Skip to main content
IOP Publishing logoLink to IOP Publishing
. 2024 Feb 27;19(3):034036. doi: 10.1088/1748-9326/ad2892

Inequalities in urban air pollution in sub-Saharan Africa: an empirical modeling of ambient NO and NO2 concentrations in Accra, Ghana

Jiayuan Wang 1, Abosede S Alli 1, Sierra N Clark 2,3, Majid Ezzati 2,3,4,5, Michael Brauer 6, Allison F Hughes 7, James Nimo 7, Josephine Bedford Moses 7, Solomon Baah 7, Ricky Nathvani 2,3, Vishwanath D 2,3, Samuel Agyei-Mensah 8,11, Jill Baumgartner 9,10, James E Bennett 2,3, Raphael E Arku 1,*
PMCID: PMC10897512  EMSID: EMS194097  PMID: 38419692

Abstract

Road traffic has become the leading source of air pollution in fast-growing sub-Saharan African cities. Yet, there is a dearth of robust city-wide data for understanding space-time variations and inequalities in combustion related emissions and exposures. We combined nitrogen dioxide (NO2) and nitric oxide (NO) measurement data from 134 locations in the Greater Accra Metropolitan Area (GAMA), with geographical, meteorological, and population factors in spatio-temporal mixed effects models to predict NO2 and NO concentrations at fine spatial (50 m) and temporal (weekly) resolution over the entire GAMA. Model performance was evaluated with 10-fold cross-validation (CV), and predictions were summarized as annual and seasonal (dusty [Harmattan] and rainy [non-Harmattan]) mean concentrations. The predictions were used to examine population distributions of, and socioeconomic inequalities in, exposure at the census enumeration area (EA) level. The models explained 88% and 79% of the spatiotemporal variability in NO2 and NO concentrations, respectively. The mean predicted annual, non-Harmattan and Harmattan NO2 levels were 37 (range: 1–189), 28 (range: 1–170) and 50 (range: 1–195) µg m−3, respectively. Unlike NO2, NO concentrations were highest in the non-Harmattan season (41 [range: 31–521] µg m−3). Road traffic was the dominant factor for both pollutants, but NO2 had higher spatial heterogeneity than NO. For both pollutants, the levels were substantially higher in the city core, where the entire population (100%) was exposed to annual NO2 levels exceeding the World Health Organization (WHO) guideline of 10 µg m−3. Significant disparities in NO2 concentrations existed across socioeconomic gradients, with residents in the poorest communities exposed to levels about 15 µg m−3 higher compared with the wealthiest (p < 0.001). The results showed the important role of road traffic emissions in air pollution concentrations in the GAMA, which has major implications for the health of the city’s poorest residents. These data could support climate and health impact assessments as well as policy evaluations in the city.

Keywords: air pollution, nitrogen dioxide (NO2), nitrogen oxides (NOx), sub-Saharan Africa, Ghana, air pollution inequality, land use regression

1. Introduction

Cities in sub-Saharan Africa (SSA) are in an economic transition and undergoing significant expansion. With such rapid growth, SSA cities are experiencing high levels of air pollution from diverse sources [1]. The growth is also changing the air pollution mixture and the relative roles of the major emission sources. Recent studies suggest that the dominant emission source of urban air pollution in SSA may be shifting from household biomass burning [2, 3] to road traffic [4, 5]. Consequently, while the concentrations of fine particulate matter pollution (PM2.5) are showing signs of plateauing [4], several studies are reporting steady increases in oxides of nitrogen (NO x ) pollution [58], which are markers of traffic emissions in cities. Increasing formal and informal industrial activities as well as household and commercial use of diesel generators are also common in SSA cities and contribute substantially to ambient NO x levels. The distribution of these sources in relation to land use and socioeconomic factors influences the spatial patterns of NO x pollution in local communities [4, 5, 914]. For cities across the West African sub-region, seasonal changes in regional meteorological parameters (e.g. mixing layer depth, incident solar radiation and water vapor mixing ratio) during the dry and dusty Harmattan may also amplify NO x concentrations from local emissions during this period [5, 11, 12]. Yet, there is a dearth of long-term monitoring data for understanding trends, space-time variations and inequalities in combustion related emissions and exposures at city-scale in SSA, one of the world’s fastest urbanizing regions.

Nitrogen dioxide (NO2), the largest component of NO x , is associated with adverse health impacts such as inflammation of the airways and impaired lung function [15, 16]. Along with NO x , NO2 reacts with other chemicals in the air to form PM and ozone (O3). These photochemical reactions can also produce adverse impacts on the environment (e.g. formation of haze, smog, and acid rain). As such, national governments and international agencies have set health-based guidelines to reduce NO x emissions. Furthermore, NO2 is regularly monitored in cities in high-income countries. This is not the case in most sprawling cities in SSA, though the vehicle fleets contain high volumes of older, more polluting vehicles. Furthermore, because urban growth in SSA is largely unplanned, places with quality and healthy living environments are unequally distributed within cities. Although there are global satellite data on NO2 pollution covering the region [17], they do not capture the high within-city variability that characterizes localized emissions and sources in the context of SSA. To create accountability towards equitable urban living environments, local fine-scale data are needed for regulatory purposes as well as to identify and support deprived populations and communities. Such data are equally essential for health and climate impact assessments at the local community level in an exposure setting that is quite different from those in high-income country cities [18, 19]. In particular, NO x data, when combined with increasing data on PM2.5 and black carbon (BC), will deepen our understanding of the shifting emission sources that is happening in SSA cities that are in economic transition. The data will also enable SSA cities to design and implement integrated air quality management schemes to address growing urban air pollution problems in the region. Additionally, NO2 emissions serve as a general proxy for co-emitted pollutants (e.g. carbon monoxides and heavy metals) during fossil fuel combustion. Hence, knowledge of the patterns and concentrations of NO2 gives added information from the environmental justice perspective.

Previously, we described the levels and patterns of nitric oxide (NO) and NO2 pollution using year-long measurement data on NO x (n = 428 weekly samples) and NO2 (n = 472 weekly samples) from 134 monitoring sites in Accra, Ghana [5]. In this paper, we leveraged the measurement data to develop empirical (so called ‘land use regression’) models to map ambient NO and NO2 concentrations at fine spatiotemporal scales (weekly at 50 m) over the entire city. Model predictions were used to derive population exposure distributions and as well to investigate socioeconomic disparities in exposure across the metropolis. We are aware of only two small studies that mapped NO2/NO in SSA, but none in a large metropolis like Accra [20, 21].

2. Methods

2.1. Study area

Accra is one of the largest and fastest-growing metropolises in West Africa. Our study was conducted in the Greater Accra Metropolitan Area (GAMA), the capital of Ghana and home to an estimated six million residents [22]. GAMAs 1500 km2 area contains multiple administrative districts, including the city core and most populous Accra Metropolitan Area (AMA); and the Tema Municipal Area (TMA), the industrial hub and seaport situated east of AMA. Daily commute in the GAMA is characterized by heavy traffic congestions, with cars and ‘trotro’ (minibuses for public transport) alongside pedestrians [23]. There is limited formal bus transit and train services. Recently, there is a growing number of subcompact cars being used as ride-shares such as Uber and Bolt, and the use of motorcycle-taxis (‘Okada’) is on the rise. To fill the insufficient energy access gap in this growing economy, household and commercial use of diesel generators is commonplace. These are all sources of NO x emissions in the city. Despite the economic and technological advancement, there still exists immense inequalities in income, housing, infrastructure, and services, which also pattern disparities in environmental pollution within the city. The GAMA experiences two major seasons: the dry and dusty Harmattan (November to February), where north-easterly trade winds blows in mineral dusts from the Sahara Desert during a stagnant local meteorology; and the wet/rainy season (May to October), generally dominated by local air pollution sources [4, 5, 11, 12].

2.2. Data sources

2.2.1. NO2 and NOx measurement

Detailed description of the measurement campaign and site selection can be found elsewhere [5]. Between April 2019 to June 2020, we collected weekly integrated NO2 and NO x samples at 134 unique sampling locations using Ogawa passive samplers. The 134 sites were chosen to cover diverse land use and socioeconomic status (SES) in the GAMA. As frequently used markers for traffic-related emission, we expected a high degree of inter- and intra-neighborhood variations in NO x pollution within GAMA. Thus, our sampling sites were over-represented in the more densely populated AMA relative to the rest of the GAMA, as a reflection of the population, land use and source features. Ten of the sites were sampled weekly for one year to capture longer-trend (‘fixed sites’) and 124 sites were sampled for one week each to allow for wider geographic coverage (‘rotating sites’) (figure 1). There were some missing data between March and April 2020, due to Covid-19 lockdown of Accra as well as mandatory quarantine for the field team through contact tracing. While Covid-19 partial lockdown affected emissions in the city briefly, but our analysis showed that the levels rapidly returned to pre-lockdown concentrations in the post-lockdown era5. Altogether, we collected a total of 428 and 472 weekly NO x and NO2 samples, respectively, comprising 281 NO2 and 251 NO x samples in the pre-Covid-19 lockdown, 19 pairs during Covid-19 lockdown, and 50 pairs in the post-Covid-19 lockdown periods. We collected field blank and duplicate samples at 20% of the rotating sites. All the raw data were blank-corrected, and the duplicates had good agreement (R 2 = 0.98 for NO x ; and 0.95 for NO2) [5]. We did not collocate the Ogawa samplers against a reference NO x /NO2 monitor as they had been well-characterized in field settings with good agreements [24, 25], including in similar settings as ours [26]. We estimated NO from NO x as NO = NO x − NO2. The final weekly estimates were converted using temperature and relative humidity (RH) of that measurement week. We reported all results in µg m−3 (1ppb NO2 ≈ 1.88 µg m−3 and 1 ppb NO ≈ 1.23 µg m−3, all the conversion factors between ppb and µg m−3 were calculated based on weekly measured temperature and RH) for easy comparison with other studies and international health guidelines.

Figure 1.

Figure 1.

Map of the Greater Accra Metropolitan Area (GAMA) with locations of ‘fixed’ and ‘rotating’ sites with annual concentrations of (A) NO and (B) NO2. The colors of NO2 concentrations indicate comparison to the new World Health Organization (WHO) annual air quality guideline of 10 μg m−3. The concentrations at the fixed sites represent annual mean values, and the rotating sites represent season-adjusted mean values (i.e. an estimated annual means). Major and secondary road network were from OpenStreetMap [27] (downloaded in 2019).

Full description of the NO and NO2 analysis and concentrations at the monitoring sites is available elsewhere [5]. In summary, NO and NO2 concentrations varied spatially (i.e. by land-use features) and temporally (by season), with annual mean for NO2 well above international health-based guidance (figure 1). The measured data were strongly associated with indicators of road traffic emissions and meteorological variables.

2.2.2. Predictor variables

We gathered spatial and temporal predictor variables that reflect emissions and factors related to sources in the SSA urban environment (table 1). We first created four buffer sizes (50 m, 100 m, 200 m and 500 m) around each of the 134 sites. Within each buffer, we extracted multiple spatial predictor variables related to traffic (road network) emissions, land use, population, and human activities as described below in model selection. We used a road network shapefile from OpenStreetMap [27] (downloaded 2019) to estimate total length of major and secondary roads; distance from the monitor to the nearest major and secondary roads; and counts of bus/trotro stations/terminals. Total length of waterways (river, stream, canal and drain) were also estimated. We used Spot five imagery (2014) to calculate total area of land within each buffer that were characterized as commercial/business/industrial; high-density residential; low-density residential; and peri-urban background. Normalized difference vegetation index (NDVI) from Landsat-8 satellite imagery was used to characterize vegetation within each buffer size. Additionally, we used the 2010 national census data to compute population density and the share of households using biomass in each census EA, the smallest spatial administrative unit. Further, human activity data, including restaurants, bars, shops, schools, hospitals, churches, and mosques were retrieved from Google places in 2020. We could not find any reliable data on trash burning, fish smoking, generator use, traffic volume, and industrial emissions.

Table 1.

Candidate predictor variables available for model selection.

Variables and categories Unit Buffer size (m) Source
Traffic variables OpenStreetMap (2019) [27]
 Total length of major roads m 50, 100, 200, 500
 Total length of secondary roads m 50, 100, 200, 500
 Distance to the nearest major road m
 Distance to the nearest secondaryroad
m
Land use variables World Bank [28] 20 m × 20 m
 Commercial/business/industrial m2 50, 100, 200, 500
 High-density residential m2 50, 100, 200, 500
 Low/medium-density residential m2 50, 100, 200, 500
 Peri-urban areas m2 50, 100, 200, 500
 Normalized difference vegetationindex (NDVI)
50, 100, 200, 500 United States Geological Survey [29]—Landsat 8 imagery (30 m × 30 m)
 Waterways (total length) m 50, 100, 200, 500 OpenStreetMap [27, 2019]
 Counts of building N 50, 100, 200, 500 Maxar/Ecopia.ai [30, 2020]
Population Ghana census (2010) data [31]
 Biomass use % 50, 100, 200, 500
 Population density pop km−2 50, 100, 200, 500
Human activities Google Places (retrieved in 2020)
 Number of restaurants N 50, 100, 200, 500
 Number of schools N 50, 100, 200, 500
 Presence of bars N 50, 100, 200, 500
 Presence of shops N 50, 100, 200, 500
Meteorological variables
 Temperature ˚C Kestrel weather meters
 Relative humidity % Kestrel weather meters
 Wind speed m s−1 Kestrel weather meters
 Mixing layer depth m HYSPLITE model [32]
 Solar radiation W km−2 HYSPLITE model [32]
 Water vapor mixing ratio kg kg−1 HYSPLITE model [32]

N: number.

SSA’s unique periodic changes in meteorology play an important role in worsening air quality, especially during the Harmattan season. Thus, we also considered several temporal predictor variables to investigate the role of meteorology on NO and NO2. We measured weather parameters at several sites using Kestrel 5500 (Nelsen-Kellerman, Pennsylvania, USA) and computed the averaged mean temperature, RH, and wind speed for each measurement week. But the weekly averaged values showed minimal spatial variations across sites, thus, we relied solely on weather data from a fixed background site as a representative site. Using the Global Data Assimilation System from the National Oceanic and Atmospheric Administration (NOAA) [32], we computed averaged median mixing layer depth, median incident solar radiation, and mean water vapor mixing ratio at the fixed background site for each measurement week. Daily rainfall data at the Kotoka international airport were used to calculate the number of days it rained in each measurement week.

2.3. Model development

Most previous land use regression models relied solely on spatial predictors and could not capture the temporality that is inherent in environmental exposures [3338]. In this study, we applied mixed effects linear regression models to examine the associations of weekly NO and NO2 concentrations with both the spatial and temporal factors [39]. To capture time-dependent variance, we added calendar-month and calendar-week as fixed and random effects, respectively. An indicator for measurement sites was also included as random effects to account for both repeated measurements at the fixed sites and site-specific unmeasured factors.

Like previous studies [40, 41], the weekly ambient NO and NO2 concentrations at measurement site i on week j is assumed to be a linear function specified as:

NOxij=α0+β1Xi+β2Metj+β3Mon+bi+γj+εij

where NOxij is the concentration of NO or NO2 measured at location i in week j; α 0 is the fixed intercepts, β1, β2 , and β3 are the regression coefficients; Xi is a vector of individual spatial predictor variables assembled in table 1 at site i; Met j is the meteorology data in week j; Mon is the calendar month for week j; bi and γj are the random intercepts of site and week; and εij is the error term.

2.3.1. Model selection

Our model selection process was aimed at finding parsimonious and generalizable set of predictors with maximum predictive accuracy. We first conducted univariate analysis for all the predictor variables (figures S1 and S2). For each spatial variable, we selected the buffer size with the highest correlation (Pearson r) with NO and NO2 (figures S3 and S4). We then used a supervised stepwise forward regression selection approach to determine the optimal models. The predictors with the highest adjusted R 2 were added sequentially to the model and retained if our a priori direction of association was confirmed and there was at least 1% gain in the adjusted R 2 (table S1) [35, 42]. Finally, we checked collinearity; variables with variance inflation factor (VIF) > 3 were removed and the model was rerun. All analyses and model development were implemented with the open-source statistical package R version 4.1.2 (R Project for Statistical Computing). R package ‘lme4’ was used to fit the mixed effects models.

2.3.2. Model validation

A commonly used technique in statistics (or machine learning) to assess the performance and generalizability of a newly developed predictive models is to examine how well the model will perform when predicting at unseen location [43, 44] (i.e. locations in the GAMA other than the 134 measurement sites). Thus, the fit and external predictive power of our final models were evaluated using 10-fold CV [4042, 4547]. First, all the samples were randomly allocated into 10 subsets, each containing 10% of the data. Subsequently, by holding out a 10%, the remaining 90% was used to train the model and predict the 10% hold-out data. The process was repeated so that every group was used one time in the validation process. For each iteration, we evaluated model performances by computing the mean absolute error (MAE), root-mean-square error (RMSE) as well as R-square (R 2) between the predicted and the measured values. Our final NO and NO2 models are summarized in table 2, and their performances in table 3.

Table 2.

Associations of measured NO2 and NO concentrations with spatial and temporal predictor variables in the final linear mixed models.

NO2 NO
Predictor variables Buffer size (m) Coefficient (Std. error) Predictor variables Buffer size (m) Coefficient (Std. error)
Intercept 40.1 (5.9) Intercept 61.8 (5.4)
Length of major road a 100 5.6 (2.8) Length of major road a 100 23.4 (3.5)
Length of secondary road a 200 10.4 (2.4) Length of secondary road a 50 15.8 (2.7)
NDVI a 50 –13.7 (1.6) Presence of bar a 500 3.3 (1.8)
Mean wind speed in calendar week a –11.0 (1.7) Mean solar radiation in calendar week a −4.0 (2.1)
Mean RH in a calendar week a –4.1 (1.4)
Calendar month Calendar month
July 2019 28.9 (7.3) July 2019 0 0
August 2019 27.7 (7.7) August 2019 –4.4 (6.0)
September 2019 22.2 (7.3) September 2019 9.3 (7.4)
October 2019 13.4 (6.9) October 2019 –1.5 (6.4)
November 2019 17.7 (6.8) November 2019 –9.1 (7.2)
December 2019 24.4 (8.5) December 2019 –12.9 (8.9)
January 2020 20.1 (11.3) January 2020 –26.7 (13.2)
February 2020 26.9 (7.0) February 2020 –4.0 (7.7)
March 2020 14.5 (7.1) March 2020 –12.9 (7.0)
April 2020 0 0 April 2020 –35.3 (11.1)
May 2020 12.0 (7.6) May 2020 –3.5 (7.1)
June 2020 17.9 (8.9) June 2020 0.3 (8.8)
a

Standardized: Continuous variables were standardized by subtracting the mean and dividing by the standard deviation. A 1-point change in a standardized variable corresponds to a 1 standard deviation increase on the original scale.

Table 3.

Model fit and 10-fold cross validation between the predicted and the measured samples.

Model R 2
Model Fixed Mixed RMSE (µg m−3) MAE (µg m−3) R 2 CV (%)
NO 0.66 0.79 21.7 14.9 0.78
NO2 0.62 0.88 14.6 10.8 0.80

Model R 2s fixed effects (spatial-invariant) and random effects (time-varying) variables in the mixed effects regression. We estimated RMSE as RMSE=i=1nyixi2n, where yi is the predicted value, xi is the observed value; n is the total number of data points; and MAE as MAE=i=1nyixin, where yi is the predicted value, xi is the observed value; n is the total number of data points. CV. We reported information separately for the fixed only (‘Fixed’) and the combined fixed and random ‘Mixed’ components of the models.

2.3.3. Model prediction, population exposure and socioeconomic inequalities in exposure

The final models were used to predict weekly NO and NO2 concentrations at 50 m × 50 m resolution across the entire GAMA, using st_as_stars() function in the ‘stars’ package in R. We then generated the same variables in the final model within each grid. The model was run for each grid for each calendar week. The weekly predictions were then summarized and mapped as annual and season-specific (non-Harmattan vs Harmattan) mean concentrations. We also used the predictions to estimate the share of population in the AMA that were exposed to NO2 concentration relative to the World Health Organization (WHO) guidelines. This was done by spatially overlaying the predicted NO2 concentration surfaces onto 2010 census EA map and summarizing the predicted NO2 by the share of population in each EA. We relied on the 2010 census because Ghana’s 2021 census results were not available at the time of this analysis. Here, we focused on AMA as it is the most urbanized and densely populated and the commercialized hub of the GAMA. We chose NO2 for this additional analysis because it is a key marker for traffic-related air pollution in cities, and concerns over its adverse health and environmental impacts have resulted in national regulations and international guidelines to minimize population exposures. Unlike NO2, NO does not have regulatory guidance.

Similarly, we investigated whether NO2 distribution varies by EA level SES in the AMA. Our measure of SES was median household consumption estimated from the 2012 Ghana Living Standard survey combined with the 2010 census, using small area models. Detailed description of how the area-level SES was calculated can be found elsewhere [48]. The EAs were divided into SES quintiles (i.e. 20% of EAs in each group) to represent low-, medium-low-, medium-, median-high-, and high-SES groups. The median NO2 levels across the different SES groups were then compared. We also conducted t-test to assess the mean difference in the averaged NO2 concentrations between the highest vs lowest SES groups, using a p-value cut-off of <0.05.

3. Results

3.1. Final models and their performance

Table 2 summarizes the final NO and NO2 models. The NO model included length of major (within 100 m) and secondary (within 50 m) roads, presence of bars (within 500 m), and mean solar radiation in a calendar week, which explained 79% of the variability in measured NO (R 2 = 0.79). The NO2 model included length of major (within 100 m) and secondary (within 200 m) roads, NDVI (within 50 m), mean wind speed and RH in a calendar week, explaining 88% of variability in NO2 (R 2 = 0.88) concentrations. CV results showed strong correlation between the predicted and the measured NO (R 2 CV = 0.78) and NO2 (R 2 CV = 0.80) concentrations, respectively (figure 2). Both RMSE and MAE for NO (21.7 and 14.9 µg m−3, respectively) and NO2 (14.6 and 10.8 µg m−3, respectively) were relatively small if compared with the range of measured concentrations. The VIF values for both models were <2, suggesting little collinearity among variables in the final models. Nevertheless, the NO model performed better at concentrations <150 µg m−3 than at higher (>150 µg m−3) concentrations (figure 2(B)). This could be due to the fewer number of observations with extremely high concentrations in our dataset (figure 2(B)).

Figure 2.

Figure 2.

Scatter plots of the measured vs. predicted (A) NO2 and (B) NO concentrations based on 10-fold cross-validation.

3.2. Spatial and temporal patterns of NO2 and NO concentrations

Predicted annual, non-Harmattan, and Harmattan mean NO2 and NO concentrations are represented in figure 3, with summary statistics in table 4. The predicted mean (standard deviation, SD) annual NO2 concentration for the entire GAMA was 37 (19) µg m−3 and ranged from less than 10 µg m−3 in the vegetated peri-urban areas to over 180 µg m−3 in high traffic areas. The highest NO2 levels were concentrated within the city core and along and around major roads in the AMA and TMA (figures 3(A)–(E) and 4(A)–(C)). The mean annual NO2 concentration (60 µg m−3) in the more congested AMA was nearly doubled that of the entire GAMA. Similarly, the port city district of TMA showed relatively higher NO2 concentration compared to the entire GAMA (figure 4(C)). Both AMA and TMA have the highest vehicular traffic congestions in Ghana.

Figure 3.

Figure 3.

Estimated (A) and (B) annual, non-Harmattan (C) and (D), and Harmattan (E) and (F) NO2 and NO concentrations in the GAMA.

Table 4.

Predicted NO2 and NO concentrations (µg m−3) in the GAMA, AMA and TMA.

Annual Harmattan non-Harmattan
Area Pollutant Mean (SD) Range Mean (SD) Range Mean (SD) Range
GAMA NO2 37 (19) 1–189 50 (22) 1–195 28 (18) 1–170
NO 34 (23) 24–514 23 (23) 13–503 41 (23) 31–521
AMA NO2 60 (20) 1.2–179 75 (21) 1.24–195 51 (20) 1–170
NO 55 (42) 24–514 44 (42) 13–503 62 (42) 31–521
TMA NO2 53 (18) 1–131 68 (20) 1–147 44 (18) 1–122
NO 43 (30) 24–319 32 (30) 13–308 49 (30) 31–325

Figure 4.

Figure 4.

Estimated (A) annual NO2 in the GAMA with zoom in for (B) AMA and (C) TMA.

Predicted NO concentration across the GAMA showed less spatial heterogeneity but steeper gradient compared with NO2. The highest concentrations appeared along road networks, with clusters of relatively high levels in locations with bars (figure 3(B)). These results point to traffic as the most important source of NO emissions in Accra, with additional contributions from commercial biomass and/or generator use. NO is known to oxidize to NO2 very quickly, which could explain the steep gradient in NO concentrations away from the major roads. At the same time, this reaction could be responsible for the higher NO2 levels in the more urbanized and industrialized areas of the GAMA. Like NO2, the annual NO concentrations across the city varied more than one order of magnitude, with overall mean of 34 µg m−3 (table 4).

By season, mean NO2 concentrations were higher in the Harmattan period than the non-Harmattan, increasing overall by about 80% across GAMA and between 50%–60% in AMA and TMA (table 4). The opposite was true for NO, where the levels during the Harmattan were about 50% lower than in the non-Harmattan.

3.3. Population exposure to NO2 concentration in the AMA

The predicted NO2 levels for all residents of AMA exceeded the WHO health-based guideline of 10 µg m−3, regardless of the season (figure 5). Most of the population in the AMA (80%) lived in areas with annual NO2 concentration 5–8 times the recommended guideline (table S2). In the dusty Harmattan season when pollution was highest, over half (56%) of the population lived in areas where NO2 concentrations were above 80 µg m−3. Though pollution levels improved during the wet non-Harmattan period, still almost 80% of the residents experienced NO2 concentrations 4–7 times the recommended guideline.

Figure 5.

Figure 5.

Cumulative densities of the proportion of AMA population living in enumeration areas (EAs) with varying NO2 concentration relative to the WHO guideline, by annual, Harmattan, and non-Harmattan averages. The population data used was from the 2010 Ghana Census. The vertical black dash/dotted-lines show the previous (40 µg m−3) and the recently revised (10 µg m−3) World Health Organization (WHO) annual air quality guideline (AQG) for NO2.

In terms of SES, while exposure in both rich and poor communities were above the WHO guideline, there still was a clear gradient in the median NO2 concentrations across the EA SES quintiles in the AMA (figure 6 and table S3). The poorest neighborhoods had statistically significantly higher exposure compared the wealthiest (73 vs 60 µg m−3; p < 0.001).

Figure 6.

Figure 6.

Distribution of enumeration area (EA) annual mean NO2 concentrations within quintiles (20% increments) of EA socioeconomic status (SES) in the Accra Metropolitan Area (AMA). SES: EA median log equivalized household consumption. The upper and lower limits of the black box represent the interquartile range of the distribution and the horizontal line within the box represents the median. Each colored point represents an EA average NO2 level (µg m−3).

4. Discussion

As SSA rapidly urbanizes, air quality in cities will have major health implications for urban residents. We leverage large-scale measurement data to map out NO and NO2 concentrations at 50 m spatial and weekly time resolution over the entire GAMA, one of SSA’s fastest urbanizing metropolises. The final models had high predictive performance and explained much of the variability in the measured NO and NO2 concentrations. Road traffic variables were the most important spatial predictors in both models, especially for NO, signifying the role of fresh traffic emissions in the GAMA. This resulted in relatively higher concentrations in the more congested AMA and TMA. We also found a strong negative correlation between greenness NDVI and NO2 concentrations in the city, indicating the potential mitigative effect of vegetation in reducing NO2 pollution [49]. NDVI in Accra could be closely linked with SES as wealthier communities tend to have more trees than poorer ones. Also, trees/green spaces are known to regulate microclimate by moderating air temperature and humidity, both of which have significant influence on NO2 formation and retention. Our finding of the negating role of NDVI points to the need for planting more trees in this sprawling city. Increasing urban green spaces in general can contribute to localized improvements in overall air quality, particularly in areas with high traffic or industrial emissions. For a typical SSA city, residential biomass fuel use could be an important emission source for NO and NO2. However, using the 2010 national census data, neither of our final models included household biomass use as an important predictor variable. Interestingly, location of bars (including restaurants) was predictive of NO levels in Accra. This could indicate either commercial biomass use for cooking for sale, the use of disease generators power generation or the presence of cars from customers. Time-varying meteorological variables, including solar radiation (for NO) and wind speed and RH (for NO2) were also important predictors. Seasonal changes in these variables produced opposite effects on NO2 and NO concentrations in the GAMA. NO2 concentrations were higher in the hot, dry and dusty Harmattan period than in the wet/rainy non-Harmattan season. This could potentially be due to more active photochemical and/or aqueous oxidation favored by the meteorological conditions such as stronger solar radiation, and relatively high RH [5], thereby enhancing secondary formation of NO2 from NO. Nonetheless, the entire residents of the AMA were exposed to NO2 levels exceeding the WHO guideline of 10 µg m−3, regardless of the season, with the poorest neighborhoods at much higher risk of exposure than the wealthiest. As Accra expands, there is a need to understand and intervene on factors which drive socioeconomic inequalities in emissions and exposures.

Two studies that empirically mapped NO2 levels in SSA were conducted in small urban areas in Ethiopia [20] and Mauritania [21], where the annual mean concentrations were between 5–10 times lower than seen in Accra. To our knowledge, this is the first temporally resolved NO and NO2 models developed for a major SSA city, thus we could only compare our models broadly with studies from high-income regions while noting that both the physical and policy environments between the two are completely different. Further, there are limited space-time NO x models with which to compare our results. Previous studies in high-income country cities have identified traffic as the most important sources of NO x emissions, just as we found in Accra [34, 50, 51]. While other combustion sources unique to SSA, such as household biomass use and trash burning, could represent non-negligible sources of NO x emissions, our final models did not include household biomass fuel use as an important predictor. Similar to our results, other studies have also demonstrated a strong influence of climate and photochemistry (e.g. solar radiation, temperature and RH) on NO x emissions [52]. Our model R 2s increased by 12% and 5% for NO2 and NO, respectively, following the inclusion of meteorological and seasonal variables [40]. Compared to spatial-only models, our space-time models performed similar to some studies in China [36], Europe [34, 53], and South Africa, but better than others [37, 38, 5456].

Based on the newly revised WHO annual air quality guideline, all residents of AMA were estimated to live in areas where NO2 concentrations were far above the recommended health-based annual guideline. Even with the old guideline of 40 μg m−3, still the exposure of almost the entire AMA’s population (98%) did not meet the guideline (table S2). Other previous studies have also demonstrated a disproportionate share of poor air quality in low-income neighborhoods when compared to high-income areas [13, 5760]. We found a similar trend in NO2 exposure in Accra as well, with much lower concentrations in the more affluent neighborhoods. This is probably attributed to the higher traffic congestions and emissions in poorer communities and among those who live closer to main roads. Additionally, there could be a higher share of household and commercial biomass fuel use among low-income neighborhoods but our NO2 model did not show significant contributions from this source. We acknowledge that the 2010 census biomass data might be outdated, but the overall trend in biomass usage in Ghana has been in decline [61]. Further, substantial disparities in greenspaces between sparsely populated affluent neighborhoods and densely populated poor communities could explain the relatively higher pollution in poorer neighborhoods. Yet, even with such significant disparity in exposure by SES, the median NO2 levels in the wealthiest neighborhoods was more than six times higher than the current WHO annual guideline. This calls for a broader policy approach aimed at reducing air pollution emissions across board.

In Accra, concentrations of other pollutants like fine PM2.5 and BC also remain detrimentally high [4, 62]. When our results are considered in the context of these other pollutants as well as the increasing urban population growth and economic expansion in the city [4, 62], the data call for an urgent need for equity-focused policy intervention to safeguard the health of Accra residents. These findings further highlight the need to address overall air quality in Accra using an integrated approach with emphasis on equity to reduce the existing within- and between-neighborhood exposure disparities. This will require systematic multisectoral framework that involves aspects related to road traffic emission reduction, environmental management, increasing urban green spaces, improvements to road infrastructure, support for green transportation and cleaner cooking fuels, and enforcement of existing air quality regulations. Our estimates for the non-Harmattan season provide clearer guide for key emission sources that need to be included in any air quality management or policy initiatives for reducing air pollution exposure in Accra and could serve as a roadmap for other cities in the West African region.

4.1. Strength and limitations

This is the first fine-scale space-time NO and NO2 models developed for a major SSA city, a place where economic growth is making road traffic the dominant source of urban air pollution. We leveraged a large city-wide measurement campaign and provided weekly data over 50 m spatial resolution collected across a calendar year. The data laid the foundation for long-term mapping of inequalities in urban air pollution in a major and growing SSA city and could form the basis for climate and health impact assessments in the SSA context. Further, the data could help track policy interventions designed to improve air quality at the city-scale. Our approach and data sources can be readily replicated in other SSA cities where there is limited long-term city-wide data, especially on combustion related pollutants.

Our study has some limitations. We had no quantitative information on important traffic and other combustion related variables such as road surface material, traffic volume, diesel generator use, informal industries, community biomass use, and trash burning. Some of these data sources are unique to SSA and might improve the model performance if available and may have influenced the variable selection and model performance. Also, the timing of some predictor variables like land-use classification and census population did not align precisely with the timing of the measurement campaign, which may have affected model prediction. Nonetheless, our models performed as well as those conducted in other global studies.

5. Conclusion

In addition to PM2.5 pollution, gaseous pollutants from combustion sources are rising in growing SSA cities and altering the air pollution mixture. We used large-scale measurement data to map NO and NO2 concentrations at fine spatial and temporal resolution in the Accra metropolis. Model predictions show that NO and NO2 concentrations are at unhealthy levels in city, with major contributions from road traffic. We also show that while the entire city is severely impacted, residents living in the inner core city, commercial areas, and those in poorer neighborhoods are at the greatest risk of exposure. These results, when combined with the emerging data on fine PM2.5, BC, and noise pollution in Accra [4, 5, 48, 6264] have provided comprehensive information for broader policy intervention and for evaluating the effectiveness of those actions to improve air quality in Accra and elsewhere in SSA.

Acknowledgments

We thank the generous Accra residents who allowed us to install the monitors on their property, the staff at Physics Department at the University of Ghana for providing the field laboratory space, and the Ghana Meteorology Agency for the rainfall data. This research was funded by the Pathways to Equitable Healthy Cities Grant from the Wellcome Trust [209376/Z/17/Z]. RA is supported by Health Effects Institutes’ Rosenblith New Investigator Award (No. CR-83590201). For the purpose of open Access, the author has applied CC BY public copyright license to any Author Accepted Manuscript version arising from this submission.

Data availability statement

The data cannot be made publicly available upon publication because they are not available in a format that is sufficiently accessible or reusable by other researchers. The data that support the findings of this study are available upon reasonable request from the authors.

References

  • 1.The State of Global Air How Does Your Air Measure Up Against the WHO Air Quality Guidelines? A State of Global Air Special Analysis. 2022. Health Effects Institute. (available at: https://www.stateofglobalair.org/sites/default/files/documents/2022-03/soga-special-analysis_0.pdf)
  • 2.Bailis R, Ezzati M, Kammen D M. Mortality and greenhouse gas impacts of biomass and petroleum energy futures in Africa. Science. 2005;308:98–103. doi: 10.1126/science.1106881. [DOI] [PubMed] [Google Scholar]
  • 3.Zhou Z, et al. Chemical characterization and source apportionment of household fine particulate matter in rural, Peri-urban, and urban West Africa. Environ. Sci. Technol. 2014;48:1343–51. doi: 10.1021/es404185m. [DOI] [PubMed] [Google Scholar]
  • 4.Alli A S, et al. Spatial-temporal patterns of ambient fine particulate matter (PM2.5) and black carbon (BC) pollution in Accra. Environ. Res. Lett. 2021;16:074013. doi: 10.1088/1748-9326/ac074a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Wang J, et al. Nitrogen oxides (NO and NO2) pollution in the Accra metropolis: spatiotemporal patterns and the role of meteorology. Sci. Total Environ. 2021;803:149931. doi: 10.1016/j.scitotenv.2021.149931. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Liousse C, Assamoi E, Criqui P, Granier C, Rosset R. Explosive growth in African combustion emissions from 2005 to 2030. Environ. Res. Lett. 2014;9:035003. doi: 10.1088/1748-9326/9/3/035003. [DOI] [Google Scholar]
  • 7.Marais E A, Silvern R F, Vodonos A, Dupin E, Bockarie A S, Mickley L J, Schwartz J. Air quality and health impact of future fossil fuel use for electricity generation and transport in Africa. Environ. Sci. Technol. 2019;53:13524–34. doi: 10.1021/acs.est.9b04958. [DOI] [PubMed] [Google Scholar]
  • 8.Marais E A, Wiedinmyer C. Air quality impact of diffuse and inefficient combustion emissions in Africa (DICE-Africa) Environ. Sci. Technol. 2016;50:10739–45. doi: 10.1021/acs.est.6b02602. [DOI] [PubMed] [Google Scholar]
  • 9.Dionisio K L, Arku R E, Hughes A F, Vallarino J, Carmichael H, Spengler J D, Agyei-Mensah S, Ezzati M. Air pollution in Accra neighborhoods: spatial, socioeconomic, and temporal patterns. Environ. Sci. Technol. 2010;44:2270–6. doi: 10.1021/es903276s. [DOI] [PubMed] [Google Scholar]
  • 10.Egondi T, Muindi K, Kyobutungi C, Gatari M, Rocklöv J. Measuring exposure levels of inhalable airborne particles (PM2.5) in two socially deprived areas of Nairobi. Kenya. Environ. Res. 2016;148:500–6. doi: 10.1016/j.envres.2016.03.018. [DOI] [PubMed] [Google Scholar]
  • 11.Knippertz P, Evans M J, Field P R, Fink A H, Liousse C, Marsham J H. The possible role of local air pollution in climate change in West Africa. Nat. Clim. Change. 2015;5:815–22. doi: 10.1038/nclimate2727. [DOI] [Google Scholar]
  • 12.Marais E A, Jacob D J, Wecht K, Lerot C, Zhang L, Yu K, Kurosu T P, Chance K, Sauvage B. Anthropogenic emissions in Nigeria and implications for atmospheric ozone pollution: a view from space. Atmos. Environ. 2014;99:32–40. doi: 10.1016/j.atmosenv.2014.09.055. [DOI] [Google Scholar]
  • 13.Zhou Z, Dionisio K L, Arku R E, Quaye A, Hughes A F, Vallarino J, Spengler J D, Hill A, Agyei-Mensah S, Ezzati M. Household and community poverty, biomass use, and air pollution in Accra, Ghana. Proc. Natl Acad. Sci. 2011;108:11028–33. doi: 10.1073/pnas.1019183108. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Bahino J, et al. A pilot study of gaseous pollutants’ measurement (NO2, SO2, NH3, HNO3 and O3) in Abidjan, Côte d’Ivoire: contribution to an overview of gaseous pollution in African cities. Atmos. Chem. Phys. 2018;18:5173–98. doi: 10.5194/acp-18-5173-2018. [DOI] [Google Scholar]
  • 15.Anenberg S C, Mohegh A, Goldberg D L, Kerr G H, Brauer M, Burkart K, Hystad P, Larkin A, Wozniak S, Lamsal L. Long-term trends in urban NO2 concentrations and associated paediatric asthma incidence: estimates from global datasets. Lancet Planet Health. 2022;6:e49–e58. doi: 10.1016/S2542-5196(21)00255-2. [DOI] [PubMed] [Google Scholar]
  • 16.World Health Organization WHO global air quality guidelines Particulate matter (PM 2.5 and PM 10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. 2021. (available at: https://iris.who.int/bitstream/handle/10665/345329/9789240034228-eng.pdf?sequence=1) Licence:CC BY-NC-SA 3.0 IGO. [PubMed]
  • 17.NASA NASA Air Quality Observations from Space. 2021. (available at: https://airquality.gsfc.nasa.gov/no2/world/africa/accra)
  • 18.Haslett S L, et al. Remote biomass burning dominates southern West African air pollution during the monsoon. Atmos. Chem. Phys. Discuss. 2019;19:1–23. [Google Scholar]
  • 19.Heft-Neal S, Burney J, Bendavid E, Burke M. Robust relationship between air quality and infant mortality in Africa. Nature. 2018;559:254–8. doi: 10.1038/s41586-018-0263-3. [DOI] [PubMed] [Google Scholar]
  • 20.Abera A, Malmqvist E, Mandakh Y, Flanagan E, Jerrett M, Gebrie G S, Bayih A G, Aseffa A, Isaxon C, Mattisson K. Measurements of nox and development of land use regression models in an east-African city. Atmosphere. 2021;12:519. doi: 10.3390/atmos12040519. [DOI] [Google Scholar]
  • 21.Gebreab S Z, Vienneau D, Feigenwinter C, Bâ H, Cissé G, Tsai M Y. Spatial air pollution modelling for a West-African town. Geospat. Health. 2015;10:205–14. doi: 10.4081/gh.2015.321. [DOI] [PubMed] [Google Scholar]
  • 22.Ghana Statistical Service Ghana 2021 Population and Housing Census General Report. 2021. (available at: https://census2021.statsghana.gov.gh/dissemination_details.php?disseminatereport=MjYzOTE0MjAuMzc2NQ==&Publications#)
  • 23.Nathvani R, et al. Characterisation of urban environment and activity across space and time using street images and deep learning in Accra. Sci. Rep. 2022;12:1–16. doi: 10.1038/s41598-022-24474-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Sather M E, Slonecker E T, Mathew J, Daughtrey H, Williams D D. Evaluation of ogawa passive sampling devices as an alternative measurement method for the nitrogen dioxide annual standard in El Paso, Texas. Environ. Monit. Assess. 2007;124:211–21. doi: 10.1007/s10661-006-9219-4. [DOI] [PubMed] [Google Scholar]
  • 25.Sather M E, Terrence Slonecker E, Kronmiller K G, Williams D D, Daughtrey H, Mathew J. Evaluation of short-term Ogawa passive, photolytic, and federal reference method sampling devices for nitrogen oxides in El Paso and Houston, Texas. J. Environ. Monit. 2006;8:558–63. doi: 10.1039/b601113f. [DOI] [PubMed] [Google Scholar]
  • 26.Moodley K G, Singh S, Govender S. Passive monitoring of nitrogen dioxide in urban air: a case study of Durban metropolis, South Africa. J. Environ. Manage. 2011;92:2145–50. doi: 10.1016/j.jenvman.2011.03.040. [DOI] [PubMed] [Google Scholar]
  • 27.OpenStreetMap 2019. (available at: https://www.openstreetmap.org/relation/192781#map=11/5.6336/-0.2259)
  • 28.The World Bank Land Cover Classification of Accra, Ghana. 2014. (available at: https://datacatalog.worldbank.org/search/dataset/0039825)
  • 29.The United States Geological Survey Landsat Normalized Difference Vegetation Index. 2020. (available at: https://www.usgs.gov/landsat-missions/landsat-normalized-difference-vegetation-index)
  • 30.Price R, Hallas M. Mapping every building and road in sub-Saharan Africa AGU Fall Meeting Abstracts (1 December 2019) p IN41A-02. 2019. (available at: https://ui.adsabs.harvard.edu/abs/2019AGUFMIN41A..02P/ abstract)
  • 31.Ghana Statistical Service Population and Housing Census. 2010. (available at: https://www.statsghana.gov.gh/gssmain/storage/img/marqueeupdater/Census2010_Summary_report_of_final_results.pdf)
  • 32.National Oceanic and Atmospheric Administration (NOAA) (available at: https://www.ready.noaa.gov/data/archives/gdas1/)
  • 33.Abernethy R C, Allen R W, McKendry I G, Brauer M. A land use regression model for ultrafine particles in Vancouver, Canada. Environ. Sci. Technol. 2013;47:5217–25. doi: 10.1021/es304495s. [DOI] [PubMed] [Google Scholar]
  • 34.Beelen R, et al. Development of NO2 and NOx land use regression models for estimating air pollution exposure in 36 study areas in Europe—The ESCAPE project. Atmos. Environ. 2013;72:10–23. doi: 10.1016/j.atmosenv.2013.02.037. [DOI] [Google Scholar]
  • 35.De Hoogh K, et al. Development of land use regression models for particle composition in twenty study areas in Europe. Environ. Sci. Technol. 2013;47:5778–86. doi: 10.1021/es400156t. [DOI] [PubMed] [Google Scholar]
  • 36.Lee J H, Wu C F, Hoek G, de Hoogh K, Beelen R, Brunekreef B, Chan C-C. Land use regression models for estimating individual NOx and NO2 exposures in a metropolis with a high density of traffic roads and population. Sci. Total Environ. 2014;472:1163–71. doi: 10.1016/j.scitotenv.2013.11.064. [DOI] [PubMed] [Google Scholar]
  • 37.Lee M, et al. Land use regression modelling of air pollution in high density high rise cities: a case study in Hong Kong. Sci. Total Environ. 2017;592:306–15. doi: 10.1016/j.scitotenv.2017.03.094. [DOI] [PubMed] [Google Scholar]
  • 38.Saucy A, et al. Land use regression modelling of outdoor NO2 and PM2.5 concentrations in three low income areas in the western cape province, South Africa. Int. J. Environ. Res. Public Health. 2018;15:1452. doi: 10.3390/ijerph15071452. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Bates D, Mächler M, Bolker B, Walker S. Fitting linear mixed-effects models using lme4. J. Stat. Softw. 2015;67:1–48. doi: 10.18637/jss.v067.i01. [DOI] [Google Scholar]
  • 40.Anand J S, Monks P S. Estimating daily surface NO2 concentrations from satellite data—A case study over Hong Kong using land use regression models. Atmos. Chem. Phys. 2017;17:8211–30. doi: 10.5194/acp-17-8211-2017. [DOI] [Google Scholar]
  • 41.Lee H J, Koutrakis P. Daily Ambient NO2 concentration predictions using satellite ozone monitoring instrument NO2 data and land use regression. Environ. Sci. Technol. 2014;48:14020413. :4232009. doi: 10.1021/es404845f. [DOI] [PubMed] [Google Scholar]
  • 42.van Nunen E, et al. Land use regression models for ultrafine particles in six European areas. Environ. Sci. Technol. 2017;51:3336–45. doi: 10.1021/acs.est.6b05920. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Proietti E, Delgado-Eckert E, Vienneau D, Stern G, Tsai M Y, Latzin P, Frey U, Röösli M. Air pollution modelling for birth cohorts: a time-space regression model. Environ. Health. 2016;15:61. doi: 10.1186/s12940-016-0145-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 44.Shi Y, Bilal M, Ho H C, Omar A. Urbanization and regional air pollution across South Asian developing countries—A nationwide land use regression for ambient PM2.5 assessment in Pakistan. Environ. Pollut. 2020;266:115145. doi: 10.1016/j.envpol.2020.115145. [DOI] [PubMed] [Google Scholar]
  • 45.Wang M, Sampson P D, Hu J, Kleeman M, Keller J P, Olives C, Szpiro A A, Vedal S, Kaufman J D. Combining land-use regression and chemical transport modeling in a spatiotemporal geostatistical model for ozone and PM2.5 . Environ. Sci. Technol. 2016;50:5111–8. doi: 10.1021/acs.est.5b06001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Yang B-Y, et al. Ambient PM1 air pollution and cardiovascular disease prevalence: insights from the 33 communities Chinese health study. Environ. Int. 2019;123:310–7. doi: 10.1016/j.envint.2018.12.012. [DOI] [PubMed] [Google Scholar]
  • 47.Zhang X, Just A C, Hsu H H L, Kloog I, Woody M, Mi Z, Rush J, Georgopoulos P, Wright R O, Stroustrup A. A hybrid approach to predict daily NO2 concentrations at city block scale. Sci. Total Environ. 2021;761:143279. doi: 10.1016/j.scitotenv.2020.143279. [DOI] [PubMed] [Google Scholar]
  • 48.Clark S N, et al. Spatial modelling and inequalities of environmental noise in Accra, Ghana. Environ. Res. 2022;214:113932. doi: 10.1016/j.envres.2022.113932. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Gong C, Xian C, Wu T, Liu J, Ouyang Z. Role of urban vegetation in air phytoremediation: differences between scientific research and environmental management perspectives. npj Urban Sustain. 2023;3:1–15. doi: 10.1038/s42949-023-00105-0. [DOI] [Google Scholar]
  • 50.Lu M, Soenario I, Helbich M, Schmitz O, Hoek G, van der Molen M, Karssenberg D. Land use regression models revealing spatiotemporal co-variation in NO2, NO, and O3 in the Netherlands. Atmos. Environ. 2020;223:117238. doi: 10.1016/j.atmosenv.2019.117238. [DOI] [Google Scholar]
  • 51.Rahman M M, Yeganeh B, Clifford S, Knibbs L D, Morawska L. Development of a land use regression model for daily NO2 and NOx concentrations in the Brisbane metropolitan area, Australia. Environ. Modelling Softw. 2017;95:168–79. doi: 10.1016/j.envsoft.2017.06.029. [DOI] [Google Scholar]
  • 52.Seinfeld J H, Pandis S N. Atmospheric Chemistry and Physics: From Air Pollution to Climate Change. Wiley; 2016. [Google Scholar]
  • 53.Eeftens M, et al. Development of land use regression models for nitrogen dioxide, ultrafine particles, lung deposited surface area, and four other markers of particulate matter pollution in the Swiss SAPALDIA regions. Environ. Health. 2016;15:1–14. doi: 10.1186/s12940-016-0137-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Henderson S B, Beckerman B, Jerrett M, Brauer M. Application of land use regression to estimate long-term concentrations of traffic-related nitrogen oxides and fine particulate matter. Environ. Sci. Technol. 2007;41:2422–8. doi: 10.1021/es0606780. [DOI] [PubMed] [Google Scholar]
  • 55.Liu C, Henderson B H, Wang D, Yang X, Peng Z R. A land use regression application into assessing spatial variation of intra-urban fine particulate matter (PM2.5) and nitrogen dioxide (NO2) concentrations in City of Shanghai. China Sci. Total Environ. 2016;565:607–15. doi: 10.1016/j.scitotenv.2016.03.189. [DOI] [PubMed] [Google Scholar]
  • 56.Muttoo S, Ramsay L, Brunekreef B, Beelen R, Meliefste K, Naidoo R N. Land use regression modelling estimating nitrogen oxides exposure in industrial south Durban, South Africa. Sci. Total Environ. 2018;610–611:1439–47. doi: 10.1016/j.scitotenv.2017.07.278. [DOI] [PubMed] [Google Scholar]
  • 57.Demetillo M A G, et al. Observing nitrogen dioxide air pollution inequality using high-spatial-resolution remote sensing measurements in Houston, Texas. Environ. Sci. Technol. 2020;54:9882–95. doi: 10.1021/acs.est.0c01864. [DOI] [PubMed] [Google Scholar]
  • 58.Levy J, Dumyahn T, Spengler J. Particulate matter and polycyclic aromatic hydrocarbon concentrations in indoor and outdoor microenvironments in Boston, Massachusetts. J. Expos. Sci. Environ. Epidemiol. 2002;12:104–14. doi: 10.1038/sj.jea.7500203. [DOI] [PubMed] [Google Scholar]
  • 59.Perlin S A, Sexton K, Wong D W S. An examination of race and poverty for populations living near industrial sources of air pollution. J. Expos. Sci. Environ. Epidemiol. 1999;9:29–48. doi: 10.1038/sj.jea.7500024. [DOI] [PubMed] [Google Scholar]
  • 60.Perlin S A, Wong D, Sexton K. Residential proximity to industrial sources of air pollution: interrelationships among race, poverty, and age. J. Air Waste Manage. Assoc. 2001;51:406–21. doi: 10.1080/10473289.2001.10464271. [DOI] [PubMed] [Google Scholar]
  • 61.Arku R E, Bennett J E, Castro M C, Agyeman-Duah K, Mintah S E, Ware J H, Nyarko P, Spengler J D, Agyei-Mensah S, Ezzati M. Geographical inequalities and social and environmental risk factors for under-five mortality in Ghana in 2000 and 2010: Bayesian spatial analysis of census data. PLoS Med. 2016;13:1–14. doi: 10.1371/journal.pmed.1002038. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 62.Alli A S, et al. High-resolution patterns and inequalities in ambient fine particle mass (PM2.5) and black carbon (BC) in the Greater Accra Metropolis Ghana. Sci. Total Environ. 2023;875:162582. doi: 10.1016/j.scitotenv.2023.162582. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 63.Clark S N, et al. High-resolution spatiotemporal measurement of air and environmental noise pollution in sub-Saharan African cities: pathways to equitable health cities study protocol for Accra, Ghana. BMJ Open. 2020;10:e035798. doi: 10.1136/bmjopen-2019-035798. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 64.Clark S N, et al. Space-time characterization of community noise and sound sources in Accra, Ghana. Sci. Rep. 2021;11:1–14. doi: 10.1038/s41598-021-90454-6. [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The data cannot be made publicly available upon publication because they are not available in a format that is sufficiently accessible or reusable by other researchers. The data that support the findings of this study are available upon reasonable request from the authors.


Articles from Environmental Research Letters are provided here courtesy of IOP Publishing

RESOURCES