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Air Quality Guidelines Global Update 2005 - World Health ...

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ENVIRONMENTAL EQUITY<br />

While data are limited, racial and socioeconomic characteristics have been<br />

shown to differ in relation to source proximity. Green and colleagues (64) enumerated<br />

all state schools in California that were within 150 metres of a road with<br />

heavy traffic (at least 50 000 vehicles per day) and examined the racial and socioeconomic<br />

characteristics of students attending the schools. A total of 78% of<br />

students at the schools near heavy traffic were non-white, compared to 60% for<br />

schools near very light traffic. Similar differences were seen for indicators of socioeconomic<br />

disadvantage. Finkelstein and colleagues (50) reported higher levels<br />

of TSP and sulfur dioxide in areas with lower socioeconomic conditions in Hamilton,<br />

Ontario, presumably due at least in part to motor vehicle emissions. Affluent<br />

neighbourhoods may also be heavily affected by local sources such as roads.<br />

Hot spots, episodes and cumulative impacts<br />

An urban hot spot is an area within a city where long-term average concentrations<br />

of one or more air pollutants are consistently high compared with other<br />

areas of the same city, thus imposing a potential excess health risk burden. The<br />

hot spot is an especially relevant concept for environmental equity; it implies<br />

disproportionate burdens in certain locations, and the places where people live<br />

and work are often affected by socioeconomic forces. The significance for health<br />

of hot spots may be enhanced where one or more sources contribute a variety<br />

of pollutants to the mix of exposures. Cumulative effects of several pollutants<br />

often are not addressed by regulatory approaches that emphasize the control of<br />

individual pollutants. To the extent that multiple pollutants are at concentrations<br />

close to their guideline levels, the significance for health will be enhanced. Pollutant<br />

indices that take into account concentrations of multiple pollutants are one<br />

approach to addressing this gap.<br />

The hot spot issue is related to, but distinct from, that of the pollution episode.<br />

Whereas a hot spot is characterized by spatially localized elevations in concentrations<br />

that are relatively stable over time, an episode is characterized by temporally<br />

localized elevations in concentrations that are relatively stable over space.<br />

Episodes most often occur as a result of unusual meteorological conditions that<br />

limit the dispersion of locally generated pollution emissions, but an episode will<br />

be exacerbated when there are also unusually large releases of pollution from<br />

one or more nearby sources. Cumulative effects of multiple sources are of special<br />

concern, and may be especially significant for residents and workers closest to<br />

the sources.<br />

Regional air pollution episodes may lead to enhanced concentrations at hot<br />

spots. Day-to-day variations in air pollution concentrations experienced in urban<br />

areas are usually driven by regional-scale weather phenomena, which alter<br />

the degree of dispersion of the locally generated pollution and/or the degree of<br />

delivery of pollution generated at a distance. When stagnant weather conditions<br />

occur (i.e. low wind speed and low mixing height), proportional increases in<br />

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