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    Introduction

    The composition and chemistry of the atmosphere is of importancebecause of the interactions between the atmosphere and living organisms.

    The composition of the Earth's atmosphere has been changed by humanactivity and some of these changes are harmful to human health, cropsand ecosystems.

    Examples of problems: ACID RAINS (ACID PRECIPITATION): Deposition of acidic

    components in rain, snow, fog, dew, or dry particles. Occurs when SO2and NOx are emitted into the atmosphere, undergo chemicaltransformations and are absorbed by water droplets in clouds. The dropletsthen fall to earth as rain, sn, snow or sleet.

    PHOTOCHEMICAL SMOG: mixture of air pollutants, usually highlyreactive and oxidizing including: NOx, tropospheric ozone, VOCs,PAN, Aldehydes, etc.

    GLOBAL WARMING: Observed increase in the average temperatureof the Earths Atmosphere and oceans in recent decades.

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    Air PollutantsS.

    No.

    Pollutants Sources

    1. Suspended particulate Matter,

    SPM

    Automobile, power plants, boilers, Industries requiring crushing

    and grinding such as quarry, cement.

    2. Sulphur dioxide Power plants, boilers, sulphuric acid manufacture, ore refining,

    petroleum refining.

    3. Oxides of nitrogen NO, NO2

    (NOX)

    Automobiles, power plants, nitricacid manufacture, also a

    secondary pollutant

    4. Lead Ore refining, battery manufacturing, automobiles.

    5. Carbon monoxide Automobiles

    6. Hydrocarbons Automobiles, petroleum refining

    7. Chlorine Chlor-alkali plants.8. Fluoride Fertilizer, aluminum refining

    9. Peroxyacetyl nitrate, PAN Secondary pollutant

    10. Formaldehyde Secondary pollutant

    11. Ozone Secondary pollutant

    12. Hydrogen sulphide Pulp and paper, petroleum refining.

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    Types of Air Pollution

    Air Pollution various substances added to theatmosphere by natural events and human activitiesin high enough concentrations to cause harm tohumans, other organisms, or materials

    Primary air pollutant a substance emitted directlyto the atmosphere

    Secondary Air Pollutant a substance formed in theatmosphere as a result of reactions involvingprimary pollutants

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    NAAQS Standards for Ambient Air Pollution

    Pollutant[final rule cite]

    Primary/Secondary

    Averaging Time

    Level Form

    Carbon Monoxide[76 FR 54294, Aug 31, 2011]

    primary

    8-hour 9 ppmNot to be exceeded more thanonce per year1-hour 35 ppm

    Lead[73 FR 66964, Nov 12, 2008]

    primaryandsecondary

    Rolling 3monthaverage

    0.15 g/m3(1)

    Not to be exceeded

    Nitrogen Dioxide[75 FR 6474, Feb 9, 2010][61 FR 52852, Oct 8, 1996]

    primary 1-hour 100 ppb98th percentile, averaged over 3years

    primaryandsecondary

    Annual 53 ppb (2) Annual Mean

    Ozone

    [73 FR 16436, Mar 27, 2008]

    primaryandsecondary

    8-hour 0.075 ppm(3)

    Annual fourth-highest dailymaximum 8-hr concentration,averaged over 3 years

    Particle Pollution

    Dec 14, 2012

    PM2.5

    primary Annual 12 g/m3annual mean, averaged over 3years

    secondary Annual 15 g/m3annual mean, averaged over 3years

    primaryandsecondary

    24-hour 35 g/m3 98th percentile, averaged over 3years

    http://www.epa.gov/air/criteria.html

    http://www.epa.gov/airquality/carbonmonoxide/http://www.gpo.gov/fdsys/pkg/FR-2011-08-31/html/2011-21359.htmhttp://www.gpo.gov/fdsys/pkg/FR-2011-08-31/html/2011-21359.htmhttp://www.epa.gov/airquality/lead/http://www.gpo.gov/fdsys/pkg/FR-2008-11-12/html/E8-25654.htmhttp://www.gpo.gov/fdsys/pkg/FR-2008-11-12/html/E8-25654.htmhttp://www.epa.gov/airquality/nitrogenoxides/http://www.gpo.gov/fdsys/pkg/FR-2010-02-09/html/2010-1990.htmhttp://www.gpo.gov/fdsys/pkg/FR-1996-10-08/html/96-25786.htmhttp://www.epa.gov/airquality/ozonepollution/http://www.gpo.gov/fdsys/pkg/FR-2008-03-27/html/E8-5645.htmhttp://www.gpo.gov/fdsys/pkg/FR-2008-03-27/html/E8-5645.htmhttp://www.epa.gov/airquality/particlepollution/http://www.epa.gov/airquality/particlepollution/http://www.epa.gov/air/criteria.htmlhttp://www.epa.gov/air/criteria.htmlhttp://www.epa.gov/air/criteria.htmlhttp://www.epa.gov/air/criteria.htmlhttp://www.epa.gov/airquality/particlepollution/http://www.gpo.gov/fdsys/pkg/FR-2008-03-27/html/E8-5645.htmhttp://www.epa.gov/airquality/ozonepollution/http://www.gpo.gov/fdsys/pkg/FR-1996-10-08/html/96-25786.htmhttp://www.gpo.gov/fdsys/pkg/FR-2010-02-09/html/2010-1990.htmhttp://www.epa.gov/airquality/nitrogenoxides/http://www.gpo.gov/fdsys/pkg/FR-2008-11-12/html/E8-25654.htmhttp://www.epa.gov/airquality/lead/http://www.gpo.gov/fdsys/pkg/FR-2011-08-31/html/2011-21359.htmhttp://www.epa.gov/airquality/carbonmonoxide/
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    Air Quality Index (AQI)

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    AQI Ratings

    Air Quality Index(AQI) Values

    Levels of HealthConcern

    Colors

    0 to 50 Good Green

    51 to 100 Moderate Yellow

    101 to 150 Unhealthy forSensitive Groups

    Orange

    151 to 200 Unhealthy Red

    201 to 300 Very Unhealthy Purple

    301 to 500 Hazardous Maroon

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    AQI Calculations

    If multiple pollutants are measured at a monitoring site, then thelargest or "dominant"Air Quality Indexvalue is reported for thelocation.

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    WHO AIR QUALITY GUIDELINES

    Substance Lowest concentration atwhich adverse effects are

    observed

    Duration ofexposure

    Lead 0.5 g/m3 1 year

    PM -- Doseresponse

    SO2 500 g/m3 10 minutes

    CO 30 mg/m3 1 hour

    NO2 200 g/m3 1 hour

    Ozone 120 g/m3 8 hours

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    Primary standards provide public healthprotection, including protecting the health of"sensitive" populations such as asthmatics,children, and the elderly.

    Secondary standards provide public welfareprotection, including protection againstdecreased visibility and damage to animals,crops, vegetation, and buildings.

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    AIR POLLUTION SOURCES

    Outdoor air quality is affected by:

    Industrial or agricultural activities

    Treatment of industrial effluents and domestic residues Traffic

    Solid waste management

    Cottage industries

    Chemical incidents and spills

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    Agriculture

    Domestic Sources

    Other Industry and waste disposal

    Road Transport

    Power Generation

    http://www.eea.europa.eu/publications/2599XXX/page010.html

    http://www.eea.europa.eu/publications/2599XXX/page010.htmlhttp://www.eea.europa.eu/publications/2599XXX/page010.html
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    Basic Pollutants Toxics Air toxics (hazardous air pollutants) are known or suspected to

    cause cancer or other serious health effects.

    EPAs 188 hazardous air pollutants include

    Benzene (motor fuel, oil refineries, chemical processes)

    Perchlorethylene (dry cleaning, degreasing) Chloroform (solvent in adhesive and pesticides, by-product of

    chlorination processes)

    BTEX, Dioxins, PAHs, Metals (Hg, Cr)

    Area/

    Other

    25%

    Mobile

    (nonroad)

    20%

    Mobile

    (onroad)

    31%

    Point

    24%

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    Differences between toxics and criteria pollutants

    Health criteria are different No AQI-like standards for toxics

    Cancer/non-cancer benchmarks (long-term exposures)

    Short-term exposure limits for some

    A challenge to monitor Usually not available in real-time

    Example: Dioxin requires 28 days of sampling to

    acquire measurable amounts in ambient air

    Often localized near source

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    Particulate Matter Composition

    Primary PM (directlyemitted)

    Suspended dust

    Sea salt

    Organic carbon

    Elemental carbon

    Metals from combustion

    Small amounts of sulfateand nitrate

    Secondary PM (precursor gases

    that form PM in the atmosphere)

    Sulfur dioxide (SO2): forms

    sulfates

    Nitrogen oxides (NOx): forms

    nitrates

    Ammonia (NH3): forms ammoniumcompounds

    Volatile organic compounds

    (VOCs): form organic carbon

    compounds

    PM is composed of a mixture of primary and secondarycompounds.

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    NaCl salt is found in PM near seacoasts and after de-icing materials areapplied

    Organic Carbon (OC) consists ofhundreds of separate compoundscontaining mainly carbon, hydrogen,and oxygen

    Elemental Carbon (EC) composedof carbon without much hydrocarbonor oxygen. EC is black, often called

    soot.

    Liquid Water soluble nitrates,sulfates, ammonium, sodium, otherinorganic ions, and some organicmaterial absorb water vapor from theatmosphere

    Particulate Matter Composition

    Chow and Watson (1997)

    Geological Material suspended

    dust consists mainly of oxides of Al,

    Si, Ca, Ti, Fe, and other metal

    oxides

    Ammonium ammonium bisulfate,

    sulfate, and nitrate are most

    common

    Sulfate results from conversion of

    SO2 gas to sulfate-containingparticles

    Nitrate results from a reversible

    gas/particle equilibrium between

    ammonia (NH3), nitric acid (HNO3),

    and particulate ammonium nitrate

    Most PM mass in urban and nonurban areas is composedof a combination of the following chemical components

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    PM Emissions Sources

    Point generally a major facility emitting pollutants from identifiablesources (pipe or smoke stack). Facilities are typically permitted.

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    PM Emissions SourcesArea any low-level source of air pollution released over

    a diffuse area (not a point) such as consumer products, architectural

    coatings, waste treatment facilities, animal feeding operations, construction,

    open burning, residential wood burning, swimming pools, and charbroilers

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    PM Emissions SourcesMobile

    On-road is any moving source of air pollution such as cars, trucks,motorcycles, and buses

    Non-road sources include pollutants emitted by combustion engines on

    farm and construction equipment, locomotives, commercial marine

    vessels, recreational watercraft, airplanes, snow mobiles, agricultural

    equipment, and lawn and garden equipment

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    PM Emissions SourcesNatural biogenic and geogenic emissions from wildfires, wind blown

    dust, plants, trees, grasses, volcanoes, geysers, seeps, soil, and

    lightning

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    ORIGIN OF THE ATMOSPHERIC AEROSOL

    Soil dustSea salt

    Aerosol: dispersed condensed matter suspended in a gasSize range: 0.001m (molecular cluster) to 100m (small raindrop)

    Environmental importance: health (respiration), visibility, radiative balance,cloud formation, heterogeneous reactions, delivery of nutrients

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    Particulate Matter Chemistry

    Coagulation: Particles collide and stick together.

    Condensation: Gases condense onto a small solid particle

    to form a liquid droplet.

    Chemical Reaction: Gases react to form particles.

    Cloud/Fog Processes: Gases dissolve in a water droplet andchemically react. A particle exists when the water evaporates.

    Sulfate

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    NOx

    Ammonia

    VOCs

    Particulate Matter Composition

    Primary Particles(directly emitted) Secondary Particles(from precursor gases)

    Other(sea salt)

    Crustal(soil,dust)

    OrganicCarbon

    Carbon(Soot)

    SO2

    AmmoniumSulfate

    AmmoniumNitrate

    Metals

    Composition of PMtells us aboutthe sources and

    formationprocesses

    Gas

    Particle

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    Sulfur Dioxide

    Sulfur dioxide (SO2) belongs to the family of sulfur oxide (SOx)

    gases.

    Gases are formed when fuel containing sulfur (mainly coal and oil) is

    burned and during metal smelting and other industrial processes.

    Affects the respiratory system

    Reacts in the atmosphere to form acids, sulfates, and sulfites

    Contributes to acid rain

    Low crown densityof spruce trees

    German sandstone

    statue, 1908, 1969

    Impact of low soil

    pH on agriculture

    in Victoria

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    Sulfate Chemistry Virtually all ambient sulfate (99%)is secondary, formed within theatmosphere from SO2 during thesummer.

    About half of SO2 oxidation to sulfate

    occurs in the gas phase throughphotochemical oxidation in the daytime.NOx and hydrocarbon emissions tend toenhance the photochemical oxidation rate.

    At least half of SO2 oxidation takes placein cloud droplets as air molecules react in clouds.

    Within clouds, soluble pollutant gases, such as SO2, are scavenged by waterdroplets and rapidly oxidize to sulfate.

    Only a small fraction of cloud droplets deposit out as rain; most dropletsevaporate and leave a sulfate residue or convective debris.

    Typical conversion rate 1-10% per hour

    Husar (1999)

    Heterogeneous Oxidation

    Chemistry(2 of 4)

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    Mechanisms of Converting S(IV) toS(VI)

    Why is converting to S(VI) important?

    It allows sulfuric acid to enter or form within cloud drops

    and aerosol particles, increasing their acidity

    Mechanisms

    1. Gas-phase oxidation of SO2(g) to H2SO4(g) followed by

    condensation of H2SO4(g)

    2. Dissolution of SO2(g) into liquid water to form

    H2SO3(aq) followed by aqueous chemical conversion of

    H2SO3(aq) and its dissociation products to H2SO4(aq) and

    its dissociation products.

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    Particulate Matter Chemistry

    Nitrate Chemistry NO2 can be converted to nitric acid (HNO3) by reaction with hydroxyl

    radicals (OH) during the day.

    The reaction of OH with NO2 is about 10 times faster than the OH reaction

    with SO2.

    The peak daytime conversion rate of NO2 to HNO3 in the gas phase isabout 10% to 50% per hour.

    During the nighttime, NO2 is converted into HNO3 by a series of

    reactions involving ozone and the nitrate radical.

    HNO3 reacts with ammonia to form particulate ammonium nitrate

    (NH4NO3).

    Thus, PM nitrate can be formed at night and during the day; daytime

    photochemistry also forms ozone.

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    Winds Clouds, fog Winds Temperature

    Temperature Temperature Precipitation Relative humidity

    Solar radiation Relative humidity Winds

    Vertical mixing Solar radiation

    condensation and

    coagulation

    photochemical production

    cloud/fog processes

    gases condense onto particles

    cloud/fog processes Measurement

    Issues Inlet cut points Vaporization of nitra

    H2O, VOCs Adsorption of VOCs Absorption of H2O

    transport

    sedimentation(dry deposition)

    wet deposition

    Mechanical Sea salt Dust

    Combustion Motor vehicles Industrial Fires

    Other gaseous

    Biogenic Anthropogenic

    Particles NaCl Crustal

    Particles Soot Metals OC

    Gases NOx SO2 VOCs NH3

    Gases

    VOCs NH3 NOx

    SourcesSample

    CollectionPM Transport/LossPM

    FormationEmissions

    Chemical Processes

    eteorological Processes

    Particulate Matter Chemistry

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    Phenomena Emissions PM Formation PM Transport/Loss

    Aloft PressurePattern No direct impact. No direct impact. Ridges tend to produce conditions conducive for accumulat ion of PM2.5.Troughs tend to produce conditions conducive for dispersion and removal of PM andozone.In mountain-valley regions, strong wintertime inversions and high PM2.5 levels may not bealtered by weak troughs.High PM2.5 concentrations often occur during the approach of a trough from the west.

    Winds andTransport

    No direct impact. In general, stronger winds dispersepollutants, resulting in a less idealmixture of pollutants for chemicalreactions that produce PM2.5.

    Strong surface winds tend to disperse PM2.5 regardless of season.Strong winds can create dust which can increase PM2.5 concentrations.

    TemperatureInversions

    No direct impact. Inversions reduce vertical mixing andtherefore increase chemical

    concentrations of precursors. Higherconcentrations of precursors canproduce faster, more efficientchemical reactions that producePM2.5.

    A strong inversion acts to limit vertical mixing allowing for the accumulation of PM2.5.

    Rain Reduces soil and fire emissions Rain can remove precursors ofPM2.5.

    Rain can remove PM2.5.

    Moisture No direct impact. Moisture acts to increase theproduction of secondary PM2.5including sulfates and nitrates.

    No direct impact.

    Temperature Warm temperatures are associatedwith increased evaporative,biogenic, and power plantemissions, which act to increasePM2.5. Cold temperatures can alsoindirectly influence PM2.5concentrations (i.e., home heatingon winter nights).

    Photochemical reaction ratesincrease with temperature.

    Although warm surface temperatures are generally associated with poor air qualityconditions, very warm temperatures can increase vertical mixing and dispersion ofpollutants.Warm temperatures may volatize Nitrates from a solid to a gas.Very cold surface temperatures during the winter may produce strong surface-basedinversions that confine pollutants to a shallow layer.

    Clouds/Fog No direct impact. Water droplets can enhance theformation of secondary PM2.5.Clouds can limit photochemistry,which limits photochemicalproduction.

    Convective clouds are an indication of strong vertical mixing, which disperses pollutants.

    Season Forest fires, wood burning,

    agriculture burning, field tilling,windblown dust, road dust, andconstruction vary by season.

    The sun angle changes with season,

    which changes the amount of solarradiation available forphotochemistry.

    No direct impact.

    Meteorology

    How weather affects PM emissions, formation, and transport

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    ANNUAL MEAN PARTICULATEMATTER (PM) CONCENTRATIONS AT U.S. SITES,1995-2000

    NARSTO PM Assessment, 2003

    PM10 (particles > 10m) PM2.5 (particles > 2.5m)

    Red circles indicate violations of national air quality standard:50g m-3 for PM10 15g m-3 for PM2.5

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    AEROSOL OPTICAL DEPTH (GLOBAL MODEL)

    Annual mean

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    AEROSOL OBSERVATIONS FROM SPACE

    Biomass fire haze in central America yesterday (4/30/03)

    Fire locationsin red

    Modis.gsfc.nasa.gov

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    BLACK CARBON EMISSIONS

    Chin et al. [2000]

    DIESEL

    DOMESTICCOAL BURNING

    BIOMASSBURNING

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    RADIATIVE FORCING OF CLIMATE, 1750-PRESENT

    Kyoto also failed to address two major pollutants that have an impact on warming:black soot andtropospheric ozone.Both are proven health hazards.Reducing both would not only address

    climate change, but also dramatically improve people's health. (George W. Bush, June 11 2001 RoseGarden speech)

    IPCC [2001]

    P i l I H H l h d MORE

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    Particles Impact Human Health and MORE

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    Nitrogen Oxides

    Nitrogen oxides, or NOx, is the generic term for a group of highlyreactive gases, all of which contain nitrogen and oxygen in varyingamounts.

    Nitrogen dioxide is most visually prominent (it is the yellow-browncolor in smog)

    The primary man-made sources of NOx are motor vehicles;electric utilities; and other industrial, commercial, and residentialsources that burn fuels

    Affects the respiratory system

    Involved in other pollutant chemistry

    One of the main ingredients in the formation of ground-level ozone

    Reacts to form nitrate particles, acid aerosols, and NO2, which also causerespiratory problems

    Contributes to the formation of acid rain (deposition)

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    NOx EMISSIONS (Tg N yr-1) TO TROPOSPHERE

    Fossil Fuel

    23.1

    Aircraft0.5

    Biofuel

    2.2

    BiomassBurning

    5.2

    Soils5.1

    Lightning5.8

    Stratosphere0.2

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    NOx

    Oxides of nitrogen formed in combustion processes are usuallydue to either thermal fixation of atmospheric nitrogen incombustion air or to the conversion of chemically boundnitrogen in the fuel. Thermal fixation occurs when combustiontemperature is above 1600C. For natural gas and distillate oilnearly all NO results from thermal fixation. For residue oil and

    coal, the contribution to NO emission from fuel bound nitrogenmay be significant.

    The concentration of NOx formed increases with increase in

    excess oxygen maintained in the combustion process and withthe increase in temperature of the furnace. For coal basedthermal power plants in India, it ranges between 100 and 200mg/Nm3 in the flue gas. In the case of natural gas and liquidfuels, the emission limits for flue gases prescribed in Europeancountries is in the range of 200 - 400 mg/Nm3.

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    Must make NO2

    To make significant amounts of ozone musthave a way to make NO2 without consumingozone

    Presence of peroxy radicals, from theoxidation of hydrocarbons, disturbs O3-NO-NO2 cycle

    NO + HO2 NO2 + OH

    NO + RO2

    NO2 + RO

    leads to net

    production of ozone

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    The Hydroxyl Radical

    produced from ozone photolysis

    for radiation with wavelengths less than 320 nm:

    O3 + hv O(1D) + O2

    followed by

    O(1D) + M O(3P) + M (+O2O3) (~90%)

    O(1D) + H2O 2 OH (~10%)

    OH initiates the atmospheric oxidation of a wide range of compounds in theatmosphere

    referred to as detergent of the atmosphere

    typical concentrations near the surface ~106 - 107cm-3

    very reactive, effectively recycled

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    THE OH RADICAL: MAINTROPOSPHERIC OXIDANT

    Primary source: O3 + hn O2 + O(1D) (1)

    O(1D) + M O + M (2)

    O(1D) + H2O 2OH (3)

    Sink: oxidation of reduced species leads to

    HO2(RO2) production

    CO + OH CO2 + H

    CH4 + OH CH3 + H2O

    HCFC + OH

    Global Mean [OH] = 1.0x106 molecules cm-3

    MajorOH sinks

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    An example of gridded NOx emissions

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    Mapping of Tropospheric NO2

    From the GOME satellite instrument (July 1996)

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    Ozone

    Colorless gas Composed of three oxygen atoms

    Oxygen molecule (O2)needed to sustain life

    Ozone (O3) the extra oxygen atom makes ozonevery reactive

    Secondary pollutant that forms from precursor gases

    Nitric oxide combustion product

    Volatile organic compounds (VOCs) evaporativeand combustion products

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    Ozone Precursor Emissions

    Man-made sources

    Oxides of nitrogen (NOx) through combustion

    VOCs through combustion and numerous other

    sources

    Natural sources (biogenic)

    VOCs from trees/vegetation

    NOx from soils (Midwest fertilizer)

    Concentration depends on Source location, density, and strength

    Meteorology

    Emissions Chemistry

    Meteorology

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    Solar radiation and chemistry

    The reaction that produces ozone in theatmosphere:

    O + O2 + M O3 + M

    Difference between stratospheric andtropospheric ozone generation is in thesource of atomic O

    For solar radiation with a wavelength of lessthan 242 nm:

    O2 + hv O + O

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    Solar radiation and chemistry

    Photochemical production of O3 in troposphere tied to NOx (NO +

    NO2)

    For wavelengths less than 424 nm:

    NO2 + hv NO + O

    But NO will react with O3

    NO + O3 NO2

    Cycling has no net effect on ozone

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    Tropospheric Ozone Photolysis

    Troposphere ozone photolysis takes place in a narrow UV window

    (300-320 nm), NO2 broadly below 428

    30o equinoxmiddaySolar spectrum

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    Ozone ChemistrySummary of ozone chemistry

    NO2 + Sunlight NO + O Production

    O+ O2 O3 Production

    NO + O3 NO2 + O2 Destruction

    VOC + OH RO2 + H2O Production of NO2 without the

    RO2 + NO NO2 + RO Destruction of O3

    Emissions Chemistry

    Meteorology

    Key processes

    Ample sunlight (ultraviolet) High concentrations of precursors (VOC, NO, NO2)

    Weak horizontal dispersion Weak vertical mixing

    Warm air

    RO=Reactive Organic compound such as VOC

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    Day and Night Chemistry

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    Carbon Monoxide

    Odorless, colorless gas

    Caused by incomplete combustion of fuel

    Most of it comes from motor vehicles

    Reduces the transport of oxygen through the

    bloodstream

    Affects mental functions and visual acuity, evenat low levels

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    What breaks the cycle?

    Cycle terminated byOH + NO2 HNO3

    HO2 + HO2 H2O2

    Both HNO3 and H2O2 will photolyze or react with OH to, in

    effect, reverse these pathways but reactions are slow (lifetime of several days)

    both are very soluble - though H2O2 less-so

    washout by precipitation

    dry deposition

    in PBL they are effectively a loss

    situation is more complicated in the upper troposphere

    no dry deposition, limited wet removal

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    LEAD (Pb) IN AIR

    SOURCES

    Tetraethyl lead in petrol

    Mining and smelting of lead ores

    Industry

    Waste incineration

    Dust (e.g. homes with old lead-based paint, battery recycling,smelters)

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    CARCINOGENS IN AIR

    Pollutant System affected

    Arsenic Lung

    Benzene Leukaemia

    Chromium VI Lung

    Nickel Lung

    PAHs Lung

    Vinyl chloride liver

    Radon Lung, Gastrointestinal