INTRODUCTION
Traffic emissions are an important source of urban air pollution. Emissions from motor vehicles and ambient concentrations of most monitored traffic-related pollutants have decreased steadily over the last several decades in most high-income countries as a result of air quality regulations and improvements in vehicular emission control technologies, and this trend is likely to continue. However, these positive developments have not been able to fully compensate for the rapid growth of the motor vehicle fleet due to growth in population and economic activity and increased traffic congestion, as well as the presence of older or malfunctioning vehicles on the roads.
In 2010, HEI published Special Report 17, Traffic-Related Air Pollution: A Critical Review of the Literature on Emissions, Exposure, and Health Effects. The report “identified an exposure zone within a range of up to 300 to 500 m from a major road as the area most highly affected by traffic emissions (the range reflects the variable influence of background pollution concentrations, meteorologic conditions, and season)” and estimated that 30% to 45% of people living in large North American cities reside within this zone. Based on a review of health studies, the report concluded that exposure to traffic-related air pollution was causally linked to worsening asthma symptoms. It also found “suggestive evidence of a causal relationship with onset of childhood asthma, nonasthma respiratory symptoms, impaired lung function, total and cardiovascular mortality, and cardiovascular morbidity” (HEI 2010).
Special Report 17 also noted that exposure assessment of traffic-related air pollution is challenging because it is a complex mixture of pollutants in particulate and gaseous forms, many of which are also emitted by other sources. Traffic–related air pollution is also characterized by high spatial and temporal variability, with the highest concentrations occurring at or close to major roads. Therefore, it has been difficult to identify an appropriate exposure metric that uniquely indicates traffic-related air pollution, and to model the distribution of exposure at a sufficiently high degree of spatial and temporal resolution.
The most commonly used exposure metrics are measured or modeled concentrations of individual pollutants considered to be indicators of traffic-related air pollution (such as nitrogen dioxide or black carbon) and simple indicators of traffic (such as distance of the residence from busy roads or traffic density near the residence).
A range of models — such as dispersion, land-use regression, and hybrid models — has been developed to estimate exposure. Some attempts to account for outdoor air entering buildings and how people spend time outdoors versus indoors have been made to refine such estimates. Many improvements in these exposure models have occurred over time, especially with the advance of geographical information system approaches and the application of more sophisticated statistical methods. However, their usefulness still depends on the model assumptions and input data quality. Few studies have compared the performance of different models and evaluated exposure measurement error and possible bias in health estimations.
To start addressing these issues, HEI issued a Request for Applications in 2013. To inform the development of the RFA, the HEI Research Committee held a workshop in April 2012 with experts in the areas of atmospheric chemistry, pollutant measurements, exposure models, epidemiology, and health assessment in order to discuss and identify the highest priority research questions.
OBJECTIVES OF RFA 13-1
RFA 13-1, Improving Assessment of Near-Road Exposure to Traffic Related Pollution, aimed to solicit studies to improve exposure assessment for use in future work on the health effects of traffic-related air pollution. The RFA had three major objectives:
Demonstrate novel surrogates of near-road traffic-related pollution, taking advantage of new sensors and/or existing monitoring data.
Determine the most important variables that explain spatial and temporal variance of near-road traffic-related pollutant concentrations at the personal, residential, and/or community levels, and explain the implications of these for future monitoring, modeling, exposure, and health effects studies.
Improve inputs for exposure models for traffic-related health studies; evaluate and compare the performance of alternative models to existing models and actual measurements to quantify exposure measurement error.
DESCRIPTION OF THE PROGRAM
Five studies were funded under RFA 13-1 to represent a variety of geographical locations and cover the various RFA objectives; they are summarized below. The study by Batterman and colleagues described in this report (Research Report 202) is the third to be published. In the meantime, HEI has funded additional studies on similar exposure assessment topics. All recent and ongoing exposure assessment studies are included in the Preface Table.
Preface Table.
Summary of Recently Completed, Ongoing, and Projected Studies Funded by HEI to Improve Exposure Assessment for Health Studies
Principal Investigator | Title | Study Status |
---|---|---|
RFA 13-1, Improving Assessment of Near-Road Exposure to Traffic Related Pollution | ||
Benjamin Barratt, King’s College London, United Kingdom | The Hong Kong D3D Study: A Dynamic Three Dimensional Exposure Model for Hong Kong | Research Report 194 |
Stuart Batterman, University of Michigan, Ann Arbor | Enhancing Models and Measurements of Traffic-Related Air Pollutants for Health Studies Using Dispersion Modeling and Bayesian Data Fusion | Research Report 202* |
Christopher Frey, North Carolina State University, Raleigh | Characterizing the Determinants of Vehicle Traffic Emissions Exposure: Measurement and Modeling of Land-Use, Traffic, Transformation, and Transport | In review |
Jeremy Sarnat, Emory University, Atlanta | Developing Multipollutant Exposure Indicators of Traffic Pollution: The Dorm Room Inhalation to Vehicle Emissions (DRIVE) Study | Research Report 196 |
Edmund Seto, University of Washington, Seattle | Evaluation of Alternative Sensor-Based Exposure Assessment Methods | Unpublished report |
RFA 17-1, Assessing Adverse Health Effects of Exposure to Traffic-Related Air Pollution, Noise, and Their Interactions with Socioeconomic Status | ||
Payam Dadvand and Jordi Sunyer, Barcelona Institute for Global Health (ISGlobal), Spain | Traffic-Related Air Pollution and Birth Weight: The Roles of Noise, Placental Function, Green Space, Physical Activity, and Socioeconomic Status (FRONTIER) | Ongoing |
Ole Raaschou-Nielsen, Danish Cancer Society Research Center, Copenhagen, Denmark | Health Effects of Air Pollution Components, Noise and Socioeconomic Status (“HERMES”) | Ongoing |
Meredith Franklin, University of Southern California, Los Angeles | Intersections as Hot Spots: Assessing the Contribution of Localized Non-Tailpipe Emissions and Noise on the Association between Traffic and Children’s Health | Ongoing |
RFA 16-1, Walter A. Rosenblith New Investigator Award | ||
Joshua Apte, University of Texas, Austin | Scalable Multi-Pollution Exposure Assessment Using Routine Mobile Monitoring Platforms | Ongoing |
RFA 19-1, Applying Novel Approaches to Improve Long-Term Exposure Assessment of Outdoor Air Pollution for Health Studies | ||
Scott Weichenthal, McGill University, Montreal, Canada | Comparing the Estimated Health Impacts of Long-Term Exposures to Traffic-Related Air Pollution Using Fixed-Site, Mobile, and Deep Learning Models | Projected start in 2020 |
Gerard Hoek, Utrecht University, The Netherlands | Comparison of Long-Term Air Pollution Exposure Assessment Based on Mobile Monitoring, Low-Cost Sensors, Dispersion Modelling and Routine Monitoring-Based Exposure Models | Projected start in 2020 |
Kees de Hoogh, Swiss Tropical and Public Health Institute, Basel, Switzerland | Accounting for Mobility in Air Pollution Exposure Estimates in Studies on Long-Term Health Effects | Projected start in 2020 |
Klea Katsouyanni, King’s College London, United Kingdom | Investigating the Consequences of Measurement Error of Gradually More Sophisticated Long-Term Personal Exposure Models in Assessing Health Effects: The London Study (MELONS) | Projected start in 2020 |
Lianne Sheppard, University of Washington, Seattle | Optimizing Exposure Assessment for Inference about Air Pollution Effects with Application to the Aging Brain | Projected start in 2020 |
*Current study.
“The Hong Kong D3D Study: A Dynamic Three Dimensional Exposure Model for Hong Kong,” Benjamin Barratt, King’s College London, United Kingdom. Barratt and colleagues estimated exposure to traffic-related air pollution using a dynamic three-dimensional land-use regression model for Hong Kong, which has many high-rise buildings, resulting in street canyons. Different exposure models were developed with increasing complexity (e.g., incorporating infiltration indoors, vertical gradients, and time–activity patterns) and applied in an epidemiological study to evaluate the potential impact of exposure measurement error in mortality estimates (Research Report 194).
“Enhancing Models and Measurements of Traffic-Related Air Pollutants for Health Studies Using Dispersion Modeling and Bayesian Data Fusion,” Stuart Batter-man, University of Michigan, Ann Arbor, Michigan. In the study presented in this report, Batterman and colleagues evaluated the ability to predict traffic–related air pollution using a variety of methods and models, including a line source air pollution dispersion model and sophisticated spatiotemporal Bayesian data fusion methods. The study made extensive use of data collected in the Near-road EXposures and effects of Urban air pollutants Study (NEXUS), a cohort study designed to examine the relationship between near-roadway pollutant exposures and respiratory outcomes in children with asthma who live close to major roadways in Detroit.
“Characterizing the Determinants of Vehicle Traffic Emissions Exposure: Measurement and Modeling of Land-Use, Traffic, Transformation, and Transport,” Christopher Frey, North Carolina State University, Raleigh, North Carolina. Frey and colleagues investigated key factors that influence exposure to traffic-related air pollution: traffic and its composition; built environment including road characteristics and land use; and dispersion, transport, and transformation processes. They made extensive measurements of fine particulate matter, ultrafine particles, oxides of nitrogen, and semi-volatile organic compounds in various near-road locations in the Raleigh–Durham area. This study has been completed and, at the time of publication of this volume, was in review.
“Developing Multipollutant Exposure Indicators of Traffic Pollution: The Dorm Room Inhalation to Vehicle Emissions (DRIVE) Study,” Jeremy Sarnat, Emory University, Atlanta, Georgia Sarnat and colleagues evaluated novel multipollutant traffic surrogates by collecting measurements in and around two student dormitories in Atlanta and explored the use of metabolomics to identify possible exposure-related metabolites. The DRIVE study made use of a unique emission-exposure setting in Atlanta, on the Georgia Institute of Technology campus, with one dorm immediately adjacent to the busiest and most congested highway artery in the city (with more than 300,000 vehicles per day) and another dorm located farther away (Research Report 196).
“Evaluation of Alternative Sensor-Based Exposure Assessment Methods,” Edmund Seto, University of Washington, Seattle, Washington. Seto and colleagues performed an evaluation of novel, low-cost air pollution sensors to characterize traffic-related air pollution in the San Francisco Bay area. They deployed various sensors — including Shinyei par ticulate matter sensors and Alphasense electrochemical sensors — for an extended period of time. Sensors were colocated with reference monitors to evaluate sensor performance. This study resulted in an unpublished report, which can be obtained by contacting HEI at pubs@healtheffects.org.
FURTHER RESEARCH UNDERWAY
The studies funded under RFA 13-1 offer valuable lessons that can be integrated into new epidemiological research on the health effects of traffic–related air pollution. Thus, HEI issued RFA 17-1, Assessing Adverse Health Effects of Exposure to Traffic-Related Air Pollution, Noise, and Their Interactions with Socioeconomic Status, seeking studies to assess adverse health effects of short- and/or long-term exposure to traffic-related air pollution. The applicants were asked to consider spatially correlated factors that may either confound or modify the health effects of traffic-related air pollution, most notably, traffic noise, socioeconomic status, and factors related to the built environment, such as presence of green space. Three studies funded under RFA 17-1 are in progress as of the publication of this report (see Preface Table). In addition, HEI funded a related study under the Walter A. Rosenblith New Investigator Award to compare exposure estimates obtained from intensive air pollutant measurement campaigns with Google Street View cars with estimates from more conventional methods.
Subsequently, HEI issued RFA 19-1, Applying Novel Approaches to Improve Long-Term Exposure Assessment of Outdoor Air Pollution for Health Studies to address challenges in accurately assigning exposures of pollutants that vary highly in space and time to individuals, and to quantify the influence of exposure measurement error on estimated health risks. At the time of publication of this report, five studies have been selected for funding under RFA 19-1 and are expected to start in the spring of 2020. Three of the studies plan to combine measurements of air pollution from emerging sources — such as satellite data — and diverse exposure assessment approaches to improve exposure assignment in well-established cohorts. Two studies plan to test the added value of incrementally more complex statistical modeling approaches to improving exposure assessment and how this may affect uncertainty in health effect estimates in epidemiological studies.
In addition, since the release of HEI’s critical review of the traffic literature in 2010, many additional studies about traffic-related air pollution have been published, and regulations and vehicular technology have advanced significantly. Therefore, HEI is under taking a new review of the epidemiological literature on selected health effects of long-term exposure to traffic-related air pollution. Further information on these activities can be obtained at the HEI website, www.healtheffects.org/air-pollution/traffic-related-air-pollution.
REFERENCES
- Barratt B, Lee M, Wong P, Tang R, Tsui TH, Cheng W, et al. 2018. A Dynamic Three-Dimensional Air Pollution Exposure Model for Hong Kong. Research Report 194. Boston, MA: Health Effects Institute. [PMC free article] [PubMed] [Google Scholar]
- Health Effects Institute. 2010. Traffic-Related Air Pollution: A Critical Review of the Literature on Emissions, Exposure, and Health Effects. HEI Special Report 17. Boston, MA:Health Effects Institute. [Google Scholar]
- Sarnat JA, Russell A, Liang D, Moutinho JL, Golan R, Weber RJ, et al. 2018. Developing Multipollutant Exposure Indicators of Traffic Pollution: The Dorm Room Inhalation to Vehicle Emissions (DRIVE) Study. Research Report 196. Boston, MA:Health Effects Institute. [PMC free article] [PubMed] [Google Scholar]
- Seto E, Austin E, Carvlin G, Shirai J, Hubbard A, Hammond K, et al. 2018. Evaluation of Alternative Sensorbased Exposure Assessment Methods. Unpublished report. Boston, MA: Health Effects Institute. [Google Scholar]