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Brown et al. Particle and Fibre Toxicology 2013, 10:12
http://www.particleandfibretoxicology.com/content/10/1/12
RESEARCH Open Access
Thoracic and respirable particle definitions for
human health risk assessment
James S Brown1*, Terry Gordon2, Owen Price3 and Bahman
Asgharian4
Abstract
Background: Particle size-selective sampling refers to the
collection of particles of varying sizes that potentially
reach and adversely affect specific regions of the respiratory
tract. Thoracic and respirable fractions are defined as
the fraction of inhaled particles capable of passing beyond the
larynx and ciliated airways, respectively, during
inhalation. In an attempt to afford greater protection to exposed
individuals, current size-selective sampling criteria
overestimate the population means of particle penetration into
regions of the lower respiratory tract. The purpose
of our analyses was to provide estimates of the thoracic and
respirable fractions for adults and children during
typical activities with both nasal and oral inhalation, that may
be used in the design of experimental studies and
interpretation of health effects evidence.
Methods: We estimated the fraction of inhaled particles (0.5-20
μm aerodynamic diameter) penetrating beyond the
larynx (based on experimental data) and ciliated airways (based
on a mathematical model) for an adult male, adult
female, and a 10 yr old child during typical daily activities and
breathing patterns.
Results: Our estimates show less penetration of coarse
particulate matter into the thoracic and gas exchange regions
of the respiratory tract than current size-selective criteria. Of
the parameters we evaluated, particle penetration into the
lower respiratory tract was most dependent on route of
breathing. For typical activity levels and breathing habits, we
estimated a 50% cut-size for the thoracic fraction at an
aerodynamic diameter of around 3 μm in adults and 5 μm in
children, whereas current ambient and occupational criteria
suggest a 50% cut-size of 10 μm.
Conclusions: By design, current size-selective sample criteria
overestimate the mass of particles generally expected to
penetrate into the lower respiratory tract to provide protection
for individuals who may breathe orally. We provide
estimates of thoracic and respirable fractions for a variety of
breathing habits and activities that may benefit the design
of experimental studies and interpretation of particle size-
specific health effects.
Keywords: Size-selective sampling, Fine and coarse particles
Background
It has long been recognized that the regional pattern of
particle deposition in the respiratory tract affects the
pathogenic potential of inhaled aerosols. For example,
Morgan [1] concluded that respirable dusts likely caused
pneumoconiosis and silicosis in coal miners, whereas a lar-
ger size fraction caused bronchitis and obstructive changes
in pulmonary function. Sampling the total air concentra-
tion of particulate matter (PM) provides a crude estimate
of exposure that may not correlate with observed health
* Correspondence: [email protected]
1National Center for Environmental Assessment, U.S.
Environmental
Protection Agency, MD B243-01, Research Triangle Park,
Raleigh, NC 27711,
USA
Full list of author information is available at the end of the
article
© 2013 Brown et al.; licensee BioMed Central
Commons Attribution License (http://creativec
reproduction in any medium, provided the or
effects if the risk is associated only with those particles that
may enter the thorax or penetrate beyond the ciliated air-
ways. The concept of size-selective particle sampling has
been employed as a means for effectively sampling the
particle sizes associated with specific pathologic outcomes
(e.g., the respirable fraction with parenchymal disease). If
an environmentally or occupationally related particle is
recognized to only affect the gas-exchange region of the
lung, then a sampling strategy that only collects the respir-
able fraction of airborne PM is preferable to sampling total
suspended particulate (TSP) or the thoracic fraction.
The human respiratory tract can be divided into three
main regions based on size, structure, and function,
namely, the head, tracheobronchial region (also known as
Ltd. This is an Open Access article distributed under the terms
of the Creative
ommons.org/licenses/by/2.0), which permits unrestricted use,
distribution, and
iginal work is properly cited.
mailto:[email protected]
http://creativecommons.org/licenses/by/2.0
Figure 1 Thoracic particulate mass fraction criteria (relative to
total airborne particles) for size-selective sampling. Individual
data points are observed human head penetration efficiency
during
oral inhalation for an inspiratory flow rate of 43.5 L/min, i.e.,
light
exercise [5-7]. As stated by ACGIH [3], the sampling criterion
is offset
to the right of experimental data to overestimate the amount of
exposure to the lower respiratory tract, i.e., the lungs, and
correspondingly to provide a greater level of protection for
exposed
workers. From ACGIHW, Particle Size-Selective Sampling in
the
Workplace, Report of the ACGIHW Technical Committee on
Air
Sampling Procedures. Copyright 1985. Reprinted with
permission.
Courtesy: Dr. Otto G. Raabe.
Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 2
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the conducting airways), and the gas-exchange region (also
known as the parenchymal, alveolar, or pulmonary) region.
Size-selective sampling is intended to help discern the
amount of aerosol expected to be available for deposition
in a region. Most sampling conventions have been defined
in terms of particle penetration into respiratory regions ra-
ther than the expected particle deposition or dose to re-
gions. Specific definitions used herein, adopted from the
European Committee for Standardization (CEN), are [2]:
� Inhalable fraction – the mass fraction of total
airborne particles which is inhaled through the nose
and mouth.
� Extrathoracic fraction – the mass fraction of inhaled
particles failing to penetrate beyond the larynx.
� Thoracic fraction – the mass fraction of inhaled
particles penetrating beyond the larynx.
� Respirable fraction – the mass fraction of inhaled
particles penetrating to the unciliated airways.a
The above definitions are stated in terms of a mass
fraction. Relative to total airborne particles, the particle
size having 50% penetration for the thoracic and respir-
able fractions are 10 μm and 4.0 μm (all particle sizes
are aerodynamic diameter unless expressed otherwise),
respectively [2,3]. These criteria were specifically devel-
oped for workplace atmospheres. Since particles must
generally become deposited to exert biological effects,
these conventions, based on regional exposure (i.e., par-
ticles penetrating into a region of the respiratory tract),
are conservative by design in that they overestimate the
amount of inhaled material that becomes deposited and
thereby available to induce an effect.
In 1985, the American Conference of Governmental In-
dustrial Hygienists (ACGIH) recommended particle size-
selective sampling in setting threshold limit values for occu-
pational exposures [4].b The ACGIH specifically considered
a reference worker (weight, 70 kg; height, 175 cm) breath-
ing orally while engaged in light activity (minute ventilation,
21.75 liters/min). Criteria were established for Inspirable
(now Inhalable), Thoracic, and Respirable Particulate Mass
that were intended to be protective against materials that
were considered hazardous when deposited anywhere in
the respiratory tract, anywhere within the lungs, and in the
gas-exchange region, respectively. These criteria were based
on exposure of a respiratory tract region (based on particle
penetration into that region), not particle deposition in a re-
spiratory tract region. The ACGIH committee recognized
uncertainty related to individual biological variability in re-
spiratory health status, breathing patterns (rate and route),
and airways structure as well as differences in work rates,
all of which can cause differences in inhaled aerosol depos-
ition and dose. Facing these uncertainties, the committee
afforded extra protection to exposed workers by over
representing the true penetration of particles into regions of
the respiratory tract as illustrated in Figure 1 [4].
Size-selective sampling has also been employed by the U.
S. Environmental Protection Agency (EPA) in setting the
national ambient air quality standards (NAAQS) for par-
ticulate matter (PM). In 1987, the EPA changed the indica-
tor for PM from TSP (effectively an aerodynamic cut-size
varying from 25 to 40 μm, depending on wind speed and
direction) to PM10 (particles with a nominal mean aero-
dynamic diameter ≤ 10 μm) [8]. Consistent in concept with
the ACGIH thoracic particle fraction, PM10 delineates a
subset of inhalable particles (referred to as thoracic parti-
cles) that are thought small enough to penetrate to the
thoracic region (including the tracheobronchial and alveolar
regions) of the respiratory tract.c In 1997, the EPA extended
size-selective sampling to include fine particles indicated by
PM2.5 (particles with a nominal mean aerodynamic
Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 3
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diameter ≤ 2.5 μm) and retained PM10 as the indicator for
thoracic coarse particles [9]. The selection of PM2.5 by the
EPA was mainly to delineate the atmospheric fine (combus-
tion derived, aggregates, acid condensates, secondary aero-
sols) and coarse (crustal, soil-derived dusts) PM modes and
for consistency with community epidemiologic health stud-
ies reporting various health effects associated with PM2.5.
With consideration to the PM NAAQS, Miller et al. [10]
also specifically recommended a particle size cut-point of ≤
2.5 μm as an indicator for fine PM based on consideration
of particle penetration into the gas-exchange region and
the delineation of the fine and coarse particle modes.
Most recently, the International Organization for Stan-
dardization (ISO) has released recommendations for sam-
pling conventions based on particle deposition (rather
than exposure) in adult males and females engaged in ac-
tivities of sitting, light exercise and heavy exercise as speci-
fied in Table 1 [11]. The ISO estimates of deposition were
determined using the International Commission on Radio-
logical Protection (ICRP) human respiratory tract model
[12]. These new ISO conventions [11] are not considered
further herein as current sampling conventions for occu-
pational and non-occupational settings remain dependent
on the probability of particle penetration rather than de-
position in specific regions of the respiratory tract.
Conceptually, size-selective sampling better characterizes
PM exposure to regions of the respiratory tract and thereby
affords more appropriate avenues for protection of exposed
populations than TSP. Such a simple concept is not, how-
ever, without ambiguity in definitions and debate over ap-
propriate sampling approaches. For example, the definition
for the thoracic fraction specifies particles “penetrating
Table 1 Ventilatory and activity patterns for adult males,
adult females, and a ten year-old child
Sleeping Sitting Light Heavy
Exercise Exercise
Adult Male VT (mL) 625 750 1250 1920
Sedentary worker f (min-1) 12 12 20 26
t (hr) 8.5 5.5 9.75 0.25
Vdaily (L/day) 3825 2970 14625 749
Adult Female VT (mL) 444 464 992 1364
Sedentary worker f (min-1) 12 14 21 33
t (hr) 8.5 5.5 9.75 0.25
Vdaily (L/day) 2717 2144 12187 675
Child (10 yrs) VT (mL) 304 333 583 752
Male or Female f (min-1) 17 19 32 45
t (hr) 10 4.67 9.33 0
Vdaily (L/day) 3101 1772 10447 0
VT, tidal volume; f, breathing frequency; t, time spent engaged
in specific
activity; Vdaily, total volume inspired in 24 hr. Data are from
ICRP [12] Tables
B15 and B16A-B for breathing and activity patterns,
respectively.
beyond the larynx,” whereas the ACGIH thoracic conven-
tion for sampling (Figure 1) clearly and intentionally overes-
timates the fraction of large particles penetrating into the
thoracic region to afford extra protection of occupationally
exposed individuals. The purpose of this paper is to provide
realistic estimates of thoracic and respirable particle frac-
tions for adults and children that may be used in the design
of experimental studies and interpretation of health effects
evidence.
The ICRP human respiratory tract model [12] was used
to estimate particle penetration through the extrathoracic
(ET) airways. The ICRP predictive equations for ET depos-
ition are based on experimental measurements in humans.
Although also based on human data, the ICRP model was
not used to estimate penetration through the tracheobron-
chial (TB) airways due to its reliance on measurements of
particle clearance from the TB airways and the ability to
target particle deposition into the ciliated airways. That is,
much of the available regional deposition data for the TB
and alveolar regions have been obtained from experiments
with radioactively labeled, poorly soluble particles or by use
of aerosol bolus techniques (see Sections D.9.2 and E.5.3 of
Ref [12]). Aerosol bolus (40 ml volume of 3.5 μm particles)
inhaled to a very shallow lung volume (70 ml, ~75% of
phase I inert gas washout) by healthy adults (10 M, 6 F;
20-43 yrs of age) show preferential left lung deposition and
23% retention at 48 hrs [13]. This suggests slow TB airway
clearance and/or some penetration into the alveolar region.
Given the above, coupled with uncertainty related to slow
TB clearance [e.g., 14,15], we utilized the publicly available
multiple path particle dosimetry (MPPD; ver 2.1, © 2009)
model to estimate penetration through the TB airways.
Methods
Once particles have entered the respiratory tract via the
nose or mouth, the primary factors affecting particle pene-
tration into the lower respiratory tract (i.e., beyond the lar-
ynx) are airways size and structure, breathing pattern (flow
and volume), route of breathing (nose vs. mouth), and in-
haled particle size. With regard to particle size, we have
considered particles whose deposition is governed by their
inertial properties, i.e., ≥ 0.5 μm. Breathing patterns vary
mainly by sex, age, and activity. Table 1 provides the breath-
ing patterns, subject groups, and activity patterns from the
ICRP [12] model that were used in our assessment.
Based on our comparison of the ICRP model [12] to
more recent data provided by Brochu et al. [16], the daily
ventilation rates and activity patterns provided in Table 1
overestimate typical daily ventilation rates. Table 2 pro-
vides daily ventilation rates (5th, 50th, and 95th percentiles)
reported by Brochu et al. [16]. The daily ventilation rates
from the ICRP [12] model’s recommended time budget
roughly correspond to the highly active 95th percentile
(see Table 1 vs. Table 2). To assess the effect of daily
Table 2 Daily ventilation rates (Vdaily).
a
Vdaily (m
3/day)
Very sedentary Median Highly active
5th percentile 50th percentile 95th percentile
Male b 12.86 17.48 22.11
Female b 9.91 13.67 17.42
Children c 7.20 10.22 13.24
a Data are from Table 2 of Brochu et al. [16]; b values for age
range of 23 to <30
years; c average of male and female values for age range of 7 to
<11 years.
Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 4
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activity/ventilation rates on particle penetration into the
respiratory tract, we reduced the estimated time (given in
Table 1) that individuals spent engaged in light exercise
and correspondingly increased their time sitting to match
the daily ventilation rates in Table 2. To match the very
sedentary 5th percentile of daily activity, it was necessary
also to eliminate time spent by the adult female engaged
in heavy exercise and to attribute all of the child’s activity
to sleeping. Even when considering 100% of the child’s ac-
tivity equivalent to sleeping, the ICRP [12] breathing pat-
tern slightly overestimated (by 3%; 7.4 vs. 7.2 m3/day) the
5th percentile daily ventilation rates of Brochu et al. [16].
Route of breathing varies with inspiratory flows and gener-
ally shifts from nasal to oronasal breathing at higher flows.
The ICRP [12] model characterizes breathing habit based on
Niinimaa et al. [17], who examined the route of breathing as
a function of activity in healthy adults (14 males, 16 females).
Eighty-seven percent of the subjects breathed through the
nose at rest and switched to oronasal breathing with exer-
cise. These subjects were referred to as “normal augmenters.”
Thirteen percent breathed oronasally even at rest and were
referred to as “mouth-breathers.” For both of these breath-
ing habits (i.e., normal augmenters and mouth-breathers,
we estimated the fraction of a breath passing through the
oral and nasal pathways from regression equations for oral
breathing in Figure 1 of the Niinimaa et al. study [17]. The
ICRP [12] model utilizes this same general approach, but
for each breathing habit and activity (i.e., sleeping, sitting,
etc.), the same fraction of oral breathing was assumed
applicable to all ages and both sexes.
In considering breathing habit, we differed from the
ICRP, in that we assumed the fraction of oral breathing to
differ between adult males and females as a function of
their minute ventilation rather than their activity level.
However, children tend to have a greater fraction of oral
breathing than adults at rest and during exercise [18,19].
Therefore, consistent with the ICRP, we assumed the frac-
tion of the breath inhaled through the mouth (Fm) in the
child engaged in some specific level of activity was equal to
that of the adult male engaged in the same level of activity
despite the dramatically lower ventilation rates of the child.
We also considered recent breathing habit data not avail-
able for inclusion in the ICRP model [12]. Bennett et al.
[19,20] show a more gradual increase in oronasal breathing
than did Niinimaa et al. [12]. In addition to the normal
augmenter and mouth-breather breathing habits based on
the Niinimaa et al. [17] study, we also considered the more
gradual onset of oronasal breathing observed in adults and
children by the Bennett et al. [19,20] studies, herein termed
as “gradual augmenters.”
The gradual augmenter breathing habit for children was
estimated by linear regression of the observed minute ven-
tilation and Fm at rest and at 40% maximum physical work
capacity from data in Table two and Figure two of Bennett
et al. [19] for 12 children (9 M, 3 F; 6-10 yrs of age). The
gradual augmenter breathing habit for adult males and fe-
males was estimated by linear regression of the observed
minute ventilation and Fm at rest and at 60% maximum
physical work capacity from data in Table two and
Figure three of Bennett et al. [20] for 22 adults (11 M, 11
F; mean age, 22 yrs). In the adult females, the fitted Fm was
zero for the activity of sitting and so was also set to zero
for the activity of sleep. Table 3 provides the Fm for all
breathing habits (normal augmenters, mouth-breathers,
and gradual augmenters) used in our simulations. In a
study of 37 subjects from 7-72 years of age, James et al.
[21] reported that 2 subjects (5.4%) breathed orally only.
With this finding in mind, we have also considered purely
oral breathing in our estimates of particle penetration into
regions of the lower respiratory tract.
For air passing through the mouth, deposition of large
particles by impaction occurs mainly at the larynx. From
Eq D.30 of ICRP [12], laryngeal deposition efficiency,
η(ET)larynx, is given by:
η ETð Þlarynx ¼ 1− 1:1 � 10−4 d2a Qtotal SF3
� �0:6
Vt SFt
3
� �−0:2h i1:4 þ 1
� �−1
ð1Þ
where: da is aerodynamic diameter (μm); Qtotal is total
inspiratory flow rate (mL/s); VT is tidal volume (mL); and
SFt is a scaling factor of 1.0 for adult males, 1.08 for adult
females, and 1.26 for ten year-old children from Table
fifteen of ICRP [12].
For nasal breathing, ET deposition efficiency due to
impaction was calculated from Eq. D.32 and D.33 of
ICRP [12]. The ET deposition efficiencies for the anter-
ior, η(ET1)nose, and posterior, η(ET2)nose, nasal regions
are given by:
η ET1ð Þnose ¼ 0:5 1− 3 � 10−4 d2a Qnose SFt3
� �
þ 1
� �−1n o
ð2Þ
η ET2ð Þnose ¼ 1− 5:5 � 10−5 d2a Qnose SFt3
� �1:17 þ 1
h i−1
ð3Þ
where: Qnose is the inspiratory flow (mL/s) through the
nose. The use of SFt in Equations 2 and 3 presumes that
Table 3 Partitioning of breaths through the mouth and
nose
Sleeping Sitting Light Heavy
Exercise Exercise
Adult
Male
Normal
Augmenter a
0, 1.00 d 0, 1.00 0, 1.00 0.52, 0.48
Mouth-
breather a
0.29, 0.71 0.36, 0.64 0.59, 0.41 0.66, 0.34
Gradual
Augmenter b
0.12, 0.88 0.13, 0.87 0.29, .071 0.54, 0.46
Adult
Female
Normal
Augmenter a
0, 1.00 0, 1.00 0, 1.00 0.50, 0.50
Mouth-
breather a
0.12, 0.88 0.23, 0.77 0.57, 0.43 0.65, 0.35
Gradual
Augmenter b
0, 1.00 0, 1.00 0.22, 0.78 0.59, 0.41
Child Normal
Augmenter a
0, 1.00 0, 1.00 0, 1.00 0.51, 0.49
Mouth-
breather a
0.29, 0.71 0.36, 0.64 0.59, 0.41 0.66, 0.34
Gradual
Augmenter c
0.29, 0.71 0.31, 0.69 0.51, 0.49 0.77, 0.23
a From regression equations for oral breathing in Figure 1 of
Niinimaa et al.
[17]; b Data based on Table 2 and Figure 3 of Bennett et al. [20]
for 22
individuals (11 M, 11 F; mean age, 22 yrs); c Data based on
Table 2 and
Figure 2 of Bennett et al. [19] for 12 children (9 M, 3 F; 6-10
yrs of age); d
fraction inhaled through mouth, fraction inhaled through nose.
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nasal deposition efficiency increases with decreasing body
size and increasing nasal resistance. Two studies [19,22]
suggest that the nasal deposition in children is less than that
of adults. These two studies, not considered in the ICRP
model [12], suggest that it may be inappropriate to apply a
scaling factor for nasal deposition of children. Accordingly,
we estimated the nasal deposition efficiency of the 10 yr old
child for a SFt of both 1.0 (child-A) and 1.26 (child-B). Add-
itionally, we estimated the upper and lower 95% confidence
bounds for inter-individual variability attributable to differ-
ences in deposition efficiency within the ET region predicted
by Equations 1-3 as specified in paragraphs D44 and D68 of
ICRP [12].
The deposition efficiencies along the ET pathways (i.e.,
nasal and oral) were assumed to be independent. As such,
total ET deposition was taken to be the sum of deposition
between the pathways weighted by the flow partitioning (see
Paragraph 161 of ICRP [12]). The thoracic fraction, defined
as particle penetration past the larynx, P(ET), is given by:
P ETð Þ ¼ 1− Fm η ETð Þlarynx− 1−Fmð Þ
� η ET1ð Þnose þ 1− η ET1ð Þnose
� �
η ET2ð Þnose �
�
ð4Þ
We estimated inspiratory deposition efficiency in the
TB region, ηTB, of particles (0.5-20 μm; 0.1 μm incre-
ments) using the publicly available multiple path particle
dosimetry (MPPD; ver 2.1, © 2009) model.d The model
considers deposition by the mechanisms of impaction,
sedimentation, and diffusion. The approach and formula
used to calculate particle losses in the MPPD model are
described by Anjilvel and Asgharian [23]. Physiological
input parameters (namely, tidal volume [VT], breathing
frequency [f], functional residual capacity [FRC], and
upper respiratory tract volume [URT]), necessary for
MPPD simulations are provided in Tables 1 and 4. FRC
and URT for each group are from Table fifteen of ICRP
[12]. The Yeh and Schum [24] typical path whole lung
model was utilized and scaled for FRC and VT. The ef-
fects of these physiologic parameters on deposition in
humans free of respiratory disease are described by de
Winter-Sorkina and Cassee [25].
The respiratory fraction, defined as particle penetra-
tion through the ciliated airways of the TB region, P
(TB), is given by:
P TBð Þ ¼ ∫
Tinh
0 C1 dt
∫Tinh0 C0 dt
≅P ETð Þ 1−ηTBð Þ ð5Þ
where: C0 and C1 are particle concentration passing the
larynx and terminal bronchioles, respectively; and Tinh is
the time of inhalation. Since conducting airway particle
concentration is nearly constant during inhalation, respira-
tory fraction can be expressed in terms of TB deposition
efficiency as given above. An Additional file 1: Appendix
to this paper provides estimates of P(TB) based on the
ICRP [12] model rather than the MPPD model.
After calculating P(ET) and P(TB) for all activities and
individual groups, daily average estimates of P(ET)avg
and P(TB)avg weighted by daily ventilation (see Tables 1
and 2) were calculated as a function of particle size.
Ventilation-weighted averages of P(ET)avg for each par-
ticle size were calculated as:
P ETð Þavg ¼
Xn
i¼1
P ETð Þi V daily−i
� �
=
Xn
i¼1
V daily−i
ð6Þ
where: P(ET)i is the ET fraction for activity, i; Vdaily-i is the
daily volume inhaled while engaged in activity, i; and n is
the number of activities. Ventilation-weighted averages of
P(TB)avg were computed similarly to those of P(ET)avg.
Finally, thoracic and respiratory particle fractions were also
calculated after applying the ICRP [12] inhalability criterion
assuming no ambient wind, 1−0.5 [1− (0.00076 da
2.8 + 1) −1].
The ICRP [12] criterion was utilized as it better represents
the inhalation of particles <10 μm than the ACGIH and
CEN [2,3] criterion.
Results
We estimated particle penetration fractions into the thorax
and respiratory region of an adult male, adult female, and a
0.0
0.2
0.4
0.6
0.8
1.0
0 2 4 6 8 10
P
(E
T
)
da (µm)
Figure 2 Thoracic fraction, i.e., particle penetration through the
extrathoracic region, P(ET), as a function of breathing route.
Penetration data are with respect to particle diameter as a
function
of the fraction of air inhaled through the mouth (Fm) in an adult
male engaged in light exercise relative to particles entering the
respiratory tract. Curves are for the Fm of 0.00, 0.25, 0.50,
0.75, and
1.00 as indicated on the figure. Horizontal red line highlights
50% penetration.
0.0
0.2
0.4
0.6
0.8
1.0
0 2 4 6 8 10
P
(T
B
)
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10 yr old child. In the results described below, data do not
consider particle inhalability unless specifically stated.
Inhalability was not considered since, as the results will
show, it has a minimal affect on 50% cut-points for particle
penetration into the lower airways for all breathing habits
except the less probable condition of oral breathing.
Route of breathing
Of the factors we considered, route of breathing (or breath-
ing habit) had the greatest effect on estimates of P(ET) and
P(TB). Figure 2 and 3 illustrate P(ET) and P(TB) for an
adult male engaged in light exercise as a function of Fm. In
Figure 2, fifty percent P(ET) occurs at the da of 1.8 , 2.7,
4.4, 6.1, and 7.0 μm for the Fm of 0.00, 0.25, 0.50, 0.75, and
1.00, respectively. Note that the curve in Figure 2 for Fm=1
is for comparable conditions to those for which ACGIH [4]
thoracic fraction was based, i.e. an orally breathing adult
male engaged in light exercise. In Figure 3, fifty percent P
(TB) occurs at the da of 1.7 , 2.5, 3.8, 5.1, and 5.7 μm for
the Fm of 0.00, 0.25, 0.50, 0.75, and 1.00, respectively. As
ventilation is shifted to the lower removal efficiency oral
passages, there is an ever greater separation between the P
(ET) and P(TB) curves. By contrast, for purely nasal breath-
ing (Fm = 0, the case for normal augmenters during light
exercise), due to the vast removal of particles in the nasal
airways, there is nearly no difference between the P(ET)
and P(TB) curves in Figures 2 and 3, respectively.
Table 5 provides the 50% cut-points for particle penetra-
tion into the thorax and respiratory region for all the
breathing habits we evaluated. As may be expected based
on Fm (see Table 3), the predicted particle penetration for
the gradual augmenter breathing habit is enveloped be-
tween that of the normal augmenter and mouth-breathers.
Additionally, consistent with Figures 2 and 3, Table 5
shows that the largest 50% cut-points are observed during
the case of oral breathing. Table 6 provides data on the
penetration of 10 μm particles into the lower respiratory
tract which is generally less than 20%, except for the case
of oral breathing where penetration into the thorax can
approach 40%.
Age and sex
Daily weighted penetrations curves for P(ET)avg and
P(TB)avg are illustrated in Figures 4 and 5, respectively.
For normal augmenters and oral breathing, 50% cut-
points for P(ET)avg and P(TB)avg were generally similar
Table 4 Functional residual volume (FRC) and upper
respiratory tract volumes (URT)
FRC (mL) URT (mL)
Adult Male 3300 50
Adult Female 2680 40
Child (10 yrs) 1484 25
between adult males and females, but shifted to slightly
(<0.2 μm) smaller particle sizes in the females (see Table 5).
There was a larger (<0.8 μm) difference in 50% cut-points
between males and females for the mouth-breather and
gradual augmenter breathing habits which is attributable
to greater nasal inhalation by females than males.
The data for child-A are more consistent, than child-B,
with experimental data [19,22] showing a lower nasal par-
ticle removal efficiency in children than adults. For all
breathing habits except oral breathing in Table 5, child-A
shows larger 50% cut-points than adults. Additionally, in
Table 6, the penetration of 10 μm particles into the thor-
acic and respiratory regions of child-A is generally greater
than or equal to that of adults for all breathing habits other
da (µm)
Figure 3 Respirable fraction, i.e., particle penetration through
the tracheobronchial region, P(TB), as a function of breathing
route. Penetration data are with respect to particle diameter as a
function of the fraction of air inhaled through the mouth (Fm) in
an
adult male engaged in light exercise relative to particles
entering
the respiratory tract. Curves are for the Fm of 0.00, 0.25, 0.50,
0.75,
and 1.00 as indicated on the figure. Horizontal red line
highlights
50% penetration.
Table 5 Particle penetration (50% cut-point) through respiratory
tract regions relative to particles entering the
respiratory tract
Vdaily (%-tile) Normal Gradual
Augmenter Mouth-breather Augmenter Oral only
P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg
P(ET)avg P(TB)avg
Male
5% 2.94 a 2.74 5.15 4.32 3.60 3.25 9.00 6.67
95% CI (1.72–5.03) (1.65–4.34) (3.12–8.48) (2.84–6.10) (2.11–
6.11) (2.00–4.98) (5.86–13.8) (5.00–8.14)
50% 2.46 2.30 5.09 4.30 3.37 3.05 8.09 6.11
95% CI (1.44–4.20) (1.38–3.71) (3.14–8.26) (2.86–5.88) (1.99–
5.67) (1.88–4.65) (5.26–12.4) (4.58–7.34)
95% 2.14 2.03 5.08 4.31 3.19 2.90 7.61 5.89
95% CI (1.25–3.66) (1.20–3.32) (3.16–8.16) (2.89–5.83) (1.90–
5.33) (1.79–4.44) (4.95–11.7) (4.38–7.07)
Female
5% 2.92 2.71 4.32 3.78 3.10 2.86 8.78 6.50
95% CI (1.71–5.01) (1.63–4.28) (2.57–7.22) (2.40–5.52) (1.81–
5.30) (1.73–4.48) (5.71–13.5) (4.88–7.91)
50% 2.42 2.27 4.46 3.87 2.91 2.68 7.88 5.96
95% CI (1.41–4.13) (1.36–3.64) (2.72–7.32) (2.51–5.45) (1.71–
4.94) (1.63–4.19) (5.13–12.1) (4.47–7.17)
95% 2.10 1.99 4.58 3.96 2.74 2.54 7.44 5.77
95% CI (1.23–3.60) (1.18–3.26) (2.82–7.42) (2.60–5.49) (1.61–
4.64) (1.53–4.00) (4.84–11.4) (4.29–6.94)
Child-B b
5% 2.77 2.61 4.31 3.78 4.30 3.78 8.34 6.46
95% CI (1.62–4.75) (1.56–4.18) (2.58–7.19) (2.40–5.57) (2.57–
7.17) (2.40–5.56) (5.42–12.8) (4.74–8.04)
50% 2.25 2.13 4.37 3.81 4.07 3.59 7.50 5.81
95% CI (1.31–3.85) (1.27–3.48) (2.67–7.15) (2.47–5.35) (2.46–
6.71) (2.29–5.15) (4.88–11.5) (4.32–7.08)
95% 1.89 1.81 4.34 3.76 3.98 3.49 6.91 5.33
95% CI (1.11–3.24) (1.07–2.98) (2.69–7.03) (2.48–5.11) (2.45–
6.47) (2.27–4.88) (4.49–10.6) (4.01–6.36)
Child-A c
5% 3.92 3.56 5.60 4.72 5.59 4.72 8.34 6.46
95% CI (2.29–6.72) (2.18–5.44) (3.38–9.28) (3.09–6.63) (3.37–
9.27) (3.09–6.62) (5.42–12.8) (4.74–8.04)
50% 3.18 2.94 5.37 4.53 5.12 4.36 7.50 5.81
95% CI (1.86–5.45) (1.77–4.58) (3.29–8.77) (3.03–6.10) (3.11–
8.40) (2.88–5.95) (4.88–11.5) (4.32–7.08)
95% 2.68 2.50 5.16 4.34 4.85 4.14 6.91 5.33
95% CI (1.56–4.58) (1.50–3.97) (3.19–8.34) (2.94–5.66) (2.98–
7.90) (2.76–5.51) (4.49–10.6) (4.01–6.36)
P(ET)avg, extrathoracic particle penetration which is the
thoracic particle fraction averaged across all activity levels
weighted by daily ventilation; P(TB)avg,
tracheobronchial particle penetration which is the respirable
particle fraction averaged across all activity levels weighted by
daily ventilation; 95% CI, ninety-five
percent confidence intervals for inter-individual variability
attributable to differences in particle penetration through the
extrathoracic region; a Aerodynamic
particle diameter in μm; b Scaling factor in Equations 2 and 3
equal to 1.26; c Scaling factor in Equations 2 and 3 equal to 1.0.
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than oral. For oral breathing, the penetration of 10 μm par-
ticles is lower in child-A than adults.
Activity level
Impaction in the nasal airways, larynx, and large bronchi in-
creases in conjunction with activity and increasing inspira-
tory flows across the range of da. Therefore, decreasing 50%
cut-points for both P(ET)avg and P(TB)avg are observed with
increasing activity. In general, the penetration of 10 μm par-
ticles into the thoracic and respiratory regions also showed
a small reduction with increasing daily activity level (see
Table 6). However, the small reductions in particle
penetration pale in comparison to the large increases in
ventilation and intake of particles that occur with increasing
activity level.
Inhalability adjustment
The thoracic and respirable fraction data in Table 5 were
relative to particles entering the respiratory tract. For com-
parison, Table 7 provides da associated with 50% penetra-
tion into the thorax and respiration regions after applying
inhalability criterion. Adjusting for inhalability shifts pene-
tration curves to smaller particle sizes, and this effect is
most evident where there is a low activity level and a
Table 6 Penetration of 10 μm (da) through respiratory tract
regions relative to particles entering the respiratory tract
Vdaily
(%-tile)
Normal Gradual
Augmentera Mouth-breathera Augmentera Oral onlya
P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg
P(ET)avg P(TB)avg
Male
5% 0.05b 0.03 0.21 0.10 0.11 0.05 0.43 0.21
50% 0.04 0.02 0.19 0.08 0.11 0.04 0.36 0.15
95% 0.03 0.01 0.19 0.06 0.10 0.03 0.32 0.12
Female
5% 0.06 0.03 0.15 0.07 0.06 0.03 0.41 0.20
50% 0.04 0.02 0.15 0.06 0.07 0.02 0.35 0.14
95% 0.03 0.01 0.16 0.05 0.07 0.02 0.31 0.11
Child-B c
5% 0.05 0.02 0.16 0.08 0.16 0.08 0.38 0.18
50% 0.03 0.01 0.15 0.06 0.14 0.06 0.31 0.13
95% 0.02 0.01 0.14 0.04 0.13 0.04 0.27 0.09
Child-A d
5% 0.10 0.05 0.21 0.10 0.21 0.10 0.38 0.18
50% 0.07 0.04 0.19 0.09 0.18 0.07 0.31 0.13
95% 0.05 0.02 0.17 0.05 0.16 0.05 0.27 0.09
P(ET), extrathoracic penetration for 10 μm particles; P(TB),
tracheobronchial penetration for 10 μm particles; aData are
daily averages, all activity levels weighted by
daily ventilation; bFraction penetration; cScaling factor in
Equations 2 and 3 equal to 1.26; dScaling factor in Equations 2
and 3 equal to 1.0.
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substantial contribution of oral breathing. Table 6 provides
data on the penetration of 10 μm particles into the lower
respiratory tract. Those penetration data may be adjusted
for inhalability by multiplying by 0.84, the inhalability of
10 μm particles.
Discussion
We calculated thoracic and respirable particle fractions
for an adult male, adult female, and ten year-old child
0.0
0.2
0.4
0.6
0.8
1.0
0 2 4 6 8 10
P
(E
T
) a
v
g
da (µm)
10 yr-old Child-A
10 yr-old Child-B
Adult Male
Adult Female
Figure 4 Thoracic fraction, i.e., particle penetration through the
extrathoracic region, P(ET)avg, in adults and a 10 yr-old child.
Data are daily averaged values for a median activity level,
gradual
augmenter breathing habit, and uncorrected for particle
inhalability.
Child-A and child-B are for a scaling factor of 1.0 and 1.26 in
Equations 2 and 3, respectively. Horizontal red line highlights
50%
penetration which occurs at 3.1 μm (adult female), 3.4 μm
(adult
male), 4.1 μm (child-B), and 5.1 μm (child-A).
engaged in typical daily activities ranging from sleep to
heavy exercise. Our estimates are intended to represent
full-day ambient and/or non-ambient exposures while
individuals are engaged in a variety of activities. This dif-
fers from the ACGIH and CEN criteria which are
intended to represent a workplace setting [2,4]. Similarly,
considering the need to provide protection for sensitive in-
dividuals who may breathe by mouth and/or oronasally, the
EPA [8] selected the nominal cut-point of 10 μm as an
0.0
0.2
0.4
0.6
0.8
1.0
0 2 4 6 8 10
P
(T
B
) a
v
g
da (µm)
10 yr-old Child-A
10 yr-old Child-B
Adult Male
Adult Female
Figure 5 Respirable fraction, i.e., particle penetration through
the tracheobronchial region, P(TB)avg, in adults and a 10 yr-old
child. Data are daily averaged values for a median activity
level,
gradual augmenter breathing habit, and uncorrected for particle
inhalability. Child-A and child-B are for a scaling factor of 1.0
and
1.26 in Equations 2 and 3, respectively. Horizontal red line
highlights
50% penetration which occurs at 2.7 μm (adult female), 3.1 μm
(adult male), 3.6 μm (child-B), and 4.4 μm (child-A).
Table 7 Inhalability adjusted particle penetration (50% cut-
point) through respiratory tract regions
Vdaily
(%-tile)
Normal Gradual
Augmenter Mouth-breather Augmenter Oral only
P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg
P(ET)avg P(TB)avg
Male
5% 2.92 a 2.72 4.97 4.24 3.55 3.22 8.24 6.38
95% CI (1.71–4.90) (1.64–4.26) (3.09–7.66) (2.81–5.85) (2.11–
5.82) (2.00–4.85) (5.66–11.4) (4.89–7.59)
50% 2.44 2.30 4.93 4.21 3.33 3.02 7.52 5.90
95% CI (1.43–4.12) (1.37–3.67) (3.11–7.51) (2.84–5.67) (1.99–
5.43) (1.87–4.54) (5.12–10.5) (4.50–6.98)
95% 2.14 2.02 4.92 4.22 3.15 2.88 7.14 5.71
95% CI (1.25–3.62) (1.20–3.29) (3.13–7.44) (2.87–5.64) (1.89–
5.15) (1.78–4.36) (4.84–10.1) (4.32–6.77)
Female
5% 2.90 2.70 4.22 3.72 3.08 2.85 8.06 6.23
95% CI (1.70–4.87) (1.63–4.20) (2.56–6.73) (2.38–5.34) (1.81–
5.13) (1.73–4.40) (5.53–11.2) (4.78–7.41)
50% 2.41 2.26 4.36 3.81 2.89 2.67 7.35 5.77
95% CI (1.41–4.06) (1.35–3.60) (2.70–6.80) (2.50–5.29) (1.71–
4.79) (1.63–4.12) (5.00–10.3) (4.39–6.83)
95% 2.10 1.99 4.46 3.89 2.72 2.52 7.00 5.60
95% CI (1.23–3.55) (1.18–3.23) (2.80–6.87) (2.58–5.33) (1.61–
4.42) (1.53–3.93) (4.74–9.91) (4.22–6.66)
Child-B b
5% 2.76 2.60 4.22 3.73 4.21 3.72 7.73 6.20
95% CI (1.62–4.64) (1.56–4.11) (2.56–6.69) (2.39–5.38) (2.56–
6.68) (2.39–5.37) (5.28–10.8) (4.65–7.52)
50% 2.24 2.13 4.27 3.75 3.99 3.54 7.05 5.63
95% CI (1.31–3.79) (1.27–3.44) (2.65–6.66) (2.46–5.20) (2.45–
6.30) (2.28–5.01) (4.77–9.98) (4.25–6.74)
95% 1.89 1.80 4.25 3.71 3.91 3.45 6.56 5.21
95% CI (1.10–3.21) (1.07–2.96) (2.67–6.56) (2.47–4.99) (2.42–
6.12) (2.25–4.78) (4.42–9.37) (3.96–6.15)
Child-A c
5% 3.87 3.52 5.40 4.62 5.39 4.61 7.73 6.20
95% CI (2.28–6.36) (2.17–5.27) (3.34–8.32) (3.07–6.32) (3.34–
8.31) (3.06–6.31) (5.28–10.8) (4.65–7.52)
50% 3.15 2.92 5.20 4.44 4.96 4.28 7.05 5.63
95% CI (1.85–5.29) (1.77–4.49) (3.26–7.96) (3.00–5.88) (3.09–
7.66) (2.86–5.75) (4.77–9.98) (4.25–6.74)
95% 2.66 2.49 5.00 4.26 4.73 4.07 6.56 5.21
95% CI (1.56–4.47) (1.50–3.91) (3.16–7.64) (2.92–5.51) (2.96–
7.29) (2.74–5.39) (4.42–9.37) (3.96–6.15)
P(ET)avg, extrathoracic particle penetration which is the
thoracic particle fraction averaged across all activity levels
weighted by daily ventilation; P(TB)avg,
tracheobronchial particle penetration which is the respirable
particle fraction averaged across all activity levels weighted by
daily ventilation; 95% CI, ninety-five
percent confidence intervals for inter-individual variability
attributable to differences in particle penetration through the
extrathoracic region; a Aerodynamic
particle diameter in μm; b Scaling factor in Equations 2 and 3
equal to 1.26; c Scaling factor in Equations 2 and 3 equal to 1.0.
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indicator of the thoracic fraction consistent with ISO
[26,27] recommendations for occupational or non-
occupational environments. Our estimates show less pene-
tration of coarse particulate matter into the thoracic and
gas exchange regions of the respiratory tract than current
criteria. For typical breathing habits (i.e., not oral breath-
ing), we would predict less than 20% penetration of 10 μm
particles into the thorax, whereas a 50% penetration of 10
μm is currently used in both occupational and non-
occupational criteria [2,4,8,9]. Recognizing that there are
differences in the sources and chemical composition be-
tween ambient fine (nominal mean da ≤ 2.5 μm) and larger
coarse PM, our finding may, in part, explain why causal
relationships are observed between morbidity and mortality
with short and long-term exposure to fine PM but not lar-
ger coarse PM (see Chapter 2 in Ref [28]).
There are two primary reasons for the dramatic differ-
ence between our estimates and the current criteria. First,
the ACGIH [4] criteria considered all inspired air to enter
via the oral airway which increases the penetration
through the ET airways. With the exception of a labora-
tory setting, however, few individuals breathe exclusively
through the mouth. This would make the breathing habits
other than oral breathing preferable for the purposes of
estimating actual exposures. Second, the ACGIH criteria
are intentionally conservative (Figure 1) as the committee
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chose to afford extra protection by over representing the
true penetration of particles into the lower respiratory
tract. In Figure 2, we predicted a 50% cut-point of 7.0 μm
for the conditions considered by the ACGIH, namely, an
orally breathing adult male engaged in light exercise. Add-
itionally, our predicted upper bound 95th percentile for
50% cut-points during oral breathing corrected for
inhalability in Table 7 are ~10 μm. Thus, selection of 10
μm as having 50% penetration into the thorax was consist-
ent with over representing the true penetration of particles
into the lower respiratory tract of most individuals.
Route of breathing has a dramatic affect on particle deliv-
ery to the thoracic and respiratory regions since the depos-
ition efficiency of the nasal passages greatly exceeds that of
the oral pathway. Most subjects in the Niinimaa et al. [17]
study, 87% (26 of 30), breathed through their nose until an
activity level was reached when they switched to oronasal
breathing. Thirteen percent (4 of 30) of the subjects, how-
ever, were oronasal breathers even at rest. These two sub-
ject groups are commonly referred to in the literature (e.g.,
see [12]) as “normal augmenters” and “mouth-breathers,”
respectively. Becquemin et al. [18] and Bennett et al. [19]
showed that children tend to have a greater fraction of oral
breathing than adults at rest and during exercise. Route of
breathing may also vary between races; Bennett et al. [20]
found that African-Americans and females had a greater
nasal contribution to breathing during exercise than Cauca-
sians and males. The abrupt change in route of breathing
occurring in normal augmenters has not been observed by
others. The gradual augmenter breathing habit based on
Bennett et al. [19,20] may be preferable to the normal aug-
menter in representing the general population. Chadha
et al. [29] found that the majority (11 of 12) of patients with
asthma or allergic rhinitis also breathe oronasally at rest. In
healthy individuals, a small fraction (around 5%) may
breathe solely through the mouth [21]. Our estimates for
gradual augmenters provide particle penetration fractions
most typical of healthy populations. Our estimates for
mouth-breathers may be more appropriate for patients
with mild upper respiratory disease.
The ICRP model [12] appears to underestimate the
penetration of particles through the ET airways of children.
A SFt is applied in Equations 1-3 with the presumption
that oral and nasal particle deposition increase with de-
creasing body size and increasing flow resistance.
For oral breathing on a mouthpiece, Bennett et al. [30]
showed greater ET deposition in children than adults. This
finding suggests that the application of a SFt of 1.26 in
Eq 1 is appropriate for laryngeal deposition. However, for
nasal breathing, Becquemin et al. [22] and Bennett et al.
[19] showed less nasal deposition in children than in
adults. These two studies, not considered in the ICRP
model [12], suggest that it may be inappropriate to apply a
SFt in Equations 2 and 3 for nasal deposition in children.
Lower nasal deposition of particles in children than adults
means greater penetration of particles into the lower
respiratory tract of children than adults. Accordingly,
we conducted simulations for the child with the SFt in
Equations 2 and 3 set equal to 1.0 in addition to the SFt of
1.26 recommended by ICRP [12]. The estimated nasal ET
deposition efficiency of 2 μm particles in the normal aug-
menter child during light exercise decreased from 68% to
48% when the SFt was decreased from 1.26 to 1.0. For
comparison, under the same level of activity, the estimated
ET deposition efficiency was 57-58% in the adult male and
female. Decreasing the nasal deposition efficiency of the
child relative to the ICRP model [12] increased the particle
size estimated to have 50% penetration into the thoracic
and respiratory regions (see Tables 5, 6, 7 and Figures 4
and 5). These estimates of larger 50% cut points for child-
A than adults appear consistent with studies in children
that were not incorporated into the ICRP model [12].
With the exception of Table 7, the thoracic and respir-
able fractions that we present are the amount of particles
entering a specified respiratory tract region relative to the
amount of particles entering the respiratory tract. In effect,
we assumed 100% inhalability across the range of particle
sizes (0.5-20 μm) examined. We have opted on this con-
vention since the inhalable fraction depends on factors not
considered here such as wind speed and direction relative
to the exposed individual. For recent reviews of the litera-
ture on particle inhalability, the reader is referred to
Brown [31] and Millage et al. [32]. Adjusting our data for
inhalability, shifts penetration curves to smaller particle
sizes, but mainly only where there is a substantial contri-
bution of oral breathing (see Table 7 vs. Table 5).
Conclusion
Our analyses show that occupation and non-occupational
criteria for thoracic and respirable fractions overestimate
the size of particles entering these regions. As already
noted, penetration fractions for workplace criteria were
chosen to afford extra protection by over-representing the
true penetration of particles into regions of the respiratory
tract [4]. However, accepted definitions for thoracic and
respirable fractions speak specifically to particles that pene-
trate into these regions. As such, current occupational and
non-occupational criteria may misinform practitioners
with regard to the actual size of particles expected to reach
regions of the respiratory tract during typical behavior. For
instance, the current criteria suggest that 10 μm particles
(50%) penetrate into the thorax, thus, leaving the expect-
ation that observed health effects may be modulated by
their deposition in either the upper or lower airways. How-
ever, we predict that about 20% or less of these 10 μm par-
ticles would penetrate through the ET airways and into the
lower respiratory tract. Our modifications to the ICRP
model [12] related to breathing habit and nasal deposition
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in children reflect more recent data and provide consistent
estimates of greater particle penetration into the thoracic
and respiratory regions of children than adults. With those
modifications, for median activities, we predict 50% cut-
points for P(ET)avg at ~3 μm in adults and ~5 μm in chil-
dren. The predicted 50% cut-points for P(TB)avg are slightly
less than 3 μm in adults and slight greater than 4 μm in
children. Our estimates of particle penetration into the
thoracic and respiratory regions of the respiratory tract
should be useful in the design of experimental studies and
interpretation of PM health effects evidence.
Endnotes
aMore typically, the literature has defined this term in re-
lation to the fraction of particles entering the gas-exchange
region or the fraction penetrating through the tracheobron-
chial region, the ciliated airways, or conducting airways.
bFor completeness, other groups such as the British
Medical Research Council offered size-selective sampling
recommendations prior to the ACGIH. For a historical
perspective, the reader is referred to Lippmann [33].
cFor accuracy it should be recognized that the sampler
collection efficiency curves for EPA’s PM10 and ACGIH’s
thoracic fraction are different. The criteria are similar for
particles smaller than the 50% cut-point at 10 μm. How-
ever, the curves diverge at about 12 μm, with a dramatic
drop in collection efficiency (dictated by policy consider-
ations) for EPA’s PM10, and a more gradual decrease in
collection efficiency for the ACGIH criterion.
dThe MPPD model typically outputs estimates of regional
deposition for the entire respiratory cycle. For the purposes
of this project, the software output was modified by the de-
velopers to provide inspiratory deposition fractions for par-
ticles in the ET and TB regions. Designating the ET and TB
regions as separate compartments, the deposition efficiency
in the TB region (ηTB) during inhalation was calculated
from the MPPD output as DFTB / (1-DFET), where DFTB
and DFET are the deposition fractions of particles in the TB
and ET region during inhalation, respectively. For more in-
formation about this model, the reader is referred to: http://
www.ara.com/products/mppd_capabilities.htm.
Additional file
Additional file 1: Comparison of respiratory particle fractions
predicted by the MPPD and ICRP [12] models. In general, the
ICRP
[12] model predicts less particle penetration into the respiratory
region
than the MPPD model.
Abbreviations
ACGIH: American Conference of Governmental Industrial
Hygienists;
CEN: European Committee for Standardization; da:
Aerodynamic diameter;
DFTB: Particle deposition fraction in the TB region during
inhalation;
DFET: Particle deposition fractions in the ET region during
inhalation; EPA: U.
S. Environmental Protection Agency; ET: Extrathoracic; f:
Breathing frequency;
Fm: Fraction of breath passing through the mouth; FRC:
Functional residual
capacity; ICRP: International Commission on Radiological
ProtectionISO
International Organization for Standardization; MPPD: Multiple
path particle
dosimetry; NAAQS: National ambient air quality standard; ηTB:
Particle
deposition efficiency in the tracheobronchial region;
η(ET)larynx: Extrathoracic
particle deposition efficiency in the larynx; η(ET1)nose:
Extrathoracic particle
deposition efficiency in anterior nasal region; η(ET2)nose:
Extrathoracic particle
deposition efficiency in posterior nasal region; P(ET): Particle
penetration past
the larynx and the thoracic fraction; P(TB): Particle penetration
through the
ciliated airways and the respirable fraction; PM: Particulate
matter;
PM2.5: Particles with a nominal mean aerodynamic diameter ≤
2.5 μm;
PM10: Indicator for thoracic coarse particles; Qnose:
Inspiratory flow through
the nose; Qtotal: Total inspiratory flow rate; SFt: Scaling
factor, ratio of trachea
diameter in adult reference male to that of subject; t: Time spent
engaged in
specific activity; TB: Tracheobronchial; TSP: Total suspended
particulate;
URT: Upper respiratory tract volume; Vdaily: Total volume
inspired in 24 hours;
VT: Tidal volume.
Competing interests
The authors have no competing interest.
Authors’ contributions
JB conceived the project, coordinated and drafted the
manuscript. TG
contributed to defining the project’s scope and drafting the
manuscript. OP
modified software for the purposes of this project to provide
inspiratory
deposition fractions for particles and participated in the
interpretation of
data. BA contributed to the methodology, participated in
software
development and drafting of the manuscript. All authors read
and approved
the final manuscript.
Acknowledgments
The authors thank Drs. Beverly Cohen (NYU), Martin Harper
(NIOSH), Mort
Lippmann (NYU), and Lindsay Wichers Stanek (U.S. EPA) for
their helpful
comments. TG was funded, in part, by a faculty appointment
with the U.S.
EPA through a program administered by Oak Ridge Institute for
Science and
Education (EPA-ORD/NCEA-RTP-2009-02). This document has
been reviewed
in accordance with U.S. Environmental Protection Agency
policy and
approved for publication. Mention of trade names or
commercial products
does not constitute endorsement or recommendation for use.
The views
expressed in this article are those of the authors and do not
necessarily
reflect the views or policies of the U.S. Environmental
Protection Agency.
Author details
1National Center for Environmental Assessment, U.S.
Environmental
Protection Agency, MD B243-01, Research Triangle Park,
Raleigh, NC 27711,
USA. 2NYU School of Medicine, 57 Old Forge Road, Tuxedo,
NY 10987, USA.
3Applied Research Associates, Inc, 801 N. Quincy St., Suite
700, Arlington, VA
22203, USA. 4Applied Research Associates, Inc, 8537 Six
Forks Road., Suite
600, Raleigh, NC 27615, USA.
Received: 4 May 2012 Accepted: 3 February 2013
Published: 10 April 2013
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doi:10.1186/1743-8977-10-12
Cite this article as: Brown et al.: Thoracic and respirable
particle
definitions for human health risk assessment. Particle and Fibre
Toxicology
2013 10:12.
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http://www.rivm.nl/bibliotheek/rapporten/650010031.htmlAbstr
actBackgroundMethodsResultsConclusionsBackgroundMethods
ResultsRoute of breathingAge and sexActivity levelInhalability
adjustmentDiscussionConclusionEndnotesAdditional
fileAbbreviationsCompeting interestsAuthors’
contributionsAcknowledgmentsAuthor
detailsReferencesUntitled
Generation and Behavior
of Airborne Particles (Aerosols)
Paul Baron
Division of Applied Technology
National Institute for Occupational Safety and Health
Centers for Disease Control and Prevention
Overview
I. Particle size range
II. Inhalation & lung deposition
III. Particle behavior
– Settling, impaction, electrostatic
effects
IV. Particle generation
– Energy input, size, charge, humidity
Scenarios
• Letter release
• Carpet release
VI. Particle collection and measurement
What is an AEROSOL?
• Simply defined- tiny particles
or droplets suspended in air.
• The haze in the picture on the
right is caused by light
scattering from numerous
water/oil droplets and mineral
particles released into the air
from the drilling of rock.
Are Aerosols dangerous?
• The air we breathe always contains solid particles
or droplets and is therefore an aerosol.
• These aerosol particles can be from natural
sources or man-made sources
• Sometimes the particles are of type that, at
sufficient concentration, are toxic to our body.
• The organ in our body most sensitive to particle
exposure is the respiratory system
Toxic Aerosols!?
Our respiratory system is efficient at removing aerosols, but if
they fall
within particular size ranges, are highly concentrated, or toxic,
they may
cause adverse health effects. They may also deposit on skin or
eyes,
generally only causing irritation, though more toxic effects may
occur.
Very small particles may pass through the skin and enter the
body that
way. Soluble particles may dissolve and pass through the
skin.
Read on for more details on aerosol generation and behavior
Overall Scenario:
Evaluation of Exposure in Workplaces
Aerosol Transport
Based on Air Flow
Aerosol Sampling/
Measurement
Aerosol Inhalation
Aerosol
Generation from,
e.g., Grinding
Aerosol
Losses
to Surfaces
Secondary
Sources
(Resuspension)
Loss Mechanisms
Settling,
Diffusion,
Impaction,
Electrostatic
Deposition
Filter
Samplers
Direct
Reading
Instruments
Aerosol Assessment in the
Workplace: Types of Measurements
• Sampling, usually with a filter and pump, provides
a sample that can be analyzed in the lab for
specific chemicals, quantity of dust, particle shape
(fibers), etc.
• Direct reading instruments allow continuous
observation of dust concentrations, e.g., mass or
concentration or size distribution, but do not
usually provide specifics of the aerosol type.
Aerosol Assessment in the
Workplace: Types of Measurements
• The most accurate assessment of worker’s
exposure is measurement with a personal sampler,
i.e, a collection or measurement device placed on
the worker’s chest.
• Techniques for control of exposures can use either
personal samplers or (fixed) area measurement
devices. Direct reading devices allow rapid
assessment of the effectiveness of dust control
devices or strategies.
I. Aerosol Size Range
Particle size is often determined by the process that generated
the particle.
Combustion particles usually start out in the 0.01-0.05 m size
range, but combine
with each other (agglomerate) to form larger particles. Powder
is broken down
into smaller particles and released into the air; it is difficult to
break down such
particles smaller than ~0.5 m. Biological particles usually
become airborne from
liquid or powder forms, so these particles are usually larger
than ~0.5 m.
Viruses
Bacteria
Spores
Mechanical Generation
(dust or mist)
Combustion Particles
(fume)
0.001 10 100
Particle Diameter ( m)
0.01 0.1 1
II. Respiratory System Deposition
ICRP Model, averaged
over males, females,
several respiration rates
Particle Diameter ( m)
0
0.6
0.8
1.0
0.4
0.2
Total
Head Airways
Head Airways
Alveolar
Alveolar
(Gas exchange)
Tracheo-
bronchial
Tracheo-
bronchial
0.001 0.01 1010.1 100
D
ep
os
it
io
n
F
ra
ct
io
n
III. Aerosol Particle Behavior
• Settling
• Impaction
• Charge effects
• Release from surfaces
• Agglomeration/
Deagglomeration
Particle Settling in Still Air
Time to settle 5 feet by unit density spheres
0.5 m 1 m 10 m 100 m3 m
41 hours 12 hours 1.5 hours
8.2 minutes
Aerodynamic diameter definition:
diameter of a unit density sphere that
settles at the same velocity as the particle
in question
5.8 seconds
Particle Settling in a Closed Room
Stagnant air Turbulent air
Time
Conc. Conc.
Time
Particles of the same size will settle
at the same speed in still or
stagnant air
Particles passing close to a
horizontal surface can settle, but
the rest will continue to be stirred.
Concentration
profiles using a
direct
measurement
instrument
Particle Settling in Turbulent Air
Half-life of particles in 8 foot high room
0.5 m 1 m 10 m 100 m3 m
41 hours 12 hours 1.5 hours
8.2 minutes
Particles settling in turbulent air will
have an exponential decay rate as
indicated in the previous slide 5.8 seconds
Particle Transport in Buildings
• Most large particle losses by settling
• Most small particle losses by exchange
with outdoor air
• Complex flow systems
• Turbulence production
Doors, people, fans. ventilation
Ventilation system
III. Aerosol Particle Behavior
• Settling
• Impaction
• Charge effects
• Release from surfaces
• Agglomeration/
Deagglomeration
Particle Impaction
• Impaction depends on
particle size, air
velocity, jet diameter
• Large particles deposit
more easily
• Even larger particles
can bounce from
surface
• Impaction surface can
be modified to improve
collection, e.g., add oil
Cascade Impactors
Pump
• Used for size distribution
measurement
• Commercial impactors
– Andersen
– MOUDI
>8
>4
>2
Filter
>1
Virtual Impactors
• Used to reduce
particle bounce
• Used to concentrate
larger particles
– Commercial virtual
impactor up to 100:1
– Contains smaller
particles in minor
flow
Q0
0.9Q0
0.1Q0
III. Aerosol Particle Behavior
• Settling
• Impaction
• Charge effects
• Release from surfaces
• Agglomeration/
Deagglomeration
Electrostatic Effects
+
+
+
+
+
+
+
+
+
-
• Particle-particle interaction small
• Particle-surface interaction large
• Particle charge depends mostly on
generation process, surface energy,
humidity, time in the air
• Airborne particle charge gradually
decreases due to ions in air
(particles are nearly neutral after
about 30 min)
Particle Charge Imparted During
Generation—Liquid Droplets
• In conductive solution,
ions equally distributed
• In nonconductive
solution, fewer ions
• Droplet charge
generally low
• When liquid
evaporates, the final
particle may have
relatively high charge -
+
-
-
+
++
-
Particle Charge Imparted During
Generation—Solid Particles
• Difference in surface
energy levels
• Separation energy
• Humidity creates
bridge between
particle and surface
+ + + + + + + +
-
Space Charge
Expansion of Aerosol
– High aerosol concentration
– Particles are highly charged
– All particles have same polarity
– Aerosol will expand because of particle-particle
repulsion
III. Aerosol Particle Behavior
• Settling
• Impaction
• Charge effects
• Release from surfaces
• Agglomeration/
Deagglomeration
Generation from Carpet
• Particles deposited in
carpet; acts as a sink
• Footstep crushes
fibers against each
other
• Footstep compresses
carpet, creating high
velocity air flow
Particle Transport from Sources
Small particles
through
ventilation
system Transport by
local turbulence
Direct settling
(larger particles
and clumps
Resuspension
by activity
Asbestos Fiber Generation
Effect of humidity on particle charge
and particle generation efficiency
Mean
Electrical
Mobility
Relative
Concentration
0 10 20 30
Relative Humidity (%)
Particle Removal from Surfaces
by Air Flow
• Boundary layer near
surface—produced
by motionless
surface
• Factors affecting
release: Air velocity,
particle attraction to
surface versus
particle cross
section
• Water (humidity)
can increase
adhesion
< 0.1 m virtually impossible
> 20 m relatively easy
Vacuum Removal
• Suction
forces air
near surface
to remove
particles
• Variable
removal
efficiency
III. Aerosol Particle Behavior
• Settling
• Impaction
• Charge effects
• Release from surfaces
• Agglomeration/
Deagglomeration
Agglomeration/ Deagglomeration
• Particles in a powder are in close
contact, primarily agglomerates
• Shaken powder releases clumps
(agglomerates) and single particles
• Shear forces, caused by difference
in air velocity across the particle,
can break apart clumps
• Shear forces increase with
increasing energy (air velocity)
Particle Size Evolution
105
10-3
10-1
103
10
C
on
ce
nt
ra
ti
on
(
#/
cm
3 )
Particle Diameter ( m)
Grinding aerosol
T = 0
T = 25 min
T = 225 min
Settling/
Impaction
Diffusion
Coagulation (high conc.)
Surfaces
Surfaces
0.001 0.01 0.1 1 10 100
IV. Aerosol Generation
< 0.1 m virtually impossible
> 20 m relatively easy
Energy Input
Air flow
Mechanical energy
Overcome adhesion
between particle and
surface
Airflow to entrain
particles
Release happens
in microseconds
Adhesion depends
mostly on micro-
roughness of
surface, also on
relative surface
energies
V. Particle Collection and Measurement
• Filter sampling
– Filter efficiency, pore size, filter type
– Sufficient volume for analysis
– Dries particles because of continuous air flow
– Removal from filter can be an issue
• Impactor sampling
– Cascade impactor: 3 to 8 stages, size resolution
– Sufficient volume for analysis
– Dries particles, though less than filter
– Inert (oiled?) surface or direct to growth medium
Filtration
• Air filtration different
from liquid filtration
• Pore size in air filters
generally meaningless as
indicator of efficiency
• Small particles collected
by diffusion, large ones
by impaction/interception
• Maximum penetration at
about 0.3 m
• Efficiency increases with
increasing air velocity
Particle diameter ( m)
0.01 0.1 1 10
E
ff
ic
ie
nc
y
1
Impaction/
Interception
Diffusion
Direct Reading
Aerosol Measurement
Optical particle counter
– Relatively inexpensive (~2K – $10K)
– Portable, battery operated
– Rapid detection
– Nonspecific for bacteria
– Toxic concentrations near or below
ambient particle concentrations
– Can be used for tracer studies
Direct Reading
Aerosol Measurement
Aerodynamic Particle Sizer
– Relatively expensive (~$40K)
– Movable, line operated
– Higher size resolution, possibly improved size
distribution signature
– Fluorescent detection version
– Can be used for tracer studies
Overall Scenario
Aerosol Sampling/
MeasurementAerosol Transport
Aerosol
Source
Characteristics
Aerosol
Losses
to Surfaces
Aerosol Inhalation
Secondary
Sources
(Resuspension)
Resources for Aerosol
Information
• Hinds, 1999, Aerosol Technology, Wiley
• Baron and Willeke, 2001, Aerosol Measurement,
Wiley
• Hurst, 1997, Manual of Environmental
Microbiology, ASM Press
• Spreadsheet: Aerosol Calculator available from
www.tsi.com or www.bgiusa.com
Unit Homework Assignment
Welding fumes are a common occupational exposure. Several
different welding fumes can cause similar adverse
health effects. Personal sampling of a welding operation at a
manufacturing facility produced the following 8-hour
time-weighted average (TWA) results for individual metal
fumes.
Metal Fume Result OSHA PEL ACGIH TLV
Antimony 0.05 mg/m³ 0.5 mg/m³ 0.5 mg/m³
Beryllium 0.00001 mg/m³ 0.002 mg/m³ 0.00005 mg/m³ (I)
Cadmium 0.025 mg/m³ 0.1 mg/m³ 0.01 mg/m³
Chromium 0.02 mg/m³ 1 mg/m³ 0.5 mg/m³
Copper 0.03 mg/m³ 0.1 mg/m³ 0.2 mg/m³
Iron Oxide 0.5 mg/m³ 10 mg/m³ 5 mg/m³ (R)
Magnesium Oxide 0.02 mg/m³ 15 mg/m³ 10 mg/m³
Molybdenum 0.003 mg/m³ 15 mg/m³ 10 mg/m³ (I)
Nickel 0.25 mg/m³ 1 mg/m³ 1.5 mg/m³ (I)
Zinc Oxide 0.3 mg/m³ 5 mg/m³ 2 mg/m³ (R)
(R) Respirable fraction (I) Inhalable fraction
Briefly summarize the primary health effects associated with
overexposure to each type of metal fume, including both acute
and chronic health effects. Explain what analytical methods you
would use for evaluating health hazards in the workplace.
Identify the types of metal fumes that would produce similar
health effects on an exposed worker. Calculate the equivalent
exposure (in relation to OSHA PELS) for the metal fumes with
similar health effects based on the “Result” column in the
table above. Discuss whether you believe any of the individual
metal fume exposures or the combined exposure exceeds an
OSHA PEL or an ACGIH TLV.
Your homework assignment should be a minimum of two pages
in length.
Information about accessing the grading rubric for this
assignment is provided below.
3
http://www.cdc.gov/niosh/docs/2003-154/pdfs/2553.pdf
roscoearmstrong
Cross-Out
Sampling efficiency of modified 37-mm sampling cassettes
using computational fluid dynamics
T.Renée Anthony, Darrah Sleeth&John Volckens
Pages 148-158 | Accepted author version posted online: 29 Oct
2015, Published online:08 Jan 2016
ABSTRACT
In the U.S., most industrial hygiene practitioners continue to
rely on the closed-face cassette (CFC) to assess worker
exposures to hazardous dusts, primarily because ease of use,
cost, and familiarity. However, mass concentrations measured
with this classic sampler underestimate exposures to larger
particles throughout the inhalable particulate mass (IPM) size
range (up to aerodynamic diameters of 100 μm). To investigate
whether the current 37-mm inlet cap can be redesigned to better
meet the IPM sampling criterion, computational fluid dynamics
(CFD) models were developed, and particle sampling
efficiencies associated with various modifications to the CFC
inlet cap were determined. Simulations of fluid flow (standard
k-epsilon turbulent model) and particle transport (laminar
trajectories, 1–116 μm) were conducted using sampling flow
rates of 10 L min−1 in slow moving air (0.2 m s−1) in the
facing-the-wind orientation. Combinations of seven inlet shapes
and three inlet diameters were evaluated as candidates to
replace the current 37-mm inlet cap. For a given inlet geometry,
differences in sampler efficiency between inlet diameters
averaged less than 1% for particles through 100 μm, but the
largest opening was found to increase the efficiency for the 116
μm particles by 14% for the flat inlet cap. A substantial
reduction in sampler efficiency was identified for sampler inlets
with side walls extending beyond the dimension of the external
lip of the current 37-mm CFC. The inlet cap based on the 37-
mm CFC dimensions with an expanded 15-mm entry provided
the best agreement with facing-the-wind human aspiration
efficiency. The sampler efficiency was increased with a flat
entry or with a thin central lip adjacent to the new enlarged
entry. This work provides a substantial body of sampling
efficiency estimates as a function of particle size and inlet
geometry for personal aerosol samplers.
Evaluation of Diesel Exhaust Continuous Monitors in
Controlled Environmental Conditions
Chang Ho Yu,Allison P. Patton,Andrew Zhang,Zhi-Hua (Tina)
Fan,Clifford P. Weisel&Paul J. Lioy
Abstract
Diesel exhaust (DE) contains a variety of toxic air pollutants,
including diesel particulate matter (DPM) and gaseous
contaminants (e.g., carbon monoxide (CO)). DPM is dominated
by fine (PM2.5) and ultrafine particles (UFP), and can be
representatively determined by its thermal-optical refractory as
elemental carbon (EC) or light-absorbing characteristics as
black carbon (BC). The currently accepted reference method for
sampling and analysis of occupational exposure to DPM is the
National Institute for Occupational Safety and Health (NIOSH)
Method 5040. However, this method cannot provide in-situ
short-term measurements of DPM. Thus, real-time monitors are
gaining attention to better examine DE exposures in
occupational settings. However, real-time monitors are subject
to changing environmental conditions. Field measurements have
reported interferences in optical sensors and subsequent real-
time readings, under conditions of high humidity and abrupt
temperature changes. To begin dealing with these issues, we
completed a controlled study to evaluate five real-time
monitors: Airtec real-time DPM/EC Monitor, TSI SidePak
Personal Aerosol Monitor AM510 (PM2.5), TSI Condensation
Particle Counter 3007, microAeth AE51 BC Aethalometer, and
Langan T15n CO Measurer. Tests were conducted under
different temperatures (55, 70, and 80°F), relative humidity (10,
40, and 80%), and DPM concentrations (50 and 200 μg/m3) in a
controlled exposure facility. The 2-hr averaged EC
measurements from the Airtec instrument showed relatively
good agreement with NIOSH Method 5040 (R2 = 0.84; slope =
1.17±0.06; N = 27) and reported ∼17% higher EC
concentrations than the NIOSH reference method. Temperature,
relative humidity, and DPM levels did not significantly affect
relative differences in 2-hr averaged EC concentrations obtained
by the Airtec instrument vs. the NIOSH method (p < 0.05).
Multiple linear regression analyses, based on 1-min averaged
data, suggested combined effects of up to 5% from relative
humidity and temperature on real-time measurements. The
overall deviations of these real-time monitors from the NIOSH
method results were ≤20%. However, simultaneous monitoring
of temperature and relative humidity is recommended in field
investigations to understand and correct for environmental
impacts on real-time monitoring data.
Board Question.
The current OSHA permissible exposure limit (PEL) for
nuisance dust is 15 mg/m3 as an 8-hour time-weighted average
(TWA) exposure. The ACGIH has published a threshold limit
value (TLV) for inhalable dust of 10 mg/m3. OSHA is required
to consider economic and feasibility influences as well as health
impacts for establishing or updating PELs. The ACGIH can
consider only the health impacts when establishing TLVs.
Discuss the extent to which you believe economic and
feasibility impacts should be considered when establishing an
occupational exposure limit (OEL).
Brown et al. Particle and Fibre Toxicology 2013, 1012http.docx

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Brown et al. Particle and Fibre Toxicology 2013, 1012http.docx

  • 1. Brown et al. Particle and Fibre Toxicology 2013, 10:12 http://www.particleandfibretoxicology.com/content/10/1/12 RESEARCH Open Access Thoracic and respirable particle definitions for human health risk assessment James S Brown1*, Terry Gordon2, Owen Price3 and Bahman Asgharian4 Abstract Background: Particle size-selective sampling refers to the collection of particles of varying sizes that potentially reach and adversely affect specific regions of the respiratory tract. Thoracic and respirable fractions are defined as the fraction of inhaled particles capable of passing beyond the larynx and ciliated airways, respectively, during inhalation. In an attempt to afford greater protection to exposed individuals, current size-selective sampling criteria overestimate the population means of particle penetration into regions of the lower respiratory tract. The purpose of our analyses was to provide estimates of the thoracic and respirable fractions for adults and children during typical activities with both nasal and oral inhalation, that may be used in the design of experimental studies and interpretation of health effects evidence. Methods: We estimated the fraction of inhaled particles (0.5-20 μm aerodynamic diameter) penetrating beyond the larynx (based on experimental data) and ciliated airways (based on a mathematical model) for an adult male, adult female, and a 10 yr old child during typical daily activities and breathing patterns.
  • 2. Results: Our estimates show less penetration of coarse particulate matter into the thoracic and gas exchange regions of the respiratory tract than current size-selective criteria. Of the parameters we evaluated, particle penetration into the lower respiratory tract was most dependent on route of breathing. For typical activity levels and breathing habits, we estimated a 50% cut-size for the thoracic fraction at an aerodynamic diameter of around 3 μm in adults and 5 μm in children, whereas current ambient and occupational criteria suggest a 50% cut-size of 10 μm. Conclusions: By design, current size-selective sample criteria overestimate the mass of particles generally expected to penetrate into the lower respiratory tract to provide protection for individuals who may breathe orally. We provide estimates of thoracic and respirable fractions for a variety of breathing habits and activities that may benefit the design of experimental studies and interpretation of particle size- specific health effects. Keywords: Size-selective sampling, Fine and coarse particles Background It has long been recognized that the regional pattern of particle deposition in the respiratory tract affects the pathogenic potential of inhaled aerosols. For example, Morgan [1] concluded that respirable dusts likely caused pneumoconiosis and silicosis in coal miners, whereas a lar- ger size fraction caused bronchitis and obstructive changes in pulmonary function. Sampling the total air concentra- tion of particulate matter (PM) provides a crude estimate of exposure that may not correlate with observed health * Correspondence: [email protected] 1National Center for Environmental Assessment, U.S. Environmental Protection Agency, MD B243-01, Research Triangle Park, Raleigh, NC 27711, USA
  • 3. Full list of author information is available at the end of the article © 2013 Brown et al.; licensee BioMed Central Commons Attribution License (http://creativec reproduction in any medium, provided the or effects if the risk is associated only with those particles that may enter the thorax or penetrate beyond the ciliated air- ways. The concept of size-selective particle sampling has been employed as a means for effectively sampling the particle sizes associated with specific pathologic outcomes (e.g., the respirable fraction with parenchymal disease). If an environmentally or occupationally related particle is recognized to only affect the gas-exchange region of the lung, then a sampling strategy that only collects the respir- able fraction of airborne PM is preferable to sampling total suspended particulate (TSP) or the thoracic fraction. The human respiratory tract can be divided into three main regions based on size, structure, and function, namely, the head, tracheobronchial region (also known as Ltd. This is an Open Access article distributed under the terms of the Creative ommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and iginal work is properly cited. mailto:[email protected] http://creativecommons.org/licenses/by/2.0 Figure 1 Thoracic particulate mass fraction criteria (relative to total airborne particles) for size-selective sampling. Individual data points are observed human head penetration efficiency during oral inhalation for an inspiratory flow rate of 43.5 L/min, i.e.,
  • 4. light exercise [5-7]. As stated by ACGIH [3], the sampling criterion is offset to the right of experimental data to overestimate the amount of exposure to the lower respiratory tract, i.e., the lungs, and correspondingly to provide a greater level of protection for exposed workers. From ACGIHW, Particle Size-Selective Sampling in the Workplace, Report of the ACGIHW Technical Committee on Air Sampling Procedures. Copyright 1985. Reprinted with permission. Courtesy: Dr. Otto G. Raabe. Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 2 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 the conducting airways), and the gas-exchange region (also known as the parenchymal, alveolar, or pulmonary) region. Size-selective sampling is intended to help discern the amount of aerosol expected to be available for deposition in a region. Most sampling conventions have been defined in terms of particle penetration into respiratory regions ra- ther than the expected particle deposition or dose to re- gions. Specific definitions used herein, adopted from the European Committee for Standardization (CEN), are [2]: � Inhalable fraction – the mass fraction of total airborne particles which is inhaled through the nose and mouth. � Extrathoracic fraction – the mass fraction of inhaled particles failing to penetrate beyond the larynx. � Thoracic fraction – the mass fraction of inhaled
  • 5. particles penetrating beyond the larynx. � Respirable fraction – the mass fraction of inhaled particles penetrating to the unciliated airways.a The above definitions are stated in terms of a mass fraction. Relative to total airborne particles, the particle size having 50% penetration for the thoracic and respir- able fractions are 10 μm and 4.0 μm (all particle sizes are aerodynamic diameter unless expressed otherwise), respectively [2,3]. These criteria were specifically devel- oped for workplace atmospheres. Since particles must generally become deposited to exert biological effects, these conventions, based on regional exposure (i.e., par- ticles penetrating into a region of the respiratory tract), are conservative by design in that they overestimate the amount of inhaled material that becomes deposited and thereby available to induce an effect. In 1985, the American Conference of Governmental In- dustrial Hygienists (ACGIH) recommended particle size- selective sampling in setting threshold limit values for occu- pational exposures [4].b The ACGIH specifically considered a reference worker (weight, 70 kg; height, 175 cm) breath- ing orally while engaged in light activity (minute ventilation, 21.75 liters/min). Criteria were established for Inspirable (now Inhalable), Thoracic, and Respirable Particulate Mass that were intended to be protective against materials that were considered hazardous when deposited anywhere in the respiratory tract, anywhere within the lungs, and in the gas-exchange region, respectively. These criteria were based on exposure of a respiratory tract region (based on particle penetration into that region), not particle deposition in a re- spiratory tract region. The ACGIH committee recognized uncertainty related to individual biological variability in re- spiratory health status, breathing patterns (rate and route),
  • 6. and airways structure as well as differences in work rates, all of which can cause differences in inhaled aerosol depos- ition and dose. Facing these uncertainties, the committee afforded extra protection to exposed workers by over representing the true penetration of particles into regions of the respiratory tract as illustrated in Figure 1 [4]. Size-selective sampling has also been employed by the U. S. Environmental Protection Agency (EPA) in setting the national ambient air quality standards (NAAQS) for par- ticulate matter (PM). In 1987, the EPA changed the indica- tor for PM from TSP (effectively an aerodynamic cut-size varying from 25 to 40 μm, depending on wind speed and direction) to PM10 (particles with a nominal mean aero- dynamic diameter ≤ 10 μm) [8]. Consistent in concept with the ACGIH thoracic particle fraction, PM10 delineates a subset of inhalable particles (referred to as thoracic parti- cles) that are thought small enough to penetrate to the thoracic region (including the tracheobronchial and alveolar regions) of the respiratory tract.c In 1997, the EPA extended size-selective sampling to include fine particles indicated by PM2.5 (particles with a nominal mean aerodynamic Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 3 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 diameter ≤ 2.5 μm) and retained PM10 as the indicator for thoracic coarse particles [9]. The selection of PM2.5 by the EPA was mainly to delineate the atmospheric fine (combus- tion derived, aggregates, acid condensates, secondary aero- sols) and coarse (crustal, soil-derived dusts) PM modes and for consistency with community epidemiologic health stud- ies reporting various health effects associated with PM2.5. With consideration to the PM NAAQS, Miller et al. [10]
  • 7. also specifically recommended a particle size cut-point of ≤ 2.5 μm as an indicator for fine PM based on consideration of particle penetration into the gas-exchange region and the delineation of the fine and coarse particle modes. Most recently, the International Organization for Stan- dardization (ISO) has released recommendations for sam- pling conventions based on particle deposition (rather than exposure) in adult males and females engaged in ac- tivities of sitting, light exercise and heavy exercise as speci- fied in Table 1 [11]. The ISO estimates of deposition were determined using the International Commission on Radio- logical Protection (ICRP) human respiratory tract model [12]. These new ISO conventions [11] are not considered further herein as current sampling conventions for occu- pational and non-occupational settings remain dependent on the probability of particle penetration rather than de- position in specific regions of the respiratory tract. Conceptually, size-selective sampling better characterizes PM exposure to regions of the respiratory tract and thereby affords more appropriate avenues for protection of exposed populations than TSP. Such a simple concept is not, how- ever, without ambiguity in definitions and debate over ap- propriate sampling approaches. For example, the definition for the thoracic fraction specifies particles “penetrating Table 1 Ventilatory and activity patterns for adult males, adult females, and a ten year-old child Sleeping Sitting Light Heavy Exercise Exercise Adult Male VT (mL) 625 750 1250 1920 Sedentary worker f (min-1) 12 12 20 26
  • 8. t (hr) 8.5 5.5 9.75 0.25 Vdaily (L/day) 3825 2970 14625 749 Adult Female VT (mL) 444 464 992 1364 Sedentary worker f (min-1) 12 14 21 33 t (hr) 8.5 5.5 9.75 0.25 Vdaily (L/day) 2717 2144 12187 675 Child (10 yrs) VT (mL) 304 333 583 752 Male or Female f (min-1) 17 19 32 45 t (hr) 10 4.67 9.33 0 Vdaily (L/day) 3101 1772 10447 0 VT, tidal volume; f, breathing frequency; t, time spent engaged in specific activity; Vdaily, total volume inspired in 24 hr. Data are from ICRP [12] Tables B15 and B16A-B for breathing and activity patterns, respectively. beyond the larynx,” whereas the ACGIH thoracic conven- tion for sampling (Figure 1) clearly and intentionally overes- timates the fraction of large particles penetrating into the thoracic region to afford extra protection of occupationally exposed individuals. The purpose of this paper is to provide realistic estimates of thoracic and respirable particle frac- tions for adults and children that may be used in the design of experimental studies and interpretation of health effects evidence.
  • 9. The ICRP human respiratory tract model [12] was used to estimate particle penetration through the extrathoracic (ET) airways. The ICRP predictive equations for ET depos- ition are based on experimental measurements in humans. Although also based on human data, the ICRP model was not used to estimate penetration through the tracheobron- chial (TB) airways due to its reliance on measurements of particle clearance from the TB airways and the ability to target particle deposition into the ciliated airways. That is, much of the available regional deposition data for the TB and alveolar regions have been obtained from experiments with radioactively labeled, poorly soluble particles or by use of aerosol bolus techniques (see Sections D.9.2 and E.5.3 of Ref [12]). Aerosol bolus (40 ml volume of 3.5 μm particles) inhaled to a very shallow lung volume (70 ml, ~75% of phase I inert gas washout) by healthy adults (10 M, 6 F; 20-43 yrs of age) show preferential left lung deposition and 23% retention at 48 hrs [13]. This suggests slow TB airway clearance and/or some penetration into the alveolar region. Given the above, coupled with uncertainty related to slow TB clearance [e.g., 14,15], we utilized the publicly available multiple path particle dosimetry (MPPD; ver 2.1, © 2009) model to estimate penetration through the TB airways. Methods Once particles have entered the respiratory tract via the nose or mouth, the primary factors affecting particle pene- tration into the lower respiratory tract (i.e., beyond the lar- ynx) are airways size and structure, breathing pattern (flow and volume), route of breathing (nose vs. mouth), and in- haled particle size. With regard to particle size, we have considered particles whose deposition is governed by their inertial properties, i.e., ≥ 0.5 μm. Breathing patterns vary mainly by sex, age, and activity. Table 1 provides the breath- ing patterns, subject groups, and activity patterns from the
  • 10. ICRP [12] model that were used in our assessment. Based on our comparison of the ICRP model [12] to more recent data provided by Brochu et al. [16], the daily ventilation rates and activity patterns provided in Table 1 overestimate typical daily ventilation rates. Table 2 pro- vides daily ventilation rates (5th, 50th, and 95th percentiles) reported by Brochu et al. [16]. The daily ventilation rates from the ICRP [12] model’s recommended time budget roughly correspond to the highly active 95th percentile (see Table 1 vs. Table 2). To assess the effect of daily Table 2 Daily ventilation rates (Vdaily). a Vdaily (m 3/day) Very sedentary Median Highly active 5th percentile 50th percentile 95th percentile Male b 12.86 17.48 22.11 Female b 9.91 13.67 17.42 Children c 7.20 10.22 13.24 a Data are from Table 2 of Brochu et al. [16]; b values for age range of 23 to <30 years; c average of male and female values for age range of 7 to <11 years. Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 4 of 12
  • 11. http://www.particleandfibretoxicology.com/content/10/1/12 activity/ventilation rates on particle penetration into the respiratory tract, we reduced the estimated time (given in Table 1) that individuals spent engaged in light exercise and correspondingly increased their time sitting to match the daily ventilation rates in Table 2. To match the very sedentary 5th percentile of daily activity, it was necessary also to eliminate time spent by the adult female engaged in heavy exercise and to attribute all of the child’s activity to sleeping. Even when considering 100% of the child’s ac- tivity equivalent to sleeping, the ICRP [12] breathing pat- tern slightly overestimated (by 3%; 7.4 vs. 7.2 m3/day) the 5th percentile daily ventilation rates of Brochu et al. [16]. Route of breathing varies with inspiratory flows and gener- ally shifts from nasal to oronasal breathing at higher flows. The ICRP [12] model characterizes breathing habit based on Niinimaa et al. [17], who examined the route of breathing as a function of activity in healthy adults (14 males, 16 females). Eighty-seven percent of the subjects breathed through the nose at rest and switched to oronasal breathing with exer- cise. These subjects were referred to as “normal augmenters.” Thirteen percent breathed oronasally even at rest and were referred to as “mouth-breathers.” For both of these breath- ing habits (i.e., normal augmenters and mouth-breathers, we estimated the fraction of a breath passing through the oral and nasal pathways from regression equations for oral breathing in Figure 1 of the Niinimaa et al. study [17]. The ICRP [12] model utilizes this same general approach, but for each breathing habit and activity (i.e., sleeping, sitting, etc.), the same fraction of oral breathing was assumed applicable to all ages and both sexes. In considering breathing habit, we differed from the ICRP, in that we assumed the fraction of oral breathing to differ between adult males and females as a function of
  • 12. their minute ventilation rather than their activity level. However, children tend to have a greater fraction of oral breathing than adults at rest and during exercise [18,19]. Therefore, consistent with the ICRP, we assumed the frac- tion of the breath inhaled through the mouth (Fm) in the child engaged in some specific level of activity was equal to that of the adult male engaged in the same level of activity despite the dramatically lower ventilation rates of the child. We also considered recent breathing habit data not avail- able for inclusion in the ICRP model [12]. Bennett et al. [19,20] show a more gradual increase in oronasal breathing than did Niinimaa et al. [12]. In addition to the normal augmenter and mouth-breather breathing habits based on the Niinimaa et al. [17] study, we also considered the more gradual onset of oronasal breathing observed in adults and children by the Bennett et al. [19,20] studies, herein termed as “gradual augmenters.” The gradual augmenter breathing habit for children was estimated by linear regression of the observed minute ven- tilation and Fm at rest and at 40% maximum physical work capacity from data in Table two and Figure two of Bennett et al. [19] for 12 children (9 M, 3 F; 6-10 yrs of age). The gradual augmenter breathing habit for adult males and fe- males was estimated by linear regression of the observed minute ventilation and Fm at rest and at 60% maximum physical work capacity from data in Table two and Figure three of Bennett et al. [20] for 22 adults (11 M, 11 F; mean age, 22 yrs). In the adult females, the fitted Fm was zero for the activity of sitting and so was also set to zero for the activity of sleep. Table 3 provides the Fm for all breathing habits (normal augmenters, mouth-breathers, and gradual augmenters) used in our simulations. In a study of 37 subjects from 7-72 years of age, James et al. [21] reported that 2 subjects (5.4%) breathed orally only. With this finding in mind, we have also considered purely
  • 13. oral breathing in our estimates of particle penetration into regions of the lower respiratory tract. For air passing through the mouth, deposition of large particles by impaction occurs mainly at the larynx. From Eq D.30 of ICRP [12], laryngeal deposition efficiency, η(ET)larynx, is given by: η ETð Þlarynx ¼ 1− 1:1 � 10−4 d2a Qtotal SF3 � �0:6 Vt SFt 3 � �−0:2h i1:4 þ 1 � �−1 ð1Þ where: da is aerodynamic diameter (μm); Qtotal is total inspiratory flow rate (mL/s); VT is tidal volume (mL); and SFt is a scaling factor of 1.0 for adult males, 1.08 for adult females, and 1.26 for ten year-old children from Table fifteen of ICRP [12]. For nasal breathing, ET deposition efficiency due to impaction was calculated from Eq. D.32 and D.33 of ICRP [12]. The ET deposition efficiencies for the anter- ior, η(ET1)nose, and posterior, η(ET2)nose, nasal regions are given by: η ET1ð Þnose ¼ 0:5 1− 3 � 10−4 d2a Qnose SFt3 � � þ 1 � �−1n o
  • 14. ð2Þ η ET2ð Þnose ¼ 1− 5:5 � 10−5 d2a Qnose SFt3 � �1:17 þ 1 h i−1 ð3Þ where: Qnose is the inspiratory flow (mL/s) through the nose. The use of SFt in Equations 2 and 3 presumes that Table 3 Partitioning of breaths through the mouth and nose Sleeping Sitting Light Heavy Exercise Exercise Adult Male Normal Augmenter a 0, 1.00 d 0, 1.00 0, 1.00 0.52, 0.48 Mouth- breather a 0.29, 0.71 0.36, 0.64 0.59, 0.41 0.66, 0.34 Gradual Augmenter b 0.12, 0.88 0.13, 0.87 0.29, .071 0.54, 0.46
  • 15. Adult Female Normal Augmenter a 0, 1.00 0, 1.00 0, 1.00 0.50, 0.50 Mouth- breather a 0.12, 0.88 0.23, 0.77 0.57, 0.43 0.65, 0.35 Gradual Augmenter b 0, 1.00 0, 1.00 0.22, 0.78 0.59, 0.41 Child Normal Augmenter a 0, 1.00 0, 1.00 0, 1.00 0.51, 0.49 Mouth- breather a 0.29, 0.71 0.36, 0.64 0.59, 0.41 0.66, 0.34 Gradual Augmenter c 0.29, 0.71 0.31, 0.69 0.51, 0.49 0.77, 0.23 a From regression equations for oral breathing in Figure 1 of Niinimaa et al.
  • 16. [17]; b Data based on Table 2 and Figure 3 of Bennett et al. [20] for 22 individuals (11 M, 11 F; mean age, 22 yrs); c Data based on Table 2 and Figure 2 of Bennett et al. [19] for 12 children (9 M, 3 F; 6-10 yrs of age); d fraction inhaled through mouth, fraction inhaled through nose. Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 5 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 nasal deposition efficiency increases with decreasing body size and increasing nasal resistance. Two studies [19,22] suggest that the nasal deposition in children is less than that of adults. These two studies, not considered in the ICRP model [12], suggest that it may be inappropriate to apply a scaling factor for nasal deposition of children. Accordingly, we estimated the nasal deposition efficiency of the 10 yr old child for a SFt of both 1.0 (child-A) and 1.26 (child-B). Add- itionally, we estimated the upper and lower 95% confidence bounds for inter-individual variability attributable to differ- ences in deposition efficiency within the ET region predicted by Equations 1-3 as specified in paragraphs D44 and D68 of ICRP [12]. The deposition efficiencies along the ET pathways (i.e., nasal and oral) were assumed to be independent. As such, total ET deposition was taken to be the sum of deposition between the pathways weighted by the flow partitioning (see Paragraph 161 of ICRP [12]). The thoracic fraction, defined as particle penetration past the larynx, P(ET), is given by: P ETð Þ ¼ 1− Fm η ETð Þlarynx− 1−Fmð Þ � η ET1ð Þnose þ 1− η ET1ð Þnose
  • 17. � � η ET2ð Þnose � � ð4Þ We estimated inspiratory deposition efficiency in the TB region, ηTB, of particles (0.5-20 μm; 0.1 μm incre- ments) using the publicly available multiple path particle dosimetry (MPPD; ver 2.1, © 2009) model.d The model considers deposition by the mechanisms of impaction, sedimentation, and diffusion. The approach and formula used to calculate particle losses in the MPPD model are described by Anjilvel and Asgharian [23]. Physiological input parameters (namely, tidal volume [VT], breathing frequency [f], functional residual capacity [FRC], and upper respiratory tract volume [URT]), necessary for MPPD simulations are provided in Tables 1 and 4. FRC and URT for each group are from Table fifteen of ICRP [12]. The Yeh and Schum [24] typical path whole lung model was utilized and scaled for FRC and VT. The ef- fects of these physiologic parameters on deposition in humans free of respiratory disease are described by de Winter-Sorkina and Cassee [25]. The respiratory fraction, defined as particle penetra- tion through the ciliated airways of the TB region, P (TB), is given by: P TBð Þ ¼ ∫ Tinh 0 C1 dt ∫Tinh0 C0 dt ≅P ETð Þ 1−ηTBð Þ ð5Þ
  • 18. where: C0 and C1 are particle concentration passing the larynx and terminal bronchioles, respectively; and Tinh is the time of inhalation. Since conducting airway particle concentration is nearly constant during inhalation, respira- tory fraction can be expressed in terms of TB deposition efficiency as given above. An Additional file 1: Appendix to this paper provides estimates of P(TB) based on the ICRP [12] model rather than the MPPD model. After calculating P(ET) and P(TB) for all activities and individual groups, daily average estimates of P(ET)avg and P(TB)avg weighted by daily ventilation (see Tables 1 and 2) were calculated as a function of particle size. Ventilation-weighted averages of P(ET)avg for each par- ticle size were calculated as: P ETð Þavg ¼ Xn i¼1 P ETð Þi V daily−i � � = Xn i¼1 V daily−i ð6Þ where: P(ET)i is the ET fraction for activity, i; Vdaily-i is the daily volume inhaled while engaged in activity, i; and n is the number of activities. Ventilation-weighted averages of P(TB)avg were computed similarly to those of P(ET)avg. Finally, thoracic and respiratory particle fractions were also
  • 19. calculated after applying the ICRP [12] inhalability criterion assuming no ambient wind, 1−0.5 [1− (0.00076 da 2.8 + 1) −1]. The ICRP [12] criterion was utilized as it better represents the inhalation of particles <10 μm than the ACGIH and CEN [2,3] criterion. Results We estimated particle penetration fractions into the thorax and respiratory region of an adult male, adult female, and a 0.0 0.2 0.4 0.6 0.8 1.0 0 2 4 6 8 10 P (E T ) da (µm) Figure 2 Thoracic fraction, i.e., particle penetration through the
  • 20. extrathoracic region, P(ET), as a function of breathing route. Penetration data are with respect to particle diameter as a function of the fraction of air inhaled through the mouth (Fm) in an adult male engaged in light exercise relative to particles entering the respiratory tract. Curves are for the Fm of 0.00, 0.25, 0.50, 0.75, and 1.00 as indicated on the figure. Horizontal red line highlights 50% penetration. 0.0 0.2 0.4 0.6 0.8 1.0 0 2 4 6 8 10 P (T B ) Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 6 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 10 yr old child. In the results described below, data do not consider particle inhalability unless specifically stated. Inhalability was not considered since, as the results will
  • 21. show, it has a minimal affect on 50% cut-points for particle penetration into the lower airways for all breathing habits except the less probable condition of oral breathing. Route of breathing Of the factors we considered, route of breathing (or breath- ing habit) had the greatest effect on estimates of P(ET) and P(TB). Figure 2 and 3 illustrate P(ET) and P(TB) for an adult male engaged in light exercise as a function of Fm. In Figure 2, fifty percent P(ET) occurs at the da of 1.8 , 2.7, 4.4, 6.1, and 7.0 μm for the Fm of 0.00, 0.25, 0.50, 0.75, and 1.00, respectively. Note that the curve in Figure 2 for Fm=1 is for comparable conditions to those for which ACGIH [4] thoracic fraction was based, i.e. an orally breathing adult male engaged in light exercise. In Figure 3, fifty percent P (TB) occurs at the da of 1.7 , 2.5, 3.8, 5.1, and 5.7 μm for the Fm of 0.00, 0.25, 0.50, 0.75, and 1.00, respectively. As ventilation is shifted to the lower removal efficiency oral passages, there is an ever greater separation between the P (ET) and P(TB) curves. By contrast, for purely nasal breath- ing (Fm = 0, the case for normal augmenters during light exercise), due to the vast removal of particles in the nasal airways, there is nearly no difference between the P(ET) and P(TB) curves in Figures 2 and 3, respectively. Table 5 provides the 50% cut-points for particle penetra- tion into the thorax and respiratory region for all the breathing habits we evaluated. As may be expected based on Fm (see Table 3), the predicted particle penetration for the gradual augmenter breathing habit is enveloped be- tween that of the normal augmenter and mouth-breathers. Additionally, consistent with Figures 2 and 3, Table 5 shows that the largest 50% cut-points are observed during the case of oral breathing. Table 6 provides data on the penetration of 10 μm particles into the lower respiratory tract which is generally less than 20%, except for the case
  • 22. of oral breathing where penetration into the thorax can approach 40%. Age and sex Daily weighted penetrations curves for P(ET)avg and P(TB)avg are illustrated in Figures 4 and 5, respectively. For normal augmenters and oral breathing, 50% cut- points for P(ET)avg and P(TB)avg were generally similar Table 4 Functional residual volume (FRC) and upper respiratory tract volumes (URT) FRC (mL) URT (mL) Adult Male 3300 50 Adult Female 2680 40 Child (10 yrs) 1484 25 between adult males and females, but shifted to slightly (<0.2 μm) smaller particle sizes in the females (see Table 5). There was a larger (<0.8 μm) difference in 50% cut-points between males and females for the mouth-breather and gradual augmenter breathing habits which is attributable to greater nasal inhalation by females than males. The data for child-A are more consistent, than child-B, with experimental data [19,22] showing a lower nasal par- ticle removal efficiency in children than adults. For all breathing habits except oral breathing in Table 5, child-A shows larger 50% cut-points than adults. Additionally, in Table 6, the penetration of 10 μm particles into the thor- acic and respiratory regions of child-A is generally greater than or equal to that of adults for all breathing habits other da (µm) Figure 3 Respirable fraction, i.e., particle penetration through
  • 23. the tracheobronchial region, P(TB), as a function of breathing route. Penetration data are with respect to particle diameter as a function of the fraction of air inhaled through the mouth (Fm) in an adult male engaged in light exercise relative to particles entering the respiratory tract. Curves are for the Fm of 0.00, 0.25, 0.50, 0.75, and 1.00 as indicated on the figure. Horizontal red line highlights 50% penetration. Table 5 Particle penetration (50% cut-point) through respiratory tract regions relative to particles entering the respiratory tract Vdaily (%-tile) Normal Gradual Augmenter Mouth-breather Augmenter Oral only P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg Male 5% 2.94 a 2.74 5.15 4.32 3.60 3.25 9.00 6.67 95% CI (1.72–5.03) (1.65–4.34) (3.12–8.48) (2.84–6.10) (2.11– 6.11) (2.00–4.98) (5.86–13.8) (5.00–8.14) 50% 2.46 2.30 5.09 4.30 3.37 3.05 8.09 6.11 95% CI (1.44–4.20) (1.38–3.71) (3.14–8.26) (2.86–5.88) (1.99– 5.67) (1.88–4.65) (5.26–12.4) (4.58–7.34)
  • 24. 95% 2.14 2.03 5.08 4.31 3.19 2.90 7.61 5.89 95% CI (1.25–3.66) (1.20–3.32) (3.16–8.16) (2.89–5.83) (1.90– 5.33) (1.79–4.44) (4.95–11.7) (4.38–7.07) Female 5% 2.92 2.71 4.32 3.78 3.10 2.86 8.78 6.50 95% CI (1.71–5.01) (1.63–4.28) (2.57–7.22) (2.40–5.52) (1.81– 5.30) (1.73–4.48) (5.71–13.5) (4.88–7.91) 50% 2.42 2.27 4.46 3.87 2.91 2.68 7.88 5.96 95% CI (1.41–4.13) (1.36–3.64) (2.72–7.32) (2.51–5.45) (1.71– 4.94) (1.63–4.19) (5.13–12.1) (4.47–7.17) 95% 2.10 1.99 4.58 3.96 2.74 2.54 7.44 5.77 95% CI (1.23–3.60) (1.18–3.26) (2.82–7.42) (2.60–5.49) (1.61– 4.64) (1.53–4.00) (4.84–11.4) (4.29–6.94) Child-B b 5% 2.77 2.61 4.31 3.78 4.30 3.78 8.34 6.46 95% CI (1.62–4.75) (1.56–4.18) (2.58–7.19) (2.40–5.57) (2.57– 7.17) (2.40–5.56) (5.42–12.8) (4.74–8.04) 50% 2.25 2.13 4.37 3.81 4.07 3.59 7.50 5.81 95% CI (1.31–3.85) (1.27–3.48) (2.67–7.15) (2.47–5.35) (2.46– 6.71) (2.29–5.15) (4.88–11.5) (4.32–7.08) 95% 1.89 1.81 4.34 3.76 3.98 3.49 6.91 5.33
  • 25. 95% CI (1.11–3.24) (1.07–2.98) (2.69–7.03) (2.48–5.11) (2.45– 6.47) (2.27–4.88) (4.49–10.6) (4.01–6.36) Child-A c 5% 3.92 3.56 5.60 4.72 5.59 4.72 8.34 6.46 95% CI (2.29–6.72) (2.18–5.44) (3.38–9.28) (3.09–6.63) (3.37– 9.27) (3.09–6.62) (5.42–12.8) (4.74–8.04) 50% 3.18 2.94 5.37 4.53 5.12 4.36 7.50 5.81 95% CI (1.86–5.45) (1.77–4.58) (3.29–8.77) (3.03–6.10) (3.11– 8.40) (2.88–5.95) (4.88–11.5) (4.32–7.08) 95% 2.68 2.50 5.16 4.34 4.85 4.14 6.91 5.33 95% CI (1.56–4.58) (1.50–3.97) (3.19–8.34) (2.94–5.66) (2.98– 7.90) (2.76–5.51) (4.49–10.6) (4.01–6.36) P(ET)avg, extrathoracic particle penetration which is the thoracic particle fraction averaged across all activity levels weighted by daily ventilation; P(TB)avg, tracheobronchial particle penetration which is the respirable particle fraction averaged across all activity levels weighted by daily ventilation; 95% CI, ninety-five percent confidence intervals for inter-individual variability attributable to differences in particle penetration through the extrathoracic region; a Aerodynamic particle diameter in μm; b Scaling factor in Equations 2 and 3 equal to 1.26; c Scaling factor in Equations 2 and 3 equal to 1.0. Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 7 of 12 http://www.particleandfibretoxicology.com/content/10/1/12
  • 26. than oral. For oral breathing, the penetration of 10 μm par- ticles is lower in child-A than adults. Activity level Impaction in the nasal airways, larynx, and large bronchi in- creases in conjunction with activity and increasing inspira- tory flows across the range of da. Therefore, decreasing 50% cut-points for both P(ET)avg and P(TB)avg are observed with increasing activity. In general, the penetration of 10 μm par- ticles into the thoracic and respiratory regions also showed a small reduction with increasing daily activity level (see Table 6). However, the small reductions in particle penetration pale in comparison to the large increases in ventilation and intake of particles that occur with increasing activity level. Inhalability adjustment The thoracic and respirable fraction data in Table 5 were relative to particles entering the respiratory tract. For com- parison, Table 7 provides da associated with 50% penetra- tion into the thorax and respiration regions after applying inhalability criterion. Adjusting for inhalability shifts pene- tration curves to smaller particle sizes, and this effect is most evident where there is a low activity level and a Table 6 Penetration of 10 μm (da) through respiratory tract regions relative to particles entering the respiratory tract Vdaily (%-tile) Normal Gradual Augmentera Mouth-breathera Augmentera Oral onlya
  • 27. P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg Male 5% 0.05b 0.03 0.21 0.10 0.11 0.05 0.43 0.21 50% 0.04 0.02 0.19 0.08 0.11 0.04 0.36 0.15 95% 0.03 0.01 0.19 0.06 0.10 0.03 0.32 0.12 Female 5% 0.06 0.03 0.15 0.07 0.06 0.03 0.41 0.20 50% 0.04 0.02 0.15 0.06 0.07 0.02 0.35 0.14 95% 0.03 0.01 0.16 0.05 0.07 0.02 0.31 0.11 Child-B c 5% 0.05 0.02 0.16 0.08 0.16 0.08 0.38 0.18 50% 0.03 0.01 0.15 0.06 0.14 0.06 0.31 0.13 95% 0.02 0.01 0.14 0.04 0.13 0.04 0.27 0.09 Child-A d 5% 0.10 0.05 0.21 0.10 0.21 0.10 0.38 0.18 50% 0.07 0.04 0.19 0.09 0.18 0.07 0.31 0.13 95% 0.05 0.02 0.17 0.05 0.16 0.05 0.27 0.09 P(ET), extrathoracic penetration for 10 μm particles; P(TB),
  • 28. tracheobronchial penetration for 10 μm particles; aData are daily averages, all activity levels weighted by daily ventilation; bFraction penetration; cScaling factor in Equations 2 and 3 equal to 1.26; dScaling factor in Equations 2 and 3 equal to 1.0. Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 8 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 substantial contribution of oral breathing. Table 6 provides data on the penetration of 10 μm particles into the lower respiratory tract. Those penetration data may be adjusted for inhalability by multiplying by 0.84, the inhalability of 10 μm particles. Discussion We calculated thoracic and respirable particle fractions for an adult male, adult female, and ten year-old child 0.0 0.2 0.4 0.6 0.8 1.0 0 2 4 6 8 10 P (E T
  • 29. ) a v g da (µm) 10 yr-old Child-A 10 yr-old Child-B Adult Male Adult Female Figure 4 Thoracic fraction, i.e., particle penetration through the extrathoracic region, P(ET)avg, in adults and a 10 yr-old child. Data are daily averaged values for a median activity level, gradual augmenter breathing habit, and uncorrected for particle inhalability. Child-A and child-B are for a scaling factor of 1.0 and 1.26 in Equations 2 and 3, respectively. Horizontal red line highlights 50% penetration which occurs at 3.1 μm (adult female), 3.4 μm (adult male), 4.1 μm (child-B), and 5.1 μm (child-A). engaged in typical daily activities ranging from sleep to heavy exercise. Our estimates are intended to represent full-day ambient and/or non-ambient exposures while individuals are engaged in a variety of activities. This dif- fers from the ACGIH and CEN criteria which are intended to represent a workplace setting [2,4]. Similarly, considering the need to provide protection for sensitive in- dividuals who may breathe by mouth and/or oronasally, the EPA [8] selected the nominal cut-point of 10 μm as an
  • 30. 0.0 0.2 0.4 0.6 0.8 1.0 0 2 4 6 8 10 P (T B ) a v g da (µm) 10 yr-old Child-A 10 yr-old Child-B Adult Male Adult Female Figure 5 Respirable fraction, i.e., particle penetration through the tracheobronchial region, P(TB)avg, in adults and a 10 yr-old child. Data are daily averaged values for a median activity level,
  • 31. gradual augmenter breathing habit, and uncorrected for particle inhalability. Child-A and child-B are for a scaling factor of 1.0 and 1.26 in Equations 2 and 3, respectively. Horizontal red line highlights 50% penetration which occurs at 2.7 μm (adult female), 3.1 μm (adult male), 3.6 μm (child-B), and 4.4 μm (child-A). Table 7 Inhalability adjusted particle penetration (50% cut- point) through respiratory tract regions Vdaily (%-tile) Normal Gradual Augmenter Mouth-breather Augmenter Oral only P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg P(ET)avg P(TB)avg Male 5% 2.92 a 2.72 4.97 4.24 3.55 3.22 8.24 6.38 95% CI (1.71–4.90) (1.64–4.26) (3.09–7.66) (2.81–5.85) (2.11– 5.82) (2.00–4.85) (5.66–11.4) (4.89–7.59) 50% 2.44 2.30 4.93 4.21 3.33 3.02 7.52 5.90 95% CI (1.43–4.12) (1.37–3.67) (3.11–7.51) (2.84–5.67) (1.99– 5.43) (1.87–4.54) (5.12–10.5) (4.50–6.98) 95% 2.14 2.02 4.92 4.22 3.15 2.88 7.14 5.71
  • 32. 95% CI (1.25–3.62) (1.20–3.29) (3.13–7.44) (2.87–5.64) (1.89– 5.15) (1.78–4.36) (4.84–10.1) (4.32–6.77) Female 5% 2.90 2.70 4.22 3.72 3.08 2.85 8.06 6.23 95% CI (1.70–4.87) (1.63–4.20) (2.56–6.73) (2.38–5.34) (1.81– 5.13) (1.73–4.40) (5.53–11.2) (4.78–7.41) 50% 2.41 2.26 4.36 3.81 2.89 2.67 7.35 5.77 95% CI (1.41–4.06) (1.35–3.60) (2.70–6.80) (2.50–5.29) (1.71– 4.79) (1.63–4.12) (5.00–10.3) (4.39–6.83) 95% 2.10 1.99 4.46 3.89 2.72 2.52 7.00 5.60 95% CI (1.23–3.55) (1.18–3.23) (2.80–6.87) (2.58–5.33) (1.61– 4.42) (1.53–3.93) (4.74–9.91) (4.22–6.66) Child-B b 5% 2.76 2.60 4.22 3.73 4.21 3.72 7.73 6.20 95% CI (1.62–4.64) (1.56–4.11) (2.56–6.69) (2.39–5.38) (2.56– 6.68) (2.39–5.37) (5.28–10.8) (4.65–7.52) 50% 2.24 2.13 4.27 3.75 3.99 3.54 7.05 5.63 95% CI (1.31–3.79) (1.27–3.44) (2.65–6.66) (2.46–5.20) (2.45– 6.30) (2.28–5.01) (4.77–9.98) (4.25–6.74) 95% 1.89 1.80 4.25 3.71 3.91 3.45 6.56 5.21 95% CI (1.10–3.21) (1.07–2.96) (2.67–6.56) (2.47–4.99) (2.42–
  • 33. 6.12) (2.25–4.78) (4.42–9.37) (3.96–6.15) Child-A c 5% 3.87 3.52 5.40 4.62 5.39 4.61 7.73 6.20 95% CI (2.28–6.36) (2.17–5.27) (3.34–8.32) (3.07–6.32) (3.34– 8.31) (3.06–6.31) (5.28–10.8) (4.65–7.52) 50% 3.15 2.92 5.20 4.44 4.96 4.28 7.05 5.63 95% CI (1.85–5.29) (1.77–4.49) (3.26–7.96) (3.00–5.88) (3.09– 7.66) (2.86–5.75) (4.77–9.98) (4.25–6.74) 95% 2.66 2.49 5.00 4.26 4.73 4.07 6.56 5.21 95% CI (1.56–4.47) (1.50–3.91) (3.16–7.64) (2.92–5.51) (2.96– 7.29) (2.74–5.39) (4.42–9.37) (3.96–6.15) P(ET)avg, extrathoracic particle penetration which is the thoracic particle fraction averaged across all activity levels weighted by daily ventilation; P(TB)avg, tracheobronchial particle penetration which is the respirable particle fraction averaged across all activity levels weighted by daily ventilation; 95% CI, ninety-five percent confidence intervals for inter-individual variability attributable to differences in particle penetration through the extrathoracic region; a Aerodynamic particle diameter in μm; b Scaling factor in Equations 2 and 3 equal to 1.26; c Scaling factor in Equations 2 and 3 equal to 1.0. Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 9 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 indicator of the thoracic fraction consistent with ISO [26,27] recommendations for occupational or non-
  • 34. occupational environments. Our estimates show less pene- tration of coarse particulate matter into the thoracic and gas exchange regions of the respiratory tract than current criteria. For typical breathing habits (i.e., not oral breath- ing), we would predict less than 20% penetration of 10 μm particles into the thorax, whereas a 50% penetration of 10 μm is currently used in both occupational and non- occupational criteria [2,4,8,9]. Recognizing that there are differences in the sources and chemical composition be- tween ambient fine (nominal mean da ≤ 2.5 μm) and larger coarse PM, our finding may, in part, explain why causal relationships are observed between morbidity and mortality with short and long-term exposure to fine PM but not lar- ger coarse PM (see Chapter 2 in Ref [28]). There are two primary reasons for the dramatic differ- ence between our estimates and the current criteria. First, the ACGIH [4] criteria considered all inspired air to enter via the oral airway which increases the penetration through the ET airways. With the exception of a labora- tory setting, however, few individuals breathe exclusively through the mouth. This would make the breathing habits other than oral breathing preferable for the purposes of estimating actual exposures. Second, the ACGIH criteria are intentionally conservative (Figure 1) as the committee Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 10 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 chose to afford extra protection by over representing the true penetration of particles into the lower respiratory tract. In Figure 2, we predicted a 50% cut-point of 7.0 μm for the conditions considered by the ACGIH, namely, an orally breathing adult male engaged in light exercise. Add-
  • 35. itionally, our predicted upper bound 95th percentile for 50% cut-points during oral breathing corrected for inhalability in Table 7 are ~10 μm. Thus, selection of 10 μm as having 50% penetration into the thorax was consist- ent with over representing the true penetration of particles into the lower respiratory tract of most individuals. Route of breathing has a dramatic affect on particle deliv- ery to the thoracic and respiratory regions since the depos- ition efficiency of the nasal passages greatly exceeds that of the oral pathway. Most subjects in the Niinimaa et al. [17] study, 87% (26 of 30), breathed through their nose until an activity level was reached when they switched to oronasal breathing. Thirteen percent (4 of 30) of the subjects, how- ever, were oronasal breathers even at rest. These two sub- ject groups are commonly referred to in the literature (e.g., see [12]) as “normal augmenters” and “mouth-breathers,” respectively. Becquemin et al. [18] and Bennett et al. [19] showed that children tend to have a greater fraction of oral breathing than adults at rest and during exercise. Route of breathing may also vary between races; Bennett et al. [20] found that African-Americans and females had a greater nasal contribution to breathing during exercise than Cauca- sians and males. The abrupt change in route of breathing occurring in normal augmenters has not been observed by others. The gradual augmenter breathing habit based on Bennett et al. [19,20] may be preferable to the normal aug- menter in representing the general population. Chadha et al. [29] found that the majority (11 of 12) of patients with asthma or allergic rhinitis also breathe oronasally at rest. In healthy individuals, a small fraction (around 5%) may breathe solely through the mouth [21]. Our estimates for gradual augmenters provide particle penetration fractions most typical of healthy populations. Our estimates for mouth-breathers may be more appropriate for patients with mild upper respiratory disease.
  • 36. The ICRP model [12] appears to underestimate the penetration of particles through the ET airways of children. A SFt is applied in Equations 1-3 with the presumption that oral and nasal particle deposition increase with de- creasing body size and increasing flow resistance. For oral breathing on a mouthpiece, Bennett et al. [30] showed greater ET deposition in children than adults. This finding suggests that the application of a SFt of 1.26 in Eq 1 is appropriate for laryngeal deposition. However, for nasal breathing, Becquemin et al. [22] and Bennett et al. [19] showed less nasal deposition in children than in adults. These two studies, not considered in the ICRP model [12], suggest that it may be inappropriate to apply a SFt in Equations 2 and 3 for nasal deposition in children. Lower nasal deposition of particles in children than adults means greater penetration of particles into the lower respiratory tract of children than adults. Accordingly, we conducted simulations for the child with the SFt in Equations 2 and 3 set equal to 1.0 in addition to the SFt of 1.26 recommended by ICRP [12]. The estimated nasal ET deposition efficiency of 2 μm particles in the normal aug- menter child during light exercise decreased from 68% to 48% when the SFt was decreased from 1.26 to 1.0. For comparison, under the same level of activity, the estimated ET deposition efficiency was 57-58% in the adult male and female. Decreasing the nasal deposition efficiency of the child relative to the ICRP model [12] increased the particle size estimated to have 50% penetration into the thoracic and respiratory regions (see Tables 5, 6, 7 and Figures 4 and 5). These estimates of larger 50% cut points for child- A than adults appear consistent with studies in children that were not incorporated into the ICRP model [12]. With the exception of Table 7, the thoracic and respir-
  • 37. able fractions that we present are the amount of particles entering a specified respiratory tract region relative to the amount of particles entering the respiratory tract. In effect, we assumed 100% inhalability across the range of particle sizes (0.5-20 μm) examined. We have opted on this con- vention since the inhalable fraction depends on factors not considered here such as wind speed and direction relative to the exposed individual. For recent reviews of the litera- ture on particle inhalability, the reader is referred to Brown [31] and Millage et al. [32]. Adjusting our data for inhalability, shifts penetration curves to smaller particle sizes, but mainly only where there is a substantial contri- bution of oral breathing (see Table 7 vs. Table 5). Conclusion Our analyses show that occupation and non-occupational criteria for thoracic and respirable fractions overestimate the size of particles entering these regions. As already noted, penetration fractions for workplace criteria were chosen to afford extra protection by over-representing the true penetration of particles into regions of the respiratory tract [4]. However, accepted definitions for thoracic and respirable fractions speak specifically to particles that pene- trate into these regions. As such, current occupational and non-occupational criteria may misinform practitioners with regard to the actual size of particles expected to reach regions of the respiratory tract during typical behavior. For instance, the current criteria suggest that 10 μm particles (50%) penetrate into the thorax, thus, leaving the expect- ation that observed health effects may be modulated by their deposition in either the upper or lower airways. How- ever, we predict that about 20% or less of these 10 μm par- ticles would penetrate through the ET airways and into the lower respiratory tract. Our modifications to the ICRP model [12] related to breathing habit and nasal deposition
  • 38. Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 11 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 in children reflect more recent data and provide consistent estimates of greater particle penetration into the thoracic and respiratory regions of children than adults. With those modifications, for median activities, we predict 50% cut- points for P(ET)avg at ~3 μm in adults and ~5 μm in chil- dren. The predicted 50% cut-points for P(TB)avg are slightly less than 3 μm in adults and slight greater than 4 μm in children. Our estimates of particle penetration into the thoracic and respiratory regions of the respiratory tract should be useful in the design of experimental studies and interpretation of PM health effects evidence. Endnotes aMore typically, the literature has defined this term in re- lation to the fraction of particles entering the gas-exchange region or the fraction penetrating through the tracheobron- chial region, the ciliated airways, or conducting airways. bFor completeness, other groups such as the British Medical Research Council offered size-selective sampling recommendations prior to the ACGIH. For a historical perspective, the reader is referred to Lippmann [33]. cFor accuracy it should be recognized that the sampler collection efficiency curves for EPA’s PM10 and ACGIH’s thoracic fraction are different. The criteria are similar for particles smaller than the 50% cut-point at 10 μm. How- ever, the curves diverge at about 12 μm, with a dramatic drop in collection efficiency (dictated by policy consider- ations) for EPA’s PM10, and a more gradual decrease in
  • 39. collection efficiency for the ACGIH criterion. dThe MPPD model typically outputs estimates of regional deposition for the entire respiratory cycle. For the purposes of this project, the software output was modified by the de- velopers to provide inspiratory deposition fractions for par- ticles in the ET and TB regions. Designating the ET and TB regions as separate compartments, the deposition efficiency in the TB region (ηTB) during inhalation was calculated from the MPPD output as DFTB / (1-DFET), where DFTB and DFET are the deposition fractions of particles in the TB and ET region during inhalation, respectively. For more in- formation about this model, the reader is referred to: http:// www.ara.com/products/mppd_capabilities.htm. Additional file Additional file 1: Comparison of respiratory particle fractions predicted by the MPPD and ICRP [12] models. In general, the ICRP [12] model predicts less particle penetration into the respiratory region than the MPPD model. Abbreviations ACGIH: American Conference of Governmental Industrial Hygienists; CEN: European Committee for Standardization; da: Aerodynamic diameter; DFTB: Particle deposition fraction in the TB region during inhalation; DFET: Particle deposition fractions in the ET region during inhalation; EPA: U. S. Environmental Protection Agency; ET: Extrathoracic; f: Breathing frequency; Fm: Fraction of breath passing through the mouth; FRC:
  • 40. Functional residual capacity; ICRP: International Commission on Radiological ProtectionISO International Organization for Standardization; MPPD: Multiple path particle dosimetry; NAAQS: National ambient air quality standard; ηTB: Particle deposition efficiency in the tracheobronchial region; η(ET)larynx: Extrathoracic particle deposition efficiency in the larynx; η(ET1)nose: Extrathoracic particle deposition efficiency in anterior nasal region; η(ET2)nose: Extrathoracic particle deposition efficiency in posterior nasal region; P(ET): Particle penetration past the larynx and the thoracic fraction; P(TB): Particle penetration through the ciliated airways and the respirable fraction; PM: Particulate matter; PM2.5: Particles with a nominal mean aerodynamic diameter ≤ 2.5 μm; PM10: Indicator for thoracic coarse particles; Qnose: Inspiratory flow through the nose; Qtotal: Total inspiratory flow rate; SFt: Scaling factor, ratio of trachea diameter in adult reference male to that of subject; t: Time spent engaged in specific activity; TB: Tracheobronchial; TSP: Total suspended particulate; URT: Upper respiratory tract volume; Vdaily: Total volume inspired in 24 hours; VT: Tidal volume. Competing interests The authors have no competing interest.
  • 41. Authors’ contributions JB conceived the project, coordinated and drafted the manuscript. TG contributed to defining the project’s scope and drafting the manuscript. OP modified software for the purposes of this project to provide inspiratory deposition fractions for particles and participated in the interpretation of data. BA contributed to the methodology, participated in software development and drafting of the manuscript. All authors read and approved the final manuscript. Acknowledgments The authors thank Drs. Beverly Cohen (NYU), Martin Harper (NIOSH), Mort Lippmann (NYU), and Lindsay Wichers Stanek (U.S. EPA) for their helpful comments. TG was funded, in part, by a faculty appointment with the U.S. EPA through a program administered by Oak Ridge Institute for Science and Education (EPA-ORD/NCEA-RTP-2009-02). This document has been reviewed in accordance with U.S. Environmental Protection Agency policy and approved for publication. Mention of trade names or commercial products does not constitute endorsement or recommendation for use. The views expressed in this article are those of the authors and do not necessarily reflect the views or policies of the U.S. Environmental Protection Agency.
  • 42. Author details 1National Center for Environmental Assessment, U.S. Environmental Protection Agency, MD B243-01, Research Triangle Park, Raleigh, NC 27711, USA. 2NYU School of Medicine, 57 Old Forge Road, Tuxedo, NY 10987, USA. 3Applied Research Associates, Inc, 801 N. Quincy St., Suite 700, Arlington, VA 22203, USA. 4Applied Research Associates, Inc, 8537 Six Forks Road., Suite 600, Raleigh, NC 27615, USA. Received: 4 May 2012 Accepted: 3 February 2013 Published: 10 April 2013 References 1. Morgan WK: Industrial bronchitis. Br J Ind Med 1978, 35(4):285–291. 2. European Committee for Standardization (CEN): Workplace atmospheres-size fraction definitions for measurement of airborne particles (Report No. BS EN 481:1993). London, England: CEN, British Standards Institute; 1993. ISBN 0-580-221407. 3. American Conference of Governmental Industrial Hygienis (ACGIH): TLVs and BEIs: Based on the documentation of the threshold limit values for chemical substances and physical agents and biological exposure indices. Cincinnati, OH: ACGIH; 2005.
  • 43. 4. American Conference of Governmental Industrial Hygienis (ACGIH): Particle size- selective sampling in the workplace. Report of the ACGIH Technical Committee on Air Sampling Procedures. Cincinnati, OH: ACGIH; 1985. ISBN 0-936712-57-0. 5. Lippmann M: Regional deposition of particles in the human respiratory tract. In Handbook of Physiology – Reactions to Environmental Agents. Edited by Lee DHK, Falk HL, Murphy SD, Geiger SR, Bethesda MD. American Physiological Society; 1977:213–232. http://www.ara.com/products/mppd_capabilities.htm http://www.ara.com/products/mppd_capabilities.htm http://www.biomedcentral.com/content/supplementary/1743- 8977-10-12-S1.pdf Brown et al. Particle and Fibre Toxicology 2013, 10:12 Page 12 of 12 http://www.particleandfibretoxicology.com/content/10/1/12 6. Stahlhofen W, Gebhart J, Heyder J: Experimental determination of the regional deposition of aerosol particles in the human respiratory tract. Am Ind Hyg Assoc J 1980, 41:385–398. 7. Chan TL, Lippmann M: Experimental measurements and empirical modelling of the regional deposition of inhaled particles in humans. Am Ind Hyg Assoc J 1980, 41:399–409.
  • 44. 8. U.S. Environmental Protection Agency (U.S. EPA): Revisions to the national ambient air quality standards for particulate matter. Fed Regist 1987, 52(July 1):24634–24669. 9. U.S. Environmental Protection Agency (U.S. EPA): National ambient air quality standards for particulate matter; final rule. Fed Regist 1997, 62(July 18):38652–38752. 10. Miller FJ, Gardner JA, Graham JA, Lee RE, Willson WE, Bachmann JD: Size considerations for establishing a standard for inhalable particles. J Air Pollut Control Assoc 1979, 29:610–615. 11. International Organization for Standardization (ISO): Air quality – Sampling conventions for airborne particle deposition in the human respiratory system. Geneva, Switzerland: ISO 13138, First edition; 2012. 12. International Commission on Radiological Protection (ICRP): Human respiratory tract model for radiological protection: a report of a task group of the International Commission on Radiological Protection. Ann ICRP 1994, 24(1-3):1–482. 13. Bennett WD, Scheuch G, Zeman KL, Brown JS, Kim C, Heyder J, Stahlhofen W: Bronchial airway deposition and retention of particles in
  • 45. inhaled boluses: effect of anatomic dead space. J Appl Physiol 1998, 85:685–694. 14. Smith JR, Bailey MR, Etherington G, Shutt AL, Youngman MJ: Effect of particle size on slow particle clearance from the bronchial tree. Exp Lung Res 2008, 34:287–312. 15. Svartengren M, Falk R, Philipson K: Long-term clearance from small airways decreases with age. Eur Respir J 2005, 26:609–615. 16. Brochu P, Ducré-Robitaille JF, Brodeur J: Physiological Daily Inhalation Rates for Free-Living Individuals Aged 1 Month to 96 Years, Using Data from Doubly Labeled Water Measurements: A Proposal for Air Quality Criteria, Standard Calculations and Health Risk Assessment. Hum Ecol Risk Assess 2006, 12(4):675–701. 17. Niinimaa V, Cole P, Mintz S, Shephard RJ: Oronasal distribution of respiratory airflow. Respir Physiol 1981, 43(1):69–75. 18. Becquemin MM, Bertholon JF, Bouchikhi A, Malarbet JL, Roy M: Oronasal Ventilation Partitioning in Adults and Children: Effect on Aerosol Deposition in Airways. Radiat Prot Dosimetry 1999, 81:221– 228. 19. Bennett WD, Zeman KL, Jarabek AM: Nasal contribution to
  • 46. breathing and fine particle deposition in children versus adults. J Toxicol Environ Health A Curr Iss 2008, 71:227–237. 20. Bennett W, Zeman K, Jarabek A: Nasal contribution to breathing with exercise: effect of race and gender. J Appl Physiol 2003, 95:497–503. 21. James DS, Lambert WE, Mermier CM, Stidley CA, Chick TW, Samet JM: Oronasal distribution of ventilation at different ages. Arch Environ Health 1997, 52(2):118–123. 22. Becquemin MH, Swift DL, Bouchikhi A, Roy M, Teillac A: Particle deposition and resistance in the noses of adults and children. Eur Respir J 1991, 4:694–702. 23. Anjilvel S, Asgharian B: A multiple-path model of particle deposition in the rat lung. Fundam Appl Toxicol 1995, 28:41–50. 24. Yeh HC, Schum GM: Models of human lung airways and their application to inhaled particle deposition. Bull Math Biol 1980, 42:461– 480. 25. De Winter-Sorkina R, Cassee FR: From concentration to dose: Factors influencing airborne particulate matter deposition in humans and rats. Bilthoven, The Netherlands: National Institute of Public Health
  • 47. and the Environment RIVM, report 650010031/2002; 2002. Available: http://www. rivm.nl/bibliotheek/rapporten/650010031.html (accessed 7 Jan 2011). 26. International Organization for Standardization (ISO): Size definitions for particle sampling: recommendations of ad hoc working group appointed by Committee TC 146 of the International Standards Organization. Am Ind Hyg Assoc J 1981, 42(5):A64–A68. 27. International Organization for Standardization (ISO): Air quality – Particle size fraction definitions for health related sampling. Geneva, Switzerland: Technical Report ISO/TR; 1983:7708–1983. 28. U.S. Environmental Protection Agency (U.S. EPA): Integrated Science Assessment for Particulate Matter. Research Triangle Park, NC: National Center for Environmental Assessment, Office of Research and Development, U.S. EPA; 2009. EPA/600/R-08/139F. 29. Chadha TS, Birch S, Sacker MA: Oronasal distribution of ventilation during exercise in normal subjects and patients with asthma and rhinitis. Chest 1987, 92(6):1037–1041. 30. Bennett WD, Zeman KL, Kang CW, Schechter MS: Extrathoracic deposition of inhaled, coarse particles (4.5 μm) in children vs. adults. In Inhaled particles VIII: proceedings of an international symposium on
  • 48. inhaled particles organized by the British Occupational Hygiene Society; August 1996, Ann Occup Hyg. Edited by Cherry N, Ogden T. Cambridge, UK: 1997:497–502. 41(suppl. 1). 31. Brown JS: Particle inhalability at low wind speeds. Inhal Toxicol 2005, 17(14):831–837. 32. Millage KK, Bergman J, Asgharian B, McClellan G: A review of inhalability fraction models: discussion and recommendations. Inhal Toxicol 2010, 22(2):151–159. 33. Lippmann M: Size-selective health hazard sampling. In Air Sampling Instruments for evaluation of atmospheric contaminants, 9th ed. Edited by Choen BS, McCammon CS Jr. Cincinnati, OH: ACGIH Worldwide; 2001. ISBN 1-882417-39-9. doi:10.1186/1743-8977-10-12 Cite this article as: Brown et al.: Thoracic and respirable particle definitions for human health risk assessment. Particle and Fibre Toxicology 2013 10:12. Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission
  • 49. • Thorough peer review • No space constraints or color figure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit http://www.rivm.nl/bibliotheek/rapporten/650010031.html http://www.rivm.nl/bibliotheek/rapporten/650010031.htmlAbstr actBackgroundMethodsResultsConclusionsBackgroundMethods ResultsRoute of breathingAge and sexActivity levelInhalability adjustmentDiscussionConclusionEndnotesAdditional fileAbbreviationsCompeting interestsAuthors’ contributionsAcknowledgmentsAuthor detailsReferencesUntitled Generation and Behavior of Airborne Particles (Aerosols) Paul Baron Division of Applied Technology National Institute for Occupational Safety and Health Centers for Disease Control and Prevention
  • 50. Overview I. Particle size range II. Inhalation & lung deposition III. Particle behavior – Settling, impaction, electrostatic effects IV. Particle generation – Energy input, size, charge, humidity Scenarios • Letter release • Carpet release VI. Particle collection and measurement What is an AEROSOL? • Simply defined- tiny particles or droplets suspended in air. • The haze in the picture on the right is caused by light scattering from numerous water/oil droplets and mineral particles released into the air from the drilling of rock.
  • 51. Are Aerosols dangerous? • The air we breathe always contains solid particles or droplets and is therefore an aerosol. • These aerosol particles can be from natural sources or man-made sources • Sometimes the particles are of type that, at sufficient concentration, are toxic to our body. • The organ in our body most sensitive to particle exposure is the respiratory system Toxic Aerosols!? Our respiratory system is efficient at removing aerosols, but if they fall within particular size ranges, are highly concentrated, or toxic, they may cause adverse health effects. They may also deposit on skin or eyes, generally only causing irritation, though more toxic effects may occur. Very small particles may pass through the skin and enter the body that way. Soluble particles may dissolve and pass through the skin. Read on for more details on aerosol generation and behavior Overall Scenario:
  • 52. Evaluation of Exposure in Workplaces Aerosol Transport Based on Air Flow Aerosol Sampling/ Measurement Aerosol Inhalation Aerosol Generation from, e.g., Grinding Aerosol Losses to Surfaces Secondary Sources (Resuspension) Loss Mechanisms Settling, Diffusion, Impaction, Electrostatic Deposition Filter Samplers
  • 53. Direct Reading Instruments Aerosol Assessment in the Workplace: Types of Measurements • Sampling, usually with a filter and pump, provides a sample that can be analyzed in the lab for specific chemicals, quantity of dust, particle shape (fibers), etc. • Direct reading instruments allow continuous observation of dust concentrations, e.g., mass or concentration or size distribution, but do not usually provide specifics of the aerosol type. Aerosol Assessment in the Workplace: Types of Measurements • The most accurate assessment of worker’s exposure is measurement with a personal sampler, i.e, a collection or measurement device placed on the worker’s chest. • Techniques for control of exposures can use either personal samplers or (fixed) area measurement devices. Direct reading devices allow rapid assessment of the effectiveness of dust control devices or strategies.
  • 54. I. Aerosol Size Range Particle size is often determined by the process that generated the particle. Combustion particles usually start out in the 0.01-0.05 m size range, but combine with each other (agglomerate) to form larger particles. Powder is broken down into smaller particles and released into the air; it is difficult to break down such particles smaller than ~0.5 m. Biological particles usually become airborne from liquid or powder forms, so these particles are usually larger than ~0.5 m. Viruses Bacteria Spores Mechanical Generation (dust or mist) Combustion Particles (fume) 0.001 10 100 Particle Diameter ( m) 0.01 0.1 1 II. Respiratory System Deposition
  • 55. ICRP Model, averaged over males, females, several respiration rates Particle Diameter ( m) 0 0.6 0.8 1.0 0.4 0.2 Total Head Airways Head Airways Alveolar Alveolar (Gas exchange) Tracheo- bronchial Tracheo- bronchial 0.001 0.01 1010.1 100
  • 56. D ep os it io n F ra ct io n III. Aerosol Particle Behavior • Settling • Impaction • Charge effects • Release from surfaces • Agglomeration/ Deagglomeration Particle Settling in Still Air
  • 57. Time to settle 5 feet by unit density spheres 0.5 m 1 m 10 m 100 m3 m 41 hours 12 hours 1.5 hours 8.2 minutes Aerodynamic diameter definition: diameter of a unit density sphere that settles at the same velocity as the particle in question 5.8 seconds Particle Settling in a Closed Room Stagnant air Turbulent air Time Conc. Conc. Time Particles of the same size will settle at the same speed in still or stagnant air Particles passing close to a horizontal surface can settle, but the rest will continue to be stirred. Concentration profiles using a
  • 58. direct measurement instrument Particle Settling in Turbulent Air Half-life of particles in 8 foot high room 0.5 m 1 m 10 m 100 m3 m 41 hours 12 hours 1.5 hours 8.2 minutes Particles settling in turbulent air will have an exponential decay rate as indicated in the previous slide 5.8 seconds Particle Transport in Buildings • Most large particle losses by settling • Most small particle losses by exchange with outdoor air • Complex flow systems • Turbulence production Doors, people, fans. ventilation Ventilation system
  • 59. III. Aerosol Particle Behavior • Settling • Impaction • Charge effects • Release from surfaces • Agglomeration/ Deagglomeration Particle Impaction • Impaction depends on particle size, air velocity, jet diameter • Large particles deposit more easily • Even larger particles can bounce from surface • Impaction surface can be modified to improve collection, e.g., add oil Cascade Impactors
  • 60. Pump • Used for size distribution measurement • Commercial impactors – Andersen – MOUDI >8 >4 >2 Filter >1 Virtual Impactors • Used to reduce particle bounce • Used to concentrate larger particles – Commercial virtual impactor up to 100:1 – Contains smaller particles in minor flow
  • 61. Q0 0.9Q0 0.1Q0 III. Aerosol Particle Behavior • Settling • Impaction • Charge effects • Release from surfaces • Agglomeration/ Deagglomeration Electrostatic Effects + + + + + + + + +
  • 62. - • Particle-particle interaction small • Particle-surface interaction large • Particle charge depends mostly on generation process, surface energy, humidity, time in the air • Airborne particle charge gradually decreases due to ions in air (particles are nearly neutral after about 30 min) Particle Charge Imparted During Generation—Liquid Droplets • In conductive solution, ions equally distributed • In nonconductive solution, fewer ions • Droplet charge generally low • When liquid evaporates, the final particle may have relatively high charge - +
  • 63. - - + ++ - Particle Charge Imparted During Generation—Solid Particles • Difference in surface energy levels • Separation energy • Humidity creates bridge between particle and surface + + + + + + + + - Space Charge Expansion of Aerosol – High aerosol concentration – Particles are highly charged
  • 64. – All particles have same polarity – Aerosol will expand because of particle-particle repulsion III. Aerosol Particle Behavior • Settling • Impaction • Charge effects • Release from surfaces • Agglomeration/ Deagglomeration Generation from Carpet • Particles deposited in carpet; acts as a sink • Footstep crushes fibers against each other • Footstep compresses carpet, creating high velocity air flow
  • 65. Particle Transport from Sources Small particles through ventilation system Transport by local turbulence Direct settling (larger particles and clumps Resuspension by activity Asbestos Fiber Generation Effect of humidity on particle charge and particle generation efficiency Mean Electrical Mobility Relative Concentration 0 10 20 30 Relative Humidity (%)
  • 66. Particle Removal from Surfaces by Air Flow • Boundary layer near surface—produced by motionless surface • Factors affecting release: Air velocity, particle attraction to surface versus particle cross section • Water (humidity) can increase adhesion < 0.1 m virtually impossible > 20 m relatively easy Vacuum Removal • Suction forces air near surface to remove particles • Variable removal efficiency
  • 67. III. Aerosol Particle Behavior • Settling • Impaction • Charge effects • Release from surfaces • Agglomeration/ Deagglomeration Agglomeration/ Deagglomeration • Particles in a powder are in close contact, primarily agglomerates • Shaken powder releases clumps (agglomerates) and single particles • Shear forces, caused by difference in air velocity across the particle, can break apart clumps • Shear forces increase with increasing energy (air velocity) Particle Size Evolution
  • 68. 105 10-3 10-1 103 10 C on ce nt ra ti on ( #/ cm 3 ) Particle Diameter ( m) Grinding aerosol T = 0 T = 25 min T = 225 min Settling/
  • 69. Impaction Diffusion Coagulation (high conc.) Surfaces Surfaces 0.001 0.01 0.1 1 10 100 IV. Aerosol Generation < 0.1 m virtually impossible > 20 m relatively easy Energy Input Air flow Mechanical energy Overcome adhesion between particle and surface Airflow to entrain particles Release happens in microseconds Adhesion depends
  • 70. mostly on micro- roughness of surface, also on relative surface energies V. Particle Collection and Measurement • Filter sampling – Filter efficiency, pore size, filter type – Sufficient volume for analysis – Dries particles because of continuous air flow – Removal from filter can be an issue • Impactor sampling – Cascade impactor: 3 to 8 stages, size resolution – Sufficient volume for analysis – Dries particles, though less than filter – Inert (oiled?) surface or direct to growth medium Filtration • Air filtration different from liquid filtration • Pore size in air filters generally meaningless as indicator of efficiency • Small particles collected by diffusion, large ones by impaction/interception
  • 71. • Maximum penetration at about 0.3 m • Efficiency increases with increasing air velocity Particle diameter ( m) 0.01 0.1 1 10 E ff ic ie nc y 1 Impaction/ Interception Diffusion Direct Reading Aerosol Measurement Optical particle counter – Relatively inexpensive (~2K – $10K) – Portable, battery operated – Rapid detection – Nonspecific for bacteria
  • 72. – Toxic concentrations near or below ambient particle concentrations – Can be used for tracer studies Direct Reading Aerosol Measurement Aerodynamic Particle Sizer – Relatively expensive (~$40K) – Movable, line operated – Higher size resolution, possibly improved size distribution signature – Fluorescent detection version – Can be used for tracer studies Overall Scenario Aerosol Sampling/ MeasurementAerosol Transport Aerosol Source Characteristics Aerosol Losses to Surfaces Aerosol Inhalation
  • 73. Secondary Sources (Resuspension) Resources for Aerosol Information • Hinds, 1999, Aerosol Technology, Wiley • Baron and Willeke, 2001, Aerosol Measurement, Wiley • Hurst, 1997, Manual of Environmental Microbiology, ASM Press • Spreadsheet: Aerosol Calculator available from www.tsi.com or www.bgiusa.com Unit Homework Assignment Welding fumes are a common occupational exposure. Several different welding fumes can cause similar adverse health effects. Personal sampling of a welding operation at a manufacturing facility produced the following 8-hour time-weighted average (TWA) results for individual metal fumes. Metal Fume Result OSHA PEL ACGIH TLV Antimony 0.05 mg/m³ 0.5 mg/m³ 0.5 mg/m³
  • 74. Beryllium 0.00001 mg/m³ 0.002 mg/m³ 0.00005 mg/m³ (I) Cadmium 0.025 mg/m³ 0.1 mg/m³ 0.01 mg/m³ Chromium 0.02 mg/m³ 1 mg/m³ 0.5 mg/m³ Copper 0.03 mg/m³ 0.1 mg/m³ 0.2 mg/m³ Iron Oxide 0.5 mg/m³ 10 mg/m³ 5 mg/m³ (R) Magnesium Oxide 0.02 mg/m³ 15 mg/m³ 10 mg/m³ Molybdenum 0.003 mg/m³ 15 mg/m³ 10 mg/m³ (I) Nickel 0.25 mg/m³ 1 mg/m³ 1.5 mg/m³ (I) Zinc Oxide 0.3 mg/m³ 5 mg/m³ 2 mg/m³ (R) (R) Respirable fraction (I) Inhalable fraction Briefly summarize the primary health effects associated with overexposure to each type of metal fume, including both acute and chronic health effects. Explain what analytical methods you would use for evaluating health hazards in the workplace. Identify the types of metal fumes that would produce similar health effects on an exposed worker. Calculate the equivalent exposure (in relation to OSHA PELS) for the metal fumes with similar health effects based on the “Result” column in the table above. Discuss whether you believe any of the individual metal fume exposures or the combined exposure exceeds an OSHA PEL or an ACGIH TLV. Your homework assignment should be a minimum of two pages in length. Information about accessing the grading rubric for this assignment is provided below. 3
  • 75. http://www.cdc.gov/niosh/docs/2003-154/pdfs/2553.pdf roscoearmstrong Cross-Out Sampling efficiency of modified 37-mm sampling cassettes using computational fluid dynamics T.Renée Anthony, Darrah Sleeth&John Volckens Pages 148-158 | Accepted author version posted online: 29 Oct 2015, Published online:08 Jan 2016 ABSTRACT In the U.S., most industrial hygiene practitioners continue to rely on the closed-face cassette (CFC) to assess worker exposures to hazardous dusts, primarily because ease of use, cost, and familiarity. However, mass concentrations measured with this classic sampler underestimate exposures to larger particles throughout the inhalable particulate mass (IPM) size range (up to aerodynamic diameters of 100 μm). To investigate whether the current 37-mm inlet cap can be redesigned to better meet the IPM sampling criterion, computational fluid dynamics (CFD) models were developed, and particle sampling efficiencies associated with various modifications to the CFC inlet cap were determined. Simulations of fluid flow (standard k-epsilon turbulent model) and particle transport (laminar trajectories, 1–116 μm) were conducted using sampling flow rates of 10 L min−1 in slow moving air (0.2 m s−1) in the facing-the-wind orientation. Combinations of seven inlet shapes and three inlet diameters were evaluated as candidates to replace the current 37-mm inlet cap. For a given inlet geometry, differences in sampler efficiency between inlet diameters averaged less than 1% for particles through 100 μm, but the largest opening was found to increase the efficiency for the 116 μm particles by 14% for the flat inlet cap. A substantial
  • 76. reduction in sampler efficiency was identified for sampler inlets with side walls extending beyond the dimension of the external lip of the current 37-mm CFC. The inlet cap based on the 37- mm CFC dimensions with an expanded 15-mm entry provided the best agreement with facing-the-wind human aspiration efficiency. The sampler efficiency was increased with a flat entry or with a thin central lip adjacent to the new enlarged entry. This work provides a substantial body of sampling efficiency estimates as a function of particle size and inlet geometry for personal aerosol samplers. Evaluation of Diesel Exhaust Continuous Monitors in Controlled Environmental Conditions Chang Ho Yu,Allison P. Patton,Andrew Zhang,Zhi-Hua (Tina) Fan,Clifford P. Weisel&Paul J. Lioy Abstract Diesel exhaust (DE) contains a variety of toxic air pollutants, including diesel particulate matter (DPM) and gaseous contaminants (e.g., carbon monoxide (CO)). DPM is dominated by fine (PM2.5) and ultrafine particles (UFP), and can be representatively determined by its thermal-optical refractory as elemental carbon (EC) or light-absorbing characteristics as black carbon (BC). The currently accepted reference method for sampling and analysis of occupational exposure to DPM is the National Institute for Occupational Safety and Health (NIOSH) Method 5040. However, this method cannot provide in-situ short-term measurements of DPM. Thus, real-time monitors are gaining attention to better examine DE exposures in occupational settings. However, real-time monitors are subject to changing environmental conditions. Field measurements have reported interferences in optical sensors and subsequent real- time readings, under conditions of high humidity and abrupt temperature changes. To begin dealing with these issues, we completed a controlled study to evaluate five real-time
  • 77. monitors: Airtec real-time DPM/EC Monitor, TSI SidePak Personal Aerosol Monitor AM510 (PM2.5), TSI Condensation Particle Counter 3007, microAeth AE51 BC Aethalometer, and Langan T15n CO Measurer. Tests were conducted under different temperatures (55, 70, and 80°F), relative humidity (10, 40, and 80%), and DPM concentrations (50 and 200 μg/m3) in a controlled exposure facility. The 2-hr averaged EC measurements from the Airtec instrument showed relatively good agreement with NIOSH Method 5040 (R2 = 0.84; slope = 1.17±0.06; N = 27) and reported ∼17% higher EC concentrations than the NIOSH reference method. Temperature, relative humidity, and DPM levels did not significantly affect relative differences in 2-hr averaged EC concentrations obtained by the Airtec instrument vs. the NIOSH method (p < 0.05). Multiple linear regression analyses, based on 1-min averaged data, suggested combined effects of up to 5% from relative humidity and temperature on real-time measurements. The overall deviations of these real-time monitors from the NIOSH method results were ≤20%. However, simultaneous monitoring of temperature and relative humidity is recommended in field investigations to understand and correct for environmental impacts on real-time monitoring data. Board Question. The current OSHA permissible exposure limit (PEL) for nuisance dust is 15 mg/m3 as an 8-hour time-weighted average (TWA) exposure. The ACGIH has published a threshold limit value (TLV) for inhalable dust of 10 mg/m3. OSHA is required to consider economic and feasibility influences as well as health impacts for establishing or updating PELs. The ACGIH can consider only the health impacts when establishing TLVs. Discuss the extent to which you believe economic and feasibility impacts should be considered when establishing an occupational exposure limit (OEL).