Nkosi Vusumuzi, Wichmann Janine, Voyi Kuku
School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, P.O. Box 2034, Pretoria, 0001, South Africa.
Environment and Health Research Unit, South African Medical Research Council, Pretoria, South Africa.
BMC Public Health. 2017 Jan 6;17(1):42. doi: 10.1186/s12889-016-3950-8.
Few studies in South Africa have investigated the exposure of asthmatic learners to indoor and outdoor air pollution at schools. This study compared outdoor PM and SO exposure levels in exposed (1-2 km from gold mine dumps) and unexposed schools (5 km or more from gold mine dumps). It also examined exposure of asthmatic children to indoor respirable dust at exposed and unexposed schools.
The study was conducted between 1 and 31 October 2012 in five schools from exposed and five from unexposed communities. Outdoor PM and SO levels were measured for 8-h at each school. Ten asthmatic learners were randomly selected from each school for 8-h personal respirable dust sampling during school hours.
The level of outdoor PM for exposed was 16.42 vs. 11.47 mg.m for the unexposed communities (p < 0.001). The outdoor SO for exposed was 0.02 ppb vs. 0.01 ppb for unexposed communities (p < 0.001). Indoor respirable dust in the classroom differed significantly between exposed (0.17 mg.m) vs. unexposed (0.01 mg.m) children with asthma at each school (p < 0.001).
The significant differences between exposed and unexposed schools could reveal a serious potential health hazard for school children, although they were within the South African Air Quality Standards' set by the Department of Environmental Affairs. The indoor respirable dust levels in exposed schools could have an impact on children with asthma, as they were significantly higher than the unexposed schools, although there are no published standards for environmental exposure for children with asthma.
南非很少有研究调查哮喘学生在学校接触室内和室外空气污染的情况。本研究比较了暴露于(距金矿废料场1 - 2公里)和未暴露于(距金矿废料场5公里或更远)空气污染的学校的室外颗粒物(PM)和二氧化硫(SO)暴露水平。同时还研究了哮喘儿童在暴露和未暴露学校接触室内可吸入粉尘的情况。
该研究于2012年10月1日至31日在五所来自暴露社区的学校和五所来自未暴露社区的学校进行。在每所学校测量8小时的室外PM和SO水平。从每所学校随机挑选10名哮喘学生,在上课时间进行8小时的个人可吸入粉尘采样。
暴露社区的室外PM水平为16.42毫克/立方米,未暴露社区为11.47毫克/立方米(p < 0.001)。暴露社区的室外SO为0.02 ppb,未暴露社区为0.01 ppb(p < 0.001)。每所学校中,暴露哮喘儿童(0.17毫克/立方米)与未暴露哮喘儿童(0.01毫克/立方米)的教室室内可吸入粉尘存在显著差异(p < 0.001)。
暴露和未暴露学校之间的显著差异可能揭示出对学童严重的潜在健康危害,尽管这些水平仍在环境事务部设定的南非空气质量标准范围内。暴露学校的室内可吸入粉尘水平可能对哮喘儿童产生影响,因为其显著高于未暴露学校,尽管目前尚无针对哮喘儿童环境暴露的公开标准。