scholarly journals Accountability studies of air pollution and health effects: lessons learned and recommendations for future natural experiment opportunities

2017 ◽  
Vol 100 ◽  
pp. 62-78 ◽  
Author(s):  
David Q. Rich
2017 ◽  
Vol 68 (4) ◽  
pp. 841-846
Author(s):  
Hai-Ying Liu ◽  
Daniel Dunea ◽  
Mihaela Oprea ◽  
Tom Savu ◽  
Stefania Iordache

This paper presents the approach used to develop the information chain required to reach the objectives of the EEA Grants� RokidAIR project in two Romanian cities i.e., Targoviste and Ploiesti. It describes the PM2.5 monitoring infrastructure and architecture to the web-based GIS platform, the early warning system and the decision support system, and finally, the linking of air pollution to health effects in children. In addition, it shows the analysis performance of the designed system to process the collected time series from various data sources using the benzene concentrations monitored in Ploiesti. Moreover, this paper suggests that biomarkers, mobile technologies, and Citizens� Observatories are potential perspectives to improve data coverage by the provision of near-real-time air quality maps, and provide personal exposure and health assessment results, enabling the citizens� engagement and behavioural change. This paper also addresses new fields in nature-based solutions to improve air quality, and studies on air pollution and its mental health effects in the urban areas of Romania.


Author(s):  
Mario Coccia

BACKGROUND Coronavirus disease 2019 (COVID-19) is viral infection that generates a severe acute respiratory syndrome with serious pneumonia that may result in progressive respiratory failure and death. OBJECTIVE This study has two goals. The first is to explain the main factors determining the diffusion of COVID-19 that is generating a high level of deaths. The second is to suggest a strategy to cope with future epidemic threats with of accelerated viral infectivity in society. METHODS Correlation and regression analyses on on data of N=55 Italian province capitals, and data of infected individuals at as of April 2020. RESULTS The main results are: o The accelerate and vast diffusion of COVID-19 in North Italy has a high association with air pollution. o Hinterland cities have average days of exceeding the limits set for PM10 (particulate matter 10 micrometers or less in diameter) equal to 80 days, and an average number of infected more than 2,000 individuals as of April 1st, 2020, coastal cities have days of exceeding the limits set for PM10 equal to 60 days and have about 700 infected in average. o Cities that average number of 125 days exceeding the limits set for PM10, last year, they have an average number of infected individual higher than 3,200 units, whereas cities having less than 100 days (average number of 48 days) exceeding the limits set for PM10, they have an average number of about 900 infected individuals. o The results reveal that accelerated transmission dynamics of COVID-19 in specific environments is due to two mechanisms given by: air pollution-to-human transmission and human-to-human transmission; in particular, the mechanisms of air pollution-to-human transmission play a critical role rather than human-to-human transmission. o The finding here suggests that to minimize future epidemic similar to COVID-19, the max number of days per year in which cities can exceed the limits set for PM10 or for ozone, considering their meteorological condition, is less than 50 days. After this critical threshold, the analytical output here suggests that environmental inconsistencies because of the combination between air pollution and meteorological conditions (with high moisture%, low wind speed and fog) trigger a take-off of viral infectivity (accelerated epidemic diffusion) with damages for health of population, economy and society. CONCLUSIONS Considering the complex interaction between air pollution, meteorological conditions and biological characteristics of viral infectivity, lessons learned for COVID-19 have to be applied for a proactive socioeconomic strategy to cope with future epidemics, especially an environmental policy based on reduction of air pollution mainly in hinterland zones of countries, having low wind speed, high percentage of moisture and fog that create an environment that can damage immune system of people and foster a fast transmission of viral infectivity similar to the COVID-19. CLINICALTRIAL not applicable


2021 ◽  
Vol 150 ◽  
pp. 106424 ◽  
Author(s):  
Juma Orach ◽  
Christopher F. Rider ◽  
Christopher Carlsten
Keyword(s):  

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Peter D. Sly ◽  
Brittany A. Trottier ◽  
Catherine M. Bulka ◽  
Stephania A. Cormier ◽  
Julius Fobil ◽  
...  

Abstract Background An unusual feature of SARS-Cov-2 infection and the COVID-19 pandemic is that children are less severely affected than adults. This is especially paradoxical given the epidemiological links between poor air quality and increased COVID-19 severity in adults and that children are generally more vulnerable than adults to the adverse consequences of air pollution. Objectives To identify gaps in knowledge about the factors that protect children from severe SARS-Cov-2 infection even in the face of air pollution, and to develop a transdisciplinary research strategy to address these gaps. Methods An international group of researchers interested in children’s environmental health was invited to identify knowledge gaps and to develop research questions to close these gaps. Discussion Key research questions identified include: what are the effects of SAR-Cov-2 infection during pregnancy on the developing fetus and child; what is the impact of age at infection and genetic susceptibility on disease severity; why do some children with COVID-19 infection develop toxic shock and Kawasaki-like symptoms; what are the impacts of toxic environmental exposures including poor air quality, chemical and metal exposures on innate immunity, especially in the respiratory epithelium; what is the possible role of a “dirty” environment in conveying protection – an example of the “hygiene hypothesis”; and what are the long term health effects of SARS-Cov-2 infection in early life. Conclusion A concerted research effort by a multidisciplinary team of scientists is needed to understand the links between environmental exposures, especially air pollution and COVID-19. We call for specific research funding to encourage basic and clinical research to understand if/why exposure to environmental factors is associated with more severe disease, why children appear to be protected, and how innate immune responses may be involved. Lessons learned about SARS-Cov-2 infection in our children will help us to understand and reduce disease severity in adults, the opposite of the usual scenario.


2021 ◽  
Author(s):  
Yuxin Zhao ◽  
Xingqin An ◽  
Zhaobin Sun ◽  
Yi Li ◽  
Qing Hou
Keyword(s):  

2018 ◽  
Vol 18 (1) ◽  
pp. 365-381 ◽  
Author(s):  
Geert Jan van Oldenborgh ◽  
Sjoukje Philip ◽  
Sarah Kew ◽  
Michiel van Weele ◽  
Peter Uhe ◽  
...  

Abstract. On 19 May 2016 the afternoon temperature reached 51.0 °C in Phalodi in the northwest of India – a new record for the highest observed maximum temperature in India. The previous year, a widely reported very lethal heat wave occurred in the southeast, in Andhra Pradesh and Telangana, killing thousands of people. In both cases it was widely assumed that the probability and severity of heat waves in India are increasing due to global warming, as they do in other parts of the world. However, we do not find positive trends in the highest maximum temperature of the year in most of India since the 1970s (except spurious trends due to missing data). Decadal variability cannot explain this, but both increased air pollution with aerosols blocking sunlight and increased irrigation leading to evaporative cooling have counteracted the effect of greenhouse gases up to now. Current climate models do not represent these processes well and hence cannot be used to attribute heat waves in this area. The health effects of heat are often described better by a combination of temperature and humidity, such as a heat index or wet bulb temperature. Due to the increase in humidity from irrigation and higher sea surface temperatures (SSTs), these indices have increased over the last decades even when extreme temperatures have not. The extreme air pollution also exacerbates the health impacts of heat. From these factors it follows that, from a health impact point of view, the severity of heat waves has increased in India. For the next decades we expect the trend due to global warming to continue but the surface cooling effect of aerosols to diminish as air quality controls are implemented. The expansion of irrigation will likely continue, though at a slower pace, mitigating this trend somewhat. Humidity will probably continue to rise. The combination will result in a strong rise in the temperature of heat waves. The high humidity will make health effects worse, whereas decreased air pollution would decrease the impacts.


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