Browsing by Author "Spengler, J.D."
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Item Air Pollution in Accra Neighborhoods: Spatial, Socioeconomic, and Temporal Patterns(Environmental Science and Technology, 2010-03) Dionisio, K.L.; Arku, R.E.; Hughes, A.F.; Jose Vallarin, O.; Carmichael, H.; Spengler, J.D.; Agyei-Mensah, S.; Ezzati, M.This study examined the spatial, socioeconomic status (SES), and temporal patterns of ambient air pollution in Accra, Ghana. Over 22 months, integrated and continuous rooftop particulate matter (PM) monitors were placed at a total of 11 residential or roadside monitoring sites in four neighborhoods of varying SES and biomass fuel use. PM concentrations were highest in late December and January, due to dust blown from the Sahara. Excluding this period, annual PM2.5 ranged from 39 to 53μg/m3 at roadside sites and 30 to 70 μg/m3 at residential sites; mean annual PM10 ranged from 80 to 108 μg/m3 at roadside sites and 57 to 106 μg/m3 at residential sites. The low-income and densely populated neighborhood of Jamestown/Ushertown had the single highest residential PM concentration. There was less difference across traffic sites. Daily PM increased at all sites at daybreak, followed by a mid-day peak at some sites, and a more spread-out evening peak at all sites. Average carbon monoxide concentrations at different sites and seasons ranged from 7 to 55 ppm, and were generally lower at residential sites than at traffic sites. The results show that PM in these four neighborhoods is substantially higher than the WHO Air Quality Guidelines and in some cases even higher than the WHO Interim Target 1, with the highest pollution in the poorest neighborhood. © 2010 American Chemical Society.Item Chemical composition and sources of particle pollution in affluent and poor neighborhoods of Accra, Ghana(Environmental Research Letters, 2013-12) Zhou, Z.; Dionisio, K.L.; Verissimo, T.G.; Kerr, A.S.; Coull, B.; Arku, R.E.; Koutrakis, P.; Spengler, J.D.; Hughes, A.F.; Vallarino, J.; Agyei-Mensah, S.; Ezzati, M.The highest levels of air pollution in the world now occur in developing country cities, where air pollution sources differ from high-income countries. We analyzed particulate matter (PM) chemical composition and estimated the contributions of various sources to particle pollution in poor and affluent neighborhoods of Accra, Ghana. Elements from earth's crust were most abundant during the seasonal Harmattan period between late December and late January when Saharan dust is carried to coastal West Africa. During Harmattan, crustal particles accounted for 55 μg m-3 (37%) of fine particle (PM 2.5) mass and 128 μg m-3 (42%) of PM10 mass. Outside Harmattan, biomass combustion, which was associated with higher black carbon, potassium, and sulfur, accounted for between 10.6 and 21.3 μg m -3 of fine particle mass in different neighborhoods, with its contribution largest in the poorest neighborhood. Other sources were sea salt, vehicle emissions, tire and brake wear, road dust, and solid waste burning. Reducing air pollution in African cities requires policies related to energy, transportation and urban planning, and forestry and agriculture, with explicit attention to impacts of each strategy in poor communities. Such cross-sectoral integration requires emphasis on urban environment and urban poverty in the post-2015 Development Agenda. © 2013 IOP Publishing Ltd.Item Geographical inequalities and social and environmental risk factors for under-five mortality in Ghana in 2000 and 2010: Bayesian spatial analysis of census data.(PMED, 2016) Arku, R.A.; Bennett, J.E.; Castro, M.C.; Agyeman-Duah, K.; Mintah, S.E.; Ware, J.H.; Nyarko, P.; Spengler, J.D.; Agyei-Mensah, S.; Ezzati, M.Background Under-five mortality is declining in Ghana and many other countries. Very few studies have measured under-five mortality—and its social and environmental risk factors—at fine spatial resolutions, which is relevant for policy purposes. Our aim was to estimate under-five mortality and its social and environmental risk factors at the district level in Ghana. Methods and Findings We used 10% random samples of Ghana’s 2000 and 2010 National Population and Housing Censuses. We applied indirect demographic methods and a Bayesian spatial model to the information on total number of children ever born and children surviving to estimate under-five mortality (probability of dying by 5 y of age, 5q0) for each of Ghana’s 110 districts. We also used the census data to estimate the distributions of households or persons in each district in terms of fuel used for cooking, sanitation facility, drinking water source, and parental education. Median district 5q0 declined from 99 deaths per 1,000 live births in 2000 to 70 in 2010. The decline ranged from <5% in some northern districts, where 5q0 had been higher in 2000, to >40% in southern districts, where it had been lower in 2000, exacerbating existing inequalities. Primary education increased in men and women, and more households had access to improved water and sanitation and cleaner cooking fuels. Higher use of liquefied petroleum gas for cooking was associated with lower 5q0 in multivariate analysis. Conclusions Under-five mortality has declined in all of Ghana’s districts, but the cross-district inequality in mortality has increased. There is a need for additional data, including on healthcare, and additional environmental and socioeconomic measurements, to understand the reasons for the variations in mortality levels and trends.Item Household and community poverty, biomass use, and air pollution in Accra, Ghana(Proceedings of the National Academy of the United States of America, 2011-07) Zhoua, Z.; Dionisio, K.L.; Arku, R.E.; Quaye, A.; Hughes, A.F.; Vallarino, J.; Spengler, J.D.; Hill, A.; Agyei-Mensah, S.; Ezzati, M.Many urban households in developing countries use biomass fuels for cooking. The proportion of household biomass use varies among neighborhoods, and is generally higher in low socioeconomic status (SES) communities. Little is known of how household air pollution varies by SES and how it is affected by biomass fuels and traffic sources in developing country cities. In four neighborhoods in Accra, Ghana, we collected and analyzed geo-referenced data on household and community particulate matter (PM) pollution, SES, fuel use for domestic and small-commercial cooking, housing characteristics, and distance to major roads. Cooking area PM was lowest in the high-SES neighborhood, with geometric means of 25 (95% confidence interval, 21–29) and 28 (23–33) μg/m3 for fine and coarse PM (PM2.5 and PM2.5–10), respectively; it was highest in two low-SES slums, with geometric means reaching 71 (62–80) and 131 (114–150) μg/m3 for fine and coarse PM. After adjustment for other factors, living in a community where all households use biomass fuels would be associated with 1.5- to 2.7-times PM levels in models with and without adjustment for ambient PM. Community biomass use had a stronger association with household PM than household’s own fuel choice in crude and adjusted estimates. Lack of regular physical access to clean fuels is an obstacle to fuel switching in low-income neighborhoods and should be addressed through equitable energy infrastructure.Item Household and community poverty, biomass use, and air pollution in Accra, Ghana(National Academy of Science of the Unites States of America, 2011-06) Zhoua, Z.; Dionisio, K.L.; Arku, R.E.; Quaye, A.; Hughes, A.F.; Vallarino, J.; Spengler, J.D.; Hill, A.; Agyei-Mensah, S.; Ezzati, M.Many urban households in developing countries use biomass fuels for cooking. The proportion of household biomass use varies among neighborhoods, and is generally higher in low socioeconomic status (SES) communities. Little is known of how household air pollution varies by SES and how it is affected by biomass fuels and traffic sources in developing country cities. In four neighborhoods in Accra, Ghana, we collected and analyzed geo-referenced data on household and community particulate matter (PM) pollution, SES, fuel use for domestic and small-commercial cooking, housing characteristics, and distance to major roads. Cooking area PM was lowest in the high-SES neighborhood, with geometric means of 25 (95% confidence interval, 21–29) and 28 (23–33) μg/m3 for fine and coarse PM (PM2.5 and PM2.5–10), respectively; it was highest in two low-SES slums, with geometric means reaching 71 (62–80) and 131 (114–150) μg/m3 for fine and coarse PM. After adjustment for other factors, living in a community where all households use biomass fuels would be associated with 1.5- to 2.7-times PM levels in models with and without adjustment for ambient PM. Community biomass use had a stronger association with household PM than household’s own fuel choice in crude and adjusted estimates. Lack of regular physical access to clean fuels is an obstacle to fuel switching in low-income neighborhoods and should be addressed through equitable energy infrastructure.Item Personal particulate matter exposures and locations of students in four neighborhoods in Accra, Ghana.(NCBI, 2015) Arku, R.E.; Dionisio, K.L.; Hughes, A.F.; Vallarino, J.; Spengler, J.D.; Castro, M.C.; Agyei-Mensah, S.; Ezzati, M.Air pollution exposure and places where the exposures occur may differ in cities in the developing world compared with high-income countries. Our aim was to measure personal fine particulate matter (PM2.5) exposure of students in neighborhoods of varying socioeconomic status in Accra, Ghana, and to quantify the main predictors of exposure. We measured 24-hour PM2.5 exposure of 56 students from eight schools in four neighborhoods. PM2.5 was measured both gravimetrically and continuously, with time-matched global positioning system coordinates. We collected data on determinants of exposure, such as distances of homes and schools from main roads and fuel used for cooking at their home or in the area of residence/school. The association of PM2.5 exposure with sources was estimated using linear mixed-effects models. Personal PM2.5 exposures ranged from less than 10 μg/m(3) to more than 150 μg/m(3) (mean 56 μg/m(3)). Girls had higher exposure than boys (67 vs 44 μg/m(3); P-value=0.001). Exposure was inversely associated with distance of home or school to main roads, but the associations were not statistically significant in the multivariate model. Use of biomass fuels in the area where the school was located was also associated with higher exposure, as was household's own biomass use. Paved schoolyard surface was associated with lower exposure. School locations in relation to major roads, materials of school ground surfaces, and biomass use in the area around schools may be important determinants of air pollution exposure.Item Personal particulate matter exposures and locations of students in four neighborhoods in Accra, Ghana.(Journal of Exposure Science and Environmental Epidemiology, 2015-11) Arku, R.E.; Dionisio, K.L.; Hughes, A.F.; Vallarino, J.; Spengler, J.D.; Castro, M.C.; Agyei-Mensah, S.; Ezzati, M.Air pollution exposure and places where the exposures occur may differ in cities in the developing world compared with high-income countries. Our aim was to measure personal fine particulate matter (PM2.5) exposure of students in neighborhoods of varying socioeconomic status in Accra, Ghana, and to quantify the main predictors of exposure. We measured 24-hour PM2.5 exposure of 56 students from eight schools in four neighborhoods. PM2.5 was measured both gravimetrically and continuously, with time-matched global positioning system coordinates. We collected data on determinants of exposure, such as distances of homes and schools from main roads and fuel used for cooking at their home or in the area of residence/school. The association of PM2.5 exposure with sources was estimated using linear mixed-effects models. Personal PM2.5 exposures ranged from less than 10 μg/m3 to more than 150 μg/m3 (mean 56 μg/m3). Girls had higher exposure than boys (67 vs 44 μg/m3; P-value=0.001). Exposure was inversely associated with distance of home or school to main roads, but the associations were not statistically significant in the multivariate model. Use of biomass fuels in the area where the school was located was also associated with higher exposure, as was household’s own biomass use. Paved schoolyard surface was associated with lower exposure. School locations in relation to major roads, materials of school ground surfaces, and biomass use in the area around schools may be important determinants of air pollution exposure.Item Spatial and temporal patterns of particulate matter sources and pollution in four communities in Accra, Ghana(Elsevier, 2012) Rooney, M.S.; Arku, R.E.; Dionisio, K.L.; Paciorek, C.; Friedman, A.B.; Carmichael, H.; Zhoua, Z.; Hughes, A.F.; Vallarino, J.; Agyei-Mensah, S.; Spengler, J.D.; Ezzati, M.Sources of air pollution in developing country cities include transportation and industrial pollution, biomass fuel use, and re-suspended dust from unpaved roads. We examined the spatial patterns of particulate matter (PM) and its sources in four neighborhoods of varying socioeconomic status (SES) in Accra. PM data were from 1 week of morning and afternoon mobile and stationary air pollution measurements in each of the study neighborhoods. PM2.5 and PM10 were measured continuously, with matched GPS coordinates. Data on biomass fuel use were from the Ghana 2000 population and housing census and from a census of wood and charcoal stoves along the mobile monitoring paths. We analyzed the associations of PM with sources using a mixed-effects regression model accounting for temporal and spatial autocorrelation. After adjusting for other factors, the density of wood stoves, fish smoking, and trash burning along the mobile monitoring path as well as road capacity and surface were associated with higher PM2.5. Road capacity and road surface variables were also associated with PM10, but the association with biomass sources was weak or absent. While wood stoves and fish smoking were significant sources of air pollution, addressing them would require financial and physical access to alternative fuels for low-income households and communities.