Objectives-To investigate whether there is an excess of leukaemias in 0-15 year old children among those living in close proximity (within 100 m) of a main road or petrol station. Methods-Data for 0-15 year old children diagnosed between 1990 and 1994 in the United Kingdom West Midlands were used. Postcode addresses were used to locate the point of residence which was compared with proximity to main roads and petrol stations separately, and to both together. Odds ratios (ORs) were calculated with solid tumours as a control, and incidence ratios (IRs) with population density as a control. Results-The method based on solid tumours as a control showed ORs of 1.61 (95% confidence interval (95% CI) 0.90 to 2.87) and 1.99 (95% CI 0.73 to 5.43), for those living within 100 m of a main road or petrol station respectively. When population was used as a control, the estimated IRs for leukaemia were 1.16 (95% CI 0.74 to 1.72) and 1.48 (95% CI 0.65 to 2.93) for residence within 100 m of a main road or petrol station respectively, but neither reached significance at the 95% level. Results for residence in close proximity to both a main road and petrol station were inconsistent, but there were few. The influence of socioeconomic factors as represented by the Townsend deprivation index on leukaemia incidence was not significant and the results were not explicable on the basis of impact of social class. Conclusions-The results are suggestive of a small increase in risk of childhood leukaemia, but not solid tumours, for those living in close proximity to a main road or petrol station. This increase in risk is not, however, significant and a larger study is warranted to establish the true risk and causes of any increase in risk. (Occup Environ Med 1999;56:774-780)

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Objectives-To evaluate the personal exposure of members of the general public to atmospheric benzene, toluene, and the xylenes, excluding exposure from active smoking. Method-50 volunteers were equipped with active air samplers for direct measurement of personal exposure to monoaromatic hydrocarbons (MAH) and an activity diary was completed during each sampling period. Exposures were also estimated indirectly by combining activity data with independent measurements of hydrocarbon concentrations in several microenvironments. Results-Personal exposures were generally well in excess of those which would be inferred from outdoor measurements from an urban background monitoring station. A wide range of sources contribute to exposure, with indoor and in car concentrations generally exceeding those measured at background outdoor locations. Environments contaminated with tobacco smoke were among those exhibiting the highest concentrations. Personal exposures determined indirectly from activity diaries/microenvironment measurements were well correlated with those determined directly with personal samplers. Personal 12 hour daytime exposures to benzene ranged from 0.23-88.6 ppb (mean 3.81 ppb), with 12 hour night time exposures of 0.61-5.67 ppb (mean 1.94 ppb) compared with an annual average concentration of 1.18 ppb at the nearest suburban fixed site monitoring station. The excess of personal exposure over fixed site concentrations was greater for benzene and toluene than for the xylenes. Conclusion-A wide range of sources contribute to personal exposures to monoaromatic hydrocarbons with exposure duration being as important a determinant of total exposure as concentrations. Exposures generally exceed those estimated from concentrations measured by background fixed point monitors. Microenvironment sampling combined with activity diary information can provide satisfactory estimates of personal exposure to these compounds. (Occup Environ Med 1998;55:249-257)

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