title: Volcanic air pollution over the Island of Hawai'i: Emissions, dispersal, and composition. Association with respiratory symptoms and lung function in Hawai'i Island school children.
abstract: Kilauea Volcano on the Island of Hawai'i has erupted continuously since 1983, releasing approximately 300-12000metrictons per day of sulfur dioxide (SO2). SO2 interacts with water vapor to produce an acidic haze known locally as "vog". The combination of wind speed and direction, inversion layer height, and local terrain lead to heterogeneous and variable distribution of vog over the island, allowing study of respiratory effects associated with chronic vog exposure.
  
  
  
  We characterized the distribution and composition of vog over the Island of Hawai'i, and tested the hypotheses that chronic vog exposure (SO2 and acid) is associated with increased asthma prevalence, respiratory symptoms, and reduced pulmonary function in Hawai'i Island schoolchildren.
  
  
  
  We compiled data of volcanic emissions, wind speed, and wind direction over Hawai'i Island since 1992. Community-based researchers then measured 2- to 4-week integrated concentrations of SO2 and fine particulate mass and acidity in 4 exposure zones, from 2002 to 2005, when volcanic SO2 emissions averaged 1600metrictons per day. Concurrently, community researchers recruited schoolchildren in the 4th and 5th grades of 25 schools in the 4 vog exposure zones, to assess determinants of lung health, respiratory symptoms, and asthma prevalence.
  
  
  
  Environmental data suggested 4 different vog exposure zones with SO2, PM2.5, and particulate acid concentrations (mean±s.d.) as follows: 1) Low (0.3±0.2ppb, 2.5±1.2μg/m(3), 0.6±1.1nmolH+/m(3)), 2) Intermittent (1.6±1.8ppb, 2.8±1.5μg/m(3), 4.0±6.6nmolH+/m(3)), 3) Frequent (10.1±5.2ppb, 4.8±1.9μg/m(3), 4.3±6.7nmolH+/m(3)), and 4) Acid (1.2±0.4ppb, 7.2±2.3μg/m(3), 25.3±17.9nmolH+/m(3)). Participants (1957) in the 4 zones differed in race, prematurity, maternal smoking during pregnancy, environmental tobacco smoke exposure, presence of mold in the home, and physician-diagnosed asthma. Multivariable analysis showed an association between Acid vog exposure and cough and strongly suggested an association with FEV1/FVC <0.8, but not with diagnosis of asthma, or chronic persistent wheeze or bronchitis in the last 12months.
  
  
  
  Hawai'i Island's volcanic air pollution can be very acidic, but contains few co-contaminants originating from anthropogenic sources of air pollution. Chronic exposure to acid vog is associated with increased cough and possibly with reduced FEV1/FVC, but not with asthma or bronchitis. Further study is needed to better understand how volcanic air pollution interacts with host and environmental factors to affect respiratory symptoms, lung function, and lung growth, and to determine acute effects of episodes of increased emissions.
authors.affiliation: Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA. Electronic address: tameliza@hawaii.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Tam
authors.affiliation: Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
authors.forename: Rei
authors.initials: R
authors.lastname: Miike
authors.affiliation: Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Labrenz
authors.affiliation: United States Geological Survey, Hawaiian Volcano Observatory, Hawai'i National Park, HI, USA.
authors.forename: A Jeff
authors.initials: AJ
authors.lastname: Sutton
authors.affiliation: United States Geological Survey, Hawaiian Volcano Observatory, Hawai'i National Park, HI, USA.
authors.forename: Tamar
authors.initials: T
authors.lastname: Elias
authors.affiliation: Office of Biostatistics and Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
authors.forename: James
authors.initials: J
authors.lastname: Davis
authors.affiliation: Department of Atmospheric Sciences, School of Ocean and Earth Science Technology, University of Hawai'i, Honolulu, HI, USA.
authors.forename: Yi-Leng
authors.initials: YL
authors.lastname: Chen
authors.affiliation: Channing Division of Network Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: Kelan
authors.initials: K
authors.lastname: Tantisira
authors.affiliation: Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
authors.forename: Douglas
authors.initials: D
authors.lastname: Dockery
authors.affiliation: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Avol
mesh_terms: D000393:Air Pollutants / Q000032:analysis*; D000397:Air Pollution / Q000032:analysis; D002648:Child; D004784:Environmental Monitoring; D005260:Female; D005541:Forced Expiratory Volume; D006254:Hawaii; D006801:Humans; D008297:Male; D052638:Particulate Matter / Q000032:analysis*; D015995:Prevalence; D012140:Respiratory Tract Diseases / Q000453:epidemiology* / Q000503:physiopathology; D012574:Schools; D013458:Sulfur Dioxide / Q000032:analysis*; D013464:Sulfuric Acids / Q000032:analysis*; D018707:Volcanic Eruptions; D014919:Wind
chemical_list: D000393:Air Pollutants; D052638:Particulate Matter; D013464:Sulfuric Acids; D013458:Sulfur Dioxide; C033158:sulfuric acid
keywords: Aerosol; Asthma; FEV(1); FVC; Humidity; Particulate matter; Spirometry; Sulfate; Sulfur dioxide; Sulfuric acid; Wind