Subways: Concerning Air Quality, but Solutions are Available

As some countries start slowly to go back to work in offices, it’s probably time to think about the air we breathe in subways. We have learned so much about indoor air quality throughout this pandemic that we should probably check few things in our local subway system to assess its air quality. From studies conducted few years back we know that in average people spend 30-40 min in metros, time in which they are exposed to harmful air pollutants from components in the subways and from air pollutants that are brought in through the ventilation system.

An assessment from 2017 that looked at more than 160 studies from 20 countries found that airborne bacteria, particulate matter, aromatic hydrocarbons and carbonyls were the main pollutants in all metro systems. It’s estimated that more than 120 million people used the subway every day before the pandemic. In fact, the use of metros have been encouraged as a way to reduce outdoor air pollution, it has always been the smart, efficient and environmentally friendly way to commute.

However, studies have shown that the exposure to air pollution from point A to point B is higher when done in a subway than walking or in trams, but lower than in buses. Studies have also shown that some stations have very poor air quality but others have demonstrated to comply with the European PM2.5 air concentration limits. Suggesting it is possible to have stations with acceptable air quality. It is not clear if the PM prevalent in subways is more toxic than outdoor PM and very little information is out there on the long-term effects of subways’ air quality.

In essence, the source of subway PM comes from the train wheels, brake pads, steel rails and power-supply materials. And is affected by the ventilation, outdoor air supply, depth of station, date of construction, train frequency and the existence of screen-door systems.

Comparison between stations with better air quality and those with poorer air quality shows that changes can be made to improve things. For example,  changes in train speed, type of ventilation, the implementation of screen-doors and the use of air purifiers are all positively impacting air quality in subway stations.

If some stations can  have acceptable air quality, this means that constant air monitoring can lead to effective changes that will benefit  those millions of subway users.

Open Edition Journals- Commuting by subway? What you need to know about air quality

Science Direct- Air quality inside subway metro indoor environment worldwide: A review.

We consume, ergo we pollute!

So much is said about the appalling air pollution in China, how its citizens suffer and how only the rich can take adequate protective measures. But so little has been said about how we may all be linked to this pollution, even if we have never set foot in China.

Researchers from Tsinghua University, University of California and other institutions have recently published a paper with very interesting data on how we all bear the brunt of air pollution in China and how pollutants aided by global air currents reach neighboring countries  and affect the health even of those who leave in distant territories. This gives us an idea of the uncontrollable and controllable components of air pollution.

This research looked at PM2.5 (fine particulate matter) in 13 regions across 228 countries, and found that 12% of premature deaths (410,000) globally result from pollutants emitted in a different country, but which are often moved around by global wind conditions. While this result shows us how difficult it is to run away from air pollution that sees no real borders, it definitely makes us see the relevance of monitoring air quality regardless of how far we live from sources of pollution.

At the same time, this study explains how we all bear the brunt of air pollution in China and other countries of Asia. In fact, 90% of air pollution-related global mortality comes from power stations, airplanes, shipping and factories. All elements that constitute global trade. The ever-expanding nature of markets have made cheap products that flood western markets, the basis of a considerable amount of pollution in the East: China, India, Indonesia etc.

Cheap products are produced in Asian countries for a number of reasons – cheap labor and a lack of environmental regulations, which means that the process of production is highly contaminated and contributes to air pollution not to mention water or soil contamination. In addition, these products are produced far away from the place of their consumption so shipping and airplanes need to be heavily used to freight them to their end users.

Dr Qiang Zhang, one of the researchers, revealed that in 2007 consumption in the United States and Western Europe was tied to 110,000 premature deaths in China. In fact, the minute we buy cheap products, we are unconsciously increasing our share in air pollution.

“If the cost of imported products is lower because of less stringent air pollution controls in the regions where they are produced, then the consumer savings may come at the expense of lives lost elsewhere,”

This is why their main message is:

“We need to move our lifestyles away from cheap and wasteful,” Qiang Zhang

This research clearly shows the need to measure air quality and act to protect ourselves, regardless of how far we live from the source of pollution. And secondly, makes us understand how our consumption patterns can make a difference in the air quality suffered in other regions of the world.

Sources:
The Guardian – Thousands of pollution deaths worldwide linked to western consumers
HuffPost – Air Pollution Links People Thousands Of Miles Apart In Deadly Ways
The Economist – Airborne particles cause more than 3m early deaths a year
Nature – Transboundary health impacts of transported global air pollution and international trade

…And now breast cancer?

There has been an intense debate over the possible link between breast cancer and air pollution. FIGO- the International Federation of Gynecology and Obstetrics highlighted the discovery of a link between air pollution and breast cancer following an article published in the Breast Cancer Journal on the results of research conducted by the University of Florida. This was reported by mainstream media as an alarming call to women living in areas with high air pollution.

Do not panic!

But there is no need to panic, it’s very important to be cautious with scientific results. In fact, many organizations like Cancer Research-UK, BreastCancer and others jumped to clarify that finding a link does not mean that air pollution causes breast cancer. Two things can be highly correlated without implying causation.

We know and we’ve talked about how pervasive air pollution is in our bodies, affecting our lungs, circulation, diabetes, skin and many more. The link between air pollution and lung cancer is very well researched, many research teams have worked on this subject for decades and have found how it happens and why. All the other links of air pollution to diseases are still in the very beginning of compiling research results and while it is one thing to link air pollution with skin problems, it is another step entirely to link it with a life-threatening disease like breast cancer.

Be cautious and understand the risks

We should not panic, but we should know the extent of current research on this matter. The latest research was conducted by the University of Florida, US, and looked at the link between breast density and air pollution. They found that women living in areas with high pollution had denser breast tissue. Women with dense breast tissue are up to six times more likely to develop some form of breast cancer.

In 2010, another study by the Research Institute of the MUHC, McGill University and Université de Montreal also showed a link. This study mapped air pollution against breast cancer patients and found that women living near areas with higher levels of pollution were twice as likely to develop breast cancer than the rest. However, Dr Goldberg, a researcher at The RI MUHC said:

“For example, we don’t know how much the women in the study were exposed to pollution while at home or at work, because that would depend on their daily patterns of activity, how much time they spend outdoors and so on”

In the case of this study, what is interesting is that the motivation to study the link between air pollution and breast cancer was to try to understand why cancer rates were going up in general / in these particular high pollution areas. The results showed that it could be air pollution but it may well be some other factor that the study could not control. In fact, the researchers called for more research on this subject and more research on the biological explanation behind this possible link.

Before more scientific evidence is gathered, we should make it a habit to know the quality of the air we breathe and take actions to improve the quality of the air we are exposed to, both indoors and outdoors!

Key steps to ensure office safety

Be air safe in your business

Around the world the pandemic has taken many forms. Some are working from home while others have to work in their offices. Although offices may have less people to ensure social distancing, managers and office space administrators should still take crucial steps to protect their staff. The past months of increased information about how COVID-19 spreads silently, has opened our eyes about the relevance of clean air and social practices in protecting us.

Although, outdoors is the ideal place to gather for safety purposes, offices, and shops can also minimize risk and have employees back in business with their safety as their first priority.

The following steps require to re-think the office with airflow safety in mind.  We need to re-think the way we use office space and even office supplies. Understanding that clean air and clean surfaces are the ultimate goal to staff safety. A new type of health and safety plan is required focusing on: 1) infrastructure maintenance, 2) re-thinking the way we use the space, and 3) ensuring all staff members are involved in the process and understand the need for a change in the way we work and the way we safely socialize.

Start by analyzing the infrastructure and how your devices can ensure the air in the premises is safe. The Heating, Ventilation and Air Conditioning (HVAC) system needs to have the appropriate filters and they should be maintained regularly. Preferably HEPA filters should be used. If possible, outdoor air circulation should be increased; and airflow supply should be re-examined. Similarly, exhaust fans in restrooms are to be checked for performance and encourage their use at all times. This should be coupled with enhancing cleaning and disinfection at all times. Have a close look at the quality of the indoor air, it will make a difference.

Then move to conduct a hazard assessment with the COVID-19 thinking cap. Identifying areas where COVID 19 transmission could happen and how to change them. For example, the meeting rooms, cafeteria, break rooms, waiting areas and many more. This will result in necessary modifications of workstation distancing, or the use of shields to physically separate employees in all areas.  And, wherever physical barriers are not possible, visual cues on the floor can help employees distance themselves. Even shifts staggering will be crucial. Also, re-think best options for high-touch communal items such as coffee pot, microwave etc.

Last but not least, develop a communication plan to adequately convey health safety messages and changes in space usage to employees. Set a protocol for employees to know when to stay home, how to work from home when they have symptoms, or when a family member has symptoms. And if possible, provide that flexibility to work from home. Use signage to remind people of key actions to reduce transmission.

Keep in mind, indoor air quality is key to employees’ health and safety!

When legal action meets air quality

A few years ago, a French woman launched a law suit against the French government for failing to protect her from air pollution. More precisely, for ‘culpable incompetence’ by not having a heavy hand against polluters and not taking strong preventive measures. She is asthmatic, 56 years old and a yoga teacher that suffers gravely from every air pollution spike. She is the first plaintiff in France but her lawyer says there are about 30 more in Paris, Lille and Lyon who are planning legal action!

Are law suits the new way to push for better air quality?

In fact, we know of several examples in Europe where legal action is being used to push governments for better air quality. In April 2015, the UK legal NGO ClientEarth won a Supreme Court ruling against the UK government. The ministers were ordered to design a plan to ‘bring pollution down within legal limits as soon as possible’.  The new plan was presented in 2016 but the government was slammed once more by another legal battle won by ClientEarth at the High Court.

“The government’s new plans to tackle air pollution are woefully inadequate and won’t achieve legal limits for years to come,” said ClientEarth lawyer Alan Andrews to The Guardian “The longer they are allowed to dither and delay, the more people will suffer from serious illness or an early death.”

“There is clear consensus that the government’s plans are wholly inadequate to address this public health crisis,” said Kerry McCarthy, Labour’s shadow environment secretary. “It should not take legal action to force the environment secretary to take urgent action and help save lives.”

In September 2016 in Prague, the Vlasta Coalition NGO lodged a law suit against the local ministry’s plan to tackle air pollution. Three individuals have joined the law suit from various parts of the country with their claims. Similarly, The European Commission threatened legal action against France, Germany, Italy, Spain and the UK for failing to protect their citizens from air pollution. ClientEarth is in fact partnering with local NGOs to launch cases across Europe against local and national governments. The first one to appear is legal action against Lombardy – a region in the north of Italy with Milan in the Centre of it.

More data on air pollution and more knowledge about its ill health effects will provide the basis for citizens to demand their rights and for governments to better understand how to manage policies to improve air quality.

Trying to sleep but you cannot?

Sleep is not the first thought we have when thinking about the effects of air pollution.

A study conducted by Dr. Martha E. Billings, assistant professor of medicine at the University of Washington was presented in May at the American Thoracic Society International Conference. The study shows that air pollution affects sleep quality.

“Prior studies have shown that air pollution impacts heart health and affects breathing and lung function, but less is known about whether air pollution affects sleep,” said lead author Martha E. Billings “We thought an effect was likely given that air pollution causes upper airway irritation, swelling and congestion, and may also affect the central nervous system and brain areas that control breathing patterns and sleep.”

The study conducted showed that both PM2.5 and nitrogen dioxide are linked with poor sleep quality. The higher PM2.5 concentration leads to 50% odds of having poor sleep. Similarly, high levels of nitrogen dioxide increased by 60% the chances of experiencing poor sleep. 

Exactly why, is yet to be studied, but air pollution irritates nose, sinuses and back of throat which affects breathing and ultimately may have an impact on sleep quality. Also, air pollutants can enter the blood and can potentially have an effect on the brain and its breathing regulation capacities, therefore disrupting sleep.

“These new findings indicate the possibility that commonly experienced levels of air pollution not only affect heart and lung disease, but also sleep quality. Improving air quality may be one way to enhance sleep health and perhaps reduce health disparities,” Dr. Billings said

Sleep problems are common everywhere and on the increase. The use of multiple aids to sleep is increasing. This study shows how important it is to look at our environment, know the quality of our indoor and outdoor air and take measures to improve it. Improving air quality in our indoor space may go a long way in helping us having better sleep quality!

Monitor air quality!

Sources:
Neuroscience News
AMERICAN THORACIC SOCIETY – Air Pollution May Disrupt Sleep
Newsweek – Trouble Sleeping? Air Pollution May Be to Blame, Study Says
The Guardian – Air pollution linked to poor sleep, study finds