The modeling and health risk assessment of PM2.5 from Tema Oil Refinery

Fine particulate matters (PM_2.5) are known to pose serious health problems compared to other air pollutants. The current study employed air dispersion modeling system (AERMOD) to simulate the concentration of PM_2.5 from Tema Oil Refinery (TOR) and to assess the non-cancer risk and mortalities of the exposed population. In addition, the effects of local climatic factors on the distribution and concentration of PM_2.5 within the three main seasons (Major Raining Season (MRS), Low Raining Season (LRS) and Dry Season (DS)) were investigated. The AERMOD results showed that both 24-h (38.8 µg m^?3) and annual (12.6 µg m^?3) PM_2.5 concentration levels were in exceedance of the international limits. However, a decreasing trend in seasonal PM_2.5 concentrations was observed. Health risk assessment (HRA), indicated by hazard index (HI), revealed that the amount of Al₂O₃ present in the PM_2.5 caused a significant non-carcinogenic health risk to the exposed population (both adults and children) within the Metropolis (HI = 2.4 for adults and HI = 1.5 for children). Additionally, cardiopulmonary disease related mortalities due to PM_2.5 exposure (181 deaths for adults and 24 deaths for children) were found high compared to deaths caused by lung cancer (137 deaths for adults and 16 deaths for children).     

Chemical speciation and health risks of airborne heavy metals around an industrial community in Nigeria

Abstract

Quantification of PM_2.5 (particulate matter <2.5?µm) bound heavy metals and their potential health risks were carried out around a cement manufacturing company in Ewekoro, Nigeria. The PM_2.5 samples were collected using Environtech gravimetric sampler. A four-staged sequential extraction procedure was used to fractionate PM_2.5 bound chromium (Cr), lead (Pb), aluminum (Al), copper (Cu), and silver (Ag), and further analyzed using inductively coupled plasma mass spectrometry. Chemical speciation results reveal bioavailable levels of Pb (4.05?µg/m³), Cr (10.75?µg/m³), Al (16.47?µg/m³), Cu (4.38E-01?µg/m³), and Ag (1.22E-02?µg/m³) in the airborne particulates. Pb and Cr levels exceeded the World Health Organization allowable limit of 0.5 and 2.5E-05?µg/m³, respectively. The labile phases showed strong indication of the presence of Cr and Cu metal. Excess cancer risks exposure for adults, outdoor workers and children were higher than the acceptable risk target level of 1E-06. Non-carcinogenic health risk estimated using hazard quotients (HQs) and hazard indices (HIs) showed ingestion route within the safe level of HI <1 implying no adverse effect while inhalation route exceeded the safe level for all receptors. Enforcement of pollution control by authorized agencies, and screening of greenbelts as sinks for air pollutants is strongly recommended.     

Exposure assessment of pulmonary functions of school going children due to agriculture crop residue burning practice in Indo-Gangetic plains of India

Abstract

Agriculture crop residue burning is a serious issue in Northern India due to ineffective control policies. An epidemiological study has been done on school going children to evaluate the trends in their physiological parameters due to crop residue burning activity in the affected area. Total 600 children were recruited and continuously inspected for three years at three different sites. Season wise, the level of fine particulate matter (PM₁₀ and PM_2.5) was higher in rice crop residue burning seasons than in wheat crop residue burning seasons. As per dose–response relationship, maximum degradation was observed in FVC (?7.62%) and PEF (?6.23%) parameters from their baseline values due to burning activities. With adjustment of socioeconomic, anthropometric parameters of selected subjects and meteorological parameters in multivariate mixed effect model, prediction equations have been purposed to observe the future trends in physiological parameters of children. Based on Tiffenue index, an unrecoverable effect has been observed in lung parameters. Trends were alarming and may cause serious complications in early age of human subjects.     

Air quality modeling for health risk assessment of ambient PM10, PM2.5 and SO2 in Iran

In this study, we have estimated the number of total mortality (T-mortality), cardiovascular morbidity (CV-mortality), respiratory mortality (R-mortality), hospital admissions due to cardiovascular diseases (HA-CVD), respiratory diseases (HA-RD), chronic obstructive pulmonary diseases (COPD) and acute myocardial infarction (AMI) due to exposure to particulate matter less than 10 µm (PM₁₀), 2.5 µm (PM_2.5) and sulfur dioxide (SO₂) in western Iran in 2016. The World Health Organization (WHO) method was used to assess the mortality and morbidity among the exposed people. The results showed that about 3.9% CM (95% CI: 2.9–7.8%), 3.9% HA-RD (95% CI: 2.4–7.8%) and 4.4% HA-CVD (95% CI: 3.0–6.8%) for ambient PM₁₀ and about 7.3% TM (95% CI: 4.2–9.7%), 12.1% CM (95% CI: 3.5–14.6%) and 3.0% RM (95% CI: 0–6.3%) for PM_2.5 are respectively attributed to concentrations exceeding 10 µg/m³. Furthermore, 3.2% HA-COPD (95% CI: 0–5.04%) and 4.2% AMI (95% CI: 1.6–4.3%) can be attributed to SO₂ concentrations greater than 10 µg/m³, respectively. To reduce the adverse health effect of PM, health advices provided by health authorities should be given to general population especially vulnerable people such as people with chronic lung and heart pathologies, elderly and children during the dusty days.     

Characterization of metal(loid)s in indoor and outdoor PM2.5 of an office in winter period

The characterization of indoor (a naturally ventilated office) and outdoor (adjacent courtyard) metals in PM_2.5 during a winter period in Xi'an, China were carried out. The results indicated that the average mass concentrations of PM_2.5 in indoor and outdoor environments all exceeded the daily average limit of 75 µg m^–3 set by the Chinese government. The dominant metals in PM_2.5 were Ca, Al, Zn, Mg, Fe, and Pb in both indoor and outdoor air. Concentration of As was much higher than the standard of 6 ng m^–3 issued by the government. Enrichment factor analysis showed that anthropogenic emissions might be the primary sources of As, Cd, Pb, and Zn, while crust was the main origin of Co. A majority of indoor-to-outdoor concentration ratios of metal were lower than 1 indicating mostly the contribution of outdoor sources rather than indoor ones. As and Cr in both indoor and outdoor air posed the highest noncarcinogenic and carcinogenic risks, respectively. The noncarcinogenic and carcinogenic risks were 2.74 and 2.54 × 10^?4 indoor and 4.04 and 3.87 × 10^?4 outdoor, which suggested that possible adverse health effects should be of concern.     

Effects of PM2.5 and NO2 on the 8-isoprostane and lung function indices of FVC and FEV1 in students of Ahvaz city,Iran

The aim of this study was to determine the correlation between PM_2.5 and NO₂ pollutants and oxidative stress marker (8-isoprostane) and lung function tests (FVC and FEV₁) in healthy children who were living and studying in three different areas of Ahvaz city including A₁: Naderi site with high traffic, A₂: Alavi Alley site with average traffic, and A₃: Ein 2 site with low traffic (a rural area on the suburb of Ahvaz). 30 students in the 12–13 year-old range were selected from each studied zone (1, 2 and 3 sites) during three months of year. Of each student, one sample was taken every two weeks to measure 8-isoprostane of exhaled breath condensate (EBC). Air pollution data were collected from three air quality monitoring stations. Also, the relationship between air pollution and 8-isoprostane as well as lung function tests were determined using generalized estimating equations (GEE). The mean concentration of PM_2.5 and NO₂ in A₁, A₂ and A₃ areas were 116, 92 and 45 (μg/m³) also 77, 53 and 14 (ppb) respectively. Among all studied students, there was a significant correlation between the increase of mean concentration of PM_2.5 and NO₂ in 1–4 before sampling day, increased 8-isoprostane concentration and decreased FEV₁, while there was no significant correlation between them and decreased FVC. In A₁ site, an increase in IQR (13 μg/m³) PM_2.5 and IQR (6.5 ppb) NO₂ on 1–4 days before sampling was associated with 0.38 unit (95% CI: 0.11, 0.65) and 1.1 unit (95% CI: 0.85, 1.35) increase in 8-isoprostane concentration, also decreased 121 ml and 190 ml FEV₁, respectively. Results showed that the short-term exposure to traffic-related air pollution can decrease the values of lung function indices and increase the oxidative stress. It may adversely affect children’s lungs.     

Estimating PM2.5 concentrations with statistical distribution techniques for health risk assessment in Bangkok

Abstract

Ambient PM_2.5 data in the Central Business District (CBD) of Bangkok monitored by Pollution Control Department and Bangkok Metropolitan Administration were collected over three years in Bangkok from 2015 to 2017. The other air pollutions data were used as the dependent variables to develop mathematic models with statistical distribution technique. Multiple linear regression technique was selected as the main statistical distribution methodology for estimating PM_2.5 concentrations in non-monitored areas. The predicted PM_2.5 concentrations were validated against the measured PM_2.5 concentrations by various statistical techniques. The validation found that the model had strong significant correlations for ambient and roadside area with R ²?=?0.88 and 0.96, respectively. The non-carcinogenic health risk assessment of PM_2.5 was quantified as the hazard quotient (HQ) from both the measured and predicted data. The risk areas and HQ were compared using the inverse distance weighting interpolation technique and illustrated as GIS-based maps. During December to February, the HQ values of PM_2.5 were exceed 1 (HQs?>?1) at all area of CBD; however, the highest HQ was found in the southern part of CBD. The finding could be used for residential health awareness in that area.     

Platinum concentration in PM2.5 in the Mexico City Metropolitan Area: relationship to meteorological conditions

Abstract

Platinum (Pt) concentrations in PM_2.5 were evaluated by means of inductively coupled plasma mass spectrometry (ICP-MS) to evaluate the spatial and temporal behavior and to assess trends. Samples were taken from five representative sites in the Mexico City Metropolitan Area (MCMA): Tlalnepantla-northwest (NW), San Agustin-northeast (NE), La Merced -center (C), Coyoacan-southwest (SW), and Universidad Autonoma Metropolitana Iztapalapa-southeast (SE). Under three weather conditions: dry warm (DW-April), rainy (R-August), and dry cold (DC-November) in 2013. We found that the PM_2.5 median mass concentration was 24?μg m^?3?±?15?μg m^?3 while Pt concentration was 55?pg m^?3?±?15?pg m^?3 (median, interquartile range). Seasonal trend was identified: the concentrations decreased significantly in the following order DC?>?R>DW. No spatial distribution was observed. Interestingly, among other meteorically parameters, wind intensity resulted to be the major factor for the dispersion of Pt in PM2.5 in MCMA. Furthermore, we found that Pt concentrations increased significantly by 19.6% between 2011 and 2013. Regardless of the increase in Pt, carbon monoxide (CO) levels decreased opposite to a rise in vehicular fleet. These results urge for environment public policies that address the upward tendency of Pt levels especially in urban areas.     

Antioxidative iridoid glycosides from the sky flower (Duranta repens Linn)

Phytochemical investigations were performed on the EtOAc-soluble fraction of the whole plant of the sky flower (Duranta repens) which led to the isolation of the iridoid glycosides 1–6. Their structures were elucidated by both 1D and 2D NMR spectroscopic analysis. All the compounds showed potent antioxidative scavenging activity in four different tests, with half maximal inhibitory concentration (IC₅₀) values in the range 0.481–0.719?mM against DPPH radicals, 4.07–17.21 µM for the hydroxyl radical (^?OH) inhibitory activity test, 43.3–97.37 µM in the total reactive oxygen species (ROS) inhibitory activity test, and 3.39–18.94 µM in the peroxynitrite (ONOO^?) scavenging activity test. Duranterectoside A (1) displayed the strongest scavenging potential with IC₅₀ values of (0.481?±?0.06?mM, 4.07?±?0.03, 43.30?±?0.05, 3.39?±?0.02?µM) for the DPPH radicals, ^?OH inhibitory activity test, total ROS inhibitory activity test and the ONOO^? scavenging activity test, respectively.     

Elevated levels of urinary 17-ketosteroids in central Indian children residing near sewage treatment plant and solid waste disposal plant: A preliminary study

Urinary excretion of 17-ketosteroid (17-KS) was assessed in male pre-pubertal subjects aged (8–11 years; n = 90). Children living near sewage treatment plant and solid waste disposal plant (Group P) showed significantly higher levels of urinary 17-KS (Group P: 3.27 ± 1.63 µg/mL/CRE; p < 0.01) than children living in cleaner area (0.50 ± 0.53 µg/mL/CRE; Group C). Occurrence of urinary dibutyl phthalate in representative subjects of Group P (odds ratio: 9; p < 0.05; 95% of Confidence interval (CI) 1.93–72.99) was higher compared to Group C. Urinary concentrations of Cd (0.85 µg/g CRE ± 0.11), Mn (24.25 µg/g CRE ± 6.11) and Pb (12.39 µg/g CRE ± 2.86) in Group P were significantly (p < 0.01) higher than those found in Group C (Cd (0.28 µg/g CRE ± 0.03), Mn (13.33 µg/g CRE ± 3.20) and Pb (5.67 µg/g CRE ± 0.53)). Analyses of ambient air samples (PM₁₀) in polluted area revealed major occurrence of phthalates, whereas derivatives of trifluoromethyl, dione, etc. were identified in PM_2.5 fraction. Metal (Cd, Co, Mn and Pb) concentrations in ambient air (24 h, PM₁₀) were higher in polluted area compared to cleaner area. We conclude that elevated levels of urinary 17-KS in Group P could be attributed to higher exposure of these subjects to Endocrine disrupting chemicals (EDCs) compared to Group C.     

Influence of meteorological parameters and PM2.5 on the level of culturable airborne bacteria and fungi in Abadan,Iran

In recent years, monitoring of airborne bacteria and fungi concentrations has obtained increasing universal attraction not only for influences on ecological balance but also for evaluating their public health consequences. In this study, we aimed to investigate culturable airborne bacteria and fungi levels in different sites of Abadan, and their association with meteorological parameters and PM_2.5 levels. Abadan is one of the most industrialized cities in the southwest of Iran where over the current decade has experienced lots of dust storm episodes. In total, 400 air samples were collected in 6 months (autumn and winter) using a single-stage viable Andersen cascade impactor for sampling airborne bacteria and fungi and portable DustTrak Aerosol Monitor 8520 for measuring PM_2.5 concentrations and meteorological parameters. Microbial concentrations showed a significant difference between various sites over the study period with averages of 569.57?±?312.64 and 482.73?±?242.86 CFU/M³ for bacteria and fungi, respectively. The air temperature had a significant effect on the concentration of both airborne bacteria and fungi. A significant positive correlation between relative humidity and fungi but no correlation between relative humidity and bacteria concentrations were observed. The average airborne PM_2.5 concentrations of all sites among the study period was 93.24?±?116.72 μg/m³. The atmospheric bacterial and fungal communities were strongly positively correlated with the ambient PM_2.5 level. The levels of airborne bacteria and fungi along with PM_2.5 in the air of the city were relatively higher than the recommended levels. Therefore, the best course of action is needed to control emission sources. Further studies are also needed to evaluate the clinical analysis of the health effects of exposure to these pollutants.

     

An Assessment of Risk from Particulate Released from Outdoor Wood Boilers

Use of outdoor wood boilers (OWB) has increased due to cost of fossil fuels. OWB short stacks release particles close to the breathing level, producing high levels of particulate matter ≤2.5 μm in diameter (PM_2.5). This assessment determines OWB contribution to local cancer risk and estimates thresholds for acute non-cancer risks. Carcinogenic PAHs in wood smoke (PM_2.5) cancer risks range from 2.7 × 10^–3 for the upper bound scenario (95% UCL value of PM_2.5 (665 μg/m³)) to 7.6 × 10^–5 for the lower bound (mean (186 μg/m³)). These risks represent a 7-fold increase of acceptable cancer risk for the lower bound value and 2 orders of magnitude above acceptable levels for the upper bound values. Non-cancer effects such as asthma and cardiopathies include respiratory attacks, hospital emergency room visits, and hospitalizations. Inhaled dose acute risk thresholds of 96, 120, and 250 μg PM 2.5/6 hours are proposed. Operation of an OWB that emits 100 grams PM_2.5/h was modeled and found to increase the exposures that exceed the 120-μg-risk level at and in residences within 500 to 1000 feet. The increases are projected to occur during periods of poor air mixing due to decreased wind speeds or inversions. Our analysis proposes a 6-h PM_2.5 inhaled dose threshold to predict peak periods of unhealthy air quality instead of 24-h and annual averages standards, which mask peak emissions.     

Synthesis and antitumor activity of novel 2, 3-didithiocarbamate substituted naphthoquinones as inhibitors of pyruvate kinase M2 isoform

The M2 isoform of pyruvate kinase (PKM2) is a potential antitumor therapeutic target. In this study, we designed and synthesised a series of 2, 3-didithiocarbamate substituted naphthoquinones as PKM2 inhibitors based on the lead compound 3k that we previously reported. Among them, compound 3f (IC₅₀?=?1.05?±?0.17 µM) and 3h (IC₅₀?=?0.96?±?0.18 µM) exhibited potent inhibition of PKM2, and their inhibitory activities are superior to compound 3k (IC₅₀?=?2.95?±?0.53 µM) and the known PKM2 inhibitor shikonin (IC₅₀?=?8.82?±?2.62 µM). In addition, we evaluated in vitro antiproliferative effects of target compounds using MTS assay. Most target compounds exhibited dose-dependent cytotoxicity with IC₅₀ values in nanomolar concentrations against HCT116, MCF7, Hela, H1299 and B16 cells. These small molecule PKM2 inhibitors not only provide candidate compounds for cancer therapy, but also offer a tool to probe the biological effects of PKM2 inhibition on cancer cells.     

Synthesis, 18F‐Radiolabelling and Biological Evaluations of C‐6 Alkylated Pyrimidine Nucleoside Analogues

Synthesis of pyrimidine derivatives with a side‐chain attached to the C‐6 of pyrimidine ring (6–14) is reported. Target compounds 8 and 12 were subjected to in vitro phosphorylation tests, determination of their binding affinities to herpes simplex virus (HSV‐1) thymidine kinase (TK) and catalytic turnover constants. Fluorinated pyrimidine derivative 12 (40 µM) exhibited better binding affinity for HSV‐1 TK than acyclovir (ACV, 170 µM) and ganciclovir (GCV, 48 µM). Catalytic turnover constant (k _cat) of 12 (0.08 s^? 1) was close to the k _cat values of ACV (0.10 s^? 1) and GCV (0.10 s^? 1). Furthermore, compounds 8 and 12 showed no cytotoxic effects in HSV‐1 TK‐transduced and non‐transduced cell lines. Besides, compounds 8 and 12 did not exhibit antiviral or cytostatic activities against several viruses and malignant tumor cell lines that were evaluated. The new fluorinated pyrimidine derivative 16 that is phosphorylated by HSV‐1 TK could be developed as non‐toxic PET‐tracer molecule. Thus, ¹⁸F labelling of the precursor 14 was performed by nucleophilic substitution using [¹⁸F] tetrabutylammonium fluoride as the fluorinating reagent.     

Synthesis and biological evaluation of some thiazole derivatives as new cholinesterase inhibitors

In the present study, some thiazole derivatives were synthesized via the ring closure reaction of 1-[2-(2-oxobenzo[d]thiazol-3(2H)-yl)acetyl]thiosemicarbazide with various phenacyl bromides. The chemical structures of the compounds were elucidated by ¹H NMR, ¹³C NMR and mass spectral data and elemental analyses. Each derivative was evaluated for its ability to inhibit acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) using a modification of Ellman’s spectrophotometric method. The compounds were also investigated for their cytotoxic properties using MTT assay. The most potent AChE inhibitor was found as compound 4e (IC₅₀?=?25.5?±?2.12 µg/mL) followed by compounds 4i (IC₅₀?=?38.50?±?2.12 µg/mL), 4c (IC₅₀?=?58.42?±?3.14 µg/mL) and 4g (IC₅₀?=?68?±?2.12 µg/mL) when compared with eserine (IC₅₀?=?0.025?±?0.01 µg/mL). Effective compounds on AChE exhibited weak inhibition on BuChE (IC₅₀ > 80 µg/mL). MTT assay indicated that the cytotoxic dose (IC₅₀?=?71.67?±?7.63 µg/mL) of compound 4e was higher than its effective dose.     

Fine Particulate Air Pollution and Hospital Emergency Room Visits for Respiratory Disease in Urban Areas in Beijing,China, in 2013

BackgroundHeavy fine particulate matter (PM_2.5) air pollution occurs frequently in China. However, epidemiological research on the association between short-term exposure to PM_2.5 pollution and respiratory disease morbidity is still limited. This study aimed to explore the association between PM_2.5 pollution and hospital emergency room visits (ERV) for total and cause-specific respiratory diseases in urban areas in Beijing.MethodsDaily counts of respiratory ERV from Jan 1 to Dec 31, 2013, were obtained from ten general hospitals located in urban areas in Beijing. Concurrently, data on PM_2.5 were collected from the Beijing Environmental Protection Bureau, including 17 ambient air quality monitoring stations. A generalized-additive model was used to explore the respiratory effects of PM_2.5, after controlling for confounding variables. Subgroup analyses were also conducted by age and gender.ResultsA total of 92,464 respiratory emergency visits were recorded during the study period. The mean daily PM_2.5 concentration was 102.1±73.6 μg/m³. Every 10 μg/m³ increase in PM_2.5 concentration at lag₀ was associated with an increase in ERV, as follows: 0.23% for total respiratory disease (95% confidence interval [CI]: 0.11%-0.34%), 0.19% for upper respiratory tract infection (URTI) (95%CI: 0.04%-0.35%), 0.34% for lower respiratory tract infection (LRTI) (95%CI: 0.14%-0.53%) and 1.46% for acute exacerbation of chronic obstructive pulmonary disease (AECOPD) (95%CI: 0.13%-2.79%). The strongest association was identified between AECOPD and PM_2.5 concentration at lag_0-3 (3.15%, 95%CI: 1.39%-4.91%). The estimated effects were robust after adjusting for SO₂, O₃, CO and NO₂. Females and people 60 years of age and older demonstrated a higher risk of respiratory disease after PM_2.5 exposure.ConclusionPM_2.5 was significantly associated with respiratory ERV, particularly for URTI, LRTI and AECOPD in Beijing. The susceptibility to PM_2.5 pollution varied by gender and age.     

High Thermoelectric zT in n‐Type Silver Selenide films at Room Temperature

In this work, a zT value as high as 1.2 at room temperature for n‐type Ag₂Se films is reported grown by pulsed hybrid reactive magnetron sputtering (PHRMS). PHRMS is a novel technique developed in the lab that allows to grow film of selenides with different compositions in a few minutes with great quality. The improved zT value reported for room temperature results from the combination of the high power factors, similar to the best values reported for bulk Ag₂Se (2440 ± 192 µW m^?1 K^?2), along with a reduced thermoelectric conductivity as low as 0.64 ± 0.1 W m^?1 K^?1. The maximum power factor for these films is of 4655 ± 407 µW m^?1 K^?2 at 103 °C. This material shows promise to work for room temperature applications. Obtaining high zT or, in other words, high power factor and low thermal conductivity values close to room temperature for thin films is of high importance to develop a new generation of wearable devices based on thermoelectric heat recovery.     

Study of PM10, PM2.5, and PM1 levels in during dust storms and local air pollution events in urban and rural sites in Tehran

The aim of this study is to survey the PM₁₀, PM_2.5, and PM₁ concentrations in rural and urban areas in Tehran province during cold, warm and dust storm days from December 22, 2016 to June 5, 2017 using Grimm Model aerosol spectrometer. During the study period, daily PM₁₀, PM_2.5, and PM₁ concentrations ranged from 27.2 to 244.96, 8.4 to 77.9, and 6.5 to 56.8 μg/m³ in urban sites, and 22.8 to 286.4, 6 to 41.1, and 2.1 to 20.2 μg/m³ in rural parts, respectively. Particularly, both daily WHO limits for outdoor PM₁₀ (50.0 μg/m³) and PM_2.5 (25.0 μg/m³) exceeded in 95% and 83% of the outdoor measurements in winter and 82% and 58% in total sampled days in urban site, respectively. The 24-h average PM₁₀ and PM_2.5 concentrations also exceeded by 59% and 18% in winter and by 36% and 14% of all sampling days in rural site, respectively. During the dust storm, the 24-h average PM₁₀, PM_2.5, and PM₁ concentrations were, respectively 4.7, 2, and 1.96 times higher than those in urban site and 2, 1.7, and 1.3 times more than those in rural site in all sampled days.     

Seasonal Variation in Schools’ Indoor Air Environments and Health Symptoms among Students in an Eastern Mediterranean Climate

The indoor air quality (IAQ) in classrooms highly affects the health and productivity of students. This article aims to clarify seasonal variation in indoor environment and sick building syndromes (SBS) symptoms in an Eastern Mediterranean climate. A series of field measurements were conducted during the fall and winter seasons from October 2011 to March 2012 in 12 naturally ventilated schools located in the Gaza Strip. Data on environmental perception and health symptoms were obtained from 724 students by using a validated questionnaire. The results showed that indoor PM₁₀ and PM_2.5 concentrations were 426.3 ± 187.6 μg/m³ and 126.6 ± 94.8 μg/m³, respectively. The CO₂ concentrations and ventilation rate widely exceeded their reference values during the winter season. The prevalence rates of general symptoms were relatively high at baseline assessment in the fall season and increased significantly during follow-up in the winter season. Significant increases in disease symptoms such as mucosal irritation and pre-existing asthma symptoms among students could be related to poor indoor air quality. Five distinct groups of SBS symptoms from factor analysis of students’ related symptoms were significantly correlated with PM₁₀ and PM_2.5, CO₂, ventilation rate, and indoor temperature. As vulnerable children, this situation negatively affects their school performance and health.