Matthew D. Adams

Association between vehicular emissions and cardiorespiratory disease risk in Brazil and its variation by spatial clustering of socio-economic factors

Many studies have suggested that socio-economic factors are strong modifiers of human vulnerability to air pollution effects. Most of these studies were performed in developed countries, specifically in the US and Europe. Only a few studies have been performed in developing countries, and analyzed small regions (city level) with no spatial disaggregation. The aim of this study was to assess the association between vehicle emissions and cardiorespiratory disease risk in Brazil and its modification by spatial clustering of socio-economic conditions. We used a quantile regression model to estimate the risk and a geostatistical approach (K means) to execute spatial cluster analysis. We performed the risk analysis in three stages. First, we analyzed the entire study area (primary analysis), and then we conducted a spatial cluster analysis based on various municipal-level socio-economic factors, followed by a sensitivity analysis. We studied 5444 municipalities in Brazil between 2008 and 2012. Our findings showed a significant association between cardiorespiratory disease risk and vehicular emissions. We found that a 15% increase in air pollution is associated with a 6% increase in hospital admissions rates. The results from the spatial cluster analysis revealed two groups of municipalities with distinct sets of socio-economic factors and risk levels of cardiorespiratory disease related to exposure to vehicular emissions. For example, for vehicle emissions of PM in 2008, we found a relative risk of 4.18 (95% CI: 3.66, 4.93) in the primary analysis; in Group 1, the risk was 0.98 (95% CI: 0.10, 2.05) while in Group 2, the risk was 5.56 (95% CI: 4.46, 6.25). The risk in Group 2 was 480% higher than the risk in Group 1, and 35% higher than the risk in the primary analysis. Group 1 had higher values (3rd quartile) for urbanization rate, highway density, and GDP; very high values (≥3rd quartile) for population density; median values for distance from the capital; and lower values (1st quartile) for rural population density. Group 2 had lower values (1st quartile) urbanization rate; median values for highway density, GDP, and population density; between median and third quartile values for distance from the capital; and higher values (3rd quartile) for rural population density. Our findings suggest that socio-economic factors are important modifiers of the human risk of cardiorespiratory disease due to exposure to vehicle emissions in Brazil. Our study provides support for creating effective public policies related to environmental health that are targeted to high-risk populations.

Measuring lichen specimen characteristics to reduce relative local uncertainties for trace element biomonitoring

Abstract Local variation (within sampling sites) affects lichen air pollution biomonitoring of trace element deposition patterns. When comparing between sampling sites, global variation must be greater than local variation, thus reducing local variation is important in biomonitoring studies. To reduce local variability, sampling protocols are introduced, primarily minimum sampling height and less often sampling aspect. This study, introduces further protocols, which can help to reduce within site variation. First, the research design removed spatial variation by sampling a single tree. One–thousand and thirty–seven individual specimens of Usnea subfloridana were collected and aggregated into 97 samples based on similar collection height, aspect and mass. Samples were tested by inductively coupled plasma – atomic emission spectroscopy for total recoverable Al, As, Ba, Be, Cd, Co, Cr Cu, Fe, K, Mg, Mn, Mo, Na, Ni, P, Pb, S, Sr, Ti, Tl, V, and Zn. Fifteen of the elements tested were above minimum detection limits and their variation in concentrations were able to be partially explained with linear modeling. When explaining variation in concentrations with linear modeling, aspect was statistically significant for all of the 15 elements, height was statistically significant for 12 elements, and specimen mass was significant for 6 elements. We demonstrate that individually assessing and minimizing specimen collection aspect, height and mass prior to aggregating specimens into samples can reduce local variation, which will improve between site comparisons.

Association of PM2.5 with diabetes, asthma, and high blood pressure incidence in Canada: A spatiotemporal analysis of the impacts of the energy generation and fuel sales

Numerous studies have reported an association between fine particulate matter (PM2.5) and human health. Often these relationships are influenced by environmental factor that varies spatially and/or temporally. To our knowledge, there are no studies in Canada that have considered energy generation and fuel sales as PM2.5 effects modifiers. Determining exposure and disease-specific risk factors over space and time is crucial for disease prevention and control. In this study, we evaluated the association of PM2.5 with diabetes, asthma, and High Blood Pressure (HBP) incidence in Canada. Then we explored the impact of the energy generation and fuel sales on association changes. We fit an age-period-cohort as the study design, and we applied an over-dispersed Poisson regression model to estimate the risk. We conducted a sensitivity analysis to explore the impact of variation in clean energy rates and fuel sales on outcomes changes. The study included 117 health regions in Canada between 2007 and 2014. Our findings showed strong association of PM2.5 with diabetes, asthma, and HBP incidence. A two-year increase of 10μg/m3 in PM2.5 was associated with an increased risk of 5.34% (95% CI: 2.28%; 12.53%) in diabetes incidence, 2.24% (95% CI: 0.93%; 5.38%) in asthma incidence, and 8.29% (95% CI: 3.44%; 19.98%) in HBP incidence. Our sensitivity analysis findings suggest higher risks of diabetes, asthma and HBP incidence when there is low clean energy generation. On the other hand, we found lower risk when we considered high rate of clean energy generation. For example, considering only diabetes incidence, we found that the risk in health regions with low rates of clean electricity is approximately 700% higher than the risk in health regions with high rates of clean electricity. Furthermore, our analysis suggested that the risk in regions with low fuel sales is 66% lower than the risk is health regions with low rates of clean electricity. Our study provides support for the creation of effective environmental health public policies that take into account the risk factors present in Canadians health regions.

Mapping distance-decay of cardiorespiratory disease risk related to neighborhood environments.

Neighborhood characteristics affect an individuals quality of life. Although several studies have examined the relationship between neighborhood environments and human health, we are unaware of studies that have examined the distance-decay of this effect and then presented the risk results spatially. Our study is unique in that is explores the health effects in a less developed country compared to most studies that have focused on developed countries. The objective of our study is to quantify the distance-decay cardiorespiratory diseases risk related to 28 neighborhood aspects in the Federal District, Brazil and present this information spatially through risk maps of the region. Toward this end, we used a quantile regression model to estimate risk and GIS modeling techniques to create risk maps. Our analysis produced the following findings: i) a 2500 m increase in highway length was associated with a 46% increase in cardiorespiratory diseases; ii) 46,000 light vehicles in circulation (considering a buffer of ≤500 m from residences) was associated with 6 hospital admissions (95% CI: 2.6, 14.6) per cardiorespiratory diseases; iii) 74,000 m2 of commercial areas (buffer ≤1700 m) was associated with 12 hospital admissions (95% CI: 2.2, 20.8); iv) 1km2 increase in green areas intra urban was associated with less two hospital admissions, and; vi) those who live ≤500 m from the nearest point of wildfire are more likely to have cardiorespiratory diseases that those living >500 m. Our findings suggest that the approach used in this study can be an option to improve the public health policies.

The health impacts of weekday traffic : a health risk assessment of PM2.5 emissions during congested periods

Little work has accounted for congestion, using data that reflects driving patterns, traffic volume, and speed, to examine the association between traffic emissions and human health. In this study, we performed a health risk assessment of PM2.5 emissions during congestion periods in the Greater Toronto and Hamilton Area (GTHA), Canada. Specifically, we used a micro-level approach that combines the Stochastic User Equilibrium Traffic Assignment Algorithm with a MOVES emission model to estimate emissions considering congestion conditions. Subsequently, we applied a concentration-response function to estimate PM2.5-related mortality, and the associated health costs. Our results suggest that traffic congestion has a substantial impact on human health and the economy in the GTHA, especially at the most congested period (7:00am). Considering daily mortality, our results showed an impact of 206 (boundary test 95%: 116; 297) and 119 (boundary test 95%: 67; 171) deaths per year (all-cause and cardiovascular mortality, respectively). The economic impact from daily mortality is approximately

Spatio-temporal analysis of particulate matter intake fractions for vehicular emissions: Hourly variation by micro-environments in the Greater Toronto and Hamilton Area, Canada

1.3 billion (boundary test 95%: 0.8; 1.9), and

Spatiotemporal analysis of traffic emissions in over 5000 municipal districts in Brazil

778 million (boundary test 95%: 478; 981), for all-cause and cardiovascular mortality, respectively. Our study can guide reliable projections of transportation and air pollution levels, improving the capability of the medical community to prepare for future trends.

Spatially constrained clustering of ecological units to facilitate the design of integrated water monitoring networks in the St. Lawrence Basin

Previous investigations have reported intake fraction (iF) for different environments, which include ambient concentrations (outdoor exposure) and microenvironments (indoor exposure). However, little is known about iF variations due to space-time factors, especially in microenvironments. In this paper, we performed a spatio-temporal analysis of particulate matter (PM2.5) intake fractions for vehicular emissions. Specifically, we investigated hourly variation (12:00am-11:00pm) by micro-environments (residences and workplaces) in the Greater Toronto and Hamilton Area (GTHA), Canada. We used GIS modeling to estimate air pollution data (ambient concentration, and traffic emission) and population data in each microenvironment. Our estimates showed that the total iF at residences and workplaces accounts for 85% and 15%, respectively. Workplaces presented the highest 24h average iF (1.06ppm), which accounted for 25% higher than residences. Observing the iF by hour at residences, our estimates showed the highest average iF at 2:00am (iF=3.72ppm). These estimates indicate that approximately 4g of PM2.5 emitted from motor vehicles are inhaled for every million grams of PM2.5 emitted. For the workplaces, the highest exposure was observed at 10:00am, with average iF equal to 2.04ppm. The period of the day with the lower average iF for residences was at 8:00am (average iF=0.11ppm), while for the workplaces was at 4:00am (average iF=0.47ppm). Our approach provides a new perspective on human exposure to air pollution. Our results showed significant hourly variation in iF across the GTHA. Our findings can be incorporated in future investigations to advance environmental health effects research and human health risk assessment.

Mapping Air Pollution Health Risk: An Application of Canada’s AQHI

ABSTRACT Exposure to traffic emission is harmful to human health. Emission inventories are essential to public health policies aiming at protecting human health, especially in areas with incomplete or nonexistent air pollution monitoring networks. In Brazil, for example, only 1.7% of municipal districts have a monitoring network, and only a few studies have reported data on vehicle emission inventories. No studies have presented emission inventories by municipality. In this study, we predicted vehicular emissions for 5570 municipal districts in Brazil during the period 2001–2012. We used a top-down method to estimate emissions. Carbon dioxide (CO2) is the pollutant with the highest emissions, with approximately 190 million tons per year during the period 2001–2012). For the other traffic-related pollutants, we predicted annual emissions of 1.5 million tons for carbon monoxide (CO), 1.2 million tons of nitrogen oxides (NOx), 209,000 tons of nonmethane hydrocarbons (NMHC), 58,000 tons of particulate matter (PM), and 42,000 tons for methane (CH4). From 2001 to 2012, CO, NMHC, and PM emissions decreased by 41, 33, and 47%, respectively, whereas those CH4, NOx, and CO2 increased by 2, 4, and 84%, respectively. We estimated uncertainties in our study and found that NOx was the pollutant with the lowest percentage difference, 8%, and NMHC with the highest one, 30%. For CO, CH4, CO2, and PM, the values were 22, 14, 21, and 20%, respectively. Finally, we found that during 2001 and 2012 emissions increased in the Northwest and Northeast. In contrast, pollutant emissions, except for CO2, decreased in the Southeast, South, and part of Midwest. Our predictions can be critical to efforts developing cost-effective public policies tailored to individual municipal districts in Brazil. Implications: Emission inventories may be an alternative approach to provide data for air quality forecasting in areas where air quality data are not available. This approach can be an effective tool in developing spatially resolved emission inventories.

Mapping real-time air pollution health risk for environmental management: Combining mobile and stationary air pollution monitoring with neural network models

ABSTRACT Water monitoring networks are generally classified into surface water, precipitation, groundwater or water quality monitoring networks. The design of these networks typically occurs in isolation from each other. We present a regionalization approach to identify homogeneous subregions of large basins that are suitable as areas for the optimization of an integrated water monitoring network. The study area, which comprises a portion of the St. Lawrence Basin, was spatially divided using ecological units. For each ecological unit, 21 attributes were derived including both environmental and hydrological indicators. A spatially constrained regionalization technique was applied to define the final regions. A scree plot was used to determine the number of regions. The sensitivity of the technique to the correlation in the attribute data was removed by utilizing principal component analysis to reduce correlation between attribute data. During regionalization, the component values were weighted by their proportion of the total variance explained. The four regions in the final configuration had areas from 19% to 31% of the total area, 63,597 km2. For the St. Lawrence Basin, this approach is effective for defining homogeneous regions that can be used in further research on the optimization of integrated water monitoring networks. The approach is portable to other regions and can incorporate any set of attribute data that is valuable to the regionalization objective.