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      A Cancer Risk Assessment of Inner-City Teenagers Living in New York City and Los Angeles

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          Abstract

          Background

          The Toxics Exposure Assessment Columbia–Harvard (TEACH) project assessed exposures and cancer risks from urban air pollutants in a population of high school teenagers in New York City (NYC) and Los Angeles (LA). Forty-six high school students participated in NYC and 41 in LA, most in two seasons in 1999 and 2000, respectively.

          Methods

          Personal, indoor home, and outdoor home 48-hr samples of volatile organic compounds (VOCs), aldehydes, particulate matter with aerodynamic diameter ≤ 2.5 μm, and particle-bound elements were collected. Individual cancer risks for 13 VOCs and 6 particle-bound elements were calculated from personal concentrations and published cancer unit risks.

          Results

          The median cumulative risk from personal VOC exposures for this sample of NYC high school students was 666 per million and was greater than the risks from ambient exposures by a factor of about 5. In the LA sample, median cancer risks from VOC personal exposures were 486 per million, about a factor of 4 greater than ambient exposure risks. The VOCs with the highest cancer risk included 1,4-dichlorobenzene, formaldehyde, chloroform, acetaldehyde, and benzene. Of these, benzene had the greatest contributions from outdoor sources. All others had high contributions from indoor sources. The cumulative risks from personal exposures to the elements were an order of magnitude lower than cancer risks from VOC exposures.

          Conclusions

          Most VOCs had median upper-bound lifetime cancer risks that exceeded the U.S. Environmental Protection Agency (EPA) benchmark of 1 × 10 −6 and were generally greater than U.S. EPA modeled estimates, more so for compounds with predominant indoor sources. Chromium, nickel, and arsenic had median personal cancer risks above the U.S. EPA benchmark with exposures largely from outdoors and other microenvironments. The U.S. EPA–modeled concentrations tended to overestimate personal cancer risks for beryllium and chromium but underestimate risks for nickel and arsenic.

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          Most cited references24

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          The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to environmental pollutants.

          Because human activities impact the timing, location, and degree of pollutant exposure, they play a key role in explaining exposure variation. This fact has motivated the collection of activity pattern data for their specific use in exposure assessments. The largest of these recent efforts is the National Human Activity Pattern Survey (NHAPS), a 2-year probability-based telephone survey (n=9386) of exposure-related human activities in the United States (U.S.) sponsored by the U.S. Environmental Protection Agency (EPA). The primary purpose of NHAPS was to provide comprehensive and current exposure information over broad geographical and temporal scales, particularly for use in probabilistic population exposure models. NHAPS was conducted on a virtually daily basis from late September 1992 through September 1994 by the University of Maryland's Survey Research Center using a computer-assisted telephone interview instrument (CATI) to collect 24-h retrospective diaries and answers to a number of personal and exposure-related questions from each respondent. The resulting diary records contain beginning and ending times for each distinct combination of location and activity occurring on the diary day (i.e., each microenvironment). Between 340 and 1713 respondents of all ages were interviewed in each of the 10 EPA regions across the 48 contiguous states. Interviews were completed in 63% of the households contacted. NHAPS respondents reported spending an average of 87% of their time in enclosed buildings and about 6% of their time in enclosed vehicles. These proportions are fairly constant across the various regions of the U.S. and Canada and for the California population between the late 1980s, when the California Air Resources Board (CARB) sponsored a state-wide activity pattern study, and the mid-1990s, when NHAPS was conducted. However, the number of people exposed to environmental tobacco smoke (ETS) in California seems to have decreased over the same time period, where exposure is determined by the reported time spent with a smoker. In both California and the entire nation, the most time spent exposed to ETS was reported to take place in residential locations.
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            Outdoor, Indoor, and Personal Exposure to VOCs in Children

            We measured volatile organic compound (VOC) exposures in multiple locations for a diverse population of children who attended two inner-city schools in Minneapolis, Minnesota. Fifteen common VOCs were measured at four locations: outdoors (O), indoors at school (S), indoors at home (H), and in personal samples (P). Concentrations of most VOCs followed the general pattern O ≈ S < P ≤ H across the measured microenvironments. The S and O environments had the smallest and H the largest influence on personal exposure to most compounds. A time-weighted model of P exposure using all measured microenvironments and time–activity data provided little additional explanatory power beyond that provided by using the H measurement alone. Although H and P concentrations of most VOCs measured in this study were similar to or lower than levels measured in recent personal monitoring studies of adults and children in the United States, p-dichlorobenzene was the notable exception to this pattern, with upper-bound exposures more than 100 times greater than those found in other studies of children. Median and upper-bound H and P exposures were well above health benchmarks for several compounds, so outdoor measurements likely underestimate long-term health risks from children’s exposure to these compounds.
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              Elevated airborne exposures of teenagers to manganese, chromium, and iron from steel dust and New York City's subway system.

              There is increasing interest in potential health effects of airborne exposures to hazardous air pollutants at relatively low levels. This study focuses on sources, levels, and exposure pathways of manganese, chromium, and iron among inner-city high school students in New York City (NYC) and the contribution of subways. Samples of fine particulate matter (PM2.5) were collected during winter and summer over 48 h periods in a variety of settings including inside homes, outdoors, and personal samples (i.e., sampling packs carried by subjects). PM2.5 samples were also collected in the NYC subway system. For NYC, personal samples had significantly higher concentrations of iron, manganese, and chromium than did home indoor and ambient samples. The ratios and strong correlations between pairs of elements suggested steel dust as the source of these metals for a large subset of the personal samples. Time-activity data suggested NYC subways as a likely source of these elevated personal metals. In duplicate PM2.5 samples that integrated 8 h of underground subway exposure, iron, manganese, and chromium levels (>2 orders of magnitude above ambient levels) and their ratios were consistent with the elevated personal exposures. Steel dust in the NYC subway system was the dominant source of airborne exposures to iron, manganese, and chromium for many young people enrolled in this study, with the same results expected for other NYC subway riders who do not have occupational exposures to these metals. However, there are currently no known health effects at the exposure levels observed in this study.
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                Author and article information

                Journal
                Environ Health Perspect
                Environmental Health Perspectives
                National Institute of Environmental Health Sciences
                0091-6765
                October 2006
                15 June 2006
                : 114
                : 10
                : 1558-1566
                Affiliations
                [1 ] Gradient Corporation, Cambridge, Massachusetts, USA
                [2 ] University of California–Davis, Davis, California, USA
                [3 ] Lamont Doherty Earth Observatory and
                [4 ] Mailman School of Public Health, Columbia University, New York, New York, USA
                [5 ] Harvard School of Public Health, Boston, Massachusetts, USA
                Author notes
                Address correspondence to S. Sax, Gradient Corporation, 20 University Rd., Cambridge, MA 02138 USA. Telephone: (617) 395-5530. Fax: (617) 395-5001. E-mail: ssax@ 123456gradientcorp.com

                The authors declare they have no competing financial interests.

                Article
                ehp0114-001558
                10.1289/ehp.8507
                1626400
                17035143
                2f0ba83e-9264-466e-a336-12d6f3572c54
                This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original DOI
                History
                : 15 July 2005
                : 15 June 2006
                Categories
                Research
                Children's Health

                Public health
                metals,vocs,cancer risk assessment,personal exposures,aldehydes
                Public health
                metals, vocs, cancer risk assessment, personal exposures, aldehydes

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