Journal of Exposure Analysis and Environmental Epidemiology (2004) 14, 323–329 r 2004 Nature Publishing Group All rights reserved 1053-4245/04/$30.00 www.nature.com/jea Personal exposure to particulate matter less than 2.5 lm in Mexico City: a pilot study MAITE VALLEJO,a CLAUDIA LERMA,a OSCAR INFANTE,a ANTONIO G. HERMOSILLO,a HORACIO RIOJAS-RODRIGUEZb AND MANUEL CÁRDENASa a Instituto Nacional de Cardiologı´a ‘‘Ignacio Chávez’’, Me´xico City, Mexico Instituto Nacional de Salud Pública, Cuernavaca Morelos, Mexico b This study was aimed to describe the personal exposure of permanent residents in Mexico City’s Metropolitan Area (MCMA) to particulate matter of less than 2.5 mm diameter (PM2.5) during their daily activities. A total of 40 healthy volunteers (30 women and 10 men) with sedentary activities were included. All of them carried a PM2.5 personal monitor during 13 h and registered their activities in a written diary that classified them in indoor and outdoor microenvironments in each 30 min period. All sample collections started at 0900 hours, and even though measurements were obtained during the rainy season (April–August 2002), the relative humidity was less than 70%. The data were categorized and evaluated under the following criteria: morning and afternoon exposure, indoor and outdoor activities, and geographical location. The descriptive analysis showed that the overall outdoor median concentration of PM2.5 (89.50 mg/m3) was higher than the indoor one (67.55 mg/m3). PM2.5 concentrations in the morning to early afternoon were more elevated than in the late afternoon, suggesting a circadian-like behavior. In the indoor microenvironment, the highest concentration occurred in the subway (106.2 mg/m3) followed by school (93.27 mg/m3), and the lowest at home (53.1 mg/m3). The outdoor microenvironment with the highest concentrations was the public transportation (bus) (99.95 mg/m3), while the automobile had the lowest (64.9 mg/m3). The geographical zone with the highest concentration was the Center city area (87.87 mg/m3), and the one with the lowest concentration was the northeast area of the city (50 mg/m3). All the differences were statistically significant (Po0.05). Multivariate analysis corroborated that PM2.5 concentrations are mainly determined by geographical locations and hour of the day, but not by the type of microenvironment. The inclusion of covariables in the multivariable analysis ensures a more accurate estimation and prediction of the real PM2.5 concentrations. In conclusion, PM2.5 personal exposure of healthy adult permanent residents of MCMA is usually higher than recommended by the international standards in outdoor and even in indoor microenvironments. Particulate matter personal exposure varies in relation to hour of the day, daily activities and microenvironments. Journal of Exposure Analysis and Environmental Epidemiology (2004) 14, 323–329. doi:10.1038/sj.jea.7500328 Keywords: Mexico City, PM2.5, air pollution, personal exposure. Introduction The Mexico City Metropolitan Area (MCMA) is one of the largest urban concentrations in the world with geographical characteristics that worsen pollution problems. The city is placed in a hydrological basin at 2240 m above sea level in its central part. It has a territorial extension of 1200 km2 and is surrounded by mountains with an average altitude of 1000 m. These characteristics cause a reduction of 23% in oxygen concentration in relation to the sea level, which in turn diminishes the efficiency of combustion, raising the concentration of carbon monoxide and hydrocarbons, and favoring the transformation of primary pollutants into ozone and other oxidants. The prevailing winds that flow from 1. Address all correspondence to: Maite Vallejo, Instituto Nacional de Cardiologı́a Ignacio Chávez, Juan Bandiano No.1, Col. Sección XVI, 14080, Tlalpan D.F. México. Tel.: þ 55-732911 exts 1223 and 1357. Fax: þ 55-730629. E-mail: [email protected] Received 28 May 2003; accepted 28 October 2003 northeast to southwest cause a greater pollutant concentration in the southern area of the city, in which the Ajusco mountains block its dissipation (Figure 1). In Mexico City, two climatic periods occur during the year: the winter dry season from November to April in which thermal inversions are frequent, and the rainy period from May to October. Finally, anticyclonic systems, generated in the Mexican Gulf and in the Pacific Sea, prevent air mixture that causes atmospheric stability (Ponciano-Rodrı́guez and RiveroSerrano, 1996; Onursal and Gautam, 1997). The MCMA has been divided, for monitoring pollution purposes, into five areas: center, northeast, northwest, southeast and southwest. Air pollutants are measured hourly every day by an environmental monitor network that has 32 stations, nine in the northeast, nine in the northwest, four in the southeast, five in the southwest, and five in the center. These stations have manual and automatic monitor systems that measure criterion pollutants such as ozone, carbon monoxide, lead, nitrates, sulfur dioxide, PM10, and total particulate matters (http://www.sma.df.gob. mx/-subject: publicaciones, aire, compendios-). Since 1986, PM2.5 personal exposure Vallejo et al. Methods Population A total of 40 volunteers, aged 21–40 years, were included in this study. All participants were nonsmokers and residents within MCMA as shown in Figure 1. In all, 30 participants were women and 10 men. Their daily activities were sedentary: 19 were health professionals (researchers, nurses, and physicians), 14 were college students, four were housekeepers, and three were office workers. The Institutional Ethics and Research Committees approved this study and all subjects signed an informed consent. Figure 1. Geographical areas and locations of home and work of participants within MCMA. Black dots indicate the work location of participants and white ones home location of participants. Dotted line identifies Distrito Federal political limits. Black line indicates the geographical division of MCMA. the Metropolitan Air Quality Index (Indice Metropolitano de la Calidad del Aire (IMECA)) was established in order to evaluate air pollution. This index measures air pollution concentration in parts per million or micrograms per cubic meter depending on the pollutant being measured on a scale of 0–500 points, in which a value of 100 corresponds to the maximum value considered harmless to health and accepted by air quality standards (Boletı́n Terapéutico, 1992). At the beginning of the year 2003, the air quality standards for particulate matter less than 10 mm were reviewed and modified. PM2.5 standards are in the process of evaluation and no measurements have begun (Diario Oficial de la Federación, 2002). Most health effects studies on exposure to particulate matter air pollution have been carried out during short periods of time and using ambient monitors (Dockery et al., 1993; Pope et al., 1995; Saldivar et al., 1995; Ostro et al., 1996; Simpson et al., 1997; Brauer et al., 2000; Levy et al., 2000). Studies carried out in Mexico City were also performed with ambient monitors, and in some cases with monitors from the environmental monitors network (Romieu et al., 1992, 1996; Borja-Aburto et al., 1997; Gold et al., 1999; Loomis et al., 1999). There are no published data of PM2.5 personal exposure of general population exposed in their microenvironments during their daily activities in Mexico City. The purpose of this pilot study was to gather data about the PM2.5 personal exposure of Mexico City healthy residents during their daily activities, in order to characterize the exposure patterns that could be of interest for further studies. 324 Particulate Matter Measurement The participants received and carried a personal PM2.5. monitor during a single 13-h starting at 0900 hours. No measurements were made during weekends. Each individual completed a written diary that classified their daily activities in indoor and outdoor microenvironments in a preset time period resolution of 30 min. Indoor situations included activities at home, at work, at school, or in public places such as theaters, stores, restaurants, coffee shops, and subway transportation. If participants were walking, standing, or sitting in an open space, or if they were driving a car, or using public transportation (bus or taxi), activities were classified as outdoor. The written diary considered separately the periods when participants were cooking or near a smoker. Participants were instructed to classify periods as indoor and outdoor exposure according to the microenvironment where they expended most of the time of each 30-min period. Microenvironments were not preassigned, as each individual was instructed to perform his/her usual activities. The study was carried out during the rainy season (April–August 2002). Exposure to PM2.5 was measured using the pDR nephelometric method (personal DataRAM, pDR1200, MIE Inc., Bedford, MA, 2000). The equipment was supplied by the Instituto de Salud Ambiente y Trabajo (ISAT). It consists of a real-time active system that was connected to a pump with suction flux set at 4 l/min. The pump introduces particles into a centrifuge where they are separated according to their aerodynamic diameter by gravity. The particles are measured inside a sensor chamber. The equipment was calibrated previously according to the manufacturer’s instructions. The sensitivity of this technique allows to detect concentrations up to 0.001 mg/m3. Each minute concentration was averaged in 30-min periods to relate it to the preset time periods of the written diary. Since pDR measurements can be biased if the relative humidity (RH) is more than 70% (Liu et al., 2002), data with regard to this matter were obtained from the environmental monitor network for each specific day in which PM2.5 measurements were performed. The average daily RH was below 70% on the days in which measurements were made. Journal of Exposure Analysis and Environmental Epidemiology (2004) 14(4) PM2.5 personal exposure Journal of Exposure Analysis and Environmental Epidemiology (2004) 14(4) Descriptive Analysis of PM2.5 Exposure The time series of PM2.5 median concentrations during the entire recording at indoor and outdoor microenvironments are shown in Figure 2. Outdoor levels of PM2.5 were significantly higher (89.1 mg/m3, 54.9–123.1) than indoor levels (70.8 mg/m3, 47.4–106.8) (Po0.05), even though the outdoor PM2.5 median concentration at outdoor microenvironments was lower than the indoor ones at 1100, 1830, and 1900 hours. The time series shows that the PM2.5 concentrations during the day were higher than during the night (Po0.05). The total number of outdoor measurements were 218 (21%), while indoor measurements were 821 (79%). The PM2.5 concentrations measured in different indoor microenvironments are shown in Figure 3. The highest 120 100 80 60 40 20 Indoor Outdoor 21:00 20:00 19:00 18:00 17:00 16:00 15:00 14:00 13:00 12:00 11:00 10:00 0 09:00 where Tij is the time variable on k measurement, b0 is the fix effect coefficient, b1 is the random effect coefficient, b2 is the coefficient for the amplification factor, b3 is the interaction term between PM2.5 measurements and time variable, Gi is the outcome variable in the i subject, Gj are the control factors measured at the j time, n is the random coefficient vector, and e is the random error term. PM2.5 count was log transformed in order to approximate it to normal distribution. Two different models were constructed: one for indoor microenvironments and another for outdoor microenvironments. For indoor microenvironments, the predictors included in the model were geographical location (northeast, northwest, center, southeast, southwest) and the hours of the day (which had to be divided into four categories according to PM2.5 average Results 3 Yij ¼ b0 þ b1 Tij þ b2 Gi þ b3 ðGj Tij Þ þ n0i þ n1i Tij þ eij concentrations, due to the circadian-like behavior of PM2.5 concentration). For outdoor microenvironments, only the hour of the day was considered as the indicator variable, because the geographical location at outdoor microenvironments was difficult to assess, and the number of samples at outdoor microenvironments was relatively small. Another model was constructed to evaluate interaction terms in which microenvironments were taken as a twocategory variable, one for all indoor microenvironments and the other for all outdoor microenvironments. Geographical location was also a two-category variable, the north area of the city in one category, and the center, southeast, and southwest in the other category. Interaction terms were constructed between geographical location and hours of the day and considered for inclusion in the final model if the significant coefficient was less than 0.2. The confounding bias was not tested due to the nature of the study design. Statistical significance was set at alpha level r0.05. Passive smoking and cooking measurements were 33 samples that represent 3.2% of the total amount of measurements. These were excluded from the analysis. [PM 2.5 ] µg/m Statistical Analysis Since the purpose of this pilot study was to describe and characterize healthy volunteers PM2.5. personal exposure without pre-established activities pattern, descriptive statistical analysis was employed. The summary and dispersion estimates are shown as medians, 25 percentile and 75 percentile, because the distribution of data did not fit a normal pattern (Shapiro Wilk’s test P ¼ 0.000). The graphical observation of raw data showed a decrease in PM2.5 concentrations around 1700 hours, therefore, the data were classified as day measurements (from 0900 to 1700), and night measurements (from 1700 to 2200). Comparisons were made using a Mann–Whitney’s U-test. Indoor and outdoor measurements were categorized according to the microenvironment previously established in the diary of activities. The former included the following places: home, work, school, public places, and the subway. Outdoor microenvironments were: bus, automobile, standing, or walking outdoors. Since the study design did not allow simultaneous measurements of indoor and outdoor microenvironments, it was not possible to perform paired comparisons among indoor and outdoor microenvironments PM2.5 concentrations. Therefore, each group of microenvironments was compared using the Kruskal–Wallis’s rank test. Measurements were also classified into geographical location (north, center, southwest, and southeast) and comparisons among them were also carried out with Kruskal–Wallis’s rank test. Multivariate analysis was performed in order to describe the variability of PM2.5 concentrations at indoor as well as at outdoor microenvironments controlling for other factors such as geographical location of the participants during the measurement period and hour of the day. Since particulate matter sequential measurements are known to be correlated, a statistical linear mixed model that accounts for this situation was used with an exchangeable correlation structure (Diggle et al., 1995); each measurement Yij was modeled as Vallejo et al. Hours Figure 2. Medians of PM2.5 concentrations by indoor and outdoor microenvironments. 325 Vallejo et al. Figure 3. Indoor microenvironment PM2.5 concentrations. concentrations occurred inside the subway (106.20 mg/m3, 76.4–125.4), followed by schools, in which the concentrations were 93.3 mg/m3 (59.7–133.5). The lowest concentrations occurred at home (54.5 mg/m3, 39.7–88.9) (Po0.05), where measurements of this pollutant were highly disperse with a range of 15–525.8 mg/m3. On the other hand, the subway was the indoor microenvironment in which measurements were less disperse (range 37.7–174.3 mg/m3). Figure 4 shows the PM2.5 concentrations measured in outdoor microenvironments. Bus transportation showed the highest concentrations (101.7 mg/m3, 61.5–136.7) with less dispersion of measurements (range 27.3–218 mg/m3), while the automobile (private automobile or taxi) had the lowest concentration in this group (64.2 mg/m3, 44.6–109.1) with the highest dispersion with measurements ranging from 23.8 to 329.8 mg/m3. The median concentrations of PM2.5 in the bus and standing on the street were very similar with a difference of only 12.4 mg/m3. The medians in this group showed statistically significant differences (Po0.05). Figure 5 shows PM2.5 concentrations according to the geographical areas in which MCMA is officially divided. The center locations showed the highest concentrations (89.4 mg/m3, 67.9–113.2) and the northeast area the lowest (54.4 mg/m3, 42.6–89.4). In the southwest, the median concentrations were 69 mg/m3 (48.4–100.3), but it was the area that showed the highest dispersion of measurements ranging from 15 to 525.8 mg/m3, while the lowest dispersion was observed in the northeast area (Po0.05). Multivariate Analysis The average PM2.5 concentrations predicted by the model among the different indoor microenvironments, when controlling for the geographical location and the hour of the day, are shown in Table 1. The public places microenvironments showed the highest concentrations. This result is different from the one obtained with the descriptive analysis of raw data, in which the school microenvironment showed the highest concentration (Figure 3). With regard to 326 PM2.5 personal exposure Figure 4. Outdoor microenvironment PM2.5 concentrations. Figure 5. PM2.5 concentrations by geographical area of MCMA. geographical location, the multivariate analysis confirms the observations from raw data descriptive analysis: the microenvironments at the northeast and northwest had lower concentrations than the center, southeast, and southwest (Figure 5); likewise PM2.5 concentrations were higher during day measurements than during night measurements (Figure 2). As for outdoor microenvironments, the predicted particulate matter concentrations (Table 2) were similar in the three microenvironments. During day measurements, PM2.5 concentrations were higher than during night measurements, which indicates that any outdoor microenvironment represents the same risk of exposure to this pollutant. Coefficients predicted by multivariable model in which an interaction term was introduced are shown in Table 3. According to the model estimations, PM2.5 concentrations are mainly determined by the geographical location and the hour of the day, and they are not influenced by the type of microenvironment (indoor or outdoor). Moreover, the interaction term shows that PM2.5 concentrations are different among geographical locations only in the interval between 1400 and 1500 hours. Journal of Exposure Analysis and Environmental Epidemiology (2004) 14(4) PM2.5 personal exposure Vallejo et al. Table 1. Average PM2.5 concentrations (mg/m3) at indoor microenvironments predicted by the linear mixed-effect model. Table 3. Linear mixed-effect model PM2.5 regression coefficients. P Coefficient* 95% CI Hour of the day Indoor microenvironments NE NW Center SE SW 900–1330 1400–1500 1530–1800 1830–2200 Home 86.3 79.0 55.9 49.0 75.3 67.3 48.8 42.8 102.2 91.3 66.2 58.0 100.5 89.7 65.1 53.6 900–1330 1400–1500 1530–1800 1830–2200 School 88.5 79.0 57.3 50.2 77.2 68.9 50.0 43.8 104.8 93.5 67.8 59.5 103.0 92.0 66.7 58.5 96.7 86.4 62.6 54.9 900–1330 1400–1500 1530–1800 1830–2200 Work 82.9 74.0 53.7 47.0 72.3 64.6 46.8 47.0 98.1 87.6 63.5 55.7 96.5 86.1 62.5 54.8 90.6 80.9 58.7 51.4 900–1330 1400–1500 1530–1800 1830–2200 Public places 111.3 99.4 72.1 63.2 97.2 86.7 62.9 55.2 131.8 117.7 85.4 74.8 129.6 115.7 83.9 73.6 121.7 108.7 78.8 69.1 94.4 84.3 61.1 53.6 Microenvironment Geographical location 900–1330 1400–1500 1530–1800 Geographical location+1400–1500 Constant 0.1299 0.1595 0.5191 0.2227 0.1058 0.2464 3.8529 0.1033; 0.0467; 0.4549; 0.0609; 0.0325; 0.0617; 3.6903; 0.3633 0.2724 0.5832 0.3845 0.1792 0.4312 4.0155 NS 0.006 0.000 0.007 0.005 0.009 0.000 *Logarithmic units. NS ¼ no significant. Table 2. Average PM2.5 concentrations (mg/m3) at outdoor microenvironments predicted by the linear mixed-effect model. Hour of the day 900–1330 1400–1500 1530–1800 1830–2200 Outdoor microenvironments Bus Automobile On-street 92.8 85.3 66.8 68.7 92.6 85.1 66.7 68.6 94.5 86.8 68.0 70.0 Discussion This work presents novel data related to PM2.5 personal exposure measurements in MCMA, in a group of healthy residents during their daily activities. Exposure patterns were identified within different microenvironments as well as the PM2.5 temporal behavior. The microenvironments and geographical locations that explain PM2.5 variations along the study period were identified by multivariate analysis. In Mexico City, most research about air pollution has been carried out using ambient monitors from the environment monitor network that gives a good estimate but could be altered by weather conditions such as wind, rain, or relative Journal of Exposure Analysis and Environmental Epidemiology (2004) 14(4) humidity (Romieu et al., 1992, 1996; Borja-Aburto et al., 1997; Loomis et al., 1999). It is known that outdoor concentrations of PM2.5 are well correlated with ambient measurements. However, both indoor concentrations from fix monitors and personal measurements are only weakly correlated with outdoor concentrations (Ozkayanak et al., 1996). Therefore, personal exposure measurements allow a better estimation of the real exposure of an individual during an ordinary working day. Microenvironment and Geographical Location Exposure Concentrations In the present study, it was found that PM2.5. concentration levels had a circadian-like behavior probably related to an increase in the population daily activities during the morning hours, which decrease in the evening, especially at indoor microenvironments. It has been previously reported that people tend to stay for longer periods indoors than outdoors (GB Parliament House of Commons Environment Committee, 1991; Wigzell et al., 2000). As expected, outdoor microenvironments had higher concentrations than indoor, even though the former represented only the 22% of the overall sample measurements. Persons who stay for longer periods at outdoor places (i.e., public transport drivers, police officers, sales men, etc) could be both overly and chronically exposed to high concentrations of PM2.5, as it was shown in a study with Bangkok traffic police (Jinsart et al., 2002). Subway exposure was the indoor microenvironment with the highest concentrations of PM2.5, even though the Mexican subway works with electrical energy. The system has several long lines on the surface, and because of the city soil characteristics, the tunnels are very superficial and have ample and direct connection with the surface for ventilation. It is important to note that regardless of the microenvironment, PM2.5 concentrations in this study were very high and unsafe for the susceptible population, according to international standards (WHO-EURO Update and Revision of the Air Quality Guidelines for Europe, 1995; US Environmental Protection Agency, Air Quality Strategies and Standards Division, 1998). 327 Vallejo et al. The highest concentrations of PM2.5 were observed in the central region (downtown) and in the southwest areas, while the northeast and northwest regions showed the lowest, even though most industries are located in these areas of the MCMA. This may be explained by the fact that the prevailing winds blow the particles to the southwest, where they are blocked by the Ajusco mountains and cannot disperse (Figure 1). Other authors have reported higher concentrations of pollutants such as ozone in the southwest area (Borja-Aburto et al., 1997), even though measurements were made with ambient monitors. These results indicate that particulate matter behaves in a similar fashion as to other pollutants, such as ozone in this area. Microenvironment Relationship to PM2.5 Concentrations Many factors influence personal exposure to air pollution. PM2.5 concentrations change due to emission sources, weather conditions (temperature, relative humidity, wind velocity, etc.), geographical location, time of the day, and type of microenvironment among others. In this study, two covariants were related to PM2.5 concentration in the different microenvironments, the geographical location and the hour of the day. The average concentrations of PM2.5 predicted by the model were similar to those observed in the descriptive analysis with raw data. However, while the descriptive analysis pointed out the highest concentrations at the school indoor microenvironment, the model predicted that the higher concentration were in public places. This disagreement between the descriptive analysis and the model can be explained by the effect of controlling covariants. The same occurred at outdoor microenvironments, where exposure in the bus was the highest (in descriptive analysis), but the multivariate model predicted similar PM2.5 concentrations for the three outdoor microenvironments. Furthermore, PM2.5 concentrations had a different distribution pattern between 1400 and 1500 hours within the geographical locations, while the rest of the time PM2.5 had a similar distribution pattern at the different geographical locations. These findings could be related to an increase in vehicles movement due to working and school day off, or may be due to changes in weather conditions, but further studies are needed in which these variables are considered. Study Considerations and Limitations The population evaluated in this work included subjects who were willing to participate voluntarily, whose daily activities were sedentary, and mainly in indoor microenvironments. In order to generalize the present results, a study with a large sample that includes a more heterogeneous population with different occupational activities should be carried out, since there is an influence of occupational activities on exposure patterns (Brauer et al., 2000). Street workers, such as police officers, salesmen, and bus drivers, as well as high school students and office workers, among others, should be 328 PM2.5 personal exposure included. Nevertheless, in this study the participants’ location, either at home or at work covered most of the total area of MCMA, as shown in Figure 1. In this study, the participants performed their daily activities and wrote down the microenvironment in which they stayed for the most part of each preset 30-min period. This allowed us to identify the microenvironment without recall bias, although microenvironment classification errors could be introduced by the participants. Other studies assigned activities to the participants into different microenvironments (Levy et al., 2000), or interviewed the study subjects in order to identify the microenvironments in which they stayed during the whole recording period (Brauer et al., 2000). Preassigned activities avoid microenvironment misclassification, but do not allow the assessment of the real exposure during activities on an ordinary day. In order to compare the PM2.5 exposure between indoor and outdoor microenvironments, some studies have measured this pollutant simultaneously in both microenvironments (Brauer et al., 2000; Levy et al., 2000; Rojas-Bracho et al., 2000). Since in this work PM2.5 real-time personal measurements were obtained, measurements at indoor and outdoor microenvironments were not paired by time, and indoor and outdoor measurements were grouped independently of the day time. The identification of emission sources and particle composition are of special concern if the purpose is to study the health effects associated to particulate matter exposure. This matter is beyond the scope of the present work. A final consideration must be given to the exposure measurement method used in this study. Until recently, most epidemiological studies have been conducted using fixed monitors either in an indoor and/or in outdoor microenvironment (Borja-Aburto et al., 1997; Chen et al., 1999; Gold et al., 1999). These devices yield only an average particulate matter concentration and do not reflect the fluctuations in particulate levels over the sampling period, and therefore, a less accurate measurement of PM personal exposure is obtained in comparison to light-scattering nephelometers that provide a more accurate and precise resolution of particulate matter measurements (Quintana et al., 2000; Wigzell et al., 2000). A published work that evaluated the performance of Personal DataRAM (2000) (pDRs) and Radiance nephelometer against measurements from both Harvard impactors (HI2.5) and Harvard personal environmental monitors (HPEM2.5) for PM2.5 indoor, outdoor and personal settings showed that pDRs measurement of PM2.5 could systematically overestimate the HPEM2.5 measurements by approximately 27% (Liu et al., 2002). However, since this error occurs in every measurement, the real values of PM2.5 can be estimated by adjusting the averaged measurements. In conclusion, PM2.5 personal exposure in a specific population of Mexican adult permanent residents of MCMA, whose activities were sedentary, was high in almost Journal of Exposure Analysis and Environmental Epidemiology (2004) 14(4) PM2.5 personal exposure all microenvironments, even higher than the international standard recommendations. It was found that concentrations of PM2.5 are influenced by the hour of the day as well as geographical location, and at certain microenvironments is not relevant to this matter. Acknowledgments We express our deepest gratitude to the individual subjects who participated voluntarily in the study and acknowledge Ms Betty Lou Chin R.N. for her support in the preparation of the manuscript and extend out thanks to Dr Victor H. Borja for his comments and pertinent suggestions. This project was supported partially by the Instituto Nacional de Cardiologia ‘‘Ignacio Chávez’’. References Boletı́n Terapéutico. El ı́ndice metropolitano de la calidad del aire. 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