OBJECTIVES To study the exposure of Parisian taxi drivers to automobile air pollutants during their professional activity.
METHODS A cross sectional study was carried out from 27 January to 27 March 1997, with measurements performed in the vehicles of 29 randomly selected drivers. Carbon monoxide (CO) content was measured over an 8 hour period by a CO portable monitor. The fine suspended particles were measured according to the black smoke index (BS), with a flow controlled portable pump provided with a cellulose filter. The nitrogen oxides, NO and NO2 were measured with a passive sampler.
RESULTS These drivers are exposed during their professional activity to relatively high concentrations of pollutants (mean, median (SD) 3.8, 2 (1.7) ppm for CO, 168, 164 (53) μg/m3 for BS, 625, 598 (224) μg/m3 for NO, and 139, 131 (43) μg/m3 for NO2.) For CO the concentrations were clearly lower than the threshold values recommended by the World Health Organisation. The situation is less satisfactory for the other pollutants, especially for the BS index. All concentrations of pollutants recorded were noticeably higher than concentrations in air recorded by the ambient Parisian air monitoring network and were close to, or slightly exceeded, the concentrations measured at the fixed stations close to automobile traffic. Pollutant concentrations were also influenced greatly by weather conditions.
CONCLUSION This first French study conducted in taxi drivers shows that they are highly exposed to automobile pollutants. The results would justify a medical follow up of this occupational group.
- taxi drivers
- exposure assessment
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For the past 30 years in the Parisian agglomeration, as in most large cities, pollution resulting from fixed combustion installations (power stations, collective and individual heating) and from industrial activities has clearly decreased, resulting in a decrease in concentrations of sulphur dioxide (SO2), and to a lesser extent, in fine suspended particles. Over the same period, the progress achieved in unit emission of new cars has been partially offset by the continued increase in the number of cars. Although decreases in concentrations of lead and carbon monoxide (CO) have been found, this is not so for nitrogen oxides and ozone (O3), for which indicators have shown no clear tendency over the past 10 years.1
Air monitoring networks provide much information on concentrations of pollutants in conglomerations, but the personal exposure of citizens to automobile air pollution is less well known. Various studies,2-12 some of which were carried out in Paris11 12 have shown that people are most exposed inside their cars, and that pollution comes primarily from neighbouring cars.
Hence our interest in finding the exposure to automobile air pollutants in a group of taxi drivers. The aim was to measure four pollutants characteristic of automobile pollution, inside the vehicles of randomly chosen taxi drivers:
Fine suspended particles assessed by the black smoke index (BS)
Nitrogen oxides NO and NO2.
Material and methods
This descriptive cross sectional study was carried out from 27 January to 27 March 1997. A sample of 203 subjects was randomly selected from the National Federation register of 6164 self employed Parisian taxi drivers. A large sample was chosen in anticipation of a low response rate resulting from the constraints imposed by participation in the study. Drivers had the inconvenience of going out of their way to pick up and return the hardware, losing time which is valuable to a professional whose activity depends on time spent on duty.
The reply rate to the first letter requesting their participation was 23%, reaching 52.7% after a rerun. Fifty five drivers responded favourably, and of those 29 were retained as they corresponded to the study criteria—that is, they worked during the daytime, were non-smokers, and did not permit smoking in their taxis. Only drivers working during the day were chosen for the study, to constitute as homogeneous and representative a sample as possible. Results reported in an investigation into the activity of Parisian self employed taxi drivers13 showed that only 7.4% of them worked at night. The exclusion of smokers was necessary to avoid interference with measurements.
The study was conducted with monitors of established reliability. All methods of analysis used had also been previously validated.
Carbon monoxide was measured over an 8 hour period by a PAC II CO (Draeger industry) portable monitor, with an electrochemical detection cell with a measuring capacity of 0–500 ppm. Readings were made every 3 seconds, and the data collection system was linked to a sensor programmed to calculate the average of these readings at 1 minute intervals during the trip. This method of measurement has been validated inside cars by our team and has been compared favourably with sampling by Tedlar bags and analysis by infrared spectrometry.
The fine suspended particles were measured according to the BS index (French standard method NF-X 43-005) which is largely used in Europe (OECD method14). Measurement consisted of active sampling during an 8 hour period, with a flow controlled portable SKC pump provided with a cellulose filter. Collection filters were analysed by reflectometry in the laboratory.
Nitrogen oxides were measured with an OGAWA passive sampler,15 which efficiently collects these on two precoated filter pads: one adsorbing NO2, the other adsorbing NO and NO2. The two filter pads were extracted separately into water, and analysis was by standard colorimetry. During the study, comparison was performed between 17 NO and 17 NO2 concentrations measured at the same site, by both OGAWA passive samplers, and by a chemiluminescence analyser. The correlations were highly significant (Pearson correlation coefficientr=0.96 for NO,r=0.91 for NO2). On average, the two series of measurements did not differ significantly (p>0.05).
The days chosen for measurement were determined by random selection from each drivers' schedule, to get the most representative readings. The portable CO monitor, and the SKC particle pump, were placed on the front passenger's seat for 8 hours. The OGAWA passive sampler was placed on the same seat, but left for 3 days to cover a 24–30 hour period. Drivers were told to keep the badge in its case at night, so that exposure to nitrogen oxides was only during their professional activity.
For measurements of CO and BS, taxi drivers filled out report sheets to give details about their car, as well as other variables related to the exposure measurements—such as work hours, duration of the daily itinary, type of streets patrolled, duration of service interruptions, and ventilation in the vehicle. For nitrogen oxides, a sheet indicating exposure hours was filled out by each driver.
Meteorological data for the study were provided by the Paris Montsouris meteorological station (Meteo-France weather station).
The ambient air pollution was measured in urban background stations of the existing monitoring network (AIRPARIF), especially in the station located in the centre of Paris, and at two other sites close and very close to automobile traffic. In these sites, the concentration of BS was measured by reflectometry (French standard method NF-X 43-005), NO and NO2 by chemiluminescence, and CO by infrared spectrometry.
Data acquisition and statistical analysis were carried out with BMDP software (California University). For each driver, mean exposure to CO was calculated starting from the data recorded every minute by the monitor; the BS, NO, and NO2 concentrations were added over the different exposure times. For each pollutant, the mean exposure of the 29 drivers and the corresponding SD were calculated from individual means. These results were compared with World Health Organisation (WHO) guide values and average air pollutant concentrations measured at the same hours on the same days by the AIRPARIF air monitoring network analysers. The comparison of means was based on variance analysis (Brown Welch test in the event of non-equality of variances). Correlations were examined with the Pearson test.
Analysis of variance (ANOVA) was used to study the role of different factors on CO concentrations inside the vehicles. The factors were meteorological conditions (wind strength, precipitations, external temperature, change of temperature, relative humidity, and atmospheric pressure) and driving conditions (duration of service interruptions, duration and type of the daily itinerary, and presence of air conditioning). The role of these factors was also studied for BS. Finally, a multiple linear stepwise regression was performed to confirm results from bivariate analyses. Results of the tests were considered as significant if the p value was <0.05.
EXPOSURE OF TAXI DRIVERS TO MEAN CONCENTRATIONS OF DIFFERENT AIR POLLUTANTS
The CO measurements were carried out on 28 out of the 29 drivers, 26 of them throughout their working day of about 8 hours, and the remaining two for 4 and 6 hours. All drivers apart from one had a car with a diesel engine, with 53% having air conditioning. However, most of those with air conditioning did not use it due to the weather conditions. The mean (SD) distance travelled during the observation period was 131 (46) km; 73% of the drivers stayed mainly inside Paris for >75% of the time, whereas the remaining 25% were active mostly in the three departments close to Paris. The mean duration of service interruptions during measurements was close to 2 hours, these being primarily stationary waiting time. Mean exposure to CO was 3.8 (1.7) ppm (fig 1). The 1 minute CO histogram shows that most values ranged from 0 to 4 ppm, with a maximum at 2 ppm, which represents the median of distribution. Also, the 1 minute graphical representation (fig 2) indicates that some of the drivers were exposed to high values over short periods, reaching as high as 35–40 ppm, and even 52 ppm. All drivers had many peaks between 15 and 25 ppm.
The BS index was obtained for 28 out of the 29 drivers (one pump did not work), with sampling being carried out over a period of about 8 hours, apart from one driver, whose duration was 6 hours. The mean BS index was 168 (53) μg/m3. The distribution histogram (fig3) shows a median at 164 μg/m3. There was a good correlation between the BS index and CO concentrations (r=0.55 (p<0.02)).
Measurements of nitrogen oxides were carried out for the 29 drivers (28 items of data were collected for NO). Mean NO and NO2concentrations were 625 (224) μg/m3 and 139 (43) μg/m3, respectively. Median values of NO and NO2 (figs 4 and 5) were 598 μg/m3 for NO and 131 μg/m3 for NO2.
Comparison was made between mean concentrations of the different pollutants obtained in the taxi drivers' vehicles, and those recorded at the Parisian air monitoring network AIRPARIF fixed stations.
The mean concentrations of air pollutants in the taxi drivers' cars were, whatever the pollutant, significantly higher than those recorded on the same days and times at the AIRPARIF urban background stations. Concentrations of nitrogen oxides measured in cars were higher than those recorded at sites with a high volume of automobile traffic, whereas concentrations of CO and fine suspended particles were equivalent (table 1).
There were good correlations between CO, BS, and NO concentrations of air pollution obtained in the taxi drivers' cars, and concentrations recorded by the various AIRPARIF fixed stations (table 2). No correlation was found for NO2 concentrations with the values of the air monitoring network, whatever the site.
INFLUENCE OF EXTERNAL FACTORS
The multiple linear stepwise regression model emphasised for CO the significant role of two variables inversely associated with CO concentrations. The first was wind strength (0.001<p<0.01), the second the duration of service interruptions (p<0.01). Drivers who drove in a strong wind recorded lower CO concentrations than those who did not (2.8 and 4.2 ppm, respectively). A similar difference was recorded for drivers who had stopped for >2 hours (3.3 and 4.3 ppm, respectively). These two variables explained 55% of the variability of CO concentrations inside the vehicles.
Multivariate analysis showed that concentrations of black smoke inside cars were explained by only one variable, the wind strength (p<0.001). As with CO, drivers who drove in strong winds recorded a lower BS index than the others (128 and 195 μg/m3). This factor explained 39% of the variability of the BS index inside the vehicles. None of the other factors studied had significant influences on the concentrations of these two pollutants.
The investigation was carried out on a sample of 29 taxi drivers, working during the day and chosen at random. They constitute as homogeneous and representative a sample as possible, according to results reported in an investigation into the activity of Parisian self employed taxi drivers13 which showed that 93% of them work during daytime, 96% have a diesel engined car, and half of them have air conditioning.
Mean (SD) CO concentration was relatively low 3.8 (1.7) ppm, lower than the 8 hour WHO guide value of 10 ppm.16 It was also lower than the concentrations reported in two studies11 12carried out in Paris that measured CO inside the car for about 90 minutes. The first study11 reported a mean CO content of 12 ppm obtained during a period of about 60 minutes from 90 home to work journeys in Paris and its suburbs. The second study12reported a mean CO content of 9 ppm. Similar results have been found in the United States, where Ott et al 7 reported a mean CO content of 9.8 ppm from the same car during 88 short journeys of 11.8 miles in an urban area. The relatively low mean obtained in our study is primarily explained by the fact that recordings were carried out over 8 hours, including service interruptions. Recordings for 2, and even 4 hours, showed a very clear decrease in values, which can fall to nil when stationary waiting periods occur away from the flow of traffic. The mean obtained thus represents the real exposure of these drivers to CO during their working day. This low concentration is in keeping with the change in the annual mean CO content recorded at the Paris air monitoring network fixed station near automobile traffic (3.4 ppm in 1993, 3.2 ppm in 1995, and 2.5 ppm in 1997). This change is due to the European regulations on petrol engine vehicles (catalytic converters) and the increase in diesel engine vehicles in the French automobile fleet. Nevertheless, the real exposure of taxi drivers could be underestimated, some peaks might have been missed when drivers moved outside their cars while the engine was on, for instance when picking up a passenger.
Very high values were found for drivers over short periods, such as 40 ppm for a few minutes and there were many peaks of 10–15 ppm. These values are still lower than the maximum value for exposure of CO recommended by the WHO, which is 90 ppm over a period of 15 minutes.16 The high values were mainly found during rush hours (0700–0900, 1700–1900), which suggests that they correspond to halts caused by traffic jams.
The mean (SD) value of the BS index over 8 hours (168 (53) μg/m3), is higher than the maximum guide value of 125 μg/m3 over 24 hours recommended by the WHO.17 These two values, however, which were measured over different exposure durations, are not directly comparable. If an exposure of 12 hours in the vehicle and 12 hours at home with a concentration of about 20 μg/m3 is considered (mean urban concentration), the mean value over 24 hours is about 95 μg/m3; this value has to be compared with the WHO value of 125 μg/m3.
The BS index is not the best indicator for assessing exposure to particulate matter, but was the only method feasible in this context for several reasons—in particular, sampling duration was limited to 8 or 10 hours, and it was necessary to use a small and silent personal pump. This index is not a measurement of PM10 or PM2.5 but is correlated with these measurements in European urban areas.18 According to Muir and Laxen,18daily average BS is a reasonable predictor of daily mean PM10 and of daily peak 1 hour PM10. However, different relations apply to winter and summer, showing that these methods are measuring different components of fine airborne particles. This relation also depends on proximity to traffic. The black smoke method has been established when the main source of airborne particles was coal combustion; the relation between PM10 and BS is still the same for measurements in urban background sites. Nevertheless, this association is different near traffic, which is the main source for black carbon and which emits only small amounts of non-black particles. This can explain why the BS index is very high inside taxi cars whereas PM10 concentrations are likely to be lower.
Mean (SD) concentrations of NO and NO2 in taxis (625 (224) and 139 (43) μg/m3, respectively) were also increased. Concentrations of NO2 are not, however, directly comparable with the daily WHO guide value of 150 μg/m3 17 as NO2 concentrations represent three periods of 10 hours, whereas the daily WHO guide value is over 24 hours. In fact, the daily exposure of a taxi driver, including the time spent outside work, is probably lower than 150 μg/m3, as ambient urban concentrations are about 50 μg/m3.
Comparison between mean concentrations in taxis and those recorded at the background AIRPARIF site shows that drivers are exposed during their working day to concentrations more than 10 times higher for NO, four times higher for BS, more than three times higher for CO, and twice as high for NO2.
These results agree with those obtained in other studies,4-8 11 12 where authors found major differences between the concentrations measured within the vehicle and those recorded at the air monitoring network fixed stations. In the Parisian conglomeration, for instance, Dor et al 11 reported CO concentrations 6–8 times greater inside cars than those recorded at the background site. Similar differences were reported by Fernandez Bremauntz and Ashmore8 in Mexico City.
Drivers are exposed to concentrations of CO, BS, NO, and NO2 that are about twice as high as those at sites close to motor vehicle traffic, and equal to those recorded at the site of high automobile traffic volume at the edge of the ring road of Paris, and at a very busy crossroads.
Inside cars, as expected, concentrations of NO were notably higher than those of NO2, as NO is a primary pollutant emitted directly in exhaust fumes. Two drivers had very high concentrations of NO (1245 and 1310 μg/m3) and of NO2 (194 and 320 μg/m3). These results are difficult to explain, as they did not seem to have any special distinguishing characteristics (their CO and BS concentrations were no higher than those for other drivers). The only possible explanation is that the reported duration of exposure of these two drivers was shorter than the actual sampling duration, leading to an overestimation of NO and NO2 concentrations. Indeed, the absence of control over durations of sampling of badges inside the cars does bring the method used into question. However, after removing these two high values from the analysis, mean NO and NO2 concentrations were not significantly changed (575 μg/m3 for NO and 131 μg/m3 for NO2).
The good correlations between concentrations of CO, BS, and NO inside cars and at the background station, suggest that concentrations of air pollutants fluctuate according to certain external factors that are similar to both situations.
The first of these external factors is the weather, with results clearly showing a significant difference between means for CO and BS when drivers operated during strong winds. These results are comparable with those obtained in other studies,9 10 12 in which authors have shown that the higher the wind speed, the lower the concentrations of pollutants measured inside cabs. Dendène12 for example, reported that an intensification of the wind speed from 1 m/s to 4 m/s resulted in a 30%–40 % reduction in CO exposure.
The second factor influencing concentrations of pollutants in taxis is traffic conditions. The profiles of various CO recordings showed considerable concentrations for most drivers at rush hours (0700–0900, and 1700–1900), when free movement of traffic is most difficult. Generally speaking, studies have shown that traffic intensification leads to an increase in concentrations inside the vehicles.9-12 This phenomenon is mainly explained by an increase in the number of polluting sources and a reduction in the distances between the vehicles. Khouski et al 10 reported that an increase from 1000 to 5000 vehicles led to an increase in 71% for mean CO concentration.
Studies carried out in other major conglomerations have shown significant differences in exposure of drivers between the city centre, the suburbs, and the surrounding rural area. Chanet al 3 reported a CO gradient of 13/11/3 ppm between Raleigh (North Carolina) city centre, its suburbs, and its rural area, whereas in the Paris conglomeration,11 in 1992, the gradient was 12/7/1 ppm. This reduction in concentrations from the urban environment to the rural areas reflects the difference in traffic density and speed. In our study, one surprising result was that the drivers who spent 75% of their time inside Paris city centre, which is known to have very high concentrations of pollutants, did not have mean concentrations of CO and BS that were significantly different from drivers working mainly in the suburbs. One possible explanation for this is a lack of statistical power due to the small size of the sample.
Durations of service interruptions are linked with CO concentrations, as drivers stop mainly outside the traffic flow. There was no significant difference between taxis with or without air conditioning, as most drivers did not use the air conditioning during the measurement period, in winter.
In summary, to the best of our knowledge, this study is the first in France to measure exposure of taxi drivers to automobile air pollution. This exposure is high and could justify a medical follow up of this occupational group.
We are grateful to taxi drivers who accepted to participate in this study. We also thank Mr Arianer, Banel, Estival, and Langeais from the National Federation of self employed taxi drivers.