Assessing nitrogen dioxide (NO2) levels as a contributing factor to coronavirus (COVID-19) fatality

Association between air pollution and COVID-19 mortality and morbidity

Coronavirus disease (COVID-19) pandemic is affecting the world unevenly. One of the highest numbers of cases were recorded in the most polluted regions worldwide. The risk factors for severe COVID-19 include diabetes, cardiovascular, and respiratory diseases. It has been known that the same disease might be worsened by chronic exposure to air pollution. The study aimed to determine whether long-term average exposure to air pollution is associated with an increased risk of COVID-19 cases and deaths in Poland. The cumulative number of COVID-19 cases and deaths for each voivodeship (the main administrative level of jurisdictions) in Poland were collected from March 4, 2020, to May 15, 2020. Based on the official data published by Chief Inspectorate of Environmental Protection voivodeship-level long-term exposure to main air pollution: PM2.5, PM10, NO2, SO2, O3 (averaged from 2013 to 2018) was established. There were statistically significant correlation between COVID-19 cases (per 100,000 population) and annual average concentration of PM2.5 (R2 = 0.367, p = 0.016), PM10 (R2 = 0.415, p = 0.009), SO2 (R2 = 0.489, p = 0.003), and O3 (R2 = 0.537, p = 0.0018). Moreover, COVID-19 deaths (per 100,000 population) were associated with annual average concentration of PM2.5 (R2 = 0.290, p = 0.038), NO2 (R2 = 0.319, p = 0.028), O3 (R2 = 0.452, p = 0.006). The long-term exposure to air pollution, especially PM2.5, PM10, SO2, NO2, O3 seems to play an essential role in COVID-19 prevalence and mortality. Long-term exposure to air pollution might increase the susceptibility to the infection, exacerbates the severity of SARS-CoV-2 infections, and worsens the patients' prognosis. The study provides generalized and possible universal trends. Detailed analyzes of the phenomenon dedicated to a given region require taking into account data on comorbidities and socioeconomic variables as well as information about the long-term exposure to air pollution and COVID-19 cases and deaths at smaller administrative level of jurisdictions (community or at least district level).

Appraisal of COVID-19 lockdown and unlocking effects on the air quality of North India

The COVID-19 pandemic lockdown supposedly provided a 'window' of reinstatement to natural resources including the air quality, but the scenario after the phased unlocking is yet to be explored. Consequently, here we evaluated the status of air quality during the 8th phase of unlocking of COVID-19 lockdown (January 2021) at three locations of North India. The first site (S1) was located at Punjab Agricultural University, Ludhiana-PPCB; the second site (S2) at Yamunapuram, Bulandshahr-UPPCB; and the third site (S3) at Okhla Phase-2, Delhi-DPCC. The levels of PM2.5 showed a significant increase of 525.2%, 281.2%, and 185.0% at sites S1, S2 and S3, respectively in the unlock 8 (January 2021), in comparison to its concentration in the lockdown phase. Coherently, the levels of PM10 also showed a prominent increase of 284.5%, 189.1%, and 103.9% at sites S3, S1, and S2, respectively during the unlock 8 as compared to its concentration in the lockdown phase. This rise in the concentration of PM2.5 and PM10 could be primarily attributed to the use of biomass fuel, industrial and vehicular emissions, stubble burning considering the agricultural activities at sites S1 and S2. Site S3 is a major industrial hub and has the highest population density among all three sites. Consequently, the maximum increase (295.7%) in the NO₂ levels during the unlock 8 was witnessed at site S3. The strong correlation between PM2.5, PM10, and CO, along with the PM2.5/PM10 ratio confirmed the similar origin of these pollutants at all the three sites. The improvements in the levels of air quality during the COVID-19 lockdown were major overtaken during the various phases of unlocking consequent to the initiation of anthropogenic processes.

Ammonium nitrate explosion at the main port in Beirut (Lebanon) and air pollution: an analysis of the spatiotemporal distribution of nitrogen dioxide

An explosion of the ammonium nitrate (AN) stored at Beirut Port devastated the city on Tuesday 4 August 2020. Such an explosion produces pollutants such as nitrogen oxides (NO _x ). The most common NO _x is nitrogen dioxide (NO₂), which is present in the atmosphere due to natural and anthropogenic processes. The presence of NO₂ is used as indicator of air pollution. However, the specific contribution of NO₂ to air quality is uncertain due to the presence of other constituents, especially particulate matter (PM10). Research has shown that extended exposure to NO₂ may result in serious health effects. This study investigated the impact of the explosion on NO₂ levels in the atmosphere above Beirut and the surrounding area. NO₂ data from the Sentinel-5P program were used to map the levels of NO₂. Furthermore, ground-monitoring data were used to assess the levels of PM10 and ozone (O₃) due to the evident association between these constituents and NO₂. Results showed that NO₂ levels were higher than before the blast. However, 7 days after the explosion, NO₂ levels had returned to normal, while the levels of PM10 and O₃ remained normal following the explosion. However, a slight increase in the daily average atmospheric pressure was noticed after the explosion, which was attributed to the decomposition of ammonium nitrate.

Air Quality Analysis in Lima, Peru Using the NO2 Levels during the COVID-19 Pandemic Lockdown

The emergence of the new COVID-19 virus in Peru forced the Peruvian government to take swift measures to stop its proliferation. Consequently, a state of emergency was declared, which included mandatory social isolation and quarantine. This action meant that people would transit only in emergency cases. In this context, this study’s objective is to analyze the air quality changes in terms of the capital city’s NO2 levels due to these government decisions using satellite imagery data obtained from the Sentinel-5P satellite. One critical problem is the lack of spatially distributed air quality data. The Peruvian Meteorological Service only monitors air quality in Lima, the capital city. In addition, the air quality ground stations are not always functioning. Thus, there is a need to find new reliable methods to complement the official data obtained. One method of doing so is the use of remote sensing products, although the accuracy and applicability are yet to be determined; therefore, this is the article’s focus. A temporal and spatial analysis was developed quantitatively and qualitatively to measure the levels of NO2 in eighteen regions of Lima to contrast the quarantine’s effect on polluting gas emission levels. The measurements are also compared with the official Peruvian data from ground sensors using Pearson correlation coefficients, thus, showing that Sentinel-5P data can be used for changes in the mean daily concentration of NO2. We also developed the first version of an open platform that converts the satellite data into a friendly format for visualization. The results show NO2 ambient concentration reductions compared to 2019 of between 60% and 40% in the first two weeks and between 50% and 25% in the following two weeks of the COVID-19 lockdown. However, this effect could not be observed two months after the start of the lockdown.

Smart Multi-Sensor System for Remote Air Quality Monitoring Using Unmanned Aerial Vehicle and LoRaWAN

Deaths caused by respiratory and cardiovascular diseases have increased by 10%. Every year, exposure to high levels of air pollution is the cause of 7 million premature deaths and the loss of healthy years of life. Air pollution is generally caused by the presence of CO, NO₂, NH₃, SO₂, particulate matter PM₁₀ and PM_2.5, mainly emitted by economic activities in large metropolitan areas. The problem increases considerably in the absence of national regulations and the design, installation, and maintenance of an expensive air quality monitoring network. A smart multi-sensor system to monitor air quality is proposed in this work. The system uses an unmanned aerial vehicle and LoRa communication as an alternative for remote and in-situ atmospheric measurements. The instrumentation was integrated modularly as a node sensor to measure the concentration of carbon monoxide (CO), nitrogen dioxide (NO₂), ammonia (NH₃), sulfur dioxide (SO₂), and suspended particulate mass PM₁₀ and PM_2.5. The optimal design of the multi-sensor system has been developed under the following constraints: A low weight, compact design, and low power consumption. The integration of the multi-sensor device, UAV, and LoRa communications as a single system adds aeeded flexibility to currently fixed monitoring stations.

COVID-19 mortality in Istanbul in association with air pollution and socioeconomic status: an ecological study

This study aims to reveal the relationship between the COVID-19 mortality indicators and socioeconomic status (SES) and air pollution. In this ecological study, the focus was put on the relationship between COVID-19 mortality and both air quality and socioeconomic status at the district level in Istanbul. The mortality variables of the study are the excess deaths due to the pandemic, the proportion of deaths due to the pandemic among all deaths, COVID-19 mortality rate (per 100,000), and the proportion of COVID-19 deaths among older people (above the age of 65). The daily air quality measurements of PM10, SO2, NO2, and NOx of the pre-pandemic term were included in the research to avoid bias due to decreasing traffic burden during the pandemic. Partial correlation was applied to analyze the relationship between air quality and mortality measures by controlling socioeconomic status, the percentage of the older population, and household size. Every 20% deterioration in the SES stratum has contributed to a 4% increase in excess mortality at the district level. The elderly population ratio of over 10% in the districts was found to increase the COVID-19 deaths in the total population by 35% and the deaths in the population over 65 years old by 3%. Average household size was correlated with COVID-19 deaths in the population over 65. A moderate correlation was found between the COVID-19 mortality rate per 100,000 population and PM10, SO2, and NO2 (r = 0.413, 0.421, and 0.431, respectively). Mortality during the COVID-19 pandemic in Istanbul is related to an interaction of socioeconomic characteristics and air pollution as an environmental issue.

Role of professionalism in response to the COVID-19 pandemic: Does a public health or medical background help?

In response to the outbreak of coronavirus disease 2019 (COVID-19), there have been substantial variations in policy response and performance for disease control and prevention within and across nations. It remains unclear to what extent these variations may be explained by bureaucrats' professionalism, as measured by their educational background or work experience in public health or medicine. To investigate the effects of officials' professionalism on their response to and performance in fighting the COVID-19 pandemic, we collect information from the résumés of government and Party officials in 294 Chinese cities, and integrate this information with other data sources, including weather conditions, city characteristics, COVID-19-related policy measures, and health outcomes. We show that, on average, cities whose top officials had public health or medical backgrounds (PHMBGs) had a significantly lower infection rate than cities whose top officials lacked such backgrounds. We test the mechanisms of these effects and find that cities whose officials had a PHMBG implemented community closure more rapidly than those lacked such backgrounds. Our findings highlight the importance of professionalism in combating the pandemic.

COVID-19 pandemic: What can we learn for better air quality and human health?

The COVID-19 lockdown resulted in improved air quality in many cities across the world. With the objective of what could be the new learning from the COVID-19 pandemic and subsequent lockdowns for better air quality and human health, a critical synthesis of the available evidence concerning air pollution reduction, the population at risk and natural versus anthropogenic emissions was conducted. Can the new societal norms adopted during pandemics, such as the use of face cover, awareness regarding respiratory hand hygiene, and physical distancing, help in reducing disease burden in the future? The use of masks will be more socially acceptable during the high air pollution episodes in lower and middle-income countries, which could help to reduce air pollution exposure. Although post-pandemic, some air pollution reduction strategies may be affected, such as car-pooling and the use of mass transit systems for commuting to avoid exposure to airborne infections like coronavirus. However, promoting non-motorized modes of transportation such as cycling and walking within cities as currently being enabled in Europe and other countries could overshadow such losses. This demand focus on increasing walkability in a town for all ages and populations, including for a differently-abled community. The study highlighted that for better health and sustainability there. is also a need to promote other measures such as work-from-home, technological infrastructure, the extension of smart cities, and the use of information technology.

Corroles at work: a small macrocycle for great applications

Corrole chemistry has witnessed an impressive boost in studies in the last 20 years, thanks to the possibility of preparing corrole derivatives by simple synthetic procedures. The investigation of a large number of corroles has highlighted some peculiar characteristics of these macrocycles, having features different from those of the parent porphyrins. With this progress in the elucidation of corrole properties, attention has been focused on the potential for the exploitation of corrole derivatives in different important application fields. In some areas, the potential of corroles has been studied in certain detail, for example, the use of corrole metal complexes as electrocatalysts for energy conversion. In some other areas, the field is still in its infancy, such as in the exploitation of corroles in solar cells. Herein, we report an overview of the different applications of corroles, focusing on the studies reported in the last five years.

Impacts of emergency health protection measures upon air quality, traffic and public health: evidence from Oxford, UK

Emergency responses to the COVID-19 pandemic led to major changes in travel behaviours and economic activities in 2020. Machine learning provides a reliable approach for assessing the contribution of these changes to air quality. This study investigates impacts of health protection measures upon air pollution and traffic emissions and estimates health and economic impacts arising from these changes during two national 'lockdown' periods in Oxford, UK. Air quality improvements were most marked during the first lockdown with reductions in observed NO₂ concentrations of 38% (SD ± 24.0%) at roadside and 17% (SD ± 5.4%) at urban background locations. Observed changes in PM_2.5, PM₁₀ and O₃ concentrations were not significant during first or second lockdown. Deweathering and detrending analyses revealed a 22% (SD ± 4.4%) reduction in roadside NO₂ and 2% (SD ± 7.1%) at urban background with no significant changes in the second lockdown. Deweathered-detrended PM_2.5 and O₃ concentration changes were not significant, but PM₁₀ increased in the second lockdown only. City centre traffic volume reduced by 69% and 38% in the first and second lockdown periods. Buses and passenger cars were the major contributors to NO₂ emissions, with relative reductions of 56% and 77% respectively during the first lockdown, and less pronounced changes in the second lockdown. While car and bus NO₂ emissions decreased during both lockdown periods, the overall contribution from buses increased relative to cars in the second lockdown. Sustained NO₂ emissions reduction consistent with the first lockdown could prevent 48 lost life-years among the city population, with economic benefits of up to £2.5 million. Our findings highlight the critical importance of decoupling emissions changes from meteorological influences to avoid overestimation of lockdown impacts and indicate targeted emissions control measures will be the most effective strategy for achieving air quality and public health benefits in this setting.

Assessment of COVID-19 Lockdown Impact on the Air Quality in Eastern Spain: PM and BTX in Urban, Suburban and Rural Sites Exposed to Different Emissions

In early 2020, the COVID-19 pandemic spread globally, and severe measures to control it were implemented. This study investigates the impact of the lockdown on the air quality of three provinces in the Valencia region, eastern Spain, in the years 2015–2020, focusing on particulate matter (PM). A thorough statistical analysis using different approaches is conducted. Hourly patterns are also assessed. In addition, the role of meteorological parameters on PM is explored. The results indicate an overall PM10 reduction of 16.5% when comparing the lockdown in 2020 and the 2015–2019 period, while PM2.5 increased by 3.1%. As expected, urban zones experienced higher reductions than suburban zones, which experienced a PM concentration increase. The impact of the drastic drops of benzene, toluene and xylene (77.4%, 58.0% and 61.8%, respectively) on the PM values observed in urban sites is discussed. Our study provides insights on the effect of activity changes over a wide region covering a variety of air quality stations, urban, suburban and rural, and different emission types. The results of this work are a valuable reference and suggest the need for considering different factors when establishing scientific air pollution control strategies.

The Ecosystem Services and Green Infrastructure: A Systematic Review and the Gap of Economic Valuation

This study was conducted to determine the trends at the intersection of studies made on green infrastructure and ecosystem services, which have frequently become preferred in establishing urban−green space relationships in global research. Green-related concepts have frequently been used from past to present in order to neutralise the increasing pressures on urban dynamics resulting from rapid urbanisation. Green corridor, green belt, green structure, and green finger/hand concepts have been used to provide recreational opportunities, protect nature, and keep urban sprawl under control. For the last decade, however, in addition to the traditional green concepts, green infrastructure (GI) and ecosystem services (ES) have been preferred in contemporary urban planning, as they enable the integration of the ecological concerns of the landscape and the socio-political perspective. The aim of this study is to detect the trends of the green infrastructure and ecosystem services association, and to reveal these trends in the common area with the bibliometric mapping method. The economic concept and its analysing use at the intersection of green infrastructure and ecosystem services were explored with VOSviewer using the Scopus® database. Furthermore, the number of documents, which initially began with around 39,719 studies, was reduced by filtering through systematic reviews, to only three documents that met the economic valuation criteria. In this way, a lack of economic analyses, creating a serious research gap within the framework of green infrastructure and ecosystem services, was quantitatively determined.

The Social and Natural Environment's Impact on SARS-CoV-2 Infections in the UK Biobank

COVID-19 has caused a global pandemic with considerable impact. Studies have examined the influence of socioeconomic status and air pollution on COVID-19 risk but in low detail. This study seeks to further elucidate the nuances of socioeconomic status, as defined by the Index of Multiple Deprivation (IMD), air pollution, and their relationship. We examined the effect of IMD and air pollution on the likelihood of testing positive for SARS-CoV-2 among 66,732 UKB participants tested for SARS-CoV-2 from 16 March 2020 through 16 March 2021. Logistic regression was performed controlling for age, sex, ancestry and IMD or air pollution in the respective models. IMD and its sub-scores were significantly associated with increased risk of testing positive for SARS-CoV-2. All particulate matter less than 2.5 μm (PM2.5), nitrogen oxide (NO_x), and nitrogen dioxide (NO₂) levels were associated with increased likelihood of testing positive for SARS-CoV-2. Measures of green space and natural environment around participants' homes were associated with reduced likelihood of SARS-CoV-2. Socioeconomic status and air pollution have independent effects on the risk of testing positive for SARS-CoV-2. Green space and natural environment space in the proximity of people's homes may mediate the effect of air pollution on the risk of testing positive for SARS-CoV-2.

COVID-19 lockdown and environmental pollution: an Indian multi-state investigation

Originating from China, COVID-19 became the first-ever coronavirus pandemic, wreaking havoc in 218 nations. The lack of a potential treatment exacerbated by the inability of the healthcare infrastructure to contain the viral trajectory led to a worldwide lockdown. The anthropogenic halt presented an unprecedented background to quantify the effect of the anthroposphere on environmental pollution. Consequently, we analyzed the variations in the air (PM₁₀, PM_2.5, NO₂, SO₂) and water pollutants (BOD, COD, DO, coliform) using real-time monitoring data in the majorly hit Indian metropolitan states during the lockdown in contrast to 2019 levels. The overall AQI (air quality index) de-escalated by -31.35%, -34.35%, -32.63%, -29.25% in Delhi, Tamil Nadu, West Bengal, and Karnataka, respectively, from the 2019 levels. The daily concentrations of NO₂, PM_2.5, and PM₁₀ plunged tremendously. The exact pre-disposing factors responsible for higher COVID-19 transmission in some geographical centers remain elusive. Investigations have corroborated putative links between air pollutants and COVID-19 mortalities. Therefore, we further mapped PM_2.5, PM₁₀, NO₂, and SO₂ to co-relate with COVID-19 infectivity and mortality across the study states. Significant (P < 0.001) positive correlation between COVID-19 transmission was established for all pollutants with maximum co-relation with AQI followed by NO₂. River Ganga water in Uttarakhand was deemed "fit for drinking" for the first time in two decades. An aggregate of -71.94, -61.32, and -77.94 decrease in BOD, COD, total coliform levels, and an 11.75 rise in the average DO levels from 2019 data. This study will better assist the future framework of health and environment restoration policies.

Air quality during COVID-19 lockdown and its implication toward sustainable development goals

Air pollution is directly as well as indirectly linked with several of the United Nations Sustainable Development Goals (SDGs). Hence, focused efforts and strategies toward improving the air quality can lead to direct reduction in the adverse impacts on human health and our cities and setting climate mitigation targets. The worldwide outbreak of the novel coronavirus (COVID-19) has forced various governments around the world to suspend nonessential activities due to the unavailability of the vaccine. This unprecedented lockdown led to significant decline in major criteria air pollutants—PM_2.5, PM₁₀, CO, and NO₂—with more than 50% decline in several cities across the world. However, SO₂ did not change much over some regions, while O₃ has shown some increase. The majority of these changes are well supported by the reduced pollutant emissions, primarily from vehicular sources in urban areas. A slight decline has also been observed in global greenhouse gas (GHG) emissions during the lockdowns. The lockdown illustrates the need for a potential shift of anthropogenic activities toward a more sustainable lifestyle for ameliorating air quality and thus paving the pathway to achieve SDGs. The COVID-19-induced lockdown scenario should be exploited to understand future measures to improve air quality and mitigate the adverse health and climate effects. This chapter explores the impact of the national lockdowns on urban air quality across the globe. Learnings from this natural intervention and future policy implications toward improving air quality are further discussed.

The effects of air pollution, meteorological parameters, and climate change on COVID-19 comorbidity and health disparities: A systematic review

Air pollutants, especially particulate matter, and other meteorological factors serve as important carriers of infectious microbes and play a critical role in the spread of disease. However, there remains uncertainty about the relationship among particulate matter, other air pollutants, meteorological conditions and climate change and the spread of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), hereafter referred to as COVID-19. A systematic review was conducted using PRISMA guidelines to identify the relationship between air quality, meteorological conditions and climate change, and COVID-19 risk and outcomes, host related factors, co-morbidities and disparities. Out of a total of 170,296 scientific publications screened, 63 studies were identified that focused on the relationship between air pollutants and COVID-19. Additionally, the contribution of host related-factors, co-morbidities, and health disparities was discussed. This review found a preponderance of evidence of a positive relationship between PM_2.5, other air pollutants, and meteorological conditions and climate change on COVID-19 risk and outcomes. The effects of PM_2.5, air pollutants, and meteorological conditions on COVID-19 mortalities were most commonly experienced by socially disadvantaged and vulnerable populations. Results however, were not entirely consistent, and varied by geographic region and study. Opportunities for using data to guide local response to COVID-19 are identified.

Decrease in life expectancy due to COVID-19 disease not offset by reduced environmental impacts associated with lockdowns in Italy

The consequence of the lockdowns implemented to address the COVID-19 pandemic on human health damage due to air pollution and other environmental issues must be better understood. This paper analyses the effect of reducing energy demand on the evolution of environmental impacts during the occurrence of 2020-lockdown periods in Italy, with a specific focus on life expectancy. An energy metabolism analysis is conducted based on the life cycle assessment (LCA) of all monthly energy consumptions, by sector, category and province area in Italy between January 2015 to December 2020. Results show a general decrease (by ∼5% on average) of the LCA midpoint impact categories (global warming, stratospheric ozone depletion, fine particulate matter formation, etc.) over the entire year 2020 when compared to past years. These avoided impacts, mainly due to reductions in fossil energy consumptions, are meaningful during the first lockdown phase between March and May 2020 (by ∼21% on average). Regarding the LCA endpoint damage on human health, ∼66 Disability Adjusted Life Years (DALYs) per 100,000 inhabitants are estimated to be saved. The analysis shows that the magnitude of the officially recorded casualties is substantially larger than the estimated gains in human lives due to the environmental impact reductions. Future research could therefore investigate the complex cause-effect relationships between the deaths occurred in 2020 imputed to COVID-19 disease and co-factors other than the SARS-CoV-2 virus.

Analyzing the severity of coronavirus infections in relation to air pollution: evidence-based study from Saudi Arabia

COVID-19 is one of the major pandemics in history. It has caused various health problems to majority of countries in the world. Several researchers have examined and developed studies regarding concerns on air pollution being considered a major risk factor causing respiratory infections. Such infections are carried out by microorganisms, thus further affecting the immune system. The present study involves the relationship between air pollutants and the total COVID-19 infections along with the estimation of death rates in several regions of Saudi Arabia. The major goal of this study comprises the analysis of the relationship between air pollutants concentration, such as PM10, NO₂, CO, SO₂, and O₃, and the widespread outbreak of COVID-19. This scenario involves the transmission, number of patients, critical cases, and death rates. Results show that the estimation of recorded COVID-19 cases was in the most polluted regions; the mortality rate and critical cases were also more distinct in these regions than in other regions in Saudi Arabia. The finding of this study demonstrates a positive correlation between the mean values of PM10, NO₂, CO, and SO₂ pollutants. The results represent the significant relationship between air pollution resulting from a high concentration of NO₂ and COVID-19 infections and deaths. In addition, a null hypothesis of the relation between other pollutants and COVID-19 infections cannot be rejected. The study also indicates a significant correlation between the means of NO₂ and CO and the total number of critical cases. Negative correlations are obtained between the mean of O₃ and the total number of cases, total deaths, and critical case per cumulative days.

Air quality evaluation during COVID-19 in Southern Italy: the case study of Avellino city

The present study relies on the air quality evaluation during COVID-19 pandemic in Avellino, described in the last years and for several consecutive years, among the worst Italian cities in this context. The main purpose of this manuscript was to investigate the effects of quarantine and lockdown measures on air pollution. The concentrations of the main atmospheric pollutants (Carbon monoxide (CO), Ozone (O₃), Fine Particulate (PM_2.5 and PM₁₀), Benzene (C₆H₆) and Nitrogen dioxide (NO₂) were recorded during the period January-December 2020 using two stationary monitoring stations (AV1 and AV2) of the Regional Environmental Protection Agency (ARPAC). During the lockdown period (March 9-May 18, 2020), results indicated significant reductions only in the levels of CO, benzene and NO₂, while for PM₁₀ the limit of 50 μg m^-3 was passed 8 times for AV1 and 13 times for AV2. The results showed the not predominant role of traffic on air quality in Avellino regards to PM levels and make it necessary a serious reflection about important and not extendable decisions to improve the air quality.

PM10, PM2.5, PM1, and PM0.1 resuspension due to human walking

Indoor air quality has become a major concern in recent years due to the adverse effects of poor air quality, caused by the presence of several sources of pollutants, on the building occupants' health. Particle resuspension has been identified as a major indoor particle matter (PM) source in indoor environments. The present work investigated the human walking-induced PM resuspension in a full-scale laboratory experimental chamber. The PM mass concentration was monitored using a Miniwras Grimm counter. The floor of the test chamber was covered with a tufted synthetic carpet and uniformly loaded with neutralized alumina dust. Using the mass-based balance equation and the well-mixed condition hypothesis, resuspension rates were estimated after 10 min of walking activity. Results show that human walking significantly increases the indoor PM10, PM2.5, PM1, and PM0.1 concentrations. The average estimated PM10, PM2.5, PM1, and PM0.1 resuspension rates were (2.5 ± 0.6) × 10^-1 h^-1, (1.9 ± 0.5) × 10^-2 h^-1, (6.5 ± 0.3) × 10^-3 h^-1, and (4.3 ± 0.3) × 10^-3 h^-1, respectively.

Assessing the impact of air pollution and climate seasonality on COVID-19 multiwaves in Madrid, Spain

While the COVID-19 pandemic is still in progress, being under the fifth COVID-19 wave in Madrid, over more than one year, Spain experienced a four wave pattern. The transmission of SARS-CoV-2 pathogens in Madrid metropolitan region was investigated from an urban context associated with seasonal variability of climate and air pollution drivers. Based on descriptive statistics and regression methods of in-situ and geospatial daily time series data, this study provides a comparative analysis between COVID-19 waves incidence and mortality cases in Madrid under different air quality and climate conditions. During analyzed period 1 January 2020-1 July 2021, for each of the four COVID-19 waves in Madrid were recorded anomalous anticyclonic synoptic meteorological patterns in the mid-troposphere and favorable stability conditions for COVID-19 disease fast spreading. As airborne microbial temporal pattern is most affected by seasonal changes, this paper found: 1) a significant negative correlation of air temperature, Planetary Boundary Layer height, and surface solar irradiance with daily new COVID-19 incidence and deaths; 2) a similar mutual seasonality with climate variables of the first and the fourth COVID-waves from spring seasons of 2020 and 2021 years. Such information may help the health decision makers and public plan for the future.

Air pollution and airborne infection with mycobacterial bioaerosols: a potential attribution of soot

Atmospheric pollutants are hypothesized to enhance the viability of airborne microbes by preventing them from degradation processes, thereby enhancing their atmospheric survival. In this study, Mycobacterium smegmatis is used as a model airborne bacteria, and different amounts of soot particles are employed as model air pollutants. The toxic effects of soot on aerosolized M. smegmatis are first evaluated and excluded by introducing them separately into a chamber, being sampled on a filter, and then cultured and counted. Secondly, the bacteria-soot mixture is exposed to UV with different durations and then cultured for bacterial viability evaluations. The results show that under UV exposure, the survival rates of the low-, medium-, and high-soot groups are 1.1 (±0.8) %, 70.9 (±4.3) %, and 61.0 (±17.6) %, respectively. This evidence significantly enhanced survival rates by soot at all UV exposures, though the combinations of UV exposure and soot amounts revealed a changing pattern of survival rates. The possible influence by direct and indirect effects of UV-damaging mechanisms is proposed. This study indicates the soot-induced survival rate enhancements of M. smegmatis under UV stress conditions, representing the possible relations between air pollution and the extended pathogenic viability and, therefore, increased airborne infection probability.

The impact of air pollution on COVID-19 pandemic varied within different cities in South America using different models

There is a rising concern that air pollution plays an important role in the COVID-19 pandemic. However, the results were not consistent on the association between air pollution and the spread of COVID-19. In the study, air pollution data and the confirmed cases of COVID-19 were both gathered from five severe cities across three countries in South America. Daily real-time population regeneration (R_t) was calculated to assess the spread of COVID-19. Two frequently used models, generalized additive models (GAM) and multiple linear regression, were both used to explore the impact of environmental pollutants on the epidemic. Wide ranges of all six air pollutants were detected across the five cities. Spearman's correlation analysis confirmed the positive correlation within six pollutants. Rt value showed a gradual decline in all the five cities. Further analysis showed that the association between air pollution and COVID-19 varied across five cities. According to our research results, even for the same region, varied models gave inconsistent results. For example, in Sao Paulo, both models show SO₂ and O₃ are significant independent variables, however, the GAM model shows that PM₁₀ has a nonlinear negative correlation with R_t, while PM₁₀ has no significant correlation in the multiple linear model. Moreover, in the case of multiple regions, currently used models should be selected according to local conditions. Our results indicate that there is a significant relationship between air pollution and COVID-19 infection, which will help states, health practitioners, and policy makers in combating the COVID-19 pandemic in South America.

Environmental stocks, CEO health risk and COVID-19

During the COVID-19 pandemic, we find that Australian firms with environmentally sustainable practices generated higher abnormal returns. Firms with CEOs who were exposed to significant health risks from COVID-19 experienced poorer stock market performance. Firms with low pre-COVID default risk and high pre-COVID liquidity performed better during the COVID-19 stock market crash. This research signifies the importance of environmental sustainability for Australian firms to endure pandemics such as COVID-19.

Effects of meteorology and human‐mobility on UK's air quality during COVID‐19

Efforts to prevent the spread of the coronavirus disease 2019 (COVID‐19) pandemic have had profound positive and negative impacts on social and environmental indicators worldwide. For the first time, a scenario of a partial economic shutdown could be measured, and large tech companies published wide‐coverage mobility reports to quantify the impacts on social change with anonymized location data. During the COVID‐19 pandemic, the UK government has employed some of the strictest lockdown periods in the world, causing an immediate halt to travel and business activities. From these repeated lockdown periods, we have gained a snapshot of life without excessive human‐made pollution; this has allowed us to interrogate the interaction between meteorology and air quality with minimal anthropogenic input. Our findings show a warmer 2020 increased the UK's ozone levels by 9%, while reductions in human‐mobility reduced UK‐wide nitrogen dioxide levels by 25% in 2020, which have remained low during the first months of 2021 despite curtailing/ending of restrictions; and a decrease in particulate matter created by meteorological and human drivers. Regionally, London records the highest NO₂ and O₃ changes, −31% and 35%, respectively, linked to mobility reductions and meteorology.

Evaluating COVID-19-Environment Fit

Spring came and went; the COVID-19 pandemic is still an inhabitant of the world, and its tendency to infect individuals is preserved in numbers; so does the case fatality rate continues to increase. While a long list of facts provided by the clinical and medical sciences have remained unable to resolve the problem, recognizing environmental issues concerning COVID-19 resistance and adaptation might be a flash of lighting the nature of COVID-19 and its ideas of fitness. Here, we summarize the current state of the science of environment related to the causative pathogen of COVID-19, SARS-CoV2, as follows. SARS-CoV2 i. survives in water, ii. mainly spreads via the droplet route, and to a lesser extent, from touching contaminated surfaces, iii. transmission via droplets occurs within the interpersonal distance of two meters and beyond, iv. can more easily spread and cause more severe phenotypes of disease under higher-polluted, low-temperature, and low-humidity conditions, v. can spread under high-temperature conditions, and vi. transmission might be moderated by pollen-derived immune responses and lockdown-mediated air quality improvement.

The Exposome and Immune Health in Times of the COVID-19 Pandemic

Growing evidence supports the importance of lifestyle and environmental exposures-collectively referred to as the 'exposome'-for ensuring immune health. In this narrative review, we summarize and discuss the effects of the different exposome components (physical activity, body weight management, diet, sun exposure, stress, sleep and circadian rhythms, pollution, smoking, and gut microbiome) on immune function and inflammation, particularly in the context of the current coronavirus disease 2019 (COVID-19) pandemic. We highlight the potential role of 'exposome improvements' in the prevention-or amelioration, once established-of this disease as well as their effect on the response to vaccination. In light of the existing evidence, the promotion of a healthy exposome should be a cornerstone in the prevention and management of the COVID-19 pandemic and other eventual pandemics.

Risk-focused differences in molecular processes implicated in SARS-CoV-2 infection: corollaries in DNA methylation and gene expression

BACKGROUND

Understanding the molecular basis of susceptibility factors to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is a global health imperative. It is well-established that males are more likely to acquire SARS-CoV-2 infection and exhibit more severe outcomes. Similarly, exposure to air pollutants and pre-existing respiratory chronic conditions, such as asthma and chronic obstructive respiratory disease (COPD) confer an increased risk to coronavirus disease 2019 (COVID-19).

METHODS

We investigated molecular patterns associated with risk factors in 398 candidate genes relevant to COVID-19 biology. To accomplish this, we downloaded DNA methylation and gene expression data sets from publicly available repositories (GEO and GTEx Portal) and utilized data from an empirical controlled human exposure study conducted by our team.

RESULTS

First, we observed sex-biased DNA methylation patterns in autosomal immune genes, such as NLRP2, TLE1, GPX1, and ARRB2 (FDR < 0.05, magnitude of DNA methylation difference Δβ > 0.05). Second, our analysis on the X-linked genes identified sex associated DNA methylation profiles in genes, such as ACE2, CA5B, and HS6ST2 (FDR < 0.05, Δβ > 0.05). These associations were observed across multiple respiratory tissues (lung, nasal epithelia, airway epithelia, and bronchoalveolar lavage) and in whole blood. Some of these genes, such as NLRP2 and CA5B, also exhibited sex-biased gene expression patterns. In addition, we found differential DNA methylation patterns by COVID-19 status for genes, such as NLRP2 and ACE2 in an exploratory analysis of an empirical data set reporting on human COVID-9 infections. Third, we identified modest DNA methylation changes in CpGs associated with PRIM2 and TATDN1 (FDR < 0.1, Δβ > 0.05) in response to particle-depleted diesel exhaust in bronchoalveolar lavage. Finally, we captured a DNA methylation signature associated with COPD diagnosis in a gene involved in nicotine dependence (COMT) (FDR < 0.1, Δβ > 0.05).

CONCLUSION

Our findings on sex differences might be of clinical relevance given that they revealed molecular associations of sex-biased differences in COVID-19. Specifically, our results hinted at a potentially exaggerated immune response in males linked to autosomal genes, such as NLRP2. In contrast, our findings at X-linked loci such as ACE2 suggested a potentially distinct DNA methylation pattern in females that may interact with its mRNA expression and inactivation status. We also found tissue-specific DNA methylation differences in response to particulate exposure potentially capturing a nitrogen dioxide (NO2) effect-a contributor to COVID-19 susceptibility. While we identified a molecular signature associated with COPD, all COPD-affected individuals were smokers, which may either reflect an association with the disease, smoking, or may highlight a compounded effect of these two risk factors in COVID-19. Overall, our findings point towards a molecular basis of variation in susceptibility factors that may partly explain disparities in the risk for SARS-CoV-2 infection.

Did Climate Change Influence the Emergence, Transmission, and Expression of the COVID-19 Pandemic?

The human race has survived many epidemics and pandemics that have emerged and reemerged throughout history. The novel coronavirus Severe Acute Respiratory Syndrome SARS-CoV-2/COVID-19 is the latest pandemic and this has caused major health and socioeconomic problems in almost all communities of the world. The origin of the virus is still in dispute but most likely, the virus emerged from the bats and also may involve an intermediate host before affecting humans. Several other factors also may have affected the emergence and outcome of the infection but in this review, we make a case for a possible role of climate change. The rise in industrialization-related human activities has created a marked imbalance in the homeostasis of environmental factors such as temperature and other weather and these might even have imposed conditions for the emergence of future coronavirus cycles. An attempt is made in this review to explore the effect of ongoing climate changes and discuss if these changes had a role in facilitating the emergence, transmission, and even the expression of the COVID-19 pandemic. We surmise that pandemics will be more frequent in the future and more severely impactful unless climate changes are mitigated.

Impacts of short-term lockdown during COVID-19 on air quality in Egypt

COVID-19 is a pandemic disease that is actively spread over the globe in a few months. Most of the Nations took the appropriate measures including lockdown to reduce the risk of spreading and safe human health and life. Egypt took the measures of partial and complete lockdown from 15th March till 30th June 2020. Such short-term lockdown has had a significant impact on the reduction of emissions from transportation, industrial and human activities. This research used multi-data sensors from space to map the changes of air quality over Egypt in the first 6 months from January to June 2020 due to the lockdown and compare with previous years of 2018 and 2019. It is clearly observed that the air quality over the whole country is improved as a result of reducing pollutants emissions, with NO₂ reduced by 45.5%, CO emissions reduced by 46.23%, Ozone concentration decreased by about 61.1%, and AOD reduced by 68.5% compared to the previous 2 years. It is found that the lockdown is an effective mitigation measure against air pollution to improve air quality and reduce the air pollution that creates pressure on the human health and health system. It might be difficult to implement long lockdown, as a mitigation measure, due to its direct impact on social and economic needs. However, we recommend a complete lockdown for 2–3 days (long weekend) every at least 2-3 months, on national and/or global level, which will significantly enhance our air quality and improve the health environment of the planet.

A study on the effects of meteorological and climatic factors on the COVID-19 spread in Canada during 2020

The Coronavirus (COVID-19) pandemic has infected more than three million people, with thousands of deaths and millions of people into quarantine. In this research, the authors focus on meteorological and climatic factors on the COVID-19 spread, the main parameters including daily new cases of COVID-19, carbon dioxide (CO2) emission, nitrogen dioxide (NO2), Sulfur dioxide (SO2), PM2.5, Ozone (O3), average temperature, and humidity are examined to understand how different meteorological parameters affect the COVID-19 spread in Canada? The graphical quantitative analysis results indicate that CO2 emissions, air quality, temperature, and humidity have a direct negative relationship with COVID-19 infections. Quantile regression analysis revealed that air quality, Nitrogen, and Ozone significantly induce the COVID-19 spread across Canadian provinces. The findings of this study are contrary to the earlier studies, which argued that weather and climate change significantly increase COVID-19 infections. We suggested that meteorological and climatic factors might be critical to reducing the COVID-19 new cases in Canada based on the findings. This work's empirical conclusions can provide a guideline for future research and policymaking to stop the COVID-19 spread across Canadian provinces.

Near-roadway air pollution associated with COVID-19 severity and mortality - Multiethnic cohort study in Southern California

BACKGROUND

Air pollution exposure has been associated with increased risk of COVID-19 incidence and mortality by ecological analyses. Few studies have investigated the specific effect of traffic-related air pollution on COVID-19 severity.

OBJECTIVE

To investigate the associations of near-roadway air pollution (NRAP) exposure with COVID-19 severity and mortality using individual-level exposure and outcome data.

METHODS

The retrospective cohort includes 75,010 individuals (mean age 42.5 years, 54% female, 66% Hispanic) diagnosed with COVID-19 at Kaiser Permanente Southern California between 3/1/2020-8/31/2020. NRAP exposures from both freeways and non-freeways during 1-year prior to the COVID-19 diagnosis date were estimated based on residential address history using the CALINE4 line source dispersion model. Primary outcomes include COVID-19 severity defined as COVID-19-related hospitalizations, intensive respiratory support (IRS), intensive care unit (ICU) admissions within 30 days, and mortality within 60 days after COVID-19 diagnosis. Covariates including socio-characteristics and comorbidities were adjusted for in the analysis.

RESULT

One standard deviation (SD) increase in 1-year-averaged non-freeway NRAP (0.5 ppb NO_x) was associated with increased odds of COVID-19-related IRS and ICU admission [OR (95% CI): 1.07 (1.01, 1.13) and 1.11 (1.04, 1.19) respectively] and increased risk of mortality (HR = 1.10, 95% CI = 1.03, 1.18). The associations of non-freeway NRAP with COVID-19 outcomes were largely independent of the effect of regional fine particulate matter and nitrogen dioxide exposures. These associations were generally consistent across age, sex, and race/ethnicity subgroups. The associations of freeway and total NRAP with COVID-19 severity and mortality were not statistically significant.

CONCLUSIONS

Data from this multiethnic cohort suggested that NRAP, particularly non-freeway exposure in Southern California, may be associated with increased risk of COVID-19 severity and mortality among COVID-19 infected patients. Future studies are needed to assess the impact of emerging COVID-19 variants and chemical components from freeway and non-freeway NRAP.

Effect of short-term exposure to air pollution on COVID-19 mortality and morbidity in Iranian cities

PURPOSE

The association between air pollutant (PM_2.5, PM₁₀, NO₂, and O₃) concentrations and daily number of COVID-19 confirmed cases and related deaths were evaluated in three major Iranian cities (Tehran, Mashhad, and Tabriz).

METHODS

Hourly concentrations of air pollutants and daily number of PCR-confirmed cases and deaths of COVID-19 were acquired (February 20^th, 2020 to January 4^th, 2021). A generalized additive model (GAM) assuming a quasi-Poisson distribution was used to model the associations in each city up to lag-day 7 (for mortality) and 14 (for morbidity). Then, the city-specific estimates were meta-analyzed using a fixed effect model to obtain the overall relative risks (RRs).

RESULTS

A total of 114,964 confirmed cases and 21,549 deaths were recorded in these cities. For confirmed cases, exposure to PM_2.5, NO₂, and O₃ for several lag-days showed significant associations. In case of mortality, meta-analysis estimated that the RRs for PM_2.5, PM₁₀, NO₂, and O₃ concentrations were 1.06 (95% CI: 0.99, 1.13), 1.06 (95% CI: 0.93, 1.19), 1.15 (95% CI: 0.93, 1.38), and 1.07 (95% CI: 0.84, 1.31), respectively. Despite several positive associations with all air pollutants over multiple lag-days, COVID-19 mortality was only significantly associated with NO₂ on lag-days 0-1 and 1 with the RRs of 1.35 (95% CI: 1.04, 1.67) and 1.16 (95% CI: 1.02, 1.31), respectively.

CONCLUSION

This study showed that air pollution can be a factor exacerbating COVID-19 infection and clinical outcomes. Actions should be taken to reduce the exposure of the public and particularly patients to ambient air pollutants.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40201-021-00736-4.

Outdoor PM2.5 concentration and rate of change in COVID-19 infection in provincial capital cities in China

This study investigates thoroughly whether acute exposure to outdoor PM2.5 concentration, P, modifies the rate of change in the daily number of COVID-19 infections (R) across 18 high infection provincial capitals in China, including Wuhan. A best-fit multiple linear regression model was constructed to model the relationship between P and R, from 1 January to 20 March 2020, after accounting for meteorology, net move-in mobility (NM), time trend (T), co-morbidity (CM), and the time-lag effects. Regression analysis shows that P (β = 0.4309, p < 0.001) is the most significant determinant of R. In addition, T (β = -0.3870, p < 0.001), absolute humidity (AH) (β = 0.2476, p = 0.002), P × AH (β = -0.2237, p < 0.001), and NM (β = 0.1383, p = 0.003) are more significant determinants of R, as compared to GDP per capita (β = 0.1115, p = 0.015) and CM (Asthma) (β = 0.1273, p = 0.005). A matching technique was adopted to demonstrate a possible causal relationship between P and R across 18 provincial capital cities. A 10 µg/m3 increase in P gives a 1.5% increase in R (p < 0.001). Interaction analysis also reveals that P × AH and R are negatively correlated (β = -0.2237, p < 0.001). Given that P exacerbates R, we recommend the installation of air purifiers and improved air ventilation to reduce the effect of P on R. Given the increasing observation that COVID-19 is airborne, measures that reduce P, plus mandatory masking that reduces the risks of COVID-19 associated with viral-particulate transmission, are strongly recommended. Our study is distinguished by the focus on the rate of change instead of the individual cases of COVID-19 when modelling the statistical relationship between R and P in China; causal instead of correlation analysis via the matching analysis, while taking into account the key confounders, and the individual plus the interaction effects of P and AH on R.

Impact of COVID-19 induced lockdown on land surface temperature, aerosol, and urban heat in Europe and North America

The outbreak of SARS CoV-2 (COVID-19) has posed a serious threat to human beings, society, and economic activities all over the world. Worldwide rigorous containment measures for limiting the spread of the virus have several beneficial environmental implications due to decreased anthropogenic emissions and air pollutants, which provide a unique opportunity to understand and quantify the human impact on atmospheric environment. In the present study, the associated changes in Land Surface Temperature (LST), aerosol, and atmospheric water vapor content were investigated over highly COVID-19 impacted areas, namely, Europe and North America. The key findings revealed a large-scale negative standardized LST anomaly during nighttime across Europe (-0.11 °C to -2.6 °C), USA (-0.70 °C) and Canada (-0.27 °C) in March-May of the pandemic year 2020 compared to the mean of 2015-2019, which can be partly ascribed to the lockdown effect. The reduced LST was corroborated with the negative anomaly of air temperature measured at meteorological stations (i.e. -0.46 °C to -0.96 °C). A larger decrease in nighttime LST was also seen in urban areas (by ∼1-2 °C) compared to rural landscapes, which suggests a weakness of the urban heat island effect during the lockdown period due to large decrease in absorbing aerosols and air pollutants. On the contrary, daytime LST increased over most parts of Europe due to less attenuation of solar radiation by atmospheric aerosols. Synoptic meteorological variability and several surface-related factors may mask these changes and significantly affect the variations in LST, aerosols and water vapor content. The changes in LST may be a temporary phenomenon during the lockdown but provides an excellent opportunity to investigate the effects of various forcing controlling factors in urban microclimate and a strong evidence base for potential environmental benefits through urban planning and policy implementation.

Prediction of COVID-19 Cases from the Nexus of Air Quality and Meteorological Phenomena: Bangladesh Perspective

An integrated approach was used to estimate the number of COVID-19 patients related to air quality and meteorological phenomena. Additionally, the air quality during pre-lockdown, lockdown, and post-lockdown stages of the COVID-19 pandemic was assessed to determine the effect of the infection containment measures taken in Bangladesh during the pandemic. The air quality was assessed based on measurements of nitrogen dioxide (NO₂), sulfur dioxide (SO₂), ozone (O₃), carbon monoxide (CO), black carbon, particulate matter (PM_2.5 and PM₁₀), and aerosol optical depth. Time-averaged maps of these parameters have been generated from NASA's (National Aeronautics and Space Administration) website. Values of these parameters have also been collected from a continuous air monitoring station (CAMS) located in Bangladesh's north-western city Rajshahi. The comparison shows that lockdown during the pandemic has brought significant improvements in air quality. However, the improvement was not sustained, since rapid increases in the air pollutant concentrations were observed in the post-lockdown period. Furthermore, Pearson correlation coefficients between each air quality variable and the daily new COVID-19 case rates were calculated. Different meteorological variables during the same time periods were determined to observe the variation in Rajshahi city. Relationships of these variables with the case rates were also established. Additionally, statistical analyses of the obtained data have been conducted for the measured variables using the Kruskal-Wallis test to assess the differences in the observed data among the pre-lockdown, lockdown, and post-lockdown periods. Dunn's "Q" test was employed to test if the variables showed significance statistical difference during the Kruskal-Wallis test for pairwise comparisons. From the study, it has been observed that both meteorological variables and air quality parameters have significant relationship with daily new COVID-19 case rates. Both positive and negative associations of these parameters with the COVID-19 case rates have been observed. Very high air pollution has been observed in the post-lockdown period. Thus, it is recommended that appropriate authorities undertake corrective measures to protect the environment in cities with large populations. This study provides guidance for decision makers and health officials for future research and potentially reducing the spread of COVID-19.

Dichotomous analysis of gaseous emissions as influenced by the impacts of COVID-19 in Brazil: São Paulo and Legal Amazon

Atmospheric contaminants severely impact air quality in large global urban centers. The emergence of COVID-19 in China in December 2019 and its expansion around the world reduced human activities on account of the implementation of a social isolation policy. In Brazil, COVID-19 arrived in February 2020, and a policy of social isolation was adopted in March by state governments; this work aimed to evaluate pollutant gas emissions in Brazil in the face of the pandemic. In the city of São Paulo, the concentrations of nitrogen dioxide (NO₂) and carbon monoxide (CO) were analyzed at three automatic monitoring stations of the Environmental Company of the State of São Paulo (CETESB). In this way, reductions in concentrations of these gases were observed after the decree of social isolation on March 24, due to a noticeable drop in vehicle traffic in the city. A reduction in concentrations of NO₂, between 53.6 and 73%, and a decrease in concentrations of CO, from 50 to 66.7%, were obtained at the monitoring stations. Another impact caused by COVID-19 was the increase in deforestation and fires was identified in the Brazilian Legal Amazon after social isolation, due to the decrease in the inspection of environmental agencies. The fires produce thermal degradation of the biomass, generating polluting gases and material particulate. These atmospheric contaminants are extremely harmful to the health of Amazonian populations. Summed to the expansion of COVID-19 in this region, all these factors combined cause the public health system to collapse. CO_2eq emissions increase estimates, according to the Greenhouse Gas Emissions Estimation System technical report, ranged from 10 to 20% in 2020, compared to those from 2018. If Brazil maintains deforestation at this pace, it will be difficult to meet the emission reduction targets agreed at COP21.

Geospatial Correlation Analysis between Air Pollution Indicators and Estimated Speed of COVID-19 Diffusion in the Lombardy Region (Italy)

Background: the Lombardy region in Italy was the first area in Europe to record an outbreak of COVID-19 and one of the most affected worldwide. As this territory is strongly polluted, it was hypothesized that pollution had a role in facilitating the diffusion of the epidemic, but results are uncertain. Aim: the paper explores the effect of air pollutants in the first spread of COVID-19 in Lombardy, with a novel geomatics approach addressing the possible confounding factors, the reliability of data, the measurement of diffusion speed, and the biasing effect of the lockdown measures. Methods and results: all municipalities were assigned to one of five possible territorial classes (TC) according to land-use and socio-economic status, and they were grouped into districts of 100,000 residents. For each district, the speed of COVID-19 diffusion was estimated from the ambulance dispatches and related to indicators of mean concentration of air pollutants over 1, 6, and 12 months, grouping districts in the same TC. Significant exponential correlations were found for ammonia (NH₃) in both prevalently agricultural (R² = 0.565) and mildly urbanized (R² = 0.688) areas. Conclusions: this is the first study relating COVID-19 estimated speed of diffusion with indicators of exposure to NH₃. As NH₃ could induce oxidative stress, its role in creating a pre-existing fragility that could have facilitated SARS-CoV-2 replication and worsening of patient conditions could be speculated.

Contributing factors common to COVID‑19 and gastrointestinal cancer

The devastating complications of coronavirus disease 2019 (COVID-19) result from the dysfunctional immune response of an individual following the initial severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Multiple toxic stressors and behaviors contribute to underlying immune system dysfunction. SARS-CoV-2 exploits the dysfunctional immune system to trigger a chain of events, ultimately leading to COVID-19. The authors have previously identified a number of contributing factors (CFs) common to myriad chronic diseases. Based on these observations, it was hypothesized that there may be a significant overlap between CFs associated with COVID-19 and gastrointestinal cancer (GIC). Thus, in the present study, a streamlined dot-product approach was used initially to identify potential CFs that affect COVID-19 and GIC directly (i.e., the simultaneous occurrence of CFs and disease in the same article). The nascent character of the COVID-19 core literature (~1-year-old) did not allow sufficient time for the direct effects of numerous CFs on COVID-19 to emerge from laboratory experiments and epidemiological studies. Therefore, a literature-related discovery approach was used to augment the COVID-19 core literature-based ‘direct impact’ CFs with discovery-based ‘indirect impact’ CFs [CFs were identified in the non-COVID-19 biomedical literature that had the same biomarker impact pattern (e.g., hyperinflammation, hypercoagulation, hypoxia, etc.) as was shown in the COVID-19 literature]. Approximately 2,250 candidate direct impact CFs in common between GIC and COVID-19 were identified, albeit some being variants of the same concept. As commonality proof of concept, 75 potential CFs that appeared promising were selected, and 63 overlapping COVID-19/GIC potential/candidate CFs were validated with biological plausibility. In total, 42 of the 63 were overlapping direct impact COVID-19/GIC CFs, and the remaining 21 were candidate GIC CFs that overlapped with indirect impact COVID-19 CFs. On the whole, the present study demonstrates that COVID-19 and GIC share a number of common risk/CFs, including behaviors and toxic exposures, that impair immune function. A key component of immune system health is the removal of those factors that contribute to immune system dysfunction in the first place. This requires a paradigm shift from traditional Western medicine, which often focuses on treatment, rather than prevention.

Environment-lockdown, air pollution and related diseases: could we learn something and make it last?

Although the pandemic has caused substantial losses in economic prosperity and human lives, it has also some positive impacts on the environment. Restricted mobility, complete closure, less traffic and industry have led to improved air quality especially in urban settings. Not only is air pollution an important determinant of chronic diseases, such as heart and lung disorders, but it has also been shown that poor air quality increases the risk of COVID-19. In this article, we review some of the findings on changes in air quality during the pandemic, and its potential effects on health. We need to continue to monitor the effects of change in air quality, due to COVID-19 lockdown or other factors, but also keep all our efforts to improve air quality even faster and more persistent, bringing the pollution levels below what WHO recommends are safe to live with.

[Atmospheric reactive oxygen species and some aspects of the antiviral protection of the respiratory epithelium]

The review focuses on molecular and biochemical mechanisms of nonspecific protection of respiratory epithelium. The authors provide a comprehensive analysis of up-to-date data on the activity of the lactoperoxidase system expressed on the surface of the respiratory epithelium which provides the generation of hypothiocyanate and hypoiodite in the presence of locally produced or inhaled hydrogen peroxide. Molecular mechanisms of production of active compounds with antiviral and antibacterial effects, expression profiles of enzymes, transporters and ion channels involved in the generation of hypothiocyanite and hypoiodate in the mucous membrane of the respiratory system in physiological and pathological conditions (inflammation) are discussed. In the context of antibacterial and antiviral defense special attention is paid to recent data confirming the effects of atmospheric air composition on the efficiency of hypothiocyanite and hypoiodate synthesis in the respiratory epithelium. The causes and outcomes of lactoperoxidase system impairment due to the action of atmospheric factors are discussed in the context of controlling the sensitivity of the epithelium to the action of bacterial agents and viruses. Restoration of the lactoperoxidase system activity can be achieved by application of pharmacological agents aimed to compensate for the lack of halides in tissues, and by the control of chemical composition of the inhaled air.

Unraveling spatial patterns of COVID-19 in Italy: Global forces and local economic drivers

This article investigates the spatial patterns of coronavirus disease 2019 (COVID-19) infection in Italy and its determinants from March 9 to June 15, 2020, a time interval covering the so-called first wave of COVID pandemics in Europe. The results, based on negative binomial regressions and linear spatial models, confirm the importance of multiple factors that positively correlate with the number of recorded cases. Economic forces, including urban agglomeration, industrial districts, concentration of large companies (both before and after the beginning of the 'lockdown') and a north-south gradient, are the most significant predictors of the strength of COVID-19 infection. These effects are statistically more robust in the spatial models than in the aspatial ones. We interpretate our results in the light of pitfalls related to data reliability, and we discuss policy implications and possible avenues for future research.

Energy poverty influences urban outdoor air pollution levels during COVID-19 lockdown in south-central Chile

The effect of COVID-19 lockdowns on ambient air pollution levels in urban south-central Chile, where outdoor air pollution primarily originates indoors from wood burning for heating, may differ from trends in cities where transportation and industrial emission sources dominate. This quasi-experimental study compared hourly fine (PM_2.5) and coarse (PM₁₀) particulate matter measurements from six air monitors (three beta attenuation monitors; three low-cost sensors) in commercial and low/middle-income residential areas of Temuco, Chile between 2019 and 2020. The potential impact of varying annual meterological conditions on air quality was also assessed. During COVID-19 lockdown, average monthly ambient PM_2.5 concentrations in a commercial and middle-income residential neighborhood of Temuco were up to 50% higher (from 12 to 18 μg/m³) and 59% higher (from 22 to 35 μg/m³) than 2019 levels, respectively. Conversely, PM_2.5 levels decreased by up to 52% (from 43 to 21 μg/m³) in low-income areas. The fine fraction of PM₁₀ in April 2020 was 48% higher than in April 2017-2019 (from 50% to 74%) in a commercial area. These changes did not appear to result from meterological differences between years. During COVID-19 lockdown, higher outdoor PM_2.5 pollution from wood heating existed in more affluent areas of Temuco, while PM_2.5 concentrations declined among poorer households refraining from wood heating. To reduce air pollution and energy poverty in south-central Chile, affordability of clean heating fuels (e.g. electricity) should be a policy priority.

Effect of Anti-COVID-19 Measures on Atmospheric Pollutants Correlated with the Economies of Medium-sized Cities in 10 Urban Areas of Grand Est Region, France

Using Sentinel-5P data, this study investigated the magnitude of change in the concentration of air pollutants (NO₂, HCHO, SO₂, O₃, CO, and aerosol index) in the air of ten cities and urban areas of the French region of Grand Est as a result of the first lockdown imposed between March 17, 2020 and May 11, 2020. The results showed that the air quality in the urban environments of Grand Est improved significantly compared to the same period in 2019 without lockdown. NO₂, O₃, aerosol index and CO were the pollutants that exhibited maximum reductions by an average of -33.98%, -5.94%, -26.82% and -0.66%, respectively (the observed maximum decreases were -54.7%, -7.7%, -13.1%, and -5.3%, respectively). The largest decrease occurred in the Public Establishments of Inter-municipal Cooperation (EPCI, in French: Établissement public de coopération intercommunale) areas of Eurométropole de Strasbourg, CA Colmar, and CA Mulhouse Alsace. The maximum decrease in air pollution first occurred in land cover classes close to cities, followed by built-up urban areas. In this study, a global depollution index known as the atmospheric clearance index (ACI) was developed, which involved several air pollution parameters, and quantitatively analyzed the decrease in contamination levels of the atmosphere in this region. In addition, the correlation between the novel ACI and other population and economic development indices was studied. The results indicated that there was a negative and statistically significant correlation between ACI and population density, gross domestic product, gross value added (GVA) at basic prices, number of employees, and active enterprises.

Long-term exposure to air pollution and COVID-19 incidence: A multi-country study

The study of the impacts of air pollution on COVID-19 has gained increasing attention. However, most of the existing studies are based on a single country, with a high degree of variation in the results reported in different papers. We attempt to inform the debate about the long-term effects of air pollution on COVID-19 by conducting a multi-country analysis using a spatial ecological design, including Canada, Italy, England and the United States. The model allows the residual spatial autocorrelation after accounting for covariates. It is concluded that the effects of PM2.5 and NO2 are inconsistent across countries. Specifically, NO2 was not found to be an important factor affecting COVID-19 infection, while a large effect for PM2.5 in the US is not found in the other three countries. The Population Attributable Fraction for COVID-19 incidence ranges from 3.4% in Canada to 45.9% in Italy, although with considerable uncertainty in these estimates.

Association of air pollution and meteorological variables with the two waves of COVID-19 pandemic in Delhi: A critical analysis

Various countries across the globe have been affected by different COVID-19 waves at different points in time and with varying levels of virulence. With the backdrop of the two COVID-19 waves that broke out in Delhi, this study examines the variations in the concentrations of criteria pollutants, air quality, and meteorological variables across the waves and their influence on COVID-19 morbidity/mortality. Descriptive statistics, violin plots, and Spearman rank correlation tests were employed to assess the variations in environmental parameters and investigate their associations with COVID-19 incidence under the two waves. The susceptible-infected-recovered model and multiple linear regression were used to assess the wave-wise basic reproduction number (R0) and infection spreading trajectory of the virus. Our results show that the first wave in Delhi had three successive peaks and valleys, and the first peak of the second wave was the tallest, indicating the severity of per-day infection cases. During the analysed period (April 2020 and April 2021), concentrations of criteria pollutants varied across the waves, and air pollution was substantially higher during the second wave. In addition, the results revealed that during the second wave, NO2 maintained a significant negative relationship with COVID-19 (cases per day), while SO2 had a negative relationship with COVID-19 (cumulative cases) during the first wave. Our results also show a significant positive association of O3 with COVID-19 deaths during the first wave and cumulative cases and deaths during the second wave. The study indicates that a higher relative humidity in Delhi had a negative relation with COVID-19 cumulative cases and mortality during the first wave. The study confirms that the estimated R0 was marginally different during the two waves, and the spread of COVID-19 new cases followed a cubic growth trajectory. The findings of this study provide valuable information for policymakers in handling COVID-19 waves in various cities.

Untangling the contributions of meteorological conditions and human mobility to tropospheric NO2 in Chinese mainland during the COVID-19 pandemic in early 2020

In early 2020, unprecedented lockdowns and travel bans were implemented in Chinese mainland to fight COVID-19, which led to a large reduction in anthropogenic emissions. This provided a unique opportunity to isolate the effects from emission and meteorology on tropospheric nitrogen dioxide (NO2). Comparing the atmospheric NO2 in 2020 with that in 2017, we found the changes of emission have led to a 49.3 ± 23.5% reduction, which was ∼12% more than satellite-observed reduction of 37.8 ± 16.3%. The discrepancy was mainly a result of changes of meteorology, which have contributed to an 8.1 ± 14.2% increase of NO2. We also revealed that the emission-induced reduction of NO2 has significantly negative correlations to human mobility, particularly that inside the city. The intra-city migration index derived from Baidu Location-Based-Service can explain 40.4% ± 17.7% variance of the emission-induced reduction of NO2 in 29 megacities, each of which has a population of over 8 million in Chinese mainland.