Oxford Street 2 progress update Paul Cullinan NHLI: Fan Chung/Rudy Sinharay/Peter Collins KCL: Ben Bradshaw et al. Exposomics November 2014 Boris Johnson admits London's Oxford Street is one of world's most polluted London mayor makes u-turn over Oxford Street’s pollution levels in a letter to the EAC about research funding for King’s College, that made the original claim on air quality. 13 Nov 2014 24 comments cross-over design 40 each: • COPD (moderate) • IHD (stable, no COPD) • Healthy (neither of above) clinical measurements time re. exposure place time symptoms arterial stiffness continuous ECG venesection urine collection spirometry ios EB condensate induced sputum Schedule of measurements -2hr 0hr lab. site site site 8am 10am 11am noon X X X X +1hr lab. 1pm X +2hr lab. 2pm X X +3hr lab. 3pm +4hr lab. 4pm X X +24h lab. noon X X X X X X X X X X X X X X X X X X X X X X pre-exposure questionnaires: geography postcodes home work significant other today’s date how did you get here today? tube( car( motorbike( walk( bus() bicycle() ) ) ) ) Where were you? (tick one or more) home () yesterday -2 -3 -4 -5 -6 -7 work () significant other any other? (describe) () pre-exposure questionnaires: diet breakfast lunch supper time place food and yesterday drink today time place food and drink time place food and tomorrow drink blank other exposures (n=c.120 measurements) distance walked temp RH noise PM2.5 PM10 ultrafine n carbon black Hyde Park median 5.3mi 18.0 51.3 73.4 7.5 16.1 5709 1.2 Oxford Street median 5.3mi 18.9 50.9 75.2 18.1 24.7 25472 10.4 P >.05 >.05 <0.001 <0.0001 <0.0001 <0.0001 <0.0001 Histogram of PM25 HP, PM25 OS Normal 60 Vari abl e PM2 5 HP PM2 5 O S 50 Mean StDev N 11.43 11.35 117 20.74 11.81 115 Frequenc y 40 30 20 10 0 -15 0 15 30 45 60 75 Data H istogram of Ultrafine count H P, Ultrafine count OS Normal Var i abl e Ul t r afi ne c ount HP Ul t r afi ne c ount O S 40 Mean StDev N 6331 3107 117 24203 8017 114 Frequency 30 20 10 0 0 6000 12000 18000 24000 Data 30000 36000 42000 Histogram of Carbon Black HP, Carbon Black OS Normal 80 Vari abl e Carbon Bl ack HP Carbon Bl ack O S 70 Mean StDev N 1.582 1.086 106 10.32 2.973 117 Frequenc y 60 50 40 30 20 10 0 0 4 8 12 16 20 Data H istogram of NO2 H P, NO2 OS Normal 40 Var i abl e N O 2 HP NO 2 O S Mean StDev N 9.796 7.042 67 18.08 8.396 64 Frequency 30 20 10 0 0 10 20 Data 30 40 Histogram of NOISE HP, NOISE OS Normal Vari abl e N O ISE HP N O ISE O S 40 Mean StDev N 71.16 6.004 103 74.88 2.907 89 Frequenc y 30 20 10 0 60 65 70 Data 75 80 85 participants male N age FEV1 FVC % pred % pred PWV m/s AI % IOS 5Hz kPa/L/s COPD 40 19 68 58 88 9.3 26 0.57 IHD 39 35 67 97 100 9.4 25 0.47 healthy 39 19 62 98 106 8.3 25 0.40 FEV1 healthy 95 COPD 100 * * * * 95 90 IHD 90 * * 85 90 80 85 75 80 70 75 65 * * 85 80 75 1 2 3 5 6 24 1 2 3 5 6 24 1 2 3 5 6 24 impulse oscillometry (5Hz) healthy COPD IHD 0.55 0.55 0.50 0.50 0.50 0.45 0.45 0.45 0.40 0.40 0.40 4h 24h 0.55 * 4h 24h 4h 24h AI healthy 0.35 * * COPD * * 0.35 * * IHD 0.35 * * 0.30 0.30 0.30 0.25 0.25 0.25 0.20 0.20 0.20 0.15 0.15 0.15 3h 5h 6h 24h 3h 5h 6h 24h * * 3h 5h 6h 24h Next steps samples to labs ‘exposomic’ questionnaire information analysis …