Developing intake fraction estimates with limited data: Comparison of methods in Mexico City

In order to estimate the health benefits of reducing mobile source emissions, analysts typically use detailed atmospheric models to estimate the change in population exposure that results from a given change in emissions. However, this may not be feasible in settings where data are limited or policy decisions are needed in the short term. Intake fraction (iF), defined as the fraction of emissions of a pollutant or its precursor that is inhaled by the population, is a metric that can be used to compare exposure assessment methods in a health benefits analysis context. To clarify the utility of rapid-assessment methods, we calculate particulate matter iFs for the Mexico City Metropolitan Area using five methods, some more resource intensive than others. First, we create two simple box models to describe dispersion of primary fine particulate matter (PM2.5) in the Mexico City basin. Second, we extrapolate iFs for primary PM2.5, ammonium sulfate, and ammonium nitrate from US values using a regression model. Third, we calculate iFs by assuming a linear relationship between emissions and population-weighted concentrations of primary PM2.5, ammonium nitrate, and ammonium sulfate (a particle composition method). Finally, we estimate PM iFs from detailed atmospheric dispersion and chemistry models run for only a short period of time. Intake fractions vary by up to a factor of five, from 23 to 120 per million for primary PM2.5. Estimates of 60, 7, and 0.7 per million for primary PM, secondary ammonium sulfate, and secondary ammonium nitrate, respectively, represent credible central estimates, with an approximate factor of two uncertainty surrounding each estimate. Our results emphasize that multiple rapid-assessment methods can provide meaningful estimates of iFs in resource-limited environments, and that formal uncertainty analysis, with special attention to model biases and uncertainty, would be important for health benefits analyses.