Abstract
Human exposure research has consistently shown that, for most volatile organic compounds (VOCs), personal exposures are vastly different from outdoor air concentrations. Therefore, risk estimates based on ambient measurements may over- or underestimate risk, leading to ineffective or inefficient management strategies. In the present study we examine the extent of exposure misclassification and its impact on risk for exposure estimated by the U.S. Environmental Protection Agency (U.S. EPA) Assessment System for Population Exposure Nationwide (ASPEN) model relative to monitoring results from a community-based exposure assessment conducted in Baltimore, Maryland (USA). This study is the first direct comparison of the ASPEN model (as used by the U.S. EPA for the Cumulative Exposure Project and subsequently the National-Scale Air Toxics Assessment) and human exposure data to estimate health risks. A random sampling strategy was used to recruit 33 nonsmoking adult community residents. Passive air sampling badges were used to assess 3-day time-weighted-average personal exposure as well as outdoor and indoor residential concentrations of VOCs for each study participant. In general, personal exposures were greater than indoor VOC concentrations, which were greater than outdoor VOC concentrations. Public health risks due to actual personal exposures were estimated. In comparing measured personal exposures and indoor and outdoor VOC concentrations with ASPEN model estimates for ambient concentrations, our data suggest that ASPEN was reasonably accurate as a surrogate for personal exposures (measured exposures of community residents) for VOCs emitted primarily from mobile sources or VOCs that occur as global "background" source pollutant with no indoor source contributions. Otherwise, the ASPEN model estimates were generally lower than measured personal exposures and the estimated health risks. ASPEN's lower exposures resulted in proportional underestimation of cumulative cancer risk when pollutant exposures were combined to estimate cumulative risk. Median cumulative lifetime cancer risk based on personal exposures was 3-fold greater than estimates based on ASPEN-modeled concentrations. These findings demonstrate the significance of indoor exposure sources and the importance of indoor and/or personal monitoring for accurate assessment of risk. Environmental health policies may not be sufficient in reducing exposures and risks if they are based solely on modeled ambient VOC concentrations. Results from our study underscore the need for a coordinated multimedia approach to exposure assessment for setting public health policy.
Full Text
The Full Text of this article is available as a PDF (582.1 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Caldwell J. C., Woodruff T. J., Morello-Frosch R., Axelrad D. A. Application of health information to hazardous air pollutants modeled in EPA's Cumulative Exposure Project. Toxicol Ind Health. 1998 May-Jun;14(3):429–454. doi: 10.1177/074823379801400304. [DOI] [PubMed] [Google Scholar]
- Clayton C. A., Pellizzari E. D., Whitmore R. W., Perritt R. L., Quackenboss J. J. National Human Exposure Assessment Survey (NHEXAS): distributions and associations of lead, arsenic and volatile organic compounds in EPA region 5. J Expo Anal Environ Epidemiol. 1999 Sep-Oct;9(5):381–392. doi: 10.1038/sj.jea.7500055. [DOI] [PubMed] [Google Scholar]
- Cohen M. A., Ryan P. B., Yanagisawa Y., Spengler J. D., Ozkaynak H., Epstein P. S. Indoor/outdoor measurements of volatile organic compounds in the Kanawha Valley of West Virginia. JAPCA. 1989 Aug;39(8):1086–1093. doi: 10.1080/08940630.1989.10466593. [DOI] [PubMed] [Google Scholar]
- Kinney Patrick L., Chillrud Steven N., Ramstrom Sonja, Ross James, Spengler John D. Exposures to multiple air toxics in New York City. Environ Health Perspect. 2002 Aug;110 (Suppl 4):539–546. doi: 10.1289/ehp.02110s4539. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Leung P. L., Harrison R. M. Evaluation of personal exposure to monoaromatic hydrocarbons. Occup Environ Med. 1998 Apr;55(4):249–257. doi: 10.1136/oem.55.4.249. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lewis C. W. Sources of air pollutants indoors: VOC and fine particulate species. J Expo Anal Environ Epidemiol. 1991 Jan;1(1):31–44. [PubMed] [Google Scholar]
- Miller S. L., Branoff S., Nazaroff W. W. Exposure to toxic air contaminants in environmental tobacco smoke: an assessment for California based on personal monitoring data. J Expo Anal Environ Epidemiol. 1998 Jul-Sep;8(3):287–311. [PubMed] [Google Scholar]
- Morello-Frosch R. A., Woodruff T. J., Axelrad D. A., Caldwell J. C. Air toxics and health risks in California: the public health implications of outdoor concentrations. Risk Anal. 2000 Apr;20(2):273–291. doi: 10.1111/0272-4332.202026. [DOI] [PubMed] [Google Scholar]
- Ott W. R. Total human exposure: basic concepts, EPA field studies, and future research needs. J Air Waste Manage Assoc. 1990 Jul;40(7):966–975. doi: 10.1080/10473289.1990.10466747. [DOI] [PubMed] [Google Scholar]
- Pellizzari E. D., Perritt R. L., Clayton C. A. National human exposure assessment survey (NHEXAS): exploratory survey of exposure among population subgroups in EPA Region V. J Expo Anal Environ Epidemiol. 1999 Jan-Feb;9(1):49–55. doi: 10.1038/sj.jea.7500025. [DOI] [PubMed] [Google Scholar]
- Pratt G. C., Palmer K., Wu C. Y., Oliaei F., Hollerbach C., Fenske M. J. An assessment of air toxics in Minnesota. Environ Health Perspect. 2000 Sep;108(9):815–825. doi: 10.1289/ehp.00108815. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rosenbaum A. S., Axelrad D. A., Woodruff T. J., Wei Y. H., Ligocki M. P., Cohen J. P. National estimates of outdoor air toxics concentrations. J Air Waste Manag Assoc. 1999 Oct;49(10):1138–1152. doi: 10.1080/10473289.1999.10463919. [DOI] [PubMed] [Google Scholar]
- Sexton K., Callahan M. A., Bryan E. F., Saint C. G., Wood W. P. Informed decisions about protecting and promoting public health: rationale for a National Human Exposure Assessment Survey. J Expo Anal Environ Epidemiol. 1995 Jul-Sep;5(3):233–256. [PubMed] [Google Scholar]
- Wallace L. A., Duan N., Ziegenfus R. Can long-term exposure distributions be predicted from short-term measurements? Risk Anal. 1994 Feb;14(1):75–85. doi: 10.1111/j.1539-6924.1994.tb00029.x. [DOI] [PubMed] [Google Scholar]
- Wallace L. A. Major sources of benzene exposure. Environ Health Perspect. 1989 Jul;82:165–169. doi: 10.1289/ehp.8982165. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weisel Clifford P. Assessing exposure to air toxics relative to asthma. Environ Health Perspect. 2002 Aug;110 (Suppl 4):527–537. doi: 10.1289/ehp.02110s4527. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Woodruff T. J., Axelrad D. A., Caldwell J., Morello-Frosch R., Rosenbaum A. Public health implications of 1990 air toxics concentrations across the United States. Environ Health Perspect. 1998 May;106(5):245–251. doi: 10.1289/ehp.98106245. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Woodruff T. J., Caldwell J., Cogliano V. J., Axelrad D. A. Estimating cancer risk from outdoor concentrations of hazardous air pollutants in 1990. Environ Res. 2000 Mar;82(3):194–206. doi: 10.1006/enrs.1999.4021. [DOI] [PubMed] [Google Scholar]