Determinants of nitrogen dioxide concentrations in indoor ice skating rinks.

OBJECTIVES: The combination of poor ventilation and fuel-powered ice resurfacers has resulted in elevated nitrogen dioxide (NO2) concentrations in many indoor ice skating rinks. This study examined the factors influencing concentrations and the effects of various engineering controls in ice rinks with different resurfacer fuels. METHODS: Indoor NO2 concentrations were measured in 19 enclosed ice skating rinks over 3 winters by means of passive samplers, with 1-week average measurements during the first winter pilot study and single-day working-hour measurements in the final 2 winters. Personal exposures to drivers also were assessed during the last winter. RESULTS: Rinks in which propane-fueled resurfacers were used had a daily mean indoor NO2 concentration of 206 ppb, compared with 132 ppb for gasoline-fueled and 37 ppb for electric-powered resurfacers. Engineering controls, such as increased ventilation and resurfacer tuning, reduced NO2 concentrations by 65% on average, but outcomes varied widely, and concentrations increased in subsequent months. CONCLUSIONS: Electric ice resurfacers, increased ventilation, or emission control systems are recommended to protect the health of workers and patrons, with surveillance programs proposed to track implementation and maintain an observer effect.     

Indoor air quality in ice skating rinks in Hong Kong

Indoor air quality in ice skating rinks has become a public concern due to the use of propane- or gasoline-powered ice resurfacers and edgers. In this study, the indoor air quality in three ice rinks with different volumes and resurfacer power sources (propane and gasoline) was monitored during usual operating hours. The measurements included continuous recording of carbon monoxide (CO), carbon dioxide (CO(2)), total volatile organic compounds (TVOC), particulate matter with a diameter less than 2.5 microm (PM(2.5)), particulate matter with diameter less than 10 microm (PM(10)), nitric oxide (NO), nitrogen dioxide (NO(2)), nitrogen oxide (NO(x)), and sulfur dioxide (SO(2)). The average CO, CO(2), and TVOC concentrations ranged from 3190 to 6749 microg/m(3), 851 to 1329 ppm, and 550 to 765 microg/m(3), respectively. The average NO and NO(2) concentrations ranged from 69 to 1006 microg/m(3) and 58 to 242 microg/m(3), respectively. The highest CO and TVOC levels were observed in the ice rink which a gasoline-fueled resurfacer was used. The highest NO and NO(2) levels were recorded in the ice rink with propane-fueled ice resurfacers. The air quality parameters of PM(2.5), PM(10), and SO(2) were fully acceptable in these ice rinks according to HKIAQO standards. Overall, ice resurfacers with combustion engines cause indoor air pollution in ice rinks in Hong Kong. This conclusion is similar to those of previous studies in Europe and North America.     

Carbon monoxide in indoor ice skating rinks: evaluation of absorption by adult hockey players.

We evaluated alveolar carbon monoxide (CO) levels of 122 male, adult hockey players active in recreational leagues of the Quebec City region (Canada), before and after 10 weekly 90-minute games in 10 different rinks. We also determined exposure by quantifying the average CO level in the rink during the games. Other variables documented included age, pulmonary function, aerobic capacity, and smoking status. Environmental concentrations varied from 1.6 to 131.5 parts per million (ppm). We examined the absorption/exposure relationship using a simple linear regression model. In low CO exposure levels, physical exercise lowered the alveolar CO concentration. However, we noted that for each 10 ppm of CO in the ambient air, the players had adsorbed enough CO to raise their carboxyhemoglobin (COHb) levels by 1 percent. This relationship was true both for smokers and non-smokers. We suggest that an average environmental concentration of 20 ppm of CO for the duration of a hockey game (90 minutes) should be reference limit not to be exceeded in indoor skating rinks.     

Exposure assessment of non-electric ice resurfacer operators in indoor ice rinks: a pilot study

Exposure of ice resurfacer operators to indoor air contaminants was measured in six indoor ice arenas. A standardized questionnaire on technical and operational features was employed and indoor airborne concentrations of carbon monoxide (CO), carbon dioxide (CO₂), nitric oxide (NO), nitrogen dioxide (NO₂), sulfur dioxide (SO₂), and total volatile organic compounds (VOCs) were measured. Air samples were collected using a range of direct reading instruments attached to the driver’s seat of the resurfacer. The range of mean exposure concentrations via positional sampling (i.e. as close as able to the operator’s breathing zone) were 5.7–7.4 ppm, 694–2171 ppm, <0.5 to 0.5 ppm, and < 0.1 to 0.2 ppm, for CO, CO₂, NO, and NO₂, respectively. Exposure levels for SO₂ and VOC were below detection. Overall, each of the measured indoor air contaminants was found to be below its respective occupational exposure limits (OEL), suggesting that the risk of hazardous exposure is low. The use of natural gas as a fuel source is believed to contribute to low contaminant concentrations.     

Separate pharmaceutical budgets: skating on thin ice

In the Netherlands there are separate pharmaceutical budgets for hospital, nursing home and primary healthcare. This complex method of funding drug use, plus three recent developments, is putting increasing pressure on patient access to adequate pharmacotherapy. The three developments concerned are: the rapidly increasing number of expensive drugs available; the transfer of complex hospital care to primary care; and the transfer of budget responsibility from the government to health insurance companies. The so called 'postcode lottery affair' is just one example of access to expensive drugs (e.g. trastuzumab) depending on the region in which patients live. A reform of the way pharmaceutical budgets are distributed needs urgent reconsideration.     

Nitrogen dioxide

In order to assess level of human exposure to nitrogen dioxide, 22 traffic police from the city of Rio de Janeiro were monitored during their working hours for 3 consecutive days. Samples were taken by using a passive sampler (badge) and analyzed spectrophotometrically after reacting with sulphanilic acid followed by coupling with N-naphtilethylenediamine dihydrochloride. Results ranged from 13.3 to 193.6 mg/m3. According to the literature, these levels are not associated with any acute damage to human health but care should be taken to avoid long-term problems.     

Current nitrogen dioxide exposures among railroad workers

As part of a series of epidemiologic studies of the mortality patterns of railroad workers, various air contaminants were measured to characterize the workers' current exposures to diesel exhaust. Nitrogen dioxide (NO2), which is a constituent of diesel exhaust, was examined as one possible marker of diesel exposure. An adaptation of the Palmes personal passive sampler was used to measure the NO2 exposures of 477 U.S. railroad workers at four railroads. The range of NO2 exposures expressed as the arithmetic average +/- two standard errors for the five career job groups were as follows: signal maintainers, 16-24 parts per billion (ppb); clerks/dispatchers/station agents, 23-43 ppb; engineers/firers, 26-38 ppb; brakers/conductors, 50-74 ppb; and locomotive shop workers, 95-127 ppb. Variations among railroads and across seasons were not significant for most job groups.     

Nitrogen dioxide and the erythrocyte redox state.

Normal human erythrocytes were exposed for two hours at 38 C to an atmosphere of air containing variable concentrations of nitrogen dioxide, in order to detect any primary cytoplasmic effect of NO2 on the calculated oxidation-reduction (redox) ratio ([NAD+]/[NADH]) of a mitochondria-free cell. Substantial increases in the redox ratio were noted only when NO2 concentrations exceeded 15 ppm. In the range of 15 to 500 ppm NO2, the increase in the redox ratio significantly correlated with the NO2 concentration (r=.71; p less than .01). Intracellular to extracellular anion distribution ratios for chloride, lactate, and pyruvate were similar in NO2 and non-NO2 exposed cells, suggesting absence of a substantial hemolytic effect. These data identify a direct cytoplasmic NO2-induced biochemical change that may be mediated by a mechanism other than lipid peroxidation. Alteration of hemoglobin or NAD-NADH-dependent enzyme activity is suggested.     

Interpersonal and daily variability of personal exposures to nitrogen dioxide and sulfur dioxide

Chronic exposure is often assessed using a single measurement per individual or group. However, daily levels of personal exposure can vary greatly. Chronic exposure classification by a single measurement could be significantly affected by the interpersonal and daily variations of exposures. The purpose of this study is to determine the effect of using a single personal exposure measurement on estimating long-term exposure. This study used measurements of consecutive 14 daily personal exposures to nitrogen dioxide (NO(2)) and sulfur dioxide (SO(2)) of 50 individuals in Yeochun, Korea. The daily personal exposures were measured by passive samplers. Personal exposure to NO(2) was associated with gas cooking, and personal exposure to SO(2) was associated with ambient air pollution. Mixed effects models indicated that daily variability was greater than interpersonal variability for both the pollutants. Effectiveness of using single-day personal measurements for long-term population mean exposure was supported by relatively consistent daily population averages, but multiple-day measurements might be warranted for characterizing individual exposures or high-end population exposures such as the 95th percentile. Although classification of high and low exposure groups by 1-day exposure and by 14-day exposure produced similar group totals, 20% of individual NO(2) exposures and 31% of individual SO(2) exposures were misclassified using 1-day exposures. Average values of 1-day exposure and 14-day exposure were significantly different, but the difference decreased by an increase in the number of measurements for the short-term exposure. The findings were similar for both NO(2) and SO(2), although the two air pollutants have different sources and behaviors.     

Acute respiratory effects of short-term exposures to nitrogen dioxide

Eleven study subjects with asthma and 12 normal controls were monitored for 5 days with a portable continuous nitrogen dioxide (NO2) monitoring instrument held at breathing level before, during, and after cooking dinner on a gas cooking range. Forced expiratory volume in 1 sec (FEV1.0), forced expiratory volume (FEV25-75), peak expiratory flow, and a tracing of the entire flow curve was monitored before the gas stove was turned on, during a break in cooking, immediately after, and 1 hr after cooking was completed. Study design for detection of health effects of the acute exposures to NO2 described above and a method of validating findings in an exposure chamber are discussed in this paper.     

A study on the effects of the physical load of instructors during ice skating camp

The present study was conducted to estimate the effects of the physical load of instructors during ice skating camp. The subjects were 9 instructors aged from 20 to 24. To discover measures to relieve the physical load, we measured 1) urinary excretion of catecholamine (noradrenaline; NA, adrenaline; A), 17-OHCS, creatinine and nitrogen; N each day, 2) subjective symptoms of fatigue three time a day (morning, after skating, and at night), 3) nutrient intakes, 4) performed a time study and 5) measured the heart rate during skating instruction. The main results obtained were as follows: 1) The mean heart rate during skating instruction was 98.4-113.1 beats/min. 2) Urinary excretions of NA, A, and 17-OHCS were observed to have increased gradually during skating camp. The values of NA, A and 17-OHCS in the skating camp period were significantly higher than those of daily life. Subjective symptoms of fatigue were also increased gradually. The construction of symptom clusters was of the I-dominant type (I greater than III greater than II) at each point. 3) Intakes of energy, carbohydrate, protein and fat during the skating camp period were higher in comparison with those of daily life. 4) Urinary-N and creatinine levels during the skating camp period showed no changes. N-intake/urinary-N of the skating camp period tended to be higher than that of daily life. 5) In the time study, mean energy consumption was 3300-3400 kcal/day. The mean time of skating instruction was 218-227 min. The sleeping time was observed to have decreased gradually.(ABSTRACT TRUNCATED AT 250 WORDS)     

Nitrogen dioxide exposure and urinary excretion of hydroxyproline and desmosine.

The relationship between average and peak personal exposure to nitrogen dioxide and urinary excretion of hydroxyproline and desmosine was investigated in a population of preschool children and their mothers. Weekly average personal nitrogen dioxide exposures for subjects who resided in homes with one or more potential nitrogen dioxide source (e.g., a kerosene space heater, gas stove, or tobacco smoke) ranged between 16.3 and 50.6 ppb (30.6 and 95.1 micrograms/m3) for children and between 16.9 and 44.1 ppb (12.8 and 82.9 micrograms/m3) for mothers. In these individuals, the hydroxyproline-to-creatinine and desmosine-to-creatinine ratios were unrelated to personal nitrogen dioxide exposure--even though continuous monitoring documented home nitrogen dioxide concentration peaks of 100-475 ppb lasting up to 100 h in duration. Significantly higher hydroxyproline-to-creatinine and desmosine-to-creatinine ratios were observed in children, compared with mothers (p < .001 and .003, respectively).     

Modulation of pulmonary defense mechanisms by acute exposures to nitrogen dioxide

The effect of acute exposures to NO2 on the antibacterial defenses of the murine lung was assessed following inhalation challenges with Staphylococcus aureus, Proteus mirabilis, and Pasteurella pneumotropica. Animals were challenged with the bacteria and exposed for 4 hr to increasing concentrations of NO2 after which pulmonary bactericidal activity was quantitated. With S. aureus pulmonary antibacterial defenses were suppressed at NO2 levels of 4.0 ppm and greater. Exposure to 10.0 ppm enhanced the intrapulmonary killing of P. mirabilis which correlated with an increase in the phagocytic cell populations lavaged from the lungs; at 20.0 ppm bactericidal activity against P. mirabilis was impaired. Pulmonary antibacterial defenses against P. pneumotropica were impaired at 10.0 ppm which correlated with a decrease in the retrieved phagocytic lung cell population. Reversing the order of treatment (ie., NO2 exposure prior to bacterial challenge) raised the threshold concentration for NO2-induced impairment of intrapulmonary bacterial killing. With S. aureus the effect was not observed at 5.0 ppm but at 10.0 ppm and with P. mirabilis not at 20.0 ppm but at 30.0 ppm intrapulmonary killing was enhanced. Exposures up to 20.0 ppm of NO2 did not effect the physical translocation mechanisms of the lung as quantitated by declines in pulmonary radiotracer activity following aerogenic challenge with 32P-labeled staphylococci. These studies demonstrate that NO2 modulates pulmonary antibacterial defenses and points to the importance of the challenge organism and the exposure protocol in establishing a threshold dose for the adverse effect.     

Manganese dioxide exposures and respirator performance at an alkaline battery plant

Two industrial hygiene studies were conducted at an alkaline battery plant to evaluate worker exposures to manganese dioxide particulate and the effectiveness of filtering facepiece respirators. The work areas studied included the plant's powder-processing tower and press rooms where manganese was blended, compacted with graphite, and inserted into battery cans. Full-shift personal breathing zone monitoring was conducted to estimate manganese dust exposures of press operators, mechanics, and material handlers. In-facepiece and personal breathing zone air sampling pairs were also collected using a program protection factor protocol to estimate the protection provided by the respirators. Particle size evaluations were made using nylon cyclones and Marple personal multi-stage impactors. All samples were analyzed for manganese by inductively coupled argon plasma, atomic emission spectroscopy via NIOSH analytical method 7300 utilizing a modified acid digestion procedure. Fifty-four, full-shift, time-weighted average (TWA) exposures to total manganese ranged from 0.1 to 5.4 milligrams per cubic meter (mg/m3); worker exposures were substantially lower during a follow-up study due to engineering control improvements. Concurrent area sample comparisons of total and respirable manganese revealed that the respirable particulate mass fractions ranged from 6 to 32 percent, and mass median aerodynamic diameters determined from personal breathing zone air samples were mostly greater than 10 micrometers. Fifteen respirator performance evaluations were conducted using Moldex 2200 respirators fitted with 25 millimeter cassettes and light weight sampling probes. Protection factors ranged from 5 to 220, with a geometric mean and standard deviation of 31 and 2.97, respectively. The 5th percentile protection factor estimate was 5, as calculated from the protection factor distribution for this sample set. In 1995, the American Conference of Governmental Industrial Hygienists (ACGIH) lowered the elemental and inorganic manganese dust Threshold Limit Value (TLV) from 5 mg/m3 to 0.2 mg/m3 to address adverse pulmonary and central nervous system effects and male infertility. Although most personal breathing zone concentrations were above 0.2 mg/m3, none of the in-facepiece concentrations exceeded this concentration. Parkinson's-like symptoms have been reported in the literature for high manganese dust and fume exposures, but the importance of low dust exposures for producing neurological effects is uncertain.     

Gasoline vapor exposures. Part I. Characterization of workplace exposures

Monitoring surveys of gasoline vapor exposures were conducted on truck drivers and terminal operators from five terminal loading facilities, on dockmen and seamen at two tanker/barge loading facilities, and on attendants at a single expressway service plaza. Results revealed wide variations in total C6+ hydrocarbon exposures for each location, with overall 8-hr time-weighted averaged (TWA) geometric means of 5.7 mg/m3 (1.4 ppm) for the terminals, and 4.0 mg/m3 (1.0 ppm) for the service plaza, respectively. The exposures ranged from 0.8 to 120.8 mg/m3 (0.2-30.1 ppm) for the terminals, and from 1.1 to 130.3 mg/m3 (0.3-32.5 ppm) for the service plaza. For the terminals, exposures were not significantly different regardless of loading method or the presence or absence of vapor recovery systems. Comprehensive chemical analyses of terminal employee exposure samples revealed that the C4 and C5 hydrocarbon components constituted 74.8 +/- 9.2% of the total exposure sample on a microgram/sample basis. The C6, C7, and C8+ components constituted 13.0 +/- 1.9, 6.2 +/- 3.0, and 5.9 +/- 7.2% of the total samples, respectively. Comprehensive analyses of the marine employee exposure samples resulted in a similar distribution of components; that is, 66.6 +/- 7.9, 17.5 +/- 4.7, 9.2 +/- 3.1, and 6.4 +/- 1.9% for the C4/C5, C6, C7, and C8+ components, respectively. The composition of the exposures, however, was weighted more toward the C5, C6 and C7 components when compared to the bulk terminal employee exposures.(ABSTRACT TRUNCATED AT 250 WORDS)