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Despite the frequent occurrence of heat waves in the Middle East, there is a lack of evidence regarding the overall estimates for the effect of heat waves on mortality in this region. This study aimed to review the effect of exposure to heat and cold waves and daily cause-specific mortality. Four electronic databases were searched. The titles, abstracts, and full-texts of the articles were carefully reviewed by two researchers. Once eligible studies were identified, the required data were extracted. Separate meta-analyses were conducted based on gender, age group, and health endpoint combinations. According to the meta-analysis, heat waves had a statistically significant effect on all-cause mortality with an RR of 1.23 (CI 95%: 1.08, 1.39). Cardiovascular mortality significantly increased in heat waves with an RR of 1.08 (CI 95%: 1.05, 1.10). However, the increase in respiratory mortality was not statistically significant. Compared to young people (age < 65 years old) and women, elderly and men were more vulnerable to heat waves with RRs of 1.31 (95% CI: 1.05, 1.57) and 1.33 (95% CI: 1.08, 1.58), respectively. This study can be beneficial in developing response or adaptation plans for heat waves. Future studies should focus on other specific health endpoints like ischemic heart disease, chronic obstructive pulmonary diseases, etc., and other outcomes such as hospitalization and emergency visits., (© 2024. The Author(s).)

Today, the main goal of many researchers is the use of high-performance, economically and industrially justified materials, as well as recyclable materials in removing organic and dangerous pollutants. For this purpose, sol-gel derived carbon aerogel modified with nickel (SGCAN) was used to remove Cefixime from aqueous solutions. The influence of important parameters in the cefixime adsorption onto SGCAN was modeled and optimized using artificial neural network (ANN), response surface methodology (RSM), genetic algorithm (GA), and SOLVER methods. R software was applied for this purpose. The design range of the runs for a time was in the range of 5 min-70 min, concentration in the range of 5 mg L -1 to 40 mg L -1 , amount of adsorbent in the range of 0.05 g L -1 to 0.15 g L -1 , and pH in the range of 2.0-11. The results showed that the ANN model due to lower Mean Squared Error (MSE), Sum of Squared Errors (SSE), and Root Mean Squared Error (RMSE) values and also higher R 2 is a superior model than RSM. Also, due to the superiority of ANN over the RSM model, the optimum results were calculated based on GA. Based on GA, the highest Cefixime adsorption onto SGCAN was obtained in pH, 5.98; reaction time, 58.15 min; initial Cefixime concentration, 15.26 mg L -1 ; and adsorbent dosage, 0.11 g L -1 . The maximum adsorption capacity of Cefixime onto SGCAN was determined to be 52 mg g -1 . It was found the pseudo-second-order model has a better fit with the presented data., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

In the indoor environment of dental clinics, dental personnel and patients are exposed to a risk of infection because of the transmission of SARS-CoV-2 via particles or droplets. This study investigated the presence of SARS-CoV-2 RNA in indoor air of dental clinics in Tehran, Iran. Air sampling was done (n = 36) collecting particulate samples on PTFE filters at flow rates of 30 to 58 L/min. The samples were analyzed with novel coronavirus nucleic acid diagnostic real-time PCR kits. Only 13 out of 36 samples were positive for SARS-CoV-2 RNA. Logistic regression showed that sampling site's volume, PM 2.5 concentration, number of people, and number of active patient treatment units were significantly positively related with the presence of SARS-CoV-2 RNA. Thus, strategies to control the spread of COVID-19 should include reducing the number of infected people in dental clinics, adding filtration systems, and/or improving ventilation conditions., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Exposure to air pollution during prenatal or neonatal periods is associated with autism spectrum disorder (ASD) according to epidemiology studies. Furthermore, prenatal exposure to valproic acid (VPA) has also been found to be associated with an increased prevalence of ASD. To assess the association between simultaneous exposure to VPA and air pollutants, seven exposure groups of rats were included in current study (PM 2.5 and gaseous pollutants exposed - high dose of VPA (PGE-high); PM 2.5 and gaseous pollutants exposed - low dose of VPA (PGE-low); gaseous pollutants only exposed - high dose of VPA (GE-high); gaseous pollutants only exposed - low dose of VPA (GE-low); clean air exposed - high dose of VPA (CAE-high); clean air exposed - low dose of VPA (CAE-low) and clean air exposed (CAE)). The pollution-exposed rats were exposed to air pollutants from embryonic day (E0) to postnatal day 42 (PND42). In all the induced groups, decreased oxidative stress biomarkers, decreased oxytocin receptor (OXTR) levels, and increased the expression of interleukin 6 (IL-6), interleukin 1β (IL-1β), and tumor necrosis factor alpha (TNF-α) were found. The volumes of the cerebellum, hippocampus, striatum, and prefrontal decreased in all induced groups in comparison to CAE. Additionally, increased numerical density of glial cells and decreased of numerical density of neurons were found in all induced groups. Results show that simultaneous exposure to air pollution and VPA can cause ASD-related behavioral deficits and air pollution reinforced the mechanism of inducing ASD ̉s in VPA-induced rat model of autism., (© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

TiO 2 nanoparticles used in the photocatalytic degradation of pollutants in water treatment processes undergo physiochemical changes; therefore, their toxicological effects may be potentially different from those of the pristine nanoparticles. This study compared the toxic effects of exposure to pristine and photocatalytically used TiO 2 nanoparticles in mice. To obtain used TiO 2 , the nanoparticles were used for photocatalytic degradation of a model pollutant under UV irradiation several times. Two groups of mice were exposed to pristine (PT group) and photocatalytically used TiO 2 (UT group) at three different concentrations (5-20 mg/m 3 ) using whole-body exposure chambers (2 h/day, 5 days/weeks, 4 weeks). Exposure to both pristine and used TiO 2 increased the levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphate (ALP), lactate dehydrogenase (LDH), C-reactive protein (CRP), and creatine kinase (CK-MB) significantly. Both exposed groups showed higher levels of WBC, lymphocytes, platelets, hematocrits, hemoglobin, and mean corpuscular volume (MCV) and lower levels of RBC and mean corpuscular hemoglobin concentration (MCHC) in a concentration-dependent manner. In all analyses, there were small non-significant differences between the PT and UT groups. More pathological changes were observed in the lung, kidney, and brain of the UT group, while the PT group showed more pathological effects in the liver and heart. The histological observations indicated that damage was mostly in the form of vascular endothelial injury. These two types of TiO 2 may activate different pathways to promote adverse effects. Further studies are required to evaluate and distinguish the mechanisms through which pristine and used TiO 2 induce toxicity., (© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Clean air is considered as a basic need for human health. However, air pollution is a significant threat to health in developed and developing countries. The aim of this study was to estimate the health effects attributed to PM 2.5 pollutants in the air of Ardabil in 2018 (using Air Q + model). Raw data related to particles were collected from the Department of Environment and processed in Excel software and converted into an input file of the Air Q + model, and in the final stage, by considering appropriate epidemiological parameters and combining these data with air quality data, it was possible to estimate the health effects of air pollution. The results showed that the average annual concentrations of PM 2.5 and PM 10 were 15.47 and 30.94 in the study year, respectively. The total number of deaths due to ALRI, COPD, lung cancer, IHD, and stroke deaths on average during the study period were estimated to be 73, 11, 7, 15, and 14 deaths, respectively, which include 14.62, 15.78, 4.9, 12.43, and 11.6% of deaths due to ALRI, COPD, lung cancer, IHD, and stroke deaths, respectively. In conditions of concentration above 5 µg/m 3 , attributed proportion, total number of attributed cases and number of attributed cases per 100,000 population (with moderate relative risk and confidence interval of 95%) for cardiovascular diseases have been estimated to be 0.95% 103 people and 42.19 people. Also, the attributed proportion, the total number of attributable cases, and the number of attributable cases per 100,000 population (with moderate relative risk and confidence of 95%) for the admission of respiratory diseases have been estimated at 97.1%, 68 persons and 3 persons, respectively. Our results suggest that particle exposure even at low concentrations is associated with an increased risk of overall mortality and specific cause mortality and hospital admissions for respiratory and cardiovascular diseases., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

Short-term exposures to air pollution have been associated with various adverse health effects. In this study, we investigated the associations between ambient air pollutants with the number of hospital admissions and mortality from cardiovascular diseases (CVDs). This time series study was conducted in Tehran for the years 2014-2017 (1220 day). We collected the ambient air pollutant concentration data from the regulatory monitoring stations. The health data were obtained from the Ministry of Health and Medical Education. A distributed lag non-linear model (DLNM) was used for the analyses. Total CVDs and ischemic heart disease (IHD) admissions were associated with CO for each 1 mg/m 3 increase at lags of 6 and 7 days. Also, there was a positive association between total CVDs (RR 1.01; 1.001 to 1.03), IHD (RR 1.04; 1.006 to 1.07), and cerebrovascular diseases (RR 1.03; 1.005 to 1.07) mortality with SO 2 at a lag of 4 days. PM 2.5 and PM 10 were associated with cerebrovascular disease admissions in females aged 16-65 years and 16 years and younger for each 10 µg/m 3 increase, respectively. Short-term exposure to SO 2 , NO 2 , and CO was associated with hospital admissions and mortality for CVDs, IHD, cerebrovascular diseases, and other cardiovascular diseases at different lags. Moreover, females were more affected by ambient air pollutants than males in terms of their burden of CVDs. Therefore, identifying the likely harmful effects of pollutants given their current concentrations requires the planning and implementation of strategies to reduce air pollution., (© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

This paper presents a terahertz beamforming network based on a nonlocal lens with a 2D beam-scanning demonstration through leaky-wave antennas. The proposed design methodology is novel, to the best of our knowledge, in the aspect of using unconventional optimization parameters to significantly reduce the phase error associated with this class of beamformers. In this approach, a nonuniform contour defined by Fourier series expansion is used as a new optimization parameter to significantly decrease the phase error over a larger scan-angle than that in the previous works. The proposed system is a good candidate for industrial and security applications such as automotive radar sensors and electromagnetic THz imaging, thanks to its extensive 2D scanning range: -68 ∘ to 0° in the elevation plane and -45 ∘ to +45 ∘ in the azimuth plane over the frequency range of 140-180 GHz.

Objectives: The prevalence of multiple sclerosis (MS) in the Persian Gulf countries has been significantly increasing during the past decades. This study was conducted for investigating the prevalence and incidence of MS in Northeast Iran (Khorasan Razavi province)., Methods: This cross-sectional study was conducted during 1 January 1988 and 23 September 2018. All patients with a clinically definite diagnosis of MS according to the McDonald criteria (2005) and MRI along with the medical diagnosis, recorded in the Khorasan MS society, were considered for calculation of crude and age-standardized prevalence, and incidence rates of MS. The periodic incidence rates were calculated based on the year of onset of MS. Also, we calculated gender ratios for prevalence and incidence rates., Results: The mean age-standardized prevalence and incidence rates of MS in the Khorasan Razavi were 8.69 (95% CI 8.05-9.41) per 100,000 (3.99 (95% CI 3.39-4.74) for males, 13.49 (95% CI 12.37-14.76) for females). Age-standardized prevalence was 48.87 (95% CI 48.37-49.35) per 100,000 (22.47 (95% CI 22.01-22.93) for males, 75.65 (95% CI 74.80-76.51) for females). Also, the mean incidence and prevalence for Mashhad County as capital of province were 11.38 and 59.09 per 100,000 populations, respectively. The female/male ratio was 3.33 for all age groups., Conclusion: Our results showed that this region is a high-risk area for MS like central region of Iran. Our results revealed that the prevalence and incidence of MS in the study area have increased during the recent decades with a sharp slope., (© 2021. Fondazione Società Italiana di Neurologia.)

Purpose: The association between air pollutant (PM 2.5 , PM 10 , NO 2 , and O 3 ) concentrations and daily number of COVID-19 confirmed cases and related deaths were evaluated in three major Iranian cities (Tehran, Mashhad, and Tabriz)., Methods: Hourly concentrations of air pollutants and daily number of PCR-confirmed cases and deaths of COVID-19 were acquired (February 20 th , 2020 to January 4 th , 2021). A generalized additive model (GAM) assuming a quasi-Poisson distribution was used to model the associations in each city up to lag-day 7 (for mortality) and 14 (for morbidity). Then, the city-specific estimates were meta-analyzed using a fixed effect model to obtain the overall relative risks (RRs)., Results: A total of 114,964 confirmed cases and 21,549 deaths were recorded in these cities. For confirmed cases, exposure to PM 2.5 , NO 2 , and O 3 for several lag-days showed significant associations. In case of mortality, meta-analysis estimated that the RRs for PM 2.5 , PM 10 , NO 2 , and O 3 concentrations were 1.06 (95% CI: 0.99, 1.13), 1.06 (95% CI: 0.93, 1.19), 1.15 (95% CI: 0.93, 1.38), and 1.07 (95% CI: 0.84, 1.31), respectively. Despite several positive associations with all air pollutants over multiple lag-days, COVID-19 mortality was only significantly associated with NO 2 on lag-days 0-1 and 1 with the RRs of 1.35 (95% CI: 1.04, 1.67) and 1.16 (95% CI: 1.02, 1.31), respectively., Conclusion: This study showed that air pollution can be a factor exacerbating COVID-19 infection and clinical outcomes. Actions should be taken to reduce the exposure of the public and particularly patients to ambient air pollutants., Supplementary Information: The online version contains supplementary material available at 10.1007/s40201-021-00736-4., Competing Interests: Conflicts of interest/Competing interestsThe authors declare no conflict of interests., (© Springer Nature Switzerland AG 2021.)

From a public health point of view, years of life lost (YLL) is a more important index than the number of deaths to evaluate the effect of risk factors. The objective of the present study was to estimate the burden of disease including years of life lost (YLL) and expected life remaining (ELR) attributed to long-term exposure to PM 2.5 in Ahvaz, one of the most polluted cities of the world, during March 2014 through March 2017. AirQ +  software was used for the estimation of YLL and ELR due to all natural causes of death. Hourly concentrations of PM 2.5 were acquired from the Department of Environment (DoE) of Ahvaz. Several steps were performed to validate the raw air quality data. Only the monitors were included that had minimum data completeness of 75%. Two age groups were selected for this study, including 0-64 and 65 < years. The life table approach was used to estimate YLL and ELR. Annual averages of PM 2.5 were 5.2-8 times higher than the air quality guideline (10 μg/m 3 ) set by WHO for long-term exposure to PM 2.5 . In total, PM 2.5  has caused 234,041 years of life lost due to mortality. About 84% of YLLs were attributed to people older than 65 years old. The YLLs of men were higher than those for women. The YLLs in the third year were greater than the first two years. PM 2.5 has caused the average age of total population, people aged 0-64 years old, and people > 65 years old decreased by 2.5, 3, and 1.6 years, respectively. These studies indicated that people in a city that the air quality is highly affected by dust storms, industrial emissions, and urban air pollution are significantly at risk. Air pollution control strategies and actions should be designed and executed to improve the quality of ambient air., (© 2021. The Author(s), under exclusive licence to Springer Nature B.V. part of Springer Nature.)

Purpose: The aim of the present study was to investigate the effect of short-term exposure to ambient black carbon (BC) on daily cause-specific mortality, including mortality due to respiratory, cardiovascular, ischemic heart and cerebrovascular diseases in Tehran, Iran., Materials and Methods: Daily non-accidental death counts, meteorological data and hourly concentrations of air pollutants from 2014 to 2017 were collected in Tehran. A distributed lag non-linear model was used to assess the association between exposure to BC and daily mortality., Results: The mean daily BC concentration during the study period was 3.96 ± 1.19 µg/m 3 . The results indicated that BC was significantly associated with cardiovascular, ischemic heart disease, and cerebrovascular mortality, but not with respiratory mortality. In first model, each 10 µg/m 3 increase in at lag 3, lag 4 and lag 5 were associated with cardiovascular mortality in 16-65 year age group with the relative risks (RRs) of 1.17 (95 % CI: 1.02-1.33), 1.17 (95 % CI: 1.04-1.31) and 1.12 (95 % CI: 1.02-1.24), respectively. The highest mortality rate per 10 µg/m 3 increase in exposure was found for ischemic heart diseases with RR of 3.98 (95 % CI: 1.04-1.81, lag 01) for 16-65 age group. Cerebrovascular mortality was associated with 10 µg/m 3 increases in non-cumulative exposure with RR of 1.17 (95 % 1.009-1.35, lag 5) in the age group ≥ 65 years. In the second model for a 10 µg/m 3 increase in BC, cardiovascular mortality at specific lag days (5 and 6 days) in the age group ≤ 16 years were associated with RR of 1.34 (95 % CI 1.08-1.66) and 1.35(95 % CI 1.02-1.77), respectively., Conclusions: This study in Tehran found significant effects of BC exposure on daily mortality for cardiovascular, ischemic heart disease, cerebrovascular disease., Supplementary Information: The online version contains supplementary material available at 10.1007/s40201-021-00659-0., Competing Interests: Conflict of interestThe authors of this article declare that they have no conflict of interests., (© Springer Nature Switzerland AG 2021.)

Background: Socioeconomic factors may be involved in risk of multiple sclerosis (MS), either indirectly or as confounding factors. In this study two comprehensive indicators reflecting socioeconomic differences, including the Human Development Index (HDI) and Prosperity Index (PI), were used to assess the impact of these factors on the worldwide distribution of MS., Methods: The data for this global ecological study were obtained from three comprehensive databases including the Global Burden of Disease (as the source of MS indices), United Nations Development Programme (source for HDI) and the Legatum Institute Database for PI. MS indices (including prevalence, incidence, mortality, and disability-adjusted life years) were all analyzed in the form of age- and sex-standardized. Correlation and regression analyses were used to investigate the relationship between HDI and PI and their subsets with MS indices., Results: All MS indices were correlated with HDI and PI. It was also found that developed countries had significantly higher prevalence and incidence rates of MS than developing countries. Education and governance from the PI, and gross national income and expected years of schooling from the HDI were more associated with MS. Education was significantly related to MS indices (p < 0.01) in both developed and developing countries., Conclusion: In general, the difference in income and the socioeconomic development globally have created a landscape for MS that should be studied in more detail in future studies.

Population exposure to environmental contaminants can be precisely observed through human biomonitoring studies. The present study aimed to systematically review all the biomonitoring studies conducted in Iran on some selected carcinogen environmental pollutants. In this systematic review study, 11 carcinogen agents were selected including arsenic, cadmium, chromium, nickel, lindane, benzene, trichloroethylene (TCE), pentachlorophenol (PCP), radon-222, radium-224, - 226, - 228, and tobacco smoke. The Web of Science, PubMed, and Scopus databases were searched for peer-reviewed articles published in English. After several screening steps, data were extracted from the studies. Meta-analyses (a random-effect model using the DerSimonian-Laired method) were performed only for the biomarkers with more than three eligible articles, including cadmium in blood and breast milk, and arsenic in breast milk. Methodological quality of the studies was assessed using the Newcastle-Ottawa Quality Assessment Scale adapted for cross-sectional studies. Of the 610 articles found in the database search, 30 studies were eligible for qualitative review, and 13 were included in the meta-analysis (cadmium in blood (n = 3), cadmium in breast milk (n = 6), and arsenic in breast milk (n = 4)). The overall pooled average concentrations (95% CI) of cadmium in blood, cadmium in breast milk, and arsenic in breast milk were 0.11 (95% CI: 0.08, 0.14), 5.38 (95% CI: 3.60, 6.96), and 1.42 (95% CI: 1.02, 1.81) µg/L, respectively. These values were compared with the biomarker concentrations in other countries and health-based guideline values. This study showed that there is a need for comprehensive action plans to reduce the exposure of general population to these environmental contaminants., (Copyright © 2021. Published by Elsevier Inc.)

This study has systematically reviewed all of the research articles about the photocatalytic degradation of pesticides using titanium dioxide (TiO 2 ) nanoparticles (NPs) and ultraviolet (UV) irradiation. Online databases were searched for peer-reviewed research articles and conference proceedings published during 2009-2019, and ultimately 112 eligible articles were included in the review. Fifty-three active ingredients of pesticides and one mixture had been investigated, most of them were organophosphorus (22%), followed by triazine derivatives (11%), chloropyridines (9%), and organochlorines (9%). Sixteen types of TiO 2 with an average photodegradation efficiency of 71% were determined. Based on the type of pesticide and experimental conditions such as irradiation time, the complete photodegradation had been observed. The removal of each group of pesticides has been sufficiently discussed in the article. Effect of experimental conditions on photocatalytic activity has been investigated using linear and polynomial regressions. The strategies to reduce the required energy for this process, doping TiO 2 with metal and non-metal agents, innovative reactor designs, etc., were also discussed. In conclusion, TiO 2 NPs have been successful for degradation of pesticides. Future direction for research incorporates developing and application of heterogeneous doped and immobilized titania having optimized characteristics such as surface area, reactive centers, recombination rate, and phase, and capable to photo-degrade low levels of pesticides residues under solar light in an efficient full-scale size.

This study investigated the presence of SARS-CoV-2 in air of public places such as shopping centers, a post office, banks, governmental offices, and public transportation facilities including an airport, subways, and buses in Tehran, Iran. A total of 28 air samples were collected from the eight groups of public and transportation locations. The airborne particle samples were collected on PTFE or glass fiber filters using two types of samplers with flow rates of 40 and 3.5 L/min, respectively. The viral samples were leached and concentrated, and RNA was extracted from each. The presence of viral RNA was evaluated using novel coronavirus nucleic acid diagnostic real time PCR kits. In 64% of the samples, SARS-CoV-2 RNA (62% and 67% from the public places and transportation, respectively) was detected. Positive samples were detected in banks (33%), shopping centers (100%), governmental offices (50%), the airport (80%), subway stations (50%), subway trains (100%), and buses (50%). Logistic regression showed that number of people present during the sampling and the sampled air volume were positively associated with presence of SARS-CoV-2; while the percentage of people with masks, air temperature, and sampling site's volume were negatively related to SARS-CoV-2's presence. However, none of these associations were statistically significant. This study showed that most public places and transportation vehicles were contaminated with SARS-CoV-2. Thus, strategies to control the spread of COVID-19 should include reducing the number of people in indoor spaces, more intense disinfection of transport vehicles, and requiring people to wear masks., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2020 Turkish National Committee for Air Pollution Research and Control. Production and hosting by Elsevier B.V. All rights reserved.)

In recent decades, particulate matter (PM) concentrations in Tehran have exceeded the World Health Organization's (WHO) guideline on most days. In this study, a search protocol was defined by identifying the keywords, to carry out a systematic review of the concentrations and composition of PM in Tehran's ambient air. For this purpose, searches were done in Scopus, PubMed, and Web of Science in 2019. Among the founded articles (197 in Scopus, 61 in PubMed, and 153 in Web of Science). The results show that in Tehran, the annual average PM 10 exceeded the WHO guidelines and for more than 50.0% of the days, the PM 2.5 concentration was more than WHO 24-h guidance value. The PM concentration in Tehran has two seasonal peaks due to poorer dispersion and suspension from dry land, respectively. Tehran has two daily PM peaks due to traffic and changes in boundary-layer heights; one just after midnight and the other during morning rush hour. Indoor concentrations of PM10 and PM2.5 in Tehran were 10.6 and 21.8 times higher than the corresponding values in ambient air. Tehran represents a unique case of problems of controlling PM because of its geographical setting, emission sources, and land use. This review provided a comprehensive assessment for decision makers to assist them in making appropriate policy decisions to improve the air quality. Considering factors such as diversity of resources, temporal and spatial variations, and urban location is essential in developing control plans. Also future studies should focus more on PM reduction plans., (© Springer Nature Switzerland AG 2021.)

Microbial species such as bacteria and fungi can be transported by dust storms over long distances, and may change the mycobiota in downwind. This study aimed to evaluate phenotypes and genotypes of airborne fungi during the Middle Eastern dust (MED) events and normal days in Khorramabad, Iran. The samples were collected regularly every six days at three locations during April 2018-March 2019, with additional samplings during MED days. For phenotypic analyses, the Petri dishes were incubated at 25 °C for 72-120 h. Molecular identification of fungi was carried out using polymerase chain reaction (PCR). The average (±SD) of total fungal concentration was 460.9 (±493.2) CFU/m 3 . The fungi with the highest average concentrations included Cladosporium cladosporioides , Penicillium brevicompactum , and Cladosporium iridis , respectively. The average concentration of fungi during dust days (967.65 CFU/m 3 ) was 3.6 times higher than those in normal days (267.10 CFU/m 3 ). During normal and dust days, 61 and 45 species were detected, respectively. Aspergillus and Cladosporium spp. were relatively more dominant during normal and dust days, respectively. Eight fungal species were only observed during MED days, including Talaromyces albobiverticillius that was detected for the first time in Iran. Despite air temperature, relative humidity and wind speed were associated to the fungal concentrations. Dust events lead to the changes in the air pollutants composition and mycobiota, identification of new fungi, and elevated fungal concentrations that may extremely affect the public health., Competing Interests: Conflict of interestsThe authors declare that they have no conflict of interest., (© Springer Nature Switzerland AG 2020.)

Wet and dry extraction methods are two main methods used in toxicological in vitro and in vivo studies to recover particulate matter (PM) from filter papers. The aim of this study was to extract PM by wet and dry extraction methods and compare the elemental content and carcinogenic risks of extracts. PM 10 samples were collected using fiberglass filters and a high-volume air sampler. For wet extraction, the method involved agitation in water, sonication in water bath, and agitation again. For dry extraction, the filters were sonicated and the PM was recovered using sweeping by a brush. Elemental composition of extracts was determined by inductively coupled plasma-optical emission spectrometry (ICP-OES). Excess lifetime cancer risks (ELCR) of As, Cd, Cr, Ni, and Pb in extracts were estimated. The average recovery efficiency (%) of dry and wet extraction methods were 36.8% and 58.5%, respectively. The average elemental concentration that resulted from dry and wet methods was calculated to be 2.27 and 1.26 μg/m 3 , respectively. The total ELCR of all heavy metals in both methods exceeds the 1 × 10 -6 limit. However, the total ELCR of heavy metals that resulted from the dry method was higher than that from the wet method. In conclusion, the dry method showed to be more effective to recover a representative extract from the filter. This can ultimately lead to a realistic and robust response in toxicological studies. However, a toxicological comparison between the extracts of these two methods is required.

In recent year, animal models have been growingly used to increase our knowledge about the toxicity of PM and underlying mechanisms leading to cardiovascular diseases. In this article, we review the current state of knowledge and findings of studies investigating the cardiovascular effects of PM in rats and mice. The six main areas covered in this review include: I) nature of particulate matter and toxicity mechanisms, II) systemic inflammation, III) heart rate and heart rate variability, IV) histopathological effects, V) atherosclerosis, VI) thrombosis, and VI) myocardial infarction. This review showed that animal model studies have been successful to bring new insights into the mechanisms underlying PM-induced cardiovascular diseases. However, there are some areas that the exact mechanisms are still unclear. In conclusion, investigating the cardiovascular effects of PM in vivo or interpreting the results should attempt to justify the role of different PM compositions, which may vastly affect the overall cytotoxicity of particles., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Background: Epidemiological studies have reported associations between elevated air pollution and autism spectrum disorders (ASD). However, we hypothesized that exposure to air pollution that mimics real world scenarios, is a potential contributor to ASD. The exact etiology and molecular mechanisms underlying ASD are not well understood. Thus, we assessed whether changes in OXTR levels may be part of the mechanism linking PM 2.5 /gaseous pollutant exposure and ASD. The current in-vivo study investigated the effect of exposure to fine particulate matter (PM 2.5 ) and gaseous pollutants on ASD using behavioral and molecular experiments. Four exposure groups of Wistar rats were included in this study: 1) particulate matter and gaseous pollutants exposed (PGE), 2) gaseous pollutants only exposed (GE), 3) autism-like model (ALM) with VPA induction, and 4) clean air exposed (CAE) as the control. Pregnant dams and male pups were exposed to air pollutants from embryonic day (E0) to postnatal day (PND21)., Results: The average ± SD concentrations of air pollutants were: PM 2.5 : 43.8 ± 21.1 μg/m 3 , CO: 13.5 ± 2.5 ppm, NO 2 : 0.341 ± 0.100 ppm, SO 2 : 0.275 ± 0.07 ppm, and O 3 : 0.135 ± 0.01 ppm. The OXTR protein level, catalase activity (CAT), and GSH concentrations in the ALM, PGE, and GE rats were lower than those in control group (CAE). However, the decrements in the GE rats were smaller than other groups. Also in behavioral assessments, the ALM, PGE, and GE rats demonstrated a repetitive /restricted behavior and poor social interaction, but the GE rats had weaker responses compared to other groups of rats. The PGE and GE rats showed similar trends in these tests compared to the VPA rats., Conclusions: This study suggested that exposure to ambient air pollution contributed to ASD and that OXTR protein may serve as part of the mechanism linking them.

Background: Increased atmospheric particulate matter (PM) concentrations are commonly observed during desert dust days in Iran, but there is still no evidence of their effects on human health. We aimed to evaluate the association between daily mortality and exposure to PM 10 and PM 2.5 during dust and non-dust days in Tehran and Ahvaz, two major Middle Eastern cities with different sources, intensity, and frequency of desert dust days., Methods: We identified desert dust days based on exceeding a daily PM 10 concentration threshold of 150 µg/m 3 between 2014 and 2017, checking for low PM 2.5 /PM 10 ratio typical of dust days. We used a time-stratified case-crossover design to estimate the short-term effects of PM 10 and PM 2.5 concentrations on daily mortality during dust and non-dust days. Data was analyzed using conditional Poisson regression models., Results: Higher concentrations of PM and frequency of desert dust days were observed in Ahvaz rather than Tehran. In Ahvaz, the effect of PM 10 at lag 0 was much higher during dust days, an increment of 10 μg/m 3 was associated with 3.28% (95%CI = [2.42, 4.15]) increase of daily mortality, than non-dust days, 1.03% (95%CI = [-0.02, 2.08]), while in Tehran, was slightly higher during non-dust days, 0.72% (95%CI = [0.23, 1.23]), than in dust days, 0.49% (95%CI = [-0.22, 1.20]). No statistically significant associations were observed between PM 2.5 and daily mortality in Ahvaz, while in Teheran the effect of PM 2.5 increased significantly during non-dust days at lag 2, 1.89% (95%CI = [0.83, 1.2.95] and lag 3, 1.88% (95%CI = [0.83, 1.2.95])., Conclusion: The study provides evidence that exposure to PM during Middle East dust days is an important risk factor to human health in arid regions and areas affected by desert dust events., (Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.)

This study aimed to assess the carcinogenic and non-carcinogenic risks of in-vehicle exposure in Tehran, Iran to formaldehyde and acetaldehyde for different models of taxis, and to explore the effects of city zone, taxi vehicle type, the taxi's age (<1, 1-5, 5-10), fuel type (gasoline, CNG, and LPG), and refueling activities on the estimated health risks based on previously measured concentrations. The overall and age-specific carcinogenic and non-carcinogenic risks of these compounds for taxi drivers and passengers were estimated separately using Monte Carlo simulations. Three scenarios of exposure frequency were defined for taxis commuting in different zones of city: Restricted Traffic Zone (RTZ) and Odd-Even Zone (OEZ) as two plans to reduce air pollution, and no-restriction zone (NRZ). The carcinogenic risks for drivers and passengers, the average risks of formaldehyde and acetaldehyde for most cases were above the 1 × 10 -4 . The health risks were greater in Restricted Traffic Zone (RTZ) and Odd-Even Zone (OEZ) in comparison to no-restriction zone (NRZ). The carcinogenic risk from formaldehyde exposures were higher than those for acetaldehyde in all cases. Taxis fueled with LPG showed lower cancer risks for both acetaldehyde and formaldehyde. Refueling increased the carcinogenic risk from both compounds. For non-carcinogenic risks from acetaldehyde, the average hazard ratios for both drivers and passengers were >1, indicating a non-negligible risk. Cancer and non-cancer risks for the taxi drivers were greater than the passengers given the higher time of occupancy. The present study showed that transportation in taxis can impose significant long-term health risks to both passengers and drivers. Development and investment in cleaner choices for public transportations are required., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Background: A rising trend for incidence of multiple sclerosis (MS) has been observed during the recent years in Iran. Several factors have been investigated as the reason, but socioeconomic determinants have been neglected. The present study aimed to investigate the relationship between Human Development Index (HDI), income and education and MS prevalence in the provinces of Iran., Methods: The data used in this study were obtained from three sources: (a) National Registry of MS for MS prevalence data from 2006 to 2013, (b) Statistical Centre of Iran for demographic, income, and percentage of educated people data, and (c) some previous studies for HDI data., Results: The findings showed high prevalence of MS in the provinces of Iran. Most patients were residents of provinces with a higher socioeconomic level. Significant relationships were found between the prevalence of MS and HDI, income and educational level (P = .002, P = .006, and P = .001, respectively)., Conclusion: Socioeconomic determinants in Iran are different from those in many other countries. It seems that Iranian provinces with a higher socioeconomic level have higher prevalence of MS. Further studies in smaller scale are needed to better understand the relationship between socioeconomic determinants and MS prevalence in the provinces of Iran., (© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)

This study systematically reviewed all the cohort studies investigating the relationship between long-term exposure to PM 2.5 and any health outcome until February 2018. We searched ISI Web of Knowledge, Pubmed, and Scopus databases for peer-reviewed journal research articles published in English. We only extracted the results of the single-pollutant main analysis of each study, excluding the effect modifications and sensitivity analyses. Out of the initial 9523 articles, 203 articles were ultimately included for analysis. Based on the different characteristics of studies such as study design, outcome, exposure assessment method, and statistical model, we calculated the number and relative frequency of analyses with statistically significant and insignificant results. Most of the studies were prospective (84.8%), assessed both genders (66.5%), and focused on a specific age range (86.8%). Most of the articles (78.1%) had used modeling techniques for exposure assessment of cohorts' participants. Among the total of 317 health outcomes, the most investigated outcomes include mortality due to cardiovascular disease (6.19%), all causes (5.48%), lung cancer (4.00%), ischemic heart disease (3.50%), and non-accidental causes (3.50%). The percentage of analyses with statistically significant results were higher among studies that used prospective design, mortality as the outcome, fixed stations as exposure assessment method, hazard ratio as risk measure, and no covariate adjustment. We can somehow conclude that the choice of right characteristics for cohort studies can make a difference in their results.

The primary objective of the present study was to evaluate the concentrations and short and long-term excess mortality attributed to PM 2.5 , NO 2 , and O 3 observed in ambient air of Ahvaz during March 2014 to March 2017 period using the AirQ + software developed by the World Health Organization (WHO), which is updated in 2016 by WHO European Centre for Environment and Health. The hourly concentrations of PM 2.5 , O 3 , and NO 2 measured at different regulatory monitoring network stations in Ahvaz city were obtained from the Department of Environment (DOE) of the city. Then, for various air quality monitoring stations, the 24-h average concentration of PM 2.5 , 1-h average of NO 2 concentration, and maximum daily 8-h O 3 concentrations were calculated using Excel 2010 software. When the maximum daily 8-h ozone means exceeding the value of 35, it was subtracted from 35 to calculate SOMO35 indicator for modeling. Validation of air quality data was performed according to the Aphekom and WHO's methodologies for health impact assessment of air pollution. Year-specific city population and baseline incidence of the health outcomes were obtained. The three-year averages of PM 2.5 , NO 2 , and O 3 concentrations were 68.95 (±39.86) μg/m 3 , 135.90 (±47.82) μg/m 3 , and 38.63 (±12.83) parts-per-billion-volume (ppbv), respectively. SOMO35 values of ozone were 6596.66, 3411.78, and 470.88 ppbv in 2014-2015, 2015-2016, and 2016-2017 years, respectively. The AP and number of natural deaths due to NO 2 were higher than PM 2.5 except the last year (2016-2017), causing about 39.18%, 40.73%, and 14.39% of deaths within the first, the second, and the third year, respectively. However, for the last year, the natural mortality for PM 2.5 was higher than NO 2 (34.46% versus 14.39%). The total number of natural mortality caused by PM 2.5 and NO 2 in all years was 4061 and 4391, respectively. A significant number of deaths was estimated to be attributed to the given air pollutants. It can be concluded that by designing and implementing air pollution control strategies and actions, both health effects and economic losses will be prevented., (Copyright © 2019 Elsevier Inc. All rights reserved.)

This study characterized and quantified the bacterial and fungal bioaerosols in nine wards of the Razavi Hospital (Mashhad, Iran) that is equipped with an advanced heating, ventilating, and air conditioning (HVAC) system including HEPA filters for air cleaning. In this study, 432 samples were taken from the indoor air of multiple hospital wards during the morning and afternoon shifts during summer and autumn. The particle number concentrations with sizes of > 0.3, > 0.5, > 1, > 2, > 5, and > 10 μm were measured using a 6-channel handheld particle counter. A greater diversity of bioaerosol types were observed during the morning shifts and during summer. The microbial load was not affected significantly by the temperature, relative humidity, working shift, season, and number of visitors, indicating the effectiveness of a well-designed ventilation system to eliminate site-specific variations. For microbial number concentrations, a significant correlation was only observed between the number of particles with a diameter of > 10 μm and the airborne microbial loading. Thus, passive sampling may not properly reflect the actual concentrations of smaller bioaerosols. In conclusion, HEPA filters in the HVAC system successfully decreased the bioaerosol concentrations in the hospital environment. Additionally, we recommend that active sampling be used in cases where a well-functioning HVAC system exists.

Benzene, toluene, ethylbenzene, and xylene (BTEX) concentrations were measured in beauty salons (BS) and in the urine of the beauty practitioners and a control group. Indoor and outdoor concentrations of BTEX were measured in 36 randomly selected salons. Before- and after-shift urinary BTEX were measured from one female non-smoker employee in each salon, and repeated three times. Clinical symptoms in that beautician were assessed by a physician. Thirty-six unexposed women were included as the control group. Cancer and non-cancer risks of exposure were assessed using deterministic and stochastic methods. Average indoor concentrations of BTEX were higher than those in the ambient air. Urinary BTEX concentrations in the beauty practitioners were significantly higher than in the control group. Linear regression showed that 77% of urinary benzene and toluene variations can be explained by their airborne concentrations. A positive significant relationship was found between age and urinary BTEX concentrations. Although the BTEX cancer and non-cancer risks were not significant, BTEX led to irritation of the eyes, throat, lung, and nose. In addition, toluene caused menstrual disorders among beauty practitioners. These results suggest that it is essential to decrease the exposure of beauty practitioners to BTEX compounds.

This study was aimed to investigate the types and number of bacterial and fungal bioaerosols in indoor air of hospitals according to the type of wards and operating theaters. Bacterial and fungal samples were collected using the passive sampling method of 1/1/1 scheme during a six months' period in the Khatam-Al-Anbia hospital, Tehran, Iran. A simple linear regression was used to determine the relationship between bioaerosol concentrations and the number of active beds. Bacterial bioaerosol concentrations were mainly higher than fungi in all sampling sites. A significant association was found between airborne fungal concentrations and the numbers of beds (R 2  = 0.76, p < 0.05), but not observed for bacteria (R 2  = 0.02, p < 0.05). Our findings provided an exposure database of airborne bacterial and fungal bioaerosol in hospital wards and operating theaters in Tehran. •Due to the importance of the exposure risk to bioaerosols for patients and medical personnel, we focused on identification of the density and diversity of bacterial and fungal bioaerosols in different wards and operating theaters.•Our results showed that the numbers of the beds have a significant effect on airborne fungal concentrations.•The results of this study can be used to set indoor air quality standards for hospital wards and operating theatres.

The presence of fluoride in drinking water can be either beneficial or harmful for human health, depending on its concentration. Most adverse effects of fluoride are observed at high concentrations (above 1.5 mg/L). This study was aimed to evaluate the effect of fluoride concentrations in drinking water on spontaneous abortion in two regions: one with low fluoride concentration and another with high fluoride concentration. The results showed that there is a relationship between the concentration of fluoride in drinking water and abortion, so that the risk of abortion increased at high concentrations of fluoride. However, further studies are needed to clarify this relationship due to the small area and population in this study.

Background: The use of cosmetic products in beauty salons emits numerous kinds of toxic air pollutants. The objectives of this study were to measure the concentrations of benzene, toluene, ethylbenzene, xylene, formaldehyde, and acetaldehyde in 20 large beauty salons in Tehran and relate the observed concentrations to environmental and occupational characteristics of the salons., Methods: Samples were collected from inside and outside air of 20 selected salons located in different areas of the city. Several additional parameters were recorded during the sampling process including surface area, number of active employees, type of ventilation, type of ongoing treatments, temperature, humidity. Deterministic and stochastic health risk assessment of the compounds were performed., Results: Indoor concentrations of each pollutant were significantly higher than its outdoor concentrations. Health risk assessment showed that benzene, formaldehyde and acetaldehyde represent a possible cancer risk in the beauty salons. In addition, toluene, ethylbenzene, and xylene had negligible non-carcinogenic risks. Ventilation with air purifier, and fan with open window were more effective than using just a fan. Concentrations of benzene and toluene were affected by the number of hair dying treatments. The concentration of xylene was affected by the number of hair styling. The concentration of formaldehyde was affected by the number of hair styling and number of nail treatments., Conclusion: With improved ventilation and requirements for reformulated cosmetic, concentrations of toxic air pollutants in beauty salons could be reduced., Competing Interests: All the ethical aspects of this study were proved by the Shahid Beheshti University of Medical Sciences #IR.SBMU.PHNS.REC.66000433.Informed consent was obtained from all individual participants included in the study.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

BTEX (benzene, toluene, ethylbenzene, xylene) and formaldehyde are toxic compounds that can induce adverse health effect in humans. This study measured in-home and ambient concentrations of BTEX and formaldehyde across Tehran, Iran. These pollutants were sampled from the indoor and adjacent outdoor air of 45 houses (9 in each city zone) during the winter of 2015. Sampling was repeated three times for each house. The analyses were performed according to NIOSH procedures. The effect of flooring material, wall covering, ventilation system, heating system, height above ground, presence of attached garages, and distance from highways was evaluated. In addition, carcinogenic and non-carcinogenic risks of these compounds were assessed. The average indoor concentrations of benzene, toluene, ethylbenzene, xylene, and formaldehyde were 53.2, 21.5, 14.4, 21.1, and 17.9 μg/m 3 , respectively. The average outdoor concentrations of benzene, toluene, ethylbenzene, xylene, and formaldehyde were 43.5, 26.2, 10.0, 19.1, and 6.9 μg/m 3 , respectively. Separate regression models showed that wall coating, ventilation system, heating system, flat level, and distance from highways explained 29, 60, 16, 60, and 59% of the BTEX concentrations, respectively. Houses with oil painted walls and parquet flooring had higher concentrations of BTEX and formaldehyde, respectively. The health risk assessment found that the carcinogenic risks of benzene and formaldehyde exceeded 1 × 10 -4 and represent a definite risk. New buildings can be designed based on the results of this study to use better materials and optimum building designs to reduce exposure to these toxic air pollutants.

The original publication of this paper contains a mistake. The correct name and affiliation of the 3rd Author is presented in this paper.

There is a compelling need for apportionment of pollutants' sources to facilitate their reduction through proper management plans. The present study was designed to determine the contribution of each possible source of total suspended particles in Ahvaz's ambient air using positive matrix factorization (PMF), chemical mass balance (CMB), and the SPECIATE database. The sampling program undertaken followed EPA's guidelines and finally resulted in 74 samples. The concentration of 33 elemental and 10 ionic species were measured during a whole year. Three modeling approaches were applied: PMF, the integrated use of PMF and CMB, and the integrated use of the SPECIATE database and CMB. Six sources were derived by PMF: crustal dust (30.6%), industrial and mining activities (25.4%), motor vehicles (23.4%), marine aerosols (11.5%), secondary inorganic aerosols (5.7%), and road dust (3.4%). The contributions of sources from PMF-CMB approach were crustal dust (32.9%), industrial and mining activities (20.9%), motor vehicles (19.7%), marine aerosols (11.1%), secondary inorganic aerosols (9.2%), and road dust (9.36%). Seven sources were derived by SPECIATE-CMB approach: crustal dust (23.2%), industrial and mining activities (20.1%), motor vehicles (17.5%), marine aerosols (12.4%), secondary inorganic aerosols (4.8%), road dust (5.3%), and "nondetermined sources" factor (16.7%). Despite the different contributions of sources, there is a noticeable consistency between the results of these approaches. Furthermore, because of the approved performance of combined receptor models in previous studies and the presence of sufficient data on the number of species and samples, the results of the PMF-CMB approach are possibly the most realistic among those of the three applied approaches.

It was believed that the risk of multiple sclerosis (MS) is associated with latitude gradient. Due to the increasing prevalence of MS in some areas around the equator such as Iran, this theory has been criticized in recent years. Since the distribution of MS in Iran is not uniform, this study was designed to describe the prevalence and incidence of MS in the northeastern area of Iran. The patients were registered in the MS center of Torbat-e Heydarieh County and all of them were living in this county during the study period (during 1 January 1982 to 31 December 2016). Data of the patients were extracted from their files in the MS center. Because of the long-term span of this study, we used different diagnosis criteria according to the files of the patients to proven case missing. In addition, population data were obtained from the website of Statistical Centre of Iran. The total number of the MS patients during the study period was 110 cases. The prevalence of the disease at the beginning and end of the research period was 0.33 (95% CI, 0.008-1.85) and 30.48 (95% CI, 25.25-37.03) patients per 100,000 persons, respectively. The incidence of the disease in this 36-year period was 1.41 (95%CI, 1.15-1.69) patients per 100,000 persons. The average age of the patients was 35.01 (95% CI, 33.37-36.65) years and the female to male ratio was 2.8:1. The prevalence of MS has been increased in the 36-year period in Torbat-e Heydarieh, especially for women. More epidemiological studies are needed to determine the factors affecting this increasing trend., (Copyright © 2018 Elsevier B.V. All rights reserved.)

CALINE3 model predicts the dispersion of pollutants released from roadways in the receptor places at a certain radius from the source. This model was used to evaluate the dispersion of particulate matter < 2.5 µm (PM 10 ) and carbon monoxide (CO) emitted from Yadegar-e-Emam Expressway (YEE) as one of the most congested highways in Tehran. The hourly concentrations of PM 10 and CO, and the count and speed of vehicles were obtained from Tehran׳s Air Quality Control Company (TAQCC). Wind speed and direction, the height of mixing zone, air temperature, relative humidity, and stability class were acquired from IRAN Meteorological Organization (IRIMO). The emission factors (EF) of vehicles were acquired from those proposed for UK. The dispersion of PM 10 and CO was predicted over the nearby area, and the modeled concentrations were estimated for a specific point, where an air quality monitoring station was working. The major portion of PM 10 and CO released by vehicles in YEE was dispersed to the east. The comparison between the modeled and measured concentrations revealed that CALINE3 underestimates the concentrations of PM 10 and CO by about 50%.

The air pollutant species and concentrations in taxis' cabins can present significant health impacts on health. This study measured the concentrations of benzene, toluene, ethylbenzene, xylene (BTEX), formaldehyde, and acetaldehyde in the cabins of four different taxi models. The effects of taxi's age, fuel type, and refueling were investigated. Four taxi models in 3 age groups were fueled with 3 different fuels (gas, compressed natural gas (CNG), and liquefied petroleum gas (LPG)), and the concentrations of 6 air pollutants were measured in the taxi cabins before and after refueling. BTEX, formaldehyde, and acetaldehyde sampling were actively sampled using NIOSH methods 1501, 2541, and 2538, respectively. The average BTEX concentrations for all taxi models were below guideline values. The average concentrations (±SD) of formaldehyde in Model 1 to Model 4 taxis were 889 (±356), 806 (±323), 1144 (±240), and 934 (±167) ppbv, respectively. Acetaldehyde average concentrations (±SD) in Model 1 to Model 4 taxis were 410 (±223), 441 (±241), 443 (±210), and 482 (±91) ppbv, respectively. Refueling increased the in-vehicle concentrations of pollutants primarily the CNG and LPG fuels. BTEX concentrations in all taxi models were significantly higher for gasoline. Taxi age inversely affected formaldehyde and acetaldehyde. In conclusion, it seems that refueling process and substitution of gasoline with CNG and LPG can be considered as solutions to improve in-vehicle air concentrations for taxis., (Copyright © 2018. Published by Elsevier Ltd.)

Few studies regarding the health effects of long-term exposure to particulate matter with an aerodynamic diameter of 2.5 μm or less (PM 2.5 ) have been carried out in Asia or the Middle East. The objective of our study was to assess total, lung cancer and chronic obstructive pulmonary disease (COPD) mortality attributed to long-term exposure to PM 2.5 among adults aged over 30 years in Tehran from March 2013 to March 2016 using AirQ + software. AirQ + modeling software was used to estimate the number of deaths attributed to PM 2.5 concentrations higher than 10 μg m -3 . Air quality data were obtained from the Department of Environment (DOE) and Tehran Air Quality Control Company (TAQCC). Only valid stations with data completeness of 75% in all 3 years were selected for entry into the model. The 3-year average of the 24-h concentrations was 39.17 μg m -3 . The results showed that the annual average concentration of PM 2.5 in 2015-2016 was reduced by 13% compared to that in 2013-2014. The annual average number of all natural, COPD, and lung cancer deaths attributable to long-term exposure to PM 2.5 in adults aged more than 30 years was 5073, 158, and 142 cases, respectively. The results of all three health endpoints indicate that the mortality attributable to PM 2.5 decreased yearly from 2013 to 2016 and that the reduced mortality was related to a corresponding reduction in the PM 2.5 concentration. Considering these first positive results, the steps that have been currently taken for reducing air pollution in Tehran should be continued to further improve the already positive effects of these measures on reducing health outcomes.

Middle Eastern dust (MED) storms carry large amounts of dust particles to the Southern and Western cities of Iran. This study aimed to characterize the elemental and carbonaceous composition of total suspended particles (TSP) and PM 10 in Ahvaz, Iran. TSP and PM 10 samples were collected using two separate high-volume air samplers. The sampling program was performed according to EPA guidelines and resulted in 72 samples. Twenty-eight elements and two carbonaceous components in TSP and PM 10 were measured. Over the entire study period, the mean concentration (SD) of TSP and PM 10 was 1548.72 μg/m 3 (1965.11 μg/m 3 ) and 1152.35 μg/m 3 (1510.34 μg/m 3 ), respectively. The order of concentrations of major species were Si > Al > Ca > OC > Na > B > Zn > Mn > K > Mg and Si > Ca > Al > Na > OC > B > K > Mn > Cu > Mg for TSP and PM 10 , respectively. Almost all elements (except for Cd, Cr, and Cu) and carbonaceous components (except for organic carbon) had dust days/non-dust days (DD/NDD) ratios higher than 1, implying that all components are somehow affected by dust storms. Crustal elements constituted the major portion of particles for both TSP and PM 10 in both DDs and NDDs. The enrichment factor of elements such as Ca, Fe, K, Mg, Na, and Ti was near unity. Species such as Al, Ca, Fe, K, Na, Si, and EC had high correlation coefficients in both TSP and PM 10 (except for EC). In conclusion, Ahvaz is exposed to high concentrations of TSP and PM 10 during the MED period. Immediate actions must be planned to decrease the high concentrations of particulate matter in Ahvaz's ambient air.