Indoor air pollutants affect children’s health and previous research mostly focuses on respiratory and allergic diseases. However, little is known about the risks among school children in East Malaysia. Therefore, we studied associations between school children’s respiratory and allergic symptoms and indoor air pollutants in schools in Sabah, Malaysia. We randomly enrolled 332 school children (14 years old) from 24 classrooms in 6 secondary schools in Kota Kinabalu, Sabah. Information on personal characteristics, respiratory and allergic symptoms were gathered by using a standard questionnaire. The skin prick test was used to characterize the atopy. In each classroom, the indoor concentrations of particulate matter (PM10 and PM2.5), nitrogen dioxide (NO2), formaldehyde, total volatile organic compounds (TVOC), carbon dioxide (CO2) temperature and relative humidity were monitored. Overall, 11.7% reported doctor-diagnosed asthma, 14.8% wheezing, 17.5% day-time breathlessness, 37.0% breathlessness after exercise, 13.0% breathlessness at night-time, 55.1% rhinitis and 10.8% skin allergic in the last 12 months. Regression analysis showed that the onset of wheezing was common in doctor-diagnosed asthma (OR= 8.29, 95% CI= 3.70-16.10) and with parental asthma/allergy (OR= 2.13, 95% CI= 1.10-4.15), and associated with concentrations of NO2 (OR= 1.03, 95% CI= 1.01-1.21) and CO2 (OR= 1.01, 95% CI= 1.01-1.11). Day-time breathlessness was associated with indoor NO2 (OR=1.02, 95% CI= 1.02-1.35) and TVOC (OR= 1.30, 95% CI= 1.10-1.52). The indoor concentrations of NO2, CO2, TVOC and PM2.5 as well as parental asthma/allergy, and parental smoking were associated with the outcome of respiratory and allergic symptoms.

Air pollution damages children’s health in many different ways, through both chronic and acute effects. The aims of our research are to reveal the indoor air quality levels in schools. Subject and indoor air measurements were performed in 34 primary schools located in the Central Anatolia region. PM10, PM2.5, CO2, CO, CH2O, relative humidity, temperature, and total bacteria and fungus levels were measured. In the urban region, mean PM1 was higher than the other regions(p=0.029). PM10 and PM2.5 were higher in schools in rural areas. According to CO2 measurements, only one school was identified to be below the upper limit recommended by the WHO. Total microorganism concentration was exceeded in 44.1% of classrooms. Indoor PM1, PM2.5, PM10, CO2, total bacteria and fungus levels were high and above recommended limits. Human activities, movements of students could be considered the most important indoor factors for particle matter increase. Indoor parameters could be lowered by organizing the school environment.

peer reviewed | Recently, the World Health Organization’s International Association for Research on Cancer classified outdoor air pollution as carcinogenic to humans and puts air pollution in the same category as tobacco smoke, UV radiation, and plutonium. The ambient air is polluted by emissions from motor vehicles, industrial processes, power generation, household combustion of solid fuel, and other sources. Dust storms lead to particulate levels that exceed internationally recommended levels, especially near the Sahara. However, this source of air pollution appears to be under-studied, particularly in the literature devoted to human health impacts in West Africa. More than 50 % of the total dust emitted into the atmosphere comes from the Sahara. These aerosols contribute to increase the concentrations of particles smaller than 10 μm (PM10), which are breathable particles. This study is the first designed to assess the real impact of Saharan dust on air quality and respiratory health of children in a region of West Africa. Dust events having affected the Northern Benin during the dry seasons between 2003 and 2007 were determined. The analyzed health data are the monthly rates of acute lower respiratory infections (ALRI). Over the entire study period, 61 days of dust events were observed in the region. They recorded on average a daily PM10 concentration of 1017 μg m−3, more than 18 times higher than that calculated on all days without dust events. The study also highlighted a mean increase of 12.5 % of ALRI rates during the months recording dust events. The use of daily health data should help to refine these initial results in the future.

PR | IFPRI3; ISI; DCA; 1 Fostering Climate-Resilient and Sustainable Food Supply; 2 Promoting Healthy Diets and Nutrition for all; G Cross-cutting gender theme | DSGD

International audience | Green spaces may have beneficial impacts on children's cognition. However, few studies explored the exposure to green spaces beyond residential areas, and their availability, accessibility and uses at the same time. The aim of the present study was to describe patterns of availability, accessibility, and uses of green spaces among primary school children and to explore how these exposure dimensions are associated with cognitive development. Exposures to green space near home, school, commuting route, and other daily activity locations were assessed for 1607 children aged 6-11 years from six birth cohorts across Europe, and included variables related to: availability (NDVI buffers: 100, 300, 500 m), potential accessibility (proximity to a major green space: linear distance; within 300 m), and use (play time in green spaces: hours/year), and the number of visits to green spaces (times/previous week). Cognition measured as fluid intelligence, inattention, and working memory was assessed by computerized tests. We performed multiple linear regression analyses on pooled and imputed data adjusted for individual and area-level confounders. Availability, accessibility, and uses of green spaces showed a social gradient that was unfavorable in more vulnerable socioeconomic groups. NDVI was associated with more playing time in green spaces, but proximity to a major green space was not. Associations between green space exposures and cognitive function outcomes were not statistically significant in our overall study population. Stratification by socioeconomic variables showed that living within 300 m of a major green space was associated with improved working memory only in children in less deprived residential areas (β = 0.30, CI: 0.09,0.51), and that more time playing in green spaces was associated with better working memory only in children of highly educated mothers (β per IQR increase in hour/year = 0.10; 95% CI: 0.01, 0.19). However, studying within 300 m of a major green space increased inattention scores in children in more deprived areas (β = 15.45, 95% CI: 3.50, 27.40).

In industrialized nations, human lead exposure has decreased significantly in recent decades. Nevertheless, due to its toxic effects, this heavy metal remains a public health concern with children and adolescents being particularly at risk. In Europe nowadays, oral intake via food and drinking water is the predominant exposure pathway for lead. The objective of the present study was to investigate the association between dietary factors and blood lead (PbB) level of 3- to 17-year-old children and adolescents living in Germany, using data from the fifth German Environmental Health Survey (GerES V) and the Child and Adolescent Health Survey (KiGGS Wave 2). GerES V and KiGGS Wave 2 are two national population-representative studies conducted between 2014 and 2017, including measurement of lead concentrations in blood from 720 children and adolescents aged 3–17 years (mean age = 10.21, SD age = 4.36). Using multiple linear regression, sociodemographic and environmental characteristics as well as dietary factors could be identified as significant exposure determinants of PbB concentrations. Lead intake via domestic tap water was the strongest predictor of elevated PbB levels with 27.6% (p-value< .001) higher concentrations of highest compared to none lead intake via tap water. Other foods which were found to be relevant to PbB levels were meat, fruit, and fruit juice. While meat or fruit consumption were each associated with about 13% (p-value < .05) lower PbB levels, fruit juice drinking was associated with up to 12.2% (p-value = .04) higher PbB levels. In conclusion, results indicate the importance of dietary habits for lead exposure in children and adolescents. To protect vulnerable groups, it is recommended that future research and lead-reducing measures pay more attention to dietary links.

Dust is regarded as an important pathway of heavy metal(loid)s to the human body. Health risks posed by metal(loid)s from household dust are of particular concern. However, the contamination and sources of heavy metal(loid)s in household dust environments, as well as source identification of health risks related to heavy metal(loid)s from household dust for vulnerable populations such as children, have not been thoroughly studied in China, particularly for the areas involved with industrial activities such as ore mining. Thus, a cross-sectional study was conducted in a rural area famous for Pb/Zn ore mining, to assess the pollution sources and health risks of heavy metal(loid)s from household indoor and outdoor dust and to identify the contribution of household dust to the health risks for children. The results indicated that household environment was heavily contaminated by metal(loid)s, which were mainly attributed to mining activity. Meanwhile, the indoor/outdoor ratio and the redundancy analysis indicated that there were other pollution sources in indoor environments such as coal combustion, materials for interior building and decoration. Vapor inhalation was the main exposure pathway for Hg, while ingestion was the predominant pathway for other metal(loid)s. Although the cancer risks were relatively low, the HIt from household indoor and outdoor dust (2.19) was about twice the acceptable limit (1) and was primarily from Pb (64.52%) and As (23.42%). Outdoor dust was a larger contributor to the HI of Sb, As, Cr, Cd, Zn and Pb, which accounted for 51.37%, 58.63%, 52.14%, 59.66%, 52.87% and 64.47%, respectively, and the HIt was mainly from outdoor dust (60.76%). These results indicated that non-cancer health risks were largely from outdoor dust exposure, and strengthened the notion that concern should be given to the potential health risks from metal(loid)s in household dust both originating from mining activity and indoor environmental sources.

Non-invasive human biomonitoring methods using hair and fingernails as matrices are widely used to assess the exposure of organic contaminants. In this work, a total of 72 human fingernails were collected from workers and near-by residents from a typical electronic waste (e-waste) dismantling site, and were analyzed for human exposure to polycyclic aromatic hydrocarbons (PAHs) and their mono-hydroxyl metabolites (OH-PAHs). The concentrations of PAHs and OH-PAHs were obtained as 7.97–551 and 39.5–3280 ng/g for e-waste workers (EW workers), 7.05–431 and 27.3–3320 ng/g for non-EW workers, 7.93–289 and 124–779 ng/g for adult residents, and 8.88–1280 and 181–293 ng/g for child residents, respectively. The composition profiles of PAHs in the human fingernails of the four groups were similar, with isomers of Phe, Pyr and Fluo being the predominated congeners, while 2-OH-Nap accounted for more than 70% of the total OH-PAHs. These contaminants were found most in the fingernails of EW workers, followed by non-EW workers, adult residents, and child residents, indicating e-waste dismantling activities are the major sources of PAH exposure. However, significantly higher levels of PAHs with 4–6 rings were observed only in workers as opposed to the residents, and a significant correlation between 3-OH-Flu (p < 0.05) and 2-OH-Phe (p < 0.01) in the fingernails and urine was observed, but no significant correlation was found between the concentration of OH-PAHs in matched hair and fingernail samples. In addition, the levels of PAHs in fingernails increased with the age of EW workers. This is the first study to explore the accumulation and distribution of PAHs and OH-PAHs in human fingernails, which would provide valuable insight into non-invasive biomonitoring and health risk assessment of PAHs.

Fabric and foam samples from popular children car seats marketed in the United States during 2018 were tested for fluorine content by particle-included gamma ray emission spectroscopy (PIGE, n = 93) and X-ray photoelectron spectroscopy (XPS, n = 36), as well as for per- and polyfluoroalkyl substances (PFAS) by liquid and gas chromatography mass spectrometry (LC/MS and GC/MS, n = 36). PFAS were detected in 97% of the car seat samples analyzed with MS, with total concentrations of 43 PFAS (∑PFAS) up to 268 ng/g. Fabric samples generally had greater ∑PFAS levels than foam and laminated composites of foam and fabric. The three fabric samples with the highest total fluorine content as represented by the highest PIGE signal were also subjected to ultraviolet (UV) irradiation and the total oxidizable precursor (TOP) assay. Results from these treatments, as well as the much higher organofluorine levels measured by PIGE compared to LC/MS and GC/MS, suggested the presence of side-chain fluorotelomer-based polymers (FTPs), which have the potential to readily degrade into perfluoroalkyl acids (PFAAs) under UV light. Furthermore, fluorotelomer (meth)acrylates were found to be indicators for the presence of (meth)acrylate-linked FTPs in consumer products, and thus confirmed that at least half of the tested car seats had FTP-treated fabrics. Finally, extraction of selected samples with synthetic sweat showed that ionic PFAS, particularly those with fluorinated carbons ≤8, can migrate from fabric to sweat, suggesting a potential dermal route of exposure.