Particulate matter (PM) is a key indicator of air pollution and a significant risk factor for adverse health outcomes in humans. PM is not a self-contained pollutant but a mixture of different compounds including chemical and biological fractions. While several reviews have focused on the chemical components of PM and associated health effects, there is a dearth of review studies that holistically examine the role of biological and chemical components of inhalable and respirable PM in disease causation. A literature search using various search engines and (or) keywords was done. Articles selected for review were chosen following predefined criteria, to extract and analyze data. The results show that the biological and chemical components of inhalable and respirable PM play a significant role in the burden of health effects attributed to PM. These health outcomes include low birth weight, emergency room visit, hospital admission, respiratory and pulmonary diseases, cardiovascular disease, cancer, non-communicable diseases, and premature death, among others. This review justifies the importance of each or synergistic effects of the biological and chemical constituents of PM on health. It also provides information that informs policy on the establishment of exposure limits for PM composition metrics rather than the existing exposure limits of the total mass of PM. This will allow for more effective management strategies for improving outdoor air quality.

Lead (Pb) exposure has been a serious environmental and public health problem throughout the world over the years. The major sources of lead in the past were paint and gasoline before they were phased out due to its toxicity. Meanwhile, people continue to be exposed to lead from time to time through many other sources such as water, food, soil and air. Lead exposure from these sources could have detrimental effects on human health, especially in children. UNICEF reported that approximately 800 million children have blood lead levels (BLLs) at or above 5 micrograms per deciliter (µg/dL) globally. This paper reports on the potential risks of lead exposure from early life through later life. The articles used in this study were searched from databases such as Springer, Science Direct, Hindawi, MDPI, Google Scholar, PubMed and other academic databases. The levels of lead exposure in low income and middle-income countries (LMICs) and high-income countries (HICs) were reported, with the former being more affected. The intake of certain nutrients could play an essential role in reducing (e.g., calcium and iron) or increasing (e.g., high fat foods) lead absorption in children. Elevated blood lead levels may disturb the cells’ biological metabolism by replacing beneficial ions in the body such as calcium, magnesium, iron and sodium. Once these ions are replaced by lead, they can lead to brain disorders, resulting in reduced IQ, learning difficulties, reduced attention span and some behavioral problems. Exposure to lead at an early age may lead to the development of more critical problems later in life. This is because exposure to this metal can be harmful even at low exposure levels and may have a lasting and irreversible effect on humans. Precautionary measures should be put in place to prevent future exposure. These will go a long way in safeguarding the health of everyone, most especially the young ones.

Particulate matter of aerodynamic diameter of less than 2.5 µm (PM_2.5) is a recognised carcinogen and a priority air pollutant owing to its respirable and toxic chemical components. There is a dearth of information in South Africa on cancer and non-cancer risks of exposure to heavy metal (HM) content of PM_2.5. This study determined the seasonal concentration of HM in PM_2.5 and the cancer and non-cancer risks of exposure to HM in PM_2.5. Ambient PM_2.5 was monitored and samples were collected during the winter and summer months in an industrialized area in South Africa. Concentration levels of nine HMs—As, Cu, Cd, Cr, Fe, Mn, Ni, Pb, and Zn—were determined in the PM_2.5 samples using inductive coupled optical emission spectrophotometry. The non-cancer and cancer risks of each metal through the inhalation, ingestion and dermal routes were estimated using the Hazard Quotient and Excess Lifetime Cancer Risk (ELCR), respectively, among infants, children, and adults. Mean concentration of each HM-bound PM_2.5 was higher in winter than in summer. The probability of the HM to induce non-cancer effects was higher during winter than in summer. The mean ELCR for HMs in PM_2.5 (5.24 × 10⁻²) was higher than the acceptable limit of 10⁻⁶ to 10⁻⁴. The carcinogenic risk from As, Cd, Cr, Ni, and Pb were higher than the acceptable limit for all age groups. The risk levels for the carcinogenic HMs followed the order: Cr > As > Cd > Ni > Pb. The findings indicated that the concentrations of HM in PM_2.5 demonstrated a season-dependent pattern and could trigger cancer and non-cancer health risks. The formulation of a regulatory standard for HM in South Africa and its enforcement will help in reducing human exposure to HM-bound PM_2.5.

Urban air pollution from gaseous pollutants is a growing public health problem in many countries including South Africa. Examining the levels, trends and health risk of exposure to ambient gaseous pollutants will assist in understanding the effectiveness of existing control measures and plan for suitable management strategies. This study determined the concentration levels and non-cancer risk of CO, SO₂, NO₂, and O₃ at an industrial area in Pretoria West, South Africa. We utilised a set of secondary data for CO, NO₂, SO₂, and O₃ that was obtained from a monitoring station. Analysis of the hourly monitored data was done. Their non-cancer risk (HQ) was determined using the human health risk assessment model for different age categories. The annual levels of NO₂ (39.442 µg/m³), SO₂ (22.464 µg/m³)_, CO (722.003 µg/m³) and the 8-hour concentration of CO (649.902 µg/m³) and O₃ (33.556 µg/m³) did not exceed the South African National Ambient Air Quality Standards for each pollutant. The HQ for each pollutant across exposed groups (except children) was less than 1. This indicates that the recorded levels could not pose non-cancer risk to susceptible individuals.

There is a growing concern that exposure to particulate matter of aerodynamic diameter of less than 2.5 µm (PM_2.5) with biological composition (bioaerosols) may play a key role in the prevalence of adverse health outcomes in humans. This study determined the bacterial and fungal concentrations in PM_2.5 and their inhalation health risks in an industrial vicinity in South Africa. Samples of PM_2.5 collected on a 47-mm glass fiber filter during winter and summer months were analysed for bacterial and fungal content using standard methods. The health risks from inhalation of bioaerosols were done by estimating the age-specific dose rate. The concentration of bacteria (168–378 CFU/m³) was higher than fungi (58–155 CFU/m³). Bacterial and fungal concentrations in PM_2.5 were lower in winter than in the summer season. Bacteria identified in summer were similar to those identified in winter: Staphylococcus sp., Bacillus sp., Micrococcus sp., Flavobacterium sp., Klebsiella sp. and Pseudomonas sp. Moreover, the fungal floras identified include Cladosporium spp., Aspergillus spp., Penicillium spp., Fusarium spp. and Alternaria spp. Children inhaled a higher dose of bacterial and fungal aerosols than adults. Bacteria and fungi are part of the bioaerosol components of PM_2.5. Bioaerosol exposure may present additional health risks for children.

Most conventional water treatment plants are not sufficiently equipped to treat both intracellular and extracellular Microcystins in drinking water. However, the effectiveness of sodium hypochlorite in removing Microcystin in containers at the point-of-use is not yet known. This study aimed to assess point-of-use water container treatment using bleach or sodium hypochlorite (NaOCl) and to assess the health problems associated with microcystins. Thirty-nine percent (29 of 74) of the total selected households were randomly selected to receive and treat their stored container water with sodium hypochlorite. The level of microcystin in the container water was measured after 30 min of contact with sodium hypochlorite. Microcystin concentrations in both the blooming and decaying seasons were higher (mean 1.10, 95% CI 0.46–1.67 µg/L and mean 1.14, 95% CI 0.65–1.63 µg/L, respectively) than the acceptable limit of 1 µg/L in households that did not treat their water with NaOCl, whilst in those that did, there was a significant reduction in the microcystin concentration (mean 0.07, 95% CI 0.00–0.16 µg/L and mean 0.18, 95% CI 0.00–0.45 µg/L). In conclusion, sodium hypochlorite treatment decreased microcystin s to an acceptable level and reduced the related health problems.