PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “AIR POLLUTION, RADIOACTIVE”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 181 records · Page 10Linked to original sources
PubMed1996

Quantification of FISH-painted chromosome aberrations after domestic radon exposure.

Chromosome painting (target chromosomes 1, 4, 12) was performed in peripheral lymphocytes from 25 occupants of nine houses with indoor radon concentrations of 210-3000 Bqm-3. Compared to a control group, the mean frequency of symmetrical translocations of the radon group was slightly but not significantly (p < 0.10) increased. A similar tendency became apparent for a comparison of two groups of subjects with cumulative radon exposures above and below 2800 Bqm-3 y. It is concluded that FISH-based measurements of stable symmetrical translocations should reflect the cumulative radon exposure to haematopoietic compartments such as the red bone marrow rather than to mature blood lymphocytes. Since, however, radon-derived bone marrow doses are low and control frequencies of translocations are very high (about 10-fold higher than the value for conventionally scored dicentrics), the observed relative increase (1.5-fold) of the translocation frequency in blood lymphocytes is too small to discriminate chronic radon exposure from background.

Adolescent↗
PubMed1999

Study of indoor radon levels in high-rise air-conditioned office buildings.

A series of measurements were conducted to study the indoor radon pollution in air-conditioned high-rise office buildings. Continuous monitoring of indoor radon levels in nine air-conditioned premises located in six office buildings in Hong Kong was conducted from August 1996 to February 1998. Each of the tests lasted for at least 48 hours. The measurement covered both day time monitoring while the air-conditioning was on and night time monitoring while the air-conditioning was off. The indoor radon level followed inversely the operation pattern of the mechanical ventilation systems in the buildings. During office hours when the mechanical ventilation was on, the indoor radon level decayed and after the mechanical ventilation was off during non-office hours, the radon level increased. The average indoor radon level during office hours on the nine premises varied from 87 Bq/m3 to 296 Bq/m3, and the indoor averaged radon levels over both day time and night time periods without mechanical ventilation were about 25 percent higher. The air infiltration rate and the radon emission characteristics from the building materials were estimated from the radon build-up curves which were observed after the mechanical ventilation was off. The radon decay curve observed after the mechanical ventilation system was turned on was used to calculate the total fresh air intake rate. Average radon emanation rates of the building materials in the six buildings varied from 0.0019 to 0.0033 Bq/m2s. It has been found that building infiltration rate accounted for about 10-30 percent of the total building ventilation rate in the buildings depending on building tightness.

Air Conditioning↗
PubMed1999

Multiple radon entry modeling in a house with a cellar.

Combining a computational fluid dynamics (CFD) model and a multi-zonal model, a study was carried out on radon entry through the complex substructure of a house with a cellar. The uniqueness of the radon entry problem in this type of house was due to the involvement of two radon entry routes to two chambers: the cellar and the living area of the house. Soil gas carrying radon was driven through the two routes by two coupled disturbance pressures in the chambers. The effects of temperature differences were considered as another driving force for the radon entry. Examined in this study were the effects of the geometry of the substructure, air permeability of the soil, air-tightness of the cellar shell, and cellar ventilation on radon entry to both the cellar and the living area. The ground floor covering on top of the soil outside a cellar wall increased radon entry through this wall by about 68%, as radon built up to a very high level under the covering. The effect of cellar ventilation was found as follows: the cellar ventilation created a layer of airflow in the soil under the ground floor; the flow passed over a crack in the ground floor, the entry route to the living area, diluting the radon in the area. Hence, the soil gas entering the living area carried less radon. Cellar ventilation seems more effective in reducing radon entry to the living area in a more permeable soil and leaky cellar shell; a moderate cellar ventilation condition achieved 77% reduction in radon entry to the area. When permeability of these two materials was lower and soil radon content remained the same, the chances of radon entry was also lower; hence, the indoor radon level was lower and no radon control was needed. When such soil contains high radon concentration, other mitigation measures must be sought.

Air Pollutants, Radioactive↗
PubMed2001

Demonstrating effectiveness of passive radon-resistant new construction.

Fifty percent of homes tested for radon in Rock Island County, IL, have radon levels above the U.S. Environmental Protection Agency (EPA) action guideline of 4 picoCuries per liter (pCi/L) of air. Therefore, the county is classified by the EPA as Zone 1 on the EPA's Map of Radon Potential. Radon-resistant new construction (RRNC) strategies for new homes are recommended by the EPA in Zone 1 areas. One city in the county, East Moline, reduced the cost of building permits for contractors volunteering to build new homes incorporating modified passive RRNC. Forty-six of 124 new homes built with passive RRNC in the city were tested during this study. Only 27 of the homes tested were below 4-pCi/L, justifying the importance of testing the system to ensure levels are below the action guideline. To provide additional support to an argument in favor of changing city building codes to the required RRNC, 23 of the homes were also tested with the systems deactivated. After systems were deactivated, 73% of the homes had radon levels above the action guideline. Four homes were sampled for bioaerosols to evaluate if passive RRNC might impact other indicators of poor indoor air quality (IAQ). The results of the research will be discussed here.

Air Pollutants, Radioactive↗
PubMedDate not supplied

Selection of ecologic covariates in the American Cancer Society study.

The American Cancer Society (ACS) Study of the effects of long-term exposure to ambient air pollution on mortality used metropolitan areas to assign exposures to individual cohort members (Pope et al., 1995); these authors did not, however, control for any other place-specific variables in their analysis. Consequently, the study has been criticized on the basis that the association observed between air pollution and mortality may be confounded by other unmeasured ecologic covariates. To address this criticism, the reanalysis team selected a set of place-specific variables that measured determinants of health ranging from the biophysical environment to the social environment and the healthcare system. This article outlines the process by which place-specific ecologic covariates were selected; data measuring these variables were obtained and geographic boundaries for places were delineated. Issues involved in obtaining and using geographically based ecological data are examined within the context of the reanalysis of the ACS study. Both the ecological fallacy and the atomistic fallacy are addressed and an argument is made for the importance of studying the effects of place-specific variables that are integral or contextual in nature. Issues relating to the Modifiable Areal Unit Problem (MAUP) are explored with reference to using ZIP codes and data from a variety of sources. It is argued that differences in the geographical scale of variability for various pollutants may prove to be the key to distinguishing between their relative impacts on health and that multilevel analyses are essential for understanding the impact of social and environmental determinants of health. A number of determinants of health are then briefly examined in terms of their association with mortality, the appropriateness of their being measured at the metropolitan scale, and the availability of data for the 1980s from U.S. sources. Finally, the article presents the database of place-specific ecologic covariates that was incorporated into the ACS models during the reanalysis in order to account for the influence that place may have above and beyond ambient air pollution.

Air Pollutants↗
PubMed2006

Residential radon and lung cancer: end of the story?

The earliest evidence of increased lung cancer risk associated with radon came largely from studies of highly exposed underground miners. In the United States, concerns about residential exposures became prominent in the early 1980s with the identification of the Watras home, which had remarkably elevated radon concentrations. By then, the problem of indoor radon was already recognized in Europe and the first epidemiological studies on indoor radon had been reported. The concern about the risk of indoor radon motivated a series of case-control studies of residential radon and lung cancer in the United States, Canada, China, and a number of European countries. In 1999, the U.S. National Research Council Committee on the Biological Effects of Ionizing Radiation (BEIR VI) weighed the scientific evidence available at that time on this issue and concluded that residential radon was an important contributor to the lung cancer burden and that risks were appropriately estimated by a linear nonthreshold model. Since individual case-control studies have not provided consistent direct evidence of excess lung cancer risk at residential exposure levels, combined analyses of residential radon studies have been undertaken in both North America and Europe. These combined analyses, including the North American pooled analysis described in this issue, represent an important complement to the findings of the miner studies and further support the linear no-threshold model for cancer risk adopted by the BEIR VI Committee and other groups.

Air Pollutants, Radioactive↗
PubMed2006

An overview of the North American residential radon and lung cancer case-control studies.

Lung cancer has held the distinction as the most common cancer type worldwide since 1985 (Parkin et al., 1993). Recent estimates suggest that lung cancer accounted for 1.2 million deaths worldwide in 2002, which represents 17.6% of the global cancer deaths (Parkin et al., 2005). During 2002, the highest lung cancer rates for men worldwide reportedly occurred in North America and Eastern Europe, whereas the highest rates in females occurred in North America and Northern Europe (Parkin et al., 2005). While tobacco smoking is the leading risk factor for lung cancer, because of the magnitude of lung cancer mortality, even secondary causes of lung cancer present a major public health concern (Field, 2001). Extrapolations from epidemiologic studies of radon-exposed miners project that approximately 18,600 lung cancer deaths per year (range 3000 to 41,000) in the United States alone are attributable to residential radon progeny exposure (National Research Council, 1999). Because of differences between the mines and the home environment, as well as differences (such as breathing rates) between miners and the general public, there was a need to directly evaluate effects of radon in homes. Seven major residential case-control radon studies have been conducted in North America to directly examine the association between prolonged radon progeny (radon) exposure and lung cancer. Six of the studies were performed in the United States including studies in New Jersey, Missouri (two studies), Iowa, and the combined states study (Connecticut, Utah, and southern Idaho). The seventh study was performed in Winnipeg, Manitoba, Canada. The residential case-control studies performed in the United States were previously reviewed elsewhere (Field, 2001). The goal of this review is to provide additional details regarding the methodologies and findings for the individual studies. Radon concentration units presented in this review adhere to the types (pCi/L or Bq/m3) presented in the individual studies. One picocurie per liter is equivalent to 37 Bq/m3. Because the Iowa study calculated actual measures of exposure (concentration x time), its exposures estimates are presented in the form WLM(5-19) (Field et al., 2000a). WLM(5-19) represents the working level months for exposures that occurred 5-19 yr prior to diagnosis for cases or time of interview for control. Eleven WLM(5-19) is approximately equivalent to an average residential radon exposure of 4 pCi/L for 15 yr, assuming a 70% home occupancy.

Air Pollutants, Radioactive↗
PubMed2006

Indoor radon and lung cancer risk in connecticut and utah.

Radon is a well-established cause of lung cancer in miners. Residents of homes with high levels of radon are potentially also at risk. Although most individual studies of indoor radon have failed to demonstrate significant risks, results have generally been consistent with estimates from studies of miners. We studied 1474 incident lung cancer cases aged 40-79 yr in Connecticut, Utah, and southern Idaho. Population controls (n = 1811) were identified by random telephone screening and from lists of Medicare recipients, and were selected to be similar to cases on age, gender, and smoking 10 yr before diagnosis/interview using randomized recruitment. Complete residential histories and information on known lung cancer risk factors were obtained by in-person and telephone interviews. Radon was measured on multiple levels of past and current homes using 12-mo alpha-track etch detectors. Missing data were imputed using mean radon concentrations for informative subgroups of controls. Average radon exposures were lower than anticipated, with median values of 23 Bq/m3 in Connecticut and 45 Bq/m3 in Utah/southern Idaho. Overall, there was little association between time-weighted average radon exposures 5 to 25 yr prior to diagnosis/interview and lung cancer risk. The excess relative risk (ERR) associated with a 100-Bq/m3 increase in radon level was 0.002 (95% CI -0.21, 0.21) in the overall population, 0.134 (95% CI -0.23, 0.50) in Connecticut, and -0.112 (95% CI -0.34, 0.11) in Utah/Idaho. ERRs were higher for some subgroups less prone to misclassification, but there was no group with a statistically significant linear increase in risk. While results were consistent with the estimates from studies of miners, this study provides no evidence of an increased risk for lung cancer at the exposure levels observed.

Adult↗
PubMed2006

Dosimetric challenges for residential radon epidemiology.

Radon concentration alone may not be an adequate surrogate to measure for lung cancer risk in all residential radon epidemiologic lung cancer studies. The dose delivered to the lungs per unit radon exposure can vary significantly with exposure conditions. These dose-effectiveness variations can be comparable to spatial and temporal factor variations in many situations. New technologies that use surface-deposited and implanted radon progeny activities make more accurate dose estimates available for future epidemiologic studies.

Air Pollutants, Radioactive↗
PubMed2006

Radon epidemiology: continuous and categorical trend estimators when the exposure distribution is skewed and outliers may be present.

As other epidemiological exposure variables, indoor radon levels have a right-skewed, approximately lognormal distribution. The continuous linear trend estimator is then known to be sensitive to outlying observations. We consider trend estimators based on replacing the exposure x by a transformed variable z: (1) trimmed estimators, that is, extreme values are deleted in z; (2) winsorized estimators, that is, extreme values are replaced by a lower value; (3) categorical estimators, that is, x is categorized and the continuous variable z takes on scores such as the mean or median within categories. The latter approach is often used in meta-analyses of published odds ratios. Statistically optimal categories can be defined. The corresponding scores are the expected values within the categories, based on the assumption of a lognormal distribution. In a simulation study, it turned out that procedures with different cutpoints for cases and controls, winsorized estimators, and categorical estimators based on category medians can be badly biased upward. Categorical estimators using category means are not always robust against outlying observations. However, categorical estimators employing optimal categories with expected values are nearly unbiased, even in the presence of outliers. Cutpoints should be determined according to the overall distribution of cases and controls combined. Trimmed estimators based on this distribution are unbiased, but highly variable. For right-skewed exposure variables, we therefore suggest sensitivity analyses based on the categorical estimator with optimal cutpoints and expected value scores. In the West German case-control study on indoor radon and lung cancer, these sensitivity analyses lead to increased risk estimates.

Air Pollutants, Radioactive↗
PubMed2006

Impact of measurement error in exposures in german radon studies.

Case-control studies on lung cancer and residential radon exposure were conducted in West and East Germany. Odds ratio (OR) estimates from primary analysis are now subject to correction for measurement error in exposure. We apply the regression calibration method adopting a bivariate multiplicative error model of the classical type; that is, we investigate the impact of errors in the exposure of primary interest, radon, and of errors in the most potent confounder, smoking. The OR estimates per 100 Bq/m3 are throughout higher after correcting for errors in radon exposure (e.g., 1.02 and 1.11 for the West and the East German study, respectively, corrected for an error of size 0.4); ignoring the clear but small correlation between radon exposure and smoking of about -0.06 would lead to less conservative corrections (1.10 and 1.13 for West and East, respectively). Accounting for a realistically sized error in the smoking variable additionally increases the OR estimates slightly. Remarkable is the fact that the naive OR estimate of the West study of 0.97 exceeds unity after correcting for errors in radon exposure larger than 0.3. We conclude that correcting for errors in radon exposure has a meaningful impact on OR estimates, that the correlation between radon exposure and the smoking variable affects the correction even if the smoking variable was error-free, and that such an analysis is extremely valuable to grasp an important issue in epidemiology, that is, the dimension of residual confounding due to adjusting for an imprecisely measured smoking variable.

Air Pollutants, Radioactive↗
PubMed2006

Assessment and management of residential radon health risks: a report from the health Canada radon workshop.

Epidemiologic studies of uranium miners and other underground miners have consistently shown miners exposed to high levels of radon to be at increased risk of lung cancer. More recently, concern has arisen about lung cancer risks among people exposed to lower levels of radon in homes. The current Canadian guideline for residential radon exposure was set in 1988 at 800 Bq/m(3). Because of the accumulation of a considerable body of new scientific evidence on radon lung cancer risks since that time, Health Canada sponsored a workshop to review the current state-of-the-science on radon health risks. The specific objectives of the workshop were (1) to collect and assess scientific information relevant to setting national radon policy in Canada, and (2) to gather information on social, political, and operational considerations in setting national policy. The workshop, held on 3-4 March 2004, was attended by 38 invited scientists, regulators, and other stakeholders from Canada and the United States. The presentations on the first day dealt primarily with scientific issues. The combined analysis of North American residential radon and lung cancer studies was reviewed. The analysis confirmed a small but detectable increase in lung cancer risk at residential exposure levels. Current estimates suggest that radon in homes is responsible for approximately 10% of all lung cancer deaths in Canada, making radon the second leading cause of lung cancer after tobacco smoking. This was followed by a perspective from an UNSCEAR (United Nations Scientific Committee on the Effects of Atomic Radiation) working group on radon. There were two presentations on occupational exposures to radon and two presentations considered the possibility of radon as a causative factor for cardiovascular disease and for cancer in other organs besides the lung. The possible contribution of environmental tobacco smoke to lung cancers in nonsmokers was also considered. Areas for future research were identified. The second day was devoted to policy and operational issues. The presentations began with a perspective from the U.S. Environmental Protection Agency, followed by a history of radon policy development in Canada. Subsequent presentations dealt with the cost-effectiveness of radon mitigation, Canadian building codes and radon, and a summary of radon standards from around the world. Provincial representatives and a private consultant were given opportunities to present their viewpoints. A number of strategies for reducing residential radon exposure in Canada were recognized, including testing and mitigation of existing homes (on either a widespread or targeted basis) and changing the building code to require that radon mitigation devices be installed at the time a new home is constructed. The various elements of a comprehensive national radon policy were set forth.

Air Pollutants, Radioactive↗
PubMed2001

Study of radon concentrations in oil refinery premises and city dwellings.

Radon and its progeny concentrations were measured in several dwellings at an oil refinery premises and these concentrations were compared with those found in dwellings in Mathura and Agra cities. Radon progeny concentrations were measured using LR-115 type II nuclear track etch detectors. The radon concentrations were estimated by using a value of 0.42 for the equilibrium factor. The geometric means (GM) of radon concentrations in the refinery dwellings, Mathura city and Agra city dwellings were 97, 91 and 75 Bq m(-3) with geometric standard deviations of 1.7, 1.8 and 1.8 respectively. The average lifetime risk of lung cancer for an adjusted annual average chronic radon exposure of 69 Bq m(-3) (7.8 mWL; WL = working level) with an occupancy factor of 0.7 comes out to be 5.4 x 10(-3).

Air Pollutants, Occupational↗
PubMed2002

Lung cancer risks from residential radon among smokers and non-smokers.

Primary lung cancer occurs mainly among elderly smokers. Smoking and radon are generally considered to be the main causes of lung cancer. By simply studying the age dependence of all primary lung cancer incidences it seems plausible to suggest that the risk for obtaining lung cancer from domestic radon is low for children. In addition, as there are few non-smoking primary lung cancer cases at older ages, it seems plausible to suggest that most of the radon-induced lung cancer cases are to be found among the smoking population. Reduction of smoking habits would appear to be the most cost effective method to reduce lung cancer cases.

Adult↗
PubMed2006

Radon in Irish schools: the results of a national survey.

This paper presents the results of a survey of radon concentrations in Irish primary and post-primary schools. The objective of this survey was to assess the distribution of radon in Irish schools and to identify those requiring remedial work to reduce radon exposure to children and staff. All primary and post-primary schools were invited to participate in the survey. Indoor radon concentrations were measured during the academic year using integrating passive alpha track-etch detectors with a measurement period from three to nine months. The survey was carried out on a phased basis from 1998 to 2004 and is one of the most comprehensive of its kind undertaken in Europe. Measurements were completed in 38 531 ground floor classrooms and offices in 3826 schools, representing over 95% of the approximate 4000 primary and post-primary schools in Ireland. Of these, 984 schools had radon concentrations greater than 200 Bq m(-3) in 3028 rooms and 329 schools had radon concentrations in excess of 400 Bq m(-3) in 800 rooms. The average radon concentration in schools was 93 Bq m(-3). This results in an annual average effective dose to an Irish child from exposure to radon of 0.3 mSv per year, assuming that the long-term radon concentration is equal to the radon concentration present during the working hours and that the annual average occupancy is 1000 h per year. A programme of remediation of schools with radon concentrations above 200 Bq m(-3) has been put in place.

Adolescent↗
PubMed2002

Exposure to residential radon and lung cancer in Spain: a population-based case-control study.

Although high radon concentrations have been linked to increased risk of lung cancer by both experimental studies and investigations of underground miners, epidemiologic studies of residential radon exposure display inconsistencies. The authors therefore decided to conduct a population-based case-control study in northwest Spain to determine the risk of lung cancer associated with exposure to residential radon. The study covered a total of 163 subjects with incident lung cancer and a population sample of 241 cancer-free subjects since 1992-1994. Odds ratios for radon were estimated using logistic regression adjusted for sex, age, lifetime tobacco use, family history, and habitat. The adjusted odds ratios for the second, third, and fourth quartiles of radon (breakpoints: 37.0, 55.2, and 148.0 Bq/m(3)) were 2.73 (95% confidence interval (CI): 1.12, 5.48), 2.48 (95% CI: 1.29, 6.79), and 2.96 (95% CI: 1.29, 6.79), respectively. An additive synergic effect between radon and tobacco was found. The results from this study suggest that, even at concentrations far below official guideline levels, radon may lead to a 2.5-fold rise in the risk of lung cancer. Furthermore, the synergy found between smoking and radon may prove useful when it comes to drafting public health recommendations.

Aged↗