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House settled dust (HSD) contains various hazardous materials, including polycyclic aromatic hydrocarbons (PAHs) and metals. Exposure to toxicants contained in HSD is of paramount concern especially in the case of young children, due to their particular behavioral characteristics. In this context, extracts of sieved vacuum cleaner dust from 20 residences with young children were examined for the presence of PAHs and trace metals, in Athens, Greece. The results indicated that PAHs and metals were ubiquitous in the studied residences. The calculated enrichment factors (EF) of trace metals indicated that Cu, Se, Zn, Hg, Cd, and Pb were mainly of anthropogenic. According to the PCA analysis, the main sources of household dust were: smoking inside the houses, combustion processes, resuspension of soil dust, and vehicle traffic. In general, the cancer risk due to PAHs exposure was found lower than the threshold value. The ingestion of house dust was the most important route of exposure to metals. The dose of almost all elements for the children was found 1-2 orders of magnitude lower than the corresponding reference values. Both the carcinogenic and noncarcinogenic risks of exposure were within the safety limits. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.

Contaminants of biological origin, such as fungi and bacteria, are ubiquitous inside the residences and especially in bedroom microenvironments. Epidemiological studies have shown that fungal exposure is associated with respiratory and allergic symptoms. Infants and young children comprise a susceptible population to study, since they spend most of their day inside their rooms. A study was undertaken to investigate environmental factors (temperature and relative humidity), indoor pollutants (PM2.5, CO2), building characteristics and occupant activities in relation to the spectrum and levels of settled fungi in 25 Greek young's children bedrooms, and to evaluate the fungal qualitative and quantitative composition of houses with and without asthmatic/allergic children. In this context, on-site house inspections to study the Indoor Air Quality (IAQ) in bedrooms of young children below three years of age were conducted in Athens, Greece. Sampling campaigns were conducted over one-week period using Electrostatic Dust Collectors (EDCs) to quantify fungal and bacterial exposure in settled dust and real-time monitoring techniques for environmental parameters (T, RH, CO2, PM2.5). The present investigation revealed that the predominant dustborne genus was Cladosporium followed by Alternaria and Aspergillus, and that living in a suburban area, the presence of an attached garage and the presence of a carpet in the bedroom were significant predictors of fungal concentrations. Furthermore, although the difference was not statistically significant, higher fungal concentrations were recorded in the houses with asthmatic or atopic children. © 2020 Elsevier Ltd

Research on air quality issues in recently refurbished educational buildings is relatively limited. However, it is an important topic as students are often exposed to high concentrations of air pollutants, especially in urban environments. This study presents the results of a 25-day experimental campaign that took place in a primary school located in a densely built-up area, which retains a green roof system (GRS). All measurements refer to mass concentrations and chemical analysis of PM10 (particulate matter less than 10 micrometers), and they were implemented simultaneously on the GRS and within the classroom (C3) below during different periods of the year. The results demonstrated relatively low levels of PM10 in both experimental points, with the highest mean value of 72.02 µg m−3 observed outdoors during the cold period. Elemental carbon (EC) was also found be higher in the ambient environment (with a mean value of 2.78 µg m−3), while organic carbon (OC) was relatively balanced between the two monitoring sites. Moreover, sulfate was found to be the most abundant water soluble anion (2.57 µg m−3), mainly originating from ambient primary SO2 and penetrating into the classroom from windows. Additionally, the crustal origin of particles was shown in trace metals, where Al and Fe prevailed (9.55% and 8.68%, respectively, of the total PM10). Nevertheless, infiltration of outdoor particles within the classroom was found to affect indoor sources of metals. Finally, source apportionment using a positive matrix factorization (PMF) receptor model demonstrated six main factors of emissions, the most important of which were vehicles and biomass burning (30.30% contribution), along with resuspension of PM10 within the classroom from human activities (29.89% contribution). Seasonal variations seem to play a key role in the results. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.

With the principal aim to assess the typical Mediterranean profile of the PM2.5 and PM1 pollution, three intensive monitoring campaigns took place simultaneously within different types of environment across an urban location of the basin. Focusing on the PM components with numerous anthropogenic sources and increased potential health risk, the samples were chemically analyzed for 20 p.m.-bound Polycyclic Aromatic Hydrocarbons (PAHs). Carbonaceous and ionic constituents were quantified as well. In order to uncover the spatiotemporal variation of the PM profile the key sources were identified, the seasonal effects and the role of the prevailing mesoscale atmospheric circulation were evaluated and most importantly the potential health risk was estimated. In general, the pollution status of the basin was the result of a complex interaction between the local and external input with Particulate Organic Matter (POM) and Secondary Inorganic Aerosols (SIA) being the main aerosols’ components. PM1 was a better indicator of the anthropogenic emissions while according to the results of factor analysis the co-existence of various combustion sources was determinant. Chemically, the maxima of the ΣPAHs, the differentiation of their structure in accordance with their molecular weight and the distribution of the individual compounds confirmed the significance of the emission sources. Similarly, the estimated carcinogenicity/mutagenicity was emission-dependent with the maximum contribution coming from B[a]P, IndP, B[ghi]Per, B[e]P and B[b]F. Seasonally, the highest potential health risk of the PAHs’ mixture was recorded during the cold season while meteorologically, it was mostly associated with the south flow. © 2019 Elsevier Ltd

Despite the various reduction policies that have been implemented across Europe in the past few years, Particulate Matter (PM) exceedances continue to be recorded. Therefore, with the principal aim to clarify the complex association between emissions and fine particles levels, this work evaluates the impact of the anthropogenic contribution to the fine PM chemical profile. The fieldwork was conducted during March in 2008 and 2013 and covers the periods before and during the economic recession. The experimental data were analyzed in parallel with the emissions from the Flexible Emission Inventory for Greece and the Greater Athens Area (FEI-GREGAA). The differentiation of the mass closure results’ and the aerosols’ character is also discussed in combination with the calculated PM2.5-Air Quality Indexes. The peak in the PM load and the Particulate Organic Matter (POM) component was recorded in 2013, corresponding to the enhancement of the anthropogenic input. Although the monitoring location is traffic-impacted, the sector of heating, from both wood burning and fossil fuel, proved to be the driving force for the configuration of the obtained PM picture. Especially in 2013, its contribution was two times that of traffic. Finally, the low wind speed values led to the deterioration of the air quality, especially for the sensitive groups. © 2020 by the authors. Licensee MDPI, Basel, Switzerland.

Background: Evidence on the association between short-term exposure to desert dust and health outcomes is controversial. Objectives: We aimed to estimate the short-term effects of particulate matter ≤ 10 μm (PM10) on mortality and hospital admissions in 13 Southern European cities, distinguishing between PM10 originating from the desert and from other sources. Methods: We identified desert dust advection days in multiple Mediterranean areas for 2001–2010 by combining modeling tools, back-trajectories, and satellite data. For each advection day, we estimated PM10 concentrations originating from desert, and computed PM10 from other sources by difference. We fitted city-specific Poisson regression models to estimate the association between PM from different sources (desert and non-desert) and daily mortality and emergency hospitalizations. Finally, we pooled city-specific results in a random-effects meta-analysis. Results: On average, 15% of days were affected by desert dust at ground level (desert PM10 > 0 μg/m3). Most episodes occurred in spring–summer, with increasing gradient of both frequency and intensity north–south and west–east of the Mediterranean basin. We found significant associations of both PM10 concentrations with mortality. Increases of 10 μg/m3 in non-desert and desert PM10 (lag 0–1 days) were associated with increases in natural mortality of 0.55% (95% CI: 0.24, 0.87%) and 0.65% (95% CI: 0.24, 1.06%), respectively. Similar associations were estimated for cardio-respiratory mortality and hospital admissions. Conclusions: PM10 originating from the desert was positively associated with mortality and hospitalizations in Southern Europe. Policy measures should aim at reducing population exposure to anthropogenic airborne particles even in areas with large contribution from desert dust advections. © 2016, Public Health Services, US Dept of Health and Human Services. All Rights Reserved.

Indoor air pollution has been implicated in an array of detrimental health effects. Although infants and young children spend most of their day inside their residence, information regarding their exposure to indoor pollutants is still limited. Therefore, the objectives of this study were: a) to characterize the concentrations of particulate matter (PM) and total volatile organic compounds (TVOCs) that young children are exposed to; b) to define comfort parameters for living rooms and children's bedrooms; c) to identify the determinants of indoor PM and TVOC concentrations; and d) to examine how the socioeconomic status of inhabitants and their daily activities affect diurnal variations in these indoor pollutants. In this context, a study of PM, TVOCs, and comfort parameters was conducted in Athens, Greece, in residences with young children below three years of age. Sampling campaigns were conducted over a 6–7 day period using real time monitoring. The mean indoor PM 1 , PM 2.5 , and PM 10 concentrations were 8.1, 10.6, and 20.9 μg/m 3 , respectively. Mean concentrations of TVOCs ranged between 24 μg/m 3 and 890 μg/m 3 , indicating high variance across the studied dwellings. Carbon dioxide (CO 2 ) levels exceeded the reference value of 1000 ppm in several residences, especially in children's bedrooms, while air exchange rates (AERs) were found to be lower than 0.5 h −1 in all the studied houses. The results indicated that both PM and TVOC concentrations were mainly related to the activities of the study participants inside their residences. © 2019 Elsevier Ltd

Nowadays, the advancement of mobile technology in conjunction with the introduction of the concept of exposome has provided new dynamics to the exposure studies. Since the addressing of health outcomes related to environmental stressors is crucial, the improvement of exposure assessment methodology is of paramount importance. Towards this aim, a pilot study was carried out in the two major cities of Greece (Athens, Thessaloniki), investigating the applicability of commercially available fitness monitors and the Moves App for tracking people’s location and activities, as well as for predicting the type of the encountered location, using advanced modeling techniques. Within the frame of the study, 21 individuals were using the Fitbit Flex activity tracker, a temperature logger, and the application Moves App on their smartphones. For the validation of the above equipment, participants were also carrying an Actigraph (activity sensor) and a GPS device. The data collected from Fitbit Flex, the temperature logger, and the GPS (speed) were used as input parameters in an Artificial Neural Network (ANN) model for predicting the type of location. Analysis of the data showed that the Moves App tends to underestimate the daily steps counts in comparison with Fitbit Flex and Actigraph, respectively, while Moves App predicted the movement trajectory of an individual with reasonable accuracy, compared to a dedicated GPS. Finally, the encountered location was successfully predicted by the ANN in most of the cases. © 2018, Springer International Publishing AG, part of Springer Nature.

An integrated indoor-outdoor 15-day PM sampling campaign in a general area close to the centre of Athens, targeted to examine personal exposure. All microenvironments (MEs) (second and fourth floor flats, cafes, cars, restaurants, underground metro, outdoor etc.) frequented by the residents were included in the study. The instrumentation used was both stationary (low volume samplers) and portable/wearable to be able to measure continuously PM10, PM2.5, PM1 and analyze chemically PM2.5 and PM1 samples. The study showed that the residences' air quality was determined by the type and intensity of outdoor sources and their vertical distance from the street. Indoor activities such as cooking, cleaning further increased PM levels and formulated the air quality, while particulate accumulation was evident. In general, PM2.5 concentrations were higher outdoors, 11–43 μg/m3, than in the second floor flat as well as on days within different MEs, 13–33 μg/m3 and 8–35 μg/m3, respectively and finally in the fourth floor 10–18 μg/m3. PM2.5 chemical composition was typical of a Mediterranean urban area predominantly composed on average of OC/EC (33%), sulfate (13%), ammonium (9%), nitrate (5%) and crustal material (Cl−, Na+, K+, Mg2+ and Ca2+) (5%). On days when other MEs were visited crustal material increased on average to 16%. The PM levels measured with the portable instrumentation at all mEs showed that the persons were exposed to higher PM10 concentrations in the subway (avg. 218 μg/m3) due to the resuspension of crustal material, while maximum PM2.5 and PM1 were experienced in cafes where smoking was allowed (avg. 126 and 108 μg/m3, respectively). Using the car resulted to the lowest PM10, PM2.5 and PM1 exposure (58, 10 and 6 μg/m3, respectively). Total exposure to particulates depended both on the time spent in each ME and on the mixture of MEs visited in 24 h. © 2018 Elsevier B.V.

Τhe extreme weather conditions in Middle East Area led to the construction of tightly sealed, air conditioned buildings, characterized by indoor air quality deterioration. This study presents the results of chemical characterization of outdoor and indoor PM2.5 and PM10 in Doha city, over a two-month period including normal days and dust events, aiming at identifying the factors affecting the indoor air of an office building. The WHO guideline values were exceeded in 100% of the outdoor measurements. 49% of the days of the sampling campaign were characterized as non-dusty (PM10 < 200 µg m–3), 49% as minor-dusty (200 < PM10 < 1000 µg m–3) while in one case (2%) there was a major-dusty day (PM10 > 1000 µg m–3). The contribution of both dust and anthropogenic emissions sources is depicted in particles’ mass and chemical composition. The elevated –especially outdoor- levels of carbonate carbon indicate the presence of crustal matter originating from the surrounding crustal material. OC/EC values reveal possible combined contribution from secondary organic aerosol, trafficrelated sources and re-suspended dust. The influence of anthropogenic emissions is implied by the predominance of nitrate and sulfate ions, which constitute a substantial percentage of the particle mass. The crustal origin of particles is also depicted in metals. However, the higher enrichment factor values which may imply anthropogenic activities of both the outdoor and indoor environment were determined sequentially for Cd, Pb, As, Cu and Zn, suggesting the role of infiltration. Concluding, the indoor to outdoor relationship is significantly influenced by particles infiltration and penetration into the building mainly through the ventilation system and to a lesser extent, through windows or cracks in the building envelope. Although the low indoor to outdoor ratio underlies the predominance of outdoor levels compared to the indoor ones, there is positive correlation between indoor and outdoor PM, during the days that the building was open to the public and employees. © Taiwan Association for Aerosol Research.

The European Committee for Standardisation (CEN) Technical Committee 264 'Air Quality' has recently produced a standard method for the measurements of organic carbon and elemental carbon in PM2.5 within its working group 35 in response to the requirements of European Directive 2008/50/EC. It is expected that this method will be used in future by all Member States making measurements of the carbonaceous content of PM2.5. This paper details the results of a laboratory and field measurement campaign and the statistical analysis performed to validate the standard method, assess its uncertainty and define its working range to provide clarity and confidence in the underpinning science for future users of the method. The statistical analysis showed that the expanded combined uncertainty for transmittance protocol measurements of OC, EC and TC is expected to be below 25%, at the 95% level of confidence, above filter loadings of 2 μg cm-2. An estimation of the detection limit of the method for total carbon was 2 μg cm-2. As a result of the laboratory and field measurement campaign the EUSAAR2 transmittance measurement protocol was chosen as the basis of the standard method EN 16909:2017. © 2017 The Royal Society of Chemistry. Chemicals/CAS: carbon, 7440-44-0

BACKGROUND: Evidence on the association between short-term exposure to desert dust and health outcomes is controversial. OBJECTIVES: We aimed to estimate the short-term effects of particulate matter 0 mu g/m(3)). Most episodes occurred in spring-summer, with increasing gradient of both frequency and intensity north-south and west-east of the Mediterranean basin. We found significant associations of both PM10 concentrations with mortality. Increases of 10 mu g/m(3) in non-desert and desert PM10 (lag 0-1 days) were associated with increases in natural mortality of 0.55% (95% CI: 0.24, 0.87%) and 0.65% (95% CI: 0.24, 1.06%), respectively. Similar associations were estimated for cardio-respiratory mortality and hospital admissions. CONCLUSIONS: PM10 originating from the desert was positively associated with mortality and hospitalizations in Southern Europe. Policy measures should aim at reducing population exposure to anthropogenic airborne particles even in areas with large contribution from desert dust advections.

BACKGROUND: Few recent studies examined acute effects on health of individual chemical species in the particulate matter (PM) mixture, and most of them have been conducted in North America. Studies in Southern Europe are scarce. The aim of this study is to examine the relationship between particulate matter constituents and daily hospital admissions and mortality in five cities in Southern Europe. METHODS: The study included five cities in Southern Europe, three cities in Spain: Barcelona (2003-2010), Madrid (2007-2008) and Huelva (2003-2010); and two cities in Italy: Rome (2005-2007) and Bologna (2011-2013). A case-crossover design was used to link cardiovascular and respiratory hospital admissions and total, cardiovascular and respiratory mortality with a pre-defined list of 16 PM10 and PM2.5 constituents. Lags 0 to 2 were examined. City-specific results were combined by random-effects meta-analysis. RESULTS: Most of the elements studied, namely EC, SO4(2-), SiO2, Ca, Fe, Zn, Cu, Ti, Mn, V and Ni, showed increased percent changes in cardiovascular and/or respiratory hospitalizations, mainly at lags 0 and 1. The percent increase by one interquartile range (IQR) change ranged from 0.69% to 3.29%. After adjustment for total PM levels, only associations for Mn, Zn and Ni remained significant. For mortality, although positive associations were identified (Fe and Ti for total mortality; EC and Mg for cardiovascular mortality; and NO3(-) for respiratory mortality) the patterns were less clear. CONCLUSIONS: The associations found in this study reflect that several PM constituents, originating from different sources, may drive previously reported results between PM and hospital admissions in the Mediterranean area. The research described in this article was conducted under the grant agreement European Commission, Environment LIFE10/IT/327. We thank the Instituto Nacional de Estadística and the Agència de Salut Pública de Barcelona for providing the mortality data, the Consorci Sanitari de Barcelona (Cat-Salut) for providing hospitalization data for Barcelona and the Agencia Estatal de Meteorologia (Ministerio de Agricultura, Alimentación y Medio Ambiente) for providing the weather data for Spain. Sí

Objectives: While several studies have reported associations of daily exposures to PM2.5 (particles less than 2.5 μm) with mortality, few studies have examined the impact of its constituents such as black carbon (BC), which is also a significant contributor to global climate change. Methods: We assessed the association between daily concentrations of BC and total, cardiovascular and respiratory mortality in two southern Mediterranean cities. Daily averages of BC were collected for 2 years in Barcelona, Spain and Athens, Greece. We used case-crossover analysis and examined single and cumulative lags up to 3 days. Results: We observed associations between BC and all mortality measures. For a 3-day moving average, cardiovascular mortality increased by 4.5% (95% CI 0.7 to 8.5) and 2.0% (95% CI 0 to 4.0) for an interquartile change in BC in Athens and Barcelona, respectively. Considerably higher effects for respiratory mortality and for those above age 65 were observed. In addition, BC exhibited much greater toxicity per microgram than generic PM2.5. Conclusions: Our findings suggest that BC, derived in western industrialised nations primarily from diesel engines and biomass burning, poses a significant burden to public health, particularly in European cities with high-traffic density.

Background: Few recent studies examined acute effects on health of individual chemical species in the particulate matter (PM) mixture, and most of them have been conducted in North America. Studies in Southern Europe are scarce. The aim of this study is to examine the relationship between particulate matter constituents and daily hospital admissions and mortality in five cities in Southern Europe. Methods: The study included five cities in Southern Europe, three cities in Spain: Barcelona (2003-2010), Madrid (2007-2008) and Huelva (2003-2010); and two cities in Italy: Rome (2005-2007) and Bologna (2011-2013). A case-crossover design was used to link cardiovascular and respiratory hospital admissions and total, cardiovascular and respiratory mortality with a pre-defined list of 16 PM10and PM2.5constituents. Lags 0 to 2 were examined. City-specific results were combined by random-effects meta-analysis. Results: Most of the elements studied, namely EC, SO4 2-, SiO2,Ca, Fe, Zn, Cu, Ti, Mn, V and Ni, showed increased percent changes in cardiovascular and/or respiratory hospitalizations, mainly at lags 0 and 1. The percent increase by one interquartile range (IQR) change ranged from 0.69% to 3.29%. After adjustment for total PM levels, only associations for Mn, Zn and Ni remained significant. For mortality, although positive associations were identified (Fe and Ti for total mortality; EC and Mg for cardiovascular mortality; and NO3 -for respiratory mortality) the patterns were less clear. Conclusions: The associations found in this study reflect that several PM constituents, originating from different sources, may drive previously reported results between PM and hospital admissions in the Mediterranean area. © 2014 Elsevier Ltd.

Background: An association between occurrence of wildfires and mortality in the exposed population has been observed in several studies with controversial results for cause-specific mortality. In the Mediterranean area, forest fires usually occur during spring-summer, they overlap with Saharan outbreaks, are associated with increased temperature and their health effects are probably due to an increase in particulate matter. Aim and methods: We analysed the effects of wildfires and particulate matter (PM10) on mortality in 10 southern European cities in Spain, France, Italy and Greece (2003-2010), using satellite data for exposure assessment and Poisson regression models, simulating a case-crossover approach. Results: We found that smoky days were associated with increased cardiovascular mortality (lag 0-5, 6.29%, 95% CIs 1.00 to 11.85). When the effect of PM10 (per 10 mg/m3) was evaluated, there was an increase in natural mortality (0.49%), cardiovascular mortality (0.65%) and respiratory mortality (2.13%) on smoke-free days, but PM10-related mortality was higher on smoky days (natural mortality up to 1.10% and respiratory mortality up to 3.90%) with a suggestion of effect modification for cardiovascular mortality (3.42%, p value for effect modification 0.055), controlling for Saharan dust advections. Conclusions: Smoke is associated with increased cardiovascular mortality in urban residents, and PM10 on smoky days has a larger effect on cardiovascular and respiratory mortality than on other days.

During the recent economic crisis in Greece, fireplaces and wood stoves have been extensively used for domestic heating even in densely populated cities like Athens. Throughout the last winter periods (especially winter 2012–2013), a persistent phenomenon of smoke haze covering many urban and suburban areas of the city was observed. In the framework of the present study, indoor and outdoor PM10 and PM2.5 measurements were conducted in an apartment in suburban Athens during December 2012–February 2013 for two periods. One period with minimal or no wood burning at fireplaces and another period with intense wood burning taking place in the area. The results highlighted the impact of biomass burning on PM mass concentration in the ambient atmosphere as well as the indoor air. OC/EC and K+/EC ratios for both (indoor and outdoor) particle fractions revealed their origin from biomass burning. The most abundant ions were SO42– and NO3–followed by Ca2+, PO43–, Na+ for indoor and outdoor particles with levels typical for this suburban area. Finally, Fe strongly dominated in both indoor and outdoor air while elemental enrichment factors highlighted the anthropogenic origin of trace elements. Indoor to outdoor concentration ratios, especially during the period of extensive fireplace use, showed that carbonaceous particles and some trace species (Cu, K+, Na+) were released in the indoor air. © Taiwan Association for Aerosol Research.

Previous studies reported significant variability of air pollutants across Europe with the lowest concentrations generally found in Northern Europe and the highest in Southern European countries. Within the MED-PARTICLES project the spatial and temporal variations of long-term PM and gaseous pollutants data were investigated in traffic and urban background sites across Southern Europe. The highest PM levels were observed in Greece and Italy (Athens, Thessaloniki, Turin and Rome) while all traffic sites showed high NO2levels, frequently exceeding the established limit value. High PM2.5/PM10ratios were calculated indicating that fine particles comprise a large fraction of PM10, with the highest values found in the urban background sites. It seems that although in traffic sites the concentrations of both PM2.5and PM10are significantly higher than those registered in urban background sites, the coarse fraction PM2.5-10is more important at the traffic sites. This fact is probably due to the high levels of resuspended road dust in sites highly affected by traffic, a phenomenon particularly relevant for Mediterranean countries. The long-term trends of air pollutants revealed a significant decrease of the concentration levels for PM, SO2and CO while for NO2no clear trend or slightly increasing trends were observed. This reduction could be attributed to the effectiveness of abatement measures and strategies and also to meteorological conditions and to the economic crisis that affected Southern Europe. © 2014 Elsevier B.V.

The present paper focuses on respirable particulate matter (RPM) measurements conducted at the breathing zone of adult volunteers in sixteen different working environments: two offices, a house, a chemical laboratory, a non- smoking shop, a pharmacy store, a car garage, a hairdresser's store, a photocopy store, a taxi, a gym, a mall, a restaurant, a bar, a kiosk and a school. The sixteen different cases were categorized according to the location, the type of the activities taking place indoors, the number of occupants, the proximity to heavy traffic roads, the ventilation pattern etc. According to the results, the maximum particle concentration (in average 285 μg m-3) was recorded at the hairdresser store while the minimum concentration was measured in the cases of the housewife and the employee in the non-smoking shop (in average 30 μg m-3). The results indicated smoking as a factor which strongly influences the exposure levels of both smokers and passive smokers. Furthermore, it was found that the building ventilation pattern comprises an important factor influencing the exposure levels especially in cases of buildings with great number of visitors (resuspension) and smoking. © Author(s) 2014.

We investigated the short-term effects of particles with aerodynamic diameter less than 2.5μm (PM2.5), between 2.5 and 10μm (PM2.5-10) and less than 10μm (PM10) on deaths from diabetes, cardiac and cerebrovascular causes, lower respiratory tract infections (LRTI) and chronic obstructive pulmonary disease (COPD) in 10 European Mediterranean metropolitan areas participating in the MED-PARTICLES project during 2001-2010.In the first stage of the analysis, data from each city were analyzed separately using Poisson regression models, whereas in the second stage, the city-specific air pollution estimates were combined to obtain overall estimates. We investigated the effects following immediate (lags 0-1), delayed (lags 2-5) and prolonged exposure (lags 0-5) and effect modification patterns by season. We evaluated the sensitivity of our results to co-pollutant exposures or city-specific model choice. We applied threshold models to investigate the pattern of selected associations.For a 10μg/m3 increase in two days' PM2.5 exposure there was a 1.23% (95% confidence interval (95% CI): -1.63%, 4.17%) increase in diabetes deaths, while six days' exposure statistically significantly increased cardiac deaths by 1.33% (95% CI: 0.27, 2.40%), COPD deaths by 2.53% (95% CI: -0.01%, 5.14%) and LRTI deaths by 1.37% (95% CI: -1.94%, 4.78%). PM2.5 results were robust to co-pollutant adjustments and alternative modeling approaches. Stronger effects were observed in the warm season. Coarse particles displayed positive, even if not statistically significant, associations with mortality due to diabetes and cardiac causes that were more variable depending on exposure period, co-pollutant and seasonality adjustment.Our findings provide support for positive associations between PM2.5 and mortality due to diabetes, cardiac causes, COPD, and to a lesser degree to cerebrovascular causes, in the European Mediterranean region, which seem to drive the particles short-term health effects. © 2014 Elsevier Ltd.

Airborne particulate matter in the PM2.5 and PM1 size ranges has been sampled at three sites within the Mediterranean urban area of the Athens Basin, representing background, roadside-industrialized and coastal background locations. With the principal aim to identify the sources and discriminate the contribution of the regional input versus the local one, simultaneous chemical characterization with respect to carbonaceous and ionic species was also carried out on the collected samples. In general, the average recorded values were within the Mediterranean concentration range. The constant prevalence of the ionic mass (52%-79%) over one of the carbonaceous, being combined with the occurrence of its maximum rates at the coastal background environment (74%-79% and 73%-77% for PM2.5 and PM1, respectively) leads to the hypothesis that the fine PM pollution in the basin, especially for the remote locations, is evidently governed by the external intrusion. Even at the polluted atmosphere 1of the roadside-industrialized environment, the PM mass was regionally originated, with the corresponding input reaching up to 87% (northward flow). Applying factor analysis on the PM2.5 database it came obvious that the sources which were responsible for the configured PM burden were not fully differentiated not only between the different types of environment but also between the exceedances and the clean air events. The contribution of the secondary, marine and combustion processes was constant at all the stations of the network, while a continuous input of crustal particles characterized both the roadside-industrialized and the coastal atmosphere. Finally, the episodic values show a general common signal of secondary mixed ΡΜ emissions, high influence of both regional and local pollution spikes, confirming the earlier findings for the significance of transportation. © 2014 Elsevier B.V.

Background: Few studies have investigated the independent health effects of different size fractions of particulate matter (PM) in multiple locations, especially in Europe. Objectives: We estimated the short-term effects of PM with aerodynamic diameter ≤ ; 10; μm (PM10), ≤ 2.5; μm (PM2.5), and between 2.5 and 10; μm (PM2.5-10) on all-cause, cardiovascular, and respiratory mortality in 10 European Mediterranean metropolitan areas within the MED-PARTICLES project. Methods: We analyzed data from each city using Poisson regression models, and combined city-specific estimates to derive overall effect estimates. We evaluated the sensitivity of our estimates to co-pollutant exposures and city-specific model choice, and investigated effect modification by age, sex, and season. We applied distributed lag and threshold models to investigate temporal patterns of associations. Results: A 10-μg/m3 increase in PM2.5 was associated with a 0.55% (95% CI: 0.27, 0.84%) increase in all-cause mortality (0-1 day cumulative lag), and a 1.91% increase (95% CI: 0.71, 3.12%) in respiratory mortality (0-5 day lag). In general, associations were stronger for cardiovascular and respiratory mortality than all-cause mortality, during warm versus cold months, and among those ≥ 75 versus < 75 years of age. Associations with PM2.5-10 were positive but not statistically significant in most analyses, whereas associations with PM10 seemed to be driven by PM2.5. Conclusions: We found evidence of adverse effects of PM2.5 on mortality outcomes in the European Mediterranean region. Associations with PM2.5-10 were positive but smaller in magnitude. Associations were stronger for respiratory mortality when cumulative exposures were lagged over 0-5 days, and were modified by season and age.

The main purpose of this study is to investigate the aerosols' (PM10, PM2.5, and PM1) spatial and temporal distribution in different types of environment in a Mediterranean urban region, the Greater Athens Area based on data from a sampling campaign that took place during the cold and warm period of 2008. The influence of the atmospheric circulation patterns, the possible local transport mechanisms, as well as the differentiation of the PM behaviour from that of the inorganic pollutants (NOx, O3), are analysed and discussed. Furthermore, the Comprehensive Air Quality Model with extensions (CAMx) was applied for selected sampling dates and its results were evaluated against measurements in order to interpret qualitatively the configured picture of the air pollution above the GAA. Analysis of the measurement data show that local sources such as traffic and industry dominate over the prevailing PM loads, especially at the 'hot spot' areas. Moreover, the synoptic circulation patterns associated with calm conditions and southerly flows lead to high particulate pollution levels that also affect the urban background stations. Saharan dust outbreaks appeared to increase the particles' diameter as well as the number of E.U. limit value exceedances within the stations of our network. Without any dependence on the characteristics of the investigated atmosphere, PM1 always constituted the greatest part of the PM2.5 mass while PM10, especially during the Saharan dust episodes, was mainly constituted by the coarse fraction. The numerical modelling approach of the geographical distribution of PM10, PM2.5, NOx and O3 justified the design of the sampling campaign, indicating the need for the systematic and parallel monitoring and modelling of the pollutants' dispersion in order to understand the particulate pollution problem in the GAA and to aid to the formulation of pollution control strategies. © 2013 Elsevier B.V.

Background: Evidence on the short-term effects of fine and coarse particles on morbidity in Europe is scarce and inconsistent. Objectives: We aimed to estimate the association between daily concentrations of fine and coarse particles with hospitalizations for cardiovascular and respiratory conditions in eight Southern European cities, within the MED-PARTICLES project. Methods: City-specific Poisson models were fitted to estimate associations of daily concentrations of particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5), ≤ 10 (PM10), and their difference (PM2.5-10) with daily counts of emergency hospitalizations for cardiovascular and respiratory diseases. We derived pooled estimates from random-effects meta-analysis and evaluated the robustness of results to co-pollutant exposure adjustment and model specification. Pooled concentration-response curves were estimated using a meta-smoothing approach. Results: We found significant associations between all PM fractions and cardiovascular admissions. Increases of 10 μg/m3 in PM2.5, 6.3 μg/m3 in PM2.5-10, and 14.4 μg/m3 in PM10 (lag 0-1 days) were associated with increases in cardiovascular admissions of 0.51% (95% CI: 0.12, 0.90%), 0.46% (95% CI: 0.10, 0.82%), and 0.53% (95% CI: 0.06, 1.00%), respectively. Stronger associations were estimated for respiratory hospitalizations, ranging from 1.15% (95% CI: 0.21, 2.11%) for PM10 to 1.36% (95% CI: 0.23, 2.49) for PM2.5 (lag 0-5 days). Conclusions: PM2.5 and PM2.5-10 were positively associated with cardiovascular and respiratory admissions in eight Mediterranean cities. Information on the short-term effects of different PM fractions on morbidity in Southern Europe will be useful to inform European policies on air quality standards.

The scope of the present study is to assess the influence of meteorology on different diameter particles (PM 10, PM 2.5, PM 2.5-10) during a 53months long experimental campaign at an urban Mediterranean area. Except for the investigation of the wind, temperature and relative humidity role, day by day synoptic conditions were classified over the Attica peninsula in order to explore as well, the role of the synoptic scale atmospheric circulation. The strong dependence of the aerosols character on their various sources, not only explain the different diameter particles behavior and their differentiation with the inorganic pollutants but also highlights the need for an effective emission policy. High PM 10 and PM 2.5-10 concentrations found to be closely related to the southwesterly regime, suggesting long range transport from the 'polluted' south sector while the general prevalence of the secondary particles generation revealed the health hazard. PM 2.5 showed a weaker correlation than the bigger particles with both the circulation patterns and the parameters' fluctuations. Temporal pollutants variations were clearly governed by the emissions patterns while the low wind speed was not necessarily a good indicator of high concentration levels. Finally it was found that only during the open/close anticyclonic days and the southwesterly wind regime the morning levels were continuously higher than those of the night. © 2012 Elsevier B.V.

International audience

The aim of the present study was to identify the main sources contributing to the air pollution of three indoor environments of different use: a museum, a printery industry and an office. For that purpose, particulate matter (TSP, PM10, PM2.5), inorganic pollutants (NOx, SO2, O3) and organic compounds (BTX, formaldehyde) were monitored. Factors such as the kind of the activities occurred indoors, the emissions from the existing equipment, the number of occupants, the ventilation pattern and the outdoor background substantially varied among the three sites. The average values of PM2.5 (151 μg m-3), benzene (69.4 μg m-3), toluene (147 μg m-3), SO2 (47 μg m-3) and NO2 (96.6 μg m-3) were the highest values recorded during the experimental campaigns while all of them measured in the printery industry. Formaldehyde presented the highest concentration value in the museum (50.5 μg m-3). O3 was measured to have the highest concentration in the non smokers' office (238 μg m-3) while the lowest was found in the presser section of the printer industry (11.0 μg m-3). The location of the sites seems to play a significant role, too. Benzene/toluene ratio indicated traffic as a major source. Furthermore, ozone presented low levels in the printery and the museum (urban area) and relatively higher levels in offices (suburban area), indicating its outdoor origin. © 2011 Elsevier Ltd.

Over the last decades epidemiological studies conducted in many countries around the world, observed associations between ambient particle mass concentrations and human health risks. EU has set since 1999 air quality standards (1999/30/EC) for PM10 particles. Many countries perform PM10 measurements and operate air monitoring networks, thus it is necessary to estimate the uncertainty of PM10 measurement in order the results to be comparable. An inter-laboratory comparison of PM10 measurements was held in the ground of NCSR “Demokritos”, in Athens, Greece. The aim of the campaign was to investigate if equivalent PM10 gravimetric samplers produce equivalent results and to estimate the uncertainty of the measurement. The 20 days measurement program included 24hr measurements of PM10 mass concentration, using gravimetric sampling instruments. The intercomparison measurements were carried out between the 29/9-29/10 2010. Thirteen laboratories participated in the campaign with a PM10 sampler (Unit), which is represented by a unique number (e.g. Uj, where j represents the number of the unit - not related to affiliated institutes). All the samplers had been placed on a measuring platform, at the grounds of the N.C.S.R "Demokritos". Participating measuring systems were based on the same principals for size selection of the PM10 fraction, filtration of the particles and flow measurement. Size selection inlets operated by impaction, teflon nuclepore and quartz filters were used and flow was controlled by orifice systems and/or measured by dry gas meters. The method of gravimetric measurement and sample handling was in Moreover, the Z-score was also calculated in order to assess the comparability of the candidate samplers with the reference value (average PM10 mass concentration). Considering that a I Z-score I

During the last decades, the air quality of the city of Athens has been quite aggravated. Scientific interest has been focused on health effects caused by both outdoor and indoor air pollution. The purpose of this study was the presentation of results from air quality measurements in two similar typical Athenian apartments in the same suburban area. In addition, smoking contribution is investigated, as it is the main factor which differentiates the two apartments. The results showed that it is the outdoor environment that mainly contributes to the air quality of the non-smokers' house. In the second apartment, PM2.5, PM1 , and benzene concentrations were found significantly higher due to smoking activity. In contrast, no clear difference in particulate matter ionic composition between the two areas was observed, although in the smoker's house, ion concentrations were found elevated. This observation amplifies the assumption that in the smoker's apartment, significant outdoor sources' contribution cannot be excluded. © Springer Science + Business Media B.V. 2009.