Air pollution and health indicators in a rapidly developing industrial port in the Sultanate of Oman

Background and Aims: Sohar Industrial Port (Sultanate of Oman), started to operate in 2006, containing many industries that may adversely contribute to the air quality and hence to the health status of the residents in its proximity. The study aim is to assess the health effects of air quality of the population living in the residential area around the industrial port. Methods: Health data for the area were obtained between January 1st 2006 and December 31st 2011 from the Ministry of Health, Oman. Exposure to air pollution was classified into exposure zones according to mixture methods such as, proximity, dispersion models and wind roses. Four exposure zones were developed, from High, Intermediate, Sohar city and Control zones. Age and gender standardized rates were calculated for respiratory, cardiovascular and allergic diseases in each exposure zone. Results: The crude rate ratios of respiratory diseases in the high, the intermediate and Sohar city were (1.91, 95% CI, 1.87, 1.95), (1.18, 95% CI, 1.15, 1.21) and (0.18, 95% CI, 0.18,0.19), respectively. For dermatitis, these rates were (2.16, 95% CI, 1.91,2.45) for the high exposure zone, (1.05, 95% CI, 0.91, 1.23) for the intermediate zone and (0.20, 95% CI, 0.17,0.23) for Sohar city. In addition, the high exposure zone showed an increasing yearly trend of the incidence rate from 2007 to 2009 in both respiratory diseases and dermatitis. Conclusion: Evidence of adverse health effects was found in the high and intermediate exposure zones. More rigorous modeling is underway, which will involve other diseases and confounders

The two-stage clonal expansion model in occupational cancer epidemiology: Results from three cohort studies

Copyright © 2010 by the BMJ Publishing Group Ltd. All rights reserved.Objectives: The objective of this work was to apply the two-stage clonal expansion model, with the intention to expand the literature on epidemiological applications of the model and demonstrate the feasibility of incorporating biologically based modelling methods into the widely used retrospective cohort study. Methods: The authors fitted the two-stage clonal expansion model model to three occupational cohort studies: (1) a cohort of textile workers exposed to asbestos and followed for lung cancer mortality; (2) a cohort of diatomaceous earth workers exposed to silica and also followed for lung cancer mortality; and (3) a cohort of automotive manufacturing workers exposed to straight metalworking fluid (MWF) and followed for larynx cancer incidence. The model allowed the authors to estimate exposure effects in three stages: cancer initiation (early effects), promotion or malignant transformation (late effects). Results: In the first cohort, the authors found strong evidence for an early effect of asbestos on lung cancer risk. Findings from analyses of the second cohort suggested early and less evidently late effects of silica on lung cancer risk. In the MWF (third) cohort, there was only weak evidence of straight MWF exposure effects on both early and late stages. The authors also observed a late birth cohort effect on larynx cancer risk. Conclusions: The findings for asbestos and silica were essentially confirmatory, supporting evidence for their early effects on lung cancer from a large body of literature. The effect of straight MWF on larynx cancer was less clear.This work was supported by a grant from the US National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention,R01-OH03575, and a grant from the Centers for Disease Control and Prevention/ Association of Teachers of Preventive Medicine number TS 0699

Traffic-related and socioeconomic indicators in association with low birth weight and preterm births in eastern Massachusetts between 1996 and 2002

Previous evidence has suggested that physical and social characteristics of places are important factors in determining human health. These characteristics may define gradients of exposure, and as result, they may define gradients of population health outcomes. Exposures to air pollution have been shown to affect indicators of health, for example, increasing risk of adverse birth outcomes. The present work was carried out with the main goal to study the association between indicators of city-specific gradients of traffic and socioeconomic measures and low birth weight and preterm births in eastern Massachusetts

Exposure variability and behaviour of indoor and outdoor air pollutants in primary schools in the United Kingdom

Copyright @ 2011 ISEEBackground and Aims: Current evidence suggests that exposure to common indoor air pollutants is associated with adverse health effects in children. This study was conducted to examine air quality in four primary schools in southern England, in order to establish daily, weekly and seasonal variability of pollutant concentrations within and between the schools, and to understand the behaviour of common indoor and outdoor air pollutants. Methods: Four primary schools were selected for the study, in urban, suburban and rural environments with diverse size and socioeconomic backgrounds. Air quality monitoring was conducted in three rounds (autumn, winter, summer) during the academic year 2009-2010. Each round involved monitoring continuously for one week in four locations of typical children’s exposure: generally three indoors and one outdoors. Measurements were carried out for particulate matter count for size range 0.5-5.0μm (PM0.5-5.0), carbon dioxide (CO2), carbon monoxide (CO), and nitrogen dioxide (NO2). Results: Findings revealed great variability in PM0.5-5.0 concentrations during the week and between rounds of measurements within each school, and between schools. CO concentrations were greatly variable for the suburban and rural schools. Little variability was seen for NO2 concentrations. CO2 levels differed during the day and between days and rounds in each school, and between schools, depending on the daily activity patterns of children and practice of ventilation. Linear regression models predicted indoor levels for PM0.5-5.0, CO and NO2, based on contribution of outdoor concentrations to the same pollutant, ventilation measured by CO2 concentrations and weather variables. Conclusions: Study findings showed variability in pollutant exposure levels between locations, days and seasons in each school, and between all four schools. These differences related to school building design and location, ventilation practices and children’s daily activities. These findings support the need for developing methodology for personal exposure assessment to air pollutants among school children

Examining the mortality effects of the Irish National Smoking Ban.

Secondhand smoke causes disease and death in those exposed, with cardiovascular and respiratory problems as the most likely outcomes. The purpose of this study was to examine the mortality effects of the Irish national smoking ban of 2004

Excess mortality during heat waves in Ireland

Ireland is not known for having extreme high temperatures, with values above 30C uncommon. Ireland has significant excess winter mortality compared to summer. The objective of this study is to estimate the impact of nation-wide heat waves on the total, cardiovascular and respiratory relationship, for the period 1981–2003, to determine if there are any periods of excess summer mortality

Effect of air pollution controls on black smoke and sulfur dioxide concentrations across Ireland

During the 1980s Ireland experienced severe pollution episodes, principally because of domestic coal burning. In 1990, the Irish government introduced a ban on the marketing, sale, and distribution of coal in Dublin. They extended the ban to Cork in 1995 and to ten other communities in 1998 and 2000. We previously reported declines in particulate (black smoke [BS]) and sulfur dioxide (SO2) concentrations in Dublin following the 1990 coal ban. We now explore and compare the effectiveness of these sequential bans in 1990, 1995, 1998, and 2000. Daily BS and total gaseous acidity (502) measurements were compiled between 1980 and 2004. We calculated descriptive statistics for the pre-ban (5 yr before ban) and post-ban (5 yr after ban) periods for BS and SO2 concentrations and for season-specific periods. Mean BS levels fell in all centers post-ban compared with the pre-ban period, with decreases ranging; from 4 to 35 mu g.m(-3) (-45 to -70%). These reductions were smallest in the summer and largest in the winter. These BS, reductions were sustained in all centers until the end of the study period. We observed no clear pattern in SO2 changes associated with the coal bans. The 1990, 1995, 1998, and 2000 Irish coal sale bans resulted in immediate and sustained decreases in particulate levels in centers, with the largest declines in the winter. In contrast, we did not observe consistent declines in total acidity as a measure of SO2. It may be that coal was not the major source. of SO2. Simple legislation was very effective at improving ambient air quality in Irish cities with varying populations, geography/topography, and meteorological conditions

Fuel poverty, older people and cold weather: An all-island analysis

Executive Summary This report covers a number of different aspects of fuel poverty and older people. 1. An exploration of existing government survey data from Northern Ireland and the Republic of Ireland with a particular focus on older people and conducting additional targeted analyses where required. 2. An original survey in the Republic of Ireland exploring the lived experience of older people in cold weather. 3. A feasibility study of data logging thermometers placed in the homes of older tenants in local authority accommodation. 4. Analysis of excess winter mortality among older people including a consideration of differences between the two jurisdictions. Older people on the island of Ireland, as in many other countries, experience a ‘dual burden’ in terms of fuel poverty. They are more likely to experience fuel poverty and are also particularly vulnerable to health and social harm as a result of this experience. The numbers of older people vulnerable to ill-effects from cold homes will rise as numbers of people aged 80 and over, and those living with chronic illness or disability, increase. There were significant differences observed between expenditure-based, and subjective (EU-SILC) based fuel poverty indicators, for older people, and between Northern Ireland and Republic of Ireland data. This data required careful interpretation. The higher levels of fuel poverty recorded for older people on the island of Ireland appeared to be driven by all aspects of the fuel poverty model - poor housing condition, energy inefficient housing, rising fuel prices and low income. The majority of older people live in their own home and these homes tend to be older properties which are detached or semi-detached. Older people on the island are over-represented among houses which are in poor condition and which lack central heating in both jurisdictions. Lacking central heating was a more common experience for older people in the Republic of Ireland than in Northern Ireland. Data on energy efficiency measures were not comparable North/South but similar patterns were observed. Older people were less likely than the general population to have attic/loft or wall insulation or double glazing. Older people were also vulnerable from an income point of view. This would seem to be a particular issue in Northern Ireland where rates of income poverty are significantly increasing. In both jurisdictions older people were heavily reliant on social transfers to keep them out of poverty. Coupled with this, there is evidence that many older people are not claiming their full entitlements. Oil dependency was a particular issue in Northern Ireland. Very significant increases were observed in the price of heating oil, as well as electricity and gas in recent years. There was little available research evidence on the relationship between the older consumer and heating oil suppliers

Profiling SO2 air pollution patterns in 9 EU Aphekom cities: The Aphekom Project

A detailed analysis of hourly pollutant concentrations mainly focusing on SO2 data obtained from 9 centres involved in the Aphekom project was conducted. This involved the generation of individual diurnal SO2 profiles in order to: (i) identify city specific patterns including source apportionment and quantification, (ii) track changes over time, (iii) analyse the changes in SO2 concentrations from different emission sources, i.e. traffic, heating, shipping and industrial sources, overtime

The assessment of the implementation of fuel related legislations and their impact on air quality and public health

The main focus of Work Package 6 of the Aphekom project was: to develop innovative methods to analyse the decrease in air pollution levels following implementation of an European regulation to reduce the sulphur content in liquid fuels; to follow the evolution of health risks over time; to track related effect modifiers; and to quantify the monetary costs of health impacts of the implemented regulation