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Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

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Page 1: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Airport Air Quality:Health Effects

Michael T. Kleinman

University of California, Irvine

Page 2: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

BackgroundAirport pollution sources consist of aircraft

and on-ground off-road airport equipment.Airports rank among the top 10 industrial air

pollution sources in their cities.Emissions from airports include fine particles,

hydrocarbons, nitrogen oxides, carbon dioxide, and carbon monoxide.

On-road vehicle traffic (automobiles and trucks) also contribute to community exposures.

Page 3: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

BackgroundOne 747 arriving and departing from an

airport emits about the same amount of particles as a car driven over 5,600 miles.

It emits about the amount of nitrogen oxides as a car driven nearly 26,500 miles.

Aircraft pollution accounts for about 1.4% of all air pollution from mobile sources (EPA).

Aircraft account for up to 4% of global warming gases (carbon dioxide and nitrogen oxide).

Page 4: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Pollutant Health Issues: Hydrocarbons

Toxic air contaminants Benzene Solvents Aldehydes 1,3 butadiene

Contribution to formation of Ozone

Page 5: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Health and Welfare Effects of Toxic Air Pollutants

Effect Quantified Unquantified Other

Human Health Cancer Mortality Non-cancer Effects Neurological Respiratory Reproductive Immunological Reproductive and

developmentalHuman Welfare Decreased income

because of decreasedphysical performance

Decreased recreationopportunities

Ecological Effects on wildlife Effects on plants Loss of biodiversity

GlobalClimate

Other Welfare Visibility Materials Damage

Page 6: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Pollutant Health Issues: Nitrogen Oxides

Emitted by all combustion sources.Human Health Effects

Respiratory Illness and Increased Susceptibility to infections.

Increased airway responsiveness. Decreased pulmonary function. Immunological changes.

Page 7: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Pollutant Health Issues: Carbon Monoxide

Product of incomplete combustion.Human Health Effects

Hospital Admissions (Congestive heart failure) Decreased time to onset of angina. Increased susceptibility to abnormal heartbeats. Possible developmental effects.

Page 8: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Pollutant Health Issues: Particulate Matter

Airport-related particles contain toxic constituents and are of a size that can readily penetrate to the deep lung.

Airport-related particles can remain airborne for long periods of time and therefore can exert effects over large geographical distances.

Page 9: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

2/28/2001

Low Levels of Particles AlterVisibility

Page 10: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

2/28/2001

Particles Vary in Size and Shape

Page 11: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

2/28/2001

Acute and Chronic Effects of PM

• Mortality

• Bronchitis

• Hospital admissions - Chronic respiratorydiseases

• Respiratory other than chronic bronchitis

• Cardiovascular Effects

• Emergency room visits for asthma

• Altered host defense mechanisms

• Lower respiratory illness

• Cancer

• Upper respiratory illness

• Shortness of breath

• Respiratory symptoms

Page 12: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Understanding Particle-InducedHealth Effects Begins With

Understanding the Lung• The human lung is a

complex, branchingstructure.

• The structure is alsocomplex at the cellularlevel .

• This complexityresults in differentialsensitivity to particles.

Page 13: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

2/28/2001

Particle Size Influences Deposition

Page 14: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

2/28/2001

Airways are Complex Structures

Page 15: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

2/28/2001

Soluble Particles Clear Quickly ButInsoluble Particles Are Retained For

Long Periods

Page 16: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

2/28/2001

Sensitive Human Populations

• Asthma

• COPD

• Cardiac Patients

• Elderly

Page 17: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Exposure Can Lead to Effects

• Particles can bedelivery vehicles fortoxic compounds.– Constituent

– Adsorbed

• Compounds can haveeffects in lungs, butcan also actsystemically.

Page 18: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Role of TNF in Particle-Induced Responses

Page 19: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Evidence of Oxidative Stressin Lungs of Rats

A B•Terminal bronchiolesstained fornitrotyrosine

•Note intensestaining associatedwith inflammatorycells in Panel B.

•Note unstainedalveolar epithelium incontrol (Panel A).

Page 20: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Particles Don’t Just Affect the Lung

Conducting airways and gas exchange region of thelung can be injured by inhaled particles.

Inhaled particles can also cause allergies

Particle dose is increased by exercise.

100% of circulating blood passes through the lung.

Thus, toxic components delivered by inhaled particles canhave effects on other organs.

Page 21: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Hemodynamic Changes After ParticleExposures

Control < 0.2 0.7 1.8-15

-14

-13

-12

-11

-10

-9

-8

-7

-6

-5

-4

-3

-2

-1

0

1

2

3

4

5

Page 22: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Particle Size DeterminesDeposition Fractions and Sites

• Thoracic depositioncan be estimated usingappropriate modelsafter correcting fornasal deposition.

• Of the aerosol thatpenetrates through theURT, most deposit inthe gas exchangeregion.

0.1 1 10

Par ticle Size (æm)

0.00

0.06

0.12

0.18

0.24

0.30

% D

epos

ited

Figure 2. Estimated Regional Particle Deposition in the Rat

Total

Bronchial

Pulmonary

Page 23: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Particle Mass and Actual DoseMay be Important

• We can estimatedeposition fractionsusing models.

• We can estimateventilation fromobservations or scalingmodels.

• We can calculate adeposited dose.

0 5 10 15 20 25

Particle Mass (µg Deposited in Rat Pulmonary Region)

-10

-9

-8

-7

-6

-5

-4

-3

-2

-1

0

Syst

olic

Pres

sure

(% C

hang

e Fr

om C

ontro

l)

Figure 3. Change in Blood Pressureas a Function of Deposited Particle Mass

Page 24: Airport Air Quality: Health Effects Michael T. Kleinman University of California, Irvine

Conclusions• “The dose makes the poison” - Paracelsus• Particle size is an important parameter for

understanding health effects.

• Particle size clearly influences dose.

• Particles of the size that are emitted by airport-relatedsources are those that most likely associated withprovoking health effects in humans.