Ambient Air Pollution and Cardiorespiratory Outcomes amongst Adults Residing in Four Informal Settlements in the Western Province of South Africa

Epidemiological trends and age-period-cohort effects on cardiovascular diseases burden attributable to ambient air pollution across BRICS

Long-term exposure to ambient air pollution raises the risk of deaths and morbidity worldwide. From 1990 to 2019, we observed the epidemiological trends and age-period-cohort effects on the cardiovascular diseases (CVD) burden attributable to ambient air pollution across Brazil, Russia, India, China, and South Africa (BRICS). The number of CVD deaths related to ambient particulate matter (PM) pollution increased nearly fivefold in China [5.0% (95% CI 4.7, 5.2)] and India [5.7% (95% CI 5.1, 6.3)] during the study period. The age-standardized CVD deaths and disability-adjusted life years (DALYs) due to ambient PM pollution significantly increased in India and China but decreased in Brazil and Russia. Due to air pollution, the relative risk (RR) of premature CVD mortality (< 70 years) was higher in Russia [RR 12.6 (95% CI 8.7, 17.30)] and India [RR 9.2 (95% CI 7.6, 11.20)]. A higher period risk (2015-2019) for CVD deaths was found in India [RR 1.4 (95% CI 1.4, 1.4)] followed by South Africa [RR 1.3 (95% CI 1.3, 1.3)]. Across the BRICS countries, the RR of CVD mortality markedly decreased from the old birth cohort to young birth cohorts. In conclusion, China and India showed an increasing trend of CVD mortality and morbidity due to ambient PM pollution and higher risk of premature CVD deaths were observed in Russia and India.

A heavy burden: Metal exposure across the land-ocean continuum in an adaptable carnivore

Urbanisation and associated anthropogenic activities release large quantities of toxic metals and metalloids into the environment, where they may bioaccumulate and threaten both wildlife and human health. In highly transformed landscapes, terrestrial carnivores may be at increased risk of exposure through biomagnification. We quantified metallic element and metalloid exposure in blood of caracals (Caracal caracal), an adaptable felid inhabiting the rapidly urbanising, coastal metropole of Cape Town, South Africa. Using redundancy analysis and mixed-effect models, we explored the influence of demography, landscape use, and diet on the concentration of 11 metals and metalloids. Although species-specific toxic thresholds are lacking, arsenic (As) and chromium (Cr) were present at potentially sublethal levels in several individuals. Increased use of human-transformed landscapes, particularly urban areas, roads, and vineyards, was significantly associated with increased exposure to aluminium (Al), cobalt (Co) and lead (Pb). Foraging closer to the coast and within aquatic food webs was associated with increased levels of mercury (Hg), selenium (Se) and arsenic, where regular predation on seabirds and waterbirds likely facilitates transfer of metals from aquatic to terrestrial food webs. Further, several elements were linked to lower haemoglobin levels (chromium, mercury, manganese, and zinc) and elevated levels of infection-fighting cells (mercury and selenium). Our results highlight the importance of anthropogenic activities as major environmental sources of metal contamination in terrestrial wildlife, including exposure across the land-ocean continuum. These findings contribute towards the growing evidence suggesting cities are particularly toxic areas for wildlife. Co-exposure to a suite of metal pollutants may threaten the long-term health and persistence of Cape Town's caracal population in unexpected ways, particularly when interacting with additional known pollutant and pathogen exposure. The caracal is a valuable sentinel for assessing metal exposure and can be used in pollution monitoring programmes to mitigate exposure and promote biodiversity conservation in human-dominated landscapes.

Relationship between Environmental Pollution, Environmental Regulation and Resident Health in the Urban Agglomeration in the Middle Reaches of Yangtze River, China: Spatial Effect and Regulating Effect

The Healthy China 2030 Initiative is closely related to the coordinated development between national health, economy, and society. This major move demonstrates China’s active engagement in global health governance and in the fulfillment of the 2030 Agenda for Sustainable Development (SDGs). Based on Grossman’s health production function, this paper introduces key factors such as environmental pollution and environmental regulation to empirically investigate the regulating effect of environmental regulation, as well as the spatial spillover of environmental pollution and environmental regulation acting on resident health. We examine these effects by using the panel data of 28 cities of the urban agglomeration in the middle reaches of the Yangtze River (UAMYRY) between 2009 and 2019. The results show that: (1) Environmental pollution brings a loss to resident health. Among the urban agglomerations, the circum-Changsha–Zhuzhou–Xiangtan urban agglomeration (CCZXUA) and the Poyang Lake urban agglomeration (PLUA) have a much lower health effect of environmental pollution than the Wuhan urban agglomeration (WUA). (2) With the growing intensity of environmental regulation, the negative effect of environmental pollution on resident health will gradually decrease. Regionally, the environmental regulation in the CCZXUA has the best effect on residents’ health, followed by the WUA and the PLUA, which have the worst. (3) As a whole, the spatial spillover of environmental regulation and pollution has a significant impact on residents’ health, and the spatial spillover effect between urban agglomerations is stronger than that between cities in each urban agglomeration. The conclusions remain robust with various tests such as replacing control variables, introducing lagged explanatory variables, and considering endogeneity. Based on robust empirical evidence, several specific region policy suggestions, including rolling out proper environmental regulation policies, and establishing a linking mechanism of environmental management, were put forward to improve the environmental pollution state and resident health level of the UAMYRY.