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    INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY



    ENVIRONMENTAL HEALTH CRITERIA 8





    SULFUR OXIDES AND SUSPENDED PARTICULATE MATTER







    This report contains the collective views of an international group of
    experts and does not necessarily represent the decisions or the stated
    policy of either the World Health Organization or the United Nations
    Environment Programme

    Published under the joint sponsorship of the United Nations
    Environment Programme and the World Health Organization

    World Health Organization Geneva, 1979

    ISBN 92 4 154068 0

    (c) World Health Organization 1979

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    CONTENTS

    ENVIRONMENTAL HEALTH CRITERIA FOR SULFUR OXIDES AND SUSPENDED
    PARTICULATE MATTER

    1. SUMMARY AND RECOMMENDATIONS FOR FURTHER RESEARCH AND ACTION
         1.1. Summary
               1.1.1. Chemistry and analytical methods
               1.1.2. Sources of sulfur oxides and particulate matter
               1.1.3. Dispersion and environmental transformations
               1.1.4. Environmental concentrations and exposures
               1.1.5. Absorption, distribution, and elimination
               1.1.6. Effects on experimental animals
               1.1.7. Effects on man
                       1.1.7.1   Controlled exposures
                       1.1.7.2   Industrial exposure
                       1.1.7.3   Community exposure
               1.1.8. Evaluation of health risks
         1.2. Recommendations for further research and action

    2. CHEMISTRY AND ANALYTICAL METHODS
         2.1. Chemical and physical properties
               2.1.1. Sulfur oxides
               2.1.2. Suspended particulate matter
         2.2. Methods of sampling and analysis
               2.2.1. Sulfur dioxide
               2.2.2. Suspended sulfates and surfuric acid
               2.2.3. Suspended particulate matter
               2.2.4. Dustfall (deposited matter)

    3. SOURCES OF SULFUR OXIDES AND PARTICULATE MATTER
         3.1. Natural occurrence
         3.2. Man-made sources
         3.3. Characteristics of sources

    4. DISPERSION AND ENVIRONMENTAL TRANSFORMATIONS
         4.1. Dispersion
         4.2. Transformation and degradation

    5. ENVIRONMENTAL CONCENTRATIONS AND EXPOSURES
         5.1. Concentrations in outdoor air
         5.2. Concentrations in indoor air
         5.3. Concentrations in work places
         5.4. Assessment of exposures

    6. ABSORPTION, DISTRIBUTION, AND ELIMINATION
         6.1. Absorption and deposition in the respiratory tract
               6.1.1. Sulfur dioxide
               6.1.2. Airborne particles

         6.2. Clearance from the respiratory tract and distribution
               6.2.1. Sulfur dioxide
               6.2.2. Particulate matter

    7. EFFECTS ON EXPERIMENTAL ANIMALS
         7.1. Short-term exposure studies
               7.1.1. Exposure to sulfur dioxide singly or in combination
                       with other agents
               7.1.2. Exposure to sulfuric acid aerosols or suspended
                       sulfates
         7.2. Long-term exposure studies

               7.2.1. Exposure to sulfur dioxide
               7.2.2. Exposure to sulfuric acid aerosols
               7.2.3. Exposure to a mixture of sulfur dioxide and
                       surfuric acid aerosols or this mixture combined
                       with other agents
               7.2.4. Combined exposure to sulfur dioxide and particulate
                       matter or other gaseous pollutants

    8. EFFECTS ON MAN
         8.1. Controlled exposures
               8.1.1. Effects on respiratory organs
                       8.1.1.1   Exposure to sulfur dioxide
                       8.1.1.2   Exposure to sulfuric acid aerosols
                       8.1.1.3   Exposure to mixtures of sulfur dioxide
                                 and other compounds
               8.1.2. Effects on sensory or reflex functions
         8.2. Industrial exposure
               8.2.1. Exposure to sulfur dioxide singly or in combination
                       with particulate matter
               8.2.2. Exposure to surfuric acid mist:
         8.3. Community exposure
               8.3.1. Mortality -- effects of short-term exposures
               8.3.2. Mortality -- effects of long-term exposures
               8.3.3. Morbidity -- effects of short-term exposures
               8.3.4. Morbidity in adults -- effects of long-term
                       exposures
               8.3.5. Morbidity in children
               8.3.6. CHESS studies
               8.3.7. Lung cancer and air pollution
               8.3.8. Annoyance
         8.4. Exposure-effect relationships

    9. EVALUATION OF HEALTH RISKS FROM EXPOSURE TO SULFUR OXIDES,
         SMOKE, AND SUSPENDED PARTICULATE MATTER
         9.1. Exposure levels
         9.2. Experimental animal studies
         9.3. Controlled studies in man
         9.4. Effects of industrial exposures
         9.5. Effects of community exposures
         9.6. Guidelines for the protection of public health

    REFERENCES
    

    NOTE TO READERS OF THE CRITERIA DOCUMENTS

        While every effort has been made to present information in the
    criteria documents as accurately as possible without unduly delaying
    their publication, mistakes might have occurred and are likely to
    occur in the future. In the interest of all users of the environmental
    health criteria documents, readers are kindly requested to communicate
    any errors found to the Division of Environmental Health, World Health
    Organization, Geneva, Switzerland, in order that they may be included
    in corrigenda which will appear in subsequent volumes.

        In addition, experts in any particular field dealt with in the
    criteria documents are kindly requested to make available to the WHO
    Secretariat any important published information that may have
    inadvertently been omitted and which may change the evaluation of
    health risks from exposure to the environmental agent under
    examination, so that the information may be considered in the event of
    updating and re-evaluation of the conclusions contained in the
    criteria documents.

    WHO TASK GROUP ON ENVIRONMENTAL HEALTH CRITERIA FOR SULFUR OXIDES
    AND SUSPENDED PARTICULATE MATTER

    Participants

     Membersa

    Professor K. Biersteker, Medical Research Division, Municipal Health
        Department, Rotterdam, Netherlands  (Vice-Chairman).

    Professor K. A. Bustueva, Department of Community Hygiene, Central
        Institute for Advanced Medical Training, Moscow, USSR

    Dr P. Camner, Department of Environmental Hygiene, The Karolinska
        Institute, Stockholm, Sweden

    Professor L. Friberg, Department of Environmental Hygiene, The
        Karolinska Institute, Stockholm, Sweden  (Chairman)

    Mrs M. Fugas Laboratory for Environmental Hygiene, Institute for
        Medical Research and Occupational Health, Zagreb, Yugoslavia

    Dr R. J. M. Horton, Health Effects Research Laboratory, US
        Environmental Protection Agency, Research Triangle Park, NC, USA

    Professor S. Maziarka, National Institute of Hygiene, Warsaw, Poland

    Dr B. Prinz, State Institute for Protection of Air Quality and Land
        Usage, Essen, Federal Republic of Germany

    Dr H. P. Ribeiro, Laboratory of Pulmonary Function, Santa Casa de
        Misericordia de Sao Paulo, Sao Paulo, Brazil

    Dr T. Suzuki, Institute of Public Health, Tokyo, Japan

    Mr G. Verduyn, Institut d'Hygiene et d'Epidemiologie, Brussels,
        Belgium

    Mr R. E. Waller, Medical Research Council, Air Pollution Unit, St
        Bartholomew's Hospital Medical College, London, England
         (Rapporteur)

    Mr D. A. Williams, Surveillance Division, Air Pollution Control
        Directorate, Environment Canada, Ottawa, Ontario, Canada

    Professor M. H. Wahdan, High Institute of Public Health, University of
        Alexandria, Alexandria, Egypt

              

    a  Unable to attend:

     Representatives of other Organizations

    Mr J. Janczak, Environment and Housing Division, United Nations
        Economic Commission for Europe, Geneva, Switzerland

    Mr D. Larré, Division of Geophysics, Global Pollution and Health,
        United Nations Environmental Programme, Nairobi, Kenya

    Dr D. Djordevic, Occupational Safety and Health Branch, International
        Labour Organisation, Geneva, Switzerland

    Mr G. W. Kronebach, Technical Supporting Services Branch, World
        Meteorological Organization, Geneva, Switzerland

    Dr A. Berlin, Health Protection Directorate, Commission of the
        European Communities, Luxembourg

    Mr J. A. Bromley, Environmental Directorate, Organization for Economic
        Co-operation and Development, Paris, France

     Secretariat

    Professor B. G. Ferris, Jr, Department of Physiology, Harvard
        University School of Public Health, Boston, MA, USA  (Temporary
         Adviser)

    Dr Y. Hasegawa, Medical Officer, Control of Environmental Pollution
        and Hazards, World Health Organization, Geneva, Switzerland
         (Secretary)

    Dr H. W. de Koning, Scientist, Control of Environmental Pollution and
        Hazards, World Health Organization, Geneva, Switzerland

    Dr B. Marschall, Medical Officer, Occupational Health, World Health
        Organization, Geneva, Switzerland

    Dr R. Masironi, Scientist, Cardiovascular Diseases, World Health
        Organization, Geneva, Switzerland

    Dr S. I. Muravieva, Institute of Industrial Hygiene and Occupational
        Diseases, Academy of Medical Sciences of the USSR, Moscow, USSR
         (Temporary Adviser)

    Dr V. B. Vouk, Chief, Control of Environmental Pollution and Hazards,
        World Health Organization, Geneva, Switzerland

    ENVIRONMENTAL HEALTH CRITERIA FOR SULFUR OXIDES AND SUSPENDED
    PARTICULATE MATTER

        A WHO Task Group on Environmental Health Criteria for Sulfur
    Oxides and Suspended Particulate Matter met in Geneva from 6 to 12
    January 1976. The meeting was opened by Dr B. H. Dieterich, Director,
    Division of Environmental Health, who welcomed the participants and
    the representatives of other international organizations on behalf of
    the Director-General. Dr Dieterich briefly outlined the history and
    purpose of the WHO Environmental Health Criteria Programme and the
    progress made in its implementation, thanks to the active
    collaboration of WHO Member States and the support of the United
    Nations Environment Programme (UNEP).

        The Task Group reviewed and revised the second draft criteria
    document and made an evaluation of the health risks from exposure to
    these substances.

        The first and second drafts were prepared by Professor B. G.
    Ferris, Jr, Harvard University School of Public Health, USA. The
    comments on which the second draft was based were received from the
    national focal points collaborating in the WHO Environmental Health
    Criteria Programme in Belgium, Bulgaria, Canada, Czechoslovakia, the
    Federal Republic of Germany, Greece, Japan, New Zealand, Poland,
    Sweden, USA, USSR and from the Food and Agriculture Organization of
    the United Nations (FAO), the United Nations Educational Scientific
    and Cultural Organization (UNESCO), the United Nations Industrial
    Development Organization (UNIDO), the World Meteorological
    Organization (WMO), the International Atomic Energy Agency (IAEA), and
    the Commission of European Communities (CEC). Comments were also
    received from Professor H. Antweiler and Dr B. Prinz (Federal Republic
    of Germany), Professor K. Biersteker and Dr R. van der Lende
    (Netherlands), Professor F. Sawicki (Poland), and Professor W. W.
    Holland and Professor P. J. Lawther (United Kingdom).

        The collaboration of these national institutions, international
    organizations and individual experts is gratefully acknowledged. The
    Secretariat also wishes to thank Professor B. G. Ferris, Jr and Mr R.
    E. Waller for their invaluable assistance in the final stages of the
    preparation of the document.

        In view of the substantial amendments made to the document
    (particularly within sections 2 to 5) since the meeting of the Task
    Group, a revised version was circulated to all members in February
    1978. At the same time, copies of a newly-produced review of the
    health effects of particulate pollution (Holland et al., in press),
    that had been submitted for consideration, were distributed to the
    members. Comments were sought on the draft of the criteria document

    itself, and on any amendments or additions considered necessary in
    light of the new report. These comments, together with others received
    from the International Petroleum Industry Environmental Conservation
    Association, and the International Iron and Steel Institute, were then
    considered by a small group consisting of the Chairman of the Task
    Group meeting, the Rapporteur and some members of the Secretariat. The
    alterations suggested (mainly within section 9) were circulated again
    to the original members of the Task Group prior to publication.

        The document has been based, primarily, on original publications
    listed in the reference section. However, several recent reviews of
    health aspects of sulfur oxides and suspended particulate matter have
    also been used including those by Katz (1969), Committee on the
    Challenges of Modern Society (1971), Organization for Economic
    Cooperation and Development (1965), Rall (1974), Task Group on Lung
    Dynamics (1966), Task Group on Metal Accumulation (1973), US
    Department of Health, Education and Welfare (1969a), US Environmental
    Protection Agency (1974), World Health Organization (1976a), and World
    Meteorological Organization (1974).

        The purpose of this document is to review and evaluate available
    information on the biological effects of sulfur oxides and suspended
    particulate matter including suspended sulfates and sulfuric acid
    aerosols, and to provide a scientific basis for decisions aimed at the
    protection of human health from the adverse consequences of exposure
    to these substances in both occupational and general environments.
    Although there are various routes of exposure, such as inhalation,
    ingestion (World Health Organization, 1971, 1974) and contact with
    skin, attention in this report has been concentrated upon the effects
    of inhalation of these substances, since this is the most important
    route of exposure. The discussion has also been limited to sulfur
    dioxide, sulfur trioxide, sulfate ions, and particulate matter
    primarily resulting from the combustion of fossil fuels. The sulfate
    ion has been considered in the variety of forms in which it occurs in
    the atmosphere, e.g., sulfuric acid and various sulfate salts.

        The vast literature on these pollutants has been carefully
    evaluated and selected according to its validity and relevance for
    assessing human exposure, for understanding the mechanisms of the
    biological action of the pollutants and for establishing environmental
    health criteria, i.e., exposure-effect/response relationships in man.
    Environmental considerations have been limited to elucidating the
    pathways leading from the natural and man-made sources of these
    substances to the sites of toxic action in the human organism. The
    non-human targets (plants, animals, ecosystems) have not been
    considered unless the effects of their contamination were judged to be
    of direct relevance to human health. For similar reasons, much of the
    published information on the effects of these pollutants on
    experimental animals has not been included.

        Details concerning the WHO Environmental Health Criteria Programme
    including some terms frequently used in the document may be found in
    the general introduction to the Environmental Health Criteria
    Programme published together with the environmental health criteria
    document on mercury (Environmental Health Criteria 1, Mercury, Geneva,
    World Health Organization, 1976), now also available as a reprint.

        The following conversion factors have been used in the present
    document:a

            Sulfur dioxide               1 ppm = 2856 µg/m3
            Ozone                        1 ppm = 2140 µg/m3
            Carbon monoxide              1 ppm = 1250 µg/m3



              

    a  When converting values expressed in ppm to µg/m3, the numbers
       have been rounded up to 2 or, exceptionally, 3 significant figures,
       and concentrations higher than 10 000 µg/m3 have been expressed in
       mg/m3.
    1.  SUMMARY AND RECOMMENDATIONS FOR FURTHER RESEARCH AND ACTION

    1.1  Summary

    1.1.1  Chemistry and analytical methods

        Procedures in common use for the sampling and determination of
    sulfur dioxide, sulfates, sulfuric acid, and suspended particulate
    matter have been discussed, noting their limitations and stressing the
    need to specify the method of measurement when quoting results in
    relation to studies on the effects of health.

        Several alternative methods, already in common use, can be
    recommended for the determination of sulfur dioxide using manually
    operated sampling and, providing the extent of interference from other
    pollutants is taken into account, results are reasonably comparable
    with one other. A wide range of continuous automatic instruments is
    available and, where the expense is justified, they can provide
    additional information on short-term variations in concentrationsb of
    sulfur dioxide.

        Methods for the determination of particulate sulfate do not
    present any special problems, but, at present, there does not appear
    to be any wholly satisfactory way of determining sulfuric acid
    separately from sulfates and other interrelated components.

        Much attention was given by the Task Group to the sampling and
    determination of suspended particulate matter, stressing that this was
    not a well-defined entity, and that it could only be assessed in terms
    of certain physical properties. The several methods in common use are
    based on different characteristics, and the Task Group felt that clear
    distinctions should be made between them, particularly in relation to
    those based on blackness (the "smoke" measurements commonly made in
    Europe) and those based on weight (the total suspended particulate
    matter commonly measured in USA). The need to limit the measurements
    to particles within the respiratory size range, and to consider the
    wide range in chemical composition of the samples was also stressed.

              

    b  Throughout the document, the word "concentration" refers to mass
       concentration unless otherwise stated.

    1.1.2  Sources of sulfur oxides and particulate matter

        Despite the fact that some sulfur oxides and particulate matter
    occur naturally in air in large amounts, contributions from man's
    activities are generally of prime importance in urban areas. In
    particular, the combustion of fuels for heating and power generation
    is considered responsible for most of the sulfur dioxide and
    particulate pollution to which the general population is exposed. The
    three broad categories of sources are: domestic sources associated
    with the use of coal and some other fuels for heating and cooking;
    industrial sources; and motor vehicles. Domestic and motor vehicle
    sources have a disproportionate effect on concentrations in the
    immediate vicinity, because the pollution is emitted close to ground
    level.

    1.1.3  Dispersion and environmental transformations

        The temperature of the gases, the efflux velocity, and the height
    of the chimney are important factors in securing effective dispersion
    of emissions from combustion sources. The topography of the
    surrounding area and meteorological factors determine the extent to
    which these pollutants are dispersed and diluted to tolerable levels.
    Temperature inversion can trap emissions over urban areas to produce
    concentrations up to several hundred times the normal values.

        Several processes, including photochemical reactions in the
    presence of hydrocarbons, catalytic oxidation in the presence of
    particulate matter containing iron or manganese compounds, and
    reaction with ammonia, leading to the transformation of sulfur dioxide
    to sulfates or sulfuric acid, are involved in the atmospheric
    reactions of sulfur dioxide and suspended particulate matter. The
    relative importance of each of these is not well established, but
    together they account for the gradual removal of most of the sulfur
    dioxide dispersed into the air, the remainder being deposited directly
    on soil, water, vegetation, or other surfaces.

    1.1.4  Environmental concentrations and exposures

        Sulfur dioxide and suspended particulate matter are measured
    routinely in many areas throughout the world, but care is needed to
    ensure that observations from monitoring networks set up for other
    purposes are suitable for assessing risks to health. The location of
    samplers in relation to sources, the surrounding topography, and the
    population at risk need to be considered, and also the time-resolution
    of the observations. Averaging periods of 24 h are commonly used in
    relation to short-term exposures, though, in some circumstances, still
    shorter periods are required. For long-term exposures, annual means
    based on a series of daily observations may be adequate.

        Examination of concentrations of sulfur dioxide and suspended
    particulate matter in the air of a number of cities throughout the
    world has revealed a wide range in annual mean values and an even
    wider range of peak values, reflecting the effects of climatic factors
    and liability to temperature inversions. The typical, annual,
    arithmetic mean concentrations of sulfur dioxide in urban areas range
    from 100-200 µg/m3 (0.035-0.07 ppm) with the highest daily means from
    300-900 µg/m3 (0.1.-0.3 ppm). For smoke, the corresponding values are
    30-200 µg/m3 and 150-900 µg/m3 respectively, and for suspended
    particulate matter, measured by the high volume sampler, the annual
    arithmetic means are 60-500 µg/m3 with maximum daily means of about
    150-1000 µg/m3. Relatively little information is available on
    sulfates but some data have been obtained in the USA.

        Indoor concentrations of these pollutants also deserve attention.
    In the absence of specific sources of sulfur dioxide or particulate
    matter, concentrations are generally lower indoors than outdoors.
    Proposals for assessing weekly-weighted average exposures of people in
    terms of the proportion of time spent in various locations were
    discussed.

        Industrial situations in which high concentrations of sulfur
    dioxide or sulfuric acid occur should be carefully assessed in each
    specific case, but it should be noted that industrial dusts are
    generally very different in character from the suspended particulate
    matter in urban air.

    1.1.5  Absorption, distribution, and elimination

        Although the major route of absorption of the relevant sulfur
    compounds and particulate matter into the body is through the
    intestinal tract, the respiratory tract is the most vulnerable area
    for airborne materials.

        Most studies on both man and animals have indicated that 40 to 90%
    or more of inhaled sulfur dioxide is absorbed in the upper respiratory
    tract. Taken into the blood stream, it appears to be widely
    distributed throughout the body, metabolized, and excreted via the
    urinary tract.

        The deposition pattern of particulate matter varies with particle
    size, shape, and density, and also with airflow conditions. Deposited
    particles are largely phagocytized and transported to the mucociliary
    escalator, into the interstitium, or to the lymphatic system. The
    biological half-times range from days to years depending on their
    chemical composition.

        Soluble particles may dissolve in the mucous or aqueous lining of
    the lungs. In the first case, they will be eliminated via the
    mucociliary route. In the second, they may diffuse into the lymph or
    blood.

    1.1.6  Effects on experimental animals

        Selected studies on animals that involve both short-term (24-h or
    less) and long-term (more than 24-h) exposures have been reviewed in
    this document; certain interactions between the effects of sulfur
    oxides, particulate matter, and other air contaminants have also been
    reported. The lowest, adverse-effect concentrations vary considerably
    from study to study. The discrepancies may be due to differences in
    the sensitivity of the test animals used or in exposure conditions
    including the duration of exposure and the pattern of exposure
    (single, continuous, repeated, or intermittent). Furthermore, exposure
    may have been to a single pollutant or to a mixture of various agents,
    or different effects may have been analysed.

        In general, however, it has been noted that sulfuric acid aerosols
    and some sulfate salts such as zinc ammonium sulfate are more
    irritating to respiratory organs than sulfur dioxide, and that some
    aerosols, particularly those in the submicron size range, enhance the
    effect of sulfur dioxide when they are present simultaneously.

        Caution must be exercised in light of the fact that differences in
    metabolism and life span make extrapolation of results of animal
    experiments to man difficult. However, some of these studies have
    indicated possible mechanisms of biological action on the respiratory
    system -- e.g., interference with mechanisms for the clearance of
    bacteria and inert particles from the lung.

    1.1.7  Effects on man

    1.1.7.1  Controlled exposures

        Inhalation studies on human volunteers have been performed under
    controlled, short-term exposure conditions with sulfur dioxide or
    sulfuric acid mist singly or in combination, or with mixtures of these
    and other compounds. Some of these studies have proved useful for
    developing exposure-effect relationships.

        When exposed to sulfur dioxide alone, slight effects on
    respiratory function were demonstrated at a concentration of
    2.1 mg/m3 (0.75 ppm) but not at 1.1 mg/m3 (0.37 ppm), while sulfuric
    acid mist affected respiratory function at levels as low as
    0.35 mg/m3. Synergistic effects on pulmonary function were reported
    from joint exposure to sulfur dioxide and hydrogen peroxide as well as
    sulfur dioxide and ozone.

        The effects of sulfuric acid mist and sulfur dioxide on sensory
    receptors and cerebral cortical function have been studied extensively
    in the USSR. In these reflex actions, threshold levels for sulfuric
    acid were always much lower than those for sulfur dioxide. Synergistic
    effects of these compounds have also been noted.

    1.1.7.2  Industrial exposure

        Effects of exposure to sulfur dioxide, particulate matter, or
    sulfuric acid mist have been studied in workers in refrigerator
    manufacturing plants, steel mills, paper and pulp mills, and in the
    battery industries.

        Although the exposure levels were very high (daily mean
    concentrations of sulfur dioxide of up to 70 mg/m3 or 25 ppm) in some
    studies, no significant differences in effects were found when
    compared with the controls. In another study, effects on respiratory
    function were not detected with joint exposure to sulfur dioxide and
    suspended particulate matter at mean concentrations over 3 years of
    1.8 to 2.1 mg/m3 (0.6-0.7 ppm) and 600 to 1800 µg/m3, respectively.

        Exposure to sulfuric acid mist produced effects (nose and throat
    irritation) at a concentration of 2.0 mg/m3, while exposure to a
    concentration of 1.4 mg/m3 did not affect pulmonary function.
    However, the effects of this pollutant are also closely dependent on
    particle size.

    1.1.7.3  Community exposure

        The large amount of literature on the effects of community
    exposure has been reviewed and detailed consideration has been given
    to those studies that appeared to have adequate data and design, in
    particular, due control for cigarette smoking and satisfactory
    measurements of exposure levels. Certain of these studies were
    selected to develop exposure-effect relationships. In the evaluation
    of the studies it became apparent that it was not possible to compare
    two fundamentally different methods of measuring exposure to
    particulate matter -- one measuring black smoke and the other
    measuring total suspended particulates, usually by the high-volume
    sampling method.

        Studies have been performed in terms of both short and long-term
    exposures and in relation to changes in the incidences of mortality
    and morbidity. In morbidity studies concerned with short-term exposure
    to a combination of sulfur dioxide and total particulates, the lowest
    concentrations (24-h mean) at which adverse effects were noted were

    200 µg/m3 (0.07 ppm) and 150 µg/m3 (high volume sampler),
    respectively. In long-term, joint exposure studies, effects were noted
    at annual mean concentrations of 60-140 µg/m3 (0.02-0.05 ppm) for
    sulfur dioxide and 100-200 µg/m3 for total suspended particulates
    (light-scattering method). However, there were reservations about the
    validity of some of these studies.

        Increases in mortality were reported in relation to episodes of
    high pollution with 24-h mean concentrations of the order of
    500 µg/m3 (0.18 ppm) for sulfur dioxide and 500 µg/m3 for smoke.

        The question as to whether carcinogenic components of suspended
    particulate matter, such as benzo(a)pyrene may have some influence on
    the incidence of lung cancer was not discussed by the Task Group.a

    1.1.8  Evaluation of health risks

        From a critical evaluation of the studies on the health effects of
    community exposures, the Task Group developed two summary tables; one
    for the expected effects on the health of selected populations of
    short-term exposures to sulfur dioxide and smoke; the other for the
    effects of long-term exposures to these substances.

        As an estimate of the lowest adverse-effect levels for short-term
    exposures, the Group selected the 24-h mean concentrations of
    500 µg/m3 (0.18 ppm) for sulfur dioxide and 500 µg/m3 for smoke, as
    levels at which excess mortality might be expected among elderly
    people or patients with pulmonary diseases, and a sulfur dioxide
    concentration of 250 µg/m3 (0.09 ppm) and a smoke concentration of
    250 µg/m3 as levels at which the conditions of patients with
    respiratory disease might become worse.



              

    a  Since the Task Group meeting, an International Symposium on Air
       Pollution and Cancer has been held at the Karolinska Institute,
       Stockholm, with the collaboration of the World Health Organization.
       One of the conclusions quoted in the report (Task Group on Air
       Pollution and Cancer, 1978) is as follows: "Combustion products of
       fossil fuels in ambient air, probably acting together with cigarette
       smoke, have been responsible for cases of lung cancer in large urban
       areas, the numbers produced being of the order of 5-10 cases per
       100 000 males per year. The actual rate will vary from place to place
       and from time to time, depending on local conditions over the
       previous few decades."

        For long-term exposures, annual mean concentrations of 100 µg/m3
    (0.035 ppm) for sulfur dioxide and 100 µg/m3 for smoke were selected
    as the lowest concentrations at which adverse health effects such as
    increases in respiratory symptoms, or respiratory disease incidence in
    the general population might be expected.

        Based on these evaluations, guidelines for the protection of the
    health of the public were developed in terms of 24-h values
    (100-150 µg/m3 for sulfur dioxide, and for smoke) and in terms of
    annual means (40-60 µg/m3 for sulfur dioxide, and for smoke). In view
    of the limited amount of data available in relation to total suspended
    particulates, firm guidelines could not be recommended, but it was
    suggested that interim guidelines might be of the order of
    60-90 µg/m3 for annual arithmetic means and 150-230 µg/m3 for 24-h
    values. Guidelines were not developed for sulfuric acid or sulfates,
    also because of lack of data.

    1.2  Recommendations for Further Research and Action

         (a) As most of the knowledge of effects discussed in this
    document relates to combinations of sulfur oxides with smoke, and as
    these pollutants are not wholly representative of the current exposure
    situation in a number of communities, there is a need to carry out
    epidemiological studies where possible effects can be related to
    particulate pollutants of other types, including sulfuric acid and
    sulfates, and to other gaseous components of the mixture.

         (b) As epidemiological studies are still being carried out that
    do not take other variables, particularly smoking, into account when
    considering effects, and in which the exposure to pollution is not
    adequately assessed, it is recommended that the World Health
    Organization should provide guidance and advice on the minimum
    requirements for such studies.

         (c) As a consequence of the conclusions reached on the expected
    effects on health of sulfur oxides, smoke, and total suspended
    particulates, and on the related guidelines for the protection of
    public health, it is recommended that existing monitoring practices
    should be reviewed and, if necessary, appropriately modified. To
    assist regulatory agencies in this respect, it is recommended that the
    World Health Organization should undertake consultations with
    environmental scientists, inhalation toxicologists, and
    epidemiologists to consider both the epidemiological and control
    aspects of the problem.

         (d) As there is little information from occupational exposures
    that can be used for exposure-effect evaluations, it is recommended
    that such studies should be carried out particularly in relation to
    sulfur dioxide and related pollutants. These studies should include
    measurements of pollution over complete working shifts, taking into
    account variations with space and time over shorter periods, and
    exposures outside the working environment. The importance of following
    up people who may have left work because of effects on their health
    must also be stressed.

         (e) The Group did not carry out a thorough evaluation of any
    possible association between lung cancer and air pollution. It is
    recommended that a separate evaluation should be carried out.

         (f) As deposition and clearance of particles from the
    respiratory system is of fundamental importance for evaluating risks,
    and for the design of measuring instruments for use in monitoring
    systems, it is recommended that a thorough review of the relevance of
    existing information on the mixture of pollutants present in the
    ambient air be carried out, taking into account particle size
    distribution and chemical composition.

         (g) Some laboratory experiments on the effects of sulfur oxides,
    smoke, and total suspended particulates do not need to be repeated,
    but the Task Group considered that it was necessary for more
    experimental work to be carried out on the mechanism of the biological
    action of these pollutants and of their interactions with other
    agents.

         (h) The Task Group found that information concerning the nature
    and effects of pollution had considerably increased since the WHO
    meeting on air quality criteria and guides in 1972, and that this had
    resulted in a somewhat different approach to the preparation of
    criteria for sulfur oxides and suspended particulate matter and to the
    recommendations for future action. It was considered, therefore, that
    the criteria should be reviewed at least every five years to take into
    account any new data on effects that may become available and the
    implications of any further changes in the character of pollution.

         (i) Since observations on sulfur oxides, smoke, and total
    suspended particulates are considered mainly as indices of the complex
    mixture of pollutants in the ambient air, the Task Group recommended
    that, in addition to the continuation of efforts to reduce these
    pollutants, efforts should be made to control other pollutants.

    2.  CHEMISTRY AND ANALYTICAL METHODS

    2.1  Chemical and Physical Properties

    2.1.1  Sulfur oxides

        Sulfur dioxide is a colourless gas that can be detected by taste
    by most people at concentrations in the range of 1000 to 3000 µg/m3
    (0.35-1.05 ppm). At higher concentrations (above about 10 000 µg/m3;
    3.5 ppm), it has a pungent, irritating odour. It dissolves readily in
    water to form sulfurous acid (H2SO3), and in pure solutions this is
    slowly oxidized to sulfuric acid by the oxygen from the air. In the
    presence of catalysing impurities such as manganese or iron salts, it
    is more rapidly converted (Freiberg, 1975, Johnstone & Coughanowr,
    1958). Sulfur dioxide can also react either catalytically or
    photochemically in the gas phase with other air pollutants to form
    sulfur trioxide, sulfuric acid, and sulfates (see section 4).

        Sulfur trioxide (SO3) is a highly reactive gas, and, in the
    presence of moisture in the air, it is rapidly hydrated to sulfuric
    acid. In the air, therefore, it is sulfuric acid in the form of an
    aerosol that is found rather than sulfur trioxide, and, in general, it
    is associated with other pollutants in droplets or solid particles
    extending over a wide range of sizes (Waller, 1963). It can be emitted
    into the atmosphere directly, or may result from the various reactions
    mentioned earlier. Sulfuric acid may also be formed from the oxidation
    of hydrogen sulfide in the air. The acid is strongly hygroscopic, and
    droplets containing it readily take up further moisture from the air
    until they are in equilibrium with their surroundings. If there is any
    ammonia present, it will rapidly react with sulfuric acid to form
    ammonium sulfate, which will continue to exist as an aerosol (in
    droplet or crystalline form, depending on the relative humidity). The
    sulfuric acid may react further with compounds in the air to produce
    other sulfates. Some sulfate reaches the air directly, from combustion
    sources or industrial emissions, and, in the proximity of oceans,
    magnesium sulfate is present in the aerosol generated from ocean
    spray.

        A wide range of sulfur compounds is represented in the complex
    mixture of urban air pollutants, but, from a practical point of view,
    only the gas sulfur dioxide, and sulfuric acid and sulfates as
    components of the suspended particulate matter need be considered.

    2.1.2  Suspended particulate matter

        The term suspended particulate matter covers a wide range of
    finely divided solids or liquids that may be dispersed into the air
    from combustion processes, industrial activities, or natural sources,
    as discussed further in section 3. The composition of this material is
    dependent upon the types of sources contributing to it, and the broad
    definition is in terms of the settling velocity of the particles. For
    ideal spherical particles, the velocity can be predicted from Stokes'
    Law (Fuchs, 1964, see Table 1).

        In the size range under about 10 µm, the settling velocity is
    negligible compared with the movement produced by wind and air
    turbulence, and such particles are liable to remain in suspension for
    periods of the order of hours or days, until they are removed by
    impaction or diffusion on to surfaces or are scavenged by rain. It is
    these particles, with diameters ranging from well below 0.1 µm, up to
    about 5 to 10 µm, that are referred to as suspended particulates, but
    there is clearly no sharp dividing line between them and the larger
    particles of deposited matter (or "dustfall") that are liable to fall
    out rapidly, close to their source.

        The suspended particulates are important in relation to health not
    only because they persist in the atmosphere longer than larger
    particles, but also because they are small enough to be inhaled and to
    penetrate deeply into the respiratory tract, as discussed in section
    6. They are also responsible for reduction in visibility, and take
    part in reactions with other air pollutants.

        Many of the particles in the air have complex shapes, as
    illustrated in the electron micrograph (Fig. 1). Among the particles
    shown are a number of "smoke aggregates", typical of the incomplete
    combustion of hydrocarbon fuels, consisting of small spherical
    particles of carbon or higher hydrocarbons having diameters of the
    order of 0.05 µm, clustered Together in loose structures with overall
    diameters up to several micrometres. From the point of view of their
    behaviour during sampling or inhalation, such particles are classified
    in terms of their equivalent aerodynamic diameters, i.e., the
    diameters of unit density spheres having the same settling velocities.
    Some truly spherical material may be present, mainly as aqueous
    droplets containing dissolved salts, sulfuric acid, or occluded solid
    particles. These cannot be examined directly under the electron
    microscope, since the aqueous component evaporates completely, but
    some residues can be seen in Fig. 1, and the rings of small droplets
    indicate the presence of sulfuric acid (Waller et al., 1963). Many
    other types of particles, including small flakes and fibres can be

        Table 1.  Settling velocities of spherical particles of unit density in still air
                                                                                             

                                          Diameter          Settling
                                            µm           velocity, ms-1
                                       ^                           
                                       |
    Suspended particulate matter       |      0.1           8 x 10-7
                                       |
                                       |                    4 x 10-5
                                       |
                                    |  |     10             3 x 10-3
                                    |  |
                                    |  |    100               0.25
                                    |
       Deposited matter             v      1000               3.9

                                                                                             

    
    FIGURE 1

    seen in Fig. 1. and a wide range of sizes, shapes, and densities is
    commonly seen in all samples of suspended particulates in urban areas.
    For routine monitoring purposes, it is clearly out of the question to
    characterize the material completely in terms of size distribution and
    composition, but it is important to recognize that the suspended
    particulates generally comprise a heterogenous mixture, that can
    differ greatly in its characteristics from one location to another,
    and even from one occasion to another at any one site.

        Estimates of size distribution can be obtained from electron
    micrographs by considering the particles compressed into equivalent
    spheres. The results are commonly plotted as cumulative frequency
    curves, and Fig. 2 shows results for a sample consisting largely of
    smoke aggregates. In this the mass median diameter (MMD) is
    approximately 1 µm, i.e., half the mass of material collected is
    contained in particles having effective (aerodynamic) diameters under
    one micrometer.a

        The results shown in Fig. 2 indicate a log-normal distribution of
    particle size in that specific sample, but Willeke & Whitby (1975)
    have shown that distributions are often multimodal. These authors also
    stressed the importance of examining the distribution in terms of
    numbers of particles, and surface area, in addition to volume (or
    mass), for each curve may reveal features not shown by the others. An
    example of results obtained with their Minnesota Aerosol Analyzing
    System is shown in Fig. 3. This shows a mode in the volume
    distribution in the range 0.1 to 1 µm that is related to particles
    formed by coagulation or condensation from smaller units, and a
    further mode of the order of 10 µm that corresponds with
    mechanically-produced particles, some of which are large enough to
    settle rapidly, and are not, therefore, strictly part of the suspended
    particulates.

        The impression gained of size distributions will, however, always
    depend on the characteristics of the instruments used. The most
    extensive series of results that has been reported was based on a
    modified Andersen cascade impactor (Lee & Goranson, 1972). This allows
    samples to be collected in five, roughly size-graded fractions, with a
    back-up filter as a sixth stage to collect the finest particles. Mass
    median diameters have generally been found to be below 1 µm in samples
    collected in urban areas of the USA, but this method cannot describe
    the size distribution as completely as that of Willeke & Whitby
    (1975).

              

    a  For further details concerning the definition of poly-dispersed
       aerosols containing particles of irregular shape see, for example,
       Fuchs (1964) or Task Group on Lung Dynamics (1966).

    FIGURE 2

    FIGURE 3

        Although it is possible to investigate the composition of
    individual particles to a certain extent, data on chemical composition
    are usually derived from larger samples as collected for the
    determination of the total mass of suspended particulates. Among the
    principal components are carbon, tarry material (hydrocarbons, soluble
    in organic solvents such as benzene), water soluble material (such as
    ammonium sulfate), and insoluble ash (containing small amounts of
    iron, lead, and a wide variety of other elements).

        The proportions of these components vary widely, depending on the
    types of sources in the locality. For example, the special feature of
    the suspended particulate matter in the United Kingdom prior to the
    implementation of the Clean Air Act was their high tar content, and
    this was particularly evident in high pollution episodes (Table 2).

        Table 2.  Examples of analyses of suspended particulates sampled in London prior
              to smoke control (high volume samples)a
                                                                                   

                           Typical summer    Typical winter     High pollution
                               sample            sample             episode
                             (July 1955)     (February 1955)    (January 1956)
                                                                                   

    Total suspended
    particulates (µg/m3)         97               485               5111

    Components as %
    of total:

    Organic (tar)                 7.5              19.1               45.7

    Sulfate                      11.3               9.0                5.8
    Chloride                      0.8               0.2                1.0
    Nitrate                       0.8               0.5                0.7

    Iron                          1.3               1.4                0.1
    Lead                          0.7               0.4                0.1
    Zinc                          0.5               0.2                0.8
                                                                                   

    a From:  The Medical Research Council Air Pollution Unit, now. Clinical
             Section of Medical Research Council Toxicology Unit
             (unpublished data)

    
        Results from the extensive series of analyses of high volume
    samples of suspended particulate matter at sites in the USA indicate
    organic contents of the order of 10% of the total particulates (US
    Environmental Protection Agency, 1974a). Although little is known of
    the influence of the composition of the suspended particulate matter
    on effects on health, detailed analyses can be of value in identifying
    sources and are relevant in the study of reactions between pollutants.
    Thus iron and manganese, although only trace constituents, may be of
    importance in catalysing the oxidation of sulfur dioxide to sulfuric
    acid or sulfates. The lead content is usually related to pollution
    from motor vehicles, and traces of vanadium that are present come
    mainly from the combustion of residual oils. There may also be a
    variety of substances from noncombustion sources, such as road dust,
    material from the degradation of tyres, windblown soil, pollen, and
    emissions from industrial processes such as cement manufacturing or
    steel making.

        The most important distinction to be made in relation to suspended
    particulate matter at the present time, however, is neither the
    precise size distribution, nor the detailed chemical composition, but
    the very broad characterization that results from the different
    methods of assessment that are in common use for routine monitoring
    purposes. These are discussed further in section 2.2.3. In subsequent
    sections, the term "smoke" has been used for observations of suspended
    particulate matter based on its soiling properties, and "total
    suspended particulates" for those based directly on weight. Since the
    former is mainly influenced by incomplete combustion products from the
    burning of fossil fuels, and is little affected by white or colourless
    materials such as ammonium sulfate, it is clear that the two terms are
    not interchangeable.

    2.2  Methods of Sampling and Analysis

        In general, the outdoor air has been sampled for sulfur oxides and
    suspended particulate matter in relation to community exposures,
    whereas indoor environments have been examined in connection with
    occupational exposures.

        The most commonly used methods have been described in detail in a
    recently published manual (World Health Organization, 1976a) and their
    application in monitoring networks has been discussed in a further
    publication (World Health Organization, 1977). However, the bases of
    these and some other methods, that have been used in reporting
    concentrations of sulfur oxides and suspended particulates in the air,
    are discussed below to provide a better understanding of the
    measurements cited in epidemiological studies. It is important to
    ensure that any measurements that are made are supervised by someone
    competent in the field of air pollution monitoring, and the methods
    used must be reported together with the results.


        Table 3.  Methods of analysis for sulfur dioxidea
                                                                                                                      

    Method                             Principle                                     Comment
                                                                                                                      

    Pararosaniline      Absorption of sulfur dioxide in solution of         Uses simple apparatus, and suitable
       methodb          potassium tetrachloromercurate (TCM);               for sampling periods ranging from
                        complex formed reacts with pararosaniline           30 min to 24 h; samples should be
                        and formaldehyde to produce a red-purple            analysed soon after collection;
                        colour, determined colorimetrically (West &         specific for sulfur dioxide, and
                        Gaeke, 1956).                                       possible interference from oxides of
                                                                            nitrogen and some metals can be
                                                                            eliminated (Pate et al., 1965;
                                                                            Scaringelli et al., 1967) Widely used
                                                                            in USA.
                                                                                                                      

    Acidimetric         Simple apparatus, often combined with smoke         Absorption of sulfur dioxide in
       methodb          filter (see the Organization for Economic           dilute hydrogen peroxide solution;
                        Cooperation and Development filter soiling          the sulfuric acid formed is titrated
                        method in Table 5); suitable for sampling           against standard alkali (Organization
                        periods of 24-h, or less in some circumstances      for Economic Cooperation and
                        (e.g. high pollution episodes, or occupational      Development, 1965).
                        environments).
                                                                                                                      

    Conductivity        Sulfur dioxide is sampled in deionized water        Simple apparatus, suitable for
       measurements     containing hydrogen peroxide where it is            sampling periods of the order of
                        oxidized to sulfuric acid, as in the acidimetric    24-h, usually combined with a filter
                        method; increase in conductivity measured           to remove particulate matter; less
                        with a conductivity bridge (Adams et al., 1971).    reliable than acidimetric method,
                                                                            and not widely used in manual
                                                                            form, but the principle often used
                                                                            in automatic instruments (Derrett
                                                                                                                      

    Table 3.  (cont'd).
                                                                                                                      

    Method                             Principle                                     Comment
                                                                                                                      

    Conductivity                                                            & Brown, 1978), applicable also to
       measurements                                                         simple portable instruments for
       cont'd.                                                              spot checks in urban or industrial
                                                                            environments (Nash, 1964), and to
                                                                            personal samplers for assessing
                                                                            occupational exposures (Sherwood,
                                                                            1969).
                                                                                                                      

    Detector tube       Air is drawn through tubes containing silica        Portable, and no power supply
       measurements     gel impregnated with indicator sensitive to         required. Widely used for spot
                        sulfur dioxide; concentration assessed from the     checks in occupational environments,
                        length of the stain (Ash & Lynch, 1972).            or in other situations where
                                                                            the concentrations may be high
                                                                            (from about 3000 µg/m3 upwards).
                                                                                                                      

    Iodine              Sulfur dioxide absorbed in a solution of iodine     Applicable to occupational
       method           contained in a wash bottle with a fritted bubbler,  environments, but not now widely used;
                        and solution titrated with thiosulfate (Elkins,     the method has been modified for
                        1959).                                              colorimetric assessment, providing
                                                                            a basis for portable instruments for
                                                                            survey use (Cummings & Redfearn,
                                                                            1957).
                                                                                                                      

    Table 3.  (cont'd).
                                                                                                                      

    Method                             Principle                                     Comment
                                                                                                                      

    Automatic           Based on conductivity, colorimetry, coulometry      Particularly valuable for following
       instruments      flame photometry, or gas chromatography             short-term variations in
                        (Hollowell et al., 1973).                           concentration, but difficult to
                                                                            assess 24-h average concentrations,
                                                                            unless linked with data processing
                                                                            equipment; instruments expensive, and
                                                                            must be under the control of
                                                                            experienced operators.
                                                                                                                      

    Sulfation           Sulfur compounds in the air react with an           Simple and requires no power
       rate             exposed cylinder or plate covered with a paste      supply; sampling period long (30
                        containing lead peroxide; sulfate formed is         days); results expressed in
                        determined by precipitation with barium             SO3/100cm2/day, indicating rate
                        chloride (British Standards Institution, 1969a).    of reaction of sulfur compounds
                                                                            with surfaces; not specific for sulfur
                                                                            dioxide, does not indicate
                                                                            concentrations in the air, and although
                                                                            often quoted in epidemiological
                                                                            studies, of little value for these.
                                                                                                                      

    a  From: Pate et al., (1965)
    b  Methods that are described fully in the manual of the World Health Organization (1976a).

    

    2.2.1  Sulfur dioxide

        If sulfur dioxide were the only contaminant of the air and
    providing the samples were of adequate size, each of the methods
    mentioned in Table 3 would give comparable results, indicating the
    true amount of sulfur dioxide. In normal urban environments, however,
    other pollutants are always present and although the sampling
    procedure can be arranged to minimize interference from particulate
    matter by filtering the air first, errors can still arise due to the
    presence of various gases and vapours. The choice of method depends on
    many factors, including the averaging time required: 24-h sampling
    periods are commonly used, and many of the methods are suitable for
    this. For shorter periods the choice is more limited, and for detailed
    information on short-term variations in concentration, instrumental
    methods are required.

        In occupational environments, the mixture of air pollutants may be
    simple and more clearly defined than that in urban air. Sulfur dioxide
    may be emitted from a specific process rather than from a variety of
    combustion sources, and the air may then be relatively free from
    interfering gases. Concentrations may also be much higher than those
    encountered in urban air, allowing short sampling periods to be used,
    and, since concentrations are liable to change rapidly, this may even
    be essential. Also, concentrations may vary greatly over short
    distances, depending on the proximity of the source of pollution; this
    makes the assessment of exposure based on measurements at fixed sites
    difficult. There may be a preference in these circumstances for
    methods suitable for use with portable instruments.

    2.2.2  Suspended sulfates and sulfuric acid

        Most of the methods mentioned in Table 4 assess the total
    water-soluble sulfates collected on filters as part of the suspended
    particulates. In general, any sulfuric acid present is included with
    this, and some of the material present as acid in the air may be
    converted to neutral sulfate on the filter during sampling. There is
    no completely satisfactory method for the determination of sulfuric
    acid in the presence of other pollutants, but some procedures for
    examining the acidic properties of suspended particulates have been
    referred to. There is an urgent need for more research in this field.
    No methods, other than those mentioned in Table 4, are, as yet,
    sufficiently well established for widespread application in
    epidemiological studies, but much research work is in progress.



        Table 4.  Methods of analysis for suspended sulfates and sulfuric acid
                                                                                                            

    Method                             Principle                                     Comment
                                                                                                            

    Turbidimetric       Sample collected on sulfate-free glass              Samples normally collected
    method              fibre or other efficient filter: sulfate            over 24-h periods by high
                        extracted and precipitated with barium              volume sampler (see Table 5).
                        chloride, measuring the turbidity of the            No distinction made between
                        suspension spectrophotometrically (US               sulfates and sulfuric acid.
                        Environmental Protection Agency,
                        1974b).

    Methylthymol        Samples collected as in the turbidimetric           This modification allows the
    blue method         method above and extract reacted with               procedure to be automated,
                        barium chloride, but barium remaining               comments as in the turbidimetric
                        in solution then reacts with methylthymol           method apply.
                        blue; sulfate determined colorimetrically
                        by measurement of uncomplexed methylthymol
                        blue (US Environmental Protection Agency,
                        1974b).

                                                                                                            
    


        The most recent trends are towards the application of more
    sensitive techniques, such as X-ray fluorescence (Dzubay & Stevens,
    1973), or the thermal conversion of sulfates, measuring the resulting
    sulfur dioxide by flame photometry (Husar et al., 1975), or by the
    pararosaniline method (Maddalone et al., 1975).

        Approaches to the difficult problem of determining sulfuric acid
    have been made by back-titrating a sodium tetraborate extract of
    suspended particulates collected on a small filter paper (Commins,
    1963), and by observing the acidic properties of individual particles
    collected on indicator-treated slides in a cascade impactor (Waller,
    1963). A procedure for the separate determination of sulfuric acid and
    ammonium sulfate by nephelometry of a humidified sample of air has
    also been described (Charlson et al., 1973) and work is in progress on
    the prevention of the reaction of sulfuric acid on filter papers
    (Thomas et al., 1976). However, at present, there is not enough field
    experience with methods for sulfuric acid to warrant their general use
    in connexion with epidemiological studies.

    2.2.3  Suspended particulate matter

        In general, it is not practicable to discriminate on the basis of
    either particle size or chemical composition when assessing
    particulate matter for routine monitoring purposes. The
    characteristics of the sample are determined by the types of sources
    in the vicinity, the weather conditions, and the sampling procedure
    adopted. The difficulties that result and the limitations of
    measurements have been discussed by Ellison (1965)and are illustrated
    in the discussion of the merits and shortcomings of the various
    methods described below and in Table 5.

        When considering measurements of suspended particulate matter, it
    is essential to specify the method used and to recognize that, even
    then, results obtained in one set of circumstances will not
    necessarily be applicable to others. The main difficulty has arisen in
    attempts to apply findings based on smoke measurements that relate
    only to the dark coloured material characteristic of the incomplete
    combustion of coal or other hydrocarbon fuels, to situations involving
    total suspended particulates assessed more directly in terms of
    weight. Because the former have been used in much of the early
    epidemiological work and the latter are now used for monitoring
    purposes in many countries, some kind of conversion from one type of
    measurement to the other would be desirable, but, for the reasons
    already stated, there can be no generally applicable conversion
    factor. Comparative evaluation of the two methods has been undertaken
    at a number of sites (Ball & Hume, 1977; Commins & Waller, 1967; Lee
    et al., 1972), but the results have only served to emphasize that they
    measure different qualities of the particulate matter and that they
    should not be compared with one another.



        Table 5.  Methods of analysis for suspended particulate matter
                                                                                                                           

    Method                                   Principle                                    Comment
                                                                                                                           

    Smoke measurement:        Air is drawn through a white filter paper,         Widely used in Europe and recommended
    Organization for          usually over periods of 24 h, and the darkness     by the Organization for Economic
    Economic Cooperation      of the stain obtained measured by reflectometer;   Cooperation and Development (1965);
    and Development filter    values converted to equivalent international       low intake velocity ensures sample
    soiling method            smoke units, expressed conventionally, in          restricted to respirable size range; often
                              µg/m3; simple apparatus, suitable for              combined with sulfur dioxide measurement
                              continuous operation.                              by acidimetric method (see Table
                                                                                 2-3); results influenced primarily by
                                                                                 black material do not necessarily
                                                                                 represent true weights; only a limited
                                                                                 range of chemical analyses possible on
                                                                                 these small samples.
                                                                                                                           

    Smoke measurement:        Similar to the Organization for Economic           Flow rate a little greater than in the
    American Society          Cooperation and Development filter soiling         Organization for Economic Cooperation
    for Testing and           method, but samples collected on a filter          and Development filter soiling method
    Materials filter          paper tape moved on automatically to provide       but sample still effectively within
    soiling method            a series of stains over intervals of 2-6 h         respirable size range used in USA;
                              (American Society for Testing and Materials,       interrelationships between Coh units and
                              1964); results usually assessed by transmittance,  RUDS investigated by Saucier & Sansone
                              and expressed in coefficient of haze (COH)         (1972); suitable for continuous
                              units (Hemeon et al., 1953; reflectance            operation.
                              has sometimes been used, expressing results
                              in reflectance units of dirt shade (RUDS)
                              (Gruber & Alpaugh, 1954).
                                                                                                                           

    Table 5.  (cont'd).
                                                                                                                           

    Method                                   Principle                                    Comment
                                                                                                                           

    Determination of          Air drawn through a glass fibre filter sheet,      Widely used in USA. Liable to collect
    total suspended           usually with a turbine blower, and the amount      particles well beyond the respiratory size
    particulates,             of material collected determined by weighing       range and this may bias results,
    gravimetric high          under controlled temperature and humidity          particularly in dry, dusty locations;
    volume                    conditions; the most widely used instrument        not very suitable for continuous
                              is the high volume sampler (US Department          operation, samples commonly collected
                              of Health, Education and Welfare, 1962), but       over 24-h periods every sixth day;
                              instruments based on rotary pumps with             samples large enough for a wide range
                              membrane rather than glass fibre filters have      of chemical analyses.
                              been used (Verein Deutscher Ingenieure,
                              1974).
                                                                                                                           

    Indirect determination    Series of samples collected on filter paper        Instrument relatively expensive; used for
    of mass concentration:    strip over selected periods (usually 30 min),      monitoring purposes in Federal Republic
    ß ray sampler             and mass of material determined by                 of Germany, but not to any large extent
                              attenuation of ß radiation from a built-in         elsewhere; valuable for studying
                              source (Husar, 1974).                              short-term variations in total
                                                                                 suspended particulates.
                                                                                                                           

    Light scattering          Direct determination of suspended particulate      Used to some extent in Japan for monitoring
                              matter as aerosols by light scattering, either     suspended particulate matter, but
                              counting and sizing individual particles (Liu et   calibration required and results not
                              al., 1974) or integrating light scattered from     necessarily comparable with those from
                              given volume of air (Horvath & Charlson,           direct weighings; otherwise main
                              1969).                                             application in industrial environments,
                                                                                 some instruments allow particles to be
                                                                                 counted and classified within a large
                                                                                 number of size ranges.
                                                                                                                           

    Table 5.  (cont'd).
                                                                                                                           

    Method                                   Principle                                    Comment
                                                                                                                           

    Size selective            Particles separated into several roughly size-     Allows concentrations to be assessed
    sampling:                 graded fractions by impaction, the amount of       within specified size ranges; some series
    modified cascade          material in each being determined by direct        of results available from USA but not
    impactor                  weighing (Carson & Paulus, 1974).                  yet widely adopted; applicable also to
                                                                                 the sampling of dusts in industrial
                                                                                 environments.
                                                                                                                           

    Electrostatic             Particles charged by passing through metal         Not suitable for outdoor measurements,
    precipitators             tube with large potential gradient between         but useful in occupational environments;
                              wall and needle along centre; deposited on         advantage over direct weighing of filters
                              wall and determined by direct weighing             is that the collector is unaffected by
                              (Lauterbach et al., 1954).                         changes in humidity.
                                                                                                                           

    Personal samplers         Air drawn through small glass-fibre filters        Applicable primarily to industrial
                              using battery operated pump, so that               environments to assess exposures in
                              instrument can be worn by individuals              series of working shifts; elutriator can be
                              (Sherwood & Greenhalgh, 1960); particulates        added to exclude large particles.
                              assessed by weighing, or analysed for specific
                              constituents.
                                                                                                                           

    

        From their study in central London, Commins & Waller (1967) showed
    that additional material was collected by the high volume sampler that
    had little effect on smoke measurements and that for their particular
    series, the total suspended particulate results were approximately
    100 µg/m3 higher than the corresponding smoke figures. Other authors
    have calculated regression equations for their series and, although
    there are variations in these relationships with time and place, the
    general picture is of a large proportional difference between total
    suspended particulate and smoke figures at low values, but relatively
    little difference at high values (of the order of 500 µg of smoke/m3
    or more).

        Thus, it is recommended that "smoke" and "total suspended
    particulate" measured by the various methods described should be
    regarded as separate entities; this principle has been adopted in
    later sections relating to the effects on health.

        In occupational environments, suspended particulate matter from
    combustion sources may be of some concern, but more commonly it is the
    dusts and aerosols associated with particular occupations or processes
    that are of interest. In such cases, the composition of the material
    may be relatively uniform and well established, and specific methods
    of assessment can be devised. There has, for example, been a great
    deal of research and development on methods for determining dust
    concentrations in coal mines (Jacobsen, 1972). With industrial dusts,
    the particle size distribution must always be considered carefully,
    for it is liable to extend beyond the respirable range, and
    elutriators or cyclones may be needed in conjunction with gravimetric
    samplers. A valuable discussion of methods for collecting size-graded
    samples has been included in a recent review (International Atomic
    Energy Agency, 1978).

    2.2.4  Dustfall (deposited matter)

        In some of the older epidemiological studies, measurements of
    dustfall were quoted as an index of particulate pollution. This is
    inappropriate as the results are influenced primarily by large
    particles (diameters from about 10 µm upwards: see section 2.1.2) that
    do not penetrate the respiratory system and, generally, are not
    relevant to health problems, apart from possible annoyance reactions.
    For reference purposes, however, a brief description of one of the
    more commonly used instruments is included (Table 6).

        Table 6.  Method of analysis for dust fall
                                                                                             

    Method               Principle                         Comment
                                                                                             

    Deposit   A receiver containing a                 Results expressed in terms
    gauge     nonfreezing solution is left in         of deposit per unit area and time,
              the open and the quantity of            not convertible in any way to
              material collected (usually             concentrations of suspended matter
              over 1-month periods) is determined     in the air; strongly influenced by
              by weighing, water-soluble and          sources nearby, hence results only
              insoluble components being considered   relevant to immediate vicinity
              separately (British Standards
              Institution, 1969b)
                                                                                             

    
    3.  SOURCES OF SULFUR OXIDES AND PARTICULATE MATTER

    3.1  Natural Occurrence

        Compounds of sulfur are found in small quantities in ambient air,
    even in remote areas far from sources of pollution. In the gas phase,
    they are present as hydrogen sulfide or sulfur dioxide, and in
    particulate form they may be present as sulfate. Sulfur dioxide and
    hydrogen sulfide are emitted by volcanoes and the latter is also
    produced by anaerobic bacteria in soil, marshes, and tidal flats (Grey
    & Jensen, 1972). Some of the particulate sulfate may also be emitted
    directly by volcanoes or sea spray, but most of it is the end-product
    of the oxidation of hydrogen sulfide or sulfur dioxide.

        In general, suspended particulate matter can result from volcanic
    activity, from dust storms, or from strong winds blowing over dry soil
    and may include pollen from trees and other plants. Forest fires also
    produce large amounts of particulate matter.

        Some of these natural contributions to the particulate matter in
    the air consist of particles too large to remain in suspension for
    long periods, and their composition and properties may be quite
    different from those of the emissions from man's activities.

    3.2  Man-made sources

        Most emissions of sulfur into the air are in the form of sulfur
    dioxide resulting from the combustion of fossil fuel for heating and
    energy production. Various industrial activities such as petroleum
    processing, smelter operations, wood-pulping, etc., also produce
    significant emissions of sulfur dioxide and other sulfur compounds.

        It has been estimated (Robinson & Robbins, 1968) that on a
    worldwide scale about 146 × 106 tonnes of sulfur dioxide are emitted
    annually, 70% of which result from coal burning, 16% from the
    combustion of petroleum products, and the remainder from petroleum
    refining and nonferrous smelting. These estimates are based mainly on
    1965 world figures for coal production, petroleum refining, and
    smelter operations, each combined with an estimate of a sulfur dioxide
    "emission factor" per unit of production. A similar basis was used for
    the Committee on the Challenges of Modern Society (1971) assessment of
    emissions in the northern and southern hemispheres, reproduced in
    Table 7.

    Table 7.  Hemispheric sulfur dioxide emmissions due to man's
              activities (106 tonnes per year)a
                                                                    

    Source                Total      Northern       Southern
                                     Hemisphere     Hemisphere
                                                                    

    Coal                  102        98   (96%)      4   (4%)
    Petroleum,
      combustion
      and refining         28.5      27.1 (95%)      1.4 (5%)

    Smelting, copper       12.9       8.6 (67%)      4.3 (33%)
      lead                  1.5       1.2 (80%)      0.3 (20%)
      zinc                  1.3       1.2 (90%)      0.1 (10%)
                                                                    

    Total                 146       136   (93%)     10   (7%)
                                                                    

    a From:  Committee on the Challenges of Modern Society (1971).


        On a global scale, the emissions of sulfur compounds into the
    atmosphere by man-made activities are about equal to those from
    natural sources. On the other hand, the emissions from man's
    activities are the main contributors to pollution in large cities and
    their surrounding areas. Assuming that world energy demand increases
    at its historic rate, the total emissions of sulfur dioxide will
    increase unless appropriate control measures are applied, or there
    is a shift from the use of fossil fuels to the use of nonpolluting
    energy sources. However, with the stabilization of the population in
    some countries, including the United Kingdom and USA, and increasing
    concern about the use of limited fuel reserves, there are prospects
    that the rate of increase in emissions may be reduced in some parts
    of the world.

        Combustion and industrial processes are also prime sources of
    particulate emissions. As with sulfur dioxide, the burning of fuel
    (especially coal) for heating and for the generation of power has been
    one of the major contributors to the suspended particulate matter in
    urban air. Vehicular traffic also generates dust from the road and
    from the wear of tyres as well as particulate lead compounds from the
    exhausts of petrol-engined vehicles, and black smoke from those of
    diesel vehicles. The incineration of domestic and industrial refuse
    may disperse particulate matter and other pollutants into the air
    unless carefully controlled. Table 8 shows estimates of the global
    emission of all particulate matter (Robinson & Robbins, 1968).

    Table 8.  Global emission of all particulate matter (106 tonnes
              per year)a
                                                                    

    Man-made

        Particles                                             92
        Gas-particle conversion:    sulfur dioxide           147
                                    oxides of nitrogen        30
        Photochemical compounds from hydrocarbons             27
                                                                 
                                                             296

    Natural

        Soil dust                                            200
        Gas-particle conversion:    hydrogen-sulfide         204
                                    oxides of nitrogen       432
                                    ammonia                  269
        Photochemical compounds from terpenes, etc           200
        Volcanic                                               4
        Forest fires                                           3
        Sea salt                                            1000
                                                                 
                                                            2312
                                                                    

    a From:  Robinson & Robbins (1968).


    3.3  Characteristics of Sources

        In urban areas, most of the sulfur dioxide and suspended
    particulate matter in the air come from the combustion of fuels, but
    many factors, including the type of fuel, the combustion efficiency,
    and the flue velocity, influence the quantity and quality of
    emissions. The incomplete combustion of soft coal in domestic fires,
    for example, produces much smoke, consisting of finely divided
    particles of carbon and tarry material, whereas the efficient burning
    of pulverised coal in a power station leads to little or no smoke, but
    the production of coarser ash particles, which must be removed at
    source to avoid their being carried up the flues at a high velocity
    and dispersed into the air. The relationship between types of sources
    and emissions is summarized in Table 9.

        Table 9.  Pollutants from combustion sources
                                                                                                

    Type of source                 Fuel                 Sulfur dioxide      Particulate matter
                                                                          Smoke        Ash etc.
                                                                                                

    Domestic heating         Wood, peat etc.                   -            +             +
      or cooking             Soft coal                        ++           ++             +
                             Hard coal, coke                  ++            -             +
                             Oil (light distillates)           +            -             -
                             Gas                               -            -             -
    Industrial heating       Coal, coke                       ++            -            ++
      and power generation   Oil (heavy residuals)            ++            -             -
    Motor vehicles           Petrol                            -            -             +
                             Diesel                            +            +             -
                                                                                                

    Notes:  The term smoke is used for incomplete combustion products (notably carbon and tar),
            and ash for inorganic components from complete combustion (including lead compounds
            in the case of petrol). The signs give only a rough indication of emissions, in the
            absence of direct control at source:
            - = little or none, + = moderate quantities, ++ = large quantities

    
        In cold and temperate parts of the world, the burning of coal for
    domestic heating purposes has been a major contributor to both the
    sulfur dioxide and suspended particulate contents of urban air. This
    is particularly true of the situation in the United Kingdom prior to
    the implementation of the Clean Air Act (Committee on Air Pollution,
    1954). Such sources are liable to have a disproportionate effect on
    concentrations in the immediate vicinity, because of the low levels of
    the chimneys and the low emission velocity. Even in warmer climates,
    domestic sources may be of importance, particularly if coal is used
    for cooking purposes.

        In densely populated areas where domestic sources dominate, the
    many chimneys can be considered for some purposes as a diffuse area
    source, and, within such an area, concentrations of pollutants in air
    remain relatively stable over short distances and short periods of
    time. In contrast, large industrial sources should be treated as point
    sources, and, at any given location around them, the concentration of
    air pollution is liable to vary greatly, even from minute to minute.

        The emission into the air of sulfur dioxide and particulate matter
    from motor vehicles is relatively small in comparison with those from
    domestic and industrial chimneys but it is close to the ground and
    within the breathing zone. In these circumstances, concentrations vary
    greatly over short distances as well as over short time intervals,
    depending on the proximity of the traffic. At points very close to
    mixed traffic, smoke from diesel engines may make a substantial
    contribution to the concentration of suspended particulate matter in
    air (Waller et al., 1965).

        Source strength may vary with time of day, day of week, and season
    of the year. Accompanying meteorological conditions are also important
    in determining the ultimate air concentrations of pollutants arising
    from sources. Where heating is required during the winter season,
    emissions of sulfur dioxide and particulate matter are usually much
    higher than they are in the summer. In a number of cities, however,
    where a considerable amount of fuel is used for running cooling
    systems, emissions of these pollutants during the summer time are not
    always lower than those in winter. Some industrial sources of
    pollution may emit little at weekends, and emissions for most sources
    are at a minimum during the night.

        Although the control of emissions is outside the scope of the
    present discussion, the general point can be made that while the
    control of particulate emissions is a practicable proposition in many
    circumstances, the control of sulfur dioxide at source is relatively
    difficult and costly, and the more effective means of reducing
    emissions is to change to fuels with a lower sulfur content.

    4.  DISPERSION AND ENVIRONMENTAL TRANSFORMATIONS

        Sulfur compounds dispersed into the air eventually return to the
    land or oceans either unchanged, or converted into sulfates. The
    sulfur cycle so set up is shown diagrammatically in Fig. 4 (Kellogg et
    al., 1972). Particulate matter also returns, its residence time in the
    air varying widely according to its physical and chemical
    characteristics. As far as direct effects on health are concerned, it
    is the local concentration of pollutants in the air at a given time
    that is important, as discussed in section 5, but an outline of
    dispersion and transformation phenomena is given here.

    4.1  Dispersion

        The maintenance of a tolerable environment in modern towns depends
    very much on the ability of wind and turbulence to disperse the
    pollutants rapidly as they are emitted. When these processes fail, the
    results can be disastrous, as they were in London in 1952 (Ministry of
    Health, United Kingdom, 1954). There are some localities where natural
    ventilation is so poor that the emission of pollutants must, at all
    times, be carefully controlled. This is especially true of the Los
    Angeles area, where emissions of sulfur dioxide and particulate matter
    have been successfully curtailed, leaving, however, the major problems
    associated with the emission of oxides of nitrogen, hydrocarbons, and
    carbon monoxide from motor vehicles (Goldsmith, 1969).

        Factors affecting the dispersion of sulfur dioxide and particulate
    matter from combustion sources, include:

         (a) Temperature and efflux velocity of the gases. Emissions from
    small sources, such as domestic fires or incinerators have relatively
    little buoyancy, since the temperature at the point of emission is not
    much greater than that of the surrounding air. Such sources are liable
    therefore to have their greatest impact in the immediate vicinity
    (Williams, 1960). Emissions from large-scale industrial installations,
    on the other hand, may be at higher temperatures, or may be assisted
    by forced-draught to rise more rapidly. Thus, any major impact in the
    immediate vicinity may be avoided but weaker effects may be produced
    over a wider area (Bosanquet, 1957).

         (b) Stack height. Dilution and dispersion over a wide area is
    also aided by the use of tall stacks. Much is known of the
    relationship between source strengths, stack heights, and ground-level
    concentrations of pollutants, through the application of mathematical
    modelling techniques, coupled with observations around selected
    sources (Briggs, 1965, Pasquill, 1971, Turner, 1968). It is also
    possible to devise models to predict concentrations of sulfur dioxide
    in urban areas on the basis of emissions from multiple sources

    (Fortak, 1970). Conversely, techniques have also been developed for
    estimating the pollution inventory of an area from measurements of
    sulfur dioxide concentration, fitted to a dispersion model (East,
    1972). The height of emission of sulfur dioxide and particulate matter
    from domestic sources is primarily a function of the height of the
    building itself. Thus the effect on ground level concentrations in the
    vicinity is liable to be greater in areas with closely-packed, single
    or two-storey houses than in those with high-rise apartments. Tall
    stacks are widely used for electricity-generating stations and other
    major industrial sources, but the pollutants may then be carried great
    distances, often over national boundaries, to be deposited eventually
    far from their source (Royal Ministry of Foreign Affairs, Sweden,
    1971; Zeeduk & Velds, 1973).

    FIGURE 4

         (c) Topography and the proximity of other buildings. The
    presence of hills or tall buildings, and many other features of the
    landscape, have important effects on the dispersion of plumes from
    individual stacks, or of the pollution from an area source as a whole.
    Many industrial cities have developed in river valleys, initially to
    take advantage of water transport, but, in general, the dispersion of
    pollutants in such a situation is poorer than it would be from a more
    exposed location.

         (d) Meteorology. Meteorological factors are of fundamental
    importance in determining the whole spatial and temporal distribution
    of pollution, and the subject has been well reviewed in a recent
    publication (Munn, 1976). Apart from the general influence of the
    local climate, the great variability of the weather in any one
    locality is liable to lead to considerable changes in the
    concentrations of sulfur dioxide. In particular, temperature
    inversions can trap these pollutants to produce concentrations up to
    several hundred times the usual values (Waller & Commins, 1966).

    4.2  Transformation and Degradation

        In recent years, there has been a rapid escalation of interest in
    the ultimate fate of sulfur dioxide and particulate matter emitted
    into the air. This is concerned partly with the nature of reaction
    products and their possible effects on health, and also with the
    ecological effects of these products when deposited (Brosset, 1973)
    and their possible role, as aerosols, in modifying the climate on a
    global scale (Hobbs et al., 1974).

        Some of the sulfur dioxide emitted into the air is removed
    unchanged by various surfaces, including soil (Abeles et al., 1971),
    water (Liss, 1971; Spedding, 1972), grass (Garland et al., 1973) and
    vegetation in general (Hill, 1971). It has been estimated that, in the
    United Kingdom, about 25% of the sulfur dioxide is removed by these
    direct ("dry" deposition) processes (Garland et al., 1974). The
    remainder is transformed into sulfuric acid or sulfates by a variety
    of processes, in the presence of moisture, and is then mainly washed
    out in rain. Although this self-cleansing process limits the build-up
    of sulfur compounds in the air, so minimizing the effects on health,
    the "acid rain" produced is considered to be a serious general
    environmental problem in some areas (Likens & Bormann, 1974).

        A schematic representation of a natural sulfur cycle is shown in
    Fig. 5 (Kellogg et al., 1972). Additions to this cycle due to man's
    activity are possible at each stage, although 95% of such
    contributions are added as sulfur dioxide. Also represented here are
    the possible reactions with sunlight. There have been many laboratory
    investigations of this process: the reaction is slow (Allen et al.,
    1972; Cox & Penkett, 1970), but it is enhanced in the presence of
    hydrocarbons and other pollutants associated with motor vehicle
    emissions (Cox & Penkett, 1971; Wilson & Levy, 1970). In general,
    however, other processes are of even greater importance in the
    transformation and removal of sulfur dioxide, including reactions in
    water droplets with ammonia (McKay, 1971), and catalytic oxidation in
    the presence of manganese or iron (Barrie & Georgii, 1976; Chun &
    Quon, 1973). These various reactions involving sulfur dioxide,

    FIGURE 5

    particulate matter, and other pollutants have been discussed in a
    number of reviews (Bufalini, 1971; Calvert, 1973). There may be
    limitations to the catalytic processes because of the restricted
    availability of reactive metallic oxide, catalytic particles, and
    neutralizing compounds in the air. Some of the photochemical reactions
    are severely rate-limited, but in others, sulfur dioxide can be
    oxidized at an appreciable rate and it has been estimated that
    conversion rates as high as 18% per hour might be possible (Rall,
    1974). The end-products are similar in all these reactions, i.e., the
    formation of aerosols, initially in the submicron size-range,
    consisting of a mixture of sulfates and sulfuric acid. There is no
    uniform relationship between the proportions of sulfur dioxide,
    sulfates, or sulfuric acid in the total sulfur pollution. Emissions
    are primarily in the form of sulfur dioxide; thus, in cities close to
    sources, the major proportion is in this form, but it has been
    reported that, in the USA, the proportion present as sulfate is higher
    in western than in eastern urban areas (Altshuller, 1973). At nonurban
    sites, concentrations of sulfates may be similar to those of sulfur
    dioxide.

        The overall conversion of sulfur dioxide to sulfate is an
    extremely complex process with many interrelated variables that are
    poorly characterized. These include the absorption rate of sulfur
    dioxide, the sizes of the particles or droplets involved, their
    chemical composition, the rate of diffusion of reactants within the
    aerosol, and the relative humidity. The last of these variables is a
    major factor, as the catalytic reactions occur with water droplets
    containing absorbed sulfur dioxide and other pollutants. Furthermore,
    as the pH decreases, the rate of oxidation of sulfur dioxide also
    decreases (Junge & Ryan, 1958). Thus, the formation of sulfuric acid
    tends to be self-limiting unless the fall in pH is offset by
    additional water vapour. On the other hand, the presence of alkaline
    compounds, such as ammonia, in the droplet can enhance the reaction
    rate due to its buffering capacity. Extrapolated levels for the rate
    of oxidation of sulfur dioxide by catalytic processes in urban air
    range upwards from 2% per hour (Rall, 1974). Overall, the half-life of
    sulfur dioxide in ambient air is estimated to be three to five hours.

        The physical and chemical forms of suspended particulate matter in
    general may be changed in the air. Some components, such as
    hydrocarbons, absorbed initially onto particulate matter, may
    evaporate or be oxidized. Even some of the complex hydrocarbons in the
    tarry matter from coal burning may be volatile enough to be lost
    gradually, and there is evidence that they can be lost from filters
    during sampling (Commins & Lawther, 1958). The sizes of the particles
    may vary according to the relative humidity, particularly if sulfuric
    acid, sulfates, or other salts are present, and this can lead to
    precipitation even before the onset of rain (Waller, 1963). The
    question of overwhelming importance is the role of particulate matter
    in the conversion of sulfur dioxide to sulfuric acid and sulfates.

    Traces of metallic compounds, some of which serve as catalysts in
    these reactions, are present in particulate matter from the combustion
    of coal, and also in the relatively small amount of particulate matter
    that may come from the combustion of oil. It has long been considered
    that the acute effects on health seen in episodes of high pollution
    are crucially dependent on the mixture of sulfur dioxide and
    particulate matter present, together with the relative humidity: the
    worst effects have been seen with each of these factors in a high
    range (Ministry of Health, United Kingdom, 1954).

    5.  ENVIRONMENTAL CONCENTRATIONS AND EXPOSURES

        Sulfur dioxide and suspended particulate matter are the most
    widely monitored air pollutants. National sampling networks exist in
    many of the industrialized countries of the world, and summaries of
    the observations are commonly published in annual reports. Results
    from selected sampling sites are also collated by a number of
    international organizations (Commission of the European Communities,
    1976; Pan American Health Organization, 1976; World Health
    Organization, 1976b).

    5.1  Concentrations in Outdoor Air

        Most sampling networks for sulfur dioxide, smoke, and suspended
    particulate matter have been set up for control purposes, to examine
    the distribution of these pollutants in various areas and to follow
    the long-term trends. Such measurements are normally made on outdoor
    air. Where adequate networks exist, there is obviously an advantage in
    trying to use them to assess exposure, but this may be far from ideal.
    The limitations of the data obtained from the usual monitoring sites
    may, to some extent, account for inconsistencies in results in studies
    reviewed in section 8. Requirements for monitoring networks have been
    discussed further in a recent report (World Health Organization,
    1977).

        Concentrations of sulfur dioxide and suspended particulate matter
    vary greatly from one area to another depending on the nature and
    intensity of local sources, and on other factors such as topography,
    general weather conditions, and liability to temperature inversions.
    Even within a single city there may be large differences in
    concentrations. Where sufficient monitoring stations exist, it may be
    possible to construct isopleths, showing "contours" of equal
    concentration. An example, for the city of Antwerp, is shown in Fig. 6
    (Derouane et al., 1972). From this, it is clear that the distribution
    of sulfur dioxide is not necessarily the same as that of smoke. There
    is a general tendency for the concentrations of these pollutants to be
    highest in the largest cities of the world, and within them for the
    highest concentrations to be in the central areas. The implementation
    of control measures has, however, changed the situation in recent
    years, for, in some instances, these have been applied most vigorously
    in the central areas of large cities (Masters, 1974).

    FIGURE 6

        Table 10.  Concentrations of sulfur dioxide, smoke, and suspended particulate
               matter (1974)a
                                                                                   

         Site                             Concentration (µg/m 3)
                                annual arithmetic mean     maximum daily mean
                                                                                   

    Sulfur dioxide

         Brussels                        107                      347
         Frankfurt                       119                      455
         London                          150                      503
         Madrid                          161                      763
         Prague                          126                      482
         Rome                            108                      600
         Zagreb                          173                      893

    Smoke, by reflectance

         Brussels                         37                        -
         London                           26                      149
         Madrid                          190                      908
         Rome                             60                      160

    Suspended particulate by high volume sampler

         Calcutta                        519                     1090
         St Louis                         87                      189
         Vancouver                        64                      134
         Zagreb                          167                      806
                                                                                   

    a From:  World Health Organization (1976b). Sites selected for inclusion
             here are all classified as city centre commercial sites. The
             selection is also limited to sites using 24-h averaging periods.
             Further information is available in the WHO report of frequency
             distributions, standard deviations, and monthly and annual
             geometric means.

    
    Examples of concentrations of sulfur dioxide and smoke or suspended
    particulate matter, drawn from the WHO air quality monitoring
    programme (World Health Organization, 1976b) are shown in Table 10.
    For present purposes, results included in this table are limited to

    those from one type of site (city centre commercial sites), where the
    sampling methods and averaging periods are also comparable with one
    another. Even so, much caution must be exercised in drawing
    comparisons between cities, for the sites can only be representative
    of their immediate surroundings.

        The annual mean concentrations of sulfur dioxide are fairly
    uniform at the particular sites quoted in Table 10, ranging from about
    100 to 200 µg/m3 (0.035-0.070 ppm). For particulate matter, however,
    the variation between cities appears to be much greater and it seems
    likely that some of the results are unduly influenced by sources close
    to the samplers, or by high background levels of dust from
    noncombustion sources.

        There are few reports about ambient levels of sulfates. A study
    from the USA (Altshuller, 1973) reported annual, arithmetic mean
    concentrations at urban sites in the range of 2.4 to 48.7 µg/m3, with
    an average ratio of sulfur dioxide to sulfate of 4.7. The relationship
    between these two pollutants was not, however, entirely consistent and
    the ratio tended to be higher at western sites than at eastern sites.
    In the east, there was a general background level of sulfate of about
    5 µg/m3, even at nonurban sites, and this was attributed to the long
    distance transport of sulfur dioxide, with conversion to sulfate
    during transport. There also appeared to be a "saturation" level of
    sulfate at about 17 µg/m3 at eastern urban sites, within the sulfur
    dioxide range of 100-200 µg/m3 (0.035-0.070 ppm).

        There is even less published information concerning concentrations
    in air of sulfuric acid, and such observations must always be related
    to the method of measurement. One series of measurements of net
    particulate acid, as determined by titration of samples collected on
    filter papers, has indicated a mean concentration in London of
    approximately 4 µg/m3  representing a few percent of the
    corresponding concentration of sulfur dioxide (Commins & Waller,
    unpublished data). However, the concentration of this pollutant is
    liable to increase rapidly during temperature inversions, particularly
    if the relative humidity is high (Commins, 1967).

        For each of the pollutants considered, there are generally large
    variations in concentration with time at any one place. The extent to
    which this can be followed depends on the time resolution of the
    sampling instruments. Usually, integrated samples are collected over
    24-h periods to yield daily mean values, and from these monthly,
    seasonal, and annual means are calculated. Shorter sampling periods
    may however be used, and where continuous automatic instruments are
    used, virtually instantaneous values can be obtained. Relationships
    between values averaged over different periods have been extensively
    studied in the USA (Larsen, 1971). An indication of the day-to-day
    variation in smoke and sulfur dioxide concentrations in a large city
    (London) is given in Fig. 7.

    FIGURE 7

        Although annual means, coupled with daily maxima, give a general
    impression of pollution levels in any given locality, long series of
    results are often summarized as frequency distributions. These have
    been shown to be log-normal for a wide range of averaging times,
    pollutants, and localities (Pollack, 1975). This suggests that the
    geometric mean, which, in such a case, is equivalent to the median, is
    perhaps the most appropriate central value to use. Historically,
    however, the arithmetic mean has been more widely used. For the usual
    log-normal distribution, the geometric mean is a little lower than the
    arithmetic mean. Percentiles of the frequency distribution are
    tabulated in some monitoring networks (US Environmental Protection
    Agency, 1974a), and the complete distributions can conveniently be
    plotted on log-probability paper, as in the example in Fig. 8 drawn
    from data for a recent 5-year period in London (Commins & Waller,
    unpublished data).

        Relationships between peak and mean values for sulfur dioxide have
    also been considered on an empirical basis. For a number of cities in
    Europe, the highest daily mean concentrations during the year have
    been found to be of the order of four times the annual means
    (Commission of the European Communities, 1976). Transient peaks in
    continuous records have been examined in the USA in relation to
    averaging times: the ratio of peak to mean values has been found to be
    2.3 for hourly averaging periods, increasing for successively longer
    periods (Montgomery & Coleman, 1975). Some highly sophisticated
    networks exist for the measurement of sulfur dioxide on a continuous
    basis at many points. The collection and interpretation of such data
    then presents a formidable task, and in some of these networks on-line
    computers are used for data acquisition (Lauer & Benson, 1975).

        The examination of trends in the concentrations of sulfur dioxide
    and particulate matter is important when the effects of long-term
    exposures are investigated. In urban areas of most developed
    countries, there has been a tendency for levels to decline in recent
    years as a result of control efforts, although elsewhere, and
    particularly where concentrations of these pollutants had previously
    been low, increases have occurred as emissions from industrial and
    other sources have increased. Since variations in weather patterns
    from year-to-year can affect even the annual mean concentrations, long
    series are required to examine trends adequately. The declining trend
    in sulfur dioxide concentrations seen in a number of large cities in
    Europe during the 1960s (Commission of the European Communities, 1976)
    may, to a large extent, reflect declining emissions or improved
    dispersion from chimneys, but some authors have considered that
    changing weather conditions have been a contributory factor (Van Dop &
    Kruizinga, 1976). In the United Kingdom, there has been an overall
    decline in sulfur dioxide concentrations without a corresponding
    decline in total emissions (Fig. 9). This is attributable to the

    FIGURE 8

    FIGURE 9

    gradual elimination of sources, such as domestic fires, that had a
    substantial effect on local concentrations, and their replacement by a
    smaller number of large sources dispersing the sulfur dioxide more
    widely. In the case of smoke, concentrations in the United Kingdom
    have declined in parallel with the emissions (Fig. 10). Domestic fires
    always had a dominant effect, and these have been subject to control
    in an increasing number of urban areas.

    5.2  Concentrations in Indoor Air

        As yet, there is relatively little information available
    concerning the concentrations of sulfur dioxide and particulate matter
    in indoor environments (excluding those specifically related to
    occupational exposures). It is quite possible to make such
    measurements indoors by most of the methods mentioned in section 2,
    subject to additional care about interfering substances, and
    limitations of noise for equipment such as the high volume sampler.
    The results are, however, of limited value for general monitoring
    purposes, because of the additional variability introduced by the
    circumstances within each building. As far as human exposure is
    concerned, much time is spent indoors, particularly by the oldest and
    youngest members of the community, and information on indoor
    concentrations is required for epidemiological studies.

        Whether there are substantial differences in indoor and outdoor
    concentrations of sulfur dioxide and particulate matter will depend on
    the degree of ventilation, the capacity of surfaces within to absorb
    or otherwise collect these pollutants, and the presence of sources
    either of the pollutants themselves, or of others that may interact
    with them.

        In warm climates not subject to frequent rain or other adverse
    weather conditions, buildings may be left open enough to ensure that
    indoor concentrations of pollutants are virtually the same as those
    outdoors. Even so, there can be local problems associated with the use
    of fuels in equipment with poor flues or without flues. Extremely high
    concentrations of pollutants, including smoke, have been reported
    inside primitive dwellings in tropical regions, where cooking is
    carried out over open fires (Sofoluwe, 1968). The open coal fires that
    were so widely used in the United Kingdom prior to the Clean Air Act
    of 1956 had two possible, and opposing, effects on indoor
    concentrations. The very large ventilation rate that they induced
    helped to maintain indoor concentrations of smoke and sulfur dioxide
    close to those outdoors, but, in unfavourable wind conditions,
    downdraughts could force these pollutants from the fire itself into
    the room, producing concentrations far in excess of those outdoors.
    Examples of indoor concentrations of suspended particulate matter or
    (more rarely) of sulfur dioxide exceeding those out of doors have also
    been found in studies in the Netherlands (Biersteker et al., 1956) and
    in the USA (Yocom et al., 1971).

    FIGURE 10

        In general, however, in the absence of specific sources of sulfur
    dioxide or fine particulate matter indoors, concentrations are
    generally less than those outdoors. Sulfur dioxide as a gas, can
    diffuse readily onto walls and o