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IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Outdoor air pollution. Lyon (FR): International Agency for Research on Cancer; 2016. (IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 109.)

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Outdoor air pollution.

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1.4Environmental occurrence and human exposure

This section describes concentrations of air pollutants measured throughout the world. Because measurement approaches and methodologies differ by location, direct comparisons between countries of levels measured by ground-based monitoring should be made with caution. Furthermore, there are major differences in the overall availability of routine measurement data between countries. Although they are not available for all constituents of interest, satellite-based approaches provide estimates in a consistent manner for the entire globe and are therefore useful to identify spatial patterns (Lee et al., 2009; Brauer et al., 2012; Lamsal et al., 2013).

For ozone, a global chemical transport model simulation of seasonal maximum concentrations is available. The estimated levels of ozone are highest in North America, Latin America, Europe, and South and East Asia, as well as parts of Africa. For these regions, seasonal (3-month) hourly maximum ozone concentrations in 2005 were estimated to be greater than 40 ppb [80 μg/m3], with concentrations in some areas in parts of Asia and Africa greater than 80 ppb [160 μg/m3] (Fig. 1.2). As expected, given that ozone is a secondary pollutant, the spatial variability of the ozone concentration is less pronounced than that of PM2.5, and levels are not as systematically higher in the rapidly developing countries of Asia (Brauer et al., 2012).

Fig. 1.2

Fig. 1.2

Estimated seasonal (3-month) hourly maximum ozone concentrations (ppb) from a global chemical transport model (TM5) for 2005

For PM2.5, the concentration in 2005 was estimated to be high (> 50 μg/m3) in South and East Asia. Similarly high concentration estimates due to airborne mineral dust, rather than combustion emissions, were reported in North Africa, central Asia, and Saudi Arabia (Brauer et al., 2012; Fig. 1.3).

Fig. 1.3. Estimated 2005 annual average PM2.

Fig. 1.3

Estimated 2005 annual average PM2.5 concentrations (μg/m3)

Global variation in NO2 generally follows the spatial variation in combustion sources such as motor vehicle exhaust. Broad regional patterns of higher NO2 concentrations correspond to population density, although absolute levels vary considerably according to economic development and air quality management programmes. In urban areas, lower concentrations are observed in cities in India (0.2–12 ppb [0.38–22.9 μg/m3]), substantially higher concentrations in cities in China (0.3–8 ppb [0.57–15.3 μg/m3]), and levels varying across this range for cities in the USA and Europe, reflecting differences in per capita fuel consumption. Globally, NO2 concentrations increase in proportion to population raised to an exponent that varies by region (Lamsal et al., 2013).

Elevated SO2 levels are observed over urban and industrial areas, especially in eastern China. Specific plumes related to volcanic activity are also evident in the satellite-based estimates. For example, the SO2 plume from the Nyamuragira eruption in the Democratic Republic of the Congo can extend to South Asia (Lee et al., 2009).

High levels of formaldehyde are found in tropical regions in Africa and South America, where biogenic and biomass burning sources are important. High levels are also found in South-East Asia, resulting from biomass burning and anthropogenic sources. Seasonal variations in formaldehyde levels reflect increased biogenic and biomass burning emissions during summer in deciduous forests (mid-latitudes) and during the dry season in tropical forests (Amazon and Africa) (De Smedt et al., 2012).

1.4.1. Outdoor pollutant concentrations

(a) North America (USA, Canada, and Mexico)

Measurements of air pollutant concentrations in North America at the country level are summarized in detail in this section. Differences in network composition, sampling and analysis methods, and available summary information hamper direct comparisons between countries. However, several global databases are available for a limited number of pollutants, which allow direct comparisons. The Global Burden of Disease Study 2010 provided estimates of PM2.5 and ozone globally at about 10 × 10 km resolution, combining estimates from a chemical transport model, an approach using satellite retrievals of aerosol optical depth and a chemical transport model, and available measurements (Brauer et al., 2012). For 2005, the population-weighted annual mean PM2.5 concentration in North America was estimated as 13 μg/m3, and the population-weighted seasonal 3-month hourly maximum ozone concentration was 57 ppb. Fig 1.2 and Fig. 1.3 present the estimated concentrations.

(i) USA

The US EPA collates a comprehensive database of outdoor air pollutant measurements conducted at about 3000 locations by state and local air quality monitoring agencies following Federal Reference Methods for the criteria air pollutants (ozone, NOx/NO2, SO2, PM2.5/PM10, CO, and lead). This network (EPA, 2011a) was initiated in 1978, although monitoring approaches and specific pollutants that have been included have changed over time. At a subset of about 250 of these sites, several air toxics such as VOCs, metals in PM10, and mercury are monitored (EPA, 2012a). This network is complemented by about 180 chemical speciation network monitoring sites (EPA, 2013e), where specific components of PM2.5 are measured. Several smaller routine monitoring networks are also operated with specific objectives, for example the IMPROVE network to assess the impacts of air pollution on visibility in protected environments (IMPROVE, 2012). In addition, the National Air Toxics Trends Station (NATTS) Network (EPA, 2012b) provides long-term monitoring data for air toxics at 27 sites (20 urban, 7 rural) across the country.

Regular status and trends reports provide information on concentrations of criteria and toxic air pollutants (EPA, 2012c). Summary information for 2010 is presented in Fig. 1.4, Fig. 1.5, Fig. 1.6, Fig. 1.7, and Fig. 1.8 and shows substantial variability in outdoor pollutant concentrations across the USA. The highest concentrations of ozone were observed in California as well as the Ohio River valley, the New England states, Texas, and several south-eastern states. Ozone levels are more heterogeneous over space, with most sites reporting levels below the National Ambient Air Quality Standards (NAAQS) of 75 ppb (annual fourth-highest daily maximum 8-hour concentration) (Fig. 1.4). Concentrations (annual average) of PM2.5 were highest in California, Indiana, Pennsylvania, and Hawaii. Current levels of PM2.5 (annual average) are below 15 µg/m3 at all but 6 (of > 700) reporting monitoring sites (Fig. 1.5). During winter periods, high concentrations of PM2.5 were measured in regions where wood burning is prevalent, such as the Pacific North-western and Alaska (EPA, 2012c). High PM10 concentrations were observed in California as well as Utah, Colorado, and New Mexico, especially in arid regions or industrial areas with multiple coarse particle sources (Fig. 1.6). NO2 concentrations generally correspond to population density, with the highest concentrations observed in California, the Midwest, and the East Coast (Fig. 1.7). Annual average NO2 levels have a range of 1–28 ppb, with a mean across 142 Metropolitan Statistical Areas of 10 ppb, well below the NAAQS of 53 ppb. To further describe spatial patterns at high resolution (30 m), Novotny et al. (2011) used a combination of satellite-based estimates and land-use characteristics to model NO2 across the USA. Using this approach, a population-weighted mean annual average concentration of 10.7 ppb was estimated. SO2 concentrations are highest in the Upper Midwest and portions of the North-eastern, where coal-fired power generation and industrial sources are common (Fig. 1.8). The 1-hour maximum SO2 levels ranged from 0.1 ppb to 10.5 ppb, with a mean across 178 Metropolitan Statistical Areas of 2.4 ppb, well below the annual mean NAAQS of 30 ppb. Lead concentrations are much higher near stationary sources such as metals processing, battery manufacturing, and mining (~8 times the concentrations at sites not located near stationary sources) (Fig. 1.9). Levels of airborne lead (maximum 3-month average) are mostly below 0.07 µg/m3 (about half the level of the current NAAQS of 0.15 µg/m3), but levels as high as 1.4 µg/m3 have been measured at a subset of sites (EPA, 2012c).

Fig. 1.4. Annual fourth-highest daily maximum 8-hour ozone concentrations in 2010 in the USA (applicable NAAQS is 0.

Fig. 1.4

Annual fourth-highest daily maximum 8-hour ozone concentrations in 2010 in the USA (applicable NAAQS is 0.075 ppm)

Fig. 1.5. Annual average (98th percentile of 24-hour concentrations) PM2.

Fig. 1.5

Annual average (98th percentile of 24-hour concentrations) PM2.5 concentrations in 2010 in the USA

Fig. 1.6

Fig. 1.6

Annual average (2nd highest maximum of 24-hour concentrations) PM10 concentrations in 2010 in the USA

Fig. 1.7

Fig. 1.7

NO2 (98th percentile of 1-hour daily maximum) concentrations in 2010 in the USA

Fig. 1.8

Fig. 1.8

SO2 (99th percentile of daily 1-hour maximum) concentrations in 2010 in the USA

Fig. 1.9

Fig. 1.9

Lead (maximum 3-month average) concentrations in 2010 in the USA

For all of the criteria pollutants, concentrations have decreased over the past 10 years, after even larger decreases in earlier periods. PM2.5 and PM10 concentrations show steady reductions that coincide with emissions reduction programmes (EPA, 2012c). Nationally, between 2001 and 2010, 24-hour PM2.5 and PM10 concentrations declined by 28% and 29%, respectively.

The US EPA operates several networks (the Urban Air Toxics Monitoring Program [UATMP], the National Air Toxics Trends Station [NATTS] Network, and the Community-Scale Air Toxics Ambient Monitoring [CSATAM] Program) that collect information on outdoor concentrations of HAPs. The 2010 report includes data from samples collected at 52 monitoring sites that collected 24-hour air samples, typically on a 1-in-6 day or 1-in-12 day schedule. Of these, 24 sites sampled for 61 VOCs, 30 sites sampled for 14 carbonyl compounds, 26 sites sampled for 22 PAHs, 14 sites sampled for 11 metals, and 23 sites sampled for hexavalent chromium (EPA, 2012d). The report provides detailed summary (and individual site) statistics on all of the measured pollutants, and a risk-based screening approach is applied to identify pollutants of highest priority based on the proportion of measurements exceeding risk-based screening levels. These “pollutants of interest” and 2010 summary concentrations are presented in Table 1.5. Information on trends is provided for individual sites, most of which indicate small decreases over the past about 8 years of monitoring, but data are not systematically analysed for temporal trends at the national level (EPA, 2012d).

Table 1.5. Summary concentrations of air toxics “pollutants of interest” in the USA for 2010.

Table 1.5

Summary concentrations of air toxics “pollutants of interest” in the USA for 2010.

The US EPA also produces the National-Scale Air Toxics Assessment (NATA) as a screening risk assessment tool that is used to identify pollutants and locations of specific concern in relation to potential cancer risk from air pollution and to assess trends. The most recent NATA, for 2005, was published in 2011 (EPA, 2012e) and includes information on 177 HAPs identified in the Clean Air Act as well as diesel PM.

In addition to government reporting, several research projects have reported outdoor concentrations of HAPs at the national scale. The Health Effects Institute (HEI) summarized outdoor concentrations of seven priority mobile-source air toxics (acetaldehyde, acrolein, benzene, 1,3-butadiene, formaldehyde, naphthalene, and polycyclic organic matter) because it was determined that mobile sources were a sizeable source of human exposure and existing data suggested potential for adverse health effects at outdoor concentrations. The report provides summaries of outdoor concentrations for each of these pollutants, except naphthalene (for which outdoor concentrations are reported as being < 1 µg/m3) (HEI, 2007).

(ii) Canada

In Canada, the National Air Pollution Surveillance (NAPS) network was initiated in 1969 and currently includes about 300 sites in more than 200 communities located in every province and territory of the country. Monitoring is focused on SO2, NO2, ozone, CO, PM10, and PM2.5, and a suite of 50 elements (including metals such as arsenic, lead, and mercury), 14 inorganic and organic anions, and 11 inorganic cations are measured in PM samples. Additional measurements of trace contaminants, including VOCs, PAHs, polychlorinated biphenyls (PCBs), and dioxins, are made at a subset of about 40 locations. Results are summarized in a series of annual and summary reports (Environment Canada, 2010). Concentrations of major air pollutants have declined dramatically over the past about 40 years of measurement, as seen in Fig. 1.10, Fig. 1.11, Fig. 1.12, and Fig. 1.13.

Fig. 1.10. Trends (1970–2008) in annual mean particle (TSP, PM10, PM2.

Fig. 1.10

Trends (1970–2008) in annual mean particle (TSP, PM10, PM2.5) concentrations measured at National Air Pollution Surveillance (NAPS) sites in Canada

Fig. 1.11

Fig. 1.11

Trends (1970–2008) in annual mean SO2 concentrations at National Air Pollution Surveillance (NAPS) sites in Canada

Fig. 1.12

Fig. 1.12

Trends (1970–2008) in annual mean particulate lead concentrations at National Air Pollution Surveillance (NAPS) sites in Canada

Fig. 1.13

Fig. 1.13

Trends (1990–2007) in annual mean total volatile organic compounds (VOCs) at National Air Pollution Surveillance (NAPS) sites in Canada

In addition, the Canadian Air and Precipitation Monitoring Network operates 29 locations where PM2.5 speciation is measured. Hystad et al. (2011) used a combination of satellite-based estimates and land-use characteristics to model the concentrations of PM2.5 and NO2 across Canada. National models for benzene, ethylbenzene, and 1,3-butadiene were also developed based on land use and source proximity characteristics (Hystad et al., 2011).

Setton et al. (2013) used data from the NAPS network (for 2006) and measurements reported in the literature or government reports since 2000 along with deterministic concentration gradients based on proximity to major roads and industrial sources to estimate exposure to several IARC Group 1 carcinogens in outdoor air in Canada. Table 1.6 presents estimated exposures to selected IARC Group 1, Group 2A, and Group 2B carcinogens in outdoor air in Canada for 2010, based on data from the CAREX database (CAREX Canada, 2013).

Table 1.6. Estimated exposures (in 2010) to selected IARC Group 1, Group 2A, and Group 2B carcinogens in outdoor air in Canada.

Table 1.6

Estimated exposures (in 2010) to selected IARC Group 1, Group 2A, and Group 2B carcinogens in outdoor air in Canada.

(iii) Mexico

The National Information System for Air Quality (SINAICA) operates about 50 sites in Mexico where ozone, NOx, CO, SO2, PM10, TSP, and VOCs are measured (SINAICA, 2011). An additional network of about 60 sites is operated in Mexico City for the same general suite of pollutants (Secretaría del Medio Ambiente, 2013). Data from the air quality monitoring networks are centralized by the National Institute of Ecology, with detailed reports provided for specific airsheds. Parrish et al. (2011) provided summaries of trends of annual average concentrations in Mexico City over a 20-year period in which air quality has improved substantially (Fig. 1.14).

Fig. 1.14. Trends in outdoor concentrations of lead, SO2, NO2, CO, and particles (TSP, PM10, PM2.

Fig. 1.14

Trends in outdoor concentrations of lead, SO2, NO2, CO, and particles (TSP, PM10, PM2.5) in Mexico City

Annual average particulate PAH concentrations (in PM10) collected at a site in Mexico City over a period of several years are summarized in Table 1.7. For several of the PAHs, concentrations increased during this 4-year period, even as PM10 concentrations decreased (Amador-Muňoz et al., 2013).

Table 1.7. Annual medians of mass polycyclic aromatic hydrocarbons (PAHs) concentrations in PM10 (10th–99th percentile) (pg/m3) from the sampling days of 1999–2002 at a site in south-west Mexico City.

Table 1.7

Annual medians of mass polycyclic aromatic hydrocarbons (PAHs) concentrations in PM10 (10th–99th percentile) (pg/m3) from the sampling days of 1999–2002 at a site in south-west Mexico City.

Mexico, Canada, and the USA operate a collaborative network for measurement of dioxins and furans, including nine stations in Mexico (five rural, two semi-urban, and two urban sites) (Cardenas et al., 2011). The mean concentrations for the background (rural) and semi-urban sites were 1.59 fg/m3 and 18.6 fg/m3, respectively, which are of the same order of magnitude as those reported by the outdoor monitoring networks in the USA and Canada. However, the mean concentration for the urban sites was 282 fg/m3, which is significantly higher than concentrations measured at similar sites in the USA and Canada.

(b) Europe

In this section, information on outdoor concentration levels, spatial variation, and time trends in major outdoor air pollutants in Europe is summarized. Data are available from routine monitoring networks and several large research projects. This text focuses on concentration data from 38 countries that are members or cooperating members of the European Environment Agency (EEA), so that the spatial pattern across Europe is broadly represented.

Routine monitoring networks are national in Europe; there is no comprehensive European network. EU Member States have to report their data to the EU, resulting in the European air quality database AirBase, maintained by the EEA, in which concentrations and metadata (site description, monitoring methods) are available (EEA, 2014). European reference methods have been defined for regulated pollutants. The EEA regularly reports assessment of air quality across Europe (e.g. EEA, 2012).

The European Monitoring and Evaluation Programme (EMEP) is a European network of regional background stations that was designed in the 1970s in response to the observation of transboundary air pollution (Tørseth et al., 2012). The network includes measurements of SO2, NO2, sulfate/nitrate in aerosols, and more recently PM, ozone, and POPs.

Maps prepared by the EEA of the annual average concentrations across Europe of PM10, PM2.5, NO2, SO2, and ozone are presented in Fig. 1.15, Fig. 1.16, Fig. 1.19, Fig. 1.21, Fig. 1.22; other maps, for heavy metals in PM, CO, benzene, and PAH concentrations, can be found in the EEA report (EEA, 2012). These components were selected based on availability of at least reasonably comparable data across Europe.

Fig. 1.15

Fig. 1.15

Annual mean concentrations of PM10 in 2010 in Europe

Fig. 1.16. Annual mean concentrations of PM2.

Fig. 1.16

Annual mean concentrations of PM2.5 in 2010 in Europe

Fig. 1.19

Fig. 1.19

Annual mean concentration of NO2 in 2010 in Europe

Fig. 1.21

Fig. 1.21

Annual mean SO2 concentrations in Europe in 2010

Fig. 1.22

Fig. 1.22

Twenty-sixth highest daily maximum 8-hour average ozone concentration recorded in 2010 in Europe

(i) PM10 and PM2.5

The PM10 and PM2.5 maps (Fig. 1.15 and Fig. 1.16) show that concentrations are lower in northern Europe than in southern and eastern Europe. The PM10 map is based on a substantially larger number of sites than the PM2.5 map, because PM2.5 monitoring has not been fully developed within Europe because of later adoption of the air quality guideline for PM2.5. Several research projects have broadly confirmed the general patterns across Europe (Hazenkamp-von Arx et al., 2004; Putaud et al., 2004, 2010; Van Dingenen et al., 2004; Eeftens et al., 2012). In the ESCAPE study (Eeftens et al., 2012), based on standardized gravimetric measurements using the Harvard impactor in 20 study areas, average PM2.5 concentrations below 10 μg/m3 were found in northern Europe (Fig. 1.17). In southern European cities, for example Athens (Greece) and Turin (Italy), annual average PM2.5 concentrations above 20 μg/m3 were measured. Relatively high concentrations were also found in the two central European cities Györ (Hungary) and Kaunas (Lithuania). Fig 1.17 further illustrates significant intra-urban spatial variation, particularly for coarse particles (calculated as PM10 − PM2.5) and PM2.5 absorbance. A regression analysis of PM2.5 on PM10 concentrations for 60 sites across Europe found site-specific slopes varying between 0.44 and 0.90 (Putaud et al., 2010). Fig 1.18 illustrates the spatial variation of PM2.5 and PM10 concentrations across European cities. A large range of PM10 concentrations (5–54 μg/m3 annual average) is observed across the network. Urban background PM10 annual mean and median values are significantly larger in southern Europe (median, 36 μg/m3) than in north-western Europe (median, 24 μg/m3) and central Europe (median, 26 μg/m3). The range of PM2.5 concentrations observed across the network (3–35 μg/m3 annual average) is similar to that of PM10. In north-western and southern Europe, an increasing gradient in PM2.5 is generally observed from rural to urban sites. In central Europe, PM2.5 can be as large at rural sites as at urban sites (Putaud et al., 2010). The chemical composition of PM differs widely across Europe, with generally more carbonaceous matter in central Europe, more nitrate in north-western Europe, and more mineral dust in southern Europe (Putaud et al., 2010; Tørseth et al., 2012). Table 1.8 presents the average contributions of major components to PM concentrations. The elemental composition of eight elements representing major sources across Europe has recently been published based on the ESCAPE study (de Hoogh et al., 2013). Significant variability of concentrations both within and between study areas across Europe was found.

Fig. 1.17

Fig. 1.17

Spatial variation of 2009–2010 annual average particulate matter (PM) concentrations across Europe

Fig. 1.18

Fig. 1.18

Spatial variation of 1996–2007 annual average particulate matter (PM) concentrations across Europe

Table 1.8. Major constituent contributions to PM10, PM2.5, and PMcoarse in Europe.

Table 1.8

Major constituent contributions to PM10, PM2.5, and PMcoarse in Europe.

There is a lack of comprehensive monitoring for the heavy metals lead, arsenic, cadmium, and nickel across Europe. In general, low concentration levels are measured (often below the lower assessment threshold), with the exception of sites located next to specific industries (EEA, 2012).

There are no routine measurements of ultrafine particles available across Europe, as in other parts of the world. In individual cities, including Amsterdam (the Netherlands), Athens (Greece), Birmingham (United Kingdom), and Helsinki (Finland), total particle number counts are available. Research projects have included snapshots of spatial patterns across Europe (e.g. Puustinen et al., 2007). Urban background levels were about 10 000–20 000 particles/cm3 in four large cities, with substantially higher concentrations measured near major roads (Puustinen et al., 2007).

(ii) NO2

The most striking feature of the NO2 map is the higher concentrations in major cities (Fig. 1.19). European research studies have also shown a general north-to-south increasing gradient in NO2 concentrations (Hazenkamp-von Arx et al., 2004; Cyrys et al., 2012). Fig 1.20 further illustrates significant intra-urban spatial variation, which exceeded between-area variability. In virtually all study areas, there was at least one site in which the current EU annual average standard of 40 μg/m3 was exceeded.

Fig. 1.20

Fig. 1.20

Spatial variation of 2008–2011 annual average nitrogen dioxide (NO2) and nitrogen oxides (NOx) concentrations across Europe

(iii) SO2

Current average SO2 concentrations in Europe are low, typically well below 10 μg/m3 in large parts of Europe (Fig. 1.21). The highest concentrations occur in eastern Europe, related to industrial activities and the remaining coal burning (EEA, 2012). Currently, emissions are predominantly from power generation (Tørseth et al., 2012). International shipping emissions have become a significant source because shipping emissions have been much less affected by policies than industrial emissions have (Tørseth et al., 2012).

(iv) CO

CO concentrations are typically low, due to the significant reduction in traffic emissions by catalytic converters. Still, the highest concentrations occur in urban areas, especially at traffic sites and occasionally at industrial locations (EEA, 2012). There is not a clear pattern across Europe.

(v) Ozone

Fig. 1.22 shows the map of maximum 8-hour average ozone concentrations. The 26th highest value is shown because of the formulation of the EU standard (120 µg/m3 as an 8-hour maximum not to be exceeded on > 25 days). The highest concentrations occur in southern Europe and in Austria and Switzerland, related especially to higher temperatures and altitude (EEA, 2012). Ozone concentrations are generally higher at rural stations than at urban background stations. Concentrations at traffic sites are even lower, related to scavenging of ozone by NO (EEA, 2012).

(vi) Benzene

Current average benzene concentrations in Europe are low, typically below 5 μg/m3 in large parts of Europe. The highest concentrations occur at traffic sites and at industrial locations (EEA, 2012).

(vii) Benzo[a]pyrene

Current average B[a]P concentrations in Europe are low, typically below 1 ng/m3 in large parts of Europe. There is no clear north-to-south gradient. The highest concentrations occur in areas with domestic coal or wood burning and industrial areas, particularly in eastern Europe (EEA, 2012).

(viii) Pollution trends

Fig. 1.23, Fig. 1.24, Fig. 1.25, and Fig. 1.26 show the trends in annual average concentrations of PM and major gaseous components based on the European AirBase database (EEA, 2012).

Fig. 1.23. Trends in annual average concentrations of PM10 (2001–2010) and PM2.

Fig. 1.23

Trends in annual average concentrations of PM10 (2001–2010) and PM2.5 (2005–2010) by station type across Europe

Fig. 1.24

Fig. 1.24

Trends in NO2 and NOx annual mean concentrations (2001–2010) by station type across Europe

Fig. 1.25

Fig. 1.25

Trend in annual average SO2 concentrations (2001–2010) by station type across Europe

Fig. 1.26

Fig. 1.26

Trend in annual average mean benzene concentrations (2001–2010) by station type across Europe

Annual average concentrations of PM10 and PM2.5 have not decreased much since 2000 despite assumed decreases in emissions of precursors (Fig. 1.23). Between 1990 and 2004, a clear decrease (∼44%) in total PM emissions occurred (EEA, 2007; Harrison et al., 2008). At the EMEP regional background sites, concentrations of PM10 and PM2.5 decreased by 18% and 27%, respectively, between 2000 and 2009 (Tørseth et al., 2012). Longer-term trends are difficult to quantify from monitoring networks because PM10 and especially PM2.5 were often not measured until the 1990s. High annual average concentrations of PM10 and PM2.5 were measured in research projects in central and eastern Europe in the 1990s (Hoek et al., 1997; Houthuijs et al., 2001). A series of studies in eastern Germany reported a significant decline in particle mass concentration, accompanied by an increase in concentrations of ultrafine particles (Kreyling et al., 2003).

Longer trends are available for sulfate, although sampling artefacts complicate the assessment (Tørseth et al., 2012). Consistent with the large reduction in SO2 emissions, sulfate concentrations decreased by 70% between 1980 and 2009, mostly between 1990 and 2009 (56% reduction). Nitrate concentrations decreased by much less than sulfates (8% between 1990 and 2009), reflecting the smaller reduction in precursor emissions and a shift in the equilibrium with ammonia and nitric acid towards particulate nitrate (Tørseth et al., 2012).

Annual average concentrations of NO2 have remained fairly stable since 2000, whereas NOx concentrations did decrease substantially at traffic sites (Fig. 1.24). At the EMEP regional background sites, NO2 concentrations decreased by 23% between 1990 and 2009 (Tørseth et al., 2012). The decrease in NOx concentrations is explained by lower emissions from motorized traffic, since NOx emissions in Europe had increased, especially until about 1990, because of emissions from road transportation (Vestreng et al., 2009). The reduced fuel consumption and early technological changes in western Europe between 1980 and 1990 were not sufficiently effective to reduce emissions (Vestreng et al., 2009). After 1990, emissions decreased because of new technologies in western Europe and the economic recession in eastern Europe, while increasing car ownership in eastern Europe resulted in increased road traffic emissions from that region (Vestreng et al., 2009).

The limited decrease in NO2 concentrations is due to an increase in primary NO2 in road traffic emissions. Primary NO2 emissions have gained importance compared with the ozone/NOx equilibrium (Keuken et al., 2009; Mavroidis & Chaloulakou, 2011). The increase in primary NO2 emissions has been attributed to increased use of diesel-powered vehicles, which emit a higher fraction of NO2 compared with gasoline-powered vehicles (Grice et al., 2009; Anttila et al., 2011; Carslaw et al., 2011). In addition, the aftertreatment devices (such as oxidation catalysts) implemented for reducing PM emissions by diesel vehicles contribute to the increasing fraction of primary NO2 in NOx (Mavroidis & Chaloulakou, 2011; Williams & Carslaw, 2011). For diesel-fuelled vehicles equipped with catalytic diesel particulate filters, primary NO2 fractions of about 40–50% are reported (Carslaw et al., 2007). A consequence of this trend is that the value of NO2 as a marker of the mixture of traffic-related pollutants may have changed.

Concentrations of SO2 have continued to decrease significantly in Europe at traffic sites, urban background sites, and regional background sites (Fig. 1.25). On average, concentrations were halved between 2000 and 2010 (EEA, 2012). Compared with the early 1990s, concentrations have decreased several-fold, due to significant reductions in the use of coal for power generation and other sources such as domestic heating, lower sulfur content in fuel, and substantial technological developments such as desulfurization at power plants (Tørseth et al., 2012). At the EMEP regional background sites, SO2 concentrations decreased by 92% between 1980 and 2009, mostly between 1990 and 2009 (75% reduction) (Tørseth et al., 2012). Modest reductions in emissions between 1980 and 1989 occurred largely in western Europe, whereas large reductions between 1990 and 1999 occurred mainly in central and eastern Europe (Vestreng et al., 2007). Important factors were the drop in industrial activity in eastern Europe after the political changes in 1989 and a switch from solid fuel to oil and natural gas containing lower amounts of sulfur (Vestreng et al., 2007).

Concentrations of benzene have decreased substantially in the past decade, especially at traffic sites (Fig. 1.26). The main explanation for this trend is the lower benzene content of gasoline.

There are insufficient data from networks to specify a Europe-wide trend for B[a]P concentrations (EEA, 2012), although there are studies from selected locations. A study in Munich showed a decrease in concentrations by an order of magnitude between 1981 and 2001, with most of the change occurring before 1993 (Schauer et al., 2003). Large decreases in PAH concentrations have also been reported for the United Kingdom (Brown et al., 2013). Comparison of data from different sites in London showed a decrease in B[a]P concentrations from 10–100 ng/m3 in the 1950s to less than 0.1 ng/m3 currently. Median B[a]P concentrations of all sites in the current PAH network have decreased from about 1.4 ng/m3 to 0.2 ng/m3 (Brown et al., 2013). The decline in the past two decades was attributed to dramatically reduced emissions from industrial metal processing and a ban on burning agricultural stubble (Brown et al., 2013).

Overall, air quality has generally improved in Europe, and the mixture has clearly changed in composition.

(c) Asia

(i) India

Outdoor air quality information in India is collected primarily by the National Air Quality Monitoring Programme (NAMP). Administered by the Central Pollution Control Board (CPCB), Ministry of Environment and Forests, Government of India, the NAMP network was initiated in 1984 with seven stations in the cities of Agra and Anpara (situated close to the National Capital Region). This network has steadily grown to include nearly 503 outdoor air quality monitoring stations across 209 cities in 26 states and 5 union territories in 2011. Criteria air pollutants listed under the earlier 1994 NAAQS and monitored under the NAMP include PM10, SO2, and NO2. Integrated 8-hour and 24-hour measurements are performed twice a week, resulting in about 104 observations from each station annually. In addition, CO, NH3, lead, and ozone are monitored at selected locations. The NAAQS were recently revised (CPCB, 2009b). PM2.5 and air toxics such B[a]P, arsenic, and nickel are now included in the revised NAAQS and are slowly being added to the routine monitoring performed under the NAMP. The CPCB collates the data received by the entire network in the central Environmental Data Bank. After completion of quality assurance/quality control, these data are made available in the public domain. This section summarizes pollutant-specific information available from the CPCB, with additional details from relevant published studies where available.

Analyses of CPCB data from 402 stations on criteria air pollutants for the 10-year period 2000–2010 indicate a decline in the national annual average SO2 concentration; NO2 levels remained largely unchanged, and PM10 levels showed a modest increase (Fig. 1.27). Although monitoring locations do not cover all cities across India, they do provide coverage across all states, indicating the extent of exposures that urban populations are likely to experience (CPCB, 2012).

Fig. 1.27

Fig. 1.27

National mean concentrations derived from data across National Air Quality Monitoring Programme (NAMP) stations together with the 10th and 90th percentile for SO2, NO2, and PM10 in India

The CPCB classifies the air quality at NAMP locations into four broad categories – low (acceptable), moderate, high, and critical levels of pollution – based on the exceedance factor (the ratio of annual mean concentration of a pollutant to that of the respective standard), as shown in Table 1.9.

Table 1.9. India Central Pollution Control Board (CPCB) criteria for classification of pollution levels.

Table 1.9

India Central Pollution Control Board (CPCB) criteria for classification of pollution levels.

By these criteria, the levels of SO2 at most locations have not only declined but are mostly low across the locations monitored, whereas NO2 and PM10 levels have remained moderately to critically high across many locations over the years (Fig. 1.28). Maximum levels in the most polluted states/cities often exceed the NAAQS by 2–5-fold, as may be seen in Table 1.10.

Fig. 1.28. Trends in pollution levels for 2000−2010 in India in relation to Central Pollution Control Board (CPCB) criteria given in Table 1.

Fig. 1.28

Trends in pollution levels for 2000−2010 in India in relation to Central Pollution Control Board (CPCB) criteria given in Table 1.9

Table 1.10. Profile of the 10 most polluted Indian cities in 2010a.

Table 1.10

Profile of the 10 most polluted Indian cities in 2010a.

Limited information is currently available on chemical speciation of PM fractions or the differential distribution of PM and gaseous pollutants in relation to land use. In a recent national source apportionment study performed across six cities (CPCB, 2011), levels of PM10 and PM2.5 in the outdoor air were consistently in excess of the NAAQS across background, kerbside, industrial, commercial, and residential sites, and winter and post-monsoon season levels were much higher than summer levels (CPCB, 2011). NO2 levels were of concern at several locations, whereas SO2, ozone, and CO levels were generally within the prescribed standards. Results from analyses of PM components indicate that EC and OC accounted for 20–45% of PM10 and 25–75% of PM2.5 in cities. SO42− and NO3 accounted for 10–30% of PM10 in cities. Vehicle exhaust, secondary particulates, construction activities, oil burning (e.g. diesel or heavy oil), biomass burning, coal combustion, kerosene combustion, and industrial emissions have been identified to be the dominant sources for criteria air pollutants in these cities (CPCB, 2011).

In addition, several industrial hotspots have been identified by the CPCB using the new risk assessment criteria of the Comprehensive Environmental Pollution Index (CEPI) (CPCB, 2009a). The CEPI weights the toxicity of the agents, the volume of emissions, the scale of the population exposed, and the exposure pathways involved. Of special relevance to carcinogenicity is the fact that unlike criteria air pollutant data provided by the NAMP, the CEPI includes weighted contributions from a range of compounds including probable carcinogens (US EPA Class 2 and 3 or substances with some systemic toxicity, such as VOCs, PAHs, and PCBs) as well as known carcinogens or chemicals with significant systemic or organ system toxicity (such as vinyl chloride, benzene, lead, radionuclides, hexavalent chromium, cadmium, and organophosphates) (CPCB, 2009a).

Data from the NAMP network of the CPCB provide the most comprehensive description of the status of air quality across Indian cities as far as criteria air pollutants are concerned. Air toxics are seldom monitored routinely, and hence information on air toxics is mostly contained in individual studies conducted by academic and/or research organizations.

(ii) China

As a result of the unprecedented rapid development in industrialization and urbanization in the past decades, many Chinese cities have air pollution levels well above health-based standards (HEI, 2010b; Gao et al., 2011), and air pollution associated with health impacts has become a growing concern (Zhang et al., 2010a). In this section, information on outdoor concentration levels, spatial variation, and time trends in major outdoor air pollutants is summarized. Data are extracted primarily from publications on air pollution and epidemiological research conducted in China, as well as from government routine monitoring networks.

In the last century, air pollution from coal combustion was the dominant type of air pollution in most cities in China, and the air pollution was severe. Various pollution control measures and devices have been gradually put in place for the industrial and residential sectors.

Coal will remain the major energy source in China for the near future. However, in recent years, outdoor air pollution in most Chinese cities has become a mixture of emissions from coal combustion, vehicles, and biomass burning, as well as from sandstorms in the north-western region (HEI, 2010b). The annual average levels of PM10, SO2, and NO2 in 31 provincial capital cities in China are summarized in Fig. 1.29. The concentrations of PM10, SO2, and NO2 in most large urban areas in China have generally stabilized or are decreasing (albeit with some notable exceptions). However, along with the reductions in concentrations of PM10, SO2, and NO2 in China, the pollution episodes of PM2.5 and ozone in some city cluster areas suggest the degradation of regional air quality. As total air pollution sources and overall emissions increase in China, yet become more dispersed, regional and transboundary air quality issues are likely to become increasingly important. The mean concentrations of PM10, PM2.5, SO2, NO2, and ozone reported in time-series studies conducted in China from 1990 to 2012 are presented in Table 1.11.

Fig. 1.29

Fig. 1.29

Annual average levels of PM10, SO2, and NO2 in 31 provincial capital cities in China, 2003–2010

Table 1.11. Mean concentrations of PM10, PM2.5, SO2, NO2, and O3 reported in time-series studies conducted in China (1990–2012).

Table 1.11

Mean concentrations of PM10, PM2.5, SO2, NO2, and O3 reported in time-series studies conducted in China (1990–2012).

PM10

As a result of energy restructuring, the annual average levels of PM10 in 31 provincial capital cities in China decreased by about 25% from 2003 to 2010 (Fig. 1.29); however, the levels are still high compared with elsewhere in the world. In 2010, the annual concentrations of PM10 were 121 μg/m3 in Beijing, 79 μg/m3 in Shanghai, 69 μg/m3 in Guangzhou, and 126 μg/m3 in Xi’an (National Bureau of Statistics of China, 2011). The spatial variations of PM10 in major Chinese cities suggest more serious particulate pollution in northern regions in China, due to the longer heating season in winter as well as the local topography and the impact of sandstorms. The nationwide distribution of air pollution levels is likely to be related to the spatial distribution of emission sources across the country (National Bureau of Statistics of China, 2012).

SO2

Trends in air quality in 31 provincial capital cities in China from 2003 to 2010 suggest a significant decrease of about 30% in annual average SO2 concentrations in urban areas, with the exception of an average increase in SO2 concentration during 2008 (Fig. 1.29). The reductions in SO2 have resulted from the use of low-sulfur fuels and the relocation of major coal-fired power plants and industrial facilities from urban areas to outside cities. In more recent years, annual levels of SO2 were below 60 μg/m3 in most cities, and PM10 concentration levels continued to decrease (National Bureau of Statistics of China, 2012).

NO2

Due to tightened motor vehicle emission standards in place from the early 2000s, annual average NO2 levels remained stable at 40 μg/m3, with some variations (Fig. 1.29). However, with the increasing numbers of motor vehicles in most Chinese cities, NO2 levels in the more developed cities tend to be higher, at more than 45 μg/m3 (National Bureau of Statistics of China, 2012; Table 1.11).

PM2.5 and ozone

At present, very limited data are available on the annual levels of PM2.5 and ozone, which were newly included in the revised Chinese AAQS released in March 2012 (MEPPRC, 2012).

To assess exposure, time-series studies have been conducted (Shang et al., 2013). The reported average concentrations of PM2.5 and 8-hour ozone in these studies were in the ranges of 55–177 μg/m3 and 34–86 μg/m3, respectively (Table 1.11). In these studies, the reported PM2.5 levels in Beijing, Shanghai, Guangzhou, and Xi’an were all well above the Chinese national standards and international air quality standards (Fig. 1.30). Brauer et al. (2012) estimated that the population-weighted annual average levels of PM2.5 in East Asia had increased from 43 μg/m3 to 55 μg/m3 between 1990 and 2005, whereas they reported the highest measurement of annual average PM2.5 concentration (in 2005) of 58 μg/m3 in Beijing and the highest derived PM2.5 concentration (calculated from PM10 measurements) of 121 μg/m3 in Datong, a coal-mining centre in Shanxi Province (Brauer et al., 2012). In northern China, estimated PM2.5 levels in 2010 were above 80 μg/m3 (Fig. 1.31).

Fig. 1.30. Comparisons of reported annual PM2.

Fig. 1.30

Comparisons of reported annual PM2.5 levels (μg/m3) in Beijing, Shanghai, Guangzhou, and Xi’an with the Chinese national standards and international air quality standards

Fig. 1.31. Estimated levels of PM2.

Fig. 1.31

Estimated levels of PM2.5 (μg/m3) in 2010 in China

Geological materials, organic materials, EC, and secondary aerosols (such as SO42−, NO3, and NH4+) are the primary components of PM2.5 in China; however, due to source variations, the concentrations of primary PM2.5 components vary significantly across locations and seasons (Niu et al., 2006; Cao et al., 2012). On average, SO42−, NO3, NH4+, organic materials, and EC account for more than 70% of the PM2.5 mass in summer, whereas the percentage is even higher in winter (Cao et al., 2012).

Lead levels are still high in Chinese cities, reaching an average of 1.68 µg/m3 in Xi’an during winter. High correlations of lead with arsenic and SO42− concentrations indicate that much of the lead derives from coal combustion rather than from leaded fuels, which were phased out by 2000 in China. Although limited fugitive dust markers were available, scaling of iron by its ratios in source profiles showed that in most of the cities, 20% of PM2.5 derives from fugitive dust (Cao et al., 2012).

Photochemical smog, in the presence of solar radiation, is commonplace in city cluster areas of China with greatly increased numbers of vehicles (e.g. the Beijing–Tianjin–Hebei area and the Pearl River Delta region). Studies in these areas reported high concentrations of PM induced by photochemical smog. For example, in Shenzhen in 2004, the 24-hour average PM2.5 and PM10 concentrations in summer were 35 μg/m3 and 57 μg/m3, respectively, and in winter were 99 μg/m3 and 137 μg/m3, respectively (Niu et al., 2006). In Guangzhou, the summer 24-hour average PM2.5 concentration was 97.5 μg/m3 (Wang et al., 2006).

Polycyclic aromatic hydrocarbons

Daily and hourly average or snapshot concentrations of outdoor PAHs in urban and industrial areas in China are high compared with elsewhere in the world (usually 10–20 ng/m3). Mean concentrations of 16 outdoor PAHs of up to 1400 µg/m3 were observed in Taiyuan, a coal-polluted city in central China, in December 2006 (Fu et al., 2010). Concentrations of PAHs in the gas phase were also reported at high levels, in particular in megacities and large cities (e.g. Beijing, Shanghai, and Hangzhou) (Liu et al., 2001, 2007; Wang et al., 2002; Zhang et al., 2009b; Zhu et al., 2009; Wei et al., 2011).

Volatile organic compounds

High daily and hourly average or snapshot concentrations of outdoor benzene, toluene, and xylene have been reported in Chinese megacities (e.g. Beijing, Shanghai, and Guangzhou) compared with the levels observed in the USA (Zou et al., 2003; Zhang et al., 2006a; Wei et al., 2007; Lu et al., 2008; Wang et al., 2010; Zhou et al., 2011).

(iii) Japan

As one of the most developed countries in Asia, Japan experienced serious pollution from industrial and automobile emissions in the 1950s and 1960s, and the main energy source shifted from coal to oil, making SO2 a major air pollutant (Committee on Japan’s Experience in the Battle Against Air Pollution, 1997). Air pollution levels declined after the introduction of pollution control measures in the 1970s. As an example, the nationwide annual average concentrations of SO2 decreased to 0.015 ppm [42.3 µg/m3] in the 1970s and further to 0.006 ppm [16.9 µg/m3] in 1990 (Ministry of the Environment of Japan, 2011).

In contrast to the rapid decline in the concentrations of SO2, pollution from mobile sources increased during the 1970s. The annual concentrations of NO2 in 1970 were 0.035 ppm [70.9 µg/m3] at general sites and 0.042 ppm [85.1 µg/m3] at roadside sites; those of suspended PM (PM < 7 μm in diameter [SPM]) in 1975 were 50 μg/m3 at general sites and 84 μg/m3 at roadside sites (Ministry of the Environment of Japan, 2011). After the tightened mobile-source emission control regulations and measures were put in place, the concentrations of NO2 and SPM declined gradually.

In 2011, the annual concentrations of major air pollutants in Japan were as follows: SO2, 0.002 ppm [5.64 µg/m3] at general sites and 0.003 ppm [8.46 µg/m3] at roadside sites; NO2, 0.011 ppm [22.3 µg/m3] at general sites and 0.021 ppm [42.5 µg/m3] at roadside sites; SPM, 20 μg/m3 at general sites and 22 μg/m3 at roadside sites; PM2.5, 15.4 μg/m3 at general sites and 16.1 μg/m3 at roadside sites; and CO, 0.3 ppm [370 µg/m3] at general sites and 0.5 ppm [617 µg/m3] at roadside sites (Ministry of the Environment of Japan, 2011). In recent years, in addition to making the necessary efforts towards reducing the concentrations of these pollutants, Japan has also faced problems such as relatively high and stable concentrations of ozone in metropolitan areas (e.g. annual concentration of 0.028 ppm [59.2 µg/m3] in Tokyo in 2011) (Bureau of Environment of Tokyo, 2013).

(iv) Other Asian countries

Since the 1990s, most Asian countries have established national routine air quality monitoring networks for the criteria pollutants PM10, SO2, and NO2, whereas the air quality data on PM2.5 and ozone have been very limited. In the cities with routine air quality monitoring systems, some improvements in air quality have been achieved in the past decades; however, the levels of PM10 and SO2 still exceed the World Health Organization (WHO) air quality guidelines (AQG) (Fig. 1.32; Clean Air Asia, 2010). PM10 has been a major pollutant in Asian cities, with annual average PM10 concentrations well above the WHO AQG. Since 1995, most Asian cities have reported reduced NO2 levels, with annual average concentrations below the WHO AQG. For SO2, the annual average levels have decreased remarkably from the 1990s to the 2000s in most Asian cities, due to energy restructuring in the area.

Fig. 1.32

Fig. 1.32

Average of annual average outdoor air quality in selected Asian cities (1993–2008)

PM10

As of 2008, PM10 was still a major pollutant in Asia; annual average PM10 concentrations ranged from 11 μg/m3 to 375 μg/m3 in the 230 Asian cities with the highest levels observed in East and South-East Asia (Fig. 1.33; Clean Air Asia, 2010).

Fig. 1.33

Fig. 1.33

Annual PM10 concentrations (μg/m3) in 230 Asian cities

SO2

In 2008, the monitoring data for 213 Asian cities showed that SO2 levels were still high in some cities in East Asia, particularly those near industries. Annual average SO2 concentrations ranged from 1.3 μg/m3 to 105 µg/m3. The mean of annual average SO2 concentrations for 213 Asian cities was 18.7 μg/m3 in 2008. See Fig. 1.34 (Clean Air Asia, 2010).

Fig. 1.34

Fig. 1.34

Annual SO2 concentrations (μg/m3) in 213 Asian cities

NO2

In 2008, annual average NO2 concentrations ranged from 1.9 μg/m3 to 77 μg/m3 in 234 Asian cities; the mean of annual average NO2 concentrations was 30.7 μg/m3. About 73% of the 234 cities had annual average NO2 concentrations below the WHO AQG of 40 μg/m3. See Fig. 1.35 (Clean Air Asia, 2010).

Fig. 1.35

Fig. 1.35

Annual NO2 concentrations (μg/m3) in 234 Asian cities

PM2.5

PM2.5 levels have increased in medium to large Asian cities. Only a few Asian countries have set PM2.5 air quality standards, and of those countries, none have standards equivalent to the WHO AQG, but generally the standards are close to the WHO interim target. The population-weighted annual average concentrations of PM2.5 were estimated to range between 16 μg/m3 and 55 μg/m3, with the highest levels observed in East Asia, followed by South Asia, in 2005 (Brauer et al., 2012).

A multicity study examined the seasonal variations of PM2.5 mass concentrations and species in mixed urban areas (2001–2004) in six Asian cities: Bandung (Indonesia), Bangkok (Thailand), Beijing (China), Chennai (India), Manila (Philippines), and Hanoi (Viet Nam) (Table 1.12). These cities differed in geographical location, topography, energy use, industry, mix of vehicles, and density. The climate of the region is dominated by monsoons, with two distinct seasons, dry and wet, although each dry and wet season may cover different months of the year in different countries. In these cities, the major components of PM2.5 and PM10 were found to be organic matter (calculated in this study as 1.7 times the OC content); crustal material, including aluminium, calcium, silicon, titanium, iron, potassium, and their oxides; the secondary aerosols NO3 and SO42−; and EC/BC. The “trace metals” group included all the remaining elements except crustal elements, sodium, and sulfur. OC was not analysed in most sites, except for the Bangkok Metropolitan Region and Beijing; hence, comparison of OC levels was not possible. In all these cities, the levels of PM10 and PM2.5 were found to be high, especially during the dry season, frequently exceeding the US EPA standard for PM10 and PM2.5, especially at the traffic sites (Kim Oanh et al., 2006).

Table 1.12. City-wise average mass and major components of PM2.5 (μg/m3) during the dry and wet seasons in six cities in Asia (2001–2004).

Table 1.12

City-wise average mass and major components of PM2.5 (μg/m3) during the dry and wet seasons in six cities in Asia (2001–2004).

PAHs in particles are also important in Asia. Shen et al. (2013) estimated that Asian countries contributed 53.5% of the global total PAH emissions, with the highest emissions from China (106 Gg) and India (67 Gg) in 2007.

(d) Other regions

(i) Africa

Measurements of air pollution in Africa are limited, and environmental agencies do not exist in all countries. World agencies provide some aggregate information for the continent, which can be complemented by local research, as air quality data in Africa are scarce.

Fig. 1.36 and Fig. 1.37 present the mean concentrations for PM measured with at least 2 months of monitoring coverage in selected African cities. The limited data show that the concentrations range from 7 µg/m3 to more than 100 µg/m3 for PM2.5 and from 12 µg/m3 to more than 230 µg/m3 for PM10 in the African cities studied. Among the reported air pollution measurement campaigns, Dionisio et al. reported the geometric mean concentrations of PM2.5 and PM10 along the mobile monitoring path [street-level monitoring] of 21 µg/m3 and 49 μg/m3, respectively, in the neighbourhood with the highest socioeconomic status and 39 µg/m3 and 96 μg/m3, respectively, in the neighbourhood with the lowest socioeconomic status and the highest population density in Accra, Ghana. The factors that had the largest effects on local PM pollution were nearby wood and charcoal stoves, congested and heavy traffic, loose-surface dirt roads, and trash burning (Dionisio et al., 2010a).

Fig. 1.36

Fig. 1.36

PM10 concentrations (μg/m3) in selected African cities

Fig. 1.37. PM2.

Fig. 1.37

PM2.5 concentrations (μg/m3) in selected African cities

(ii) South America

Continuous measurements of air pollution are available in more than half of the South American countries. However, the spatial distribution of air monitoring stations in South America is not balanced. For instance, in Brazil monitoring stations are located mostly in large metropolitan regions and do not cover the remaining areas of Brazil; only 8 out of 27 Brazilian states (including the Federal District) have set up air monitoring networks. Fig 1.38 and Fig. 1.39 summarize the most recent data on PM concentrations in South American countries; concentrations ranged from 22 µg/m3 to 70 µg/m3 for PM10 and from 7 µg/m3 to 35 µg/m3 for PM2.5.

Fig. 1.38

Fig. 1.38

PM10 concentrations (μg/m3) in selected South American cities

Fig. 1.39. PM2.

Fig. 1.39

PM2.5 concentrations (μg/m3) in selected South America cities

Besides high PM concentrations measured in South American cities, high concentrations of formaldehyde were reported in some countries, such as Brazil. In downtown Rio de Janeiro, mean formaldehyde concentrations rose 4-fold from 1998 to 2002, to 96 μg/m3 (with peak 2-hour concentrations as high as 138 μg/m3) (Corrêa & Arbilla, 2005). A further 10-fold increase in formaldehyde concentrations was reported in Rio de Janeiro from 2001 to 2004, as a consequence of the introduction of compressed natural gas vehicles in 2000 (Martins et al., 2007).

(iii) The Middle East

WHO (2011) depicts air monitoring information for 39% of the Middle East countries. Air pollution monitoring coverage in the Middle East is similar to that in South American countries – 67% of both regions have some type of air quality data available; however, the air pollution monitoring sites are not evenly distributed across Middle East countries. Fig 1.40 and Fig. 1.41 depict PM concentrations across the Middle East; concentrations mostly ranged from 25 µg/m3 to 100 µg/m3 for PM10 and from 50 µg/m3 to 300 µg/m3 for PM2.5.

Fig. 1.40

Fig. 1.40

PM10 concentrations (μg/m3) in selected Middle East cities

Fig. 1.41. PM2.

Fig. 1.41

PM2.5 concentrations (μg/m3) in selected Middle East cities

(iv) Australia

Between 1999 and 2008, there were significant decreases in the levels of air pollution in Australia. Levels of CO, NO2, SO2, and lead in urban areas declined to levels significantly below the national air quality standards. However, levels of PM and ozone did not decrease significantly over the time period. Between 1999 and 2008, the median 1-hour and 4-hour ozone levels varied between 0.02 ppm and 0.04 ppm in most Australian cities; the higher levels (~0.04 ppm) were observed in some areas including South East Queensland and Toowoomba. For PM, the median annual levels of PM10 remained at 15–20 μg/m3 and the PM2.5 levels were 5–10 μg/m3 in most Australian cities in 2008 (Australian Government, 2010).

1.4.2. Exposure assessment in epidemiological studies

Epidemiological studies of relationships between air pollution exposure and cancer require long periods of observation and large populations. Therefore, it is virtually impossible with currently available approaches to assess exposure via personal monitoring (which is here distinguished from biomarkers of exposure, which are discussed in Section 1.4.3). Accordingly, epidemiological studies use outdoor air pollution concentrations as the primary basis for exposure estimation. Given that air quality monitoring is typically limited to measurements of a relatively small number of indicator pollutants collected at a limited number of discrete locations, epidemiological studies and risk assessments have typically used several approaches to estimate exposures of study subjects. Of particular importance for assessment of cancer is the ability to assess exposures over long time periods. An ideal assessment of long-term exposure requires both residential histories for the study population of interest and estimates of outdoor air pollution concentrations for periods of 20–30 years (life course). Prospective cohort studies following populations over long time periods with a focus on air pollution are rare; therefore, most studies require a retrospective exposure assessment approach. The ability to assign exposures retrospectively is often limited by the availability of historical exposure information or by the lack of residential histories. Several studies have evaluated the extent to which spatial patterns in measurements of NO2 remain stable over time by repeating spatial measurement campaigns separated by periods of 7–18 years (Eeftens et al., 2011; Cesaroni et al., 2012; Gulliver et al., 2013; Wang et al., 2013). These studies suggest that although concentrations may change dramatically over time, the spatial patterns in concentrations remain quite similar. This suggests that studies of spatial contrasts in pollution based on information collected to represent one time period may be applied to other time periods using temporal trends, derived for example from a limited number of monitoring sites within the study area (Hystad et al., 2012). However, caution is needed in making extrapolations over longer periods of time, for more dynamic study areas, or for sites where major air pollution interventions took place.

(a) Outdoor air quality monitoring

The most traditional approach to estimate exposure is based on assignment of measured outdoor air pollutant concentrations to the study populations. Only rarely are these measurements specifically designed for the purposes of exposure assessment. One prominent exception is the Harvard Six Cities Study, in which air quality measurements in each study community were initiated at subject enrolment and continued in some form for much of the prospective follow-up period (Lepeule et al., 2012). In this case, the exposure assignment was based on a centrally located monitor in each community, and no adjustments were made for participants who changed addresses within each community as all subjects within a specific community were assigned the same exposure. A similar approach was applied in a Japanese cohort study where exposure was assigned based on address at study entry, and the analysis was restricted to those subjects who had resided in the study area for at least 10 years before enrolment and remained in the area during a 10-year follow-up period (Katanoda et al., 2011). In that study, the primary exposure metric of interest, PM2.5, was estimated based on measured SPM levels using a subanalysis in which PM2.5:SPM ratios were measured. Although this ratio was developed only for a specific time period and differed somewhat between study locations, a single ratio was applied to all areas. In the American Cancer Society’s Cancer Prevention Study II (CPS-II) cohort (Turner et al., 2011), a single community-based monitor or the average of multiple monitors within each study community was used for exposure assignment. In that study, residential history was not considered because exposure assignment was based on the residential location at study entry. An identical method of assignment was used by Cao et al. (2011) in their assessment of air pollution and lung cancer in China. [Although these examples of exposure based on centrally located air quality monitors do not include within-city variation in concentrations, this approach to estimating exposure may be valid if the within-city variability in concentrations is less than the between-city variability, as might be the case for PM2.5 but is less likely to be so for NO2. Where individual exposures are imputed from central monitors, there will be resulting measurement error, which will have an impact on the bias and variance of subsequent effect size estimates. The importance of these errors will be greater if the inter-monitor variance is small relative to total inter-individual variance.]

Other approaches using community-based air quality monitors allow some level of individual-level exposure assignment based on within-area variability in pollutant concentrations, by assigning exposures based on the nearest monitor to the residential address of each study participant (Heinrich et al., 2013) or using geostatistical averaging such as inverse-distance weighting of measurements from available monitors within a defined study area (Lipsett et al., 2011). [All of these approaches do provide highly accurate descriptions of temporal variation at fine resolution and allow assessment of exposures during specific time windows.]

(b) Proximity measures

Although the above-mentioned approaches provide quantitative information on exposures to specific pollutants, they are limited in their ability to evaluate impacts of specific sources and are limited to areas with available outdoor pollution monitoring. In particular, many studies exclude subjects who reside beyond a specific distance from an available air monitoring site. Furthermore, there is increasing interest in evaluating differences within populations that may reside in the same community. One of the simplest approaches to estimating individual exposures is to measure proximity to specific pollutant sources, such as major roads (Heinrich et al., 2013) or industrial point sources (López-Cima et al., 2011). These examples estimate exposure by the distance (which may be described by linear or nonlinear functions) between a subject and a source. Source intensity measures, such as traffic counts over time or within a defined area, have also been used (Beelen et al., 2008; Raaschou-Nielsen et al., 2011). If subject residential histories are available, then such proximity estimates can be limited to specific time periods of interest or weighted over the full period of follow-up. As described in Section 1.4.1a, deterministic concentrations gradients based on proximity to major roads and industrial sources have been used to estimate exposure to several carcinogenic air pollutants in outdoor air in Canada (CAREX Canada, 2013; Setton et al., 2013). For each of these compounds, maps of estimated outdoor annual average concentrations allow exposure assignment at the individual level.

[Although proximity measures are simple to implement, often reflect gradients in measured concentrations, and allow studies of within-area exposure variation related to specific sources or source sectors, the relationship between proximity and levels of pollution will differ between studies conducted in different locations or at different times. This limits comparability of studies and does not allow quantification of adverse impacts in relation to pollutant concentrations. Furthermore, while the proximity measure is assumed to be a surrogate of exposure to air pollution, it may also reflect variation in other exposures (e.g. noise, in the case of traffic proximity) and in other potential determinants of health (e.g. socioeconomic status). Finally, proximity estimates generally have an overly simplistic representation of the physical processes related to pollutant fate and transport.]

(c) Atmospheric transport models

Given the understanding of a relatively high degree of variability in exposure within urban areas, often associated with motor vehicle traffic, several epidemiological studies have used dispersion models to estimate concentrations of specific air pollutants over space and time. In this approach, estimates of emissions and meteorological data are used (typically in a Gaussian dispersion model framework) to estimate the dispersion of pollutants within an airshed. Simple models do not consider any chemical transformation and are therefore most appropriate for non-reactive pollutants (e.g. CO); more sophisticated chemical transport models also incorporate a large number of chemical reactions and are designed to simulate atmospheric fate and transport, for example the production of secondary pollutants (Cesaroni et al., 2013). These models are designed for purposes other than health effects research, so their use in epidemiological studies has been opportunistic. In most cases, this approach has focused on estimating individual exposures to traffic-related pollutants within a single study area (Nyberg et al., 2000; Bellander et al., 2001; Gram et al., 2003; Nafstad et al., 2004; Naess et al., 2007; Raaschou-Nielsen et al., 2010, 2011), although there are examples of applications at the national level (Carey et al., 2013).

The Danish cohort studies (Raaschou-Nielsen et al., 2010, 2011) focus on traffic influences on NOx and NO2 combined with urban and regional background concentrations and have the notable advantages of both individual estimates of exposure and detailed residential histories, so that exposure estimates are a time-weighted average of outdoor concentrations at all addresses for each participant during the 34-year study period. The models include time-varying inputs on traffic levels and emissions and adjustments for street-canyon effects with time-varying information on building geometry. This approach also allows the estimation of exposure for different time windows, although estimates for the time of enrolment were strongly correlated (r = 0.86) with estimated exposures over the full period of follow-up (Raaschou-Nielsen et al., 2011).

The studies conducted in Oslo, Norway (Gram et al., 2003; Nafstad et al., 2003) incorporate emissions information for both traffic and point sources (industrial and space heating) to estimate individual-level exposures to SO2 and NOx for each year over a 25-year period. Deterministic gradients were used for subjects living in proximity to specific streets with the highest levels of traffic, and persons who moved to outside of Oslo were assigned a regional value for each year. Subjects moving from outside of Oslo were also assigned regional exposure values based on available outdoor monitoring network data. Subsequent analyses in Oslo have included estimates for PM2.5 and PM10 (Naess et al., 2007) and incorporated emissions information from a larger set of source categories (traffic, road dust, wood burning) but were restricted to more recent and shorter time periods.

A very similar approach was used in a case–control analysis of lung cancer in Stockholm County, Sweden, in which individual exposures to SO2, NO2, and NOx were estimated for each year over a 40-year period (Nyberg et al., 2000; Bellander et al., 2001). As in the Danish studies, the approaches applied in Oslo and Stockholm County allow individual exposure estimates covering different time windows.

The detailed data needed for dispersion modelling are seldom available at the national level. However, in a study in the United Kingdom, Carey et al. (2013) used emissions-based dispersion models to assign annual average concentrations of PM10, PM2.5, SO2, NO2, and ozone for 1-km grid squares to the nearest postal code at the time of death. The model included emissions by source sector (e.g. power generation, domestic combustion, and road traffic), with pollutant concentrations estimated by summing pollutant-specific components, such as point and local area sources.

[Although dispersion models have a strong physical basis, even they are typically simplified representations of atmospheric transport that do not incorporate the complex physical and chemical transformations that occur after emission. Given their reliance on emissions, such models also are limited by the quality of emissions data as well as the lack of microscale meteorological measurements. Furthermore, dispersion models require specialized expertise to run, and there has been relatively little evaluation of dispersion models with measurements or integration of available measurements into the modelling effort. All of the above-mentioned examples are also limited to individual urban areas, given the data requirements of dispersion models, and therefore this approach is typically only applied to studies of within-city variation, which are usually focused on a single source sector, such as traffic. Although Carey et al. (2013) applied dispersion modelling at a national scale, their approach did not account for residential history or temporal changes in exposure and has a larger spatial resolution (1 km) than those of the Danish and Oslo models (~5 m).]

Although it has not been applied to epidemiological studies and is used as a screening-level assessment approach, the NATA (described in Section 1.4.1a) provides concentration estimates for several HAPs throughout the USA using a combination of dispersion, chemical transport, and exposure models (EPA, 2011b).

(d) Geospatial/land-use regression models

Land-use regression models or other geospatial statistical models have increasingly been used to assess chronic exposures to air pollution. In a simple form, estimates of source density and proximity can be used to estimate source-specific exposures. For example, Raaschou-Nielsen et al. used as supplementary exposure measures the presence of a street with a traffic density of more than 10 000 vehicles per day within 50 m of a residence and the total number of kilometres driven by vehicles within 200 m of the residence each day in a cohort analysis of cancer incidence for residents of two cities in Denmark (Raaschou-Nielsen et al., 2011). Chang et al. used the density of petrol stations as an indicator of a subject’s potential exposure to benzene and other pollutants associated with evaporative losses of petrol or to air emissions from motor vehicles in a study of lung cancer in Taiwan, China (Chang et al., 2009). Although no evaluation of the exposure metric was conducted in this study, inverse distance to the nearest petrol station was associated with outdoor concentrations of benzene and xylene compounds in the RIOPA study in the USA (Kwon et al., 2006).

Land-use regression models are more sophisticated geospatial models in which pollutant measurements are combined with geographical predictors in a spatial regression model (Hoek et al., 2008a). This model is then used to predict concentrations of the air pollutant at unmeasured locations. These models have been especially useful in the assessment of exposure to variability in traffic-related air pollutant concentrations within urban areas. Note that the measurements used to develop models may be limited to available measurements from outdoor monitoring networks (Yorifuji et al., 2010, 2013), which are unlikely to fully capture the variability in outdoor concentrations or predictor variables, or from measurement campaigns of shorter duration (Cesaroni et al., 2013). Although land-use regression models often explain a high proportion (60–80%) of the variability in spatial measurements of air pollutant concentrations in a study area, if spatial correlation in model residuals exists, universal kriging may also be used for estimating exposures (Mercer et al., 2011). Universal kriging is a more generalized form of spatial modelling in which information from nearby (spatially correlated) measurements influences predictions through an estimated correlation structure.

In some cases these models may also incorporate temporal variation derived from outdoor monitoring network data, but most typically they provide estimates of spatial variability only, and it is assumed that this variability is stable over time – an assumption that has generally been supported by several measurement studies for periods of up to 18 years (Eeftens et al., 2011; Cesaroni et al., 2012; Gulliver et al., 2013; Wang et al., 2013). Models that do not rely on targeted measurement campaigns may also allow annual estimates to be made (Yorifuji et al., 2010, 2013).

Land-use regression estimates have also been combined with external monitoring data and proximity estimates in hybrid models. For example, Beelen et al. (2008) estimated exposure to outdoor air pollution at the home address at study entry as a function of regional, urban, and local components. The regional background concentrations were estimated using inverse-distance-weighted interpolation of measured concentrations at regional background outdoor monitoring sites. The urban component was estimated using land-use regression models developed using only regional and urban background monitoring site data, and the sum of the regional and urban contributions was defined as the background concentration. Background concentrations were estimated for NO2, black smoke, and SO2. Estimates were made for 5-year intervals during a 20-year study period. The local traffic contribution was based on several measures of traffic intensity and proximity. In addition, quantitative estimates for the local component were estimated with regression models incorporating field monitoring measurements and traffic variables. The local component was added to background concentrations for an overall exposure estimate for each pollutant. [Land-use regression models are relatively easy to implement and, given their use of pollutant measurements, are capable of providing reliable estimates of exposure to a large number of specific pollutants as well as source indicators (Jerrett et al., 2005). Confidence in model use depends on adequate geographical and pollutant monitoring data, especially the inclusion of targeted monitoring that characterizes variability both in air pollutant concentrations and in geographical predictors within the study area. Reliability can be quite high, especially with increasing numbers of observation locations.]

(e) Remote sensing

A more recent development for application to epidemiological studies has been the use of remote-sensing-based estimates of air pollution. For example, van Donkelaar et al. (2010) developed a global model of long-term average PM2.5 concentration at a spatial resolution of about 10 × 10 km. This approach combines aerosol optical depth (AOD) (a measure of the scattered light from all aerosol within the total column between the Earth’s surface and the satellite) with information from a chemical transport model on the vertical stratification of aerosol as well as its composition to estimate time- and location-specific factors to relate AOD to surface PM2.5. Estimates derived from this approach were combined with surface monitoring data and estimates from a different chemical transport model to estimate exposures for the Global Burden of Disease Study 2010 (Brauer et al., 2012; Lim et al., 2012). Useful satellite retrievals have been available since about 2000 and have been combined with available surface monitoring data to provide backcasted spatially resolved estimates for earlier periods (Crouse et al., 2012; Hystad et al., 2013), as described in more detail below. Satellite-based estimates are available globally for a small group of pollutants, including PM2.5, NO2, ozone, and formaldehyde (Brauer et al., 2012; De Smedt et al., 2012; Lamsal et al., 2013).

[Remote-sensing-based estimates have the advantage of providing estimates of concentrations essentially anywhere in the world by a consistent approach, although they are best suited to between-location contrasts, given the currently available resolution on the order of 10 × 10 km.]

(f) Remote sensing and land-use regression hybrid models

Remote-sensing-based estimates have also been combined with land use and other geographical predictors in hybrid land-use regression-type models. Canadian researchers developed national estimates of long-term average concentrations of PM2.5 and NO2 in which satellite-based estimates were combined with deterministic gradients related to traffic and industrial point sources (Hystad et al., 2011). Although these models were only spatial and did not include a temporal component, in a subsequent effort (Hystad et al., 2012), which was applied to a cohort analysis of lung cancer with detailed residential histories (Hystad et al., 2013), spatial satellite-based estimates for PM2.5 and NO2 and chemical transport model estimates for ozone were adjusted retrospectively with annual air pollution monitoring data, using either spatiotemporal interpolation or linear regression to produce annual estimates for a 21-year period. In addition, proximity to major roads, incorporating a temporal weighting factor based on mobile-source emission trends, was used to estimate exposure to vehicle emissions, and industrial point source location proximity was used to estimate exposures to industrial emissions. In the USA, Novotny et al. (2011) developed a national spatiotemporal land-use regression model with 30 m spatial resolution and 1 hour temporal resolution based on a single year of available regulatory monitoring network data, satellite-based estimates, and geographical predictors (population density, land use based on satellite data, and distance to major and minor roads). To date, this model has not been applied in epidemiological analyses.

More recently, a novel spatiotemporal approach combining AOD and daily calibration to available monitoring network measurements with land-use data (Kloog et al., 2011) was applied to investigate the effect of long-term exposures to PM2.5 on population mortality (Kloog et al., 2013).

(g) Bioindicators (lichens/pine needles)

Although there are only limited examples of applications to epidemiological analyses, several approaches using environmental biomonitors such as lichens and pine needles (Augusto et al., 2010) as indicators of air pollution levels have been developed. For example, lichen biodiversity in north-eastern Italy was geographically correlated with both measurements of SO2 and NO3 and male lung cancer mortality, after correcting for spatial autocorrelation (Cislaghi & Nimis, 1997). In risk assessment, measures of PAHs and heavy metals in lichens have been used to estimate exposures (Augusto et al., 2012; Käffer et al., 2012) and cancer risk. Augusto et al. used measurements of multiple PAH species in lichens to develop a spatial model related to industrial point-source emissions of PAHs (Augusto et al., 2009). These approaches may prove to be useful in estimating historical exposures as the biomonitors can integrate deposited pollutant species over relatively long time periods.

1.4.3. Personal exposure and biomarkers

In recent decades a large number of studies have been published on personal exposure to major air pollutants (Wallace, 2000; Monn, 2001). Research conducted since the early 1980s has indicated that personal exposure may deviate significantly from concentrations measured at fixed sites in the outdoor environment. Subsequent research has identified factors that are responsible for differences between outdoor and personal exposure. In this section, the factors affecting personal exposure are summarized, followed by a discussion of validity studies in which indicators of exposure have been compared with actual measurements of personal exposure. There is also a brief discussion of the distinction between pollutants of outdoor origin and pollutants from indoor sources (Wilson et al., 2000; Ebelt et al., 2005; Wilson & Brauer, 2006).

Personal monitoring studies have been conducted for most of the major air pollutants, including PM, NO2, VOCs, and ozone (Monn, 2001). Studies measuring PM have often used integrated samplers sampling PM2.5 or PM10, but real-time instruments based on light scattering have been used as well. Recently, studies have also measured personal exposure to ultrafine particles (Wallace & Ott, 2011; Buonanno et al., 2014), focusing especially on commuters’ exposures (Knibbs et al., 2011). Fewer studies have measured particle composition. Components that have been measured include EC or proxies of EC, aerosol acidity, PAHs, and elemental composition.

(a) Factors affecting personal exposure

For cancer, long-term average personal exposure is the biologically relevant exposure. Therefore, it is important to assess both the intensity of exposure and the duration. Exposure assessment in epidemiological studies of cancer and air pollution is often based on the residential address. Hence, residential history should be considered. A large number of studies have identified factors that affect the intensity of personal exposure to major air pollutants. These factors can be grouped into four broad groups: (i) concentration in outdoor air, at the residence and in the community; (ii) time–activity patterns, including residential history; (iii) infiltration of pollutants indoors; and (iv) indoor sources of pollutants. These factors are discussed further in the sections below, with a focus on air pollution including particles of outdoor origin.

(i) Concentration in outdoor air

People may be exposed to outdoor air pollutants directly while spending time outdoors. However, a significant fraction of the exposure to outdoor air pollutants occurs while spending time indoors, as people generally spend a large fraction of their time indoors and pollutants penetrate into the indoor environment. Because people spend a significant fraction of their time in or near their own home, exposure in epidemiological studies is often characterized based on the residential address. Residential address information is generally available from ongoing epidemiological studies designed for purposes other than studying air pollution effects. Most often the outdoor concentration at the address is characterized. A large number of studies have evaluated spatial variation of outdoor air pollution (Monn, 2001; HEI, 2010b). Spatial variation can be present at various scales, ranging from global to local (HEI, 2010b). Examples of the various scales of variation are illustrated in Fig. 1.42 and Fig. 1.43, and in Fig. 1.3 in Section 1.4.1a. Contrasts across countries within a continent are discussed further in Section 1.4.1.

Fig. 1.42

Fig. 1.42

Estimated United Kingdom annual average background PM10 concentrations (μg/m3) during 2002

Fig. 1.43

Fig. 1.43

Annual average PM10 concentrations (μg/m3) in London calculated for 2004

As Fig. 1.43 illustrates, within urban areas, significant spatial variation is present related to proximity to major roads. Large gradients with distance to major roads have been identified for traffic-related pollutants, including NO2, CO, benzene and other VOCs, EC, and ultrafine particles (HEI, 2010b). Gradients are relatively small for PM2.5 and PM10 compared with, for example, EC (HEI, 2010b; Janssen et al., 2011). A summary of studies measuring both PM2.5 or PM10 and BC reported an average ratio of 2 for BC and 1.2 for PM concentrations at street sites compared with urban background levels (Janssen et al., 2011). Spatial gradients vary significantly by pollutant and are nonlinear near major roads, with steep decreases in the first 50–100 m and smaller decreases up to about 300–500 m (HEI, 2010b). In compact urban areas, gradients from major roads are much smaller.

A growing number of studies have documented significant exposures to a range of traffic-related air pollutants, including fine and ultrafine particles, EC, and VOCs, while in transit, including walking, cycling, car and bus driving, and underground (Fig. 1.44; Kaur et al., 2007; de Hartog et al., 2010; Zuurbier et al., 2010; de Nazelle et al., 2011). Commuters’ exposures further differ significantly with route, and despite the relatively short time typically spent in traffic, significant contributions to average personal exposure may occur (Marshall et al., 2006; Kaur et al., 2007; Van Roosbroeck et al., 2008; de Nazelle et al., 2013; Dons et al., 2012, 2013). Van Roosbroeck et al. (2008) found that time spent in traffic was a significant predictor of 48-hour personal exposure to soot and PM2.5 in elderly adults in the Netherlands. A study in 62 volunteers in Belgium reported that 6% of time was spent in traffic, but the contribution to the measured 24-hour average personal exposure to BC was 21%, and to calculated inhaled doses was 30% (Dons et al., 2012). Home-based activities, including sleep, accounted for 65% of time, 52% of exposure, and 36% of inhaled dose (Dons et al., 2012). For volunteers in Barcelona, Spain, in-transit exposures accounted for 6% of time, 11% of NO2 exposure, and 24% of inhaled dose (de Nazelle et al., 2013). Setton and co-workers documented that ignoring residential mobility in epidemiological studies using individual-level air pollution may (modestly) bias exposure response functions towards the null (Setton et al., 2011).

Fig. 1.44

Fig. 1.44

Concentrations in modes of transportation and at the urban background location on corresponding sampling days

(ii) Time–activity patterns

A range of surveys in developed countries have shown that most people spend a large fraction of their time indoors. An example is shown from the large National Human Activity Pattern Survey (NHAPS) in the USA (Fig. 1.45; Klepeis et al., 2001). On average, subjects spent 87% of their time indoors, of which a large fraction was spent in their own residence. Time spent outdoors accounted for about 2 hours of the day. These broad patterns have been found in other surveys as well (Jenkins et al., 1992; Leech et al., 2002).

Fig. 1.45

Fig. 1.45

Time spent in various microenvironments by subjects in the USA

However, individual time–activity patterns differ substantially, related to factors such as age, employment, and socioeconomic status. A recent survey showed that German children spent on average 15.5 hours per day in their own home (65% of time), 4.75 hours in other indoor locations (for a total of 84% of time spent indoors), and 3.75 hours outdoors (16% of time) (Conrad et al., 2013). The German survey did not distinguish between “outdoors” and “in traffic,” which may be partly responsible for the share of time spent outdoors.

Time–activity patterns vary significantly over the day, as does the air pollution concentration, supporting the use of more dynamic exposure estimates (Beckx et al., 2009). Time–activity patterns may thus differ across population groups (related to age, sex, employment status, socioeconomic position, and other factors), contributing to contrasts in exposure between population groups beyond contrasts in outdoor concentrations. A study in Delhi, India, showed a high proportion of time spent indoors, with significant variability across population groups (Saksena et al., 2007).

The contribution to time-weighted average exposure is a function of the time spent in a microenvironment and the concentration in that microenvironment. Thus, for pollutants that infiltrate poorly indoors, the relatively short time spent outdoors, including in transit, may nevertheless amount to a significant fraction of total exposure.

Because of the large fraction of time spent in the home, residential history is an important determinant of long-term average exposure to air pollution. In epidemiological studies, air pollution exposure is often assigned based on the most recent address or the address at recruitment into the (cohort) study. Because a significant number of subjects may change address before inclusion in the study or during follow-up, misclassification of exposure may occur. This is particularly problematic because limited information is available about the critical window of exposure. In a study in California of children with leukaemia, residential mobility differed with age and socioeconomic status, and accounting for residential mobility significantly affected the assigned neighbourhood socioeconomic status and urban/rural status (Urayama et al., 2009). A case–control study in Canada reported that in the 20-year exposure period, 40% of the population lived at the same address (Hystad et al., 2012). The correlation between air pollution exposure estimates with and without residential history was 0.70, 0.76, and 0.72 for PM2.5, NO2, and ozone, respectively. About 50% of individuals were classified into a different PM2.5, NO2, and ozone exposure quintile when using study-entry postal codes and spatial pollution surfaces, compared with exposures derived from residential histories and spatiotemporal air pollution models (Hystad et al., 2012). Recall bias was reported for self-reported residential history, with lung cancer cases reporting more residential addresses than controls (Hystad et al., 2012). In a Danish cohort study, exposure was characterized as the average concentration of all addresses 20–25 years before enrolment and during follow-up weighted with the time lived at an address (Raaschou-Nielsen et al., 2011). People moved on average 2.4 times before enrolment and 0.3 times during follow-up. Exposure estimates from different periods were highly correlated (Section 1.4.2).

(iii) Infiltration of pollutants indoors

Because people generally spend a large fraction of their time indoors and outdoor air pollution infiltrates indoors, this section examines relationships between outdoor and indoor pollutant levels.

Mass-balance models have been used extensively to describe the concentration in indoor air as a function of outdoor air and indoor sources. The indoor concentration of an air pollutant can be expressed simply as Cai = Finf Ca, where Cai = is the indoor pollutant concentration originating from outdoors, Finf is defined as the infiltration factor, and Ca is the ambient (outdoor) concentration. The infiltration factor describes the fraction of outdoor pollution that penetrates indoors and remains suspended. Penetration efficiency depends on several factors, including the air velocity, the dimensions of the opening, and the particle size, with ultrafine and especially coarse particles penetrating less efficiently (Liu & Nazaroff, 2001).

Hänninen et al. (2011) evaluated the original data of European studies of indoor–outdoor relationships for PM2.5. The overall average infiltration factor was 0.55, illustrating significant infiltration of outdoor fine particles. A review including European and North American studies reported infiltration factors of 0.3–0.82 for PM2.5 (Chen & Zhao, 2011). Since people in Europe and North America spend a large fraction of their time indoors, human exposure to fine particles of outdoor origin occurs mostly indoors. Infiltration factors were consistently higher in the summer than in the winter (Hänninen et al., 2011). A study in seven cities in the USA included in the MESA Air study also reported high infiltration factors in the warm season (Allen et al., 2012). The implication is that for the same outdoor concentration, the actual human exposure is higher in the summer than in the winter. Higher infiltration factors in the summer are explained by higher air exchange rates in the summer than in the winter.

In the four European cities included in the RUPIOH study, infiltration factors for ultrafine particles assessed by total particle number counts were somewhat lower than those for PM2.5 (Table 1.13; Hoek et al., 2008b) but higher than those for coarse particles. A large study in Windsor, Ontario, Canada, that measured total particle number counts reported infiltration factors of 0.16–0.26, with a large variability for individual homes (Kearney et al., 2011). The lower infiltration of ultrafine particles is consistent with lower penetration and higher decay rates due to diffusion losses compared with accumulation mode particles. Studies in the USA that measured particle size distributions have also found lower infiltration factors, on the order of 0.5 for particles in the ultrafine range and up to 0.7 for PM2.5 (Abt et al., 2000; Long et al., 2001; Sarnat et al., 2006). A study conducted in a Helsinki, Finland, office found that indoor particle number concentrations tracked outdoor concentrations well but were only 10% of the outdoor concentrations (Koponen et al., 2001). A study in two empty hospital rooms in Erfurt, Germany, reported a high correlation between indoor and outdoor concentrations of PM2.5, black smoke, and particle number concentration and an indoor–outdoor ratio of 0.42 for total number concentration, compared with 0.79 for PM2.5 (Cyrys et al., 2004). There is thus a large range in reported infiltration factors, related to differences in air exchange rates and building characteristics, and likely also to differences in measurement methods across studies.

Table 1.13. Infiltration factors estimated as regression slope for the relationships between indoor and outdoor 24-hour average concentrations of different particle metrics from the RUPIOH study.

Table 1.13

Infiltration factors estimated as regression slope for the relationships between indoor and outdoor 24-hour average concentrations of different particle metrics from the RUPIOH study.

The composition of particles infiltrated indoors also differs from the outdoor composition. Infiltration factors for EC exceeded those for PM2.5 significantly (Fig. 1.46). EC is concentrated in submicrometre particles, is non-volatile, and has few indoor sources (Noullett et al., 2010). Although smoking affects EC levels, the impact is less than on PM2.5 concentrations (Götschi et al., 2002). A detailed analysis of the RIOPA study showed that 92% of the indoor EC concentration was due to outdoor EC, whereas the corresponding contribution for PM2.5 was 53% (Meng et al., 2009).

Fig. 1.46. Infiltration factors for PM2.

Fig. 1.46

Infiltration factors for PM2.5 and soot (EC, BC) measured in the same study

Sulfates have few indoor sources and high infiltration factors (Noullett et al., 2010). Indoor concentrations of SO2 in the absence of indoor sources (e.g. unvented kerosene heaters) are typically low, related to large losses to indoor surfaces (Koutrakis et al., 2005).

Nitrates typically show low infiltration factors, ranging from 0.05 to 0.2 in studies in Europe and the USA (Sarnat et al., 2006; Hoek et al., 2008b). Indoor concentrations of NO2 in the absence of indoor sources (e.g. gas cooking, unvented heaters) are substantially lower than outdoor concentrations (Monn, 2001). In a recent review of studies of personal and outdoor NO2 exposure, the overall average personal–outdoor regression slope was between 0.14 and 0.40, depending on the study type (Meng et al., 2012a). A study in Spain reported indoor–outdoor slopes of 0.20 and 0.45 for two cities, after adjusting for the large influence of gas cookers and gas heaters (Valero et al., 2009). Personal exposure may be affected by more factors, but studies have shown that the indoor concentration is the dominant factor, with large heterogeneity observed between studies (Monn, 2001; Meng et al., 2012a).

Indoor ozone concentrations are typically low because ozone is a highly reactive component with a high decay rate and no indoor sources in residences (Monn, 2001). Indoor–outdoor ratios of between 0.2 and 0.8 were reported in previous studies, depending on air exchange rates (Monn, 2001). A recent analysis of the DEARS study in Detroit, USA, reported a personal–outdoor regression slope of 0.03 in summer and 0.002 in winter (Meng et al., 2012b), even lower than that for NO2 and much lower than that for PM2.5.

In large-scale epidemiological studies, indoor measurements of infiltration factors are not feasible. Hystad and co-workers developed a model for PM2.5 infiltration based on measurements in 84 North American homes and publicly available predictor variables, including meteorology and housing stock characteristics (Hystad et al., 2009). A model including season, temperature, low building value, and heating with forced air predicted 54% of the variability in measured infiltration factors (Hystad et al., 2009). Low building value increased infiltration factors, increasing exposure contrasts across different socioeconomic groups. Other modelling studies in North America reported similar results, with a substantial fraction of the variability of infiltration factors explained by factors including window opening, air exchange rate, and presence or use of central air conditioning and forced air heating, with indications that predictors differ by season (Clark et al., 2010; Allen et al., 2012).

(iv) Indoor sources of pollutants

Numerous indoor sources, including tobacco smoking, cooking, heating, appliances, consumer products, building construction, and activities such as vacuum cleaning, have been identified to affect indoor concentrations and personal exposure for a wide range of air pollutants (Weschler, 2009).

Indoor sources affect different pollutants to a different degree. As noted above, sulfate and EC are affected more by outdoor air pollution than by indoor sources. Sulfate has therefore been used to evaluate the personal or indoor exposure to particles of outdoor origin (Sarnat et al., 2002).

(b) Pollutants from both indoor and outdoor sources

Several authors have stressed the importance of distinguishing between personal exposure from all sources and exposure indoors to pollutants from indoor and outdoor sources (Wilson et al., 2000; Ebelt et al., 2005; Wilson & Brauer, 2006). The discussion was initiated in the framework of temporal studies of PM2.5 showing often modest correlations between total personal PM2.5 and outdoor PM2.5 concentrations. Scientific reasons to separate the two sources include that particle composition differs significantly depending on the source and that different particle composition might influence health effects. Furthermore, if the interest is in evaluating the health effects of outdoor pollution, then exposure to the same pollutant from indoor sources should be treated as a potential confounder. The implication is that to assess agreement between often used exposure metrics and personal exposure, personal exposure to pollutants of outdoor origin should be evaluated. It may also be important to distinguish pollution exposures originating from outdoor versus indoor sources for policy purposes.

(c) Validation studies

In this context, validation studies are studies that compare exposure metrics used in epidemiological studies (e.g. modelled outdoor concentration) with personal exposure monitoring, which is usually considered as a more valid method of individual exposure assessment. A critical issue is that the correct comparison must be made between exposure metrics and personal exposure, depending on the epidemiological study design and the health outcome of interest. For time-series studies of acute events, the interest is in the longitudinal (within-subject) variation in exposure levels, whereas for cohort studies assessing long-term exposures, the interest is in the between-subject variation of long-term averages.

Very few studies have assessed the validity of long-term outdoor exposure estimates as used in epidemiological studies for estimating long-term average personal exposure, in contrast to the large literature on the temporal correlation of outdoor and personal exposure over shorter time intervals (Avery et al., 2010). It is challenging to collect sufficient personal exposure data to represent a long-term average exposure in a large group of subjects. Consequently, most of the personal monitoring studies discussed previously rely on a single or a few 24-hour measurements. First, studies evaluating fine-spatial-scale outdoor exposure metrics are discussed. Next, studies assessing differences in personal exposure between cities are discussed.

A study in Amsterdam reported significantly higher outdoor concentrations of PM2.5, soot, PAHs, and benzene measured near high-traffic homes compared with low-traffic homes (Fischer et al., 2000). These contrasts were also found for indoor concentrations; for example, for soot, concentration ratios of 1.8 for high- versus low-traffic homes were found for both indoor and outdoor measurements (Fischer et al., 2000). Another study in Amsterdam reported ratios of soot concentrations for high- versus low-traffic homes of 1.19 to 1.26 for 24-hour measurements indoors and of 1.29 for personal exposure (Wichmann et al., 2005). A study in Utrecht comparing air pollution exposures of elderly adults living near major roads versus minor roads found larger differences for soot than for PM2.5 and NO2 using both personal and environmental measurements (Van Roosbroeck et al., 2008).

A study among volunteers in Helsinki, Barcelona, and Utrecht found a significant correlation between long-term average residential outdoor soot concentrations estimated by city-specific land-use regression models and measured average personal exposure (Montagne et al., 2013). Within the individual cities, no consistent association was found between land-use regression-modelled NO2 and PM2.5 concentrations and personal exposures, but modelled and measured exposures to all pollutants were highly correlated when all data from all three cities were combined. The finding of strong correlations between modelled and measured exposures in the combined data from the three cities may be relevant for studies exploiting exposure contrasts across cities.

Two Dutch studies in children reported significant correlation between NO2 exposure measured at school and personal exposure, which remained after accounting for indoor sources including gas cooking (Rijnders et al., 2001; van Roosbroeck et al., 2007). In contrast, a Canadian study where the 72-hour personal NO2 exposure of elderly adults was measured in three seasons found no relationship between the modelled long-term average outdoor concentration and the personal exposure measurements (Sahsuvaroglu et al., 2009).

Two studies reported consistently higher population average personal exposures in European cities with higher outdoor concentrations (Monn et al., 1998; Georgoulis et al., 2002). Personal NO2 exposure was highly correlated with outdoor concentration in a study in eight Swiss cities and towns with large contrasts in outdoor NO2 concentration (Monn et al., 1998). The correlation between community average outdoor concentration and personal exposure was R2 = 0.965 (Fig. 1.47; Monn, 2001).

Fig. 1.47. Scatterplot for outdoor–personal (R2 = 0.

Fig. 1.47

Scatterplot for outdoor–personal (R2 = 0.965) and indoor–personal (R2 = 0.983) NO2 ratios of aggregated data (annual mean estimates) in eight Swiss cities

(d) Social inequalities in air pollution exposure

There is a large literature that has evaluated contrasts in air pollution exposures in association with socioeconomic status (O’Neill et al., 2003). In general, higher outdoor air pollution concentrations have been observed for subjects with lower socioeconomic status, related to residential location (O’Neill et al., 2003). However, the contrast in air pollution exposures across socioeconomic groups differs significantly between study areas and spatial scales, with several studies showing higher concentrations for individuals with higher socioeconomic status (Deguen & Zmirou-Navier, 2010). A study in Rome, Italy, reported that subjects living close to major roads had a higher socioeconomic position than subjects living further away from major roads (Cesaroni et al., 2010).

Most studies of air pollution and socioeconomic status have evaluated outdoor pollutant concentrations with little attention to time–activity patterns and indoor exposures. Higher indoor concentrations were reported in low-income subjects, related to outdoor concentrations, indoor sources, and housing characteristics (Adamkiewicz et al., 2011). A study in Vancouver, Canada, reported higher wood smoke exposures and intake fractions in low-income neighbourhoods (Ries et al., 2009).

(e) Biomarkers of exposures

Biomarkers of exposure to outdoor air pollution have not been commonly used as the main method of exposure assessment in large-scale epidemiological studies of outdoor air pollution and cancer. However, associations between biomarkers of exposure and biomarkers of effect have been evaluated in smaller studies with tens to hundreds of subjects (see Section 4). In this context, biomarkers can contribute to elucidating the pathway from exposure to cancer. Biomarkers could additionally be useful in retrospective exposure assessment, if appropriate biological material has been stored; however, a limitation of many biomarkers for this purpose is their relatively short half-life (Scheepers, 2008).

Associations of biomarkers with exposure to air pollution have been described in several recent reviews (Barbato et al., 2010; Møller & Loft, 2010; Demetriou et al., 2012; DeMarini, 2013; Rylance et al., 2013). Demetriou et al. (2012) specifically considered the utility of potential biomarkers of exposure to air pollution in a systematic review. The evidence of an association with external exposure was considered to be strong for 1-hydroxypyrene (1-OHP), DNA adducts, and oxidized nucleobases, particularly 8-oxo-7,8-dihydro-2′-deoxyguanosine (8-oxodG). Studies in a wide variety of populations, including children, mail carriers, traffic police, and professional drivers, have repeatedly found increases in 1-OHP and in the frequency of DNA adducts in more exposed subjects (Demetriou et al., 2012).

It should be noted that the same markers can often be interpreted as indicators of early biological effects, as well as of exposure (DeMarini, 2013). Studies using these biomarkers and other markers of effect are reviewed in detail in Section 4.

1.4.4. Occupational exposure of outdoor workers

See Table 1.14

Table 1.14. Exposure of outdoor workers to air pollutants.

Table 1.14

Exposure of outdoor workers to air pollutants.

Workers who spend significant amounts of time outdoors may be occupationally exposed to outdoor air pollution. Although workers such as farmers, miners, and construction workers can face exposure to polluted air, emissions related to their work processes are the primary concern (e.g. diesel exposure in miners). Outdoor air pollution becomes an occupational risk for workers who spend most or all of their working hours in polluted outdoor environments. Exposures for professional drivers, urban traffic police, mail carriers, toll booth operators, municipal workers, small-scale vendors, service workers, and other occupations heavily exposed to outdoor air are often influenced by traffic-related emissions. Exposures from microenvironments influenced by the outdoor air can also be important for specialized groups of workers such as subway/underground metro workers and wildfire firefighters; the contribution of outdoor air pollution to occupational exposure in these instances can be substantial. However, few studies are designed to capture this contribution. Relying on fixed outdoor air quality monitors without exposure monitoring or reconstruction often fails to capture the range of exposures for such workers. This section describes the range of exposures to outdoor air pollution in occupational situations experienced by workers in selected jobs, as listed above. See Table 1.14.

(a) Traffic police

Urban traffic police are constantly exposed to traffic-related emissions while controlling traffic, and they may also be regarded as a model for worst-case exposures for air toxics. Many studies of traffic police have relied on outdoor air quality monitoring for criteria pollutants to highlight the potential for high occupational exposures directly attributable to the outdoor environment.

A review of traffic-related exposures (Han & Naeher, 2006) cited additional studies that reported high levels of outdoor exposures for VOCs including benzene, xylene, and toluene in the Republic of Korea (Jo & Song, 2001), India (Mukherjee et al., 2003), and Italy (Bono et al., 2003).

Traffic police on active duty at the roadside had significantly higher environmental exposures to PAHs compared with police on office duty (74.25 ng/m3 vs 3.11 ng/m3) in Thailand (Ruchirawat et al., 2002). Similar observations were reported from another study in Thailand (Arayasiri et al., 2010), which measured benzene and 1,3-butadiene exposures.

(b) Professional drivers

Research from around the world indicates that concentrations of particles and other air toxics in transportation microenvironments on and near roadways and inside vehicles often exceed nearby outdoor levels.

Such exposures are of concern for professional vehicle drivers, especially in developing-country settings, given the rapid increases in high-emitting vehicle fleets, vehicle use, and long exposure durations in and near traffic. For example, a 1997 study in Delhi, India, reported that concentrations of PM5.0 and CO inside vehicles exceeded the high urban background concentrations by 1.5–10 times depending on vehicle type (Saksena et al., 2007). Although few studies have actually been able to characterize outdoor air pollution exposures for automobile drivers, the ratio of reported in-vehicle concentrations to outdoor concentrations indicates the potential for extreme exposures (Apte et al., 2011; Fig. 1.48).

Fig. 1.48

Fig. 1.48

Comparison of in-vehicle concentrations in Delhi with those reported in other cities

High in-vehicle concentrations would lead to high time-integrated exposures, as reported in the Delhi study (Apte et al., 2011). For example, a typical time-integrated exposure during an average daily commute (1.9 hours/day for auto-rickshaw users; Saksena et al., 2007) is nearly 2-fold higher than entire-day PM exposures for urban California residents (Fruin et al., 2008), the average in-home exposure contributions for residents of seven San Francisco Bay Area single-family homes (Bhangar et al., 2011), and the average for occupants of Beijing high-rise apartments (Mullen et al., 2011). During a typical daily work shift (10–16 hours; Harding & Hussein, 2010), auto-rickshaw drivers may receive very high PM exposures, up to an order of magnitude higher than those experienced during the average daily commute.

In a study that assessed the occupational exposure of jeepney drivers to selected VOCs in Manila, Philippines (Balanay & Lungu, 2009), personal sampling was conducted on 15 jeepney drivers. Area sampling was conducted to determine the background concentration of VOCs in Manila compared with that in a rural area. Both personal and area samples were collected for 5 working days. Samples were obtained using diffusive samplers and were analysed for VOCs including benzene, toluene, ethylbenzene, m,p-xylene, and o-xylene. The personal samples of drivers (collected for work-shift durations of 12–16 hours) had significantly higher concentrations for all selected VOCs than the urban area samples. Among the area samples, the urban concentrations of benzene and toluene were significantly higher than the rural concentrations. The personal exposures for all the target VOCs were not significantly different among the jeepney drivers.

A recent report (HEI, 2010a) that addressed contributions from mobile-source exposures to air toxics to exposures found that in-vehicle concentrations substantially exceeded outdoor concentrations for 1,3-butadiene, benzene, acrolein, formaldehyde, polycyclic organic matter, and diesel exhaust. This indicates substantial potential for high occupational exposures for many workers who spend long hours in vehicles.

(c) Street vendors/small business operators

Small-scale businesses, commonly street vending, operate primarily outdoors in many developing countries (especially in tropical countries, where weather poses fewer restrictions on spending time outdoors). Furthermore, in the absence of resources for air conditioning or other means of insulation from dust and heat, the work environment in many such small businesses is affected significantly by the prevailing outdoor air quality conditions. Traffic and industrial emissions thus become a source of occupational exposure. In a study conducted across various susceptible groups of the population with different occupations in five traffic-congested areas of Bangkok (Ruchirawat et al., 2005), the levels of total PAHs on the main roads at various sites were much higher than the outdoor levels in nearby temples (control sites).

In Mexico City, a significant proportion of the labour force works in informal markets, where many vendors spend long hours outdoors. Many workers in the service and transportation sectors experience similar conditions. In Mexico City, about 200 000 people work as taxi and bus drivers and more than 100 000 work as street vendors (SETRAVI, 2007); they have direct exposures to mobile-source emissions on high-traffic-density streets (Ortiz et al., 2002). Compared with indoor workers, these outdoor workers have higher exposures to PM, above the Mexican standard of 65 µg/m3, and 2 or more times higher exposures to ozone, benzene, toluene, methyl tert-butyl ether, and 11-pentane (Tovalin-Ahumada & Whitehead, 2007). A survey among outdoor workers found a relationship between their exposure to selected VOCs, ozone, and PM2.5 and the presence of severe DNA damage (Tovalin et al., 2006).

© International Agency for Research on Cancer, 2016. For more information contact publications@iarc.fr.
Bookshelf ID: NBK368027

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