The impact of chronic exposure to air pollution and outcomes in the acute respiratory distress syndrome (ARDS) is unknown. The Nationwide Inpatient Sample (NIS) from 2011 was utilized for this analysis. The NIS is a national database that captures 20% of all US in-patient hospitalizations from 47 states. Patients with ARDS who underwent mechanical ventilation from the highest 15 ozone pollution cities were compared with the rest of the country. Secondary analyses assessed outcomes of ARDS patients for ozone pollution and particulate matter pollution on a continuous scale by county of residence. A total of 8,023,590 hospital admissions from the 2011 NIS sample were analyzed. There were 93,950 patients who underwent mechanical ventilation for ARDS included in the study. Patients treated in high ozone regions had significantly higher unadjusted hospital mortality (34.9% versus 30.8%, p < 0.01) than patients in cities with control levels of ozone. After controlling for all variables in the model, treatment in a hospital located in a high ozone pollution area was associated with an increased odds of in-hospital mortality (OR 1.11, 95% CI 1.08–1.15, p < 0.01). After adjustment for all variables in the model, for each increase in ozone exposure by 0.01 ppm the OR for death was 1.07 (95% CI 1.06–1.08, p < 0.01). Similarly, for each increase in particulate matter exposure by 10 μg/m³, the OR for death was 1.08 (95% CI 1.02–1.16, p < 0.01).Chronic exposure to both ozone and particulate matter pollution is associated with higher rates of mortality in ARDS. These preliminary findings need to be confirmed by further detailed studies.

Urban greenspaces provide ecosystem services like more natural ecosystems do. For instance, vegetation modifies soil properties, including pH and soil organic matter content, yet little is known about its effect on metals. We investigated whether the accumulation and mobility of heavy metals, nutrients and carbon is affected by plant functional types (evergreen or deciduous trees, lawns) in urban parks of varying ages in southern Finland. Plant types modified soil physico-chemical parameters differently, resulting in diverging accumulation and mobility of metals and other elements in park soils. However, the effects of plant functional type depended on park age: lawns in parks of ca. 50 y old had the highest contents of Cr, Cu, Fe, Mn, Ni, and Zn, and in these, and older parks (>100 y old), contents of most metals were lowest under evergreen trees. The mobility of metals and other elements was influenced by the amount of water leached through the soils, highlighting the importance of vegetation on hydrology. Soils under evergreen trees in young parks and lawns in intermediately-aged parks were most permeable to water, and thus had high loads of Ca, Cr, Cu, Fe, Ni, tot-P and tot-N. The loads/concentrations of elements in the leachates was not clearly reflected by their content/concentration in the soil, alluding to the storage capacity of these elements in urban park soils. Our results suggest that in urban systems with a high proportion of impermeable surfaces, park soil has the potential to store nutrients and metals and provide an important ecosystem service particularly in polluted cities.

Exposure to particulate matter with diameter ≤10 μm (PM10) entails well documented adverse effects on human health. In the last decade, concentration of PM10 in Lombardy (10 million inhabitants), Italy, has been gradually decreasing. We evaluated how the mortality burden due to PM10 varied in that same period.We focused on 13 areas of the Region in 2003–2014: 11 cities with more than 50,000 inhabitants, 1 smaller alpine town and 1 agricultural province. For each area, we collected PM10 annual average concentrations and natural mortality data, and we used the posterior area-specific effects from a previous Bayesian meta-analysis to estimate the short-term impact of PM10 on mortality, in terms of deaths attributable (AD) to annual average exposures exceeding the WHO threshold of 20 μg/m3.PM10 annual average values showed a non-homogenous decreasing trend in the investigated time period in most of the areas. Overall, the population-weighted exposure levels decreased, except for a peak in 2011, but never met the WHO threshold. In 2003–2006, PM10 levels were responsible, on average, for 343.0 annual AD from natural causes that decreased to 253.5 in 2007–2010 and to 208.3 in 2011–2014. Overall we estimated that PM10 was responsible for about 1% of all natural deaths (min-max range: 0.86%–1.42%); the impact was heterogeneous among areas.By collecting routinely available data for the most populated areas in Lombardy, we returned a picture of air pollution and health trends in the last decade. Notwithstanding the observed reduction in PM10 between 2003 and 2014 and the resulting decline in the number of AD, the impact is still relevant. Hence, appropriate policies for emission reduction could have a further beneficial effect on population health. Studies based on routine data and local effect estimates are recommended to properly inform the policy-making process.

Volatile organic compounds (VOCs) from two sampling sites (HB and XB) in a power station centralized area, in Shuozhou city, China, were sampled by stainless steel canisters and measured by gas chromatography-mass selective detection/flame ionization detection (GC-MSD/FID) in the spring and autumn of 2014. The concentration of VOCs was higher in the autumn (HB, 96.87 μg/m3; XB, 58.94 μg/m3) than in the spring (HB, 41.49 μg/m3; XB, 43.46 μg/m3), as lower wind speed in the autumn could lead to pollutant accumulation, especially at HB, which is a new urban area surrounded by residential areas and a transportation hub. Alkanes were the dominant group at both HB and XB in both sampling periods, but the contribution of aromatic pollutants at HB in the autumn was much higher than that of the other alkanes (11.16–19.55%). Compared to other cities, BTEX pollution in Shuozhou was among the lowest levels in the world. Because of the high levels of aromatic pollutants, the ozone formation potential increased significantly at HB in the autumn. Using the ratio analyses to identify the age of the air masses and analyze the sources, the results showed that the atmospheric VOCs at XB were strongly influenced by the remote sources of coal combustion, while at HB in the spring and autumn were affected by the remote sources of coal combustion and local sources of vehicle emission, respectively. Source analysis conducted using the Positive Matrix Factorization (PMF) model at Shuozhou showed that coal combustion and vehicle emissions made the two largest contributions (29.98% and 21.25%, respectively) to atmospheric VOCs. With further economic restructuring, the influence of vehicle emissions on the air quality should become more significant, indicating that controlling vehicle emissions is key to reducing the air pollution.

There is limited evidence showing the mortality effects of temperature variability (TV) on cardiovascular diseases. The joint effects between TV and air pollutants are also less well-established. This study aims to assess the effect modification of TV-cardiovascular mortality by air pollutants in three Chinese cities (Beijing, Nanjing and Chengdu). Data of daily mortality, air pollutants and meteorological factors from 2008 to 2011 was collected from each city. TV was calculated as the standard deviation of daily maximum and minimum temperatures over exposure days. The city-specific effect estimates of TV on cardiovascular mortality were calculated using a quasi-Poisson regression model, adjusting for potential confounders (e.g., seasonality and temperature). An interaction term of TV and a three-level air pollutants stratum indicator was included in the models. Effect modifications by air pollutants were assessed by comparing the estimates of TV's effect between pollutant stratums and calculating the corresponding 95% confidential interval of the differences. Multivariate meta-analysis was conducted to obtain the pooled estimates. The data showed that TV was associated with increased risk of cardiovascular mortality, especially for longer TV exposure days (0–8 days, TV08). This association was still observed after adjusting for air pollutants on current day or the previous two days. Stronger estimates were observed in females, but no significant difference between males and females was detected, indicating the absence of evidence of effect modification by gender. Estimates of TV-cardiovascular mortality varied across two season periods (warm and cool season) and age groups, but the evidence of effect modification by age and seasons was absent. Regarding the effect modification of TV-cardiovascular mortality association by air pollutants, a significant effect modification was identified for PM10, but not for NO2 and SO2 in the whole population for all TV exposure days. This finding also persisted in subgroups, specifically in females and the elderly.

Istanbul, one of the mega cities in the world located between Asia and Europe, has suffered from severe air pollution problems due to rapid population growth, traffic and industry. Atmospheric levels of PAHs and PCBs were investigated in Istanbul at 22 sampling sites during four different sampling periods using PUF disk passive air samplers and spatial and temporal variations of these chemicals were determined. Soil samples were also taken at the air sampling sites. At all sites, the average ambient air Σ15PAH and Σ41PCB concentrations were found as 85.6 ± 68.3 ng m−3 and 246 ± 122 pg m−3, respectively. Phenanthrene and anthracene were the predominant PAHs and low molecular weight congeners dominated the PCBs. The PAH concentrations were higher especially at urban sites close to highways. However, the PCBs showed moderately uniform spatial variations. Except four sites, the PAH concentrations were increased with decreasing temperatures during the sampling period, indicating the contributions of combustion sources for residential heating, while PCB concentrations were mostly increased with the temperature, probably due to enhanced volatilization at higher temperatures from their sources. The results of the Factor Analysis represented the impact of traffic, petroleum, coal/biomass and natural gas combustion and medical waste incineration plants on ambient air concentrations. A similar spatial distribution trend was observed in the soil samples. Fugacity ratio results indicated that the source/sink tendency of soil for PAHs and PCBs depends on their volatility and temperature; soil generally acts as a source for lighter PAHs and PCBs particularly in higher temperatures while atmospheric deposition is a main source for higher molecular weight compounds in local soils. Toxicological effect studies also revealed the severity of air and soil pollution especially in terms of PAHs in Istanbul.

This manuscript evaluates spatial and temporal variations of source contributions to ambient fine particulate matter (PM2.5) in Israeli, Jordanian, and Palestinian cities. Twenty-four hour integrated PM2.5 samples were collected every six days over a 1-year period (January to December 2007) in four cities in Israel (West Jerusalem, Eilat, Tel Aviv, and Haifa), four cities in Jordan (Amman, Aqaba, Rahma, and Zarka), and three cities in Palestine (Nablus, East Jerusalem, and Hebron). The PM2.5 samples were analyzed for major chemical components, including organic carbon and elemental carbon, ions, and metals, and the results were used in a positive matrix factorization (PMF) model to estimate source contributions to PM2.5 mass. Nine sources, including secondary sulfate, secondary nitrate, mobile, industrial lead sources, dust, construction dust, biomass burning, fuel oil combustion and sea salt, were identified across the sampling sites. Secondary sulfate was the dominant source, contributing 35% of the total PM2.5 mass, and it showed relatively homogeneous temporal trends of daily source contribution in the study area. Mobile sources were found to be the second greatest contributor to PM2.5 mass in the large metropolitan cities, such as Tel Aviv, Hebron, and West and East Jerusalem. Other sources (i.e. industrial lead sources, construction dust, and fuel oil combustion) were closely related to local emissions within individual cities. This study demonstrates how international cooperation can facilitate air pollution studies that address regional air pollution issues and the incremental differences across cities in a common airshed. It also provides a model to study air pollution in regions with limited air quality monitoring capacity that have persistent and emerging air quality problems, such as Africa, South Asia and Central America.

Several studies in the recent past reported new sources for industrial persistent organic pollutants (POPs) from metropolitan cities of India. To fill the data gap for atmospheric polybrominated diphenyl ethers (PBDEs), polyurethane foam disk passive air sampling (PUF-PAS) was conducted along urban-suburban-rural transects in four quadrilateral cities viz., New Delhi, Kolkata, Mumbai and Chennai from northern, eastern, western and southern India respectively. Average concentration of Σ8PBDEs in pg/m³ for New Delhi, Kolkata, Mumbai and Chennai were 198, 135, 264 and 144 respectively. We observed a distinct urban > suburban > rural trend for atmospheric PBDEs in Mumbai. Principal component analysis (PCA) attributed three different source types. BDE-47, -99, −100, −153 and −154 loaded in the first component were relatively high in the sites where industrial and informal electronic waste (e-waste) recycling activities were prevalent. Penta congener, BDE-99 and tetra congener, BDE-47 contributed 50%–75% of total PBDEs. Ratio of BDE-47 and -99 in Indian cities reflected the usage of penta formulations like Bromkal −70DE and DE-71 in the commercial and electrical products. PC-2 was loaded with BDE-28 and -35. Percentage of BDE-28 and BDE-35 (>10%) were comparatively much higher than commercial penta products. Abundance of BDE-28 in majority sites can be primarily due to re-emission from surface soil. PC-3 was loaded with BDE-183 and elevated levels were observed mostly in the industrial corridor of Indian cities. BDE-183 was notably high in the urban industrial sites of New Delhi. We suspect this octa-BDE congener resulted from recycling process of plastic products containing octa-BDE formulation used as flame retardants.

Cities and contaminated areas can be primary or secondary sources of polychlorinated biphenyls (PCBs), dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and other chemicals, into air and soil and can influence the regional level of some of these pollutants. In a contaminated site, the evaluation of such emissions can be crucial in the choice of the remediation technology to be adopted. In the city of Brescia (Northern Italy), more than 100 ha of agricultural areas were contaminated with PCBs, PCDD/Fs and heavy metals, originating from the activities of a former PCB factory. In order to evaluate the current emissions of PCBs and PCDD/Fs from the contaminated site, in a location where other current sources are present, we compared measured and predicted air concentrations, resulting from chemical volatilization from soils as well as fingerprints of Brescia soils and of soils contaminated by specific sources. The results confirm that the contaminated area is still a current and important secondary source of PCBs to the air, and to a lesser extent of PCDFs (especially the more volatile), but not for PCDDs. PCBs in soils have fingerprints similar to highly chlorinated mixtures, indicating contamination by these mixtures and/or a long weathering process. PCB 209 is also present at important levels. PCDD fingerprints in soil cannot be related to current emission sources, while PCDFs are compatible to industrial and municipal waste incineration, although weathering and/or natural attenuation may have played a role in modifying such soil fingerprints. Finally, we combined chemical and microbiological analyses to provide an integrated approach to evaluate soil fingerprints and their variation in a wider perspective, which accounts for the mutual effects between contamination and soil microbiota, a pivotal hint for addressing in situ bioremediation activities.

Identifying phosphorus (P) sources, distribution and export from lowland polders is important for P pollution management, however, is challenging due to the high complexity of hydrological and P transport processes in lowland areas. In this study, the spatial pattern and temporal dynamics of P export coefficient (PEC) from all the 2539 polders in Lake Taihu Basin, China were estimated using a coupled P model for describing P dynamics in a polder system. The estimated amount of P export from polders in Lake Taihu Basin during 2013 was 1916.2 t/yr, with a spatially-averaged PEC of 1.8 kg/ha/yr. PEC had peak values (more than 4.0 kg/ha/yr) in the polders near/within the large cities, and was high during the rice-cropping season. Sensitivity analysis based on the coupled P model revealed that the sensitive factors controlling the PEC varied spatially and changed through time. Precipitation and air temperature were the most sensitive factors controlling PEC. Culvert controlling and fertilization were sensitive factors controlling PEC during some periods. This study demonstrated an estimation of PEC from 2539 polders in Lake Taihu Basin, and an identification of sensitive environmental factors affecting PEC. The investigation of polder P export in a watershed scale is helpful for water managers to learn the distribution of P sources, to identify key P sources, and thus to achieve best management practice in controlling P export from lowland areas.