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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Environ. Sci.</journal-id>
<journal-title>Frontiers in Environmental Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Environ. Sci.</abbrev-journal-title>
<issn pub-type="epub">2296-665X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">777598</article-id>
<article-id pub-id-type="doi">10.3389/fenvs.2022.777598</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Environmental Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Size-Fractionated PM<sub>10</sub> and Bioaerosol Indicator Development by Different Methods in Composting Plants for Risk Assessment</article-title>
<alt-title alt-title-type="left-running-head">Pascale et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">Composting Bioaerosol Indicators</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Pascale</surname>
<given-names>Erica</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Franchitti</surname>
<given-names>Elena</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/1494546/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zanchi</surname>
<given-names>Noemi</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Anedda</surname>
<given-names>Elisa</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/1629632/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bonetta</surname>
<given-names>Sara</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/237504/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Traversi</surname>
<given-names>Deborah</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1445427/overview"/>
</contrib>
</contrib-group>
<aff>
<institution>Department of Public Health and Pediatrics</institution>, <institution>University of Torino</institution>, <addr-line>Torino</addr-line>, <country>Italy</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1057973/overview">Yunping Han</ext-link>, Research Center for Eco-environmental Sciences (CAS), China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/861218/overview">Robert MW Ferguson</ext-link>, University of Essex, United&#x20;Kingdom</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/107167/overview">Vijay Shridhar</ext-link>, Doon University, India</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1431103/overview">Guodi Zheng</ext-link>, Institute of Geographic Sciences and Natural Resources Research (CAS), China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Deborah Traversi, <email>deborah.traversi@unito.it</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Water and Wastewater Management, a section of the journal Frontiers in Environmental Science</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>14</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>10</volume>
<elocation-id>777598</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>01</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Pascale, Franchitti, Zanchi, Anedda, Bonetta and Traversi.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Pascale, Franchitti, Zanchi, Anedda, Bonetta and Traversi</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Rapid population growth and urbanization have led to increased waste generation rates. Avoiding, reducing and reusing waste is imperative in the international approach to avoid impacting disposals. Composting plants are crucial for better organic waste management, although one of their environmental impacts is bioaerosol production, which can lead to adverse health effects. This work analyzed bioaerosol contamination in composting plants through multiple analytic methods, including culture-based techniques and qPCR, subfractionated PM<sub>10</sub>, and PM<sub>4.5</sub> sampling. The aim was to identify indicators useful for assessing the human health risk associated with bioaerosol exposure during organic waste treatment. Two composting plants and four different areas (reception/selection, methanization, composting and refinement) were selected for sampling. The analysis revealed high contamination levels and large microbial heterogeneity both for PM (until to 3&#x20;times above the guideline value) and bioaerosol samples (until to 3 magnitude orders above the proposed reference value). <italic>Bacillus spp.</italic>, <italic>Saccharopolyspora,</italic> and <italic>Thermomyces</italic> always showed detectable but highly variable concentrations (ranging from 2.12 to 4.86, from 3.65 to 7.30 and from 3.45 to 6.94 Log gene copies/m<sup>3</sup> respectively). They correlated positively and significantly with other measured microbial parameters, suggesting their potential use as indicators of biological contamination in composting plants. Moreover, the integration of culture indipendent methods can increase the monitoring sensitivity and improve the bioaerosol risk assessment. The reduction of bioaerosol exposure levels in composting plants remains a primary goal but it requires in-depth characterization of the complex bioaerosol composition, its airborne dispersion, and its association with specific adverse health outcomes.</p>
</abstract>
<kwd-group>
<kwd>bioaerosol</kwd>
<kwd>PM<sub>10</sub>
</kwd>
<kwd>qPCR</kwd>
<kwd>waste management</kwd>
<kwd>composting plant</kwd>
<kwd>biological risk assessment</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Waste management is one of the crucial points in international development policies, and nations should adopt and implement optimization programs (<xref ref-type="bibr" rid="B18">European Parliament and Council, 2018</xref>). The first issue is waste collection and management with methods appropriate to its composition; in this context, the separation and biologic treatment of the organic fraction of municipal solid waste (OFMSW) (approximately 30&#x2013;40% of municipal solid waste) is crucial (<xref ref-type="bibr" rid="B21">Fern&#xe1;ndez-Gonz&#xe1;lez et&#x20;al., 2020</xref>). Composting plants supply an organic waste treatment opportunity, and they allow for a considerable reduction in the amount of urban waste disposed of in incinerators and landfills. Such plants can contribute to reaching the EU directive in the future in terms of the reduction of municipal waste landfilled (by 2035 to 10% or less of the total amount of municipal waste generated by weight) (<xref ref-type="bibr" rid="B18">European Parliament and Council, 2018</xref>). In Italy, more than 340 plants are currently actively treating the organic fraction of waste by composting and/or anaerobic digestion. They manage 23% of the annual average of 455&#xa0;kg of OFMSW produced per capita, more than 6.3 &#xd7; 10<sup>6</sup> tons per year (<xref ref-type="bibr" rid="B1">Anedda and Traversi, 2020</xref>; <xref ref-type="bibr" rid="B24">Istituto Nazionale per la Protezione e la Ricerca Ambientale, 2020</xref>).</p>
<sec id="s1-1">
<title>Microbial Aspects of the Composting Process</title>
<p>During composting, organic waste is treated through biological degradation under aerobic conditions provided by an extremely complex and dynamic microbiota, resulting in the hygienization and stabilization of organic matter (<xref ref-type="bibr" rid="B20">Ferguson et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B32">Pan et&#x20;al., 2021</xref>). In particular, thermophilic bacteria play a key role in such biological processes, resulting in a useful fertilizer if compatible with EU fertilizing product regulations (<xref ref-type="bibr" rid="B31">Official Journal of the European Union, 2019</xref>). Examples of mesophilic microorganisms involved are mainly bacterial families such as Pseudomonaceae, Enterobacteriaceae, and Streptomycetaceae, while thermophilic microorganisms include bacteria belonging to the Thermoactinomycetacea family. Finally, during maturation, there is no degradation or an actual increase in the fungal concentration.</p>
<p>Anaerobic treatment is generally an additional preliminary step during the composting process; it is catalyzed by anaerobic and microaerophilic microorganisms that promote the degradation of organic biomass, leading to biogas production. Its application has two main advantages: a reduction of the treatment volume during the composting phase and the production of a valuable energetic vector. Anaerobic digestion of OFMSW generally occurs under a thermophilic process, appropriate for hygienization necessities. Hydrolytic, acidogenic, acetogenic, and methanogenic microorganisms catalyze this process (<xref ref-type="bibr" rid="B6">Carballa et&#x20;al., 2015</xref>).</p>
</sec>
<sec id="s1-2">
<title>Potential Health Impacts of Bioaerosol Emissions From Composting Plants</title>
<p>Although composting is an eco-friendly process that is beneficial for the environment and public health, it is not free of risks, including biological risks, which must be properly assessed and managed.</p>
<p>One of the downsides of composting is air pollution, known as odorous molecule production and bioaerosol release. Such pollution is primarily generated during processes that involve the vigorous movement of materials, such as shredding, compost pile turning, or compost screening. Odorous molecule production, such as volatile organic compounds (VOCs), including sulfur compounds, is the most perceived impact by the population, but it is not the most harmful for human health (<xref ref-type="bibr" rid="B5">Schlegelmilc et al., 2005</xref>).</p>
<p>Produced particles include particulates attributable to vehicle movement but also particles with a biological nature due to biomass treatment (bioaerosol) (<xref ref-type="bibr" rid="B43">Wery, 2014</xref>; <xref ref-type="bibr" rid="B35">Robertson et&#x20;al., 2019</xref>). It can contain pathogenic or nonpathogenic and dead or alive microorganisms, including Bacteria and Archaea, fungal spores and fragments, pollen, viruses, algae and cyanobacteria, biological crusts and lichens, and others (such as plant or animal fragments and detritus).</p>
<p>By virtue of their small size and lightweight, bioaerosols easily drift from one place to another (<xref ref-type="bibr" rid="B20">Ferguson et&#x20;al., 2021</xref>). Consequently, bioaerosols may cause health hazards in occupational environments and nearby residential communities could be subjected to risk exposure (<xref ref-type="bibr" rid="B25">Kim et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B35">Robertson et&#x20;al., 2019</xref>). Human effects, with a public health impact, include a wide range of acute and chronic adverse diseases, in many occupational and residential environments (<xref ref-type="bibr" rid="B37">Schlosser et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B35">Robertson et&#x20;al., 2019</xref>). Depending on the particle size and the components of nonbiological origin, bioaerosols may penetrate deep into the lungs. Exposure may be mainly from inhalation but can also occur through ingestion, dermal and ocular contact (<xref ref-type="bibr" rid="B25">Kim et&#x20;al., 2018</xref>). Additionally, workers may be exposed to organic matter through mucous membranes, cuts, and abrasions (<xref ref-type="bibr" rid="B19">Farling et&#x20;al., 2019</xref>).</p>
<p>Bioaerosols emitted by composting plants contain mainly Actinobacteria, <italic>Thermoactinomyces sp.</italic>, and <italic>Bacillus sp.</italic>; at the genus level, there are Thermobifida, Saccharomonospora, and <italic>Saccharopolyspora</italic> (<xref ref-type="bibr" rid="B28">Le Goff et&#x20;al., 2012</xref>). Among the fungi and fungal spores, <italic>Aspergillus fumigatus</italic> is particularly relevant in composting plants. It is a thermotolerant species and can cause severe aspergillosis; moreover, <italic>Thermomyces lanuginosus</italic> and <italic>Penicillium</italic> are also generally present (<xref ref-type="bibr" rid="B27">Le Goff et&#x20;al., 2010</xref>).</p>
<p>Moreover, bioaerosols include viral components. They are not well-described in the literature, and only metagenome projects&#x2014;including valid sampling and extraction protocols&#x2014;can define the aerodispersed virome in depth (<xref ref-type="bibr" rid="B34">Prussin et&#x20;al., 2018</xref>) and whether they are components of bioaerosols from composting plants. However, knowledge of the environmental viral component becomes crucial under &#x201c;one health&#x201d; perspectives (<xref ref-type="bibr" rid="B29">Liang and Bushman, 2021</xref>).</p>
<p>Infectious diseases, such as aspergillosis, Legionnaires&#x2019; disease (LD) and Pontiac fever (<xref ref-type="bibr" rid="B43">Wery, 2014</xref>), is possible via bioaerosol exposure in composting plants (<xref ref-type="bibr" rid="B14">Douwes et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B43">Wery, 2014</xref>). An increased risk of hepatitis A, B, or C has been observed in waste collectors (<xref ref-type="bibr" rid="B14">Douwes et&#x20;al., 2003</xref>), and generally, some vaccinations, including antitetanus, anti-HBV, and anti-HAV vaccines, should be recommended to organic waste treatment plant workers. For such workers, nonspecific symptoms such as gastrointestinal (GI) disturbance, fatigue, weakness, and headache have also been described (<xref ref-type="bibr" rid="B35">Robertson et&#x20;al., 2019</xref>).</p>
<p>The most frequent potential health effects of bioaerosols from composting facilities are respiratory system problems (such as rhinitis, asthma, bronchitis and sinusitis, and lung function impairment) as well as chronic obstructive pulmonary disease (COPD), organic dust toxic syndrome (ODTS), and hypersensitivity pneumonitis (HP). Recently, an HP case was found in a 52-year-old man that was attributed to routine exposure to bioaerosols in a composting plant (<xref ref-type="bibr" rid="B26">Lal et&#x20;al., 2018</xref>). Furthermore, exposure to bioaerosols has been associated with an accelerated decline in forced vital capacity (FVC), possibly due to high concentrations of thermotolerant <italic>Actinomyces</italic> and filamentous fungi at composting plants (<xref ref-type="bibr" rid="B4">B&#xfc;nger et&#x20;al., 2007</xref>). Several modes of action have been proposed to explain the association between occupational exposure to bioaerosols and health, such as airway inflammation and oxidative stress promotion (<xref ref-type="bibr" rid="B40">Timm et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B36">Samake et&#x20;al., 2017</xref>). Exposure to bioaerosols has also been associated with the risk of developing some specific cancers, such as lung cancer, liver cancer, pancreatic cancer, and brain cancer (<xref ref-type="bibr" rid="B37">Schlosser et&#x20;al., 2009</xref>).</p>
<p>Endotoxin is a structural component of Gram-negative bacteria released through cell damage, including lipopolysaccharides (LPS) or lipooligosaccharides (LOS). Airborne endotoxin constitutes an important biological pollution parameter, and for example, the German BAuA proposed an updated national guideline for bioaerosol exposure control, suggesting such a biological indicator be included in the risk assessment for composting plants (<xref ref-type="bibr" rid="B35">Robertson et&#x20;al., 2019</xref>).</p>
</sec>
<sec id="s1-3">
<title>Methods of Bioaerosol Characterization</title>
<p>Many bioaerosol sampling techniques are available, each presenting both advantages and disadvantages (<xref ref-type="bibr" rid="B22">Franchitti et&#x20;al., 2020</xref>). For microbiological analysis, traditional culture-based methods, which employ selective liquid or solid culture media to grow target microorganisms, are mostly standardized methods to analyze bioaerosol samples (for instance, ISO methods). Nevertheless, these conventional techniques have some relevant limitations. They are laborious and time-consuming, and some microorganisms that are not cultivable under specific growth conditions could remain undetected (<xref ref-type="bibr" rid="B32">Pan et&#x20;al., 2021</xref>). Moreover, the stress caused by aerosolization and the sampling methods could also reduce the cultivability of such microorganisms. To remedy such limitations, culture-independent techniques have been introduced. A combination of different methods could provide a better understanding of microbial composition, survival, dispersal of airborne microorganisms, and the biological effects of bioaerosols on human health. On the other hand, a simple and inexpensive evaluation for human risk assessment is still unavailable.</p>
</sec>
<sec id="s1-4">
<title>Aim</title>
<p>This work aimed to obtain data on bioaerosol contamination in different composting plants through multiple analytic methods, including new and innovative methods, and to identify indicators useful for assessing the occupational risk associated with bioaerosol exposure during the organic waste treatment process.</p>
</sec>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Composting Plants and Sampling</title>
<p>Two composting facilities among the main composting plants in Italy were chosen to carry out the sampling. An Italian composting plant overview preceded the selection (<xref ref-type="bibr" rid="B1">Anedda and Traversi, 2020</xref>). The included plants were technologically different but quite advanced. Therefore, they allow a broad representation of the residual risk still present despite optimal or suboptimal planning and management. The two included plants treated the same organic material (green waste, animal waste, and OFMSW): Plant A by aerobic treatment in biocells and Plant B by first anaerobic digestion and then aerobic treatment in composting trenches.</p>
<p>Environmental monitoring was carried out in the following areas during September and October 2019 in 8 sampling sessions: Plant A (reception/selection area, composting area, refinement area) and Plant B (selection area, methanization area, composting area, refinement area) (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>). The sampling was performed during such a limited period for different reasons: 1) to limit the seasonal variation considering that many differences can be observed among the processes and the areas included; 2) the meteorological and climate conditions are still favorable for bioaerosol generation; and 3) the period is optimal for plant availability; it is important to take into account voluntary participation in the research project.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Scheme of the composting plants and samplings. On the right, the legend of the images is included for the identification of each sampling. The personal sampling involved two kinds of personnel: workers and mechanical maintenance. Their activities are not attributable to a specific plant&#x20;area.</p>
</caption>
<graphic xlink:href="fenvs-10-777598-g001.tif"/>
</fig>
<p>Sampling included subfractioned PM<sub>10</sub>, breathable personal PM<sub>4.5</sub>, bioaerosols on culture plates for microbiological culture-based analysis (<xref ref-type="bibr" rid="B42">Traversi et&#x20;al., 2018</xref>), bioaerosols both on plates (with low melting agar, LMA) (<xref ref-type="bibr" rid="B46">Ziros et&#x20;al., 2011</xref>), and PM filters for biomolecular analysis (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>). The sampling duration is variable in relation to the involved sampling methods and in terms of the expected level of contamination. However, the sampling was performed during working hours, in the morning and/or in the afternoon.</p>
</sec>
<sec id="s2-2">
<title>PM and Endotoxin Determination</title>
<p>The PM<sub>10</sub> sampler involved is a High Volume Sampler, AIRFLOW PM<sub>10</sub> Analitica Strumenti, provided with a flow rate of 1.24&#xa0;m<sup>3</sup>/min according to UNI-EN 12341 and Italian DM 60/2002. Sampled PM<sub>10</sub> was divided during sampling into 6 subfractions: 10&#x2013;7.2&#xa0;&#xb5;m, 7.2&#x2013;3.0&#xa0;&#xb5;m, 3.0&#x2013;1.5&#xa0;&#xb5;m, 1.5&#x2013;0.95&#xa0;&#xb5;m, 0.95&#x2013;0.49&#xa0;&#xb5;m and &#x3c;0.49&#xa0;&#xb5;m. Every sampling of the environmental PM lasted at least 4&#xa0;h. Two types of fiberglass filters were used: type A/E fissured filters (8&#x2033;x10&#x2033;, Gelman Sciences, MI, United&#x20;States, named &#x201c;A&#x201d;) for the 10&#x2013;0.49 fractions and A4 filters (203 &#xd7; 254 mm, Pall Corporation, NY, United&#x20;States, named &#x201c;B&#x201d;) for the finest fraction.</p>
<p>Alongside environmental sampling, personal monitoring was also performed. Fifteen persons (10 workers and five mechanical maintenance workers, chosen according to their shifts and tasks) were equipped with an AIRCHEK XR5000 portable sampler (5&#x2013;5,000&#xa0;ml/min, SKC United&#x20;States) and a cyclone selector for PM<sub>4.5</sub> with a fiberglass filter (25&#xa0;mm diameter, Nupore Filtration Systems Pvt. Ltd., India). Personal sampling, with a settled flow rate of 2.2&#xa0;L/min for at least 6&#xa0;h (shift duration), allowed for the measurement of PM<sub>4.5</sub> concentrations. All filters underwent a presampling and postsampling conditioning procedure to reduce the moisture interference with the filter weight by placing them in a dryer with silica gel for 48&#xa0;h (<xref ref-type="bibr" rid="B42">Traversi et&#x20;al., 2018</xref>).</p>
<p>All filters (10&#x2013;7.2, 7.2&#x2013;3.0, 3.0&#x2013;1.5, 1.5&#x2013;0.95, 0.95&#x2013;0.49&#xa0;&#xb5;m subfractions, the &#x3c;0.49&#xa0;&#xb5;m fraction and the personal filters) were weighed in triplicate before and after sampling by an analytical balance Sartorius. The PM<sub>10</sub> concentration was calculated as the sum of the subfractions divided by m<sup>3</sup> of sampled&#x20;air.</p>
</sec>
<sec id="s2-3">
<title>Endotoxin Analysis</title>
<p>The method used for endotoxin extraction and determination was as reported in a previous study (<xref ref-type="bibr" rid="B41">Traversi et&#x20;al., 2011</xref>). Briefly, a portion of each PM filter was extracted with RPMI 1640 and 0.025% Tween 20 in an ultrasonic water bath. The extract was centrifuged, and the supernatant was used for endotoxin determination using the endpoint chromogenic Limulus amebocyte lysate (LAL) method (QLC-1000&#x20;n 50&#x2013;648U, Cambrex, Walkersville, MD, United&#x20;States) at 37&#xb0;C following the manufacturer&#x2019;s instructions. The results are expressed as EU/mg of PM and EU per cubic meter of air collected. The detection limit is 0.01&#xa0;EU/mL. The endotoxin concentration is expressed for each of the 6 PM subfractions.</p>
</sec>
<sec id="s2-4">
<title>Culture-based Analysis and LMA Plate Sampling</title>
<p>Bioaerosol sampling was realized using a DUO SAS Super 360 (International PBI). The included parameters in this study are displayed in <xref ref-type="sec" rid="s10">Supplementary S1</xref>. In all of the culture media, except for fungi, cycloheximide 0.2&#xa0;g/L was added to avoid fungal contamination. For each parameter, appropriate contact plates (55&#xa0;mm RodacTM Contact Plates, VWR, United&#x20;States) were prepared. The instrument was set on support approximately 1.5&#xa0;m from the ground, to mimic the normal position of the worker&#x2019;s head. The sampled volumes ranged between 0.05&#x2013;2&#xa0;m<sup>3</sup>. For each sampling point, at least four doses with technical triplicates were performed. The duration of the sampling varied in relation to the sampled volume, and the flow rate was constant (180&#xa0;L/min). After sampling, the plates were placed in dedicated sterile bags and transported to the laboratory at a temperature &#x3c;10&#xb0;C. The plates were incubated at the appropriate temperature and then observed to count the CFU. The results were expressed after applying a correction factor, which takes into account the statistical probability that more than one particle can cross the same slit of the impactor. The probable count is expressed as Log(CFU) for m<sup>3</sup> of sampled&#x20;air.</p>
</sec>
<sec id="s2-5">
<title>DNA Extraction</title>
<p>Nucleic acid extraction was performed from filters collected from PM<sub>10</sub> environmental sampling and sampled plates containing low melting agar (LMA, Ultra PureTM LMP Agarose 16520&#x2013;050 Invitrogen, United&#x20;States). The filter-sampling method favors mixture concentration; however, the high flow rate and the forced air impact on the filter may damage microorganisms and the organic matrix. All filters were stored at &#x2212;80&#xb0;C after sampling. LMA contained in the plates was defrosted and transferred to 50&#xa0;ml centrifuge tubes for melting (microwave at 500&#xa0;W for 30&#xa0;s) and then the extraction was performed. The protocol provides for nucleic acid extraction through the kits Power-Viral Environmental RNA/DNA and Power Soil (Qiagen, United&#x20;States) for both PM and LMA samples.</p>
<p>A total of 1/16 of the filter, approximately corresponding to a sampling of 14&#xa0;m<sup>3</sup> of air, was used for the extraction. The sampling does not mimic the real inhalation flow of the workers, but it allows for concentrating the sample, obtaining an eluate that is fairly similar to a worker&#x2019;s daily air intake, while the LMA extract corresponds to 0.2&#xa0;m<sup>3</sup> of sampled&#x20;air.</p>
<p>Finally, three DNA extracts were obtained for each sampling point: (a) DNA from filters on which PM &#x3c; 0.49&#xa0;&#xb5;m was collected; (b) DNA from a pool of filters for the other subfractions (10&#x2013;7.2, 7.2&#x2013;3.0, 3.0&#x2013;1.5, 1.5&#x2013;0.95, and 0.95&#x2013;0.49&#xa0;&#xb5;m); and (c) DNA from&#x20;LMA.</p>
<p>The extracted dsDNA was then quantified with a Tecan Infinite<sup>&#xae;</sup> 200 PRO spectrophotometer and i-control software (1.10 version) through a 260&#xa0;nm spectrophotometric reading using a Nano Quant Plate (Tecan Trading AG, Switzerland). The quality of the extracted nucleic acids was evaluated by gel electrophoresis.</p>
</sec>
<sec id="s2-6">
<title>Biomolecular Analysis</title>
<p>Several indicators of biological contamination were evaluated starting from both filters (PM &#x3c; 0.49&#xa0;&#xb5;m and other pooled fractions) and LMA plates. Quantitative real-time PCR (qRT-PCR) assays were then performed with a CFX Touch Real-Time PCR Detection System (Bio&#x2013;Rad-Hercules, CA, United&#x20;States) and CFX Manager (3.1 Software) to quantify the following targets: Bacteroidetes, Firmicutes, Gammaproteobacteria, Clostridia, <italic>Bacillus spp., Legionella pneumophila, Saccharopolyspora, total fungi, Aspergillus spp., Aspergillus fumigatus, Thermomyces spp.</italic> and Adenovirus 4. <xref ref-type="sec" rid="s10">Supplementary S2</xref> shows the included genomic DNA and primers for each target (<xref ref-type="bibr" rid="B11">De Souza et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B39">Sugita et&#x20;al., 2004</xref>; <xref ref-type="bibr" rid="B23">Guo et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B15">Dridi et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B2">Bacchetti De Gregoris et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B46">Ziros et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B28">Le Goff et&#x20;al., 2012</xref>; <xref ref-type="bibr" rid="B7">Carducci et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B30">Madsen et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B3">Bibb&#xf2; et&#x20;al., 2017</xref>). Standard curves were obtained through five or six serial dilutions of the certified genomic DNA. The thermal protocol proposed in the reference was applied for each target using Sso Advanced SYBR Green Supermix (172&#x2013;5,261, Bio-Rad) or IQ Multiplex PowerMix (Bio-Rad-Hercules, CA) and iQ-Check Quanti <italic>L. pneumophila</italic> kit (357&#x2013;8,103, Bio-Rad). Starting from 2&#xa0;&#xb5;L of the extracted DNA, the following microbial targets were quantified by qRT-PCR. The primer efficiency ranged between 90 and 110%, as required for qPCR quality control.</p>
</sec>
<sec id="s2-7">
<title>Statistical Analysis</title>
<p>Statistical processing of the collected data was conducted using the SPSS Package, ver. 27.0 (IBM Corp., United&#x20;States). We applied (I) a log 10 transformation to the non-normally distributed data, (II) Spearman&#x2019;s correlation to assess relationships between variables, N&#x2212; 2 degrees of freedom, (III) Mann&#x2013;Whitney U nonparametric tests for independent samples to compare means and (IV) Kruskal- Wallis H test for multivariate analysis. Methanization data are included in selection data, resulting in three different comparable sets of data for areas, The mean differences and correlations were considered significant for <italic>p</italic>&#x20;&#x3c; 0.05 and highly significant for <italic>p</italic>&#x20;&#x3c;&#x20;0.01.</p>
<p>The Global Index of Microbial Contamination (GIMC), proposed by Dacarro et&#x20;al. (<xref ref-type="bibr" rid="B10">Dacarro et&#x20;al., 2000</xref>) for an assessment of environmental microbial contamination levels, was also calculated in all sampled areas for both the culture-based method (as Log CFU/m<sup>3</sup>) and the biomolecular method (assuming Log gene-copies/m<sup>3</sup> has a similar meaning to Log CFU/m<sup>3</sup>, even if it does not have the same biological significance).</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>Results and Discussion</title>
<sec id="s3-1">
<title>PM Results</title>
<p>The descriptive statistical analysis of the PM concentrations (6 subfractions, PM<sub>3</sub>, PM<sub>4.5</sub>, and PM<sub>10</sub>) is displayed in <xref ref-type="table" rid="T1">Table&#x20;1</xref>. The aggregated results exclude refinement without the treatment phase, which was considered separately in this analysis. It is characterized by extremely high levels of dust, clearly distinguishable from any other sampling. Such high levels are explainable because, during this phase, weekly routine cleaning of machinery occurs using air lances that remove the dust collected in the machinery and on the ground. These circumstances differ markedly from the usual exposure conditions. For this reason, such sampling was considered separately in the particulate matter evaluation.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Descriptive analysis of PM sampling results. Bold means values &#x3e;3&#xa0;mg/m<sup>3</sup> (according to the levels proposed by ACGIH for the respirable fraction). n.s. &#x3d; not sampled. 7 aggregated results &#x2b;1 outliner in the refinement without treatment (see <xref ref-type="sec" rid="s3-3">Section 3.3</xref>).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">PM (&#xb5;g/m<sup>3</sup>)</th>
<th align="center">N</th>
<th align="center">Max</th>
<th align="center">Min</th>
<th align="center">Mean</th>
<th align="center">Std Dev</th>
<th align="center">Refinement without treatment</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">&#x3c; 0.49</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">3,411</td>
<td align="center">27</td>
<td align="center">1,038</td>
<td align="center">1,349</td>
<td align="center">9,238</td>
</tr>
<tr>
<td align="left">0.95&#x2013;0.49</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">408</td>
<td align="center">2</td>
<td align="center">121</td>
<td align="center">150</td>
<td align="center">539</td>
</tr>
<tr>
<td align="left">1.5&#x2013;0.95</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">377</td>
<td align="center">18</td>
<td align="center">126</td>
<td align="center">150</td>
<td align="center">605</td>
</tr>
<tr>
<td align="left">3.0&#x2013;1.5</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">316</td>
<td align="center">23</td>
<td align="center">118</td>
<td align="center">117</td>
<td align="center">558</td>
</tr>
<tr>
<td align="left">7.2&#x2013;3.0</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">831</td>
<td align="center">31</td>
<td align="center">277</td>
<td align="center">312</td>
<td align="center">2,321</td>
</tr>
<tr>
<td align="left">10&#x2013;7.2</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">1,738</td>
<td align="center">5</td>
<td align="center">568</td>
<td align="center">723</td>
<td align="center">4,726</td>
</tr>
<tr>
<td align="left">PM<sub>3</sub>
</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">
<bold>4,177</bold>
</td>
<td align="center">71</td>
<td align="center">1,404</td>
<td align="center">1,722</td>
<td align="center">
<bold>10,941</bold>
</td>
</tr>
<tr>
<td align="left">PM<sub>4.5</sub>
</td>
<td align="center">15</td>
<td align="center">
<bold>4,370</bold>
</td>
<td align="center">71</td>
<td align="center">939</td>
<td align="center">1,113</td>
<td align="center">n.s</td>
</tr>
<tr>
<td align="left">PM<sub>10</sub>
</td>
<td align="center">7 &#x2b; 1</td>
<td align="center">
<bold>6,746</bold>
</td>
<td align="center">107</td>
<td align="center">2,249</td>
<td align="center">2,749</td>
<td align="center">17,988</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>An evident and statistically significant difference (several orders of magnitude) between the PM levels of Plant A and Plant B was observed (for PM<sub>10</sub> Mann&#x2013;Whitney test, statistic 5.333, degrees of freedom 1, <italic>p</italic>&#x20;&#x3c; 0.05) (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>). Although a greater level of airborne particles was noticed in some sampling areas in both plants, no statistically significant difference was observed (for PM<sub>10</sub> Kruskal&#x2013;Wallis test, statistic 3.361, degrees of freedom 2, <italic>p</italic>&#x20;&#x3e; 0.05). This is probably due to the marked variation observed in both plants and the limited number of samplings (<xref ref-type="fig" rid="F3">Figure&#x20;3A</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Results obtained for each involved plant. <bold>(A)</bold> Mean PM<sub>10</sub> concentration, detailing the subfraction contribution. <bold>(B)</bold> Mean endotoxin concentration determined in PM<sub>10</sub>, detailing the subfraction contribution. <bold>(C)</bold> Microbial target Log(gene copies/m<sup>3</sup>), <bold>(D)</bold> personal PM<sub>4.5</sub> levels.</p>
</caption>
<graphic xlink:href="fenvs-10-777598-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Results obtained for each sampling area. <bold>(A)</bold> Mean PM<sub>10</sub> concentration, detailing the subfraction contribution. <bold>(B)</bold> Mean endotoxin concentration determined in PM<sub>10</sub>, detailing the subfraction contribution. <bold>(C)</bold> Microbial target Log(gene copies/m<sup>3</sup>). <bold>(D)</bold> Personal PM<sub>4.5</sub> for workers and mechanical maintenance.</p>
</caption>
<graphic xlink:href="fenvs-10-777598-g003.tif"/>
</fig>
<p>The levels of environmental PM, both breathable (PM<sub>3</sub>) and inhalable (PM<sub>10</sub>), were strictly and significantly correlated with the microbial targets evaluated through biomolecular methods. The same does not apply to culture-based methods since the main parameters exceeded the limit of quantification (LOQ). Spearman&#x2019;s correlation coefficients between PM<sub>10</sub> and the microbial targets were &#x3e;0.950 (<italic>p</italic>&#x20;&#x3c; 0.01), except for <italic>Aspergillus spp.</italic> (Spearman&#x2019;s correlation coefficient 0.738 and <italic>p</italic>&#x20;&#x3e; 0.05). These results indicate a need for a more frequent, rapid, and indirect evaluation of bioaerosol contamination levels through airborne PM measurements during operational control. Such an approach has also been previously proposed, which identified inhalable dust as a marker of exposure to airborne biological agents in composting facilities and stated that measurement of dust could efficiently assist decision-making about preventive measures against endotoxins and bacteria in composting plants (<xref ref-type="bibr" rid="B38">Schlosser et&#x20;al., 2018</xref>).</p>
<p>In addition, personal PM sampling demonstrated a greater risk of exposure in Plant A (<xref ref-type="fig" rid="F2">Figure&#x20;2D</xref>). Here, too, the difference proved to be statistically significant (Mann&#x2013;Whitney test, standardized statistic&#x2014;2.121, <italic>p</italic>&#x20;&#x3d; 0.036). Through personal PM sampling analysis, it was observed that workers that divide their work time between operating vehicles and performing duties on the ground seem more likely to be exposed (Kruskal&#x2013;Wallis, test statistic &#x2212;1.837, <italic>p</italic>&#x20;&#x3d; 0.075) (<xref ref-type="fig" rid="F3">Figure&#x20;3D</xref>). Their more frequent presence in the most contaminated areas of the plants, namely, the treatment areas, could explain their greater exposure&#x20;level.</p>
<p>The results aggregated by the mainly frequented areas do not show statistically significant differences. Finally, three workers were declared to be smokers and they displayed slightly higher breathable PM levels, albeit a statistically significant difference was not found compared to nonsmokers&#x2019; breathable PM levels. This outcome is unexpected because generally, a pronounced difference between smokers and nonsmokers can be detected; however, the 3 workers did not smoke during the sampling&#x20;times.</p>
</sec>
<sec id="s3-2">
<title>Endotoxin Results</title>
<p>The endotoxin level included in the PM<sub>10</sub> fraction ranged between 51 and 128&#xa0;EU/m<sup>3</sup>. This overlapped with the last limit value published in Germany (2018), which is equal to 100&#xa0;EU/m<sup>3</sup> (ASGM-TRBA 400). <xref ref-type="fig" rid="F2">Figure&#x20;2B</xref> shows the mean contribution of each PM<sub>10</sub> subfraction. The highest level of contaminant was observed in the finest fraction from the sampled PM. Higher concentrations were observed in Plant A than in Plant B (5:1). The endotoxin level was particularly high in the refinement area during machinery cleaning operations (<xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>).</p>
</sec>
<sec id="s3-3">
<title>Culture-based Analysis Results</title>
<p>A descriptive analysis of the results obtained from the bioaerosol environmental monitoring conducted with culture-based methods is shown in <xref ref-type="table" rid="T2">Table&#x20;2</xref>. Culture-based analysis for 22&#xb0;C, 37&#xb0;C, and 55&#xb0;C counts and <italic>Bacillus spp.</italic> showed values higher than the LOQ of the method, except for the methanization area for 22&#xb0;C total bacteria count. In the majority of the sampling areas, microbial growth is confluent, preventing a real count of the overlapping CFU. The GIMC ranged between 15,450&#xa0;CFU/m<sup>3</sup> in the methanization area, and a value &#x3e;65,350 was observed in the reception area and composting area (both plants). The overall contamination was high and widespread in all sampling areas. Significant differences were detected for (a) fungi, higher in the selection, tunnel, and composting area; (b) Pseudomonadaceae, in the selection area; (c) <italic>Clostridia</italic> and Gram-negative bacteria, in the reception area. There was a statistically significant correlation between <italic>Clostridia</italic> and <italic>Actinomycetes</italic> (Spearman&#x2019;s rho &#x3d; 0.842; <italic>p</italic>&#x20;&#x3d; 0.009). They were both more concentrated in Plant A, without an anaerobic step than in Plant&#x20;B.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Descriptive analysis of contamination levels evaluated at all the sites with culture-based methods. Bold means GIMC &#x3e;4 Log(CFU/m<sup>3</sup>) as a level of concern.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Log (CFU/m3)</th>
<th align="center">Plate num</th>
<th align="center">Max</th>
<th align="center">Min</th>
<th align="center">Mean</th>
<th align="center">Std. Dev</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Bacterial count 22&#xb0;C</td>
<td align="center">24</td>
<td align="char" char=".">&#x3e;4.42</td>
<td align="char" char=".">2.96</td>
<td align="char" char=".">4.21</td>
<td align="center">0.55</td>
</tr>
<tr>
<td align="left">Bacterial count 37&#xb0;C</td>
<td align="center">24</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="center">&#x2212;</td>
</tr>
<tr>
<td align="left">Bacterial count 55&#xb0;C</td>
<td align="center">24</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="center">&#x2212;</td>
</tr>
<tr>
<td align="left">Total bacteria</td>
<td align="center">24</td>
<td align="char" char=".">&#x3e;4.72</td>
<td align="char" char=".">4.43</td>
<td align="char" char=".">4.68</td>
<td align="center">0.11</td>
</tr>
<tr>
<td align="left">Fungi</td>
<td align="center">24</td>
<td align="char" char=".">&#x3e;4.42</td>
<td align="char" char=".">2.81</td>
<td align="char" char=".">3.58</td>
<td align="center">0.79</td>
</tr>
<tr>
<td align="left">Bacillus spp.</td>
<td align="center">24</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="char" char=".">&#x3e;4.12</td>
<td align="center">&#x2212;</td>
</tr>
<tr>
<td align="left">Pseudomonaceae</td>
<td align="center">24</td>
<td align="char" char=".">3.42</td>
<td align="char" char=".">0.60</td>
<td align="char" char=".">1.45</td>
<td align="center">0.93</td>
</tr>
<tr>
<td align="left">Clostridium spp.</td>
<td align="center">24</td>
<td align="char" char=".">3.42</td>
<td align="char" char=".">1.08</td>
<td align="char" char=".">2.20</td>
<td align="center">1.15</td>
</tr>
<tr>
<td align="left">Gram&#x2013;bacteria</td>
<td align="center">24</td>
<td align="char" char=".">3.42</td>
<td align="char" char=".">0.90</td>
<td align="char" char=".">1.66</td>
<td align="center">0.82</td>
</tr>
<tr>
<td align="left">Actinomycetes</td>
<td align="center">24</td>
<td align="char" char=".">1.82</td>
<td align="char" char=".">0.78</td>
<td align="char" char=".">1.41</td>
<td align="center">0.39</td>
</tr>
<tr>
<td align="left">Enterococcus spp.</td>
<td align="center">24</td>
<td align="char" char=".">1.53</td>
<td align="char" char=".">0.30</td>
<td align="char" char=".">1.15</td>
<td align="center">0.46</td>
</tr>
<tr>
<td align="left">GIMC</td>
<td align="center">24</td>
<td align="char" char=".">&#x3e;4.82</td>
<td align="char" char=".">4.18</td>
<td align="char" char=".">4.68</td>
<td align="center">4.28</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-4">
<title>Biomolecular Analysis Results</title>
<p>The extracted DNA ranged between 0.85 and 42.78&#xa0;ng/&#x3bc;L with an average of 8.01&#xa0;ng/&#x3bc;L. The extraction from LMA displayed very low DNA concentrations, in some cases even under the LOQ of the instrument, and significantly lower than the one extracted from PM &#x3c; 0.49 and 0.49 &#x3c; PM &#x3c; 10&#xa0;&#xb5;m (Kruskal&#x2013;Wallis, test statistic 14.393, degrees of freedom 2, <italic>p</italic>&#x20;&#x3d; 0.001). The A260/A280 ratios varied from 0.5 (filter pool) to 1.1 (&#x3c;0.49 filter), while the A260/A230 ratios ranged from 0.2 (filter pool) to 0.4 (&#x3c;0.49 filter).</p>
<p>The descriptive statistical biomolecular analysis is shown in <xref ref-type="table" rid="T3">Table&#x20;3</xref>, divided concerning the typology of the starting extract. Each target concentration was obtained starting from the different extracts (PM &#x3c; 0.49, 0.49 &#x3c; PM &#x3c; 10 or LMA) was strongly correlated (Spearman&#x2019;s correlation coefficient ranged from 0.778 for Firmicutes to 0.998 for total bacteria). For all microbial targets except for <italic>Aspergillus spp.</italic>, <italic>Aspergillus fumigatus</italic>, and <italic>Thermomyces</italic>, the highest concentrations were observed from filters, indicating that this is probably the most effective sampling method (for total bacteria, for example, Kruskal&#x2013;Wallis, test statistic 11.020, degrees of freedom 2, <italic>p</italic>&#x20;&#x3d;&#x20;0.04).</p>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>Descriptive analysis of biomolecular results for each type of sample, including all of the sites and plants. Gray means GIMC &#x3e;4 Log(gene copies/m<sup>3</sup>) as a level of concern, considering the same threshold limit proposed in the literature as CFU. The last lines report the parameters for all of the samples &#x3c; at the LOQ.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Sample</th>
<th align="center">Log (gene copies/m<sup>3</sup>)</th>
<th align="center">Max</th>
<th align="center">Min</th>
<th align="center">Mean</th>
<th align="center">Std Dev</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td rowspan="12" align="left">PM &#x3c; 0.49&#xa0;&#xb5;m</td>
<td align="center">Total bacteria</td>
<td align="center">7.30</td>
<td align="center">3.21</td>
<td align="center">5.52</td>
<td align="center">1.60</td>
</tr>
<tr>
<td align="center">Total fungi</td>
<td align="center">5.93</td>
<td align="center">2.40</td>
<td align="center">4.38</td>
<td align="center">1.25</td>
</tr>
<tr>
<td align="center">Firmicutes</td>
<td align="center">9.11</td>
<td align="center">5.57</td>
<td align="center">7.63</td>
<td align="center">1.38</td>
</tr>
<tr>
<td align="center">Bacteroidetes</td>
<td align="center">4.51</td>
<td align="center">3.45</td>
<td align="center">3.96</td>
<td align="center">0.38</td>
</tr>
<tr>
<td align="center">Total <italic>Aspergillus spp.</italic>
</td>
<td align="center">4.41</td>
<td align="center">1.74</td>
<td align="center">3.06</td>
<td align="center">1.03</td>
</tr>
<tr>
<td align="center">
<italic>Clostridium spp.</italic>
</td>
<td align="center">5.82</td>
<td align="center">3.67</td>
<td align="center">5.13</td>
<td align="center">0.77</td>
</tr>
<tr>
<td align="center">Gamma-proteobacteria</td>
<td align="center">5.25</td>
<td align="center">2.30</td>
<td align="center">4.19</td>
<td align="center">1.23</td>
</tr>
<tr>
<td align="center">
<italic>Bacillus spp.</italic>
</td>
<td align="center">4.57</td>
<td align="center">2.11</td>
<td align="center">3.77</td>
<td align="center">1.00</td>
</tr>
<tr>
<td align="center">
<italic>A. fumigatus</italic>
</td>
<td align="center">3.95</td>
<td align="center">2.03</td>
<td align="center">2.65</td>
<td align="center">0.83</td>
</tr>
<tr>
<td align="center">
<italic>Saccharopolyspora</italic>
</td>
<td align="center">6.94</td>
<td align="center">3.65</td>
<td align="center">5.41</td>
<td align="center">1.28</td>
</tr>
<tr>
<td align="center">
<italic>Thermomyces</italic>
</td>
<td align="center">6.32</td>
<td align="center">3.89</td>
<td align="center">5.25</td>
<td align="center">0.95</td>
</tr>
<tr>
<td align="center">GIMC</td>
<td align="center">7.32</td>
<td align="center">3.27</td>
<td align="center">6.74</td>
<td align="center">6.87</td>
</tr>
<tr>
<td rowspan="12" align="left">0.49 &#x3c; PM &#x3c; 10&#xa0;&#xb5;m</td>
<td align="center">Total bacteria</td>
<td align="center">6.74</td>
<td align="center">3.33</td>
<td align="center">5.70</td>
<td align="center">1.39</td>
</tr>
<tr>
<td align="center">Total fungi</td>
<td align="center">5.66</td>
<td align="center">3.19</td>
<td align="center">4.70</td>
<td align="center">0.81</td>
</tr>
<tr>
<td align="center">Firmicutes</td>
<td align="center">8.62</td>
<td align="center">5.73</td>
<td align="center">7.61</td>
<td align="center">1.17</td>
</tr>
<tr>
<td align="center">Bacteroidetes</td>
<td align="center">4.67</td>
<td align="center">2.78</td>
<td align="center">3.87</td>
<td align="center">0.67</td>
</tr>
<tr>
<td align="center">
<italic>Total Aspergillus spp.</italic>
</td>
<td align="center">4.39</td>
<td align="center">1.74</td>
<td align="center">3.40</td>
<td align="center">0.81</td>
</tr>
<tr>
<td align="center">
<italic>Clostridium spp.</italic>
</td>
<td align="center">6.02</td>
<td align="center">4.10</td>
<td align="center">5.34</td>
<td align="center">0.64</td>
</tr>
<tr>
<td align="center">Gamma-proteobacteria</td>
<td align="center">5.40</td>
<td align="center">2.30</td>
<td align="center">4.44</td>
<td align="center">1.09</td>
</tr>
<tr>
<td align="center">
<italic>Bacillus spp.</italic>
</td>
<td align="center">4.86</td>
<td align="center">2.11</td>
<td align="center">3.87</td>
<td align="center">1.02</td>
</tr>
<tr>
<td align="center">
<italic>A. fumigatus</italic>
</td>
<td align="center">3.92</td>
<td align="center">2.03</td>
<td align="center">2.60</td>
<td align="center">0.67</td>
</tr>
<tr>
<td align="center">
<italic>Saccharopolyspora</italic>
</td>
<td align="center">7.30</td>
<td align="center">3.65</td>
<td align="center">5.32</td>
<td align="center">1.43</td>
</tr>
<tr>
<td align="center">
<italic>Thermomyces</italic>
</td>
<td align="center">6.94</td>
<td align="center">3.45</td>
<td align="center">5.08</td>
<td align="center">1.29</td>
</tr>
<tr>
<td align="center">GIMC</td>
<td align="center">6.76</td>
<td align="center">3.57</td>
<td align="center">6.45</td>
<td align="center">6.40</td>
</tr>
<tr>
<td rowspan="12" align="left">LMA</td>
<td align="center">Total bacteria</td>
<td align="center">3.99</td>
<td align="center">1.48</td>
<td align="center">2.80</td>
<td align="center">0.96</td>
</tr>
<tr>
<td align="center">Total fungi</td>
<td align="center">6.36</td>
<td align="center">4.11</td>
<td align="center">5.60</td>
<td align="center">0.72</td>
</tr>
<tr>
<td align="center">Firmicutes</td>
<td align="center">5.12</td>
<td align="center">4.28</td>
<td align="center">4.76</td>
<td align="center">0.33</td>
</tr>
<tr>
<td align="center">Bacteroidetes</td>
<td align="center">2.53</td>
<td align="center">1.73</td>
<td align="center">2.37</td>
<td align="center">0.30</td>
</tr>
<tr>
<td align="center">
<italic>Aspergillus spp.</italic>
</td>
<td align="center">4.83</td>
<td align="center">3.81</td>
<td align="center">4.13</td>
<td align="center">0.44</td>
</tr>
<tr>
<td align="center">
<italic>Clostridium spp.</italic>
</td>
<td align="center">4.58</td>
<td align="center">3.28</td>
<td align="center">3.58</td>
<td align="center">0.47</td>
</tr>
<tr>
<td align="center">Gamma-proteobacteria</td>
<td align="center">4.38</td>
<td align="center">1.38</td>
<td align="center">2.75</td>
<td align="center">1.32</td>
</tr>
<tr>
<td align="center">
<italic>Bacillus spp.</italic>
</td>
<td align="center">4.76</td>
<td align="center">4.19</td>
<td align="center">4.38</td>
<td align="center">0.27</td>
</tr>
<tr>
<td align="center">
<italic>A. fumigatus</italic>
</td>
<td align="center">&#x3c;4.11<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x3c;4.11<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x3c;4.11<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;</td>
</tr>
<tr>
<td align="center">
<italic>Saccharopolyspora</italic>
</td>
<td align="center">6.89</td>
<td align="center">4.78</td>
<td align="center">5.59</td>
<td align="center">0.91</td>
</tr>
<tr>
<td align="center">
<italic>Thermomyces</italic>
</td>
<td align="center">6.76</td>
<td align="center">3.77</td>
<td align="center">5.70</td>
<td align="center">1.24</td>
</tr>
<tr>
<td align="center">GIMC</td>
<td align="center">6.36</td>
<td align="center">4.11</td>
<td align="center">5.94</td>
<td align="center">5.96</td>
</tr>
<tr>
<td rowspan="2" align="left">All the samples</td>
<td align="center">
<italic>L. pneumophila</italic>
<xref ref-type="table-fn" rid="Tfn1">
<italic>
<sup>a</sup>
</italic>
</xref>
</td>
<td align="center">&#x3c;4.17<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x3c;4.17<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x3c;4.17<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;</td>
</tr>
<tr>
<td align="center">HAdV-4</td>
<td align="center">&#x3c;1.56<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x3c;1.56<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x3c;1.56<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="center">&#x2212;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="Tfn1">
<label>a</label>
<p>2 samples were positive, but the concentration was &#x3c;LOQ.</p>
</fn>
<fn id="Tfn2">
<label>b</label>
<p>Data expressed as gene copies/&#xb5;l of extract (corresponding to 0.28 and 0.004&#xa0;m<sup>3</sup> of air, respectively, for PM filter and LMA).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The larger size of fungal cells, which can be found in coarse particulate matter (PM &#x3e; 10&#xa0;&#xb5;m), could explain the different efficiency of the extraction methods. Only the LMA method includes coarse particles since the SAS sampler does not provide for a preselection according to particle&#x20;size.</p>
<p>No statistically significant differences among the three sampling methods were found for thermophilic species, such as <italic>Saccharopolyspora</italic> and <italic>Themomyces</italic>. Such microorganisms are detectable and abundant (6-7 Log gene copies/m<sup>3</sup>) in the different starting samples.</p>
<p>Contamination levels derived from bioaerosols are significant, although GIMC, evaluated through biomolecular methods, is not usually calculated and could be overestimated both because nonviable cells are included and because the same cell could be considered more than once when there is more than one copy of the same gene in the bacterial genome.</p>
<p>Two of the analyzed extracts, specifically the PM<sub>0.49</sub> samples in the receiving and handling areas in front of the biocells in Plant A and PM<sub>0.49-10</sub> in the refinement area in Plant B, were positive but not quantifiable (&#x3c;LOQ) for <italic>Legionella pneumophila</italic>. <italic>Legionella spp.</italic> are ubiquitous in natural and artificial water environments worldwide. The main <italic>Legionella</italic> reservoirs are ground-waters, seawater, lakes, and rivers; however, they have also been isolated from potting soils and compost. The <italic>Legionella pneumophila</italic> growth-limiting temperature is approximately 50&#xb0;C, and it is destroyed almost instantly at temperatures above 70&#xb0;C. Consequently, it is not possible to exclude its presence in composting material during treatment phases in composting plants (<xref ref-type="bibr" rid="B8">Casati et&#x20;al., 2010</xref>). However, its presence is influenced by water quality and biofilm formation, which favors the growth and persistence of <italic>Legionella</italic> (<xref ref-type="bibr" rid="B33">Principe et&#x20;al., 2017</xref>).</p>
<p>HAdV-4 was always detected under the LOQ of the methods in all of the collected samples. Few studies have reported detectable levels of such microorganisms in air samples; when sampling involves waste treatment plants, Adenovirus sample positivity is observed during the winter season (<xref ref-type="bibr" rid="B7">Carducci et&#x20;al., 2013</xref>).</p>
<p>Statistically significant differences were also detected through biomolecular methods between the two plants (<xref ref-type="fig" rid="F2">Figure&#x20;2C</xref>) and among the different areas (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref>). In particular, Plant A displayed higher bioaerosol levels for all microbial targets (for total bacterial Mann&#x2013;Whitney, statistic 5.333, degrees of freedom 1, test <italic>p</italic>&#x20;&#x3d; 0.021). For Bacteroidetes and <italic>Clostridium spp.</italic> such difference is less marked.</p>
<p>Notably, as expected, fungi correlated with <italic>Aspergillus spp.</italic> and <italic>Aspergillus fumigatus</italic> (Spearman&#x2019;s rho &#x3e;0.702, <italic>p</italic>&#x20;&#x3c; 0.01), and bacteria correlated with the main detected&#x20;phyla.</p>
<p>
<italic>Bacillus subtilis</italic> correlated with total bacteria, fungi, Gammaproteobacteria, and <italic>Aspergillus fumigatus</italic>. This last is a pathogenic thermophilic filamentous fungus, one of the most commonly enumerated airborne microorganism species. It has been frequently included in bioaerosol modeling and has also been selected as an indicator of bioaerosol exposure. Indeed, it is often found in elevated concentrations during specific activities in composting facilities, in which it is widely monitored (<xref ref-type="bibr" rid="B13">Douglas et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B45">Williams et&#x20;al., 2019</xref>).</p>
<p>The potential of biomolecular methods lies in their greater sensitivity and wider limits of quantification (LOQs) than culture-based methods. On the other hand, biomolecular techniques are not able to discern between genetic material belonging to potentially viable microorganisms or nonviable microorganisms. This limitation could be overcome using some technical features, such as propidium monoazide and ethidium monoazide, but their efficiency in inhibiting the amplification of nucleic acids from nonviable microorganisms has been discussed, but few data are present in the literature about bioaerosols (<xref ref-type="bibr" rid="B9">Chang et&#x20;al., 2017</xref>).</p>
<p>The included method in this study is a targeted approach and thus may underestimate diversity with respect to other biomolecular methods currently available, such as next-generation sequencing techniques, especially with a meta-genome approach; however, such techniques are still expensive, and the sequence data repository is not complete for environmental microorganisms.</p>
<p>Significant correlations between culture-based and biomolecular methods were also observed (for example, culture-based <italic>Clostridium</italic> and Actinomycetes <italic>vs.</italic> biomolecular total bacteria and Firmicutes, Spearman&#x2019;s rho &#x3e;0.8; <italic>p</italic>&#x20;&#x3c; 0.01). Even though culture-based techniques underestimate contamination levels compared to biomolecular methods, contamination levels tend to overestimate them. Hence, the real and potentially harmful contamination levels can probably be placed between culture-based and biomolecular results, being higher than predicted by culture-based methods and lower than displayed by biomolecular ones. For this reason, to date, the assessment of bioaerosol contamination levels should include both methods to guarantee the most accurate estimate.</p>
<p>Currently, there are neither quantitative dose-response estimates nor occupational exposure limits (OELs) for bioaerosols admitted at the international level to regulate bioaerosol emissions from composting facilities (<xref ref-type="bibr" rid="B38">Schlosser et&#x20;al., 2018</xref>). Nonetheless, the United&#x20;Kingdom, Germany, France, and several other countries have developed regulatory guidelines to evaluate risk and control exposures to workers and nearby residents. In England, according to the Environment Agency, acceptable levels of bioaerosols for composting facilities with &#x201c;sensitive receptors&#x201d; were defined (<xref ref-type="bibr" rid="B44">UK Environment Agency, 2018</xref>). Such regulation includes mainly endotoxin, fungi, and total bacteria counts, without the identification of microbial parameters for composting plants. Such analysis revealed bioaerosol concentrations greater than the occupational exposure limits (OELs) proposed by some European interpretations. The lowest observed effect level (LOEL) of 100,000 spores/m<sup>3</sup> for nonpathogenic and non-mycotoxin-producing fungal species has been recommended in a criteria document based on inflammatory respiratory effects (<xref ref-type="bibr" rid="B17">Eduard et&#x20;al., 2012</xref>). In Germany, a regulatory occupational limit of 50,000&#xa0;CFU/m<sup>3</sup> of mesophilic fungi is set for breathable air in the workplace, according to BAUA (<xref ref-type="bibr" rid="B12">Douglas et&#x20;al., 2016</xref>). Such limits are not internationally approved for bioaerosol risk assessment. This is probably due to the bioaerosol complex composition (<xref ref-type="bibr" rid="B16">Duquenne, 2018</xref>). The parameters that seem to best describe contamination levels are (a) a 22&#xb0;C total bacterial count, which can be analyzed to assess environmental contamination levels; (b) <italic>Bacillus spp.</italic> and spore-forming bacteria, which can be used as indicators of both Gram-positive bacteria and biofilm presence; (c) <italic>Enterococcus spp.</italic> and <italic>Escherichia coli</italic>, which are particularly useful to determine contamination levels when animal waste is also treated; (d) <italic>Clostridium spp.</italic>, when anaerobic digestion is included; (e) fungi and yeasts, in particular, <italic>Aspergillus spp.</italic> and <italic>Aspergillus fumigatus</italic>, which have been selected as an indicator of bioaerosol exposure and have been used to model bioaerosol dispersion (<xref ref-type="bibr" rid="B45">Williams et&#x20;al., 2019</xref>); (f) thermophilic microorganisms such as <italic>Saccharopolyspora</italic>, as a representative of Actinobacteria, and <italic>Thermomyces</italic>, as representative of fungi, are suggested.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>Conclusion</title>
<p>In this study, the heterogeneity of bioaerosol composition was confirmed in both analyzed plants. Regarding sampling methods, biomolecular methods are more sensitive and provide much higher quantification capabilities than culture-based methods. Nevertheless, biomolecular techniques are not able to discern between genetic material belonging to a viable and infective microorganism or a nonviable microorganism, potentially leading to an overestimation. Moreover, it is important to highlight those different bioaerosol components, Not just those that are viable and/or capable of colonizing or infecting the host, can induce adverse effects on human health, such as inflammatory or allergic responses. Therefore, it has been proposed that combining both culture-based and biomolecular methods can better represent bioaerosol contamination levels.</p>
<p>Of course, even though the sampling time duration is used as a correction factor, the comparability between SAS and filter sampling is limited for the very different applied methods. On the other hand, quantitative evaluation comparison is necessary. This clearly showed a higher sensitivity estimation of the GIMC of the biomolecular methods [(PM &#x3c; 0.49&#xa0;&#xb5;m) &#x3e; (0.49 &#x3c; PM &#x3c; 10&#xa0;&#xb5;m) &#x3e; (LMA)].</p>
<p>In our opinion, <italic>Bacillus spp.</italic>, <italic>Saccarospolispora</italic>, and <italic>Themomyces</italic> seem to be the key indicators for such bioaerosol contamination. Of course, thermophilic microorganisms were previously discussed as potential indicators of composting bioaerosols (<xref ref-type="bibr" rid="B28">Le Goff et&#x20;al., 2012</xref>); moreover, the proposed microorganisms were always detectable in this work (&#x3e;LOQ) for every site and plant. The values detected are quite variable and are correlated with pollution by observing the other microbial parameters and PM subfractions.</p>
<p>Many aspects of bioaerosol exposure risk assessment remain uncertain and not fully characterized. Significant concerns about occupational health persist, and a reduction of bioaerosol exposure levels in composting plants remains a primary goal. More efforts are required both to validate new techniques for assessment and to develop novel technologically advanced protective equipment designing a consolidated scheme for characterization of the complex bioaerosol composition, its airborne dispersion, and its association with adverse health outcomes in both composting plant workers and nearby residents.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The datasets for this study will be provided in response to reasonable request.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>Conceptualization, DT; methodology, DT; software, DT; validation, DT; sampling, EA, DT; extraction EA, EP; PM analysis EP, EA, NZ, microbiological analysis, EA, DT; biomolecular analysis EP, EF, and NZ; <italic>Legionella</italic> quantification SB, DT, and EA; resources, DT; data curation, DT; writing&#x2014;original draft preparation, EP; writing&#x2014;review and editing, DT. All authors have read and agreed to the submitted version of the manuscript.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This research was funded by the CIC (Consorzio Italiano Compostatori), grant number: TRADCTRIC_1701, and the University of Torino.</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>Special acknowledgments are due to the involved plants for their participation in the project.</p>
</ack>
<sec id="s10">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fenvs.2022.777598/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fenvs.2022.777598/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.pdf" id="SM1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Anedda</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Traversi</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Bioaerosol in Composting Facilities: A Survey on Full-Scale Plants in Italy</article-title>. <source>Atmosphere</source> <volume>11</volume>, <fpage>398</fpage>. <pub-id pub-id-type="doi">10.3390/atmos11040398</pub-id> </citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bacchetti De Gregoris</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Aldred</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Clare</surname>
<given-names>A. S.</given-names>
</name>
<name>
<surname>Burgess</surname>
<given-names>J.&#x20;G.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Improvement of Phylum- and Class-specific Primers for Real-Time PCR Quantification of Bacterial Taxa</article-title>. <source>J.&#x20;Microbiol. Methods</source> <volume>86</volume>, <fpage>351</fpage>&#x2013;<lpage>356</lpage>. <pub-id pub-id-type="doi">10.1016/j.mimet.2011.06.010</pub-id> </citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bibb&#xf2;</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Dore</surname>
<given-names>M. P.</given-names>
</name>
<name>
<surname>Pes</surname>
<given-names>G. M.</given-names>
</name>
<name>
<surname>Delitala</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Delitala</surname>
<given-names>A. P.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Is There a Role for Gut Microbiota in Type 1 Diabetes Pathogenesis</article-title>. <source>Ann. Med.</source> <volume>49</volume>, <fpage>11</fpage>&#x2013;<lpage>22</lpage>. <pub-id pub-id-type="doi">10.1080/07853890.2016.1222449</pub-id> </citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>B&#xfc;nger</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Schappler-Scheele</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Hilgers</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Hallier</surname>
<given-names>E.</given-names>
</name>
</person-group> (<year>2007</year>). <article-title>A 5-year Follow-Up Study on Respiratory Disorders and Lung Function in Workers Exposed to Organic Dust from Composting Plants</article-title>. <source>Int. Arch. Occup. Environ. Health</source> <volume>80</volume>, <fpage>306</fpage>&#x2013;<lpage>312</lpage>. <pub-id pub-id-type="doi">10.1007/s00420-006-0135-2</pub-id> </citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carballa</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Regueiro</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Lema</surname>
<given-names>J.&#x20;M.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Microbial Management of Anaerobic Digestion: Exploiting the Microbiome-Functionality Nexus</article-title>. <source>Curr. Opin. Biotechnol.</source> <volume>33</volume>, <fpage>103</fpage>&#x2013;<lpage>111</lpage>. <pub-id pub-id-type="doi">10.1016/j.copbio.2015.01.008</pub-id> </citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Carducci</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Federigi</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Verani</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Virus Occupational Exposure in Solid Waste Processing Facilities</article-title>. <source>Virus. Occup. Expo. Solid Waste Process. Facil.</source> <volume>57</volume>, <fpage>1115</fpage>&#x2013;<lpage>1127</lpage>. <pub-id pub-id-type="doi">10.1093/annhyg/met043</pub-id> </citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Casati</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Conza</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Bruin</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Gaia</surname>
<given-names>V.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Compost Facilities as a Reservoir of Legionella pneumophila and Other Legionella Species</article-title>. <source>Clin. Microbiol. Infect.</source> <volume>16</volume>, <fpage>945</fpage>&#x2013;<lpage>947</lpage>. <pub-id pub-id-type="doi">10.1111/j.1469-0691.2009.03009.x</pub-id> </citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chang</surname>
<given-names>C.-W.</given-names>
</name>
<name>
<surname>Hung</surname>
<given-names>N.-T.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>N.-T.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Optimization and Application of Propidium Monoazide-Quantitative PCR Method for Viable Bacterial Bioaerosols</article-title>. <source>J.&#x20;Aerosol Sci.</source> <volume>104</volume>, <fpage>90</fpage>&#x2013;<lpage>99</lpage>. <pub-id pub-id-type="doi">10.1016/j.jaerosci.2016.11.002</pub-id> </citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dacarro</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Grignani</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Lodola</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Grisoli</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Cottica</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2000</year>). <article-title>Proposed Microbiological Indexes for the Assessment of Air Quality in Buildings</article-title>. <source>G Ital. Med. Lav Erg</source> <volume>22</volume>, <fpage>229</fpage>&#x2013;<lpage>235</lpage>. <comment>Available at: <ext-link ext-link-type="uri" xlink:href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;dopt=Citation&amp;list_uids=11084879">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd&#x3d;Retrieve&#x26;db&#x3d;PubMed&#x26;dopt&#x3d;Citation&#x26;list_uids&#x3d;11084879</ext-link>.</comment> </citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>De Souza</surname>
<given-names>J.&#x20;T.</given-names>
</name>
<name>
<surname>Mazzola</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Raaijmakers</surname>
<given-names>J.&#x20;M.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>Conservation of the Response Regulator Gene gacA in Pseudomonas Species</article-title>. <source>Environ. Microbiol.</source> <volume>5</volume>, <fpage>1328</fpage>&#x2013;<lpage>1340</lpage>. <pub-id pub-id-type="doi">10.1046/j.1462-2920.2003.00438.x10.1111/j.1462-2920.2003.00438.x</pub-id> </citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Douglas</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Bakolis</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Fecht</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Pearson</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Leal Sanchez</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kinnersley</surname>
<given-names>R.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Respiratory Hospital Admission Risk Near Large Composting Facilities</article-title>. <source>Int. J.&#x20;Hyg. Environ. Health</source> <volume>219</volume>, <fpage>372</fpage>&#x2013;<lpage>379</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijheh.2016.03.004</pub-id> </citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Douglas</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Hayes</surname>
<given-names>E. T.</given-names>
</name>
<name>
<surname>Williams</surname>
<given-names>W. B.</given-names>
</name>
<name>
<surname>Tyrrel</surname>
<given-names>S. F.</given-names>
</name>
<name>
<surname>Kinnersley</surname>
<given-names>R. P.</given-names>
</name>
<name>
<surname>Walsh</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>Use of Dispersion Modelling for Environmental Impact Assessment of Biological Air Pollution from Composting: Progress, Problems and Prospects</article-title>. <source>Waste Manag.</source> <volume>70</volume>, <fpage>22</fpage>&#x2013;<lpage>29</lpage>. <pub-id pub-id-type="doi">10.1016/j.wasman.2017.08.023</pub-id> </citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Douwes</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Thorne</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Pearce</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Heederik</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>Bioaerosol Health Effects and Exposure Assessment: Progress and Prospects</article-title>. <source>Ann. Occup. Hyg.</source> <volume>47</volume>, <fpage>187</fpage>&#x2013;<lpage>200</lpage>. <pub-id pub-id-type="doi">10.1093/annhyg/meg032</pub-id> </citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dridi</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Henry</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>El Kh&#xe9;chine</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Raoult</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Drancourt</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>El Kh&#xe9;chine</surname>
<given-names>A.</given-names>
</name>
<etal/>
</person-group> (<year>2009</year>). <article-title>High Prevalence of Methanobrevibacter Smithii and Methanosphaera Stadtmanae Detected in the Human Gut Using an Improved DNA Detection Protocol</article-title>. <source>PLoS One</source> <volume>4</volume>, <fpage>e7063</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0007063</pub-id> </citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Duquenne</surname>
<given-names>P.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>On the Identification of Culturable Microorganisms for the Assessment of Biodiversity in Bioaerosols</article-title>. <source>Ann. Work Expo. Heal</source> <volume>62</volume>, <fpage>139</fpage>&#x2013;<lpage>146</lpage>. <pub-id pub-id-type="doi">10.1093/annweh/wxx096</pub-id> </citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Eduard</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Heederik</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Duchaine</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Green</surname>
<given-names>B. J.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>Bioaerosol Exposure Assessment in the Workplace: the Past, Present and Recent Advances</article-title>. <source>J.&#x20;Environ. Monit.</source> <volume>14</volume>, <fpage>334</fpage>. <pub-id pub-id-type="doi">10.1039/c2em10717a</pub-id> </citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<collab>European Parliament and Council</collab> (<year>2018</year>). <article-title>Directive (EU) 2018/850 of the European Parliament and of the Council of 30 May 2018 Amending Directive 1999/31/EC on the Landfill of Waste</article-title>. <source>Off. J.&#x20;Eur. Union</source>, <fpage>100</fpage>&#x2013;<lpage>108</lpage>. </citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Farling</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Rogers</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Knee</surname>
<given-names>J.&#x20;S.</given-names>
</name>
<name>
<surname>Tilley</surname>
<given-names>E. A.</given-names>
</name>
<name>
<surname>Brown</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Deshusses</surname>
<given-names>M. A.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Bioaerosol Emissions Associated with Pit Latrine Emptying Operations</article-title>. <source>Sci. Total Environ.</source> <volume>648</volume>, <fpage>1082</fpage>&#x2013;<lpage>1086</lpage>. <pub-id pub-id-type="doi">10.1016/j.scitotenv.2018.08.147</pub-id> </citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ferguson</surname>
<given-names>R. M. W.</given-names>
</name>
<name>
<surname>Neath</surname>
<given-names>C. E. E.</given-names>
</name>
<name>
<surname>Nasir</surname>
<given-names>Z. A.</given-names>
</name>
<name>
<surname>Garcia-Alcega</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Tyrrel</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Coulon</surname>
<given-names>F.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Size Fractionation of Bioaerosol Emissions from green-waste Composting</article-title>. <source>Environ. Int.</source> <volume>147</volume>, <fpage>106327</fpage>. <pub-id pub-id-type="doi">10.1016/j.envint.2020.106327</pub-id> </citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fern&#xe1;ndez-Gonz&#xe1;lez</surname>
<given-names>J.&#x20;M.</given-names>
</name>
<name>
<surname>D&#xed;az-L&#xf3;pez</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Mart&#xed;n-Pascual</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zamorano</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Recycling Organic Fraction of Municipal Solid Waste: Systematic Literature Review and Bibliometric Analysis of Research Trends</article-title>. <source>Sustainability</source> <volume>12</volume>, <fpage>4798</fpage>. <pub-id pub-id-type="doi">10.3390/su12114798</pub-id> </citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Franchitti</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Pascale</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Fea</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Anedda</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Traversi</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Methods for Bioaerosol Characterization: Limits and Perspectives for Human Health Risk Assessment in Organic Waste Treatment</article-title>. <source>Atmosphere</source> <volume>11</volume>, <fpage>452</fpage>. <pub-id pub-id-type="doi">10.3390/ATMOS11050452</pub-id> </citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Xia</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Tang</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>Development of a Real-Time PCR Method forFirmicutesandBacteroidetesin Faeces and its Application to Quantify Intestinal Population of Obese and Lean Pigs</article-title>. <source>Lett. Appl. Microbiol.</source> <volume>47</volume>, <fpage>367</fpage>&#x2013;<lpage>373</lpage>. <pub-id pub-id-type="doi">10.1111/j.1472-765X.2008.02408.x</pub-id> </citation>
</ref>
<ref id="B24">
<citation citation-type="book">
<collab>Istituto Nazionale per la Protezione e la Ricerca Ambientale (ISPRA)</collab>. <source>Rapporto Rifiuti Urbani</source>. (<year>2020</year>). <comment>Rapporti 331/2020, ISBN 978-88-448-1030-6</comment>. </citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kim</surname>
<given-names>K.-H.</given-names>
</name>
<name>
<surname>Kabir</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Jahan</surname>
<given-names>S. A.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Airborne Bioaerosols and Their Impact on Human Health</article-title>. <source>J.&#x20;Environ. Sci.</source> <volume>67</volume>, <fpage>23</fpage>&#x2013;<lpage>35</lpage>. <pub-id pub-id-type="doi">10.1016/j.jes.2017.08.027</pub-id> </citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lal</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Akhtar</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Pinto</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Grewal</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Martin</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Recurrent Pulmonary Embolism and Hypersensitivity Pneumonitis Secondary to Aspergillus, in a Compost Plant Worker: Case Report and Review of Literature</article-title>. <source>Lung</source> <volume>196</volume>, <fpage>553</fpage>&#x2013;<lpage>560</lpage>. <pub-id pub-id-type="doi">10.1007/s00408-018-0142-6</pub-id> </citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Le Goff</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Bru-Adan</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Bacheley</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Godon</surname>
<given-names>J.-J.</given-names>
</name>
<name>
<surname>Wery</surname>
<given-names>N.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>The Microbial Signature of Aerosols Produced during the Thermophilic Phase of Composting</article-title>. <source>J.&#x20;Appl. Microbiol.</source> <volume>108</volume>, <fpage>325</fpage>&#x2013;<lpage>340</lpage>. <pub-id pub-id-type="doi">10.1111/j.1365-2672.2009.04427.x</pub-id> </citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Le Goff</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Godon</surname>
<given-names>J.-J.</given-names>
</name>
<name>
<surname>Milferstedt</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Bacheley</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Steyer</surname>
<given-names>J.-P.</given-names>
</name>
<name>
<surname>W&#xe9;ry</surname>
<given-names>N.</given-names>
</name>
<etal/>
</person-group> (<year>2012</year>). <article-title>A New Combination of Microbial Indicators for Monitoring Composting Bioaerosols</article-title>. <source>Atmos. Environ.</source> <volume>61</volume>, <fpage>428</fpage>&#x2013;<lpage>433</lpage>. <pub-id pub-id-type="doi">10.1016/j.atmosenv.2012.07.081</pub-id> </citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liang</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Bushman</surname>
<given-names>F. D.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>The Human Virome: Assembly, Composition and Host Interactions</article-title>. <source>Nat. Rev. Microbiol.</source> <volume>19</volume>, <fpage>514</fpage>&#x2013;<lpage>527</lpage>. <pub-id pub-id-type="doi">10.1038/s41579-021-00536-5</pub-id> </citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Madsen</surname>
<given-names>A. M.</given-names>
</name>
<name>
<surname>Zervas</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Tendal</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Nielsen</surname>
<given-names>J.&#x20;L.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Microbial Diversity in Bioaerosol Samples Causing ODTS Compared to Reference Bioaerosol Samples as Measured Using Illumina Sequencing and MALDI-TOF</article-title>. <source>Environ. Res.</source> <volume>140</volume>, <fpage>255</fpage>&#x2013;<lpage>267</lpage>. <pub-id pub-id-type="doi">10.1016/j.envres.2015.03.027</pub-id> </citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<collab>Official Journal of the European Union</collab> (<year>2019</year>). <article-title>Legislation L170</article-title>. <source>Off. J.&#x20;Eur. Union</source> <volume>170</volume>, <fpage>1</fpage>&#x2013;<lpage>127</lpage>. </citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Pan</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Ren</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Insight into Microbial Community Aerosols Associated with Electronic Waste Handling Facilities by Culture-dependent and Culture-independent Methods</article-title>. <source>Front. Public Health</source> <volume>9</volume>, <fpage>1</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.3389/fpubh.2021.657784</pub-id> </citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Principe</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Tomao</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Visca</surname>
<given-names>P.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Legionellosis in the Occupational Setting</article-title>. <source>Environ. Res.</source> <volume>152</volume>, <fpage>485</fpage>&#x2013;<lpage>495</lpage>. <pub-id pub-id-type="doi">10.1016/j.envres.2016.09.018</pub-id> </citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Prussin</surname>
<given-names>A. J.</given-names>
</name>
<name>
<surname>Torres</surname>
<given-names>P. J.</given-names>
</name>
<name>
<surname>Shimashita</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Head</surname>
<given-names>S. R.</given-names>
</name>
<name>
<surname>Kelley</surname>
<given-names>S. T.</given-names>
</name>
<name>
<surname>Marr</surname>
<given-names>L. C.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Seasonal Dynamics of DNA and RNA Viral Bioaerosol Communities in a Daycare Setting</article-title>. <source>15th Conf. Int. Soc. Indoor Air Qual. Clim. INDOOR AIR</source>, <volume>7</volume> <fpage>1</fpage>&#x2013;<lpage>14</lpage>. <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.1111/1574-6968.12487">10.1111/1574-6968.12487</ext-link>. </citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Robertson</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Douglas</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Jarvis</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Marczylo</surname>
<given-names>E.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Bioaerosol Exposure from Composting Facilities and Health Outcomes in Workers and in the Community: A Systematic Review Update</article-title>. <source>Int. J.&#x20;Hyg. Environ. Health</source> <volume>222</volume>, <fpage>364</fpage>&#x2013;<lpage>386</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijheh.2019.02.006</pub-id> </citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Samake</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Uzu</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Martins</surname>
<given-names>J.&#x20;M. F.</given-names>
</name>
<name>
<surname>Calas</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Vince</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Parat</surname>
<given-names>S.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>The Unexpected Role of Bioaerosols in the Oxidative Potential of PM</article-title>. <source>Sci. Rep.</source> <volume>7</volume>, <fpage>1</fpage>&#x2013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1038/s41598-017-11178-0</pub-id> </citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schlegelmilc</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Streese</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Biedermann</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Herold</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Stegmann</surname>
<given-names>R.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>Odour Control at Biowaste Composting Facilities</article-title>. <source>Waste Management</source> <volume>25</volume>, <fpage>917</fpage>&#x2013;<lpage>927</lpage>. <pub-id pub-id-type="doi">10.1016/j.wasman.2005.07.011</pub-id> </citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schlosser</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Huyard</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Cartnick</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Ya&#xf1;ez</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Catal&#xe1;n</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Do Quang</surname>
<given-names>Z.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Bioaerosol in Composting Facilities: Occupational Health Risk Assessment</article-title>. <source>Water Environ. Res.</source> <volume>81</volume>, <fpage>866</fpage>&#x2013;<lpage>877</lpage>. <pub-id pub-id-type="doi">10.2175/106143009X407258</pub-id> </citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schlosser</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Robert</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Debeaupuis</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Huyard</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Inhalable Dust as a Marker of Exposure to Airborne Biological Agents in Composting Facilities</article-title>. <source>Waste Manag.</source> <volume>81</volume>, <fpage>78</fpage>&#x2013;<lpage>87</lpage>. <pub-id pub-id-type="doi">10.1016/j.wasman.2018.09.051</pub-id> </citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Sugita</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Makimura</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Uchida</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Yamaguchi</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Nagai</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2004</year>). <article-title>PCR Identification System for the genusAspergillusand Three Major Pathogenic species:Aspergillus fumigatus,Aspergillus flavusandAspergillus niger</article-title>. <source>Med. Mycol.</source> <volume>42</volume>, <fpage>433</fpage>&#x2013;<lpage>437</lpage>. <pub-id pub-id-type="doi">10.1080/13693780310001656786</pub-id> </citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Timm</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Madsen</surname>
<given-names>A. M.</given-names>
</name>
<name>
<surname>Hansen</surname>
<given-names>J.&#x20;V.</given-names>
</name>
<name>
<surname>Moesby</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Hansen</surname>
<given-names>E. W.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>Assessment of the Total Inflammatory Potential of Bioaerosols by Using a Granulocyte Assay</article-title>. <source>Appl. Environ. Microbiol.</source> <volume>75</volume>, <fpage>7655</fpage>&#x2013;<lpage>7662</lpage>. <pub-id pub-id-type="doi">10.1128/AEM.00928-09</pub-id> </citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Traversi</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Alessandria</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Schilir&#xf2;</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Gilli</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Size-fractionated PM10 Monitoring in Relation to the Contribution of Endotoxins in Different Polluted Areas</article-title>. <source>Atmos. Environ.</source> <volume>45</volume>, <fpage>3515</fpage>&#x2013;<lpage>3521</lpage>. <pub-id pub-id-type="doi">10.1016/j.atmosenv.2011.04.020</pub-id> </citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Traversi</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Gorrasi</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Pignata</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Degan</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Anedda</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Carletto</surname>
<given-names>G.</given-names>
</name>
<etal/>
</person-group> (<year>2018</year>). <article-title>Aerosol Exposure and Risk Assessment for green Jobs Involved in Biomethanization</article-title>. <source>Environ. Int.</source> <volume>114</volume>, <fpage>202</fpage>&#x2013;<lpage>211</lpage>. <pub-id pub-id-type="doi">10.1016/j.envint.2018.02.046</pub-id> </citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<collab>UK Environment Agency</collab> (<year>2018</year>). <article-title>Guidance Bioaerosol Monitoring at Regulated Facilities - Use of M9: RPS 209</article-title>. <comment>Available at: <ext-link ext-link-type="uri" xlink:href="https://www.gov.uk/government/publications/bioaerosol-monitoring-at-regulated-facilities-use-of-m9-rps-209/bioaerosol-monitoring-at-regulated-facilities-use-of-m9-rps-209">https://www.gov.uk/government/publications/bioaerosol-monitoring-at-regulated-facilities-use-of-m9-rps-209/bioaerosol-monitoring-at-regulated-facilities-use-of-m9-rps-209</ext-link>
</comment> (<comment>Accessed January 23, 2018</comment>) </citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wery</surname>
<given-names>N.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>Bioaerosols from Composting Facilities&#xe2;&#x20ac;"a Review</article-title>. <source>Front. Cel. Infect. Microbiol.</source> <volume>4</volume>, <fpage>4</fpage>. <pub-id pub-id-type="doi">10.3389/Fcimb.2014.00042</pub-id> </citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Williams</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Douglas</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Roca Barcelo</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Hansell</surname>
<given-names>A. L.</given-names>
</name>
<name>
<surname>Hayes</surname>
<given-names>E.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Estimating Aspergillus fumigatus Exposure from Outdoor Composting Activities in England between 2005 and 14</article-title>. <source>Waste Manag.</source> <volume>84</volume>, <fpage>235</fpage>&#x2013;<lpage>244</lpage>. <pub-id pub-id-type="doi">10.1016/j.wasman.2018.11.044</pub-id> </citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ziros</surname>
<given-names>P. G.</given-names>
</name>
<name>
<surname>Kokkinos</surname>
<given-names>P. A.</given-names>
</name>
<name>
<surname>Legaki</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Vantarakis</surname>
<given-names>A.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Development of an Optimized Method for the Detection of Airborne Viruses with Real-Time PCR Analysis</article-title>. <source>Virol. J.</source> <volume>8</volume>, <fpage>369</fpage>. <pub-id pub-id-type="doi">10.1186/1743-422X-8-369</pub-id> </citation>
</ref>
</ref-list>
</back>
</article>