scholarly journals Air Quality in Africa: Public Health Implications

2020 ◽  
Vol 42 (1) ◽  
Author(s):  
Asmamaw Abera ◽  
Johan Friberg ◽  
Christina Isaxon ◽  
Michael Jerrett ◽  
Ebba Malmqvist ◽  
...  

This review highlights the importance of air quality in the African urban development process. We address connections between air pollution and ( a) rapid urbanization, ( b) social problems, ( c) health impacts, ( d) climate change, ( e) policies, and (  f ) new innovations. We acknowledge that air pollution levels in Africa can be extremely high and a serious health threat. The toxic content of the pollution could relate to region-specific sources such as low standards for vehicles and fuels, cooking with solid fuels, and burning household waste. We implore the pursuit of interdisciplinary research to create new approaches with relevant stakeholders. Moreover, successful air pollution research must regard conflicts, tensions, and synergies inherent to development processes in African municipalities, regions, and countries. This includes global relationships regarding climate change, trade, urban planning, and transportation. Incorporating aspects of local political situations (e.g., democracy) can also enhance greater political accountability and awareness about air pollution. Expected final online publication date for the Annual Review of Public Health, Volume 42 is April 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Robert J. Laumbach ◽  
Kevin R. Cromar

Unhealthy levels of air pollution are breathed by billions of people worldwide, and air pollution is the leading environmental cause of death and disability globally. Efforts to reduce air pollution at its many sources have had limited success, and in many areas of the world, poor air quality continues to worsen. Personal interventions to reduce exposure to air pollution include avoiding sources, staying indoors, filtering indoor air, using face masks, and limiting physical activity when and where air pollution levels are elevated. The effectiveness of these interventions varies widely with circumstances and conditions of use. Compared with upstream reduction or control of emissions, personal interventions place burdens and risk of adverse unintended consequences on individuals. We review evidence regarding the balance of benefits and potential harms of personal interventions for reducing exposure to outdoor air pollution, which merit careful consideration before making public health recommendations with regard to who should use personal interventions and where, when, and how they should be used. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract As well known, climate change changes weather patterns, producing far-reaching effects on the environment, the economy and society as a whole, endangering global livelihoods, health, food and energy security, and water resources. Climate change, although globally threating to the human population and biocenosis, yet has some positive sides if the unity achieved through the Green Deal (GD) can be named so. It is difficult to prioritize among many present-day challenges and many health threats. This document strongly confirms the path to be navigated. What is the role of health professionals and what is the possible contribution of public health? This European Commission document envisages Europe as the first climate-neutral continent while strengthening its economy, taking care of and improving its inhabitants' health. The GD insists on the care for nature and a clear view that no one should be left out and left behind. This workshop points out that, even we have large regulatory framework on clean air, air pollution in the European Union continues to be the top environmental threat to health, leading to approx. 400,000 early deaths annually and high health costs. Over 20 of the 27 EU countries fail to keep air quality standards, which for key pollutants are already less strict than what the World Health Organization (WHO) recommends. There were several possible scenarios, out of which two were considered: one based on collaboration and the other, on conflict. Several dimensions were examined to address both cooperation instruments and the consequences of non-cooperation: Energy production (e.g., conventional versus renewable) and use; water resources and food security; the environment (air quality) and the impact on health; Population and migration flow. The Energy issues in the world demand new innovative ways of providing us with energy. Innovations sometimes go faster than the health sector can study the disadvantages for health. The burden of disease might change due to new forms of energy. It is important to note that health sector has an opportunity to not only prevent further damage from the air pollution and climate crises, but also to improve health outcomes by decarbonizing, building climate resilience, and amplifying the message around the interdependency between climate change and human health. This workshop will present a framework, co-developed by WHO and Health Care Without Harm, for climate-resilient, sustainable health facilities. Key messages The public health sector should consider the GD as an argument for achieving goals at national levels, and align national public health policies with the goals of this document. Achieving goals requires the education process for healthcare professionals covering all of topics of climate change, energy and air pollution to a much greater extent than before.


2020 ◽  
Vol 9 (8) ◽  
pp. 2351
Author(s):  
Łukasz Kuźma ◽  
Krzysztof Struniawski ◽  
Szymon Pogorzelski ◽  
Hanna Bachórzewska-Gajewska ◽  
Sławomir Dobrzycki

(1) Introduction: air pollution is considered to be one of the main risk factors for public health. According to the European Environment Agency (EEA), air pollution contributes to the premature deaths of approximately 500,000 citizens of the European Union (EU), including almost 5000 inhabitants of Poland every year. (2) Purpose: to assess the gender differences in the impact of air pollution on the mortality in the population of the city of Bialystok—the capital of the Green Lungs of Poland. (3) Materials and Methods: based on the data from the Central Statistical Office, the number—and causes of death—of Białystok residents in the period 2008–2017 were analyzed. The study utilized the data recorded by the Provincial Inspectorate for Environmental Protection station and the Institute of Meteorology and Water Management during the analysis period. Time series regression with Poisson distribution was used in statistical analysis. (4) Results: A total of 34,005 deaths had been recorded, in which women accounted for 47.5%. The proportion of cardiovascular-related deaths was 48% (n = 16,370). An increase of SO2 concentration by 1-µg/m3 (relative risk (RR) 1.07, 95% confidence interval (CI) 1.02–1.12; p = 0.005) and a 10 °C decrease of temperature (RR 1.03, 95% CI 1.01–1.05; p = 0.005) were related to an increase in the number of daily deaths. No gender differences in the impact of air pollution on mortality were observed. In the analysis of the subgroup of cardiovascular deaths, the main pollutant that was found to have an effect on daily mortality was particulate matter with a diameter of 2.5 μm or less (PM2.5); the RR for 10-µg/m3 increase of PM2.5 was 1.07 (95% CI 1.02–1.12; p = 0.01), and this effect was noted only in the male population. (5) Conclusions: air quality and atmospheric conditions had an impact on the mortality of Bialystok residents. The main air pollutant that influenced the mortality rate was SO2, and there were no gender differences in the impact of this pollutant. In the male population, an increased exposure to PM2.5 concentration was associated with significantly higher cardiovascular mortality. These findings suggest that improving air quality, in particular, even with lower SO2 levels than currently allowed by the World Health Organization (WHO) guidelines, may benefit public health. Further studies on this topic are needed, but our results bring questions whether the recommendations concerning acceptable concentrations of air pollutants should be stricter, or is there a safe concentration of SO2 in the air at all.


Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Longjian Liu ◽  
Hui Liu ◽  
Xuan Yang ◽  
Feng Jia ◽  
Mingquan Wang

Introduction and Hypothesis: Stroke is a leading cause of death and the major cause of disability in the world. However, few studies applied multilevel regression techniques to explore the association of stroke risk with climate change and air pollution. In the study, we aimed to test the hypothesis that the disproportionately distributed stroke rates across the counties and cities within a country are significantly associated with air pollution and temperature. Methods: We used data from U.S. 1118 counties in 49 states, which had estimated measures of particulate matter (PM)2.5 for the years 2010-2013, and data from China 120 cities in 32 provinces (including 4 municipalities), which had measures of Air Pollution Index (API) for the years 2012-2013. We assessed the association between air quality and prevalence of stroke using spatial mapping, autocorrelation and multilevel regression models. Results: Findings from the U.S. show that the highest average PM2.5 level was in July (10.2 μg/m3) and the lowest in October (7.63 μg/m3) for the years 2010-2013. Annual average PM2.5 levels were significantly different across the 1118 counties, and were significantly associated with stroke rates. Multilevel regression analysis indicated that the prevalence of stroke significantly increased by 1.19% for every 10 μg/m3 increase of PM2.5 (p<0.001). Significant variability in PM2.5 by states was observed (p=0.019). More than 70% of the variation in stroke rates existed across the counties (p=0.017) and 18.7% existed across the states (p=0.047). In China, the highest API was observed in the month of December, with a result of 75.76 in 2012 and 97.51 in 2013. The lowest API was observed in July, with a result of 51.21 in 2012, and 54.23 in 2013. Prevalence of stroke was significantly higher in cities with higher API concentrations. The associations between air quality and risk of stroke were significantly mediated by temperatures. Conclusions: The study, using nationally representative data, is one of the first studies to address a positive and complex association between air quality and prevalence of stroke, and a potential interaction effect of temperatures on the air - stroke association.


2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Lisa G. Rosas ◽  
Patricia Rodriguez Espinosa ◽  
Felipe Montes Jimenez ◽  
Abby C. King

While there are many definitions of citizen science, the term usually refers to the participation of the general public in the scientific process in collaboration with professional scientists. Citizen scientists have been engaged to promote health equity, especially in the areas of environmental contaminant exposures, physical activity, and healthy eating. Citizen scientists commonly come from communities experiencing health inequities and have collected data using a range of strategies and technologies, such as air sensors, water quality kits, and mobile applications. On the basis of our review, and to advance the field of citizen science to address health equity, we recommend ( a) expanding the focus on topics important for health equity, ( b) increasing the diversity of people serving as citizen scientists, ( c) increasing the integration of citizen scientists in additional research phases, ( d) continuing to leverage emerging technologies that enable citizen scientists to collect data relevant for health equity, and ( e) strengthening the rigor of methods to evaluate impacts on health equity. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.


2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Gonzalo Martínez-Alés ◽  
Tammy Jiang ◽  
Katherine M. Keyes ◽  
Jaimie L. Gradus

Suicide is a major public health concern in the United States. Between 2000 and 2018, US suicide rates increased by 35%, contributing to the stagnation and subsequent decrease in US life expectancy. During 2019, suicide declined modestly, mostly owing to slight reductions in suicides among Whites. Suicide rates, however, continued to increase or remained stable among all other racial/ethnic groups, and little is known about recent suicide trends among other vulnerable groups. This article ( a) summarizes US suicide mortality trends over the twentieth and early twenty-first centuries, ( b) reviews potential group-level causes of increased suicide risk among subpopulations characterized by markers of vulnerability to suicide, and ( c) advocates for combining recent advances in population-based suicide prevention with a socially conscious perspective that captures the social, economic, and political contexts in which suicide risk unfolds over the life course of vulnerable individuals. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.


2015 ◽  
Vol 15 (21) ◽  
pp. 31385-31432
Author(s):  
Y. H. Lee ◽  
D. T. Shindell ◽  
G. Faluvegi ◽  
R. W. Pinder

Abstract. We have investigated how future air quality and climate change are influenced by the US air quality regulations that existed or were proposed in 2013 and a hypothetical climate mitigation policy that reduces 2050 CO2 emissions to be 50 % below 2005 emissions. Using NASA GISS ModelE2, we look at the impacts in year 2030 and 2055. The US energy-sector emissions are from the GLIMPSE project (GEOS-Chem LIDORT Integrated with MARKAL for the Purpose of Scenario Exploration), and other US emissions and the rest of the world emissions are based on the RCP4.5 scenario. The US air quality regulations are projected to have a strong beneficial impact on US air quality and public health in the future but result in positive radiative forcing. Surface PM2.5 is reduced by ~ 2 μg m−3 on average over the US, and surface ozone by ~ 8 ppbv. The improved air quality prevents about 91 400 premature deaths in the US, mainly due to the PM2.5 reduction (~ 74 200 lives saved). The air quality regulations reduces the light-reflecting aerosols (i.e., sulfate and organic matter) more than the light-absorbing species (i.e., black carbon and ozone), leading a strong positive radiative forcing (RF) by both aerosols direct and indirect forcing: total RF is ~ 0.04 W m−2 over the globe; ~ 0.8 W m−2 over the US. Under the hypothetical climate policy, future US energy relies less on coal and thus SO2 emissions are noticeably reduced. This provides air quality co-benefits, but it leads to climate dis-benefits over the US. In 2055, the US mean total RF is +0.22 W m−2 due to positive aerosol direct and indirect forcing, while the global mean total RF is −0.06 W m−2 due to the dominant negative CO2 RF (instantaneous RF). To achieve a regional-scale climate benefit via a climate policy, it is critical (1) to have multi-national efforts to reduce GHGs emissions and (2) to target emission reduction of light-absorbing species (e.g., BC and O3) on top of long-lived species. The latter is very desirable as the resulting climate benefit occurs faster and provides co-benefits to air quality and public health.


2020 ◽  
Author(s):  
Andrew J McDonald ◽  
Balwinder-Singh ◽  
M.L. Jat ◽  
Peter Craufurd ◽  
Jon Hellin ◽  
...  

Emerging evidence supports the intuitive link between chronic health conditions associated with air pollution and the vulnerability of individuals and communities to COVID-19. Poor air quality already imposes a highly significant public health burden in Northwest India, with pollution levels spiking to hazardous levels in November and early December when rice crop residues are burned. The urgency of curtailing the COVID-19 pandemic and mitigating a potential resurgence later in the year provides even more justification for accelerating efforts to dramatically reduce open agricultural burning in India.


Author(s):  
Aneri A. Desai

In Indian metropolitan cities, the extensive growth of the motor vehicles has resulted in the deterioration of environmental quality and human health. The concentrations of pollutants at major traffic areas are exceeding the permissible limits. Public are facing severe respiratory diseases and other deadly cardio-vascular diseases In India. Immediate needs for vehicular air pollution monitoring and control strategies for urban cities are necessary. Vehicular emission is the main source of deteriorating the ambient air quality of major Indian cities due to rapid urbanization. Total vehicular population is increased to 15 Lacks as per recorded data of Regional Transport Organization (RTO) till 2014-2015. This study is focused on the assessment of major air pollution parameters responsible for the air pollution due to vehicular emission. The major air pollutants responsible for air pollution due to vehicular emissions are PM10, PM2.5, Sox, Nox, HC, CO2 and CO and Other meterological parameters like Ambient temperature, Humidity, Wind direction and Wind Speed. Sampling and analysis of parameters is carried out according to National Ambient Air Quality Standards Guidelines (NAAQS) (2009) and IS 5128.


2021 ◽  
Vol 41 (1) ◽  
Author(s):  
W. Philip T. James

After I studied medicine, my career took an early and unusual course when I was offered a clinical research post in Jamaica dealing with childhood malnutrition, of which I knew nothing. My subsequent nutritional explorations allowed gastrointestinal and metabolic analyses to have an impact on several public health policies. The biggest challenges came from unexpected political demands: coping with poor school performers in the Caribbean; addressing UK public health initiatives in health education; breaking the siege of Sarajevo; developing a Food Standards Agency as a sudden need for Tony Blair as incoming prime minister; dealing with widespread bovine spongiform encephalopathy in Europe; and responding to a United Nations request to assess global malnutrition. This last task revealed the need for a lifelong approach to nutrition, which also encompassed pregnancy. But perhaps the biggest challenge was establishing the criteria for obesity assessment, management, and prevention for policy makers across the globe. Expected final online publication date for the Annual Review of Nutrition, Volume 41 is September 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.


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