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  • Firefighters exposure to fire emissions: Impact on levels of biomarkers of exposure to polycyclic aromatic hydrocarbons and genotoxic/oxidative-effects
    Publication . Oliveira, Marta; Costa, Solange; Vaz, Josiana; Fernandes, Adília; Slezakova, Klara; Delerue-Matos, Cristina; Teixeira, João Paulo; Carmo Pereira, Maria; Morais, Simone
    Firefighters represent one of the riskiest occupations, yet due to the logistic reasons, the respective exposure assessment is one of the most challenging. Thus, this work assessed the impact of firefighting activities on levels of urinary monohydroxyl-polycyclic aromatic hydrocarbons (OHPAHs; 1-hydroxynaphthalene, 1-hydroxyacenaphthene, 2-hydroxyfluorene, 1-hydroxyphenanthrene, 1-hydroxypyrene, 3-hydroxybenzo(a)pyrene) and genotoxic/oxidative-effect biomarkers (basal DNA and oxidative DNA damage) of firefighters from eight firehouses. Cardiac frequency, blood pressure and arterial oxygen saturation were also monitored. OHPAHs were determined by liquid-chromatography with fluorescence detection, while genotoxic/oxidative-effect biomarkers were assessed by the comet assay. Concentrations of total OHPAHs were up to 340% higher (p ≤ 0.05) in (non-smoking and smoking) exposed workers than in control subjects (non-smoking and non-exposed to combat activities); the highest increments were observed for 1-hydroxynaphthalene and 1-hydroxyacenaphthene (82–88% of ∑OHPAHs), and for 2-hydroxyfluorene (5–15%). Levels of biomarker for oxidative stress were increased in non-smoking exposed workers than in control group (316%; p ≤ 0.001); inconclusive results were found for DNA damage. Positive correlations were found between the cardiac frequency, ∑OHPAHs and the oxidative DNA damage of non-smoking (non-exposed and exposed) firefighters. Evidences were raised regarding the simultaneous use of these biomarkers for the surveillance of firefighters’ health and to better estimate the potential short-term health risks.
  • Polycyclic aromatic hydrocarbons (PAH) in Portuguese educational settings: a comparison between preschools and elementary schools
    Publication . Slezakova, Klara; Oliveira, Marta; Madureira, Joana; Fernandes, Eduardo de Oliveira; Delerue-Matos, Cristina; Morais, Simone; Pereira, Maria do Carmo
    The aim of this study was to determine levels and risks due to inhalation exposure to polycyclic aromatic hydrocarbons (PAH) in different educational settings, namely for 3- to 5- year-old and 6- to 10-year-old children. Eighteen PAH (16 priority designated by US Environmental Protection Agency (USEPA) and dibenzo[a,l]pyrene and benzo[j]fluoranthene) were simultaneously collected in indoor and outdoor air at two Portuguese preschools (PS1-PS2) and five elementary schools (ES1-ES5) from March to May 2014. Indoor concentrations at PS and ES were significantly different, with total levels (∑PAHs) 0.721-15.9 ng/m3 at PS1-PS2 and 5.03-23.6 ng/m3 at ES1-ES5. The corresponding outdoor concentrations were, respectively, 1.22-32.7 ng/m3 and 2.6-31.5 ng/m3. Polycyclic aromatic hydrocarbons with 2-3 aromatic rings were predominantly emitted by indoor sources, while compounds with 4-6 aromatic rings were mainly generated by infiltration of ambient PAH pollution to indoors. Excess lifetime risks of lung cancer exceeded the World Health Organization (WHO) designated guideline of 10-5 in both types of schools (15-42-fold at PS; 15-52-fold at ES). However, total (sum of indoor and outdoor exposure) incremental lifetime cancer risks (ILCR) were below the USEPA level of 10-6 at all studied institutions and thus considered negligible. Finally, ILCR due to indoor exposure represented 60-75% and 70-85% of the total ILCR at PS and ES, respectively, thus indicating the need for development and implementation of indoor air quality guidelines in educations settings.
  • Indoor air quality in preschools (3- to 5-year-old children) in the Northeast of Portugal during spring–summer season: pollutants and comfort parameters
    Publication . Oliveira, Marta; Slezakova, Klara; Delerue-Matos, Cristina; Pereira, Maria do Carmo; Morais, Simone
    Indoor air quality at schools (elementary, primary) has been the subject of many studies; however, there are still relative few data regarding preschool (3- to 5-year-old children) environments. This investigation determined the concentrations of particulate matter (PM)2.5, total volatile organic compounds (TVOC), formaldehyde, carbon monoxide (CO), and ozone (O3) as well as the levels of carbon dioxide (CO2), temperature, and relative humidity (RH) in the indoor and outdoor air of two preschools situated in different geographical regions of Portugal. The indoor concentrations of TVOC, CO, O3, and CO2 were predominantly higher at the end of school day compared to early morning periods. The TVOC and CO2 concentrations were higher indoors than outdoors suggesting predominantly an indoor origin. Outdoor air infiltrations were the major contributing source of CO and O3 to indoor air in both preschools. The concentrations of all pollutants were within the limits defined by national regulations and international organizations, except for TVOC that exceeded 8-12-fold higher than the recommendation of 0.2 mg/m3 proposed by European Commission. The levels of CO2 were below the protective guideline of 2250 mg/m3 (Portuguese legislation); however, the observed ranges exceeded the Portuguese margin of tolerance (2925 mg/m3) at the end of school days, indicating the impact of occupancy rates particularly at one of the preschools. Regarding comfort parameters, temperature exerted a significant influence on O3 concentrations, while RH values were significantly correlated with TVOC levels in indoor air of preschools, particularly during the late afternoon periods.
  • Indoor particulate pollution in fitness centres with emphasis on ultrafine particles
    Publication . Slezakova, Klara; Peixoto, Cátia; Oliveira, Marta; Delerue-Matos, Cristina; Pereira, Maria do Carmo; Morais, Simone
    Fitness centres (FC) represent a unique indoor microenvironment. Exercising on regular basis provides countless health benefits and improves overall well-being, but if these facilities have poor indoor air quality, the respective exercisers might be subjected to some adverse risks. Considering the limited existent data, this work aimed to evaluate particulate pollution (PM10, PM2.5, and ultrafine particles - UFP) in indoor air of FC and to estimate the respective risks for occupants (both staff and exercising subjects). Sampling was conducted during 40 consecutive days of May-June 2014 in general fitness areas, studios and classrooms (for group activities) of four different fitness centres (FC1-FC4) situated within Oporto metropolitan area, Portugal. The results showed that across the four FC, PM10 ranged between 5 and 1080 μg m-3 with median concentrations (15-43 μg m-3) fulfilling the limit (50 μg m-3) of Portuguese legislation in all FC. PM2.5 (medians 5-37 μg m-3; range 5-777 μg m-3) exceeded thresholds of 25 μg m-3 at some FC, indicating potential risks for the respective occupants; naturally ventilated FC exhibited significantly higher PM ranges (p < 0.05). Similarly, UFPs (range 0.5-88.6 × 103 # cm-3) median concentrations were higher (2-3 times) at FC without controlled ventilation systems. UFP were approximately twice higher (p < 0.05) during the occupied periods (mean of 9.7 × 103vs. 4.8 × 103 # cm-3) with larger temporal variations of UFP levels observed in general fitness areas than in classrooms and studios. Cardio activities (conducted in studios and classrooms) led to approximately twice the UFPs intakes than other types of exercising. These results indicate that even short-term physical activity (or more specifically its intensity) might strongly influence the daily inhalation dose. Finally, women exhibited 1.2 times higher UFPs intake than men thus suggesting the need for future gender-specific studies assessing UFP exposure.
  • Children environmental exposure to particulate matter and polycyclic aromatic hydrocarbons and biomonitoring in school environments: A review on indoor and outdoor exposure levels, major sources and health impacts
    Publication . Oliveira, Marta; Slezakova, Klara; Delerue-Matos, Cristina; Pereira, Maria Carmo; Morais, Simone
    Children, an important vulnerable group, spend most of their time at schools (up to 10 h per day, mostly indoors) and the respective air quality may significantly impact on children health. Thus, this work reviews the published studies on children biomonitoring and environmental exposure to particulate matter (PM) and polycyclic aromatic hydrocarbons (PAHs) at school microenvironments (indoors and outdoors), major sources and potential health risks. A total of 28, 35, and 31% of the studies reported levels that exceeded the international outdoor ambient air guidelines for PM10, PM2.5, and benzo(a)pyrene, respectively. Indoor and outdoor concentrations of PM10 at European schools, the most characterized continent, ranged between 7.5 and 229 μg/m3 and 21-166 μg/m3, respectively; levels of PM2.5 varied between 4 and 100 μg/m3 indoors and 6.1-115 μg/m3 outdoors. Despite scarce information in some geographical regions (America, Oceania and Africa), the collected data clearly show that Asian children are exposed to the highest concentrations of PM and PAHs at school environments, which were associated with increased carcinogenic risks and with the highest values of urinary total monohydroxyl PAH metabolites (PAH biomarkers of exposure). Additionally, children attending schools in polluted urban and industrial areas are exposed to higher levels of PM and PAHs with increased concentrations of urinary PAH metabolites in comparison with children from rural areas. Strong evidences demonstrated associations between environmental exposure to PM and PAHs with several health outcomes, including increased risk of asthma, pulmonary infections, skin diseases, and allergies. Nevertheless, there is a scientific gap on studies that include the characterization of PM fine fraction and the levels of PAHs in the total air (particulate and gas phases) of indoor and outdoor air of school environments and the associated risks for the health of children. There is a clear need to improve indoor air quality in schools and to establish international guidelines for exposure limits in these environments.
  • Occupational exposure of firefighters to polycyclic aromatic hydrocarbons in non-fire work environments
    Publication . Oliveira, Marta; Slezakova, Klara; Fernandes, Adília; Teixeira, João Paulo; Delerue-Matos, Cristina; Pereira, Maria do Carmo; Morais, Simone
    This work aims to characterize personal exposure of firefighters to polycyclic aromatic hydrocarbons (PAHs) in non-fire work environments (fire stations), and assesses the respective risks. Eighteen PAHs (16 considered by USEPA as priority pollutants, dibenzo[a,l]pyrene and benzo[j]fluoranthene) were monitored in breathing zones of workers at five Portuguese fire stations during a normal shift. The obtained levels of PAHs fulfilled all existent occupational exposure limits as well as air quality guidelines with total concentrations (ΣPAHs) in range of 46.8-155ngm-3. Light compounds (2-3 rings) were the most predominant congeners (74-96% of ΣPAHs) whereas PAHs with 5-6 rings accounted 3-9% of ΣPAHs. Fuel and biomass combustions, vehicular traffic emissions, and use of lubricant oils were identified as the main sources of PAHs exposure at the studied fire corporations. Incremental lifetime cancer risks were below the recommend USEPA guideline of 10-6 and thus negligible for all the studied subjects, but WHO health-based guideline level of 10-5 was exceeded (9-44 times) at all fire corporations. These results thus show that even during non-fire situations firefighters are exposed to PAHs at levels that may promote some adverse health outcomes; therefore the respective occupational exposures to these compounds should be carefully controlled.
  • Indoor air quality in health clubs: Impact of occupancy and type of performed activities on exposure levels
    Publication . Slezakova, Klara; Peixoto, Cátia; Pereira, Maria do Carmo; Morais, Simone
    Associations between indoor air quality (IAQ) and health in sport practise environments are not well understood due to limited knowledge of magnitude of inhaled pollutants. Thus, this study assessed IAQ in four health clubs (HC1-HC4) and estimated inhaled doses during different types of activities. Gaseous (TVOCs, CO, O3, CO2) and particulate pollutants (PM1, PM4) were continuously collected during 40 days. IAQ was influenced both by human occupancy and the intensity of the performed exercises. Levels of all pollutants were higher when clubs were occupied (p < 0.05) than for vacant periods, with higher medians in main workout areas rather than in spaces/studios for group activities. In all spaces, TVOCs highly exceeded legislative limit (600 μg/m3), even when unoccupied, indicating possible risks for the respective occupants. CO2 levels were well correlated with relative humidity (rs 0.534-0.625) and occupancy due to human exhalation and perspiration during exercising. Clubs with natural ventilations exhibited twice higher PM, with PM1 accounting for 93-96% of PM4; both PM were highly correlated (rs 0.936-0.995) and originated from the same sources. Finally, cardio classes resulted in higher inhalation doses than other types of exercising (1.7-2.6).
  • Polycyclic aromatic hydrocarbons at fire stations: firefighters’ exposure monitoring and biomonitoring, and assessment of the contribution to total internal dose
    Publication . Oliveira, Marta; Slezakova, Klara; Alves, Maria José; Fernandes, Adília; Teixeira, João Paulo; Delerue-Matos, Cristina; Pereira, Maria Do Carmo; Morais, Simone
    This work characterizes levels of eighteen polycyclic aromatic hydrocarbons (PAHs) in the breathing air zone of firefighters during their regular work shift at eight Portuguese fire stations, and the firefighters' total internal dose by six urinary monohydroxyl metabolites (OH-PAHs). Total PAHs (ΣPAHs) concentrations varied widely (46.4-428ng/m3), mainly due to site specificity (urban/rural) and characteristics (age and layout) of buildings. Airborne PAHs with 2-3 rings were the most abundant (63.9-95.7% ΣPAHs). Similarly, urinary 1-hydroxynaphthalene and 1-hydroxyacenaphthene were the predominant metabolites (66-96% ΣOH-PAHs). Naphthalene contributed the most to carcinogenic ΣPAHs (39.4-78.1%) in majority of firehouses; benzo[a]pyrene, the marker of carcinogenic PAHs, accounted with 1.5-10%. Statistically positive significant correlations (r≥0.733, p≤0.025) were observed between ΣPAHs and urinary ΣOH-PAHs for firefighters of four fire stations suggesting that, at these sites, indoor air was their major exposure source of PAHs. Firefighter's personal exposure to PAHs at Portuguese fire stations were well below the existent occupational exposure limits. Also, the quantified concentrations of post-shift urinary 1-hydroxypyrene in all firefighters were clearly lower than the benchmark level (0.5μmol/mol) recommended by the American Conference of Governmental Industrial Hygienists.
  • Individual and cumulative impacts of fire emissions and tobacco consumption on wildland firefighters’ total exposure to polycyclic aromatic hydrocarbons
    Publication . Oliveira, Marta; Slezakova, Klara; Magalhães, Carlos Pires; Fernandes, Adília; Teixeira, João Paulo; Delerue-Matos, Cristina; Pereira, Maria do Carmo; Morais, Simone
    There is limited information about wildland firefighters' exposure to polycyclic aromatic hydrocarbons (PAHs), being scarce studies that included the impact of tobacco consumption. Thus, this work evaluated the individual and cumulative impacts of firefighting activities and smoking on wildland firefighters' total exposure to PAHs. Six urinary PAH metabolites (1-hydroxynaphthalene (1OHNaph), 1-hydroxyacenaphthene (1OHAce), 2-hydroxyfluorene (2OHFlu), 1-hydroxyphenanthrene (1OHPhen), 1-hydroxypyrene (1OHPy), and 3-hydroxybenzo[a]pyrene (3OHB[a]P)) were quantified by high-performance liquid chromatography with fluorescence detection. Firefighters from three fire stations were characterized and organized in three groups: non-smoking and non-exposed to fire emissions (NSNExp), smoking non-exposed (SNExp), and smoking exposed (SExp) individuals. 1OHNaph+1OHAce were the most predominant OH-PAHs (66-91% ∑OH-PAHs), followed by 2OHFlu (2.8-28%), 1OHPhen (1.3-7%), and 1OHPy (1.4-6%). 3OHB[a]P, the carcinogenicity PAH biomarker, was not detected. Regular consumption of tobacco increased 76-412% ∑OH-PAHs. Fire combat activities promoted significant increments of 158-551% ∑OH-PAHs. 2OHFlu was the most affected compound by firefighting activities (111-1068%), while 1OHNaph+1OHAce presented the more pronounced increments due to tobacco consumption (22-339%); 1OHPhen (76-176%) and 1OHPy (20-220%) were the least influenced ones. OH-PAH levels of SExp firefighters were significantly higher than in other groups, suggesting that these subjects may be more vulnerable to develop and/or aggravate diseases related with PAHs exposure.