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Timothy Larson

Publications and source records attributed to Timothy Larson.

12 recordsLinked to original sources

Effects of subchronic and chronic exposure to ambient air pollutants on infant bronchiolitis.

Ambient air pollutant exposure has been linked to childhood respiratory disease, but infants have received little study. The authors tested the hypotheses that subchronic and chronic exposure to fine particulate matter (particulate matter < or = 2.5 microm in aerodynamic diameter (PM2.5)), nitrogen dioxide, carbon monoxide, and ozone increases risk of severe infant bronchiolitis requiring hospitalization. Study subjects were derived from linked birth-hospital-discharge records of infants born in 1995-2000 in the South Coast Air Basin of California. Cases with a hospital discharge for bronchiolitis in infancy were matched to 10 age- and gestational-age-matched controls. Exposures in the month prior to hospitalization (subchronic) and mean lifetime exposure (chronic) referenced to the case diagnosis date were assessed on the basis of data derived from the California Air Resources Board. In conditional logistic regression, only subchronic and chronic PM2.5 exposures were associated with increased risk of bronchiolitis hospitalization after adjustment for confounders (per 10-microg/m3 increase, adjusted odds ratio = 1.09 (95% confidence interval: 1.04, 1.14) for both). Ozone was associated with reduced risk in the single-pollutant model, but this relation did not persist in multipollutant models including PM2.5. These unique US data suggest that infant bronchiolitis may be added to the list of adverse effects of PM2.5 exposure.

Air Pollutants↗

Evaluation of the recursive model approach for estimating particulate matter infiltration efficiencies using continuous light scattering data.

Quantifying particulate matter (PM) infiltration efficiencies (F(inf)) in individual homes is an important part of PM exposure assessment because individuals spend the majority of time indoors. While F(inf) of fine PM has most commonly been estimated using tracer species such as sulfur, here we evaluate an alternative that does not require particle collection, weighing and compositional analysis, and can be applied in situations with indoor sources of sulfur, such as environmental tobacco smoke, gas pilot lights, and humidifier use. This alternative method involves applying a recursive mass balance model (recursive model, RM) to continuous indoor and outdoor concentration measurements (e.g., light scattering data from nephelometers). We show that the RM can reliably estimate F(inf), a crucial parameter for determining exposure to particles of outdoor origin. The RM F(inf) estimates showed good agreement with the conventional filter-based sulfur tracer approach. Our simulation results suggest that the RM F(inf) estimates are minimally impacted by measurement error. In addition, the average light scattering response per unit mass concentration was greater indoors than outdoors; after correcting for differences in light scattering response the median deviation from sulfur F(inf) was reduced from 15 to 11%. Thus, we have verified the RM applied to light scattering data. We show that the RM method is unable to provide satisfactory estimates of the individual components of F(inf) (penetration efficiency, air exchange rate, and deposition rate). However, this approach may allow F(inf) to be estimated in more residences, including those with indoor sources of sulfur. We show that individual homes vary in their infiltration efficiencies, thereby contributing to exposure misclassification in epidemiological studies that assign exposures using ambient monitoring data. This variation across homes indicates the need for home-specific estimation methods, such as the RM or sulfur tracer, instead of techniques that give average estimates of infiltration across homes.

Air Pollution↗

Effects of select PM-associated metals on alveolar macrophage phosphorylated ERK1 and -2 and iNOS expression during ongoing alteration in iron homeostasis.

It was hypothesized that relative mass relationships among select constituent metals and iron (Fe3+) govern the pulmonary immunotoxic potential of any PM(2.5) sample, as these determine the extent to which Fe3+ binding by transferrin is affected (resulting in altered alveolar macrophage [AM] Fe status and subsequent antibacterial function). Iron response protein (IRP) binding activity is a useful indirect measurement of changes in Fe status, as reductions in cell Fe levels lead to increases in IRP binding. However, AM IRP activity can be affected by an increased presence of nitric oxide generated by inducible nitric oxide synthase (iNOS). This study sought to determine if any changes in AM IRP activity induced by PM(2.5) constituents V, Mn, or Al were independent from effects of the metals on cell NO formation. NR8383 rat AM were exposed to Fe3+ alone or combined with V, Mn, or Al at metal:Fe ratios representative of those in PM(2.5) collected in New York City, Los Angeles, and Seattle during fall 2001. Cells were then assessed for changes in IRP activity and iNOS expression. Phosphorylated extracellular signal-regulated kinase (ERK) 1 and 2 levels were also measured since activated ERKs are involved in signaling pathways that lead to increased iNOS expression. The results indicate that V and Al, and to a lesser extent Mn, altered IRP activity, though the effects were not consistently concentration dependent. Furthermore, while V and Mn treatments did not induce iNOS expression, Al did. These results confirmed our hypothesis that certain metals associated with PM(2.5) might alter the pulmonary immunocompetence of exposed hosts by affecting the Fe status of AM, a major class of deep lung defense cells.

Air Pollutants↗

A case-crossover study of wintertime ambient air pollution and infant bronchiolitis.

UNLABELLED: We examined the association of infant bronchiolitis with acute exposure to ambient air pollutants. DESIGN: We employed a time-stratified case-crossover method and based the exposure windows on a priori, biologically based hypotheses. PARTICIPANTS: We evaluated effects in 19,901 infants in the South Coast Air Basin of California in 1995-2000 with a hospital discharge record for bronchiolitis in the first year of life (International Classification of Diseases, 9th Revision, CM466.1). EVALUATIONS/MEASUREMENTS: Study subjects' ZIP code was linked to ambient air pollution monitors to derive exposures. We estimated the risk of bronchiolitis hospitalization associated with increases in wintertime ambient air pollutants using conditional logistic regression. RESULTS: We observed no increased risk after acute exposure to particulate matter < or = 2.5 microm in aerodynamic diameter (PM2.5), carbon monoxide, or nitrogen dioxide. PM2.5 exposure models suggested a 26-41% increased risk in the most premature infants born at gestational ages between 25 and 29 weeks; however, these findings were based on very small numbers. CONCLUSIONS: We found little support for a link between acute increases in ambient air pollution and infant bronchiolitis except modestly increased risk for PM2.5 exposure among infants born very prematurely. In these infants, the periods of viral acquisition and incubation concurred with the time of increased risk. RELEVANCE TO PROFESSIONAL PRACTICE: We present novel data for the infant period and the key respiratory disease of infancy, bronchiolitis. Incompletely explained trends in rising bronchiolitis hospitalization rates and increasing number of infants born prematurely underscore the importance of evaluating the impact of ambient air pollution in this age group in other populations and studies.

Air Pollutants↗

Pulmonary effects of indoor- and outdoor-generated particles in children with asthma.

Most particulate matter (PM) health effects studies use outdoor (ambient) PM as a surrogate for personal exposure. However, people spend most of their time indoors exposed to a combination of indoor-generated particles and ambient particles that have infiltrated. Thus, it is important to investigate the differential health effects of indoor- and ambient-generated particles. We combined our recently adapted recursive model and a predictive model for estimating infiltration efficiency to separate personal exposure (E) to PM2.5 (PM with aerodynamic diameter < or = 2.5 microm) into its indoor-generated (Eig) and ambient-generated (Eag) components for 19 children with asthma. We then compared Eig and Eag to changes in exhaled nitric oxide (eNO), a marker of airway inflammation. Based on the recursive model with a sample size of eight children, Eag was marginally associated with increases in eNO [5.6 ppb per 10-microg/m3 increase in PM2.5; 95% confidence interval (CI), -0.6 to 11.9; p = 0.08]. Eig was not associated with eNO (-0.19 ppb change per 10 microg/m3). Our predictive model allowed us to estimate Eag and Eig for all 19 children. For those combined estimates, only Eag was significantly associated with an increase in eNO (Eag: 5.0 ppb per 10-microg/m3 increase in PM2.5; 95% CI, 0.3 to 9.7; p = 0.04; Eig: 3.3 ppb per 10-microg/m3 increase in PM2.5; 95% CI, -1.1 to 7.7; p = 0.15). Effects were seen only in children who were not using corticosteroid therapy. We conclude that the ambient-generated component of PM2.5 exposure is consistently associated with increases in eNO and the indoor-generated component is less strongly associated with eNO.

Adolescent↗

Source apportionment of indoor, outdoor, and personal PM2.5 in Seattle, Washington, using positive matrix factorization.

As part of a large exposure assessment and health-effects panel study, 33 trace elements and light-absorbing carbon were measured on 24-hr fixed-site filter samples for particulate matter with an aerodynamic diameter <2.5 microm (PM2.5) collected between September 26, 2000, and May 25, 2001, at a central outdoor site, immediately outside each subject's residence, inside each residence, and on each subject (personal sample). Both two-way (PMF2) and three-way (PMF3) positive matrix factorization were used to deduce the sources contributing to PM2.5. Five sources contributing to the indoor and outdoor samples were identified: vegetative burning, mobile emissions, secondary sulfate, a source rich in chlorine, and a source of crustal-derived material. Vegetative burning contributed more PM2.5 mass on average than any other source in all microenvironments, with average values estimated by PMF2 and PMF3, respectively, of 7.6 and 8.7 microg/m3 for the outdoor samples, 4 and 5.3 microg/m3 for the indoor samples, and 3.8 and 3.4 microg/m3 for the personal samples. Personal exposure to the combustion-related particles was correlated with outdoor sources, whereas exposure to the crustal and chlorine-rich particles was not. Personal exposures to crustal sources were strongly associated with personal activities, especially time spent at school among the child subjects.

Air Pollutants↗

Estimated hourly personal exposures to ambient and nonambient particulate matter among sensitive populations in Seattle, Washington.

Epidemiological studies of particulate matter (PM) routinely use concentrations measured with stationary outdoor monitors as surrogates for personal exposure. Despite the frequently reported poor correlations between ambient concentrations and total personal exposure, the epidemiologic associations between ambient concentrations and health effects depend on the correlation between ambient concentrations and personal exposure to ambient-generated PM. This paper separates personal PM exposure into ambient and nonambient components and estimates the outdoor contribution to personal PM exposures with continuous light scattering data collected from 38 subjects in Seattle, WA. Across all subjects, the average exposure encountered indoors at home was lower than in all other microenvironments. Cooking and being at school were associated with elevated levels of exposure. Previously published estimates of particle infiltration (Finf) were combined with time-location data to estimate an ambient contribution fraction (alpha, mean = 0.66+/-0.21) for each subject. The mean alpha was significantly lower for subjects monitored during the heating season (0.55+/-0.16) than for those monitored during the nonheating season (0.80+/-0.17). Our modeled alpha estimates agreed well with those estimated with the sulfur-tracer method (slope = 1.08; R2 = 0.67). We modeled exposure to ambient and nonambient PM with both continuous light scattering and 24-hr gravimetric data and found good agreement between the two methods. On average, ambient particles accounted for 48% of total personal exposure (range = 21-80%). The personal activity exposure was highly influenced by time spent away from monitored microenvironments. The median hourly longitudinal correlation between central site concentrations and personal exposures was 0.30. Although both alpha and the nonambient sources influence the personal-central relationship, the latter seems to dominate. Thus, total personal exposure may be poorly predicted by stationary outdoor monitors, particularly among persons whose PM exposure is dominated by nonambient exposures, for example, those living in tightly sealed homes, those who cook, and children.

Air Pollutants↗

Use of real-time light scattering data to estimate the contribution of infiltrated and indoor-generated particles to indoor air.

The contribution of outdoor particulate matter (PM) to residential indoor concentrations is currently not well understood. Most importantly, separating indoor PM into indoor- and outdoor-generated components will greatly enhance our knowledge of the outdoor contribution to total indoor and personal PM exposures. This paper examines continuous light scattering data at 44 residences in Seattle, WA. A newly adapted recursive model was used to model outdoor-originated PM entering indoor environments. After censoring the indoor time-series to remove the influence of indoor sources, nonlinear regression was used to estimate particle penetration (P, 0.94 +/- 0.10), air exchange rate (a, 0.54 +/- 0.60 h(-1)), particle decay rate (k, 0.20 +/- 0.16 h(-1)), and particle infiltration (F(inf), 0.65 +/- 0.21) for each of the 44 residences. All of these parameters showed seasonal differences. The F(inf) estimates agree well with those estimated from the sulfur-tracer method (R2 = 0.78). The F(inf) estimates also showed robust and expected behavior when compared against known influencing factors. Among our study residences, outdoor-generated particles accounted for an average of 79 +/- 17% of the indoor PM concentration, with a range of 40-100% at individual residences. Although estimates of P, a, and k were dependent on the modeling technique and constraints, we showed that a recursive mass balance model combined with our censoring algorithms can be used to attribute indoor PM into its outdoor and indoor components and to estimate an average P, a, k, and F(inf), for each residence.

Air Pollution, Indoor↗

Development and evaluation of a personal particulate organic and mass sampler.

Accurate measurement of personal exposure to particulate matter and its constituents requires samplers that are accurate, compact, lightweight, inexpensive, and convenient to use. The personal particulate organic and mass sampler (PPOMS) has been developed to meet these criteria. The PPOMS uses activated carbon-impregnated foam as a combined 2.5-microm size-selective inlet and denuder for assessment of fine particle mass and organic carbon. Proof of the PPOMS concept has been established by comparing mass and organic carbon in particles collected with collocated samplers in Seattle, at a central outdoor site, and in residences. Daily particulate mass concentrations averaged 10.0 +/- 5.2, 12.0 +/- 5.3, and 11.2 +/- 5.1 microg m(-3) for the Federal Reference Method, the Harvard Personal Exposure Monitor, and the PPOMS, respectively, for 10 24-h sampling periods. During a series of PM2.5 indoor organic carbon (OC) measurements from single quartz filters, the apparent indoor OC averaged 7.7 +/- 0.8 microg of C m(-3), which was close to the indoor PM2.5 mass from collocated Teflon filters (7.3 +/- 2.3 microg of C m(-3)), indicating the presence of a large positive OC artifact. In collocated measurements, the PPOMS eliminated this artifact just as well as the integrated gas and particle sampler that incorporated a macroreticular polystyrene-divinylbenzene (XAD-4) resin-coated denuder, yielding OC concentrations of 2.5 +/- 0.4 and 2.4 +/- 1.0 microg of C m(-3), respectively. Thermal analysis for OC indicated that the indoor positive artifact was due to adsorption of gas-phase semivolatile organic compounds (SVOC). This study shows that the PPOMS design provides a 2.5-microm size-selective inlet that also prevents the adsorption of gas-phase SVOC onto quartz filters, thus eliminating the filter positive artifact The PPOMS meets a significant current challenge for indoor and personal sampling of particulate organic carbon. The PPOMS design can also simplify accurate ambient sampling for PM2.5.

Air Pollutants↗

Spatial characteristics of fine particulate matter: identifying representative monitoring locations in Seattle, Washington.

This study investigates how PM2.5 varies spatially and how these spatial characteristics can be used to identify potential monitoring sites that are most representative of the overall ambient exposures to PM2.5 among susceptible populations in the Seattle, WA, area. Data collected at outdoor sites at the homes of participants of a large exposure assessment study were used in this study. Harvard impactors (HIs) were used at 40 outdoor sites throughout the Seattle metropolitan area. Up to six sites at a time were monitored for 10 consecutive 24-hr average periods. A fixed-effect analysis of variance (ANOVA) model that included date and location effects was used to analyze the spatial variability of outdoor PM2.5 concentrations. Both date and location effects were shown to be highly significant, explaining 92% of the variability in outdoor PM2.5 measurements. The day-to-day variability was 10 times higher than the spatial variability between sites. The site mean square was more than twice the error mean square, showing that differences between sites, while modest, are potentially an important contribution to measurement error. Variances of the model residuals and site effects were examined against spatial characteristics of the monitoring sites. The spatial characteristics included elevation, distance from arterials, and distance from major PM2.5 point sources. Results showed that the most representative PM2.5 sites were located at elevations of 80-120 m above sea level, and at distances of 100-300 m from the nearest arterial road. Location relative to industrial PM2.5 sources is not a significant predictor of residential outdoor PM2.5 measurements. Additionally, for sites to be representative of the average population exposures to PM2.5 among those highly susceptible to the health effects of PM2.5, areas of high elderly population density were considered. These representative spatial characteristics were used as multiple, overlapping criteria in a Geographic Information System (GIS) analysis to determine where the most representative sites are located.

Air Pollutants↗

Testing the metals hypothesis in Spokane, Washington.

A >7-year, time-series, epidemiologic study is ongoing in Spokane, Washington, to examine the associations between ambient particulate constituents or sources and health outcomes such as emergency department (ED) visits for asthma or respiratory problems. One of the hypotheses being tested is that particulate toxic metals are associated with these health outcomes. Spokane is a desirable city in which to conduct this study because of its relatively high concentrations of particulate matter, low concentrations of potentially confounding air pollutants, variability of particulate sources, and presence of several potential particulate metals sources. Daily fine- and coarse-fraction particulate samples are analyzed for metals via energy-dispersive X-ray fluorescence (EDXRF) and instrumental neutron activation analysis. Particulate sources are determined using receptor modeling, including chemical mass balancing and positive matrix factorization coupled with partial source contribution function analysis. Principal component analysis has also been used to examine the influence of sources on the daily variability of the chemical composition of particulate samples. Based upon initial analyses using the EDXRF elemental analyses, statistically significant associations were observed between ED visits for asthma and increased combustion products, air stagnation, and fine particulate Zn. Although there is a significant soil particulate component, increased crustal particulate levels were not found to be associated with ED visits for asthma. Further research will clarify whether there is an association between specific health outcomes and either coarse or fine particulate metal species.

Air Pollutants↗