Short-term health effects from outdoor exposure to biomass burning emissions: A review

Associations between short-term exposure to airborne carbonaceous particles and mortality: A time-series study in London during 2010-2019

Exposure to ambient particulate matter (PM) has been identified as a major global health concern; however, the importance of specific chemical PM components remains uncertain. Recent studies have suggested that carbonaceous aerosols are important detrimental components of the particle mixture. Using time-series methods, we investigated associations between short-term exposure to carbonaceous particles and mortality in London, UK. Daily counts of non-accidental, respiratory, and cardiovascular deaths were obtained between 2010 and 2019. For the same period, daily concentrations of carbonaceous particles: organic (OC), elemental (EC), wood-burning (WC), total carbon (TC) and equivalent black carbon (eBC) were sourced from two centrally located monitoring sites (one urban-traffic and one urban-background). Generalized additive models were used to estimate the percentage change in mortality risk associated with interquartile range increases in particulate concentrations. Lagged effects up to 3 days were examined. Stratified analyses were conducted by age, sex, and season, separate analyses were also performed by site-type. For non-accidental mortality, positive associations were observed for all particle species at lag1, including statistically significant percentage risk changes in WC (0.51% (95%CI: 0.19%, 0.82%) per IQR (0.68 μg/m3)) and OC (0.45% (95%CI: 0.04%, 0.87% per IQR (2.36 μg/m3)). For respiratory deaths, associations were greatest for particulate concentrations averaged over the current and previous 3 days, with increases in risk of 1.70% (95%CI: 0.64%, 2.77%) for WC and 1.31% (95%CI: -0.08%, 2.71%) for OC. No associations were found with cardiovascular mortality. Results were robust to adjustment for particle mass concentrations. Stratified analyses suggested particulate effects were greatest in the summer and respiratory associations more pronounced in females. Our findings are supportive of an association between carbonaceous particles and non-accidental and respiratory mortality. The strongest evidence of an effect was for WC; this is of significance given the rising popularity of wood-burning for residential space heating and energy production across Europe.

Assessment of Transboundary PM2.5 from Biomass Burning in Northern Thailand Using the WRF-Chem Model

Air pollution, particularly PM2.5, poses a significant environmental and public health concern, particularly in northern Thailand, where elevated PM2.5 levels are prevalent during the dry season (January-May). This study examines the influx and patterns of transboundary biomass burning PM2.5 (TB PM2.5) in this region during the 2019 dry season using the WRF-Chem model. The model's reliability was confirmed through substantial correlations between model outputs and observations from the Pollution Control Department (PCD) of Thailand at 10 monitoring stations. The findings indicate that TB PM2.5 significantly influences local PM2.5 levels, often surpassing contributions from local sources. The influx of TB PM2.5 began in January from southern directions, intensifying and shifting northward, peaking in March with the highest TB PM2.5 proportions. Elevated levels persisted through April and declined in May. Border provinces consistently exhibited higher TB PM2.5 concentrations, with Chiang Rai province showing the highest average proportion, reaching up to 45%. On days when PM2.5 levels were classified as 'Unhealthy for Sensitive Groups' or 'Unhealthy', TB PM2.5 contributed at least 50% to the total PM2.5 at all stations. Notably, stations in Chiang Rai and Nan showed detectable TB PM2.5 even at 'Very Unhealthy' levels, underscoring the significant impact of TB PM2.5 in the northern border areas. Effective mitigation of PM2.5-related health risks requires addressing PM2.5 sources both within and beyond Thailand's borders.

Environmentally Not So Friendly: Global Warming, Air Pollution, and Wildfires: JACC Focus Seminar, Part 1

Environmental stresses are increasingly recognized as significant risk factors for adverse health outcomes. In particular, various forms of pollution and climate change are playing a growing role in promoting noncommunicable diseases, especially cardiovascular disease. Given recent trends, global warming and air pollution are now associated with substantial cardiovascular morbidity and mortality. As a vicious cycle, global warming increases the occurrence, size, and severity of wildfires, which are significant sources of airborne particulate matter. Exposure to wildfire smoke is associated with cardiovascular disease, and these effects are underpinned by mechanisms that include oxidative stress, inflammation, impaired cardiac function, and proatherosclerotic effects in the circulation. In the first part of a 2-part series on pollution and cardiovascular disease, this review provides an overview of the impact of global warming and air pollution, and because of recent events and emerging trends specific attention is paid to air pollution caused by wildfires.

Unrecognized volatile and semi-volatile organic compounds from brake wear

Motor vehicles are among the major sources of pollutants and greenhouse gases in urban areas and a transition to "zero emission vehicles" is underway worldwide. However, emissions associated with brake and tire wear will remain. We show here that previously unrecognized volatile and semi-volatile organic compounds, which have a similarity to biomass burning emissions are emitted during braking. These include greenhouse gases or, these classified as Hazardous Air Pollutants, as well as nitrogen-containing organics, nitrogen oxides and ammonia. The distribution and reactivity of these gaseous emissions are such that they can react in air to form ozone and other secondary pollutants with adverse health and climate consequences. Some of the compounds may prove to be unique markers of brake emissions. At higher temperatures, nucleation and growth of nanoparticles is also observed. Regions with high traffic, which are often disadvantaged communities, as well as commuters can be impacted by these emissions even after combustion-powered vehicles are phased out.

Secondary Organic Aerosol Generated from Biomass Burning Emitted Phenolic Compounds: Oxidative Potential, Reactive Oxygen Species, and Cytotoxicity

Phenolic compounds are largely emitted from biomass burning (BB) and have a significant potential to form SOA (Phc-SOA). However, the toxicological properties of Phc-SOA remain unclear. In this study, phenol and guaiacol were chosen as two representative phenolic gases in BB plumes, and the toxicological properties of water-soluble components of their SOA generated under different photochemical ages and NOx levels were investigated. Phenolic compounds contribute greatly to the oxidative potential (OP) of biomass-burning SOA. OH-adducts of guaiacol (e.g., 2-methoxyhydroquinone) were identified as components of guaiacol SOA (GSOA) with high OP. The addition of nitro groups to 2,5-dimethyl-1,4-benzoquinone, a surrogate quinone compound in Phc-SOA, increased its OP. The toxicity of both phenol SOA (PSOA) and GSOA in vitro in human alveolar epithelial cells decreased with aging in terms of both cell death and cellular reactive oxygen species (ROS), possibly due to more ring-opening products with relatively low toxicity. The influence of NOx was consistent between cell death and cellular ROS for GSOA but not for PSOA, indicating that cellular ROS production does not necessarily represent all processes contributing to cell death caused by PSOA. Combining different acellular and cellular assays can provide a comprehensive understanding of aerosol toxicological properties.

The mortality burden attributable to wood heater smoke particulate matter (PM2.5) in Australia

Air pollution is the leading environmental risk factor for mortality worldwide. In Australia, residential wood heating is the single largest source of pollution in many regions of the country. Estimates around the world and in some limited locations across Australia have shown that the health burden attributable to wood heating PM2.5 is considerable, and that there is great potential to reduce this burden. Here, we aimed to calculate the mortality burden attributable to wood heating emissions (WHE)-related PM2.5 throughout Australia and estimate the potential health benefits of reducing WHE-related air pollution, by replacing wood heaters with cleaner heating technologies. In summary, we used a four-stage process to (1) compile a nationwide WHE inventory, (2) generate annual exposure estimates of WHE-PM2.5, (3) estimate the annual mortality burden attributable to wood heater use across Australia for the year 2015, and (4) assess the potential health benefits of replacing existing wood heaters with cleaner heating technologies. We estimated that population weighted WHE-PM2.5 exposure across Australia for 2015 ranged between 0.62 μg/m3 and 1.35 μg/m3, with differing exposures across State/Territories. We estimated a considerable mortality burden attributable to WHE-PM2.5 ranging between 558 (95 % CI, 364-738) and 1555 (95 % CI, 1180-1740) deaths annually, depending on the scenario assessed. We calculated that replacing 50 % of the current wood heater stock, with zero or lower emission technologies could produce relevant health benefits, of between $AUD 1.61 and $AUD 1.93 billion per year (303-364 attributable deaths). These findings provide a preliminary and likely conservative assessment of the health burden of wood heater smoke across Australia, and an estimation of the potential benefits from replacing the current wood heater stock with cleaner technologies. The results presented here underscore the magnitude of the health burden attributable to wood heating in Australia.

Fine particulate matter PM2.5 and its constituent, hexavalent chromium induce acute cytotoxicity in human airway epithelial cells via inflammasome-mediated pyroptosis

PM2.5-induced airway injury contributes to an increased rate of respiratory morbidity. However, the relationship between PM2.5 toxicants and acute cytotoxic effects remains poorly understood. This study aimed to investigate the mechanisms of PM2.5- and its constituent-induced cytotoxicity in human airway epithelial cells. Exposure to PM2.5 resulted in dose-dependent cytotoxicity within 24 h. Among the PM2.5 constituents examined, Cr(VI) at the dose found in PM2.5 exhibited cytotoxic effects. Both PM2.5 and Cr(VI) cause necrosis while also upregulating the expression of proinflammatory cytokine transcripts. Interestingly, exposure to the conditioned PM, obtained from adsorption in the Cr(VI)-reducing agents, FeSO4 and EDTA, showed a decrease in cytotoxicity. Furthermore, PM2.5 mechanistically enhances programmed pyroptosis through the activation of NLRP3/caspase-1/Gasdermin D pathway and increase of IL-1β. These pyroptosis markers were reduced when exposure to conditioned PM. These findings provide a deeper understanding of mechanisms underlying PM2.5 and Cr(VI) in acute airway toxicity.

Chemical Fingerprinting of Biomass Burning Organic Aerosols from Sugar Cane Combustion: Complementary Findings from Field and Laboratory Studies

Agricultural fires are a major source of biomass-burning organic aerosols (BBOAs) with impacts on health, the environment, and climate. In this study, globally relevant BBOA emissions from the combustion of sugar cane in both field and laboratory experiments were analyzed using comprehensive two-dimensional gas chromatography time-of-flight mass spectrometry. The derived chemical fingerprints of fresh emissions were evaluated using targeted and nontargeted evaluation approaches. The open-field sugar cane burning experiments revealed the high chemical complexity of combustion emissions, including compounds derived from the pyrolysis of (hemi)cellulose, lignin, and further biomass, such as pyridine and oxime derivatives, methoxyphenols, and methoxybenzenes, as well as triterpenoids. In comparison, laboratory experiments could only partially model the complexity of real combustion events. Our results showed high variability between the conducted field and laboratory experiments, which we, among others, discuss in terms of differences in combustion conditions, fuel composition, and atmospheric processing. We conclude that both field and laboratory studies have their merits and should be applied complementarily. While field studies under real-world conditions are essential to assess the general impact on air quality, climate, and environment, laboratory studies are better suited to investigate specific emissions of different biomass types under controlled conditions.

Spatial source apportionment of airborne coarse particulate matter using PMF-Bayesian receptor model

Ambient particulate matter (PM2.5 and PM10), has been extensively monitored in numerous urban areas across the globe. Over the past decade, there has been a significant improvement in PM2.5 air quality, while improvements in PM10 levels have been comparatively modest, primarily due to the limited reduction in coarse particle (PM2.5-10) pollution. Unlike PM2.5, PM2.5-10 predominantly originates from local emissions and is often characterized by pronounced spatial heterogeneity. In this study, we utilized over one million data points on PM concentrations, collected from >100 monitoring sites within a Chinese megacity, to perform spatial source apportionment of PM2.5-10. Despite the widespread availability of such data, it has rarely been employed for this purpose. We employed an enhanced positive matrix factorization approach, capable of handling large datasets, in conjunction with a Bayesian multivariate receptor model to deduce spatial source impacts. Four primary sources were successfully identified and interpreted, including residential burning, industrial processes, road dust, and meteorology-related sources. This interpretation was supported by a considerable body of prior knowledge concerning emission sources, which is usually unavailable in most cases. The methodology proposed in this study demonstrates significant potential for generalization to other regions, thereby contributing to the development of air quality management strategies.

Health Effects of Wildfire Smoke Exposure

We review current knowledge on the trends and drivers of global wildfire activity, advances in the measurement of wildfire smoke exposure, and evidence on the health effects of this exposure. We describe methodological issues in estimating the causal effects of wildfire smoke exposures on health and quantify their importance, emphasizing the role of nonlinear and lagged effects. We conduct a systematic review and meta-analysis of the health effects of wildfire smoke exposure, finding positive impacts on all-cause mortality and respiratory hospitalizations but less consistent evidence on cardiovascular morbidity. We conclude by highlighting priority areas for future research, including leveraging recently developed spatially and temporally resolved wildfire-specific ambient air pollution data to improve estimates of the health effects of wildfire smoke exposure.

Residential Wood Combustion in Germany: A Twin-Site Study of Local Village Contributions to Particulate Pollutants and Their Potential Health Effects

Residential wood combustion contributing to airborne particulate matter (PM10) was studied for 1 year at two sites in the village of Melpitz. Significant excess pollution was observed at the Melpitz center compared to that at the TROPOS research station Melpitz reference site, situated only 700 m away. Local concentration increments at the village site for the combustion PM constituents organic carbon, elemental carbon, levoglucosan, and benzo[a]pyrene were determined under appropriate wind directions, and their winter mean values were 0.7 μg m-3, 0.3 μg m-3, 0.1 μg m-3, and 0.4 ng m-3, representing relative increases over the regional background concentration of 24, 70, 61, and 107%, respectively. Yearly, weekly, and diurnal profiles of village increments suggest residential heating as the dominant source of this excess pollution, mainly originating from wood combustion. Receptor modeling using positive matrix factorization quantified 4.5 μg m-3 wood combustion PM at the village site, representing an increment of 1.9 μg m-3 and an increase of ∼75% over the 2.6 μg m-3 regional background wood combustion PM. This increment varied with season, temperature, and boundary layer height and reached daily mean values of 4-6 μg m-3 during unfavorable meteorological conditions. Potential health effects were estimated and resulted in an all-cause mortality from short-term exposure to wood combustion PM of 2.1 cases per 100,000 inhabitants and year for areas with similar wood smoke levels as observed in Melpitz. The excess cancer risk from the concentrations of polycyclic aromatic hydrocarbons was 6.4 per 100,000. For both health metrics, the very local contributions from the village itself were about 40-50%, indicating a strong potential for mitigation through local-scale policies. A compilation of literature data demonstrates wood combustion to represent a major source of PM pollution in Germany, with average winter-time contributions of 10-20%. The present study quantifies the negative impacts of heating with wood in rural residential areas, where the continuous monitoring of air quality is typically lacking. Further regulation of this PM source is warranted in order to protect human health.

First close insight into global daily gapless 1 km PM2.5 pollution, variability, and health impact

Here we retrieve global daily 1 km gapless PM2.5 concentrations via machine learning and big data, revealing its spatiotemporal variability at an exceptionally detailed level everywhere every day from 2017 to 2022, valuable for air quality monitoring, climate change, and public health studies. We find that 96%, 82%, and 53% of Earth's populated areas are exposed to unhealthy air for at least one day, one week, and one month in 2022, respectively. Strong disparities in exposure risks and duration are exhibited between developed and developing countries, urban and rural areas, and different parts of cities. Wave-like dramatic changes in air quality are clearly seen around the world before, during, and after the COVID-19 lockdowns, as is the mortality burden linked to fluctuating air pollution events. Encouragingly, only approximately one-third of all countries return to pre-pandemic pollution levels. Many nature-induced air pollution episodes are also revealed, such as biomass burning.

Development of Spatio-Temporal Land Use Regression Models for Fine Particulate Matter and Wood-Burning Tracers in Temuco, Chile

Biomass burning is common in much of the world, and in some areas, residential wood-burning has increased. However, air pollution resulting from biomass burning is an important public health problem. A sampling campaign was carried out between May 2017 and July 2018 in over 64 sites in four sessions, to develop a spatio-temporal land use regression (LUR) model for fine particulate matter (PM) and wood-burning tracers levoglucosan and soluble potassium (Ksol) in a city heavily impacted by wood-burning. The mean (sd) was 46.5 (37.4) μg m-3 for PM2.5, 0.607 (0.538) μg m-3 for levoglucosan, and 0.635 (0.489) μg m-3 for Ksol. LUR models for PM2.5, levoglucosan, and Ksol had a satisfactory performance (LOSOCV R2), explaining 88.8%, 87.4%, and 87.3% of the total variance, respectively. All models included sociodemographic predictors consistent with the pattern of use of wood-burning in homes. The models were applied to predict concentrations surfaces and to estimate exposures for an epidemiological study.

Spatiotemporal distribution of air pollutants during a heat wave-induced forest fire event in Uttarakhand

Prevailing dry conditions and rainfall deficit during the spring season in North India led to heat wave conditions which resulted in widespread and intense forest fire events in the Himalayan state of Uttarakhand during April 16-30, 2022. A total of 7589 active fires were detected by VIIRS during the second half of April 2022 compared to 1558 during the first half. The TROPOMI observed total column values of CO and NO2 increased by 4.4% and 11.7%, respectively during April 16-30, 2022 with respect to April 1-15, 2022. A noticeable increase in surface level concentration of trace gases was also observed at Dehradun. In situ measurements of CO, NOx, and O3 during April 16-30, 2022 show an increase of 133, 35, and 6% compared to previous year observations during the same period. Weather Research and Forecasting model with chemistry (WRF-Chem) is utilized to quantitatively estimate the contribution of this event on the distribution of air pollutants over this state. The model results were evaluated against ERA5 reanalysis, upper air soundings, and TROPOMI-retrieved total column density (TCD) of CO, NO2, and O3. Two simulations with (Fire) and without (NoFire) biomass burning emissions input were performed to quantify the contribution of forest fires to the concentration of trace gases and particulates. The CO, NO2, and O3 emitted/produced from forest fire over Uttarakhand during April 2022 contributed approximately 39.95, 35.73, and 9.97% to the surface concentration of respective gas. In the case of aerosols, it was around 71.20, 71.44, and 33.62% for PM2.5, PM10, and BC respectively. The vertical profile analysis of pollutants revealed that extreme forest fire events can perturb the distribution of air pollutants from the surface up to 450 hPa.

Accurate particulate matter emission measurements from biomass combustion: A holistic evaluation of full and partial flow dilution systems

Accurately measuring particulate matter emissions from biomass combustion is crucial for evaluating the performance of fuels, combustion appliances and flue gas cleaning methods. These measurements are essential for refining emission inventories for health risk assessments and environmental models and for defining pollution control strategies. However, as air quality standards become increasingly stringent and emission levels decrease, it is important to develop reliable, accurate measurement methods. This study presents a comprehensive evaluation of two particulate dilution systems, namely a full flow dilution (FFD) tunnel and a two-stage partial flow dilution system (porous tube diluter combined with ejector diluter, PTD + ED), for characterising the particle number size distribution from a wood pellet boiler. The maximum relative sampling errors due to not sampling isokinetically increase with particle size and dilution ratio (DR), but are less than 1% for particles smaller than 1 μm for both systems. The total particle number concentration with FFD is on average 35% lower than with PTD + ED, which suggests substantial particle loss during FFD. In addition with FFD, a strong negative correlation is observed between DR and the average particle size. On the other hand with PTD + ED, both the dilution air temperature and DR have no substantial influence on the particle number emissions. However, it is observed with both systems that the particle distribution is affected by coagulation, and this effect becomes more pronounced as dilution decreases. Overall, this work provides insights into the strengths and limitations of particulate dilution systems for accurately measuring emissions from biomass combustion, which can support the development of more reliable measurement methods and assist in implementing effective pollution control strategies.

Acute Health Effects of Wildfire Smoke Exposure During a Compound Event: A Case-Crossover Study of the 2016 Great Smoky Mountain Wildfires

In 2016, unprecedented intense wildfires burned over 150,000 acres in the southern Appalachian Mountains in the United States. Smoke from these fires greatly impacted the region and exposure to this smoke was significant. A bidirectional case-crossover design was applied to assess the relationship between PM2.5 (a surrogate for wildfire smoke) exposure and respiratory- and cardiovascular-related emergency department (ED) visits in Western North Carolina during these events. For 0-, 3-, and 7-day lags, findings indicated a significant increase in the odds of being admitted to the ED for a respiratory (ORs: 1.055, 95% CI: 1.048-1.063; 1.083, 1.074-1.092; 1.066, 1.058-1.074; respectively) or cardiovascular event (ORs: 1.052, 95% CI: 1.045-1.060; 1.074, 1.066-1.081; 1.067, 1.060-1.075; respectively) for every 5 μg/m3 increase in PM2.5 over a chosen cutpoint of 20.4 μg/m3. For all endpoints assessed except for emphysema, there were statistically significant increases in odds from 5.1% to 8.3%. In general, this increase was most pronounced 3 days after exposure. Additionally, individuals aged 55+ generally experience higher odds of heart disease at the 3- and 7-day lag points, and Black/African Americans generally experience higher odds of asthma at the 3-day lag point. In general, larger fires and increased numbers of fires within counties resulted in higher health burden at same day exposure. In a secondary analysis, the odds of an ED visit increased by over 40% in several cases among people exposed to days above the Environmental Protection Agency 24-hr PM2.5 standard of 35 μg/m3. Our findings provide new understanding on the health impacts of wildfires on rural populations in the southeastern US.

Clean air in Europe for all! Taking stock of the proposed revision to the ambient air quality directives: a joint ERS, HEI and ISEE workshop report

Ambient air pollution is a major public health concern and comprehensive new legislation is currently being considered to improve air quality in Europe. The European Respiratory Society (ERS), Health Effects Institute (HEI), and International Society for Environmental Epidemiology (ISEE) organised a joint meeting on May 24, 2023 in Brussels, Belgium, to review and critically evaluate the latest evidence on the health effects of air pollution and discuss ongoing revisions of the European Ambient Air Quality Directives (AAQDs). A multi-disciplinary expert group of air pollution and health researchers, patient and medical societies, and policy representatives participated. This report summarises key discussions at the meeting.

Remote sensing and model analysis of biomass burning smoke transported across the Atlantic during the 2020 Western US wildfire season

Biomass burning is the main source of air pollution in several regions worldwide nowadays. This predominance is expected to increase in the upcoming years as a result of the rising number of devastating wildfires due to climate change. Harmful pollutants contained in the smoke emitted by fires can alter downwind air quality both locally and remotely as a consequence of the recurrent transport of biomass burning plumes across thousands of kilometers. Here, we demonstrate how observations of carbon monoxide and aerosol optical depth retrieved from polar orbiting and geostationary meteorological satellites can be used to study the long-range transport and evolution of smoke plumes. This is illustrated through the megafire events that occurred during summer 2020 in the Western United States and the transport of the emitted smoke across the Atlantic Ocean to Europe. Analyses from the Copernicus Atmosphere Monitoring Service, which combine satellite observations with an atmospheric model, are used for comparison across the region of study and along simulated air parcel trajectories. Lidar observation from spaceborne and ground-based instruments are used to verify consistency of passive observations. Results show the potential of joint satellite-model analysis to understand the emission, transport, and processing of smoke across the world.

General Hospitalization and Intensive Care Unit-Related Factors of COVID-19 Patients in Northeastern Colombia: Baseline Characteristics of a Cohort Study

Objective This study aims to describe demographic and clinical characteristics and the factors associated with the risk of COVID-19 general hospitalization and intensive care unit (ICU) care of patients who consulted in a third-level hospital in Santander, Colombia. Methods We used baseline data from an ambidirectional cohort study. We included all patients with positive real-time polymerase chain reaction (PCR) tests for COVID-19 who came to the emergency room (ER) for respiratory symptoms related to COVID-19. Information regarding patients' baseline characteristics and symptoms was collected through telephone interviews and review of medical records. Vital signs were extracted from medical records as well. Results We enrolled 3,030 patients, predominantly men, with a median age of 60 (interquartile range (IQR): 44-73). Symptoms of the acute phase varied between men and women. Men presented with more respiratory symptoms, and women had general symptoms. Hypertension, obesity, and diabetes were common risk factors for hospital admission. Antibiotic consumption may also play a role in hospital admission.  Conclusions Male sex, older age, hypertension, obesity, prior thrombotic events, and self-medicated antibiotics were associated with general hospitalization. Hypertension, obesity, diabetes, and cancer were associated with ICU admission. The Charlson comorbidity index (CCI) is a powerful tool for evaluate the impact of pre-existing health conditions on COVID-19 hospital admission. We highlight the importance of these findings as possible predictors in our region.

Phytolith particulate matter and its potential human and environmental effects

Particulate matter from both natural and anthropogenic sources is known to affect air quality and human health. However, the abundance and varied composition of the suspended particulate matter make it difficult to locate the precise precursors for some of these atmospheric pollutants. Plants deposit appreciable quantities of microscopic biogenic silica in and/or between their cells, known as phytoliths, which get released into the soil surface after the death and decomposition of plants. Dust storms from exposed terrains, forest fires, and stubble burning disperse these phytoliths into the atmosphere. Their durability, chemical composition, and diverse morphology prompt us to view phytoliths as a possible particulate matter that could impact air quality, climate, and human health. Estimating the phytolith particulate matter, its toxicity, and environmental impacts will help take effective and targeted policies for improving air quality and decreasing health risks.

Contributions of particulate and gas phases of simulated burn pit smoke exposures to impairment of respiratory function

OBJECTIVE

Inhalation of smoke from the burning of waste materials on military bases is associated with increased incidences of cardiopulmonary diseases. This study examined the respiratory and inflammatory effects of acute inhalation exposures in mice to smoke generated by military burn pit-related materials including plywood (PW), cardboard (CB), mixed plastics (PL), and a mixture of these three materials (MX) under smoldering (0.84 MCE) and flaming (0.97 MCE) burn conditions.

METHODS

Mice were exposed nose-only for one hour on two consecutive days to whole or filtered smoke or clean air alone. Smoldering combustion emissions had greater concentrations of PM (∼40 mg/m3) and VOCs (∼5-12 ppmv) than flaming emissions (∼4 mg/m3 and ∼1-2 ppmv, respectively); filtered emissions had equivalent levels of VOCs with negligible PM. Breathing parameters were assessed during exposure by head-out plethysmography.

RESULTS

All four smoldering burn pit emission types reduced breathing frequency (F) and minute volumes (MV) compared with baseline exposures to clean air, and HEPA filtration significantly reduced the effects of all smoldering materials except CB. Flaming emissions had significantly less suppression of F and MV compared with smoldering conditions. No acute effects on lung inflammatory cells, cytokines, lung injury markers, or hematology parameters were noted in smoke-exposed mice compared with air controls, likely due to reduced respiration and upper respiratory scrubbing to reduce the total deposited PM dose in this short-term exposure.

CONCLUSION

Our data suggest that material and combustion type influences respiratory responses to burn pit combustion emissions. Furthermore, PM filtration provides significant protective effects only for certain material types.

Influence of local scale and oceanic teleconnections on regional fire danger and wildfire trends

Studies and observations have pointed out that recent wildfires have been more severe and burned area is increasing in tropical regions. The current study aims at investigating the influence of oceanic climate modes and their teleconnection on global fire danger and trends in the 1980-2020 interval. Disentangling these trends demonstrates that across the extratropics they are primarily related to increases in temperature, whereas in the tropics changes in short-term precipitation distribution dominates the trends. Moreover, the environmental impact of short-term precipitation is dependent on local vegetation type and tightly related to oceanic temperatures far from the burned areas. Indeed, in the 2001-2020 period, a warmer tropical North Atlantic was associated with more fires in the Amazon and Africa, whereas ENSO has weakened the fire activity in equatorial Africa. The remarkable impact of oceanic modes of climate variability in inducing environmental conditions conducive to fires, has particular relevance for the seasonal spatiotemporal wildfire forecasts. Although local aspects are crucial for fire management, long-term predictions should take into account the behavior of potential climate drivers located far from the region of interest. Such teleconnections can be identified ahead of local weather anomalies.

Acute health effects of bushfire smoke on mortality in Sydney, Australia

BACKGROUND

Bushfire smoke is a major ongoing environmental hazard in Australia. In the summer of 2019-2020 smoke from an extreme bushfire event exposed large populations to high concentrations of particulate matter (PM) pollution. In this study we aimed to estimate the effect of bushfire-related PM of less than 2.5 μm in diameter (PM_2.5) on the risk of mortality in Sydney, Australia from 2010 to 2020.

METHODS

We estimated concentrations of PM_2.5 for three subregions of Sydney from measurements at monitoring stations using inverse-distance weighting and cross-referenced extreme days (95th percentile or above) with satellite imagery to determine if bushfire smoke was present. We then used a seasonal and trend decomposition method to estimate the Non-bushfire PM_2.5 concentrations on those days. Daily PM_2.5 concentrations above the Non-bushfire concentrations on bushfire smoke days were deemed to be Bushfire PM_2.5. We used distributed-lag non-linear models to estimate the effect of Bushfire and Non-bushfire PM_2.5 on daily counts of mortality with sub-analyses by age. These models controlled for seasonal trends in mortality as well as daily temperature, day of week and public holidays.

RESULTS

Within the three subregions, between 110 and 134 days were identified as extreme bushfire smoke days within the subregions of Sydney. Bushfire-related PM_2.5 ranged from 6.3 to 115.4 µg/m³. A 0 to 10 µg/m³ increase in Bushfire PM_2.5 was associated with a 3.2% (95% CI 0.3, 6.2%) increase in risk of all-cause death, cumulatively, in the 3 days following exposure. These effects were present in those aged 65 years and over, while no effect was observed in people under 65 years.

CONCLUSION

Bushfire PM_2.5 exposure is associated with an increased risk of mortality, particularly in those over 65 years of age. This increase in risk was clearest at Bushfire PM_2.5 concentrations up to 30 µg/m³ above background (Non-bushfire), with possible plateauing at higher concentrations of Bushfire PM_2.5.

Climate change and human health in the Eastern Mediterranean and Middle East: Literature review, research priorities and policy suggestions

Human health is linked to climatic factors in complex ways, and climate change can have profound direct and indirect impacts on the health status of any given region. Susceptibility to climate change is modulated by biological, ecological and socio-political factors such as age, gender, geographic location, socio-economic status, occupation, health status and housing conditions, among other. In the Eastern Mediterranean and Middle East (EMME), climatic factors known to affect human health include extreme heat, water shortages and air pollution. Furthermore, the epidemiology of vector-borne diseases (VBDs) and the health consequences of population displacement are also influenced by climate change in this region. To inform future policies for adaptation and mitigation measures, and based on an extensive review of the available knowledge, we recommend several research priorities for the region. These include the generation of more empirical evidence on exposure-response functions involving climate change and specific health outcomes, the development of appropriate methodologies to evaluate the physical and psychological effects of climate change on vulnerable populations, determining how climate change alters the ecological determinants of human health, improving our understanding of the effects of long-term exposure to heat stress and air pollution, and evaluating the interactions between adaptation and mitigation strategies. Because national boundaries do not limit most climate-related factors expected to impact human health, we propose that adaptation/mitigation policies must have a regional scope, and therefore require collaborative efforts among EMME nations. Policy suggestions include a decisive region-wide decarbonisation, the integration of environmentally driven morbidity and mortality data throughout the region, advancing the development and widespread use of affordable technologies for the production and management of drinking water by non-traditional means, the development of comprehensive strategies to improve the health status of displaced populations, and fostering regional networks for monitoring and controlling the spread of infectious diseases and disease vectors.

Short-term exposure to wildfire-related PM2.5 increases mortality risks and burdens in Brazil

To assess mortality risks and burdens associated with short-term exposure to wildfire-related fine particulate matter with diameter ≤ 2.5 μm (PM_2.5), we collect daily mortality data from 2000 to 2016 for 510 immediate regions in Brazil, the most wildfire-prone area. We integrate data from multiple sources with a chemical transport model at the global scale to isolate daily concentrations of wildfire-related PM_2.5 at a 0.25 × 0.25 resolution. With a two-stage time-series approach, we estimate (i) an increase of 3.1% (95% confidence interval [CI]: 2.4, 3.9%) in all-cause mortality, 2.6% (95%CI: 1.5, 3.8%) in cardiovascular mortality, and 7.7% (95%CI: 5.9, 9.5) in respiratory mortality over 0-14 days with each 10 μg/m³ increase in daily wildfire-related PM_2.5; (ii) 0.65% of all-cause, 0.56% of cardiovascular, and 1.60% of respiratory mortality attributable to acute exposure to wildfire-related PM_2.5, corresponding to 121,351 all-cause deaths, 29,510 cardiovascular deaths, and 31,287 respiratory deaths during the study period. In this study, we find stronger associations in females and adults aged ≥ 60 years, and geographic difference in the mortality risks and burdens.

Catastrophic PM2.5 emissions from Siberian forest fires: Impacting factors analysis

With increased forest fires due to climate change, PM_2.5 emissions also intensified. Record PM_2.5 emissions according to Copernicus Atmosphere Monitoring Service in Russia amounted to 8 megatons (Mt) in 2021, which is 78% higher than the average level of 2004-2021 (4.5 Mt). Seven federal subjects (the constituent entities) with vast forest areas without fire protection produced 86% of emissions (6.8 Mt) in 2021, the major losses (6.1 Mt) in Yakutia (Sakha Republic). The ambient temperature in Eastern Siberia is increasing, especially in months of winter and spring seasons (up to +3.6 °C) in 1990-2020 compared to 1901-2020 (CEDA Archive); climate change has affected meteorological conditions leading to increased forest fires. The results of the SARIMAX model study for PM_2.5 emissions considering meteorological factors using ERA5 and burnt forest area using MODIS (MCD64A1), establishing a significant dependence of PM_2.5 emissions on the lack of precipitation and the associated parameters of complete and potential evaporation. This influence long before the fire season (up to 9 months), as it affects the snow cover and the dryness of the fuel by the beginning of forest fires. In turn, high PM_2.5 emission values are accompanied by a drop in 2 m air temperature and surface solar radiation downwards due to the aerosol saturation with suspended particles. The average COR for seven federal subjects was 0.79, with the highest forecast result in Yakutia (0.95), indicating the maximum propensity for record emissions due to weather conditions. In combination with forest management without fire protection, meteorological parameters have caused an increase in PM_2.5 emissions in recent years in Siberia. The forest needs other ways to manage under the pressures of climate change to reduce environmental pollution associated with PM_2.5 emissions from vast Siberian fires.

Effect of fire spread, flame characteristic, fire intensity on particulate matter 2.5 released from surface fuel combustion of Pinus koraiensis plantation- A laboratory simulation study

PM2.5 is one of major pollutants emitted from forest fires. High PM2.5 concentration not only affects short-term human respiration health, but also poses a long-term threat to human cardiopulmonary functionality. Therefore, it is of great importance to quantitatively assess the PM2.5 released by forest combustion in forest fire studies. In this study we examine relationships between the PM2.5 concentration and environment and fuel characteristics laboratory experiments. In the experiments, fuel beds with controlled moisture contents and loads were first built; then 144 ignition experiments were conducted for various combinations of wind speeds using a wind tunnel device. Fire behavior characteristics and PM2.5 concentrations released from fuel combustion were measured and analyzed. The experimental results show that the relationship between fire characteristics, fire intensity and the influencing factors of wind speed, fuel moisture content, and fuel load can be explained by the fundamental theory of forest combustion. Although PM2.5 concentration rises with the increase of wind speed, the decrease of fuel moisture content, and the increase of fuel load, there appears to be a fuel load threshold for a given combination of wind speed and fuel moisture content that the increase of PM2.5 concentration decelerates quickly after the load passes the threshold value. After screening fire behavior characteristics that affect PM2.5 concentration, we found that fire line intensity and flame width are the ones with the strongest association with the concentration. With flame width as independent variable, we have built two regression models to predict PM2.5 and fire line intensity which are treated as dependent variable; the models have high accuracy with R2 = 0.92 for predicting PM2.5 and R2 = 0.97 for predicting fire line intensity. Study results can be used as reference to protect the health of forest fire fighters, and can be helpful for forest fire smoke management.

Efficiency of Emission Reduction Technologies for Residential Biomass Combustion Appliances: Electrostatic Precipitator and Catalyst

Residential biomass combustion has been pointed out as one of the largest sources of atmospheric pollutants. Rising awareness of the environmental effects of residential biomass combustion emissions boosted the development of different emission reduction devices that are currently available on the market for small-scale appliances. However, detailed studies on the efficiency of these devices in different combustion systems available in Southern European countries are lacking. In this study, two pollution control devices (catalytic converter and electrostatic precipitator) were tested in two different combustion systems (batch mode operated woodstove and automatically fed pellet stove) in order to assess the emission reduction potential of the devices. Pine firewood was used to fuel the woodstove. One commercial brand of pellets and an agricultural fuel (olive pit) were taken for the experiments in the pellet stove. While the efficiency of the electrostatic precipitator in reducing PM10 was only recorded for woodstove emissions (29%), the effect of the catalyst in decreasing gaseous emissions was only visible when applied to the pellet stove flue gas. For wood pellet combustion, reductions of CO and TOC emissions were in the range of 60–62% and 74–77%, respectively. For olive pit combustion, a lower decrease of 59–60% and 64% in CO and TOC emissions, respectively, was recorded.

Association between the Use of Biomass as Fuel for Cooking and Acute Respiratory Infections in Children under 5 Years of Age in Peru: An Analysis of a Population-Based Survey, 2019

Background

Acute respiratory infections (ARIs) are the most frequent respiratory diseases associated with the use of biomass as fuel within the home. ARIs are the main cause of mortality in children under 5 years of age. We aimed to evaluate the association between the use of biomass as cooking fuel and ARI in children under 5 years of age in Peru in 2019.

Methods

A secondary data analysis of the 2019 Peru Demographic and Family Health Survey (ENDES) has been performed. The outcome variable was a history of ARI. The exposure variable was the use of biomass as fuel for cooking food. To evaluate the association of interest, generalized linear models from the Poisson family with logarithmic link function considering complex sampling to estimate crude prevalence ratio (cPR) and adjusted prevalence ratio (aPR) with their respective 95% confidence intervals have been performed. P values <0.05 were considered statistically significant.

Results

A total of 16,043 children were included in the analysis. Of the total, biomass was used as fuel to cook food in the homes of 3,479 (20.0%) children. Likewise, 2,185 (14.3%) of the children had a history of ARI. In the adjusted model, it was found that children living in homes in which biomass was used as cooking fuel had a greater probability of presenting ARI (aPR = 1.13; 95% CI: 1.01–1.28).

Conclusions

It has been found that biomass was used to cook food in two of every 10 households. Likewise, almost one-seventh of children under 5 years old presented an ARI. The use of biomass as a source of energy for cooking in the home was associated with a higher probability of presenting ARIs.

Excess emergency department visits for cardiovascular and respiratory diseases during the 2019-20 bushfire period in Australia: A two-stage interrupted time-series analysis

The health effects of the unprecedented bushfires in Australia in 2019-20 have not been fully examined. We aimed to examine the excess emergency department (ED) visits related to the 2019-20 bushfires in New South Wales (NSW). We obtained weekly data of ED visits for cardiovascular and respiratory diseases in all the 28 Statistical Area Level 4 (SA4) regions in NSW during the bushfire seasons from 2017 to 2020. A two-stage interrupted time-series analysis was applied to quantify the excess risk for ED visits in 2019-20. The total number of excess ED visits, excess percentages, and their empirical confidence intervals (eCIs) were calculated to estimate the impacts of the bushfire season. A total of 416,057 records of cardiorespiratory ED visits were included in our analysis. The bushfire season in 2019-20 was significantly associated with a 6.0% increase (95% eCI: 1.9, 10.3) in ED visits for respiratory diseases and a 10.0% increase (95% eCI: 5.0, 15.2) for cardiovascular diseases, corresponding to 6177 (95% eCI: 1989, 10,166) and 3120 (95% eCI: 1628, 4544) excess ED visits, respectively. The percentage of excess ED visits was higher in regions with lower SES and high fire density. In the context of climate change, more targeted strategies should be developed to prevent adverse bushfire effects and recover from such extreme environmental events.

FGF10 protects against particulate matter (PM)-induced lung injury via regulation of endoplasmic reticulum stress

Exposure of the lungs to particulate matter (PM) leads to the development of respiratory disease and involves mechanisms such as oxydative stress, mitochondrial dysfunction and endoplasmic reticulum (ER) stress. However, there are no effective therapies to treat PM-induced lung diseases. Fibroblast growth factor 10 (FGF10) is a multifunctional growth factor mediating mesenchymal-to-epithelial signaling and displaying a significant therapeutic potential following injury. The present research aims to investigate the regulatory mechanism of FGF10 on ER stress in PM-induced lung injury. PM-induced lung injury leads to peribronchial wall thickening and marked infiltration of inflammatory cells which is associated with increased secretion of inflammatory cytokines. The results show that FGF10 treatment attenuates PM-induced lung injury in vivo and reversed ER stress protein GRP78 and CHOP levels. Moreover, comparison of human bronchial epithelial cells cultured with PM and FGF10 vs PM alone shows sustained cell proliferation and restrained secretion of inflammatory cytokines supporting FGF10's protective role. Significantly, both ERK1/2 and PI3K/AKT inhibitors largely abolished the impact of FGF10 on PM-induced ER stress. Taken together, both in vivo and in vitro experiments showed that FGF10, via the activation of ERK1/2 and PI3K/AKT signaling, protects against PM-induced lung injury through the regulation of ER stress. Therefore, FGF10 represents a potential therapy for PM-induced lung injury.

Application of Single-Particle Mass Spectrometer to Obtain Chemical Signatures of Various Combustion Aerosols

A single-particle mass spectrometer (SPMS) with laser ionization was constructed to determine the chemical composition of single particles in real time. The technique was evaluated using various polystyrene latex particles with different sizes (125 nm, 300 nm, 700 nm, and 1000 nm); NaCl, KCl, MgCO₃, CaCO₃, and Al₂O₃ particles with different chemical compositions; an internal mixture of NaCl and KCl; and an internal mixture of NaCl, KCl, and MgCl₂ with different mixing states. The results show that the SPMS can be useful for the determination of chemical characteristics and mixing states of single particles in real time. The SPMS was then applied to obtain the chemical signatures of various combustion aerosols (diesel engine exhaust, biomass burning (rice straw), coal burning, and cooking (pork)) based on their single-particle mass spectra. Elemental carbon (EC)-rich and EC-organic carbon (OC) particles were the predominant particle types identified in diesel engine exhaust, while K-rich and EC-OC-K particles were observed among rice straw burning emissions. Only one particle type (ash-rich particles) was detected among coal burning emissions. EC-rich and EC-OC particles were observed among pork burning particles. The single-particle mass spectra of the EC or OC types of particles differed among various combustion sources. The observed chemical signatures could be useful for rapidly identifying sources of atmospheric fine particles. In addition, the detected chemical signatures of the fine particles may be used to estimate their toxicity and to better understand their effects on human health.

Performance and Deployment of Low-Cost Particle Sensor Units to Monitor Biomass Burning Events and Their Application in an Educational Initiative

Biomass burning smoke is often a significant source of airborne fine particles in regional areas where air quality monitoring is scarce. Emerging sensor technology provides opportunities to monitor air quality on a much larger geographical scale with much finer spatial resolution. It can also engage communities in the conversation around local pollution sources. The SMoke Observation Gadget (SMOG), a unit with a Plantower dust sensor PMS3003, was designed as part of a school-based Science, Technology, Engineering and Mathematics (STEM) project looking at smoke impacts in regional areas of Victoria, Australia. A smoke-specific calibration curve between the SMOG units and a standard regulatory instrument was developed using an hourly data set collected during a peat fire. The calibration curve was applied to the SMOG units during all field-based validation measurements at several locations and during different seasons. The results showed strong associations between individual SMOG units for PM2.5 concentrations (r2 = 0.93-0.99) and good accuracy (mean absolute error (MAE) < 2 μg m-3). Correlations of the SMOG units to reference instruments also demonstrated strong associations (r2 = 0.87-95) and good accuracy (MAE of 2.5-3.0 μg m-3). The PM2.5 concentrations tracked by the SMOG units had a similar response time as those measured by collocated reference instruments. Overall, the study has shown that the SMOG units provide relevant information about ambient PM2.5 concentrations in an airshed impacted predominantly by biomass burning, provided that an adequate adjustment factor is applied.

Combined Effect of Hot Weather and Outdoor Air Pollution on Respiratory Health: Literature Review

Association between short-term exposure to ambient air pollution and respiratory health is well documented. At the same time, it is widely known that extreme weather events intrinsically exacerbate air pollution impact. Particularly, hot weather and extreme temperatures during heat waves (HW) significantly affect human health, increasing risks of respiratory mortality and morbidity. Concurrently, a synergistic effect of air pollution and high temperatures can be combined with weather–air pollution interaction during wildfires. The purpose of the current review is to summarize literature on interplay of hot weather, air pollution, and respiratory health consequences worldwide, with the ultimate goal of identifying the most dangerous pollution agents and vulnerable population groups. A literature search was conducted using electronic databases Web of Science, Pubmed, Science Direct, and Scopus, focusing only on peer-reviewed journal articles published in English from 2000 to 2021. The main findings demonstrate that the increased level of PM10 and O3 results in significantly higher rates of respiratory and cardiopulmonary mortality. Increments in PM2.5 and PM10, O3, CO, and NO2 concentrations during high temperature episodes are dramatically associated with higher admissions to hospital in patients with chronic obstructive pulmonary disease, daily hospital emergency transports for asthma, acute and chronic bronchitis, and premature mortality caused by respiratory disease. Excessive respiratory health risk is more pronounced in elderly cohorts and small children. Both heat waves and outdoor air pollution are synergistically linked and are expected to be more serious in the future due to greater climate instability, being a crucial threat to global public health that requires the responsible involvement of researchers at all levels. Sustainable urban planning and smart city design could significantly reduce both urban heat islands effect and air pollution.

Policy Implications for Protecting Health from the Hazards of Fire Smoke. A Panel Discussion Report from the Workshop Landscape Fire Smoke: Protecting Health in an Era of Escalating Fire Risk

Globally, and nationally in Australia, bushfires are expected to increase in frequency and intensity due to climate change. To date, protection of human health from fire smoke has largely relied on individual-level actions. Recent bushfires experienced during the Australian summer of 2019–2020 occurred over a prolonged period and encompassed far larger geographical areas than previously experienced, resulting in extreme levels of smoke for extended periods of time. This particular bushfire season resulted in highly challenging conditions, where many people were unable to protect themselves from smoke exposures. The Centre for Air pollution, energy and health Research (CAR), an Australian research centre, hosted a two-day symposium, Landscape Fire Smoke: Protecting health in an era of escalating fire risk, on 8 and 9 October 2020. One component of the symposium was a dedicated panel discussion where invited experts were asked to examine alternative policy settings for protecting health from fire smoke hazards with specific reference to interventions to minimise exposure, protection of outdoor workers, and current systems for communicating health risk. This paper documents the proceedings of the expert panel and participant discussion held during the workshop.