Political and economical transition in the Central and Eastern Europe at the end of eighties significantly influenced all aspects of life as well as technological infrastructure. Collapse of outdated energy demanding industry and adoption of environmental legislation resulted in seeming improvements of urban environmental quality. Hand in hand with modernization the newly adopted regulations also helped to phase out low quality coal frequently used for domestic heating. However, at the same time, the number of vehicles registered in the city increased. The two processes interestingly acted as parallel but antagonistic forces. To interpret the trends in urban air quality of Prague, Czech capital, monthly averages of PM(10), SO(2), NO(2), NO, O(3) and CO concentrations from the national network of automated monitoring stations were analyzed together with long term trends in fuel consumption and number of vehicles registered in Prague within a period of 1992-2005. The results showed that concentrations of SO(2) (a pollutant strongly related to fossil fuel burning) dropped significantly during the period of concern. Similarly NO(X) and PM(10) concentrations decreased significantly in the first half of the nineties (as a result of solid fuel use drop), but remained rather stable or increased after 2000, presumably reflecting rapid increase of traffic density. In conclusion, infrastructural changes in early nineties had a strong positive effect on Prague air quality namely in the first half of the period studied, nevertheless, the current trend in concentrations of automotive exhaust related pollutants (such as PM(10), NO(X)) needs adoption of stricter measures.

• MeSH
• Air Pollutants analysis   MeSH
• Environmental Monitoring methods   MeSH
• Nitrogen Dioxide analysis   MeSH
• Nitric Oxide analysis   MeSH
• Sulfur Dioxide analysis   MeSH
• Carbon Monoxide analysis   MeSH
• Ozone analysis   MeSH
• Particulate Matter analysis   MeSH
• Vehicle Emissions analysis   MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Geographicals
• Czech Republic MeSH
• Names of Substances
• Air Pollutants MeSH
• Nitrogen Dioxide MeSH
• Nitric Oxide MeSH
• Sulfur Dioxide MeSH
• Carbon Monoxide MeSH
• Ozone MeSH
• Particulate Matter MeSH
• Vehicle Emissions MeSH

Over the last decade or so, a large number of studies have investigated the possible adverse effects of ambient air pollution on birth outcomes. We reviewed these studies, which were identified by a systematic search of the main scientific databases. Virtually all reviewed studies were population based, with information on exposure to air pollution derived from routine monitoring sources. Overall, there is evidence implicating air pollution in adverse effects on different birth outcomes, but the strength of the evidence differs between outcomes. The evidence is sufficient to infer a causal relationship between particulate air pollution and respiratory deaths in the postneonatal period. For air pollution and birth weight the evidence suggests causality, but further studies are needed to confirm an effect and its size and to clarify the most vulnerable period of pregnancy and the role of different pollutants. For preterm births and intrauterine growth retardation (IUGR) the evidence as yet is insufficient to infer causality, but the available evidence justifies further studies. Molecular epidemiologic studies suggest possible biologic mechanisms for the effect on birth weight, premature birth, and IUGR and support the view that the relation between pollution and these birth outcomes is genuine. For birth defects, the evidence base so far is insufficient to draw conclusions. In terms of exposure to specific pollutants, particulates seem the most important for infant deaths, and the effect on IUGR seems linked to polycyclic aromatic hydrocarbons, but the existing evidence does not allow precise identification of the different pollutants or the timing of exposure that can result in adverse pregnancy outcomes.

• MeSH
• Infant MeSH
• Infant Mortality * MeSH
• Humans MeSH
• Infant, Low Birth Weight * MeSH
• Infant, Newborn MeSH
• Pregnancy MeSH
• Pregnancy Outcome MeSH
• Air Pollution adverse effects   MeSH
• Check Tag
• Infant MeSH
• Humans MeSH
• Infant, Newborn MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Review MeSH

The relationship between intrauterine growth retardation (IUGR) and exposure to particulate matter [less than/equal to] 10 microm (PM(10)) and particulate matter [less than and equal to] 2.5 microm (PM(2.5))( )in early pregnancy was recently studied in the highly polluted district of Teplice (Northern Bohemia). From this observation rose the question about the possible role of the carcinogenic fraction of polycyclic aromatic hydrocarbons (c-PAHs), which are usually bound to fine particles. The impact of c-PAHs and fine particles on IUGR was analyzed in Teplice and in Prachatice, a region with similarly high c-PAH but low particle levels. All European, single live births occurring in a 4-year period in Teplice (n = 3,378) and Prachatice (n = 1,505) were included. Detailed personal data were obtained via questionnaires and medical records. Mean PM(10), PM(2.5,) and c-PAHs levels during the 9 gestational months (GM) were estimated for each mother. Adjusted odds ratios (AORs) of IUGR for three levels of c-PAHs (low, medium, and high) and for continuous data were estimated after adjustment for a range of covariates using logistic regression models. In the present 4-year sample from Teplice, previously published results about increasing IUGR risk after exposure to particles in the first GM were fully confirmed, but no such effects were found in Prachatice. The AOR of IUGR for fetuses from Teplice exposed to medium levels of c-PAHs in the first GM was 1.60 [confidence interval (CI), 1.06-2. 15], and to high levels 2.15 (CI, 27-3.63). An exposure-response relationship was established by analyzing the continuous data. For each 10 ng increase of c-PAHs in the first GM, the AOR was 1.22 (CI, 1.07-1.39). About the same relationship was observed in Prachatice in spite of the low particle levels. The results prove that exposure to c-PAHs in early gestation may influence fetal growth. The particulate matter-IUGR association observed earlier may be at least partly explained by the presence of c-PAHs on particle surfaces.

• MeSH
• Adult MeSH
• Embryonic and Fetal Development MeSH
• Epidemiologic Studies MeSH
• Air Pollutants adverse effects   MeSH
• Humans MeSH
• Polycyclic Aromatic Hydrocarbons adverse effects   MeSH
• Fetal Growth Retardation etiology   MeSH
• Pregnancy MeSH
• Particle Size MeSH
• Pregnancy Outcome MeSH
• Environmental Exposure * MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Research Support, Non-U.S. Gov't MeSH
• Research Support, U.S. Gov't, Non-P.H.S. MeSH
• Geographicals
• India epidemiology   MeSH
• Names of Substances
• Air Pollutants MeSH
• Polycyclic Aromatic Hydrocarbons MeSH

OBJECTIVES: Outdoor air pollution has consistently been shown to predict mortality. The finding that this association is stronger in infants than in children or adults raises the question whether air pollution could also be related to pregnancy outcomes--such as birthweight and stillbirth. The association between outdoor air pollution and stillbirths and low birthweight in the Czech Republic, where air pollution was high, was examined. METHODS: An ecological study was conducted, with routinely collected data on stillbirths and low birthweight (< 2500 g), air pollution (total suspended particulates, sulphur dioxide (SO2), and nitrogen oxides (NOx)), and socioeconomic factors (mean income, car ownership, divorce rate, etc). The analyses were restricted to 45 districts on which data on air pollution were available for the period 1986-8. The effects of exposure variables on frequency of pregnancy outcomes were estimated by logistic regression with district-years as the units of analysis. RESULTS: Stillbirth rate (4.2/1000 births in monitored districts) was not significantly associated with any indicator of air pollution, and was weakly related to mean income and proportion of births outside marriage. Crude prevalence of low birthweight (prevalence 5.5%) showed highly significant associations with several socioeconomic factors; after controlling for these, odds ratios (ORs)/50 micrograms/m3 increase in pollutant were: 1.04 (95% confidence interval (95% CI) 0.96 to 1.12) for total suspended particles, 1.10 (1.02 to 1.17) for SO2, and 1.07 (0.98 to 1.16) for NOx. When all pollutants were included in one model, SO2 remained related to low birthweight (OR 1.10 (1.01 to 1.20), p = 0.033). CONCLUSION: These results are consistent with a recent study in China where birthweight was also associated with total suspended particles and SO2 but ecological studies must be interpreted cautiously. Residual confounding by socioeconomic factors cannot be ruled out. The association between air pollution and birthweight requires further investigation.

• MeSH
• Residence Characteristics MeSH
• Confounding Factors, Epidemiologic MeSH
• Humans MeSH
• Logistic Models MeSH
• Infant, Low Birth Weight * MeSH
• Infant, Newborn MeSH
• Fetal Death epidemiology   MeSH
• Prevalence MeSH
• Socioeconomic Factors MeSH
• Pregnancy MeSH
• Air Pollution adverse effects   MeSH
• Check Tag
• Humans MeSH
• Infant, Newborn MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Czech Republic epidemiology   MeSH

Prior studies reported an association between ambient air concentrations of total suspended particles and SO2 during pregnancy and adverse pregnancy outcomes. We examined the possible impact of particulate matter up to 10 microm (PM10) and up to 2.5 microm (PM2. 5) in size on intrauterine growth retardation (IUGR) risk in a highly polluted area of Northern Bohemia (Teplice District). The study group includes all singleton full-term births of European origin over a 2-year period in the Teplice District. Information on reproductive history, health, and lifestyle was obtained from maternal questionnaires. The mean concentrations of pollutants for each month of gestation were calculated using continuous monitoring data. Three intervals (low, medium, and high) were constructed for each pollutant (tertiles). Odds ratios (ORs) for IUGR for PM10 and PM2.5 levels were generated using logistic regression for each month of gestation after adjustment for potential confounding factors. Adjusted ORs for IUGR related to ambient PM10 levels in the first gestational month increased along the concentration intervals: medium 1.62 [95% confidence interval (CI), 1.07-2.46], high 2.64 (CI, 1.48-4.71). ORs for PM2.5 were 1.26 (CI, 0.81-1.95) and 2.11 (CI, 1. 20-3.70), respectively. No other associations of IUGR risk with particulate matter were found. Influence of particles or other associated air pollutants on fetal growth in early gestation is one of several possible explanations of these results. Timing of this effect is compatible with a current hypothesis of IUGR pathogenesis. Seasonal factors, one of the other possible explanations, is less probable. More investigation is required to examine these findings and alternative explanations.

• MeSH
• Adult MeSH
• Embryonic and Fetal Development drug effects   MeSH
• Environmental Pollutants toxicity   MeSH
• Humans MeSH
• Maternal Exposure adverse effects   MeSH
• Odds Ratio MeSH
• Fetal Growth Retardation chemically induced   pathology   MeSH
• Pregnancy MeSH
• Tobacco Smoke Pollution adverse effects   MeSH
• Check Tag
• Adult MeSH
• Humans MeSH
• Pregnancy MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Clinical Trial MeSH
• Research Support, Non-U.S. Gov't MeSH
• Research Support, U.S. Gov't, Non-P.H.S. MeSH
• Geographicals
• Czech Republic MeSH
• Names of Substances
• Environmental Pollutants MeSH
• Tobacco Smoke Pollution MeSH