PhD, University of Cincinnati, 2020, Medicine: Epidemiology (Environmental Health)
Introduction: Manganese (Mn) is an essential trace element necessary for normal growth and development, that in excess can be neurotoxic. Excess environmental Mn can occur due to industrial emissions, but exposure pathways from environmental sources to biomarker levels, and ultimately to neurological outcomes have not been determined.
Objectives: The objectives of this dissertation are to 1) determine ambient air Mn exposure levels in a population living near the longest operating ferromanganese refinery in North America, using atmospheric dispersion modeling, 2) evaluate associations between modeled ambient air, soil, and indoor dust Mn collected from residences in the exposure area, and 3) determine pathways from environmental measures of Mn to blood, hair, and toenail Mn levels in exposed children using structural equation modeling (SEM).
Methods: Data are from the Communities Actively Researching Exposure Study (CARES), a cross-sectional study conducted from 2008-2013 in the Marietta, Ohio area to investigate neurological effects of Mn exposure in 7-9 year old children. Emissions from the Mn refinery were modeled using the U.S. Environmental Protection Agency (EPA) regulatory air dispersion model AERMOD. Average annual ambient air Mn concentrations were determined for census blocks within 32 km of the refinery, and for CARES participants' homes and schools. Monthly modeled ambient air concentrations for 2009-2010 were compared to concentrations from a stationary air sampler in Marietta to evaluate accuracy of the model. Exposures by census blocks were determined to estimate population sizes exposed to air Mn levels exceeding 50 ng/m3, the U.S. EPA guideline. SEM was performed to determine pathways of exposure from air, soil, and indoor dust Mn separately for blood, hair, and toenail Mn. Additional data included in the models were heating, ventilation and air conditioning in the home, average hours/week spent outside by the participant, parent education, (open full item for complete abstract)
Committee: Kelly Brunst Ph.D. (Committee Chair); Florence Fulk Ph.D. (Committee Member); Erin Haynes Dr.P.H. (Committee Member); Tiina Reponen Ph.D. (Committee Member); Heidi Sucharew Ph.D. (Committee Member)
Subjects: Epidemiology