A longitudinal and multidesign epidemiological study to analyze the effect of the volcanic eruption of Tajogaite volcano (La Palma, Canary Islands). The ASHES study protocol

Lung Function and Symptoms of Exposure to the Volcanic Eruption in the Canary Islands: First Follow-Up of the ASHES Study

INTRODUCTION

Exposure to gases and particulate matter released during volcanic eruptions can prove harmful to population health. This paper reports the preliminary results of the ASHES study, aimed at ascertaining the respiratory health effects of the 2021 volcanic eruption in La Palma Island (Spain) on the adult population without previous respiratory disease.

METHODS

Ambispective cohort study on the healthy adult population. Three exposure groups were considered: Group 1, high exposure; Group 2, moderate exposure; and Group 3, minor or no exposure. We carried out a descriptive analysis of symptoms during and after the eruption, as well as measure lung function after the eruption (through forced spirometry and diffusing capacity of carbon monoxide).

RESULTS

The analysis included 474 subjects: 54 in Group 1, 335 in Group 2, and 85 in Group 3. A significant increase in most symptoms was observed for subjects in the groups exposed during the eruption. After the eruption, this increase remained for some symptoms. There seems to be a dose-response relationship, such that the higher the exposure, the higher the odds ratio. A prebronchodilator FEV1/FVC ratio<70% was observed in 13.0% of subjects in Group 1, 8.6% of subjects in Group 2, and 7.1% of subjects in Group 3.

CONCLUSIONS

This study is the first to report a dose-response relationship between exposure to volcanic eruptions and the presence of symptoms in adults. Furthermore, there is a tendency toward obstructive impairment in individuals with higher exposure.

The impacts of earthquakes on air pollution and strategies for mitigation: a case study of Turkey

This study delves into the repercussions of the 2023 earthquake in Turkey, particularity its impact on air pollution. A year post-event, it is evident that scientific literature has paid limited attention to monitoring the situation. However, the release of hazardous substances, such as asbestos, lead, and other toxins, from damaged structures poses a significant threat by contaminating nearby air, soil, and water sources, thereby jeopardizing ecosystems and public well-being. The improper disposal of waste post-earthquake and the presence of mining and oil refinery sites in the region contribute to potential air pollutants. These circumstances create challenging environments conducive to the spread of respiratory diseases, with potential long-term health and social consequences. Unfortunately, existing data gaps hinder a comprehensive understanding of the situation. This paper pioneers the reporting and analysis of data regarding potential sources of air pollution resulting from the earthquake in Turkey. It also pinpoints gaps in knowledge, outlining areas that demand further investigation. To effectively prevent and mitigate air pollution risks and associated health concerns linked to earthquakes, strategic recommendations are proposed. A key suggestion is the establishment of post-disaster air pollution monitoring systems capable of swiftly identifying emerging health issues, facilitating efficient responses, and curtailing potential long-term effects of the disaster. The paper underscores the necessity for continuous health monitoring of the affected population to mitigate possible adverse impacts on human health. These strategies play a pivotal role in reducing the likelihood of air pollution, supporting emergency response and recovery initiatives, and fostering new dedicated scientific studies.

Health impact of the Tajogaite volcano eruption in La Palma population (ISVOLCAN study): rationale, design, and preliminary results from the first 1002 participants

BACKGROUND

The eruption of the Tajogaite volcano began on the island of La Palma on September 19, 2021, lasting for 85 days. This study aims to present the design and methodology of the ISVOLCAN (Health Impact on the Population of La Palma due to the Volcanic Eruption) cohort, as well as the preliminary findings from the first 1002 enrolled participants.

METHODS

A prospective cohort study was conducted with random selection of adult participants from the general population, with an estimated sample size of 2600 individuals. The results of the first 857 participants are presented, along with a group of 145 voluntary participants who served as interveners during the eruption. Data on epidemiology and volcano exposure were collected, and participants underwent physical examinations, including anthropometry, blood pressure measurement, spirometry, and venous blood extraction for toxicological assessment.

RESULTS

In the general population (n = 857), descriptive analysis revealed that the participants were mostly middle-aged individuals (50.8 ± 16.4), with a predominance of females. Before the eruption, the participants resided at a median distance of 6.7 km from the volcano in the Western region and 10.9 km in the Eastern region. Approximately 15.4% of the sample required evacuation, whose 34.8% returning to their homes on average after 3 months. A significant number of participants reported engaging in daily tasks involving cleaning of volcanic ash both indoors and outdoors. The most reported acute symptoms included ocular irritation, insomnia, mood disorders (anxiety-depression), and respiratory symptoms. Multivariate analysis results show that participants in the western region had a higher likelihood of lower respiratory tract symptoms (OR 1.99; 95% CI:1.33-2.99), depression and anxiety (OR 1.95; 95% CI:1.30-2.93), and insomnia (OR 2.03; 95% CI:1.33-3.09), compared to those in the eastern region.

CONCLUSION

The ongoing follow-up of the ISVOLCAN cohort will provide valuable insights into the short, medium, and long-term health impact related to the material emitted during the Tajogaite eruption, based on the level of exposure suffered by the affected population.

Synthesis of zeolites from volcanic ash (Tajogaite, Spain) for the remediation of waters contaminated by fluoride

In the eruptive event of Tajogaite (2021) in La Palma, Canary Islands, large quantities of volcanic ash were accumulated, affecting the local environment and urban areas. In this study, volcanic ash sampled from urban areas (catalogued as municipal waste (20 03 03) by the European Wastes Catalogue) were converted into zeolites by hydrothermal synthesis at 100 °C with previous alkaline fusion at 550 °C with distilled water. During this process, new phases of zeolite principally type X and sodalite have been identified by XRD at 2 h of incubation. These zeolites, with the course of incubation time, present competitive processes where the transformation into sodalite develops after 24 h as the predominant phase. The synthesized zeolitic material presents a high concentration as impurities in Fe2O3 (13.70 wt%), Na2O (12.70 wt%), CaO (11.65 wt%), and TiO2 (3.89 wt%) coming from the volcanic ash and NaOH introduced in the synthesis methodology. These impurities impart different physicochemical capabilities to the zeolitic material. The application of zeolites obtained in a preliminary fluoride adsorption experiment with volcanic leachate water rich in fluoride has been tested in a novel way. Removal efficiencies of 41.4% at acidic pH (5.77) have been obtained with 2 g L-1 adsorbent zeolitic material doses. A value-added material is obtained and applied in a preliminary way to solve a problem generated by the volcanic ash itself, allowing the End of Waste status and meeting different objectives of the sustainable development goals of the UN Agenda 2030.

Potentially harmful elements released by volcanic ash of the 2021 Tajogaite eruption (Cumbre Vieja, La Palma Island, Spain): Implications for human health

This study assesses the potential impacts on human health of volcanic ash emitted during the 2021 Tajogaite eruption (La Palma Island, Spain). Ash samples were physically and chemically characterized and leaching tests (with deionized water and acidic solution) were performed according to the IVHHN protocols to elucidate i) the leachable elements that may affect water quality and represent a potential threat for livestock and humans through drinking water supply; and ii) the bioaccessible fraction of toxicants able to be solubilized from ash surfaces if ashes are incidentally ingested by children. The most abundant readily water-soluble compounds were SO4, F, Cl, Na, Ca, Ba, Mg, and Zn. Fluoride and chloride (up to 1085 and 1347 mg/kg) showed higher values in distal ash samples than closer ones. The potential F availability assessed from water leachates may suggest important environmental and health implications. In addition, long-term health hazard due to a long-term weathering of tephra deposits should be possible as confirmed by the greater amount of F extracted by acidic solution. Concentration of other trace elements (e.g., As, V, Mn, Mo, Cr, Fe, Se, Ti, Pb) were low compared to global medians and within the range globally assessed. Indicative calculation of hazard for water supply showed that F concentration may exceed both the recommended value (1 mg/L) for irrigation purpose and the health-based drinking water limits of 1.5 mg/L (for humans) and 2 mg/L (for livestock). If the predicted concentrations in water were compared with the toxicologically dose, F showed a potential health-risk for children through drinking water. The indicative health-risk characterization via accidental ash ingestion showed that the direct exposure does not represent a primary source of F daily intake for children. This important outcome confirmed F as element with the greatest health threat during Tajogaite 2021 eruption.

Impact of the 2021 La Palma volcanic eruption on air quality: Insights from a multidisciplinary approach

The La Palma 2021 volcanic eruption was the first subaerial eruption in a 50-year period in the Canary Islands (Spain), emitting ~1.8 Tg of sulphur dioxide (SO₂) into the troposphere over nearly 3 months (19 September-13 December 2021), exceeding the total anthropogenic SO₂ emitted from the 27 European Union countries in 2019. We conducted a comprehensive evaluation of the impact of the 2021 volcanic eruption on air quality (SO₂, PM₁₀ and PM_2.5 concentrations) utilising a multidisciplinary approach, combining ground and satellite-based measurements with height-resolved aerosol and meteorological information. High concentrations of SO₂, PM₁₀ and PM_2.5 were observed in La Palma (hourly mean SO₂ up to ~2600 μg m^-3 and also sporadically at ~140 km distance on the island of Tenerife (> 7700 μg m^-3) in the free troposphere. PM₁₀ and PM_2.5 daily mean concentrations in La Palma peaked at ~380 and 60 μg m^-3. Volcanic aerosols and desert dust both impacted the lower troposphere in a similar height range (~ 0-6 km) during the eruption, providing a unique opportunity to study the combined effect of both natural phenomena. The impact of the 2021 volcanic eruption on SO₂ and PM concentrations was strongly influenced by the magnitude of the volcanic emissions, the injection height, the vertical stratification of the atmosphere and its seasonal dynamics. Mean daily SO₂ concentrations increased during the eruption, from 38 μg m^-3 (Phase I) to 92 μg m^-3 (Phase II), showing an opposite temporal trend to mean daily SO₂ emissions, which decreased from 34 kt (Phase I) to 7 kt (Phase II). The results of this study are relevant for emergency preparedness in all international areas at risk of volcanic eruptions; a multidisciplinary approach is key to understand the processes by which volcanic eruptions affect air quality and to mitigate and minimise impacts on the population.