{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:39:09Z","timestamp":1787017149077,"version":"build-2736575974"},"reference-count":58,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,1,19]]},"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To assess the health risks associated with exposure to particulate matter (PM\n                      <jats:sub>10<\/jats:sub>\n                      ), sulphur dioxide (SO\n                      <jats:sub>2<\/jats:sub>\n                      ), nitrogen dioxide (NO\n                      <jats:sub>2<\/jats:sub>\n                      ), carbon monoxide (CO) and ozone (O\n                      <jats:sub>3<\/jats:sub>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The study is an ecological study that used the year 2014 hourly ambient pollution data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted in an industrial area located in Pretoria West, South Africa. The area accommodates a coal-fired power station, metallurgical industries such as a coke plant and a manganese smelter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data and method<\/jats:title>\n                    <jats:p>\n                      Estimate of possible health risks from exposure to airborne PM\n                      <jats:sub>10<\/jats:sub>\n                      , SO\n                      <jats:sub>2<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      , CO and O\n                      <jats:sub>3<\/jats:sub>\n                      was performed using the US Environmental Protection Agency human health risk assessment framework. A scenario-assessment approach where normal (average exposure) and worst-case (continuous exposure) scenarios were developed for intermediate (24-hour) and chronic (annual) exposure periods for different exposure groups (infants, children, adults). The normal acute (1-hour) exposure to these pollutants was also determined.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Presence or absence of adverse health effects from exposure to airborne pollutants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Average annual ambient concentration of PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      and SO\n                      <jats:sub>2<\/jats:sub>\n                      recorded was 48.3\u00b143.4, 11.50\u00b111.6 and 18.68\u00b125.4\u2005\u00b5g\/m\n                      <jats:sup>3<\/jats:sup>\n                      , respectively, whereas the South African National Ambient Air Quality recommended 40, 40 and 50\u2005\u00b5g\/m\n                      <jats:sup>3<\/jats:sup>\n                      for PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      and SO\n                      <jats:sub>2<\/jats:sub>\n                      , respectively. Exposure to an hour's concentration of NO\n                      <jats:sub>2<\/jats:sub>\n                      , SO\n                      <jats:sub>2<\/jats:sub>\n                      , CO and O\n                      <jats:sub>3<\/jats:sub>\n                      , an 8-hour concentration of CO and O\n                      <jats:sub>3<\/jats:sub>\n                      , and a 24-hour concentration of PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      and SO\n                      <jats:sub>2<\/jats:sub>\n                      will not likely produce adverse effects to sensitive exposed groups. However, infants and children, rather than adults, are more likely to be affected. Moreover, for chronic annual exposure, PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      and SO\n                      <jats:sub>2<\/jats:sub>\n                      posed a health risk to sensitive individuals, with the severity of risk varying across exposed groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Long-term chronic exposure to airborne PM\n                      <jats:sub>10<\/jats:sub>\n                      , NO\n                      <jats:sub>2<\/jats:sub>\n                      and SO\n                      <jats:sub>2<\/jats:sub>\n                      pollutants may result in health risks among the study population.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-013941","type":"journal-article","created":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T20:45:59Z","timestamp":1489437959000},"page":"e013941","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":70,"title":["Health risk of inhalation exposure to sub-10\u2005\u00b5m particulate matter and gaseous pollutants in an urban-industrial area in South Africa: an ecological study"],"prefix":"10.1136","volume":"7","author":[{"given":"Oyewale Mayowa","family":"Morakinyo","sequence":"first","affiliation":[{"name":"Department of Environmental Health, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayo Stephen","family":"Adebowale","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matlou Ingrid","family":"Mokgobu","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murembiwa Stanley","family":"Mukhola","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Faculty of Science, Tshwane University of Technology, Pretoria, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,3,13]]},"reference":[{"key":"2025121602135166000_7.3.e013941.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.126"},{"key":"2025121602135166000_7.3.e013941.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61766-8"},{"key":"2025121602135166000_7.3.e013941.3","unstructured":"EPA, Environmental Protection Agency. Africa Air Quality (updated 2012; cited 15 June 2013). http:\/\/www.epa.gov\/international\/air\/africa.htm"},{"key":"2025121602135166000_7.3.e013941.4","unstructured":"World Health Organization. Air Quality and Health Questions and Answers (cited 15 June2013). http:\/\/www.who.int\/phe\/air_quality_q&a.pdf"},{"key":"2025121602135166000_7.3.e013941.5","doi-asserted-by":"publisher","DOI":"10.3109\/08958378.2011.593587"},{"key":"2025121602135166000_7.3.e013941.6","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1103618"},{"key":"2025121602135166000_7.3.e013941.7","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1289\/ehp.1103995","article-title":"Estimated short-term effects of coarse particles on daily mortality in Stockholm, Sweden","volume":"120","author":"Meister","year":"2012","journal-title":"Environ Health Perspect"},{"key":"2025121602135166000_7.3.e013941.8","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.envpol.2015.08.040","article-title":"Human exposure to environmental health concern by types of urban environment: the case of Tel Aviv","volume":"208","author":"Schnell","year":"2016","journal-title":"Environ Pollut"},{"key":"2025121602135166000_7.3.e013941.9","doi-asserted-by":"crossref","first-page":"e0132769","DOI":"10.1371\/journal.pone.0132769","article-title":"Air pollution and acute myocardial infarction hospital admission in Alberta, Canada: a three-step procedure case-crossover study","volume":"10","author":"Wang","year":"2015","journal-title":"PLoS ONE"},{"key":"2025121602135166000_7.3.e013941.10","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.scitotenv.2015.05.001","article-title":"Characterization of PAHs and metals in indoor\/outdoor PM10\/PM2.5\/PM1 in a retirement home and a school dormitory","volume":"527\u2013528","author":"Hassanvand","year":"2015","journal-title":"Sci Total Environ"},{"key":"2025121602135166000_7.3.e013941.11","first-page":"713","article-title":"Worldwide burden of COPD in high and low-income countries. Part III. Asia-Pacific studies","volume":"12","author":"Ko","year":"2008","journal-title":"Int J Tuberc Lung Dis"},{"key":"2025121602135166000_7.3.e013941.12","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201410-1924OC"},{"key":"2025121602135166000_7.3.e013941.13","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-11-113"},{"key":"2025121602135166000_7.3.e013941.14","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.scitotenv.2012.11.056","article-title":"Footprints of air pollution and changing environment on the sustainability of built infrastructure","volume":"444","author":"Kumar","year":"2013","journal-title":"Sci Total Environ"},{"key":"2025121602135166000_7.3.e013941.15","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.atmosenv.2015.02.031","article-title":"Assessment of long-term measurements of particulate matter and gaseous pollutants in South-East Mediterranean","volume":"107","author":"Mouzourides","year":"2015","journal-title":"Atmos Environ"},{"key":"2025121602135166000_7.3.e013941.16","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.629246"},{"key":"2025121602135166000_7.3.e013941.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2012.04.008"},{"key":"2025121602135166000_7.3.e013941.18","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300674"},{"key":"2025121602135166000_7.3.e013941.19","doi-asserted-by":"crossref","first-page":"7121","DOI":"10.1016\/j.atmosenv.2011.09.032","article-title":"Air pollutants and morbidity of cardiopulmonary diseases in a semi-urban Greek peninsula","volume":"45","author":"Kalantzi","year":"2011","journal-title":"Atmos Environ"},{"key":"2025121602135166000_7.3.e013941.20","doi-asserted-by":"crossref","unstructured":"Ferrante M , Fiore M , Oliveri Conti G , et al . Old and new air pollutants: an evaluation on thirty years experiences. Chapter 1. In: Haryanto B , ed. Air pollution\u2014a comprehensive perspective. INTECH, 2012. doi:10.5772\/47820","DOI":"10.5772\/47820"},{"key":"2025121602135166000_7.3.e013941.21","doi-asserted-by":"publisher","DOI":"10.3109\/08958370903527908"},{"key":"2025121602135166000_7.3.e013941.22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1843.2011.02112.x"},{"key":"2025121602135166000_7.3.e013941.23","doi-asserted-by":"crossref","first-page":"627","DOI":"10.2174\/092986732205150112104411","article-title":"Oxidative stress in COPD: molecular background and clinical monitoring","volume":"22","author":"Antus","year":"2015","journal-title":"Curr Med Chem"},{"key":"2025121602135166000_7.3.e013941.24","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1016\/j.chemosphere.2014.10.039","article-title":"Acute nitrogen dioxide (NO2) exposure enhances airway inflammation via modulating Th1\/Th2 differentiation and activating JAK-STAT pathway","volume":"120","author":"Ji","year":"2015","journal-title":"Chemosphere"},{"key":"2025121602135166000_7.3.e013941.25","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0035108"},{"key":"2025121602135166000_7.3.e013941.26","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1016\/j.jaci.2015.05.028","article-title":"Ambient air pollution, lung function, and airway responsiveness in asthmatic children","volume":"137","author":"Ierodiakonou","year":"2016","journal-title":"J Allergy Clin Immunol"},{"key":"2025121602135166000_7.3.e013941.27","first-page":"109","article-title":"Air quality in the Mpumalanga Highveld region, South Africa","volume":"94","author":"Rorich","year":"1998","journal-title":"South Afri J Sci"},{"key":"2025121602135166000_7.3.e013941.28","unstructured":"DEAT, Department of Environmental Affairs and Tourism. PM2.5 as an emerging priority pollutant in South Africa\u2014impacts on human health. Paper prepared for: Department of Environmental Affairs, Directorate: Information Management, 2010."},{"key":"2025121602135166000_7.3.e013941.29","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/S1462-9011(02)00029-1","article-title":"The comparison of source contributions from residential coal and low-smoke fuels, using CMB modeling, in South Africa","volume":"5","author":"Engelbrecht","year":"2002","journal-title":"Environ Sci Policy"},{"key":"2025121602135166000_7.3.e013941.30","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph9113978"},{"key":"2025121602135166000_7.3.e013941.31","first-page":"206","article-title":"Human health risks posed by exposure to PM10 for four life stages in a low socio-economic community in South Africa","volume":"18","author":"Thabethe","year":"2014","journal-title":"Pan Afr Med J"},{"key":"2025121602135166000_7.3.e013941.32","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.atmosenv.2012.04.056","article-title":"Bio-accessibility and health risk of arsenic and heavy metals (Cd, Co, Cr, Cu, Ni, Pb, Zn and Mn) in TSP and PM2.5 in Nanjing, China","volume":"57","author":"Hu","year":"2012","journal-title":"Atmos Environ"},{"key":"2025121602135166000_7.3.e013941.33","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.scitotenv.2013.03.018","article-title":"Fine particulate matter in the indoor air of barbeque restaurants: elemental compositions, sources and health risks","volume":"454\u2013455","author":"Taner","year":"2013","journal-title":"Sci Total Environ"},{"key":"2025121602135166000_7.3.e013941.34","unstructured":"NRC, National Research Council. Science and judgement in risk assessment. Washington, DC: National Academy Press, 1994."},{"key":"2025121602135166000_7.3.e013941.35","doi-asserted-by":"crossref","first-page":"763","DOI":"10.3200\/AEOH.58.12.763-770","article-title":"Health risk assessment for sulfur dioxide pollution in South Durban, South Africa","volume":"58","author":"Matooane","year":"2003","journal-title":"Arch Environ Health"},{"key":"2025121602135166000_7.3.e013941.36","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1016\/S1352-2310(03)00125-0","article-title":"Health risk assessment of Kerosene usage in an informal settlement in Durban, South Africa","volume":"37","author":"Muller","year":"2003","journal-title":"Atmos Environ"},{"key":"2025121602135166000_7.3.e013941.37","doi-asserted-by":"crossref","first-page":"51","DOI":"10.17159\/2410-972X\/2015\/v25n1a5","article-title":"Human health risk assessment of airborne metals to a potentially exposed community: a screening exercise","volume":"25","author":"Oosthuizen","year":"2015","journal-title":"Clean Air J"},{"key":"2025121602135166000_7.3.e013941.38","unstructured":"Statistics South Africa. http:\/\/www.statssa.gov.za\/ (accessed 2 Sep 2015)."},{"key":"2025121602135166000_7.3.e013941.39","unstructured":"US Environmental Protection Agency. Risk assessment guidelines of 1986. Washington, DC: Office of Health and Environmental Assessment, 1987, EPA 600-8.87\/045."},{"key":"2025121602135166000_7.3.e013941.40","unstructured":"Briggs D , Corvalan C and Nurminen M . Linkage methods for environmental health analysis: general guidelines. Geneva: World Health Organisation, 1996."},{"key":"2025121602135166000_7.3.e013941.41","unstructured":"World Health Organization. Principles for the assessment of risks to human health from exposure to chemical s. Environmental Health Criteria 210. Geneva, Switzerland, 1999."},{"key":"2025121602135166000_7.3.e013941.42","unstructured":"US Environmental Protection Agency. Human health risk assessment protocol for hazardous waste combustion facilities, 1988. http:\/\/www.epa.gov\/epaoswer\/hazwaste\/combust\/risk.htm"},{"key":"2025121602135166000_7.3.e013941.43","unstructured":"US Environmental Protection Agency. Exposure factors Handbook, 1997. http:\/\/www.epa.gov\/ncea\/expofac.htm"},{"key":"2025121602135166000_7.3.e013941.44","unstructured":"Office of Environmental Health Hazard Assessment (OEHHA). Acute toxicity summary: sulphur dioxide. In: Determination of acute reference exposure levels for airborne toxicants, 1999. California Environmental Protection Agency, OEHHA, 2001. http:\/\/www.oehha.org\/air\/acute_rels\/pdf\/7446095A.pdf"},{"key":"2025121602135166000_7.3.e013941.45","unstructured":"US Environmental Protection Agency. Risk assessment guidance for superfund, Vol 1: human health evaluation manual (Part A), 1989. http:\/\/www.epa.gov\/superfund\/programs\/risk\/ragsa\/"},{"key":"2025121602135166000_7.3.e013941.46","unstructured":"Department of Environmental Affairs. National Environmental Management: Air Quality Act, 2004 (ACT NO. 39 of 2004). National Ambient Air Quality Standards. 2009."},{"issue":"(Suppl 4)","key":"2025121602135166000_7.3.e013941.47","first-page":"495","article-title":"Airborne particulates and hospital admissions for cardiovascular disease: a quantitative review of the evidence","volume":"109","author":"Morris","year":"2001","journal-title":"Environ Health Perspect"},{"key":"2025121602135166000_7.3.e013941.48","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-12-43"},{"key":"2025121602135166000_7.3.e013941.49","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-8-58"},{"key":"2025121602135166000_7.3.e013941.50","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000183096.20678.f1"},{"key":"2025121602135166000_7.3.e013941.51","doi-asserted-by":"publisher","DOI":"10.1186\/1465-9921-13-95"},{"key":"2025121602135166000_7.3.e013941.52","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s10072-009-0206-8","article-title":"Air pollution positively correlates with daily stroke admission and in hospital mortality: a study in the urban area of Como, Italy","volume":"31","author":"Vidale","year":"2010","journal-title":"Neurol Sci"},{"key":"2025121602135166000_7.3.e013941.53","doi-asserted-by":"publisher","DOI":"10.1136\/oem.57.7.472"},{"key":"2025121602135166000_7.3.e013941.54","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.011091053"},{"key":"2025121602135166000_7.3.e013941.55","unstructured":"US Environmental Protection Agency (2002). Fourth external review for air quality criteria for particulate matter (Draft). EPA\/600P-95\/001aF-cF. Research Triangle Park, NC: EPA Office of Research and Development."},{"key":"2025121602135166000_7.3.e013941.56","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.314.7095.1658"},{"key":"2025121602135166000_7.3.e013941.57","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-668X(02)00808-4"},{"key":"2025121602135166000_7.3.e013941.58","unstructured":"OECD, 2008. OECD Environmental outlook to 2030. Organization for Economic Co-Operation and Development. http:\/\/www.sourceoecd.org"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2016-013941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T10:17:45Z","timestamp":1765880265000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2016-013941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":58,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,3,13]]},"published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.1136\/bmjopen-2016-013941"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2016-013941","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3]]}}}