Change in risk of hospital admissions for ischemic heart disease after the implementation of a mass rapid transit system in Taipei

Metal contents in house geckos (Squamata: Gekkonidae) from industrial and urban areas of southern Tamaulipas, Mexico and western Andalucía, Spain, may reflect airborne metal pollution

House geckos share living quarters with humans in the tropical and subtropical regions inhabited by these reptiles. Gecko behavior, biological traits, continuous exposure to suspended particulate matter 0 µm in diameter (PM₁₀) and dust, as well as status as exotic species, motivated the choice of these species to examine environmental exposure to ambient air pollutants, in particular metals, and subsequent accumulation in these organisms. One part of the study was conducted in Tamaulipas (Mexico) where Hemydactylus frenatus is abundant in urban and industrial environments, the other part was conducted in Andalucia (Spain) where Tarentola mauritanica is found in similar environments. Adult geckos were collected on buildings in locations affected by various air pollution sources. For both species, higher metal contents were observed in whole-body (including digestive tracts) analysis and were markedly different between collection sites. Contents in tails, digestive tracts, and carcasses without digestive tracts were not correlated. Based on contamination factor values, bioaccumulation in H. frenatus tissues occurred for 12 of the 15 metals analyzed. Data suggest that H. frenatus might serve as a biomonitor for Cu, Ni, Pb, Cr, Li, and V, whereas T. mauritanica might be a biomonitor for Cu, Ni, Pb, and Cr. To our knowledge, metal contents for H. frenatus are reported here for the first time. House gecko data could be integrated into a highly representative monitoring system and health risk assessments related to air quality in residential areas.

Effects of the implementation of a mass rapid transit system on mortality rates attributed to cardiorespiratory complications in Taipei

Although Taipei City has encountered a fall in ambient air pollutant levels since 1996, the year its mass rapid transit (MRT) system commenced operation, no apparent study investigated changes in risks of death attributed to respiratory, cardiovascular, and cerebrovascular diseases in Taipei during this 23-year period. In order to examine the relationship between MRT and occurrence of respiratory and cardiovascular illnesses attributed to air contaminants, exposure over the 23 year duration was subdivided into the following periods: reference period 1 (1992-1995); period 2 (1996-2004), a time when there was a total track length of 67 km; period 3 (2005-2015), when the total track length was lengthened to 131.1 km; and period 4 (2016-2020), when it was further extended to 146.2 km. Taichung City, no MRT system, was used as an external reference population. The effect of Taipei's MRT system on rates of cause-specific death rates was analyzed using robust generalized Poisson regression models. After adjusting for age-standardized rates (ASRs), a decrease in relative risks (RRs) was found for non-trauma death and respiratory disease from periods 2 to 4. Even though the RRs were greater than 1.0 for cardiovascular and cerebrovascular diseases for periods 2 to 4, a downward trend was still noted in these RRs in Taipei. These findings suggest a relationship exists between air pollutant exposure and mortality. In addition, data demonstrated that implementation of the MRT in Taipei exerted beneficial health effects as evidenced by lower mortality rates.

Association between short-term ambient air pollution exposure and depression outpatient visits in cold seasons: a time-series analysis in northwestern China

Depression is known to be one of the most common mental disorders raising global concerns. However, evidence regarding the association between short-term air pollution exposure and risk of development of depression is limited. The aim of this was to assess the relationship between short-term ambient air pollution exposure and depression in outpatient visits in Xi'an, a northwestern Chinese metropolis. Data for air pollutants including particulate matter (PM₁₀), sulfur dioxide (SO₂), and nitrogen dioxide (NO₂) levels from October 1, 2010 to December 31, 2013 and number of daily depression outpatient visits (92,387 in total) were collected. A time-series quasi-Poisson regression model was adopted to determine the association between short-term air pollutant concentrations and frequency of outpatient visits for depression with different lag models. Consequently, 10 μg/m³ increase of SO₂ and NO₂ levels corresponded to significant elevation in number of outpatient-visits for depression on concurrent days (lag 0), and this relationship appeared stronger in cool seasons (October to March). However, the association of PM₁₀ was only significant in males aged 30-50 at lag 0. Evidence indicated that short-term exposure to ambient air pollutants especially in cool seasons might be associated with increased risk of outpatient visits for depression.

Cardiovascular health impacts of wildfire smoke exposure

In recent years, wildland fires have occurred more frequently and with increased intensity in many fire-prone areas. In addition to the direct life and economic losses attributable to wildfires, the emitted smoke is a major contributor to ambient air pollution, leading to significant public health impacts. Wildfire smoke is a complex mixture of particulate matter (PM), gases such as carbon monoxide, nitrogen oxide, and volatile and semi-volatile organic compounds. PM from wildfire smoke has a high content of elemental carbon and organic carbon, with lesser amounts of metal compounds. Epidemiological studies have consistently found an association between exposure to wildfire smoke (typically monitored as the PM concentration) and increased respiratory morbidity and mortality. However, previous reviews of the health effects of wildfire smoke exposure have not established a conclusive link between wildfire smoke exposure and adverse cardiovascular effects. In this review, we systematically evaluate published epidemiological observations, controlled clinical exposure studies, and toxicological studies focusing on evidence of wildfire smoke exposure and cardiovascular effects, and identify knowledge gaps. Improving exposure assessment and identifying sensitive cardiovascular endpoints will serve to better understand the association between exposure to wildfire smoke and cardiovascular effects and the mechanisms involved. Similarly, filling the knowledge gaps identified in this review will better define adverse cardiovascular health effects of exposure to wildfire smoke, thus informing risk assessments and potentially leading to the development of targeted interventional strategies to mitigate the health impacts of wildfire smoke.