PMID- 27115705 OWN - NLM STAT- MEDLINE DCOM- 20170323 LR - 20220321 IS - 1614-7499 (Electronic) IS - 0944-1344 (Print) IS - 0944-1344 (Linking) VI - 23 IP - 15 DP - 2016 Aug TI - Quantifying the impact of PM2.5 and associated heavy metals on respiratory health of children near metallurgical facilities. PG - 15395-406 LID - 10.1007/s11356-016-6734-x [doi] AB - The aim of this study was to link the concentrations of particulate matter with an aerodynamic diameter below 2.5 mum (PM2.5) and associated heavy metals with occurrence of wheezing and hospitalizations due to wheezing in 111 children who live near metallurgical plants in Targoviste City, Romania. A group of 72 children with high levels of immunoglobulin E (IgE) and eosinophils, as well as frequent wheezing episodes, was geolocated on digital thematic maps. Monitoring campaigns and medical assessments were performed over two consecutive years (2013-2014). The multiannual average concentrations of PM2.5 ranged from 4.6 to 22.5 mug m(-3), up to a maximum value of 102 mug m(-3). Significant correlations (p < 0.01) were observed between the locations of the children with respiratory issues and the PM2.5 multiannual average (r = 0.985) and PM2.5 maximum (r = 0.813). Fe, Ni, Cd, and Cr were the main marker elements of the emissions from steel production and metal-working facilities in the Targoviste area. The results support the hypothesis that increased PM2.5 levels directly influence wheezing symptom and asthma attacks in the analyzed group. IgE, eosinophils, and wheezing episodes may be considered key indicators with which to evaluate the adverse effects of PM2.5 air pollution on children's health. FAU - Dunea, Daniel AU - Dunea D AD - Valahia University of Targoviste, Aleea Sinaia no. 13, RO-130004, Targoviste, Romania. ddunea@yahoo.com. FAU - Iordache, Stefania AU - Iordache S AD - Valahia University of Targoviste, Aleea Sinaia no. 13, RO-130004, Targoviste, Romania. FAU - Liu, Hai-Ying AU - Liu HY AD - Norwegian Institute for Air Research - NILU, Instituttveien 18, PO Box 100, NO-2027, Kjeller, Norway. FAU - Bohler, Trond AU - Bohler T AD - Norwegian Institute for Air Research - NILU, Instituttveien 18, PO Box 100, NO-2027, Kjeller, Norway. FAU - Pohoata, Alin AU - Pohoata A AD - Valahia University of Targoviste, Aleea Sinaia no. 13, RO-130004, Targoviste, Romania. FAU - Radulescu, Cristiana AU - Radulescu C AD - Valahia University of Targoviste, Aleea Sinaia no. 13, RO-130004, Targoviste, Romania. LA - eng PT - Journal Article DEP - 20160426 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 RN - 0 (Air Pollutants) RN - 0 (Metals, Heavy) RN - 0 (Particulate Matter) SB - IM MH - Air Pollutants/*analysis MH - Asthma/chemically induced/*epidemiology MH - Child MH - Environmental Monitoring/*methods MH - Humans MH - *Metallurgy MH - Metals, Heavy/*analysis MH - Particle Size MH - Particulate Matter/*analysis MH - Respiratory Sounds/drug effects MH - Romania PMC - PMC4956698 OTO - NOTNLM OT - Environmental mapping system OT - Eosinophil count OT - Fine particulates OT - Immunoglobulin E OT - Wheezing EDAT- 2016/04/27 06:00 MHDA- 2017/03/24 06:00 PMCR- 2016/04/26 CRDT- 2016/04/27 06:00 PHST- 2015/11/17 00:00 [received] PHST- 2016/04/20 00:00 [accepted] PHST- 2016/04/27 06:00 [entrez] PHST- 2016/04/27 06:00 [pubmed] PHST- 2017/03/24 06:00 [medline] PHST- 2016/04/26 00:00 [pmc-release] AID - 10.1007/s11356-016-6734-x [pii] AID - 6734 [pii] AID - 10.1007/s11356-016-6734-x [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2016 Aug;23(15):15395-406. doi: 10.1007/s11356-016-6734-x. Epub 2016 Apr 26.