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Indoor Air Quality: part II--what it does.

Newton, MA. A recent report indicated air quality samples taken from several rooms in the town's North High School had elevated CO2 levels of 2,000 parts per million (ppm) (Viser, 2004). State standards set 800 ppm as the optimum reading. Although not an immediate health issue, high CO2 levels are indicative of poor air circulation--clean air comes in but stale air is not vented out. Safety issues arise in the school setting when chemicals or toxic substances are in use and cannot be vented, therefore posing the health risk (Viser, 2004). Poor Indoor Air Quality (IAQ) in schools can result in decreased academic performance and days lost due to illness in the school age population (Environmental Protection Agency [EPA], 2003). As the school nurse at North High School, what would you do?

Air Pollution, Indoor↗

Environmental lead level and pregnancy-induced hypertension.

Previous studies have suggested that environmental lead exposure increases the risk of hypertension in the general population. In this article, the authors used the 1998 linked birth/infant death database of the United States to examine the association between environmental lead level and the occurrence of pregnancy-induced hypertension (PIH). Yearly summaries of environmental lead levels were abstracted from the US Environmental Protection Agency's air pollution databases, and linked with birth/infant death records by state codes. Generalized estimating equations (GEEs) were used to evaluate the odds ratios of PIH associated with environmental lead measured at ecological levels, with adjustment for maternal age, race, education level, marital status, parity, and adequacy of prenatal care measured at individual levels, stratified by maternal cigarette smoking. A total of 2,994,072 women pregnant in 1998 were included in this study. With the first quartile of lead level as the reference group, the odds ratio for PIH among all study subjects in the second quartile of seasonal average lead level at conception was 1.07 (95% CI: 1.05-1.08), and odds ratios in the third and fourth quartiles were 1.22 (95% CI: 1.20-1.25) and 1.16 (95% CI: 1.15-1.18), respectively. The odds ratios for the second, third, and fourth quartiles of seasonal average lead level at birth were 1.07 (95% CI: 1.05-1.09), 1.21 (95% CI: 1.19-1.23), and 1.15 (95% CI: 1.13-1.17), respectively. The risk of PIH increased by 4% per 0.05 microg/m3 increase in seasonal average lead level at conception and birth, in both smokers and nonsmokers. These results suggest that higher environmental lead levels increase the risk of PIH.

Adult↗

The U.S.-Russian radiation health effects research program in the Southern Urals.

The Joint Coordinating Committee for Radiation Effects Research (JCCRER) was established through a bilateral U.S.-Russian agreement to support research and exchange information on radiation health effects. The U.S. member agencies include the Department of Energy (DOE), Nuclear Regulatory Commission (NRC), Department of Health and Human Services (DHHS), Department of Defense (DoD), National Aeronautics and Space Administration (NASA), and Environmental Protection Agency (EPA). The Russians are represented by the Ministries of Emergencies (EMERCOM), Atomic Energy (MINATOM) and Health (MINZDRAV), and the Russian Academy of Sciences (IBRAE). The focus of this research is on the workers from the Mayak Production Association (MAYAK) in the Southern Urals and on the neighboring populations along the Techa River exposed to contamination from the plant. The goal of the program is to better define the relationship between the health effects and the chronic low dose and dose-rate exposure, these data being essential to validate current radiation protection standards and practices. The current primary areas of JCCRER research include dose reconstruction, epidemiologic health studies, molecular epidemiology/biodosimetry, and the creation of tissue banks. The organization of the ongoing research conducted under the aegis of the JCCRER and the rationale for this work are described.

Environment↗

"Conclusions about exposure to ETS and health that will be unhelpful to us": how the tobacco industry attempted to delay and discredit the 1997 Australian National Health and Medical Research Council report on passive smoking.

BACKGROUND: Major reviews of the health effects of passive smoking have been subjected to tobacco industry campaigns to refute the scientific evidence. Following the 1992 US Environmental Protection Agency review, the Australian National Health and Medical Research Council (NHMRC) initiated a review of the health effects of passive smoking. At the time of this review, evidence that environmental tobacco smoke causes disease was being increasingly accepted in courts of law and voluntary adoption of smoking restrictions was rapidly growing. OBJECTIVE: To demonstrate how the tobacco industry attempted to delay and discredit the publication of a report on passive smoking that the tobacco industry anticipated to contain recommendations that would be unfavourable to their business. METHODS: A search of tobacco industry documents on the Master Settlement Agreement websites was conducted using the terms and acronyms representative of the NHMRC review. RESULTS: The tobacco industry sought to impede the progress of the NHMRC Working Party by launching an intensive campaign to delay and discredit the report. The main strategies used were attempts to criticise the science, extensive use of Freedom of Information provisions to monitor all activity of the group, legal challenges, ad hominem attacks on the credibility of the Working Party members, rallying support from industry allies, and influencing public opinion through the media. CONCLUSIONS: The Australian tobacco industry deliberately impeded the NHMRC Working Party's progress and successfully prevented the publication of the report's recommendations. The tobacco industry's motivation and capacity to disrupt the advancement of scientific knowledge and policy in tobacco control should be recognised and anticipated.

Australia↗

Detection and differentiation of Cryptosporidium oocysts in water by PCR-RFLP.

Consumption of contaminated water has been implicated as a major source of Cryptosporidium infection in various outbreak investigations and case control studies. Surveys conducted in various regions of the United States demonstrated the presence of Cryptosporidium oocysts in 67-100% of wastewaters, 24-100% of surface waters, and 17-26.8% of drinking waters. The identity and human infective potential of these waterborne oocysts are not known, although it is likely that not all oocysts are from human-infecting Cryptosporidium species. Likewise, the source of the oocyst contamination is also not fully clear. Farm animals and human sewage discharge are generally considered to be the major sources of surface water contamination with C. parvum. Because Cryptosporidium infection is common in wildlife, it is conceivable that wildlife can also be a source for Cryptosporidium oocysts in waters. The presence of host-adapted Cryptosporidium spp. and genotypes makes it possible to develop molecular tools to assess the human infection potential and source of Cryptosporidium oocysts in water.Currently, the identification of Cryptosporidium oocysts in environmental samples is largely made by the use of immunofluorescent assay (IFA) after concentration processes (Environmental Protection Agency [EPA] recommended information collection rule [ICR] method or method 1622/1623 or similar techniques). Because IFA detects oocysts from all Cryptosporidium parasites, the species distribution of Cryptosporidium parasites in environmental samples cannot be assessed. Although many surface water samples contain Cryptosporidium oocysts, it is unlikely that all these oocysts are from human-pathogenic species or genotypes, because only five genotypes of Cryptosporidium parasites (the C. parvum human and bovine genotypes, C. meleagridis, C. canis, and C. felis) are responsible for most human infections. Information on the source of C. parvum contamination is necessary for effective evaluation and selection of management practices for reducing C. parvum contamination of surface water and the risk of cryptosporidiosis. Thus, identification of oocysts to species and genotype levels is of public health importance.

Animals↗

Statistical analyses: possible reasons for unreliability of source tracking efforts.

Analyses for the presence of indicator organisms provide information on the microbiological quality of water. Indicator organisms recommended by the United States Environmental Protection Agency for monitoring the microbiological quality of water include Escherichia coli, a thermotolerant coliform found in the feces of warm-blooded animals. These bacteria can also be isolated from environmental sources such as the recreational and pristine waters of tropical rain forests in the absence of fecal contamination. In the present study, E. coli isolates were compared to E. coli K12 (ATCC 29425) by restriction fragment length polymorphism using pulsed-field gel electrophoresis. Theoretically, genomic DNA patterns generated by PFGE are highly specific for the different isolates of an organism and can be used to identify variability between environmental and fecal isolates. Our results indicate a different band pattern for almost every one of the E. coli isolates analyzed. Cluster analysis did not show any relations between isolates and their source of origin. Only the discriminant function analysis grouped the samples with the source of origin. The discrepancy observed between the cluster analysis and discriminant function analysis relies on their mathematical basis. Our validation analyses indicate the presence of an artifact (i.e., grouping of environmental versus fecal samples as a product of the statistical analyses used and not as a result of separation in terms of source of origin) in the classification results; therefore, the large genetic heterogeneity observed in these E. coli populations makes the grouping of isolates by source rather difficult, if not impossible.

Animals↗

The environmental estrogen bisphenol a inhibits estradiol-induced hippocampal synaptogenesis.

Bisphenol A (BPA) is an estrogenic chemical that is widely used in the manufacture of plastics and epoxy resins. Because BPA leaches out of plastic food and drink containers, as well as the BPA-containing plastics used in dental prostheses and sealants, considerable potential exists for human exposure to this compound. In this article we show that treatment of ovariectomized rats with BPA dose-dependently inhibits the estrogen-induced formation of dendritic spine synapses on pyramidal neurons in the CA1 area of the hippocampus. Significant inhibitory effects of BPA were observed at a dose of only 40 microg/kg, below the current U.S. Environmental Protection Agency reference daily limit for human exposure. Because synaptic remodeling has been postulated to contribute to the rapid effects of estrogen on hippocampus-dependent memory, these data suggest that environmental BPA exposure may interfere with the development and expression of normal sex differences in cognitive function, via inhibition of estrogen-dependent hippocampal synapse formation. It may also exacerbate the impairment of hippocampal function observed during normal aging, as endogenous estrogen production declines.

Animals↗

Analysis of 222Rn concentration in North Carolina household water supplies derived from private wells.

The objectives of this study were to characterize the concentrations of 222Rn in North Carolina household groundwater supplies and to investigate the relationship between indoor air and groundwater 222Rn concentrations. Measurements of 222Rn in groundwater supplies were performed in 400 North Carolina homes in which a state/Environmental Protection Agency survey had made measurements of indoor airborne 222Rn. The arithmetic mean 222Rn concentration measured in groundwater supplies statewide was 67 Bq L-1 (1,800 pCi L-1), and the geometric mean was 24 Bq L-1 (660 pCi L-1). Sixty-seven percent of the state's homes with wells had 222Rn water concentrations in excess of the Environmental Protection Agency's proposed limit for public drinking water supplies of 11 Bq L-1 (300 pCi L-1). The percentage of homes with water concentrations in excess of the proposed limit was 30% in the eastern region of the state, 75% in the central region, and 83% in the western region. No significant correlation was observed between measurements of indoor air and water 222Rn concentrations in these homes.

Air Pollution, Indoor↗

Winds of change: reducing transboundary air pollutants.

Sulfur dioxide, nitrogen oxides, volatile organic compounds, persistent organic pollutants, particulate matter, and heavy metals---air pollutants once thought to be problems that could be solved locally, where the effects occur---are all currently being discussed in international forums. A spate of meetings and agreements in recent months has shown many international governments to be more willing than ever to try to limit the amount of their air pollution that drifts into other countries. Prompting this policy shift are increasing emissions in some parts of the world, better monitoring, and an improved understanding of air pollution transport and the effects of air pollution. In most regions of the world, however, no international agreements on air pollution exist at all, while in others, many overlapping local, multilateral, and global agreements address the problem simultaneously. According to the World Health Organization, air pollution causes nearly 3 million deaths per year, and the U.S. Environmental Protection Agency estimates that ground-level ozone causes damage to U.S. crops totaling $1-2 billion each year.

Air Pollution↗

Mercury exposure in a residential community--Florida, 1994.

Residential exposure to elemental mercury typically involves small amounts (e.g., the approximately 0.3 mL in a thermometer). During August 1994, five children residing in a neighborhood in Palm Beach County, Florida, found 5 pints of elemental mercury in an abandoned van. During the ensuing 25 days, the children shared and played with the mercury outdoors, inside homes, and at local schools. On August 25, 1994, a parent notified local police and fire authorities that her children had brought mercury into the home. On the same day, 50 homes were immediately vacated and an assessment of environmental and health impacts was initiated by the State of Florida Department of Environmental Protection, the Health and Rehabilitative Services of the Palm Beach County Public Health Unit, and the U.S. Environmental Protection Agency. This report summarizes the investigation of this incident.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Dioxin risks in perspective: past, present, and future.

The United States Environmental Protection Agency (USEPA) and other U.S. and international agencies have focused extensive efforts on the evaluation of the potential health risks of exposures to chlorinated dioxins (PCDDs), furans (PCDFs), and related dioxin-like polychlorinated biphenyls (PCBs). Extensive regulatory efforts over the past 20 years have also been made to control emissions of these compounds and thus to reduce exposures in the general population. This paper reviews the available information on temporal trends in emissions, environmental levels, intake levels through foods, and human body burdens of dioxins. This paper also provides an overview and comparison of recent hazard assessments for dioxins from U.S. and international agencies. Available data on emissions, environmental and food levels, and human body burdens of dioxins in the general population indicate a several-fold reduction in exposures and body burdens in the general population over the three decades from 1970 to 2000. U.S. and international hazard assessments concur on certain aspects, but disagree on fundamental issues including the likelihood of a threshold for carcinogenic dose-response and the degree of safety factors needed in deriving a protective exposure limit. These disagreements have significant consequences for interpreting the potential health risks of current background dioxin exposure levels. However, whatever the degree of health risk that may be associated with current background exposures, the general population is experiencing several-fold lower exposures, and, therefore, lower health risks, currently compared to 30 years ago. In light of the dramatic declines in exposure already observed, further efforts to reduce exposures through attempts to control emissions or food levels should be carefully evaluated to understand the likely efficacy of the efforts and the relative costs and benefits.

Animals↗

Determination of inorganic anions in environmental waters with a hydroxide-selective column.

US Environmental Protection Agency Method 300.0 specifies the use of an IonPac AS4A anion-exchange column with a carbonate-hydrogencarbonate eluent and suppressed conductivity detection for the determination of inorganic anions in environmental waters by ion chromatography. Hydroxide eluents have not typically been used for the routine analysis of common inorganic anions due to the lack of an appropriate hydroxide selective column and the difficulty in preparing contaminant free hydroxide eluents. The use of ion chromatography with a hydroxide-selective IonPac AS17 column, automated eluent generation and potassium hydroxide gradient represents a new approach to the routine determination of inorganic anions in environmental waters. This new approach, which is a modification of Method 300.0, allows equivalent method performance with improved linearity, precision, and method detection limits. The AS17 column provides superior retention of fluoride from the column void volume and improved resolution from small organic acids, such as formate and acetate, compared to the AS4A column. Quantitative recoveries were obtained for all the common inorganic anions spiked into typical environmental waters using this new approach, and the Performance Based Measurement System Tier 1 method validation quality control acceptance criteria are well within the acceptable ranges defined by Method 300.0. In addition, the EG40 eluent generator eliminates the need to manually prepare eluents, increasing the level of automation and ease-of-use of the ion chromatography system.

Anions↗

Assessing contributory risk using economic input-output life-cycle analysis.

The contribution of consumer purchases of non-essential products to environmental pollution is characterized. Purchase decisions by consumers induce a complex sequence of economy-wide production interactions that influence the production and consumption of chemicals and subsequent exposure and possible public health risks. An economic input-output life-cycle analysis (EIO-LCA) was used to link resource consumption and production by manufacturers to corresponding environmental impacts. Using the US Department of Commerce's input-output tables together with the US Environmental Protection Agency's Toxics Release Inventory and AIRData databases, the economy-wide air discharges resulting from purchases of household appliances, motor homes, and games and toys were quantified. The economic and environmental impacts generated from a hypothetical 10,000 US dollar purchase for selected consumer items were estimated. The analysis shows how purchases of seemingly benign consumer products increase the output of air pollutants along the supply chain and contribute to the potential risks associated with environmental chemical exposures to both consumers and non-consumers alike.

Commerce↗

The indoor environmental index and its relationship with symptoms of office building occupants.

An index for indoor environmental quality, the Indoor Environmental Index (IEI), was developed. This study aggregates the Indoor Air Pollution Index, an index found in the literature, and a new index: the Indoor Discomfort Index. The average of these two indices is the IEI, which is calculated using concentrations of eight pollutants and two comfort variables measured in 100 office buildings in the United States. The database used was developed for the U.S. Environmental Protection Agency Building Assessment Survey Evaluation study. A symptom index also is developed to denote persistent occupant symptoms. The IEI and the symptom index are used to investigate the relationship between indoor environmental quality and symptoms. Two simple linear regression models were formulated; these models explain 67 and 79% of the variation in the average symptom index, with the variation of the average IEI depending on the method of averaging used in the construction of the models. In addition, a conceptual explanation is provided for the empirical or regression models formulated. The IEI and the associated models relating indoor environmental quality with the office occupant symptom index may be used as management tools, as illustrated with an example.

Air Pollution, Indoor↗

Small-scale field test of the genetically engineered lacZY marker.

Commercial genetic engineering is advancing into areas that require the small-scale introduction of genetically engineered microorganisms (GEMs) to better quantify variables that affect microorganism distribution and survival and to document potential long-term consequences. A recombinant DNA marker system, the lacZY marker, developed by the Monsanto Agricultural Co., enables the distribution and fate of marked fluorescent pseudomonad organisms to be monitored under actual field conditions. Critical evaluation of GEMs under field conditions is imperative if plant-beneficial effects are to be correlated with organism release. This paper evaluates the effectiveness of this marker system and its ability to facilitate the assessment of risks associated with deliberate environmental introductions of genetically engineered microorganisms. Results of prerelease contained growth chamber and field experiments demonstrated that: (1) the scientific risk assessment methodology adopted by Monsanto and approved by the U.S. Environmental Protection Agency was appropriate and comprehensive; (2) the deliberate introduction of a GEM did not pose unacceptable or unforeseen risks to human health or the environment; (3) the lacZY marker is an effective environmental tracking tool; and (4) regulatory oversight should reflect the expected risk and not be excessively burdensome for all GEMs.

DNA, Recombinant↗

Calibration of sharp cut impactors for indoor and outdoor particle sampling.

A low-flow rate, sharp cut point inertial impaction sampler was developed in 1986 that has been widely used in PM exposure studies in the United States and several other countries. Although sold commercially as the MS&T Area Sampler, this sampler is widely referred to as the Harvard Impactor, since the initial use was at the Harvard School of Public Health. Impactor nozzles for this sampler have been designed and characterized for flows of 4, 10, 20, and 23 L/min and cut points of 1, 2, 5, and 10 microns. An improved method for determining the actual collecting efficiency curve was developed and used for the recent impactor calibrations reported here. It consists of placing a multiplet reduction impactor inline just downstream of the vibrating orifice aerosol generator to remove the multiplets, thus allowing only the singlet particle s to penetrate through to the impactor being calibrated This paper documents the techniques and results of recent nozzle calibrations for this sampler and compares it with other size-selective inertial impactors. In general, the impactors were found to have sharp cutoff characteristics. Particle interstage losses for all of the impactors were very low, with the exception of the 10-micron cut size 20 L/min impactor, which had greater losses due to the higher flow rate. All of the 2.5-micron cut nozzle laboratory calibrations compare favorably to the U.S. Environmental Protection Agency (EPA) WINS-96 fine particle mass (PM2.5) impactor calibration data.

Air Pollution, Indoor↗

The U.S. EPA Conference on Preventable Causes of Cancer in Children: a research agenda.

On 15-16 September 1997, the U.S. Environmental Protection Agency sponsored the Conference on Preventable Causes of Cancer in Children. The conference was convened to examine rising trends in reported incidence of childhood cancer and the association of these trends with environmental exposures. This paper summarizes recommendations for future research offered by participants. These recommendations included more collaborative research integrating epidemiology, molecular biology, toxicology, and risk assessment; the development of better protocols for toxicologic testing including carcinogenicity using young animals; and research focused on specific periods of development during which susceptibility to environmental agents may be enhanced. Also recommended was enhanced use and development of molecular biomarkers for identification of susceptible populations, and documentation of exposures and effects in epidemiologic and toxicologic studies. Although toxicologic testing is considered essential to determine the effects of potential carcinogens on biological organisms, participants emphasized the need to link these findings with epidemiologic and exposure assessment research.

Age Factors↗

The international program on plant bioassays and the report of the follow-up study after the hands-on workshop in China.

Among the seven plant bioassays reviewed by the US Environmental Protection Agency (EPA) Gene-Tox program in 1980, the Allium/Vicia root tip chromosome aberration assay and the Tradescantia stamen hair mutation and micronucleus assays were adopted by the International Program on Plant Bioassays (IPPB) for monitoring or testing environmental pollutants. These assays are highly sensitive and capable of detecting mutagens, clastogens and carcinogens from the environment. They are effective in situ monitors. These bioassays were validated and their protocols were standardized through a program under the International Program on Chemical Safety (IPPB), the precursor of the IPPB program which currently is in operation under the auspices of the United Nations Environment Program (UNEP). Six different categories of environmental studies, ranging from wastewater, surface or ground water, soil samples, ambient air, pesticides, and radiation, were carried out and are reported in this special issue. The mission of the IPPB/UNEP is to use these bioassays to monitor or test environmental mutagens and clastogens in the air, water, and soil to safeguard the quality of these essential elements in life and to use these simple and clear indicators of pollution damage as the tool for environmental education for the general public. The published reports of the monitoring and testing results will establish the database for environmental conditions in a number of locations around the world. An international monitoring network for the detection of genotoxicity of environmental pollutants is being established under the auspices of UNEP to protect the global environment.

Biological Assay↗