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At least 19 records

Associations between environmental quality and adult asthma prevalence in medical claims data

Highlights: • Asthma is a complex condition affecting 7.4% of U.S. adults. • Asthma may be driven by multiple exposures operating in tandem. • The Environmental Quality Index measures 5 environmental domains simultaneously. • Worsening overall environmental quality is associated with increasing asthma. • Patterns vary by domain (air, water, land, built, sociodemograhic) and rurality. As of 2014, approximately 7.4% of U.S. adults had current asthma. The etiology of asthma is complex, involving genetics, behavior, and environmental factors. To explore the association between cumulative environmental quality and asthma prevalence in U.S. adults, we linked the U.S. Environmental Protection Agency's Environmental Quality Index (EQI) to the MarketScan{sup ®} Commercial Claims and Encounters Database. The EQI is a summary measure of five environmental domains (air, water, land, built, sociodemographic). We defined asthma as having at least 2 claims during the study period, 2003–2013. We used a Bayesian approach with non-informative priors, implementing mixed-effects regression modeling with a Poisson link function. Fixed effects variables were EQI, sex, race, and age. Random effects were counties. We modeled quintiles of the EQI comparing higher quintiles (worse quality) to lowest quintile (best quality) to estimate prevalence ratios (PR) and credible intervals (CIs). We estimated associations using the cumulative EQI and domain-specific EQIs; we assessed U.S. overall (non-stratified) as well as stratified by rural-urban continuum codes (RUCC) to assess rural/urban heterogeneity. Among the 71,577,118 U.S. adults with medical claims who could be geocoded to county of residence, 1,147,564 (1.6%) met the asthma definition. Worse environmental quality was associated with increased asthma prevalence using the non-RUCC-stratified cumulative EQI, comparing the worst to best EQI quintile (PR:1.27; 95% CI: 1.21, 1.34). Patterns varied among different EQI domains, as well as by rural/urban status. Poor environmental quality may increase asthma prevalence, but domain-specific drivers may operate differently depending on rural/urban status.

54 ENVIRONMENTAL SCIENCES↗

Environmental Quality and the U.S. Power Sector: Air Quality, Land Use and Environmental Justice

This baseline report summarizes key environmental quality issues associated with electricity generation, transmission, distribution, and end use in the United States. Its scope includes non-greenhouse gas air pollution (i.e., sulfur dioxide, nitrogen oxides, particulate matter and hazardous air pollutants), land use, water pollution, ecological impacts, human health, and environmental justice. The discussion characterizes both current impacts and recent trends, as well as assessments of key drivers of change. For example, the air emissions section includes a quantitative decomposition analysis of the drivers of change in sulfur dioxide emissions reductions from coal-fired power plants. The report is divided into four topical sections: air emissions, land use and ecology, water quality, and environmental justice.

54 ENVIRONMENTAL SCIENCES↗

Associations between environmental quality and infant mortality in the United States, 2000–2005

Background: The United States (U.S.) suffers from high infant mortality (IM) rates and there are significant racial/ethnic differences in these rates. Prior studies on the environment and infant mortality are generally limited to singular exposures. We utilize the Environmental Quality Index (EQI), a measure of cumulative environmental exposure (across air, water, land, sociodemographic, and land domains) for U.S. counties from 2000 to 2005, to investigate associations between ambient environment and IM across maternal race/ethnicity. Methods: We linked 2000–2005 infant data from the U.S. Centers for Disease Control and Prevention to the EQI (n = 22,702,529; 144,741 deaths). We utilized multi-level regression to estimate associations between quartiles of county-level EQI and IM. We also considered associations between quartiles of county level domain specific indices with IM. We controlled for rural-urban status (RUCC1: urban, metropolitan; RUCC2: urban, non-metropolitan; RUCC3: less urbanized; RUCC4: thinly populated), maternal age, maternal education, marital status, infant sex, and stratified on race/ethnicity. Additionally, we estimated associations for linear combinations of environmental quality and rural-urban status. Results: We found a mix of positive, negative, and null associations and our findings varied across domain and race/ethnicity. Poorer overall environmental quality was associated with decreased odds among Non-Hispanic whites (OR and 95% CI: EQIQ4 (ref. EQIQ1): 0.84[0.80,0.89]). For Non-Hispanic blacks and Hispanics, some increased odds were observed. Poorer air quality was monotonically associated with increased odds among Non-Hispanic whites (airQ4 (ref. airQ1): 1.05[0.99,1.11]) and blacks (airQ4 (ref. airQ1): 1.09 [0.9,1.31]). Rural status was associated with increased IM odds among Hispanics (RUCC4-Q4:1.36[1.04,1.78]; RUCC1-Q4: 1.04[0.92,1.16], ref. for both RUCC1-Q1). Conclusions: This study is the first to report on associations between ambient environmental quality and IM across the United States. It corroborates prior research suggesting an association between air pollution and IM and identifies residence in thinly populated (rural) areas as a potential risk factor towards IM amongst Hispanics. Some of the counterintuitive findings highlight the need for additional research into potentially differential drivers of environmental quality across the rural-urban continuum, especially with regards to the sociodemographic environment.

60 APPLIED LIFE SCIENCES↗

Post-occupancy evaluation of indoor environmental quality in ten nonresidential buildings in Chongqing, China

Indoor environmental quality (IEQ) is an essential element of sustainable building performance. To advance knowledge of indoor environmental quality in Chinese nonresidential buildings, this study conducted post-occupancy evaluation (POE) in varied use areas within schools, hospitals, offices, hotels and shopping malls through environmental measurements and occupant surveys in 10 buildings over four seasons in Chongqing, China. Measured thermal conditions were more frequently within comfort standards in winter than in summer according to the predicted mean vote – predicted percentage dissatisfied model; but the model did not reliably predict thermal satisfaction. There was insufficient illuminance in 28% of studied areas and high illuminance in shopping malls led to complaints about glare. Sound pressure exceeded the Chinese guideline in all buildings with shopping malls having significantly higher levels than other buildings. CO 2 was generally below the Chinese national guideline of 1000 ppm; the two percent of measurements that exceeded the guideline occurred in classrooms, hospital wards and underground supermarkets. Formaldehyde did not exceed the limit level of 0.1 mg/m3 in any space. Most of the buildings did not provide effective protection from outdoor fine particulate matter (PM2.5), and infiltration from outdoors was the main factor for exceeding health-based guidelines indoors. Shopping malls had lower IEQ satisfaction than offices, schools and hospitals. Sound was the factor with the lowest satisfaction level among the four principal environmental factors. Overall, this study demonstrates value of POE on identifying deficiencies in indoor environment and provides a reference for assessment of IEQ in nonresidential buildings.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Associations between cumulative environmental quality and ten selected birth defects in Texas

Abstract Background Causes of most birth defects are largely unknown. Genetics, maternal factors (e.g., age, smoking) and environmental exposures have all been linked to some birth defects, including neural tube, oral cleft, limb reduction, and gastroschisis; however, the contribution of cumulative exposures across several environmental domains in association with these defects is not well understood. Methods The Environmental Quality Index (EQI) and its domains (air, water, land, sociodemographic, built) were used to estimate county‐level cumulative environmental exposures from 2006–2010 and matched to birth defects identified from Texas Birth Defects Registry and live birth records from births in years 2007–2010 ( N = 1,610,709). Poisson regression models estimated prevalence ratios (PR) and 95% confidence intervals (CI) for associations between 10 birth defects and the EQI. Results We observed some positive associations between worst environmental quality and neural tube, anencephaly, spina bifida, oral cleft, cleft palate, cleft lip with and without cleft palate, and gastroschisis [PR range: 1.12–1.55], but near null associations with limb reduction defects. Among domain specific results, we observed the strongest positive associations with the sociodemographic domain across birth defects but varied positive associations among the air and water domains, and negative or null associations with the land and built domains. Overall, few exposure‐response patterns were evident. Conclusions Our results highlight the complexities of cumulative, simultaneous environmental exposures in the prevalence rates of 10 selected birth defects. We were able to explore the impact of overall and domain specific environmental quality on birth defects and identify potential domain specific drivers of these associations.

Krajewski, Alison K.↗

Satellite global monitoring of environmental quality

The missions of two NASA satellites for the monitoring of environmental quality are described: Nimbus G, the Air Pollution and Oceanographic Observing Satellite, and the Applications Explorer Mission (AEM) satellite to be used in the Stratospheric Aerosol and Gas Experiment (SAGE). The scientific payload of Nimbus G is described in detail with a discussion of limb infrared monitoring of the stratosphere, the stratospheric and mesospheric sounder, stratospheric aerosol measurement, the solar and backscatter UV spectrometer for ozone mapping, the earth radiation budget experiment, the scanning multichannel microwave radiometer, the coastal zone color scanner and the temperature-humidity infrared radiometer. A brief description is given of the SAGE program and future NASA plans relating to the global monitoring of environmental quality are outlined.

Schiffer, R. A.↗

The associations between environmental quality and preterm birth in the United States, 2000–2005: a cross-sectional analysis

Many environmental factors have been independently associated with preterm birth (PTB). However, exposure is not isolated to a single environmental factor, but rather to many positive and negative factors that co-occur. Furthermore, the environmental quality index (EQI), a measure of cumulative environmental exposure across all US counties from 2000—2005, was used to investigate associations between ambient environment and PTB.

54 ENVIRONMENTAL SCIENCES↗

A Review of the Use of Wearables in Indoor Environmental Quality Studies and an Evaluation of Data Accessibility from a Wearable Device

An understanding of indoor environmental quality (IEQ) and its effects on occupant well-being can inform building system design and operation. The use of wearables in field studies to collect subjective and objective health performance indicators (HPIs) from a large number of occupants could deliver important improvements in IEQ. To facilitate the use of wearables in IEQ studies, there is a need to identify which HPIs should be collected and to evaluate data accessibility from these devices. To address this issue, a literature review of previous IEQ studies was conducted to identify relationships between different IEQ factors and HPIs, with a focus on HPIs that were collected using wearables. A preliminary assessment of data accessibility from a selected wearable device (Fitbit Versa 2) was performed and documented. The review suggested the need to further investigate and collect sleep quality parameters, heart rate, stress response, as well as subjective ratings of comfort using wearables. The data accessibility assessment revealed issues related to missing data points and data resolution from the examined device. A set of recommendations is outlined to inform future studies.

60 APPLIED LIFE SCIENCES↗

Protocol for maximizing energy savings and indoor environmental quality improvements when retrofitting apartments

The current focus on building energy retrofit provides an opportunity to simultaneously improve indoor environmental quality (IEQ). Toward this end, we developed a protocol for selecting packages of retrofits that both save energy and improve IEQ in apartments. The protocol specifies the methodology for selecting retrofits from a candidate list while addressing expected energy savings, IEQ impacts, and costs in an integrated manner. Interviews, inspections and measurements are specified to collect the needed input information. The protocol was applied to 17 apartments in three buildings in two different climates within California. Diagnostic measurements and surveys conducted before and after retrofit implementation indicate enhanced apartment performance.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Protocol for Maximizing Energy Savings and Indoor Environmental Quality Improvements when Retrofiting Apartments

The current focus on building energy retrofit provides an opportunity to simultaneously improve indoor environmental quality (IEQ). Toward this end, we developed a protocol for selecting packages of retrofits that both save energy and improve IEQ in apartments. The protocol specifies the methodology for selecting retrofits from a candidate list while addressing expected energy savings, IEQ impacts, and costs in an integrated manner. Interviews, inspections and measurements are specified to collect the needed input information. The protocol was applied to 17 apartments in three buildings in two different climates within California. Diagnostic measurements and surveys conducted before and after retrofit implementation indicate enhanced apartment performance.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Overview of the NASA tropospheric environmental quality remote sensing program

This paper will summarize the current NASA Tropospheric Environmental Quality Remote Sensing Program for studying the global and regional troposphere from space, airborne and ground-based platforms. As part of the program to develop remote sensors for utilization from space, NASA has developed a series of passive and active remote sensors which have undergone field test measurements from airborne and ground platforms. Recent measurements with active lidar and passive gas filter correlation and infrared heterodyne techniques will be summarized for measurements of atmospheric aerosols, CO, SO2, O3, and NH3. These measurements provide the data base required to assess the sensitivity of remote sensors for applications to urban and regional field measurement programs. Studies of Earth Observation Satellite Systems are currently being performed by the scientific community to assess the capability of satellite imagery to detect regions of elevated pollution in the troposphere. The status of NASA sponsored research efforts in interpreting satellite imagery for determining aerosol loadings over land and inland bodies of water will be presented, and comments on the potential of these measurements to supplement in situ and airborne remote sensors in detecting regional haze will be made.

Allario, F.↗

Association of residential energy efficiency retrofits with indoor environmental quality, comfort, and health: A review of empirical data

This paper reviews empirical data from evaluations of the influence of residential energy efficiency retrofits on indoor environmental quality conditions and self-reported thermal comfort and health. The data were extracted from 36 studies described in 44 papers plus two reports. Nearly all reviewed studies were performed in Europe or United States. Most studies evaluated retrofits of homes with low-income occupants. Indoor radon and formaldehyde concentrations tended to increase after retrofits that did not add whole-house mechanical ventilation. Study-average indoor concentrations of nitrogen dioxide and volatile organic compounds other than formaldehyde increased and decreased with approximately equal frequency. Average indoor temperatures during winter typically increased after retrofits, usually by less than 1.5 °C. Dampness and mold, usually based on occupant's reports, almost always decreased after retrofits. Subjectively reported thermal comfort, thermal discomfort, non-asthma respiratory symptoms, general health, and mental health nearly always improved after retrofits. For asthma symptoms, the evidence of improvement slightly outweighed the evidence of worsening. There was insufficient evidence to determine whether changes in thermal comfort and health outcomes varied depending on the type of energy efficiency retrofit. The published research has numerous limitations including a lack of data from retrofits in warm-humid climates and minimal data on changes in objective health outcomes. Suggestions for future research are provided.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Indoor Environmental Quality Benefits of Apartment Energy Retrofits

Sixteen apartments serving low-income populations in three buildings were retrofit with the goal of simultaneously reducing energy consumption and improving indoor environmental quality (IEQ). Retrofit measures varied among apartments and included, among others, envelope sealing, installation of continuous mechanical ventilation systems, upgrading bathroom fans and range hoods, attic insulation, replacement of heating and cooling systems, and adding wall-mounted particle air cleaners. IEQ parameters were measured, generally for two one-week periods before and after the retrofits. The measurements indicate an overall improvement in IEQ conditions after the retrofits. Comfort conditions, bathroom humidity, and concentrations of carbon dioxide, acetaldehyde, volatile organic compounds, and particles generally improved. Formaldehyde and nitrogen dioxide levels decreased in the building with the highest concentrations, were unchanged in a second building, and increased in a third building. IEQ parameters other than particles improved more in apartments with continuous mechanical ventilation systems installed. In general, but not consistently, larger percent increases in air exchange rates were associated with larger percent decreases in indoor levels of the pollutants that primarily come from indoor sources.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Energy Efficiency and Indoor Environmental Quality Assessment Guide

This report provides thorough guidance when preparing for an energy and indoor environmental quality (IEQ) assessment. It includes step-by-step instructions, detailed insights, and practical examples for the various phases of an energy and IEQ assessment. IEQ encompasses indoor building conditions—such as air quality, thermal comfort, acoustics, and lighting— and is a growing field of interest among a diverse range of stakeholders (e.g., building owners and managers) due to the effects it has on occupant health and productivity. IEQ improvement strategies often provide overlapping opportunities for increasing building energy efficiency, creating a win-win situation for building operations.

Esaki-Kua, Lauren↗

How do measured PBDE and HCBD levels in river fish compare to the European Environmental Quality Standards?

This study evaluates the current situation regarding PBDE and HBCD levels in different river fish species. We collected published data in the last five years in different countries around the world. These levels of pollution were compared with Environmental Quality Standards (EQS) for biota established by the European Directive in the field of water policy. Although HBCD situation is not critical, with only some values exceeding the limit about 5 times, the PBDE levels clearly exceeded the established EQS, with 25% of fish samples exceeding up to ten thousand times. Although it is expected that levels of pollution by PBDEs will decrease over the next years due to the ban in their use, it is not expected that this decrease will reach the EQS values by the end of 2021, as demanded by the European Directive. Hence, it is necessary to implement new strategies in order to minimize the impact of PBDEs on the environment.

54 ENVIRONMENTAL SCIENCES↗

The NASA role in major areas of human concern: Environmental quality

After introducing some of the general factors that have affected progress in the area of environmental quality, NASA program elements are examined to illustrate relevant points of contact. Interpretive steps are taken throughout the report to show a few of the more important ways people's lives have been affected as a result of the work of NASA and other organizations functioning in this area. The principal documents used and interviews conducted are identified.

Source record↗

Meta‐Analysis and Regression Modeling of the Impacts of Four Indoor Environmental Quality Metrics on Office Performance

Awareness of how buildings interact with the occupant experience—especially human performance—is becoming more prevalent, as seen by increasing interest and investment in healthy built environments. However, there is a need to synthesize the wide array of existing indoor environmental assessment and performance research in a way that can translate directly to building design and operation. Existing research in this area typically focuses on a single isolated metric and has not focused on making the results utilizable by building practitioners. The aim of this research is to investigate existing office performance literature through meta‐analyses and produce regression models for four indoor environmental quality (IEQ) metrics to support critical decision‐making for building operation and renovation. To reach this aim, a literature review was conducted to identify studies that measure the impact of changing ventilation rate, temperature, horizontal illuminance, and noise level in offices on occupant task performance. This repository of field and laboratory studies was analyzed to visualize the trends between the selected IEQ metrics and task performance. The temperature, ventilation rate, and horizontal illuminance regression models showed clear improvement potential when modifying indoor conditions toward the defined high‐performance range, while the regression model for noise level was inconclusive. The discussion notes the importance of designing holistically for all components of these IEQ categories to utilize the results, for example, good filtration on outdoor air for quantifying ventilation impact and uniform overhead lighting with low contrast for quantifying horizontal illuminance impact. The novelty of this work is in considering multiple facets of the indoor environment under a single, unified analysis schema and producing IEQ‐based performance gains that can directly inform cost‐benefit analyses of building design and renovation.

60 APPLIED LIFE SCIENCES↗

Investigating the influence of environmental information on perceived indoor environmental quality: An exploratory study

Under the assumption that information can impact perception, most research on human sensation and satisfaction with indoor environmental quality (IEQ) parameters has been conducted with respondents uninformed about the test conditions. Therefore, researchers know little about the impact of information on perception. These potential effects are increasingly relevant as quantitative information about indoor environments becomes accessible via low-cost, wirelessly connected sensors. In this experimental study, 48 subjects were exposed to varied indoor environmental conditions and provided with different types of environmental information. The subjects' sensation and satisfaction were compared when they were blinded or provided with quantitative information about and/or qualitative ratings of specific parameters. The results indicate that accurate information on parameter values influenced how the subjects perceived the indoor air quality (IAQ) but not how they perceived the thermal, acoustic, or visual quality. The subjects rated the IAQ more positively when they were informed that there were nonzero ventilation rates. The qualitative ratings influenced the subjects' perceptions of all four environmental factors, but in different directions. The subjects generally had more positive sensation and higher satisfaction when they were told that the parameter values and qualitative ratings were more favorable than the test conditions. However, the improved sensation and satisfaction were often not as good as when the environmental conditions were actually improved and the subjects were provided with accurate information. Here, these findings affirm the critical need for more research on the impacts of information on perceptions of the indoor environment.

42 ENGINEERING↗