Synthesis of environmental evidence: nitrogen dioxide epidemiology studies.

The use of meta-analysis is becoming more common in the medical literature, but it is not common in the environmental literature. Although meta-analysis cannot combine a group of poorly executed, conflicting studies to get an unequivocal answer, there are certain situations where it can be helpful. The inability of studies to produce similar results may be a function of the power of the studies rather than a reflection of their quality. The literature on the effects of nitrogen dioxide on the odds of respiratory illness in children is such an example. Three quantitative methods for the synthesis of this evidence are presented. Although the methods produce slightly different results, the conclusion from all three methods is that the increase in the odds of respiratory illness in children exposed to a long-term increase of 30 micrograms/m3 (comparable to the increase resulting from exposure to a gas stove) is about 20 percent. This estimated increase is not sensitive to the method of analysis.

Exposure estimates for the Houston Area Asthma Study.

Procedures for determining exposure extimates for the Houston Area Asthma Study are discussed. Two residential clusters of asthmatics in the Houston area have been studied as part of an overall attempt to assess the health effects of air pollution in the Texas Gulf Coast area. Air pollutant exposure data have been produced according to a three-tier monitoring scheme, i.e. (1) continuous data from centrally-located fixed stations, (2) residential indoor/outdoor measurements, and (3) personal monitoring. This air monitoring network should yield estimates of individual exposures for use in health effect correlations.The fixed sites and mobile continuously monitor ambient levels of ozone, nitrogen oxides, sulfur dioxide, carbon monoxide, and meteorological parameters (wind speed, wind direction, temperature, dew point, solar irradiation, and precipitation). Continuous sequential integrated sampling is preformed for total suspended particulates (TSP) and, inhalable particulates (IP) (total of < 2.5µm and 2.5-15.0 µm) by dichotomous samplers for 24 hr samplers), aldehydes (bubblers), and aeroallergens (intermittent rotorod samplers). In addition to gravimetric determinations, particulate filters are routinely analyzed for sulfate, nitrate, and (every third day) trace elements. Personal monitoring includes ozone, respirable particles, nitrogen dioxide and formaldehyde. A quality assurance/control program that meets specifications established in the EPA Quality Assurance Handbook for air pollution measurement systems was implemented. Examples of results consisting of unvalidated preliminary data from the monitoring for ozone for three participants is presented and approaches to determining exposure estimates are discussed for both an integrated exposure estimate and short time period exposure estimate.