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The Pollution Prevention Act of 1990: A Policy Whose Time Has Come or Symbolic Legislation?

/ In 1990, the United States officially entered the era of pollution prevention with passage of the Pollution Prevention Act. This paper analyzes EPA's implementation of the Pollution Prevention Act from its passage in 1990 to the present. It examines the barriers EPA must overcome if it is to effectively integrate pollution prevention into its existing regulatory structure, including impediments created by statutory and organizational structure, the existing relationship between EPA and the groups it regulates, the fragmented implementation scheme of national environmental regulation, the balancing of conflicting demands advanced by powerful interests, industry's economic and technical concerns, and institutional inertia. It also examines issues such as industry commitment, the limits of prevention, and measurement concerns. The findings suggest that EPA's efforts at shifting to a pollution prevention regulatory ethic that holds primacy over pollution control are mixed. Its organizational structure, statutory authority, and incentives system still reflect a single-medium pollution control focus, appropriations for pollution prevention programs and activities are paltry compared to traditional pollution control programs, and participation in the program is voluntary. Yet, the findings also point to some promising programs that are working to institutionalize a pollution prevention regulatory ethic, and many states appear very committed to the concept.KEY WORDS: Pollution prevention; Source reduction; Pollution control; Alternative regulatory design; Barriers to implementation

Journal Article↗

Effects of pollution from personal computers on perceived air quality, SBS symptoms and productivity in offices.

UNLABELLED: In groups of six, 30 female subjects were exposed for 4.8 h in a low-polluting office to each of two conditions--the presence or absence of 3-month-old personal computers (PCs). These PCs were placed behind a screen so that they were not visible to the subjects. Throughout the exposure the outdoor air supply was maintained at 10 l/s per person. Under each of the two conditions the subjects performed simulated office work using old low-polluting PCs. They also evaluated the air quality and reported Sick Building Syndrome (SBS) symptoms. The PCs were found to be strong indoor pollution sources, even after they had been in service for 3 months. The sensory pollution load of each PC was 3.4 olf, more than three times the pollution of a standard person. The presence of PCs increased the percentage of people dissatisfied with the perceived air quality from 13 to 41% and increased by 9% the time required for text processing. Chemical analyses were performed to determine the pollutants emitted by the PCs. The most significant chemicals detected included phenol, toluene, 2-ethylhexanol, formaldehyde, and styrene. The identified compounds were, however, insufficient in concentration and kind to explain the observed adverse effects. This suggests that chemicals other than those detected, so-called 'stealth chemicals', may contribute to the negative effects. PRACTICAL IMPLICATIONS: PCs are an important, but hitherto overlooked, source of pollution indoors. They can decrease the perceived air quality, increase SBS symptoms and decrease office productivity. The ventilation rate in an office with a 3-month-old PC would need to be increased several times to achieve the same perceived air quality as in a low-polluting office with the PC absent. Pollution from PCs has an important negative impact on the air quality, not only in offices but also in many other spaces, including homes. PCs may have played a role in previously published studies on SBS and perceived air quality, where PCs were overlooked as a possible pollution source in the indoor environment. The fact that the chemicals identified in the office air and in the chamber experiments were insufficient to explain the adverse effects observed during human exposures illustrates the inadequacy of the analytical chemical methods commonly used in indoor air quality investigations. For certain chemicals the human senses are much more sensitive than the chemical methods routinely used in indoor air quality investigations. The adverse effects of PC-generated air pollutants could be reduced by modifications in the manufacturing process, increased ventilation, localized PC exhaust, or personalized ventilation systems.

Adult↗

Associations between daily mortalities from respiratory and cardiovascular diseases and air pollution in Hong Kong, China.

OBJECTIVE: To investigate the association between ambient concentrations of air pollutants and respiratory and cardiovascular mortalities in Hong Kong. METHODS: Retrospective ecological study. A Poisson regression of concentrations of daily air pollutants on daily mortalities for respiratory and cardiovascular diseases in Hong Kong from 1995 to the end of 1998 was performed using the air pollution and health: the European approach (APHEA) protocol. The effects of time trend, seasonal variations, temperature, and humidity were adjusted. Autocorrelation and overdispersion were corrected. Daily concentrations of nitrogen dioxide (NO2), sulphur dioxide (SO2), ozone (O3), and particulate matter <10 microm in aerodynamic diameter (PM10) were averaged from eight monitoring stations in Hong Kong. Relative risks (RRs) of respiratory and cardiovascular mortalities (per 10 microg/m(3) increase in air pollutant concentration) were calculated. RESULTS: Significant associations were found between mortalities for all respiratory diseases and ischaemic heart diseases (IHD) and the concentrations of all pollutants when analysed singly. The RRs for all respiratory mortalities (for a 10 microg/m(3) increase in the concentration of a pollutant) ranged from 1.008 (for PM10) to 1.015 (for SO2) and were higher for chronic obstructive pulmonary diseases (COPD) with all pollutants except SO2, ranging from 1.017 (for PM10) to 1.034 (for O3). RRs for IHD ranged from 1.009 (for O3) to 1.028 (for SO2). In a multipollutant model, O3 and SO2 were significantly associated with all respiratory mortalities, whereas NO2 was associated with mortality from IHD. No interactions were detected between any of the pollutants or with the winter season. A dose-response effect was evident for all air pollutants. Harvesting was not found in the short term. CONCLUSIONS: Mortality risks were detected at current ambient concentrations of air pollutants. The associations with the particulates and some gaseous pollutants when analysed singly were consistent with many reported in temperate countries. PM10 was not associated with respiratory or cardiovascular mortalities in multipollutant analyses.

Air Pollutants↗

Particulate air pollution as a predictor of mortality in a prospective study of U.S. adults.

Time-series, cross-sectional, and prospective cohort studies have observed associations between mortality and particulate air pollution but have been limited by ecologic design or small number of subjects or study areas. The present study evaluates effects of particulate air pollution on mortality using data from a large cohort drawn from many study areas. We linked ambient air pollution data from 151 U.S. metropolitan areas in 1980 with individual risk factor on 552,138 adults who resided in these areas when enrolled in a prospective study in 1982. Deaths were ascertained through December, 1989. Exposure to sulfate and fine particulate air pollution, which is primarily from fossil fuel combustion, was estimated from national data bases. The relationships of air pollution to all-cause, lung cancer, and cardiopulmonary mortality was examined using multivariate analysis which controlled for smoking, education, and other risk factors. Although small compared with cigarette smoking, an association between mortality and particulate air pollution was observed. Adjusted relative risk ratios (and 95% confidence intervals) of all-cause mortality for the most polluted areas compared with the least polluted equaled 1.15 (1.09 to 1.22) and 1.17 (1.09 to 1.26) when using sulfate and fine particulate measures respectively. Particulate air pollution was associated with cardiopulmonary and lung cancer mortality but not with mortality due to other causes. Increased mortality is associated with sulfate and fine particulate air pollution at levels commonly found in U.S. cities. The increase in risk is not attributable to tobacco smoking, although other unmeasured correlates of pollution cannot be excluded with certainty.

Air Pollutants↗

The induction of sister chromatid exchanges by environmental pollutants: relationship of SCE to other measures of genetic damage.

Sister chromatid exchanges (SCEs), induced by environmental pollutants from fossil fuel use, were measured in 2 cell systems, Chinese hamster ovary (CHO) cells and Chinese hamster primary lung cell cultures. The frequency of SCEs induced in these cell systems was related to other measures of genetic damage, namely mutations in CHO cells at the hypoxanthine-guanine phosphoribosyl transferase (HGPRT) gene locus and in bacteria (Salmonella mutagenicity test TA-98), produced by the same pollutants. The pollutants were divided into 2 classes: those produced in oxidizing combustion environments--extracts of particles from light-duty diesel cars, spark-ignition cars, and an automotive tunnel; and those produced in reducing environments--extracts from coke oven mains and condensates from a low BTU coal gasifier obtained either before or after cleanup of the process stream. Sister chromatid exchanges were induced by all pollutants without the addition of a rat liver microsomal fraction (S-9 mix), whereas S-9 mix was required to induce a positive response in the CHO/HGPRT assay for all pollutants. The pollutants produced in a reducing environment required metabolic activation by S-9 mix to be mutagenic in the Salmonella mutation assay. The addition of S-9 mix to pollutants produced in an oxidizing environment reduced the response in the Salmonella test. The relative genotoxic potency for each pollutant was determined for all 3 endpoints. The slopes of dose-response curves for each pollutant were plotted for each assay to compare relative potency. When the bacterial mutagenicity test was compared to either mammalian cell assay, SCE or CHO/HGPRT, there was little correlation between relative potencies. However, the data indicated that the responses in the 2 mammalian cell assays, SCE and CHO/HGPRT, showed similar relative responses to the pollutants. Differences in the requirement for S-9 mix seem to be related to both the chemical nature of the mixture and the endpoint measured. Differences in responses are related not only to cell type but also to chemical composition of the complex pollutants.

Air Pollutants↗

Pollution-related changes in diets of two insectivorous passerines.

Insectivorous birds living in polluted areas are not only exposed to pollutants but they may also be affected by changes in their invertebrate food. The populations of many invertebrate species are affected by environmental pollution and such changes may lead to differences in the diet of insectivorous birds. We examined nestling food quality (invertebrate composition and heavy metal levels) and breeding performance of two cavity-nesting passerines, the Great tit, Parus major, and the pied flycatcher, Ficedula hypoleuca, in an area with long-term heavy metal pollution by a copper smelter. There were no differences in feeding frequencies or the amount of food that parents provided to their nestlings between polluted and unpolluted sites, but food quality in a polluted area differed from that of the control area in both bird species. P. major took more beetles and variable "flying insects" and less caterpillars (of smaller size) and moths in the polluted area as compared to the unpolluted one. F. hypoleuca ate more beetles and larvae and less moths and spiders in the polluted area. Breeding success of P. major was better when the nestling diet contained a large proportion of caterpillars and the relationship was especially strong in the polluted area. On the contrary, F. hypoleuca broods succeeded equally well with variable diets. Our data suggest that a more opportunistic forager, F. hypoleuca, is less vulnerable to a changing invertebrate composition caused by human environmental impacts than a caterpillar specialist, P. major. In a heavy metal polluted area, F. hypoleuca seems to be more sensitive to a decreased amount of Ca rich food items (e.g. snails) while P. major suffers especially from the lack of carotenoid rich caterpillars. Our results emphasize the importance of secondary environmental changes, like food quality, in addition to direct impacts of pollutants.

Animals↗

Pollutant effects on Pacific oyster, Crassostrea gigas (Thunberg), hemocytes: screening of 23 molecules using flow cytometry.

The shellfish industry is an important economic activity in France, occurring mostly in estuarine zones subject to pollution due to anthropogenic activities. The harmful effects of pollutants on species inhabiting these estuarine zones are not well known. Among marine species, bivalve mollusks--particularly Pacific oyster, Crassostrea gigas--may serve a model of interest. The species is sedentary and filter-feeding, which favors bioaccumulation of pollutants in their tissues. Oysters may be suitable for studies on disturbance by pollutants of physiological activities, among which defense mechanisms are poorly documented in bivalves. In this study, effects of pollutants on hemocyte functions were monitored in Pacific oyster, C. gigas. Hemocytes were exposed in vitro to selected pollutants. The strategy for investigating the effects of pollutants on hemocyte functions is based on several biomarkers, which is more relevant than that of published papers based on single-endpoint experiments. Pollutants belonging to the most important groups of xenobiotics (PAHs, PCBs, and pesticides) were selected and their effect on hemocyte activities was analyzed using flow cytometry. Twenty-three pollutants were tested and eight of them showed significant modulation of hemocyte activities. PAHs and PCB 77 induced a decrease of hemocyte activity after an incubation periods of 4 and 24 h at 200 micro mol/L. Three pesticides (2,4D, paraoxon, and chlorothalonil) modulated hemocyte activities. A mixture of eight pesticides also decreased phagocytotic activity. This study is one of the first to investigate the effects of so many pollutants on hemocyte functions at the same time and therefore allows a real comparison of different pollutant effects.

Animals↗

Pollution resistance of mountain birch, Betula pubescens subsp. czerepanovii, near the copper-nickel smelter: natural selection or phenotypic acclimation?

Mountain birch, Betula pubescens subsp. czerepanovii (Orlova) Hamet-Ahti, is one of the very few woody plants surviving in the heavily polluted industrial barrens of the Kola Peninsula, north-western Russia. The present study was designed to find out whether long-lasting pollution impact caused selection of resistant birch genotypes, and to investigate possible trade-offs between pollution resistance and performance by exploring growth of birch seedlings in the different environments. In the reciprocal planting experiments, progenies of birches from polluted sites performed slightly better in the polluted environment (in terms of survival, leaf number, and leaf size) than progenies of birches from clean sites; and vice versa, in the clean environment progenies of birches from polluted sites performed slightly worse than progenies of birches from clean sites. However, this pattern was detected only in some of statistical tests, while the majority of comparisons showed no genotype or genotype by environment effects. Although some of the results indicate that long-lasting pollution impact may have increased pollution resistance of the affected populations by elimination of sensitive genotypes (survival selection), this conclusion should be considered tentative. The resistance did not reach the level sufficient to assure re-colonisation of polluted habitats: progenies of all trees completely died on the contaminated soils by the end of the first growth season. Therefore persistence of mountain birch populations near the strong polluters may be transient, being explained not only by higher resistance of the survivors, but also by phenotypic acclimatisation of mature trees to gradual increase in pollution.

Acclimatization↗

Cross-sectional health study in polluted and nonpolluted agricultural settlements in Israel.

During the summer of 1984 a health survey was carried out among the population of six rural settlements, three in a polluted and three in a low polluted area. Residents of these settlements between 6 and 65 years of age filled out an ATS-NHLI health questionnaire and performed the following pulmonary function tests (PFT): FVC, FEV1, FEV1/FVC, PEF, FEF50, and FEF75. A trend of higher prevalence of reported respiratory symptoms and diseases characterizes children growing up in a polluted rural as compared with a low polluted rural area. The relative risks (calculated from logistic models) for children from the polluted area to have sputum with cold is 2.13, cough accompanied by sputum 3.89, and for their siblings to have respiratory diseases 3.02, as compared with 1.00 in the low polluted area. A trend of lower PFT characterizes children from the polluted area, with significantly reduced PEF (P = 0.054). The trends for adults in the two areas were similar to those for the children. The relative risks for adults from the polluted area to have sputum is 1.7 and cough accompanied by sputum 2.6, as compared with 1.0 in the low polluted area. PEF is significantly lower (P = 0.002) among adults from the polluted area, while FEF50 and FEF75 are lower (not significantly) among adults from the low polluted area.

Adolescent↗

Influence of pollution on parasites of aquatic animals.

We have tried to draw attention to an increasing body of evidence (from several publications) that parasites of fish might be useful indicators of pollution. Several types of pollutants, including domestic sewage, pesticides, polychlorinated biphenyls, heavy metals, pulp and paper effluents, petroleum aromatic hydrocarbons, acid rain, and others, are known to affect aquatic animals. Many of the latter are parasitized and, under natural environmental conditions, most fish parasites are believed to cause little or no harm. However, chronic exposure to pollutants over a period of time causes biochemical, physiological and behavioural host changes that ultimately can influence the prevalence and intensity of parasitism. Some of these changes include host nutrition, growth and reproduction. Macroscopic lesions might not always be apparent, but subtle disorders in several specific tissues and organs might occur. Pollutants might promote increased parasitism in aquatic animals, especially fish, by impairing the host's immune response or favouring the survival and reproduction of the intermediate hosts. Alternatively, decreased parasitism might ensue through toxicity of the pollutant to free-living stages and intermediate hosts or by alteration of the host's physiology. Experimental studies indicate that the numbers of ectoparasites such as trichodinid ciliates and monogeneans increase significantly on the gills following exposure to a pollutant, and this is supported by field data on other ciliates and monogeneans where evidence of pollution has been clearly demonstrated. There is also evidence that endoparasitic protozoons, such as myxozoons, microsporans and haematozoons, all of which are capable of proliferating in their hosts, increase substantially in prevalence and intensity when interacting with pollutants. The period of patency might also be prolonged in haematozoan infections. Most reports of pollution effects on endoparasites suggest increased parasitism in fish hosts. This also applies to fish living in areas which receive thermal effluents. Parasites might in turn enhance their hosts' susceptibility to pollutants, and information in support of this view is accumulating. Finally, immunosuppression represents one of the underlying mechanisms influencing increased parasitism. Thus, while published information suggests more than a casual connection between fish parasites and pollution, further research is needed to establish the cause-and-effect relationship and at the same time take cognizance of histopathological effects of the toxic agents and their concentrations in water. Areas for future research are recommended.

Animals↗

Environmental pollutants and skin cancer.

We are increasingly exposed to environmental pollution. Pollutants can be inhaled, ingested or come into contact with the skin depending on the form in which they occur. On metabolization, activation, or accumulation, pollutants can become extremely toxic for the vital organs and this is often related to a strong genotoxic effect. Since the skin acts as a barrier between the organism and the environment, it is frequently directly exposed to pollution. It is very often degraded by polluting agents and acts as an inlet toward other tissues. Numerous studies in man recognize and demonstrate the carcinogenic power of certain pollutants in the digestive and respiratory tracts. The "pollutants" that react most specifically with the skin are: ultraviolet radiation, polycyclic aromatic hydrocarbons (e.g., benzo[a]pyrene), volatile organic compounds (e.g., benzene), heavy metals, and ozone. Ultraviolet radiation, a "physical" pollutant, has been described as being the factor responsible for most skin cancers in man. The genotoxicity of UV light is well documented (type of lesion or mutation, etc.) and its carcinogenic effect is clearly demonstrated in vivo in man. A few epidemiological studies describe the carcinogenicity of certain pollutants such as arsenic or lead on the skin. However, most of the evidence for the role of pollutants in skin cancers comes from in vivo animal studies or from in vitro studies (e.g., PAHs). In this report, different studies are presented to illustrate the research strategies developed to investigate the mechanism of action of "chemical" pollutants and their potential role in human skin pathology. All the study models and the associated techniques of investigation are tools for a better understanding and thus more efficient prevention of the deleterious effects caused by the environment.

Animals↗

The adverse effect of low levels of ambient air pollutants on lung function growth in preadolescent children.

The main purpose of our study was to assess the effect of low concentrations of ambient air pollution on lung function growth in preadolescent children. We accounted for height velocity over the follow-up period and also for other possible confounders such as baseline anthropometric and physiologic characteristics of children. In addition to outdoor air pollution, we considered the possible effects of social class and exposure to indoor pollutants such as gas stove fumes or environmental tobacco smoke. The cohort prospective study was carried out in 1,001 preadolescent children from two areas of Krakow, Poland, that differed in ambient air pollutants. In the city center (higher pollution area), the mean annual level [+/- standard deviation (SD)] of suspended particulate matter was 52.6 +/- 53.98 microg/m(3) and that of SO(2) was 43.87 +/- 32.69 microg/m(3); the corresponding values in the control area were 33.23 +/- 35.99 microg/m(3) and 31.77 +/- 21.93 microg/m(3). Mean lung function growth rate adjusted to height velocity and lung function level at the study entry was significantly lower in boys and girls living in the more polluted areas. Also, the proportion of children with the slower lung function growth (SLFG) was higher in the children from the more polluted area of the city. The analysis completed in the group of children after the exclusion of asthmatic subjects and those with asthmalike symptoms confirmed that, in boys, odds ratios (ORs) for SLFG [forced vital capacity (FVC)] and air pollution after adjustment to baseline FVC, height, and growth rate was significant [OR = 2.15; 95% confidence interval (CI), 1.25-3. 69)]. The analysis also confirmed that for SLFG(FEV(1)) the OR was 1. 90 (CI, 1.12-3.25). The corresponding OR values in girls were insignificant (OR = 1.50; CI, 0.84-2.68 and OR = 1.39; CI, 0.78-2. 44). The association between ambient pollutants and poorer gain of pulmonary volumes in children living in more polluted areas suggests that air pollution in the residence area may be a part of the causal chain of reactions leading to retardation in pulmonary function growth during the preadolescent years.

Air Pollution↗

[Knowledge, opinions and attitudes of physicians regarding air pollution in the Bouches-du-Rhône].

OBJECTIVE: To evaluate knowledge, opinions and attitudes of physicians towards prevention of health consequences from air pollution, especially photo-chemical pollution. METHODS: A questionnaire was prepared by a multidisciplinary group from published literature on Health impact of air pollution and from local context. It was administered on line among a random sample of physicians practising in the County of the Bouches du Rhône (Marseille, South-eastern France). The sample consisted in pediatricians (1/2), general practitioners (GP; 1/14) and pneumologists. RESULTS: The answer rate was 79% (112/169 GP, 94/107 pediatricians, 82/91 pneumologists). Among the 288 physicians who answered the questionnaire, 44% declared they felt very concerned by air pollution, especially pediatricians. While 87% were knowledgeable about SO2 regulations, only 59% (48% among pediatricians) were knowledgeable about ozone regulations. While about all physicians knew the health effects of air pollution episodes on respiratory tract, only half knew that mortality rates can increase significantly during such episodes. Forty percent of physicians had never heard about air pollution episodes that occurred in their city, while air quality control networks had identified them. At last, only 15% of physicians had already given recommendations to patients during episodes of ozone pollution (above 180 micrograms/m3). CONCLUSION: That study shows the need for improving knowledge and attitudes of physicians about air pollution, especially photo-chemical air pollution. As physicians are concerned about the Health impact of air pollution, and patients are demanding about this issue, training and information programmes should be implemented rapidly. However, experimental interventions aimed at reducing the acute effects of air pollution episodes should be evaluated to show their efficiency, and to convince physicians with scientific arguments.

Air Pollution↗

Pollution-induced community tolerance and functional redundancy in a decomposer food web in metal-stressed soil.

Pollution may lead to the development of pollution-induced community tolerance (PICT) in a stressed community. We studied the presence of PICT in soil food webs using soil microcosms. Soil microcosms containing soil invertebrates and microbes were collected from polluted and unpolluted areas and exposed to a range of soil zinc concentrations. A pine seedling was planted in each microcosm to measure the effects of the origin of the community and Zn pollution on above-ground plant production. The effects of the treatments on nutrient content in the soil were also measured. The diversity of soil microarthropods and the soil's mineral nutrient content were low at the Zn-polluted site. We did not observe an increasing Zn tolerance among the soil organisms in the polluted soil. However, low population growth rates of soil invertebrates from the polluted site may indicate the deleterious effects on fitness of long-lasting pollution. In the soil from the nonpolluted site, Zn additions caused changes in the invertebrate food web structure. These changes were explained by the good physiological condition of the animals and their insensitivity to Zn. The fact that the food web structure in soil from the polluted site did not change can be used as a rough indicator of PICT. Structural stability is presumed by the lack of Zn-sensitive species at this site and the inability of populations to acclimate by altering their growth or reproduction patterns in response to changing soil conditions. Although microbial-based soil decomposer systems may have a high functional redundancy, our results indicate that metal stress at the polluted site exceeds the tolerance limits of the system. As a consequence, ecosystem function at this site is endangered. This study also shows that the evolution of metal tolerance by soil decomposer organisms may not be a common reaction to soil pollution, although changes of population and community structure indicated severe metal stress on organisms.

Adaptation, Physiological↗

[Advances of research on combined pollution in soil-plant systems].

The research on combined pollution in soil-plant systems is a scientific frontier of pollution ecology, and has an important significance in ecological safety of agricultural environment. The origin of combined pollution as a conception and its connotation development were reviewed. Types of combined pollution occurred in soil-plant systems and relevant progresses in this area were summarized. Ecological effects resulted from combined pollution of soil-plant systems and their quantificational tokens were expounded. The interactions of heavy metal-organic pollutant and organic pollutant-pathogenic microorganisms were pointed out to be important combined pollution in soil-plant systems, and the studies on the interactions, sub-products and their aged process, and moletoxicology mechanism of multi-pollutants were suggested to be the future keystone contents in this area. Meanwhile, the prospective studies on the methods and application of the results of combined pollution were put forward to provide a support for the warning and remediation of soil pollution.

Agriculture↗

[Role of atmospheric pollutants in asthma].

Air pollution can be divided into two basic types, industrial acid pollution (black smoke-dust particles sulfur oxide) and photochemical pollution (nitrogen oxides-ozone from automobile exhausts). In western countries, industrial pollution has greatly decreased while photochemical pollution has remained stable or increased depending on the area. In animal models, all types of air pollution, at high concentration, have an effect on the airways: irritation, facilitation of allergic sensitization, reduced resistance to infections. In humans, is the prevalence of asthma higher in polluted areas? Most surveys have found that the prevalence of respiratory, ear-nose-throat, and bronchial symptoms is higher but not symptoms of asthma. The surveys comparing East and West Germany suggest that irritation (repeated rhinobronchitis) is related to acid-particle pollution. The higher prevalence of allergic diseases in ex-West Germany does not appear to be related to photochemical pollution but rather to western lifestyle in general. In addition, changes in air pollution have an effect on the clinical and functional score in asthma patients, affecting the demand for medication and health care. Of particular importance for health care is the fact that these effects occur at concentrations below "standard" levels of pollution.

Air Pollutants↗

[Air pollution and its health effects on residents in Taiwanese communities].

The are a number of particular features of air pollution in Taiwan, as described below: (1) In Taiwan area, the air load of pollutants is more serious than previously reported. (2) There exists severe air pollution throughout the island. (3) Industry is the major source of pollution. (4) No demarcation exists between plants and residential quarters. (5) There is a high concentration of pollutants indoors/outdoors. The influence of air pollution spreads over all aspects of physical health, primarily on the respiratory tract, causing lung cancer and exaggerating cardiovascular diseases. A few Taiwanese studies are reviewed below which deserve more elaboration. (1) Use PM10 for indexing health effect. The annual average value of PM10 in Taiwan has been around 70 micrograms/m3 in 1994. Dr. Schwarz indicated that no safety margin could be derived; for each additional 10 micrograms/ m3 of PM10, the death number could be increased by 1% on the basis of Western studies. (2) Research with reference to lung cancer cases in the Kaohsiung Medical College Hospital. Living within 3 km of industrial district counted for 9% of cases and caused a 6-fold increase in the risk of disease for people living more than 20 years in the case control study for lung cancer. (3) Death due to cancer of inhabitants close to petroleum and petrochemical industries. For youths and children below 20 years, cancers related to brain tumors were 2-4 fold of what was expected deaths. Analysis of another petrochemical complex in Chienchen, Kaohsiung, revealed the inhabitants within 1 km showed a higher standardized mortality ratio for cancers of the lung, kidney, urinary bladder, and leukemia than was to be expected. (4) Lower lung function and higher incidence of respiratory diseases among residents near a coal-fired power plant (within 3 Km) compared to residents who lived further away from the plant (3-11 Km). (5) Lead contamination around a kindergarten near a battery recycling plant. There was increased lead absorption among children of the exposed kindergarten and its this was associated with the extent of air and soil pollution in the surrounding area. In considering above limited epidemiologic evidence, the following recommendations are presented: (1) to conduct investigation promptly for the correlation of air pollution to disease morbidity and death of inhabitants of Taiwan. (2) to reevaluate ambient air quality standards on the basis of Taiwanese health studies. (3) to assess the analytical data of past records on the concentrations of air pollutants. (4) collection of surcharge fee for air pollution. (5) Regulation for compensation of pollution victims among industry. (6) development of environmental health related industries. (7) Participation of various parties who are concerned the environmental health. One thing is certain, everyong would be able to breath air which, as far as possible, is clean.

Air Pollution↗

Heavy metal pollution in China: origin, pattern and control.

GOAL, SCOPE AND BACKGROUND: Heavy metal is among one of the pollutants, which cause severe threats to humans and the environment in China. The aim of the present review is to make information on the source of heavy metal pollution, distribution of heavy metals in the environment, and measures of pollution control accessible internationally, which are mostly published in Chinese. METHODS: Information from scientific journals, university journals and governmental releases are compiled focusing mainly on Cd, Cu, Pb and Zn. Partly Al, As, Cr, Fe, Hg, Mn and Ni a included also in part as well. RESULTS AND DISCUSSION: In soil, the average contents of Cd, Cu, Pb and Zn are 0.097, 22.6, 26.0 and 74.2 mg/kg, respectively. In the water of the Yangtze River Basin, the concentrations of Cd, Cu, Pb and Zn are 0.080, 7.91, 15.7 and 18.7 microg/L, respectively. In reference to human activities, the heavy metal pollution comes from three sources: industrial emission, wastewater and solid waste. The environment such as soil, water and air were polluted by heavy metals in some cases. The contents of Cd, Cu, Pb and Zn even reach 3.16, 99.3, 84.1 and 147 mg/kg, respectively, in the soils of a wastewater irrigation zone. These contaminants pollute drinking water and food, and threaten human health. Some diseases resulting from pollution of geological and environmental origin, were observed with long-term and non-reversible effects. CONCLUSIONS: In China, the geological background level of heavy metal is low, but with the activity of humans, soil, water, air, and plants are polluted by heavy metals in some cases and even affect human health through the food chain. RECOMMENDATIONS AND OUTLOOK: To remediate and improve environmental quality is a long strategy for the polluted area to keep humans and animals healthy. Phytoremediation would be an effective technique to remediate the heavy metal pollutions.

China↗