1
|
Marín D, Calle N, Arango V, Betancur P, Pérez M, Orozco LY, Marín-Ochoa B, Ceballos JC, López L, Rueda ZV. Knowledge, attitudes and practices about air pollution and its health effects in 6th to 11th-grade students in Colombia: a cross-sectional study. Front Public Health 2024; 12:1390780. [PMID: 38962783 PMCID: PMC11221384 DOI: 10.3389/fpubh.2024.1390780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 06/05/2024] [Indexed: 07/05/2024] Open
Abstract
Introduction Globally, air pollution is the leading environmental cause of disease and premature death. Raising awareness through environmental education and adequate communication on air quality could reduce the adverse effects. We aimed to assess the knowledge, attitudes, and practices (KAP) regarding air pollution and health and determine the factors associated with these KAP in children and adolescents. Methods In 2019-2020, a cross-sectional study was conducted on 6th-11th grade high school students in five municipalities in Colombia. Variables collected included: age, sex, private or public school, any medical history, emergency room visits due to respiratory symptoms in the last year, and whether students played sports. The main exposure was the School Environmental Project. The outcomes were the KAP scale [0% (the lowest score) to 100% (the highest score)]. The factors associated with KAP levels were evaluated with independent mixed regressions due to the multilevel structure of the study (level 1: student; level 2: school), and the exponential coefficients (95% confidence interval-CI) were reported. Results Among 1,676 students included, 53.8% were females. The median knowledge score about air pollution and its health effects was 33.8% (IQR: 24.0-44.9), 38.6% knew the air quality index, 30.9% knew the air quality alerts that occurred twice a year in these municipalities and 5.3% had high self-perceived knowledge. Positive attitudes, pro-environmental practices, being female, grade level, attending a private school, having respiratory diseases, and the school environmental project importance were associated with higher knowledge scores. The median attitudes score was 78.6% (IQR: 71.4-92.9). Pro-environmental attitudes were associated with knowledge-increasing, being female, attending a private school, and the school environmental project. The median pro-environmental practices score was 28.6% (IQR: 28.6-42.9). During air quality alerts, 11.6% had worn masks, 19% had reduced the opening time of windows and 15.9% avoided leaving home. Pro-environmental practices were associated with knowledge-increasing and attitudes-increasing, and lower practices with higher grade levels, visiting a doctor in the last year, and practicing sports. Discussion Children and adolescents have low knowledge scores and inadequate pro-environmental practices scores regarding air pollution. However, they demonstrate positive attitudes towards alternative solutions and express important concerns about the planet's future.
Collapse
Affiliation(s)
- Diana Marín
- School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Nicolás Calle
- School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Valentina Arango
- School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Paulina Betancur
- School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Manuela Pérez
- Faculty of Social Communication and Journalism, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Luz Yaneth Orozco
- School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Beatriz Marín-Ochoa
- Faculty of Social Communication and Journalism, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Juan Carlos Ceballos
- Faculty of Social Communication and Journalism, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Lucelly López
- School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia
| | - Zulma Vanessa Rueda
- School of Medicine, Universidad Pontificia Bolivariana, Medellín, Colombia
- Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada
| |
Collapse
|
2
|
Landrigan PJ, Britt M, Fisher S, Holmes A, Kumar M, Mu J, Rizzo I, Sather A, Yousuf A, Kumar P. Assessing the Human Health Benefits of Climate Mitigation, Pollution Prevention, and Biodiversity Preservation. Ann Glob Health 2024; 90:1. [PMID: 38186855 PMCID: PMC10768568 DOI: 10.5334/aogh.4161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 12/04/2023] [Indexed: 01/09/2024] Open
Abstract
Background Since the Industrial Revolution, humanity has amassed great wealth and achieved unprecedented material prosperity. These advances have come, however, at great cost to the planet. They are guided by an economic model that focuses almost exclusively on short-term gain, while ignoring natural capital and human capital. They have relied on the combustion of vast quantities of fossil fuels, massive consumption of the earth's resources, and production and environmental release of enormous quantities of chemicals, pesticides, fertilizers, and plastics. They have caused climate change, pollution, and biodiversity loss, the "Triple Planetary Crisis". They are responsible for more than 9 million premature deaths per year and for widespread disease - impacts that fall disproportionately upon the poor and the vulnerable. Goals To map the human health impacts of climate change, pollution, and biodiversity loss. To outline a framework for assessing the health benefits of interventions against these threats. Findings Actions taken by national governments and international agencies to mitigate climate change, pollution, and biodiversity loss can improve health, prevent disease, save lives, and enhance human well-being. Yet assessment of health benefits is largely absent from evaluations of environmental remediation programs. This represents a lost opportunity to quantify the full benefits of environmental remediation and to educate policy makers and the public. Recommendations We recommend that national governments and international agencies implementing interventions against climate change, pollution, and biodiversity loss develop metrics and strategies for quantifying the health benefits of these interventions. We recommend that they deploy these tools in parallel with assessments of ecologic and economic benefits. Health metrics developed by the Global Burden of Disease (GBD) study may provide a useful starting point.Incorporation of health metrics into assessments of environmental restoration will require building transdisciplinary collaborations. Environmental scientists and engineers will need to work with health scientists to establish evaluation systems that link environmental and economic data with health data. Such systems will assist international agencies as well as national and local governments in prioritizing environmental interventions.
Collapse
Affiliation(s)
- Philip J. Landrigan
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
- Centre Scientifique de Monaco, MC
| | - Michael Britt
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
| | - Samantha Fisher
- City University of New York, Graduate School of Public Health and Health Policy, New York City, NY, US
| | | | - Manasi Kumar
- Department of Psychiatry, University of Nairobi, Kenya
- Institute for Excellence in Health Equity, New York University Grossman School of Medicine, New York, US
| | - Jenna Mu
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
| | - Isabella Rizzo
- The George Washington University, Elliot School of International Affairs, Washington D.C., US
| | - Anna Sather
- Global Observatory on Planetary Health, Boston College, Chestnut Hill, MA, US
| | | | | |
Collapse
|
3
|
Niepsch D, Clarke LJ, Newton J, Tzoulas K, Cavan G. High spatial resolution assessment of air quality in urban centres using lichen carbon, nitrogen and sulfur contents and stable-isotope-ratio signatures. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:58731-58754. [PMID: 36991207 PMCID: PMC10163116 DOI: 10.1007/s11356-023-26652-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 03/22/2023] [Indexed: 05/08/2023]
Abstract
Air pollution and poor air quality is impacting human health globally and is a major cause of respiratory and cardiovascular disease and damage to human organ systems. Automated air quality monitoring stations continuously record airborne pollutant concentrations, but are restricted in number, costly to maintain and cannot document all spatial variability of airborne pollutants. Biomonitors, such as lichens, are commonly used as an inexpensive alternative to assess the degree of pollution and monitor air quality. However, only a few studies combined lichen carbon, nitrogen and sulfur contents, with their stable-isotope-ratio signatures (δ13C, δ15N and δ34S values) to assess spatial variability of air quality and to 'fingerprint' potential pollution sources. In this study, a high-spatial resolution lichen biomonitoring approach (using Xanthoria parietina and Physcia spp.) was applied to the City of Manchester (UK), the centre of the urban conurbation Greater Manchester, including considerations of its urban characteristics (e.g., building heights and traffic statistics), to investigate finer spatial detail urban air quality. Lichen wt% N and δ15N signatures, combined with lichen nitrate (NO3-) and ammonium (NH4+) concentrations, suggest a complex mixture of airborne NOx and NHx compounds across Manchester. In contrast, lichen S wt%, combined with δ34S strongly suggest anthropogenic sulfur sources, whereas C wt% and δ13C signatures were not considered reliable indicators of atmospheric carbon emissions. Manchester's urban attributes were found to influence lichen pollutant loadings, suggesting deteriorated air quality in proximity to highly trafficked roads and densely built-up areas. Lichen elemental contents and stable-isotope-ratio signatures can be used to identify areas of poor air quality, particularly at locations not covered by automated air quality measurement stations. Therefore, lichen biomonitoring approaches provide a beneficial method to supplement automated monitoring stations and also to assess finer spatial variability of urban air quality.
Collapse
Affiliation(s)
- Daniel Niepsch
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Manchester, M1 5GD, UK.
| | - Leon J Clarke
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Manchester, M1 5GD, UK
| | - Jason Newton
- Stable Isotope Ecology Laboratory, Scottish Universities Environmental Research Centre (SUERC), East Kilbride, G75 0QF, UK
| | - Konstantinos Tzoulas
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Manchester, M1 5GD, UK
| | - Gina Cavan
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Manchester, M1 5GD, UK
| |
Collapse
|
4
|
Wang Y, Duan H, Zhang J, Wang Q, Peng T, Ye X, Cheng Z, Li X. YAP1 protects against PM2.5-induced lung toxicity by suppressing pyroptosis and ferroptosis. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2023; 253:114708. [PMID: 36863160 DOI: 10.1016/j.ecoenv.2023.114708] [Citation(s) in RCA: 11] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Revised: 02/22/2023] [Accepted: 02/26/2023] [Indexed: 06/18/2023]
Abstract
Pollution from fine particulate matter (PM2.5) has become a major threat to public health and has been related to lung toxicity. One of the key regulators of the Hippo signaling system, Yes-associated protein 1 (YAP1), is speculated to play a role in ferroptosis development. Here, we focused on investigating the function of YAP1 in pyroptosis and ferroptosis, aiming to explore its therapeutic potential in PM2.5-induced lung toxicity. PM2.5-induced lung toxicity was induced in Wild-type WT and conditional YAP1-knockout mice, and lung epithelial cells were stimulatd by PM2.5 in vitro. We used western blot, transmission electron microscopy, and fluorescence microscopy to investigate pyroptosis- and ferroptosis-related characteristics. We found that PM2.5 leads to lung toxicity using mechanisms involving pyroptosis and ferroptosis. YAP1 knockdown impeded pyroptosis, ferroptosis, and PM2.5-induced lung damage, as shown by increased histopathology, higher levels of proinflammatory cytokines, GSDMD protein, lipid peroxidation, and iron accumulation, as well as increased NLRP3 inflammasome activation and decreased SLC7A11 expression. YAP1 silencing consistently promoted NLRP3 inflammasome activation and reduced SLC7A11 levels, aggravating PM2.5-induced cellular damage. In contrast, YAP1-overexpressing cells inhibited NLRP3 inflammasome activation and increased SLC7A11 levels, preventing pyroptosis and ferroptosis. Overall, our data suggest that YAP1 ameliorates PM2.5-induced lung injury by inhibiting NLRP3-mediated pyroptosis and SL7A11-dependent ferroptosis.
Collapse
Affiliation(s)
- Yun Wang
- Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China
| | - Haifeng Duan
- Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China
| | - Jing Zhang
- Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China
| | - Qingyuan Wang
- Department of Anesthesiology, The People's Hospital of Tuanfeng, Huanggang, Hubei, China
| | - Tuo Peng
- Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China
| | - Xujun Ye
- Department of Geriatrics, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
| | - Zhenshun Cheng
- Department of Respiratory and Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China; Wuhan Research Center for Infectious Diseases and Cancer, Chinese Academy of Medical Sciences, Wuhan, Hubei 430071, China; Hubei Engineering Center for Infectious Disease Prevention, Control and Treatment, Wuhan, Hubei 430071, China.
| | - Xinyi Li
- Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, China.
| |
Collapse
|
5
|
Whitsel LP, Ajenikoko F, Chase PJ, Johnson J, McSwain B, Phelps M, Radcliffe R, Faghy MA. Public policy for healthy living: How COVID-19 has changed the landscape. Prog Cardiovasc Dis 2023; 76:49-56. [PMID: 36690285 PMCID: PMC9852261 DOI: 10.1016/j.pcad.2023.01.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2023] [Accepted: 01/17/2023] [Indexed: 01/22/2023]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic had a transformational impact on public policy as governments played a leading role, working alongside and coordinating with business/industry, healthcare, public health, education, transportation, researchers, non-governmental organizations, philanthropy, and media/communications. This paper summarizes the impact of the pandemic on different areas of public policy affecting healthy living and cardiovascular health including prevention (i.e., nutrition, physical activity, air quality, tobacco use), risk factors for chronic disease (hypertension, diabetes, obesity, substance abuse), access to health care, care delivery and payment reform, telehealth and digital health, research, and employment policy. The paper underscores where public policy is evolving and where there are needs for future evidence base to inform policy development, and the intersections between the public and private sectors across the policy continuum. There is a continued need for global multi-sector coordination to optimize population health.
Collapse
Affiliation(s)
- Laurie P Whitsel
- American Heart Association, Washington, DC 20036, United States of America.
| | - Funke Ajenikoko
- American Heart Association, Washington, DC 20036, United States of America
| | - Paul J Chase
- American Heart Association, Washington, DC 20036, United States of America
| | - Janay Johnson
- American Heart Association, Washington, DC 20036, United States of America
| | - Brooke McSwain
- American Heart Association, Washington, DC 20036, United States of America
| | - Melanie Phelps
- American Heart Association, Washington, DC 20036, United States of America
| | - Reyna Radcliffe
- American Heart Association, Washington, DC 20036, United States of America
| | - Mark A Faghy
- Biomedical Research Theme, School of Human Sciences, University of Derby, Deby, United Kingdom
| |
Collapse
|
6
|
The Risk of Orofacial Cleft Lip/Palate Due to Maternal Ambient Air Pollution Exposure: A Call for Further Research in South Africa. Ann Glob Health 2023; 89:6. [PMID: 36743286 PMCID: PMC9881443 DOI: 10.5334/aogh.4007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 12/29/2022] [Indexed: 01/28/2023] Open
Abstract
Background Despite being underreported, orofacial cleft lip/palate (CLP) remains in the top five of South Africa's most common congenital disorders. Maternal air pollution exposure has been associated with CLP in neonates. South Africa has high air pollution levels due to domestic burning practices, coal-fired power plants, mining, industry, and traffic pollution, among other sources. We investigated air pollutant levels in geographic locations of CLP cases. Methods In a retrospective case series study (2006-2020) from a combined dataset by a Gauteng surgeon and South African Operation Smile, the maternal address at pregnancy was obtained for 2,515 CLP cases. Data from the South African Air Quality Information System was used to calculate annual averages of particulate matter (PM) concentrations of particles < 10 µm (PM10) and < 2.5 µm (PM2.5). Correlation analysis determined the relationship between average PM2.5/PM10 concentrations and CLP birth prevalence. Hotspot analysis was done using the Average Nearest Neighbor tool in ArcGIS. Results Correlation analysis showed an increasing trend of CLP birth prevalence to PM10 (CC = 0.61, 95% CI = 0.38-0.77, p < 0.001) and PM2.5 (CC = 0.63, 95% CI = 0.42-0.77, p < 0.001). Hot spot analysis revealed that areas with higher concentrations of PM10 and PM2.5 had a higher proclivity for maternal residence (z-score = -68.2, p < 0.001). CLP birth prevalence hotspot clusters were identified in district municipalities in the provinces of Gauteng, Limpopo, North-West, Mpumalanga, and Free State. KwaZulu-Natal and Eastern Cape had lower PM10 and PM2.5 concentrations and were cold spot clusters. Conclusions Maternal exposure to air pollution is known to impact the fetal environment and increase CLP risk. We discovered enough evidence of an effect to warrant further investigation. We advocate for a concerted effort by the government, physicians, researchers, non-government organizations working with CLP patients, and others to collect quality data on all maternal information and pollutant levels in all provinces of South Africa. Collaboration and data sharing for additional research will help us better understand the impact of air pollution on CLP in South Africa.
Collapse
|
7
|
Niepsch D, Clarke LJ, Tzoulas K, Cavan G. Spatiotemporal variability of nitrogen dioxide (NO 2) pollution in Manchester (UK) city centre (2017-2018) using a fine spatial scale single-NO x diffusion tube network. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH 2022; 44:3907-3927. [PMID: 34739651 PMCID: PMC9587101 DOI: 10.1007/s10653-021-01149-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 10/21/2021] [Indexed: 05/23/2023]
Abstract
Nitrogen dioxide (NO2) is linked to poor air quality and severe human health impacts, including respiratory and cardiovascular diseases and being responsible annually for approximately 23,500 premature deaths in the UK. Automated air quality monitoring stations continuously record pollutants in urban environments but are restricted in number (need for electricity, maintenance and trained operators), only record air quality proximal to their location and cannot document variability of airborne pollutants at finer spatial scales. As an alternative, passive sampling devices such as Palmes-type diffusion tubes can be used to assess the spatial variability of air quality in greater detail, due to their simplicity (e.g. small, light material, no electricity required) and suitability for long-term studies (e.g. deployable in large numbers, useful for screening studies). Accordingly, a one passive diffusion tube sampling approach has been adapted to investigate spatial and temporal variability of NO2 concentrations across the City of Manchester (UK). Spatial and temporal detail was obtained by sampling 45 locations over a 12-month period (361 days, to include seasonal variability), resulting in 1080 individual NO2 measurements. Elevated NO2 concentrations, exceeding the EU/UK limit value of 40 µg m-3, were recorded throughout the study period (N = 278; 26% of individual measurements), particularly during colder months and across a wide area including residential locations. Of 45 sampling locations, 24% (N = 11) showed annual average NO2 above the EU/UK limit value, whereas 16% (N = 7) showed elevated NO2 (> 40 µg m-3) for at least 6 months of deployment. Highest NO2 was recorded in proximity of highly trafficked major roads, with urban factors such as surrounding building heights also influencing NO2 dispersion and distribution. This study demonstrates the importance of high spatial coverage to monitor atmospheric NO2 concentrations across urban environments, to aid identification of areas of human health concern, especially in areas that are not covered by automated monitoring stations. This simple, reasonably cheap, quick and easy method, using a single-NOx diffusion tube approach, can aid identification of NO2 hotspots and provides fine spatial detail of deteriorated air quality. Such an approach can be easily transferred to comparable urban environments to provide an initial screening tool for air quality and air pollution, particularly where local automated air quality monitoring stations are limited. Additionally, such an approach can support air quality assessment studies, e.g. lichen or moss biomonitoring studies.
Collapse
Affiliation(s)
- Daniel Niepsch
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Chester Street, Manchester, M1 5GD, UK.
| | - Leon J Clarke
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Chester Street, Manchester, M1 5GD, UK
| | - Konstantinos Tzoulas
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Chester Street, Manchester, M1 5GD, UK
| | - Gina Cavan
- Department of Natural Sciences, Faculty of Science and Engineering, Manchester Metropolitan University, Chester Street, Manchester, M1 5GD, UK
| |
Collapse
|
8
|
Abe KC, Rodrigues MA, Miraglia SGEK. Health impact assessment of air pollution in Lisbon, Portugal. JOURNAL OF THE AIR & WASTE MANAGEMENT ASSOCIATION (1995) 2022; 72:1307-1315. [PMID: 36048722 DOI: 10.1080/10962247.2022.2118192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
BACKGROUND Lisbon has about 500,000 inhabitants and it's the capital and the main economic hub of Portugal. Studies have demonstrated that exposure to Particulate Matter with an aerodynamic diameter<2.5 μm (PM2.5) have strong association with health effects. Researchers continue to identify new harmful air pollutants effects in our health even in low levels. OBJECTIVES This study evaluates air pollution scenarios considering a Health Impact Assessment approach in Lisbon, Portugal. METHODS We have studied abatement scenarios of PM2.5 concentrations and the health effects in the period from 2015 to 2017 using the APHEKOM tool and the associated health costs were assessed by Value of Life Year. RESULTS The mean concentration of PM2.5 in Lisbon was 23 μg/m3 ± 10 μg/m3 (±Standard Deviation). If we consider that World Health Organization (WHO) standards of PM2.5 (10 μg/m3) were reached, Lisbon would avoid more than 423 premature deaths (equivalent to 9,172 life years' gain) and save more than US$45 million annually. If Lisbon city could even diminish the mean of PM2.5 by 5 μg/m3, nearly 165 deaths would be avoided, resulting in a gain of US$17 million annually. CONCLUSION According to our findings, if considered the worst pollution scenario, levels of PM2.5 could improve the life's quality and save a significant amount of economic resources.Implications: The manuscript addresses the health effects and costs of air pollution and constitutes an important target for improving public policies on air pollutants in Portugal. Although Portugal has low levels of air pollution, there are significant health and economic effects that, for the most part, are underreported. The health impact assessment approach associated with costs had not yet been addressed in Portugal, which makes this study more relevant in the analysis of policies aimed to drive stricter control on pollutants' emissions. Health costs are a fundamental element to support decision-making process and to orientate the trade-offs in investments for improving public policies so that to diminish health effects, which can impact the management of the local health services and the population's quality of life, especially after the pandemic period when resources are scarce.
Collapse
Affiliation(s)
- Karina Camasmie Abe
- Universidade Federal de São Paulo, Instituto de Ciências Ambientais, Químicas e Farmacêuticas - ICAQF, Laboratório de Economia, Saúde e Poluição Ambiental, São Paulo, Brazil
| | - Matilde Alexandra Rodrigues
- Centro de Investigação em Saúde Ambiental - CISA e Centro de Investigação em Reabilitação, Escola Superior de Saúde do Instituto Politécnico do Porto, Porto, Portugal
| | - Simone Georges El Khouri Miraglia
- Universidade Federal de São Paulo, Instituto de Ciências Ambientais, Químicas e Farmacêuticas - ICAQF, Laboratório de Economia, Saúde e Poluição Ambiental, São Paulo, Brazil
| |
Collapse
|
9
|
Estimating the burden of disease attributable to ambient air pollution (ambient PM2.5 and ambient ozone) in South Africa for 2000, 2006 and 2012. S Afr Med J 2022; 112:705-717. [DOI: 10.7196/samj.2022.v112i8b.16483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Indexed: 11/08/2022] Open
|
10
|
Benefit Analysis of the 1st Spanish Air Pollution Control Programme on Health Impacts and Associated Externalities. ATMOSPHERE 2020. [DOI: 10.3390/atmos12010032] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This paper aims to provide scientific support for decision-making in the field of improving air quality by evaluating pollution reduction measures included in the current Spanish policy framework of the 1st National Air Pollution Control Programme (NAPCP). First, the health impacts of air quality are estimated by using the concentrations estimated by multiscale air quality modeling and the recommended concentration–response functions (CRF), specifically as a result of exposure to particulate matter (PM), nitrogen dioxide (NO2), and ozone (O3). Second, the associated external costs are calculated by monetization techniques. Two scenarios are analyzed: a package including existing measures (WM2030) and a package with additional measures (WAM2030). Compared with the baseline scenario, an improvement was found in the health effects of NO2, PM10, and PM2.5, while for O3 there was a slight worsening, mainly due to the increase in the O3 metric used (SOMO35), which increases over some urban areas. Despite this, the monetary valuation of the total effects on health as a whole shows external benefits due to the adoption of measures (WM2030), compared with the reference scenario (no measures) of more than € 17.5 billion and, when considering the additional measures (WAM2030), benefits of about € 58.1 billion.
Collapse
|
11
|
Rajagopalan S, Brauer M, Bhatnagar A, Bhatt DL, Brook JR, Huang W, Münzel T, Newby D, Siegel J, Brook RD. Personal-Level Protective Actions Against Particulate Matter Air Pollution Exposure: A Scientific Statement From the American Heart Association. Circulation 2020; 142:e411-e431. [PMID: 33150789 DOI: 10.1161/cir.0000000000000931] [Citation(s) in RCA: 113] [Impact Index Per Article: 28.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Since the publication of the last American Heart Association scientific statement on air pollution and cardiovascular disease in 2010, unequivocal evidence of the causal role of fine particulate matter air pollution (PM2.5, or particulate matter ≤2.5 μm in diameter) in cardiovascular disease has emerged. There is a compelling case to provide the public with practical personalized approaches to reduce the health effects of PM2.5. Such interventions would be applicable not only to individuals in heavily polluted countries, high-risk or susceptible individuals living in cleaner environments, and microenvironments with higher pollution exposures, but also to those traveling to locations with high levels of PM2.5. The overarching motivation for this document is to summarize the current evidence supporting personal-level strategies to prevent the adverse cardiovascular effects of PM2.5, guide the use of the most proven/viable approaches, obviate the use of ineffective measures, and avoid unwarranted interventions. The significance of this statement relates not only to the global importance of PM2.5, but also to its focus on the most tested interventions and viable approaches directed at particulate matter air pollution. The writing group sought to provide expert consensus opinions on personal-level measures recognizing the current uncertainty and limited evidence base for many interventions. In doing so, the writing group acknowledges that its intent is to assist other agencies charged with protecting public health, without minimizing the personal choice considerations of an individual who may decide to use these interventions in the face of ongoing air pollution exposure.
Collapse
|
12
|
Hess JJ, Ranadive N, Boyer C, Aleksandrowicz L, Anenberg SC, Aunan K, Belesova K, Bell ML, Bickersteth S, Bowen K, Burden M, Campbell-Lendrum D, Carlton E, Cissé G, Cohen F, Dai H, Dangour AD, Dasgupta P, Frumkin H, Gong P, Gould RJ, Haines A, Hales S, Hamilton I, Hasegawa T, Hashizume M, Honda Y, Horton DE, Karambelas A, Kim H, Kim SE, Kinney PL, Kone I, Knowlton K, Lelieveld J, Limaye VS, Liu Q, Madaniyazi L, Martinez ME, Mauzerall DL, Milner J, Neville T, Nieuwenhuijsen M, Pachauri S, Perera F, Pineo H, Remais JV, Saari RK, Sampedro J, Scheelbeek P, Schwartz J, Shindell D, Shyamsundar P, Taylor TJ, Tonne C, Van Vuuren D, Wang C, Watts N, West JJ, Wilkinson P, Wood SA, Woodcock J, Woodward A, Xie Y, Zhang Y, Ebi KL. Guidelines for Modeling and Reporting Health Effects of Climate Change Mitigation Actions. ENVIRONMENTAL HEALTH PERSPECTIVES 2020; 128:115001. [PMID: 33170741 PMCID: PMC7654632 DOI: 10.1289/ehp6745] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/15/2020] [Revised: 09/08/2020] [Accepted: 10/13/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Modeling suggests that climate change mitigation actions can have substantial human health benefits that accrue quickly and locally. Documenting the benefits can help drive more ambitious and health-protective climate change mitigation actions; however, documenting the adverse health effects can help to avoid them. Estimating the health effects of mitigation (HEM) actions can help policy makers prioritize investments based not only on mitigation potential but also on expected health benefits. To date, however, the wide range of incompatible approaches taken to developing and reporting HEM estimates has limited their comparability and usefulness to policymakers. OBJECTIVE The objective of this effort was to generate guidance for modeling studies on scoping, estimating, and reporting population health effects from climate change mitigation actions. METHODS An expert panel of HEM researchers was recruited to participate in developing guidance for conducting HEM studies. The primary literature and a synthesis of HEM studies were provided to the panel. Panel members then participated in a modified Delphi exercise to identify areas of consensus regarding HEM estimation. Finally, the panel met to review and discuss consensus findings, resolve remaining differences, and generate guidance regarding conducting HEM studies. RESULTS The panel generated a checklist of recommendations regarding stakeholder engagement: HEM modeling, including model structure, scope and scale, demographics, time horizons, counterfactuals, health response functions, and metrics; parameterization and reporting; approaches to uncertainty and sensitivity analysis; accounting for policy uptake; and discounting. DISCUSSION This checklist provides guidance for conducting and reporting HEM estimates to make them more comparable and useful for policymakers. Harmonization of HEM estimates has the potential to lead to advances in and improved synthesis of policy-relevant research that can inform evidence-based decision making and practice. https://doi.org/10.1289/EHP6745.
Collapse
Affiliation(s)
- Jeremy J. Hess
- Center for Health and the Global Environment, University of Washington, Seattle, Washington, USA
| | | | - Chris Boyer
- Center for Health and the Global Environment, University of Washington, Seattle, Washington, USA
| | | | - Susan C. Anenberg
- Milken Institute School of Public Health, George Washington University, Washington, District of Columbia, USA
| | - Kristin Aunan
- CICERO Center for International Climate Research, Oslo, Norway
| | - Kristine Belesova
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Michelle L. Bell
- School of Forestry and Environmental Studies, Yale University, New Haven, Connecticut, USA
| | - Sam Bickersteth
- Rockefeller Foundation Economic Council on Planetary Health, Oxford, UK
| | | | - Marci Burden
- Center for Health and the Global Environment, University of Washington, Seattle, Washington, USA
| | - Diarmid Campbell-Lendrum
- Department of Environment Climate Change and Health, World Health Organization, Geneva, Switzerland
| | - Elizabeth Carlton
- Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Aurora, Colorado, USA
| | - Guéladio Cissé
- Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland
- University of Basel, Basel, Switzerland
| | - Francois Cohen
- Smith School for Enterprise and the Environment and Institute for New Economic Thinking at the Oxford Martin School, University of Oxford, Oxford, UK
| | - Hancheng Dai
- Laboratory of Energy & Environmental Economics and Policy (LEEEP), College of Environmental Sciences and Engineering, Peking University, Beijing, China
- College of Environmental Sciences and Engineering, Peking University, Beijing, China
| | - Alan David Dangour
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Purnamita Dasgupta
- Environmental and Resource Economics Unit, Institute of Economic Growth, Delhi, India
| | | | - Peng Gong
- Department of Earth System Science, Tsinghua University, Beijing, China
| | - Robert J. Gould
- Center for Climate Change Communication, George Mason University, Fairfax, Virginia, USA
| | - Andy Haines
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Simon Hales
- Department of Public Health, University of Otago, Wellington, New Zealand
| | - Ian Hamilton
- UCL Energy Institute, University College London, London, UK
| | - Tomoko Hasegawa
- National Institute for Environmental Studies, Tsukuba, Japan
| | - Masahiro Hashizume
- Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
- School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
| | - Yasushi Honda
- Faculty of Health and Sport Sciences, University of Tsukuba, Tsukuba, Japan
| | - Daniel E. Horton
- Department of Earth and Planetary Sciences, Northwestern University, Evanston, Illinois, USA
| | | | - Ho Kim
- Department of Epidemiology and Biostatistics, School of Public Health, Seoul National University, Seoul, South Korea
| | - Satbyul Estella Kim
- Center for Climate Change Adaptation, National Institute for Environmental Studies, Tsukuba, Japan
| | - Patrick L. Kinney
- Department of Environmental Health, Boston University School of Public Health, Boston, USA
| | - Inza Kone
- Centre Suisse de Recherches Scientifiques en Côte d’Ivoire, Abidjan, Côte d’Ivoire
- Université Félix Houphouet-Boigny, Abidjan, Côte d’Ivoire
| | - Kim Knowlton
- Natural Resources Defense Council, New York, New York, USA
| | - Jos Lelieveld
- Max Planck Institute for Chemistry, Dept. of Atmospheric Chemistry, Mainz, Germany
| | | | - Qiyong Liu
- National Institute for Communicable Disease Control and Prevention, Beijing, China
| | - Lina Madaniyazi
- School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
- Department of Paediatric Diseases, Institute of Tropical Medicine, Nagasaki, Japan
| | - Micaela Elvira Martinez
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA
- Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | - Denise L. Mauzerall
- Woodrow Wilson School of Public and International Affairs and the Department of Civil and Environmental Engineering, Princeton University, Princeton, New Jersey, USA
| | - James Milner
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | | | - Mark Nieuwenhuijsen
- ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiologia y Salud Publica (CIBERESP), Barcelona, Spain
| | | | - Frederica Perera
- Department of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, New York, USA
| | - Helen Pineo
- Bartlett Faculty of the Built Environment, University College London, London, UK
| | - Justin V. Remais
- Division of Environmental Health Sciences, University of California, Berkeley, Berkeley, California, USA
| | - Rebecca K. Saari
- Civil and Environmental Engineering, University of Waterloo, Ontario, Canada
| | - Jon Sampedro
- Basque Centre for Climate Change (BC3), Leioa, Spain
| | - Pauline Scheelbeek
- Centre on Climate Change and Planetary Health, London School of Hygiene & Tropical Medicine, London, UK
- Department of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, London, UK
| | - Joel Schwartz
- Department of Environmental Health, Harvard T.H. Chan School of Public Heath, Boston, Massachusetts, USA
| | - Drew Shindell
- Nicholas School of the Environment, Duke University, Durham, North Carolina, USA
| | | | - Timothy J. Taylor
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, Cornwall, UK
| | - Cathryn Tonne
- ISGlobal, Centre for Research in Environmental Epidemiology (CREAL), Barcelona, Spain
- Universitat Pompeu Fabra (UPF), Barcelona, Spain
- CIBER Epidemiologia y Salud Publica (CIBERESP), Barcelona, Spain
| | - Detlef Van Vuuren
- PBL Netherlands Environmental Assessment Agency, The Hague, Netherlands
| | - Can Wang
- School of Environment, Tsinghua University, Beijing, China
| | - Nicholas Watts
- Institute for Global Health, University College London, London, UK
| | - J. Jason West
- Environmental Sciences & Engineering, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Paul Wilkinson
- Department of Public Health, Environments, and Society, London School of Hygiene & Tropical Medicine, London, UK
| | - Stephen A. Wood
- School of Forestry and Environmental Studies, Yale University, New Haven, Connecticut, USA
- The Nature Conservancy, New Haven, Connecticut, USA
| | - James Woodcock
- MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Alistair Woodward
- Epidemiology and Biostatistics, University of Auckland, Auckland, New Zealand
| | - Yang Xie
- School of Economics and Management, Beihang University, Beijing, China
- Beijing Advanced Innovation Center for Big Data-based Precision Medicine, Beihang University, Beijing, China
| | - Ying Zhang
- School of Public Health, University of Sydney, New South Wales, Australia
| | - Kristie L. Ebi
- Center for Health and the Global Environment, University of Washington, Seattle, Washington, USA
| |
Collapse
|