Novel 2019-coronavirus on new year's Eve

An ongoing apocalyptic outbreak of a new virus causing pneumonia-like clusters in Wuhan city, China, has gleamed the world. The outbreak, confirmed on the New Year's Eve 2020, has known no boundaries since then. The number has surpassed that of Severe Acute Respiratory Syndrome (SARS) and Middle East respiratory syndrome (MERS), and is uninterruptedly escalating. Being an RNA virus, it has a propensity to mutate due to the low proofreading capacity of RNA-dependent RNA polymerase. Step-wise mutations have led to the gradual spillover of virus and after crossing the inter-species interface, the virus has adapted itself for a stable human-to-human transmission. The disease caused by severe acute respiratory syndrome coronavirus (CoV)-2 (SARS-CoV-2) can prove deadlier if the so-called 'super-spreading events' emerge with time. Recent research has shown the maximum homology of 99% of SARS-CoV-2 to pangolins associated coronavirus, owing to which these can serve as potential intermediate host. India is responding swiftly to the emergency situation, and the whole of the country is under lockdown since 25 March 2020, to ensure social distancing. All the international flights are padlocked and the travellers are being screened at airports and seaports via thermal sensors, and quarantine for a period of 14 days is recommended. Three hundred and forty-five patients across the country tested positive with six fatalities as of 22 March 2020. No specific anti-CoV drugs are currently available. Patients are being treated with protease drugs are inhibitors, remdesivir, chloroquine, angiotensin-converting enzyme 2 inhibitors, ivermectin, sarilumab and tocilizumab, though none of these is Food and Drug Administration approved and are undergoing trials. Preventive measures such as social distancing, quarantine, cough etiquettes, proper hand washing, cleaning and decontaminating the surfaces are the mainstay for curbing the transmission of this virus. The present review highlights the update of novel SARS-CoV-2 in context to the Indian scenario.

Prevalence and genetic analysis of thalassemia in neonates in Wuhan area: a national megacity in central China

BACKGROUND

Thalassemia is one of the most common genetic diseases in southern China. Accurate population frequency data regarding the occurrence and distribution of thalassemia is important for designing appropriate prevention strategies of thalassemia.

OBJECTIVE

The aim of this study is to reveal the prevalence and the mutation spectrum of thalassemia in neonates in the Wuhan region of central China.

METHODS

About 3796 neonates in Wuhan area of China were analyzed by hematological and genetic analysis.

RESULTS

About 2174 subjects were genetically diagnosed as thalassemia carriers or patients, including 1415 cases of α-thalassemia (65.89%), 731 cases of β-thalassemia (33.62%), and 28 cases of α-composite β-thalassemia (1.29%). A total of 11 genotypes and 6 gene mutations were identified in α-thalassemia anomalies, with -^SEA/deletion (50.72%), -α^3.7/deletion (36.36%), and -α^4.2/deletion (7.38%) being the most common α-thalassemia mutations. β-thalassemia anomalies were associated with 17 genotypes and 12 gene mutations; IVS-2-654 mutation was the most common (41.18%), followed by CD41-42 (23.14%), CD17 (14.64%), CD26 (7.32%), and CD27-28 (4.58%) mutations. In addition, 13 genotypes were identified in α-composite β-thalassemia in thalassemia carrier, with the top six genotypes being IVS-2-654/N/-^SEA/αα (17.86%), CD17/N/-α^3.7/αα (17.86%), IVS-2-654/N/-α^3.7/αα (14.29%), CD41-42/N/-^SEA/αα (10.71%), CD71-72/N/-α^3.7/αα (7.14%), and Cap/N/-^SEA/αα (7.14%).

CONCLUSION

There was high heterogeneity and extensive spectrum of thalassemia in the neonates in Wuhan populations. The findings will be useful for genetic counseling and prenatal diagnosis of thalassemia in the Wuhan region.

Evaluating Ecosystem Services Supply and Demand Dynamics and Ecological Zoning Management in Wuhan, China

The concept of ecosystem services (ES) supply and demand has attracted increasing attention in science and policy making because it effectively links ecosystem services to human well-being. The imbalance of ES supply and demand in urban areas has become a key issue in regional sustainable development. In this context, we calculated ES supply and demand for Wuhan City, China, using the ES supply and demand ratio (ESDR) and the comprehensive ES supply–demand ratio (CESDR) to express the relationship between ES supply and demand. Ecological zoning was proposed according to the spatial differentiation of the ES supply–demand relationship, and policy recommendations are made. The results show that from the perspective of total ES supply and demand, the water yield supply (S_WY), grain yield supply (S_GY), and recreation services supply (S_RS) are greater than the water yield demand (D_WY), grain yield demand (D_GY), and recreation services demand (D_RS), and that the climate regulation supply (S_CR) is less than the climate regulation demand (D_CR). From a spatial perspective, there are imbalances and mismatches in ES supply and demand, especially in urban central areas. The values of S_WY, S_GY, S_CS, and S_RS per unit area are less than their respective demand values, and the area of mismatch has expanded with the gradual increase of the built-up area. The spatial pattern of ES supply and demand is circular, with the form of “deficit zone–relative equilibrium zone–surplus zone”, which corresponds to “urban central area–near suburbs–distant suburbs and rural areas”.

Characteristics of one-year observation of VOCs, NOx, and O3 at an urban site in Wuhan, China

A continuous online observation of ozone and its precursors (NOx, VOCs) was carried out in central urban Wuhan from September 2016 to August 2017. The concentration levels of ozone, NOx, VOCs and their variations in urban Wuhan were analyzed, as well as effects of VOCs on ozone photochemical generation and the main controlling factors for ozone production. During the observation period, the average concentrations of ozone and NOx in Wuhan was 22.63 and 30.14 ppbv, respectively, and the average concentration of VOCs was 32.61 ppbv (42.3% alkanes, 13.0% alkenes, 10.0% aromatics, 7.3% acetylene, 9.9% OVOCs, and 10.5% halohydrocarbons). Ozone concentration was higher in spring and summer as compared with autumn and winter, wheras VOCs and NOx concentratios were lower in spring and summer but higher in autumn and winter. Aromatics and alkenes, two of VOCs species, showed the highest contributions to ozone formation potential in Wuhan (35.7% alkenes, 35.4 aromatics, 17.5% alkanes, 8.6% OVOCs, 1.6% halogenated hydrocarbons, and 1.4% acetylene). Among all VOCs species, those with the highest contribution were ethylene, m-xylene, toluene, propylene and o-xylene. The contribution of these five compounds to the total ozone formation potential concentration was 43.90%. Ozone-controlling factors in Wuhan changed within one day; during the early morning hours (6:00-9:00), VOCs/NOx was low, and ozone generation followed a VOCs-limited regime. However, during the peak time of ozone concentration (12:00-16:00), the ratio of VOCs/NOx was relatively high, suggesting that ozone generation followed a NOx-limited regime.

Analysis of the alcohol drinking behavior and influencing factors among emerging adults and young adults: a cross-sectional study in Wuhan, China

BACKGROUND

The relationship between alcohol use in adolescents and young adults and outcomes has not been widely researched in China. The aim of the current study was to understand the current status of drinking behavior of Chinese youth transitioning into adulthood.

METHODS

The cross-sectional study included 1634 participants between 18 and 34 years of age. The participants were randomly chosen from 13 administrative districts in Wuhan, and invited to complete a questionnaire. Univariate analysis was performed to describe the demographic distribution of alcohol consumption and the association with drinking status. Stepwise Logistic regression analysis was undertaken analyzing the factors influencing the drinking behaviors. The data were weighted to the population in Wuhan and analyzed using SAS version 9.3.

RESULTS

For our sample of emerging and young Chinese adults the prevalence of drinking alcohol was 45.84%. The non-drinkers predominated, accounting for 54.16% and light drinkers accounted for 42.94%, while moderate and heavy drinkers were in the minority (2.90%). The earlier the age of first alcohol drinking or the age of first being intoxicated, the greater the likelihood of being a moderate or heavy drinker. People with high emerging adulthood were more likely to have moderate or heavy drinking behaviors. The logistic regression analysis indicated that heavy drinkers were more likely to not be married and to be classified as high emerging adulthood.

CONCLUSIONS

Our findings suggested that the drinking pattern should be further evaluated over time to explore the ways in which social and cultural factors shape the drinking route of this age group. Effective drinking behavior prevention and interventions and appropriate guidance should be formulated to establish an appropriate attitude towards drinking alcohol and develop a drinking behavior which is conducive to physical and mental health between this particular demographic.

Clusters of alcohol abstainers and drinkers incorporating motives against drinking: a random survey of 18 to 30 year olds in four cities in four different continents

Objective

The aim of this analysis was to identify alcohol consumption clusters for adolescents and early adults according to attitudes to drinking, motivations against drinking and perceptions associated with alcohol.

Method

Interviews were undertaken with people aged 18–34 years old living in four cities in different regions of the world. Multistage random sampling was consistent across the four cities (Ilorin (Nigeria), Wuhan (China), Montevideo (Uruguay) and Moscow (Russia)). The questionnaire was forward and back translated into relevant languages and face-to-face interviewing undertaken. The data were weighted to the population of each city. In total 6235 structured interviews were undertaken (1391 in Ilorin, 1600 in Montevideo, 1604 in Moscow and 1640 in Wuhan). Questions regarding motivation against alcohol consumption (14 items), assessing perceptions (3 items) and attitudes to drinking in certain situations (8 items) were asked of all respondents including abstainers. Factor analysis was initially undertaken to identify highly related correlated variables.

Results

Cluster analysis provided a variety of clusters (Ilorin (3 clusters), Montevideo (5), Moscow (4) and Wuhan (4)). At least one cluster in each city was dominated by abstainers and another by heavy episodic drinkers. Variations by city and alcohol consumption patterns existed in regards to variables included.

Conclusion

This analysis detailed the city specific motivations against drinking alcohol, and the attitudes towards alcohol consumption. Differences highlight the influence of country/city specific culture, customs, laws, societal norms and traditions.

Assessing Heavy Episodic Drinking: A Random Survey of 18 to 34-Year-Olds in Four Cities in Four Different Continents

Background: Heavy episodic drinking (HED) can have health and social consequences. This study assesses the associations between HED and demographic, socioeconomic, motivation and effects indicators for people aged 18–34 years old living in four cities in different regions of the world. Method: Multistage random sampling was consistent across the four cities (Ilorin (Nigeria), Wuhan (China), Montevideo (Uruguay) and Moscow (Russia)). The questionnaire was forward/back translated and face-to-face interviewing was undertaken. A total of 6235 interviews were undertaken in 2014. Separate univariable and multivariable modelling was undertaken to determine the best predictors of HED. Results: HED prevalence was 9.0%. The best predictors differed for each city. The higher probability of HED in the final models included beliefs that they have reached adulthood, feeling relaxed as an effect of drinking alcohol, and forgetting problems as an effect of drinking alcohol. Lower probability of HED was associated with not being interested in alcohol as a reason for limiting alcohol, and the belief that drinking alcohol is too expensive or a waste of money. Conclusion: Although some indicators were common across the four cities, the variables included in the final models predominantly differed from city to city. The need for country-specific prevention and early intervention programs are warranted.

Concentrations, Distribution, Sources and Ecological Risk Assessment of Trace Elements in Soils from Wuhan, Central China

This study aimed to determine the concentration levels, potential sources and ecological risks of eleven trace elements, namely Cr, Fe, Co, Ni, Cu, As, Sb, Cd, Zn, Hg and Pb, in the soil from Huangpi district, Wuhan, Central China. Soil samples were collected from eighteen sites at soil depths of 1–10 and 10–20 cm and analyzed using Inductively Coupled Plasma-Mass Spectrometer ICP-MS (Thermo X SERIES 2, Scientific and Innovative Technology Co. Ltd., Beijing, China). The recorded mean concentration of the elements were in a decreasing order of Fe > Co > Cr > Ni > Pb > Cu > As > Cd > Sb > Zn > Hg. The mean concentration of trace elements, soil pH and total organic carbon (TOC) were higher at a soil depth of 1–10 cm. The obtained mean concentration of Cr, Co, As, Cd, Ni, Cu, Hg and Pb were above the soil background values of Wuhan and Hubei Province. The mean concentration values of Co, Ni and Cd, exceeded the recommended FAO (Food and Agriculture Organization)/ISRIC (International Soil Reference and Information Centre) (2004) and WHO/FAO (2001) values. Pearson’s correlation analysis illustrated that there was a strong and significant correlation between trace elements, whereas, a weak positive and negative correlation between elements and soil properties (pH and TOC). The principal component analysis (PCA) and cluster analysis (CA) result indicated that the concentration of trace elements in Huangpi soil were originated from anthropogenic sources. Potential ecological risk index (RI) of this study revealed that there is a high ecological risk of trace elements in the soil. Enrichment factor (EF) and geo-accumulation index (I_geo) of trace elements for this study indicated that the study area is strongly contaminated with Cd and Co. Generally, the finding of this research showed that Huangpi soil is contaminated.

Concentrations of organochlorine pesticides in cord serum of newborns in Wuhan, China

Organochlorine pesticides (OCPs) had been widely used in China before they were banned decades ago due to the concern of the toxicology to human. Previous reports showed that OCPs were still often detectable in human bodies. However, there is limited study concerning the body burden of OCPs in infants and fetus in China. In this study, the prenatal exposure to OCPs was evaluated by measuring OCPs in cord serum. A total of 1046 cord serum samples were collected in Wuhan during 2014 and 2015, and analyzed for the concentrations of hexachlorocyclohexanes (HCHs), dichlorodiphenyltrichloroethanes (DDTs), dichlorodiphenyldichloroethanes (DDDs) and dichlorodiphenyldichloroethylenes (DDEs) by using gas chromatography-tandem mass spectrometry (GC-MS/MS). The median levels of ∑HCHs and ∑DDTs were 10.1 ng/g lipid (with the range from <LOD to 1910 ng/g lipid) and 35.5 ng/g lipid (with the range from 0.18 to 11,100 ng/g lipid), respectively. β-HCH and p,p'-DDE were found to be the major OCPs presenting in the cord serum samples. A minor positive association between the serum levels of α-HCH and β-HCH was observed, and the concentrations of o,p'- and p,p'-DDT isomers were found positively associated. The OCP exposure levels obtained in this study were comparable to those data from other areas in China and much lower than some of highly polluted countries. The prenatal exposure to OCPs would be of concern since fetuses were more vulnerable than adults and the cord serum is an accurate non-invasive matrix for monitoring of prenatal exposure.

Effects of urban form on the urban heat island effect based on spatial regression model

The urban heat island (UHI) effect is becoming more of a concern with the accelerated process of urbanization. However, few studies have examined the effect of urban form on land surface temperature (LST) especially from an urban planning perspective. This paper used spatial regression model to investigate the effects of both land use composition and urban form on LST in Wuhan City, China, based on the regulatory planning management unit. Landsat ETM+ image data was used to estimate LST. Land use composition was calculated by impervious surface area proportion, vegetated area proportion, and water proportion, while urban form indicators included sky view factor (SVF), building density, and floor area ratio (FAR). We first tested for spatial autocorrelation of urban LST, which confirmed that a traditional regression method would be invalid. A spatial error model (SEM) was chosen because its parameters were better than a spatial lag model (SLM). The results showed that urban form metrics should be the focus for mitigation efforts of UHI effects. In addition, analysis of the relationship between urban form and UHI effect based on the regulatory planning management unit was helpful for promoting corresponding UHI effect mitigation rules in practice. Finally, the spatial regression model was recommended to be an appropriate method for dealing with problems related to the urban thermal environment. Results suggested that the impact of urbanization on the UHI effect can be mitigated not only by balancing various land use types, but also by optimizing urban form, which is even more effective. This research expands the scientific understanding of effects of urban form on UHI by explicitly analyzing indicators closely related to urban detailed planning at the level of regulatory planning management unit. In addition, it may provide important insights and effective regulation measures for urban planners to mitigate future UHI effects.

Suspect screening and target quantification of human pharmaceutical residues in the surface water of Wuhan, China, using UHPLC-Q-Orbitrap HRMS

In this study we developed a systematic method for suspect screening and target quantification of the human pharmaceutical residues in water, via solid phase extraction (SPE) followed by liquid chromatography-high resolution mass spectrometry (LC-HRMS). We then proceeded to study the occurrences and distribution of the pharmaceuticals in the surface waters of Wuhan, China, by analyzing water samples from lakes, rivers and municipal sewage. Initially, 33 human pharmaceuticals were identified from East Lake without using purchasing standards. Of these, 29 were later confirmed by using standards, and quantified using the aforementioned SPE pretreatment method and LC-HRMS analysis in full MS scan mode. The 29 compounds included 8 antibiotics, 9 metabolites, and 12 miscellaneous pharmaceuticals. The highest proportions of pharmaceutical residues were detected downstream of the Yangtze River and in the lakes close to the central city. Metformin, cotinine, and trans-3-hydroxy cotinine, were frequently encountered in all the surface water samples. High concentrations (>120 ng/l) of caffeine, metformin, theobromine, and valsartan were detected in the surface water samples; the removal rates of these compounds in the municipal sewage treatment plant were also high. In contrast, although the concentrations of 4-AAA and metoprolol acid in the surface water were high, the removal rates of these residues in the sewage treatment plant were low.

Study on Urban Heat Island Intensity Level Identification Based on an Improved Restricted Boltzmann Machine

Thermal infrared remote sensing has become one of the main technology methods used for urban heat island research. When applying urban land surface temperature inversion of the thermal infrared band, problems with intensity level division arise because the method is subjective. However, this method is one of the few that performs heat island intensity level identification. This paper will build an intensity level identifier for an urban heat island, by using weak supervision and thought-based learning in an improved, restricted Boltzmann machine (RBM) model. The identifier automatically initializes the annotation and optimizes the model parameters sequentially until the target identifier is completed. The algorithm needs very little information about the weak labeling of the target training sample and generates an urban heat island intensity spatial distribution map. This study can provide reliable decision-making support for urban ecological planning and effective protection of urban ecological security. The experimental results showed the following: (1) The heat island effect in Wuhan is existent and intense. Heat island areas are widely distributed. The largest heat island area is in Wuhan, followed by the sub-green island. The total area encompassed by heat island and strong island levels accounts for 54.16% of the land in Wuhan. (2) Partially based on improved RBM identification, this method meets the research demands of determining the spatial distribution characteristics of the internal heat island effect; its identification accuracy is superior to that of comparable methods.

Source tagging modeling study of heavy haze episodes under complex regional transport processes over Wuhan megacity, Central China

Wuhan as a megacity of Central China was suffering from severe particulate matter pollution according to previous observation studies, however, the mechanism behind the pollution formation especially the impact of regional chemical transport is still unclear. This study, carried out on the Nested Air Quality Prediction Modeling System (NAQPMS) coupled with an on-line source-tagging module, explores different roles regional transport had in two strong haze episodes over Wuhan in October 2014 and quantitatively assesses the contributions from local and regional sources to PM_2.5 concentration. Validation of predictions based on observations shows modeling system good skills in reproducing key meteorological and chemical features. The first short-time haze episode occurred on 12 October under strong northerly winds, with a hourly PM_2.5 peak of 180 μg m^-3, and was found to be caused primarily by the long-range transport from the northern regions, which contributed 60.6% of the episode's PM_2.5 concentration (versus a total of 32.7% from sources in and near Wuhan). The second episode lasted from the 15-20 October under stable regional large-scale synoptic conditions and weak winds, and had an hourly PM_2.5 peak of 231.0 μg m^-3. In this episode, both the long-distance transport from far regions and short-range transport from the Wuhan-cluster were the primary causes of the haze episode and account for 24.8% and 29.2% of the PM_2.5 concentration respectively. Therefore, regional transport acts as a crucial driver of haze pollution over Wuhan through not only long-range transfer of pollutants, but also short-range aerosol movement under specific meteorological conditions. The present findings highlight the important role of regional transport in urban haze formation and indicate that the joint control of multi city-clusters are needed to reduce the particulate pollution level in Wuhan.

Microplastics pollution in inland freshwaters of China: A case study in urban surface waters of Wuhan, China

Microplastics have been considered as an emerging pollutant in the aquatic environment. However, research about microplastic pollution in inland freshwaters of China is insufficient. The present study investigated the levels of microplastics in surface water of 20 urban lakes and urban reaches of the Hanjiang River and Yangtze River of Wuhan, the largest city in central China. Microplastic concentrations ranged from 1660.0±639.1 to 8925±1591n/m³ for the studied waters, with the highest concentration found in Bei Lake. Microplastic abundance in lakes varied markedly in space, and negatively correlated with the distance from the city center (p<0.001), which confirmed the important role of anthropogenic factors in microplastic distribution. Urban reaches of the Hanjiang River and Yangtze River were found to have relatively lower levels of microplastics than most of the studied lakes. The major type of microplastics among the studied waters was colored plastic, with fiber being the most frequent shape. More than 80% of microplastics in number had a size of <2mm. Polyethylene terephthalate and polypropylene were the dominant polymer-types of microplastics analyzed. This study provided important reference for better understanding microplastic levels in inland freshwaters.

Ambient air pollution and preterm birth: A prospective birth cohort study in Wuhan, China

IMPORTANCE

Although studies in western countries suggest that ambient air pollution is positively associated with adverse pregnancy outcomes, the upper levels of pollutant exposures have been relatively low, thus eroding confidence in the conclusions. Meanwhile, in Asia, where upper levels of exposure have been greater, there have been limited studies of the association between air pollution and adverse pregnancy outcomes.

OBJECTIVE

The primary objective was to evaluate whether high levels of pollution, including particulate matter pollution with a mass median aerodynamic diameter of less than 2.5 μm (PM2.5) and 10 μm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and carbon monoxide (CO) are related to increased occurrence of preterm birth (PTB).

METHODS

We conducted a population-based study in Wuhan, China in a cohort of 95,911 live births during a two-year period from 2011 to 2013. The exposure was estimated based on daily mean concentrations of pollutants estimated using the pollutants' measurements from the nine closest monitors. Logistic regressions were performed to determine the relationships between exposure to each of the pollutants during different pregnancy periods and PTB while controlling for key covariates.

RESULTS

We found 3% (OR=1.03; 95% CI: 1.02, 1.05), 2% (OR=1.02; 95% CI: 1.02, 1.03), 15% (OR=1.15; 95% CI: 1.11, 1.19), and 5% (OR=1.05; 95% CI: 1.02, 1.07) increases in risk of PTB with each 5-μg/m(3) increase in PM2.5 and PM10 concentrations, 100-μg/m(3) increase in CO concentrations, and 10-μg/m(3) increase in O3 concentrations, respectively. There was negligible evidence for associations for SO2 and NO2. The effects from two-pollutant models were similar to the estimated effects from single pollutant models. No critical exposure windows were identified consistently: the strongest effect for PTB was found in the second trimester for PM2.5, PM10, and CO, but for SO2 it was in the first trimester, second month, and third month. For NO2 it was in the first trimester and second month, and for O3, the third trimester.

CONCLUSION

Findings reveal an association between air pollutants and PTB. However, more toxicological studies and prospective cohort studies with improved exposure assessments are needed to establish causality related to specific pollutants.

Concentrations, bioaccumulation, and human health risk assessment of organochlorine pesticides and heavy metals in edible fish from Wuhan, China

The objective of this study was to determine concentration and bioaccumulation of organochlorine pesticides and heavy metals in edible fish from Wuhan, China, in order to assess health risk to the human via fish consumption. Two edible fish species (Aristichthys nobilis and Hypophthalmichthys molitrix) were collected and analyzed for 11 organochlorine pesticides (OCPs) and eight heavy metals (HMs). Concentrations of ∑HCHs, ∑DDTs, and ∑OCPs in fish samples were in the range of 0.37-111.20, not detected (nd)-123.61, and 2.04-189.04 ng g(-1) (wet weight), respectively. Bioaccumulation factors (BAFs) of OCPs in bighead carp (A. nobilis) were higher than those in silver carp (H. molitrix). Concentrations of ∑HMs in bighead carp and silver carp were 352.48 and 345.20 mg kg(-1) (dw), respectively. Daily exposure of OCPs and HMs for consumers was estimated by comparing estimated daily intake (EDI) with different criteria. The results revealed that the EDIs in our study were all lower than those criteria. Target hazard quotient (THQ) and risk ratio (R) were used to evaluate non-carcinogenic and carcinogenic risks, respectively. As regard to non-carcinogenic effects of the contaminants, hazard quotients (THQ) of OCPs and HMs were both lower than 1.0, implying negligible non-carcinogenic risk via fish consumption in study area. Nevertheless, in view of carcinogenic effects of the contaminants, the total value of risk ratio (R) of OCPs was lower than the threshold of tolerable risk while the total value of risk ratio (R) of HMs was higher than the threshold of tolerable risk due to the high carcinogenic risk ratios of As and Cr, indicating high carcinogenic risks via fish consumption. The results demonstrated that HMs in edible fish from Wuhan, China, especially As and Cr required more attention than OCPs.

Seasonal variations and chemical characteristics of PM(2.5) in Wuhan, central China

PM2.5 samples were collected at an urban site (WD) and a suburban site (TH) in Wuhan from August 2012 to July 2013. The mass concentrations of water-soluble inorganic ions, carbonaceous species and elements of PM2.5 were measured. The annual mean concentrations of PM2.5 were 106.5 μg/m(3) and 114.9 μg/m(3) at WD and TH, respectively. The chemical compositions of PM2.5 at WD were similar to those at TH and the fractions of the major components of PM2.5 in Wuhan were in the following order of trace elements<chloride<EC (elemental carbon)<ammonium<nitrate<soil dust<sulfate<OM (organic matter). As the secondary ionic aerosols (SIA) and dominant ions, SO4(2-), NO3(-) and NH4(+) all exhibited strong seasonal distributions, consistently with the lowest values in summer and the highest in winter. OM was the most abundant component in PM2.5, the lowest concentrations of which were observed in summer at both sites, while the highest concentrations of OC (organic carbon) appeared in winter at WD and autumn at TH, respectively. The highest OC concentration observed in autumn was tightly related to the biomass burning near the suburban site. The crustal elements (Mg, K, Ca and Fe) dominated the 20 detected elements in PM2.5, with the highest concentrations in spring in Wuhan, which might be due to frequent sandstorm from north carrying abundant soil dusts in spring in China. Ten trace elements (Cu, Ga, Ag, Tl, Ca, As, Zn, Pb, Se and Cd) were enriched in PM2.5 and the higher EF for Ag, Pb, Se and Cd in PM2.5 indicated that the air pollution from vehicle exhaust emission and coal burning in Wuhan was serious and noteworthy.

Epidemiological distribution and genotype characterization of hepatitis C virus and HIV co-infection in Wuhan, China, where the prevalence of HIV is low

Little is known about the epidemiological characteristics of HIV/hepatitis C virus (HCV) co-infection in cities in China with low HIV prevalence. This study evaluated the level of exposure to different risk factors associated with HCV transmission and characterized the distribution of HCV genotypes in 356 HIV-1-positive patients in Wuhan, central China. HIV transmission routes were distributed as follows: heterosexual contact, male-to-male sexual contact, intravenous drug use, blood transfusion, and unknown route. HCV antibodies were detected by a third-generation enzyme-linked immunosorbent assay. HCV-positive plasmas were subjected to RNA extraction, RT-PCR amplification, and sequencing. Phylogenetic analysis characterized HCV subtypes and the evolutionary origin of circulating HCV strains. Ninety-two of 356 (25.8%) patients infected with HIV were anti-HCV-positive. Among co-infected patients, the predominant risk for HCV transmission was intravenous drug use (87.3%). Six HCV subtypes (1a, 1b, 2a, 3a, 3b, and 6a) were detected. HCV genotype 6a was most prevalent, occurring in 39.3% of all patients, followed by genotypes 1b (24.7%), 3b (18.0%), and 3a (9.8%). The least frequent genotypes were 1a (4.9%) and 2a (3.3%). Intravenous drug use was strongly associated with genotype 6a, and infection by blood or blood product transfusion was strongly associated with genotype 1b. Genotype 2a was detected only among those infected by male-to-male sexual contact. The distribution of HCV subtypes suggests that the city plays a crucial role as a hub of HCV transmission in China. Exposure to multiple risk factors associated with HCV transmission was common among patients co-infected with HIV and HCV.

CD4+ T cell count, HIV-1 viral loads and demographic variables of newly identified patients with HIV infection in Wuhan, China

In China, the rate of human immunodeficiency virus (HIV) testing is increasing among men who have sex with men. The purpose of the present study was to describe HIV-related biomarkers and selected demographic variables of persons with newly diagnosed HIV/AIDS, among men who have sex with men in particular, in Wuhan China. Demographic indicators, and CD4+ T cell counts and HIV-1 viral load were collected from individuals newly identified as HIV-1 antibody positive during 2011. Of 176 enrolled patients, 132 (75.0%) were men who have sex with men. This group was significantly younger and had higher CD4+ T cell counts than patients who were likely infected through heterosexual contact. Most men who have sex with men (56.6%) were discovered by initiative investigation. Among heterosexual patients CD4+ T cell counts and HIV-1 viral load were significantly correlated; among the group of men who have sex with men, no such association was found.

Comparative and Combinative Study of Urban Heat island in Wuhan City with Remote Sensing and CFD Simulation

Urban heat islands are one of the most critical urban environment heat problems. Landsat ETM+ satellite data were used to investigate the land surface temperature and underlying surface indices such as NDVI and NDBI. A comparative study of the urban heat environment at different scales, times and locations was done to verify the heat island characteristics. Since remote sensing technology has limitations for dynamic flow analysis in the study of urban spaces, a CFD simulation was used to validate the improvement of the heat environment in a city by means of wind. CFD technology has its own shortcomings in parameter setting and verification, while RS technology is helpful to remedy this. The city of Wuhan and its climatological condition of being hot in summer and cold in winter were chosen to verify the comparative and combinative application of RS with CFD in studying the urban heat island.

Public Health and Air Pollution in Asia (PAPA): a multicity study of short-term effects of air pollution on mortality

BACKGROUND AND OBJECTIVES

Although the deleterious effects of air pollution from fossil fuel combustion have been demonstrated in many Western nations, fewer studies have been conducted in Asia. The Public Health and Air Pollution in Asia (PAPA) project assessed the effects of short-term exposure to air pollution on daily mortality in Bangkok, Thailand, and in three cities in China: Hong Kong, Shanghai, and Wuhan.

METHODS

Poisson regression models incorporating natural spline smoothing functions were used to adjust for seasonality and other time-varying covariates that might confound the association between air pollution and mortality. Effect estimates were determined for each city and then for the cities combined using a random effects method.

RESULTS

In individual cities, associations were detected between most of the pollutants [nitrogen dioxide, sulfur dioxide, particulate matter < or = 10 microm in aerodynamic diameter (PM(10)), and ozone] and most health outcomes under study (i.e., all natural-cause, cardiovascular, and respiratory mortality). The city-combined effects of the four pollutants tended to be equal or greater than those identified in studies conducted in Western industrial nations. In addition, residents of Asian cities are likely to have higher exposures to air pollution than those in Western industrial nations because they spend more time outdoors and less time in air conditioning.

CONCLUSIONS

Although the social and environmental conditions may be quite different, it is reasonable to apply estimates derived from previous health effect of air pollution studies in the West to Asia.