officials will be initiated to accelerate further risk reduction efforts.ImplicationsBecause risk communication is complicated by language barriers, lack of infrastructure, and historical mistrust of non-Navajo researchers, mapping provides an easily interpretable medium that can be objectively viewed by community members and decision makers to evaluate activities that affect toxicant exposures.

Effective control of Schistosoma haematobium infection in a Ghanaian community following installation of a water recreation area.

Background Urogenital schistosomiasis caused by Schistosoma haematobium was endemic in Adasawase, Ghana in 2007. Transmission was reported to be primarily through recreational water contact. Methods We designed a water recreation area (WRA) to prevent transmission to school-aged children. The WRA features a concrete pool supplied by a borehole well and a gravity-driven rainwater collection system; it is 30 m2 and is split into shallow and deep sections to accommodate a variety of age groups. The WRA opened in 2009 and children were encouraged to use it for recreation as opposed to the local river. We screened children annually for S. haematobium eggs in their urine in 2008, 2009, and 2010 and established differences in infection rates before (2008–09) and after (2009–10) installation of the WRA. After each annual screening, children were treated with praziquantel and rescreened to confirm parasite clearance. Principal Findings Initial baseline testing in 2008 established that 105 of 247 (42.5%) children were egg-positive. In 2009, with drug treatment alone, the pre-WRA annual cumulative incidence of infection was 29 of 216 (13.4%). In 2010, this incidence rate fell significantly (p<0.001, chi-squared) to 9 of 245 (3.7%) children after installation of the WRA. Logistic regression analysis was used to determine correlates of infection among the variables age, sex, distance between home and river, minutes observed at the river, low height-for-age, low weight-for-age, low Body Mass Index (BMI)-for-age, and previous infection status. Conclusion/Significance The installation and use of a WRA is a feasible and highly effective means to reduce the incidence of schistosomiasis in school-aged children in a rural Ghanaian community. In conjunction with drug treatment and education, such an intervention can represent a significant step towards the control of schistosomiasis. The WRA should be tested in other water-rich endemic areas to determine whether infection prevalence can be substantially reduced.

Transferability and generalizability of regression models of ultrafine particles in urban neighborhoods in the Boston area.

Land use regression (LUR) models have been used to assess air pollutant exposure, but limited evidence exists on whether location-specific LUR models are applicable to other locations (transferability) or general models are applicable to smaller areas (generalizability). We tested transferability and generalizability of spatial-temporal LUR models of hourly particle number concentration (PNC) for Boston-area (MA, U.S.A.) urban neighborhoods near Interstate 93. Four neighborhood-specific regression models and one Boston-area model were developed from mobile monitoring measurements (34–46 days/neighborhood over one year each). Transferability was tested by applying each neighborhood-specific model to the other neighborhoods; generalizability was tested by applying the Boston-area model to each neighborhood. Both the transferability and generalizability of models were tested with and without neighborhood-specific calibration. Important PNC predictors (adjusted-R2 = 0.24–0.43) included wind speed and direction, temperature, highway traffic volume, and distance from the highway edge. Direct model transferability was poor (R2 < 0.17). Locally-calibrated transferred models (R2 = 0.19–0.40) and the Boston-area model (adjusted-R2 = 0.26, range: 0.13–0.30) performed similarly to neighborhood-specific models; however, some coefficients of locally calibrated transferred models were uninterpretable. Our results show that transferability of neighborhood-specific LUR models of hourly PNC was limited, but that a general model performed acceptably in multiple areas when calibrated with local data.

Diagnostic accuracy of urine filtration and dipstick tests for Schistosoma haematobium infection in a lightly infected population of Ghanaian schoolchildren

Two screening methods, reagent dipsticks for hematuria and urine filtration for Schistosoma haematobium eggs, were evaluated for their sensitivity and specificity in diagnosing infection with S. haematobium in lightly infected Ghanaian children. Schoolchildren aged 8-18 years (n=255) provided urine samples on three occasions. Overall, 36.4% of girls and 50.7% of boys presented with eggs at least once; 3.3% of girls and 7.5% of boys presented with both eggs and hematuria three times. Many children presented with eggs but without hematuria, or with hematuria but without eggs. When each child was screened three times, the sensitivity of each test method improved by at least 22.9% as compared with single screening, but previously unidentified infections were detected at the third screening, indicating that even three screenings is insufficient. Nearly half of lightly infected children (<50 eggs/10 ml urine, by maximum egg count) were egg-positive during only one of three screenings. Thus, data presented here indicate that when individuals are screened repeatedly, infection status can be assessed more accurately, control programs can be properly evaluated, and population estimates of S. haematobium infection may be made with increased confidence, as compared with single screening.

Indoor and outdoor measurements of particle number concentration in near-highway homes.

Exposure to high levels of traffic-generated particles may pose risks to human health; however, limited measurement has been conducted at homes near highways. The purpose of this study was to characterize differences between indoor and outdoor particle number concentration (PNC) in homes near to and distant from a highway and to identify factors that may affect infiltration. We monitored indoor and outdoor PNC (6–3000 nm) for 1–3 weeks at 18 homes located <1500 m from Interstate-93 (I-93) in Somerville, MA (USA). Median hourly indoor and outdoor PNC pooled over all homes were 5.2 × 103 and 5.9 × 103 particles/cm3, respectively; the median ratio of indoor-to-outdoor PNC was 0.95 (5th/95th percentile: 0.42/1.75). Homes <100 m from I-93 (n=4) had higher indoor and outdoor PNC compared with homes >1000 m away (n=3). In regression models, a 10% increase in outdoor PNC was associated with an approximately equal (10.8%) increase in indoor PNC. Wind speed and direction, temperature, time of day and weekday were also associated with indoor PNC. Average mean indoor PNC was lower for homes with air conditioners compared with homes without air conditioning. These results may have significance for estimating indoor, personal exposures to traffic-related air pollution.

A community participatory study of cardiovascular health and exposure to near-highway air pollution: study design and methods

Abstract Current literature is insufficient to make causal inferences or establish dose-response relationships for traffic-related ultrafine particles (UFPs) and cardiovascular (CV) health. The Community Assessment of Freeway Exposure and Health (CAFEH) is a cross-sectional study of the relationship between UFP and biomarkers of CV risk. CAFEH uses a community-based participatory research framework that partners university researchers with community groups and residents. Our central hypothesis is that chronic exposure to UFP is associated with changes in biomarkers. The study enrolled more than 700 residents from three near-highway neighborhoods in the Boston metropolitan area in Massachusetts, USA. All participants completed an in-home questionnaire and a subset (440+) completed an additional supplemental questionnaire and provided biomarkers. Air pollution monitoring was conducted by a mobile laboratory equipped with fast-response instruments, at fixed sites, and inside the homes of selected study participants. We seek to develop improved estimates of UFP exposure by combining spatiotemporal models of ambient UFP with data on participant time-activity and housing characteristics. Exposure estimates will then be compared with biomarker levels to ascertain associations. This article describes our study design and methods and presents preliminary findings from east Somerville, one of the three study communities.