This article reviews the findings of recent research programs and atte
mpts to present an update of our current understanding about human exp
osures to particle strong acidity IPSA). This review tells the key ste
ps in our recent progress, such as aerosol chemistry and physics, impr
ovements in samplers and measurement techniques, increases in the data
bases, and exposure assessments. Remedying an earlier paucity in direc
t measurements of PSA, there has been a great increase in the database
from several recent field studies. These studies have shown that wher
e appreciable PSA exists, virtually all exposures occur in the warmer
months, and the highest PSA levels are specifically associated with su
mmertime, regional stagnation periods. Frequently, PSA episodes are co
incident with photochemical smog and high ozone levels, although the c
onverse is not always the case. A number of new studies have shown tha
t the effect of the indoors on human exposures to PSA is entirely prot
ective. That is, there are rarely important sources indoors, and most
factors affecting the indoor air quality lead to attenuation or PSA le
vels. While sulfate aerosol effectively infiltrates from outdoors, the
strong acid portion is largely neutralized by ammonia present indoors
. The chemical, physical, and phenomenological vagaries of PSA in the
human environment are such that absolute exposures cannot be predicted
by outdoor data alone. Personal (i.e., breathing zone/exposures are f
ound to fall between measured outdoor and indoor values. Because of lo
w indoor PSA concentrations and the higher activity individuals sustai
n while outdoors, even for relatively a minor part of the day, time sp
ent outdoors may be the chief determinant of personal dose. Time/activ
ity-weighted models of indoor and outdoor concentrations give better e
stimates of personal exposures, compared to outdoor concentrations alo
ne. However, they currently fall short of providing accurate predictio
ns of personal exposure. There remains problems in determining the mos
t appropriate exposure metric for epidemiological investigations.