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De Maria L, Sponselli S, Caputi A, Delvecchio G, Giannelli G, Pipoli A, Cafaro F, Zagaria S, Cavone D, Sardone R, Vimercati L. Indoor Radon Concentration Levels in Healthcare Settings: The Results of an Environmental Monitoring in a Large Italian University Hospital. Int J Environ Res Public Health 2023; 20:4685. [PMID: 36981594 PMCID: PMC10048382 DOI: 10.3390/ijerph20064685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 03/03/2023] [Accepted: 03/04/2023] [Indexed: 06/18/2023]
Abstract
The aim of the study is to determine the radon concentrations in the University Hospital of Bari, Apulia Region, Southern Italy. The monitoring took place from 2017 to 2018 for a total of 402 days and included 3492 premises. Radon environmental sampling was performed with passive dosimeters of the CR-39 type. The highest mean concentration was found in basement rooms (118.9 Bq/m3), followed by ground-floor rooms (88.2 Bq/m3), first-floor rooms (78.1 Bq/m3), second-floor rooms (66.7 Bq/m3), and third-floor rooms (68.9 Bq/m3). An average radon concentration lower than the WHO recommended level of 100 Bq/m3 was detected in 73.5% of monitored environments, while only 0.9% exceeded the reference level of 300 Bq/m3 set by the national law (Legislative Decree 101/2020). The frequency of environments in which radon concentrations exceed 300 Bq/m3 is significantly higher in the basement (p-value < 0.001). As for a previous preliminary investigation in the same hospital conducted on a much smaller number of premises (n = 401), most of the monitored environments had radon concentrations lower than the reference levels set by the new national law, and the risk to the healthcare workers' health derived from occupational exposure to radon could be considered acceptable.
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Affiliation(s)
- Luigi De Maria
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Stefania Sponselli
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Antonio Caputi
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Giuseppe Delvecchio
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Gianmarco Giannelli
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Antonella Pipoli
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Francesco Cafaro
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Silvia Zagaria
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Domenica Cavone
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Rodolfo Sardone
- Unit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology “Saverio de Bellis”, Research Hospital, Castellana Grotte, 70013 Bari, Italy
- Unit of Epidemiology and Statistics, Local Healthcare Authority of Taranto, 74121 Taranto, Italy
| | - Luigi Vimercati
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
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De Maria L, Sponselli S, Caputi A, Stefanizzi P, Pipoli A, Giannelli G, Delvecchio G, Tafuri S, Inchingolo F, Migliore G, Bianchi FP, Boffetta P, Vimercati L. SARS-CoV-2 Breakthrough Infections in Health Care Workers: An Italian Retrospective Cohort Study on Characteristics, Clinical Course and Outcomes. J Clin Med 2023; 12:jcm12020628. [PMID: 36675555 PMCID: PMC9864312 DOI: 10.3390/jcm12020628] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/03/2023] [Accepted: 01/10/2023] [Indexed: 01/15/2023] Open
Abstract
BACKGROUND The aim of this study was to determine the characteristics, clinical course and outcomes of COVID-19 breakthrough infections (BIs) among healthcare workers (HCWs) of an Italian University Hospital. METHODS A retrospective observational study was conducted on 6111 HCWs, from January 2021 to February 2022. The study population was offered the full vaccination with BNT162b2 mRNA COVID-19 vaccine. To allow return to work after BI, the protocol required one negative nasopharyngeal RT-PCR swab followed by a medical examination to assess the HCW's health status. Laboratory tests, instrumental tests and specialist evaluations were carried out if necessary. RESULTS The cases of BIs observed numbered 582 (9.7%). The frequency of BIs was significantly higher in females than in males (67% vs. 33%; p = 0.03), and in nurses than in all other professional categories (p = 0.001). A total of 88% of the HCWs affected by BI were still symptomatic after the negative swab. None of the instrumental tests carried out showed any new findings of pathological significance. All cases showed progressive disappearance of symptoms, such that no cases of long COVID and no hospitalization or deaths were recorded. CONCLUSIONS Our results confirm that SARS-CoV-2 infections occur even after a full vaccination course; however, the clinical course is favorable and severe outcomes are reduced.
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Affiliation(s)
- Luigi De Maria
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Stefania Sponselli
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Antonio Caputi
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
- Correspondence: (A.C.); (L.V.); Tel.: +39-08-0547-8256 (L.V.)
| | - Pasquale Stefanizzi
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Antonella Pipoli
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Gianmarco Giannelli
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Giuseppe Delvecchio
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | - Silvio Tafuri
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
| | | | - Giovanni Migliore
- General Direction, Policlinico Regional Hospital of Bari, 70124 Bari, Italy
| | | | - Paolo Boffetta
- Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY 11794, USA
- Department of Medical and Surgical Sciences, University of Bologna, 40138 Bologna, Italy
| | - Luigi Vimercati
- Interdisciplinary Department of Medicine, University of Bari, 70124 Bari, Italy
- Correspondence: (A.C.); (L.V.); Tel.: +39-08-0547-8256 (L.V.)
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Vimercati L, Cannone ESS, Sponselli S, Caputi A, Migliore G, Daleno A, Minicucci AM, Milone G, Spagnolo L, Pipoli A, De Maria L. Organizational wellbeing: A model of a new Apulian COVID-19 designated hospital. Front Public Health 2022; 10:963315. [PMID: 36388268 PMCID: PMC9650542 DOI: 10.3389/fpubh.2022.963315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 10/14/2022] [Indexed: 01/24/2023] Open
Abstract
Background Work environment characteristics have an important impact on organizational wellbeing in health care facilities. In the Apulia Region, a new COVID-19 hospital was planned, designated and built in a few weeks for the treatment of patients infected with SARS-CoV-2. To our knowledge, this hospital, together with "Fiera Hospital" in Milan, are two of the few buildings worldwide that have been converted into new health care facilities with intensive care center units to treat COVID-19 patients, and this is the first study assessing organizational wellbeing in a newly designated COVID-19 hospital. Aims To detect and assess the strong points, criticality, and perceptions of wellbeing/discomfort of health care workers engaged in the management of the current health emergency. Method The study was conducted on 188 health care workers, with the "Multidimensional Organizational Health Questionnaire." Results We found an overall positive level of organizational wellbeing. The more positive dimensions were "Collaboration between colleagues," "Organizational efficiency" and "Room Comfort." Conflict situations in the workplace were poorly perceived. A very low rate of absenteeism from work was also observed. Conclusions Our results show the effectiveness of the organizational model adopted in the management of the COVID-19 hospital, especially in view of the work and emotional overload of the personnel called to face the epidemiological emergency on the frontline, which did not adversely affect the psychophysical conditions of the workers. The success of this model is related to the coexistence of all levels of care required during any type of health emergency in a single structure, paying particular attention to the architectural, functional, and procedural aspects of health care and to the so-called "humanization" of care.
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Affiliation(s)
- Luigi Vimercati
- Section of Occupational Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy,Occupational Medicine Unit, University Hospital of Bari, Bari, Italy,*Correspondence: Luigi Vimercati
| | - Enza Sabrina Silvana Cannone
- Section of Occupational Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy,Occupational Medicine Unit, University Hospital of Bari, Bari, Italy
| | - Stefania Sponselli
- Section of Occupational Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy,Occupational Medicine Unit, University Hospital of Bari, Bari, Italy
| | - Antonio Caputi
- Section of Occupational Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy,Occupational Medicine Unit, University Hospital of Bari, Bari, Italy
| | | | - Antonio Daleno
- Hospital Direction, University Hospital of Bari, Bari, Italy
| | | | | | - Lorenzo Spagnolo
- Section of Legal Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - Antonella Pipoli
- Section of Occupational Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy,Occupational Medicine Unit, University Hospital of Bari, Bari, Italy
| | - Luigi De Maria
- Section of Occupational Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy,Occupational Medicine Unit, University Hospital of Bari, Bari, Italy
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Guerra T, Pipoli A, Viterbo RG, Manghisi N, Paolicelli D, Iaffaldano P, Di Lorenzo L. Predictors of unemployment status in people with relapsing multiple sclerosis: a single center experience. Neurol Sci 2022; 43:4387-4392. [PMID: 35322339 PMCID: PMC9213301 DOI: 10.1007/s10072-022-06029-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 03/17/2022] [Indexed: 11/26/2022]
Abstract
Background Multiple sclerosis (MS) is the most common cause of nontraumatic chronic neurological disability affecting young adults during their crucial employment years. Objectives To evaluate patients and disease related factors associated to unemployment in a cohort of relapsing–remitting (RR) MS patients. Methods We included RRMS patients with a follow-up of at least 1 year. We collected data about years of school education and employment status. Patients underwent a neuropsychological evaluation using the Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS). Demographic and clinical predictors of unemployment were assessed through a multivariable stepwise logistic regression model. Results We evaluated 260 consecutive RRMS patients. Employed patients were less frequently female (68.4% vs 83.3%, p = 0.006), less disabled (median Expanded Disability Status Scale (EDSS) score: 2.0 (0–7.0) vs 2.5 (0–7.5), p < 0.001), with more years of school education (mean ± standard deviation (SD), years: 13.74 ± 0.30 vs 10.86 ± 3.47, p < 0.001). Female sex and a higher EDSS score resulted associated with a greater risk of unemployment (OR 3.510, 95% CI 1.654–7.448, p = 0.001; OR 1.366, 95% CI 1.074–1.737, p = 0.011, respectively), whereas a greater number of years of schooling and current disease-modifying therapy exposure resulted protective factors (OR 0.788, 95% CI 0.723–0.858, p < 0,001; OR 0.414, 95% CI 0.217–0.790, p = 0.008, respectively). Conclusions Understanding work is pervasively influenced by consequences of MS, we confirmed the impact of demographic, physical, and cognitive factors on employment status in RRMS patients.
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Affiliation(s)
- Tommaso Guerra
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Antonella Pipoli
- Interdisciplinary Department of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Rosa Gemma Viterbo
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Nicola Manghisi
- Interdisciplinary Department of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Damiano Paolicelli
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari Aldo Moro, Bari, Italy
| | - Pietro Iaffaldano
- Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari Aldo Moro, Bari, Italy.
| | - Luigi Di Lorenzo
- Interdisciplinary Department of Medicine, University of Bari Aldo Moro, Bari, Italy
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Di Lorenzo L, Inchingolo F, Pipoli A, Cassano F, Maggiore ME, Inchingolo AM, Ceci S, Patano A, Malcangi G, Mancini A, Longo G, Attimonelli R, Maiorano E, Laviano R, Manghisi NM, Scarano A, Lorusso F, Di Lorenzo A, Inchingolo AD, Dipalma G. Mixed-dust pneumoconiosis in a dental technician: a multidisciplinary diagnosis case report. BMC Pulm Med 2022; 22:161. [PMID: 35477357 PMCID: PMC9044673 DOI: 10.1186/s12890-022-01948-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Accepted: 04/13/2022] [Indexed: 12/03/2022] Open
Abstract
Background In dental laboratories, exposure to crystalline silica can occur during procedures that generate suspended mineral dusts, e.g. dispersion of mixing powders, removal of castings from molds grinding, polishing of castings and porcelain, and use of silica sand for blasting. There is also a large list of toxic agents (acrylic resins, polymeric materials, etc.) used to produce removable and fixed prostheses, but also impression materials and more. Using personal protective equipment and other aids reduces the exposure to these potentially harmful agents.
Case presentation We report the case of a 42-year-old male dental technician who began to suffer from a dry cough and exertional dyspnea after approximately 15 years of work. The operations he conducted for his job resulted in the generation of crystalline silica, aluminum, chromium and titanium dust. The worker did not regularly wear personal protective equipment and some of the above operations were not carried out in closed circuit systems. The Chest X-ray showed diffused micronodules in the pulmonary interstitium of the upper-middle lobes, bilaterally, and a modest left basal pleural effusion. Simple spirometry showed small airway obstruction in its initial stage. High Resolution Computerized Tomography of the chest showed bilateral micronodulation of a miliariform type, with greater profusion to the upper lobes, also present in the visceral pleura, bilaterally. Histological examination showed aggregates of pigment-laden macrophages forming perivascular macules or arranged in a radial pattern around a core of sclerohyalinosis. Scanning Electron Microscopy and Energy Dispersive Spectrometry revealed several mineral particles, typically characterized by the presence of crystalline silica and metal aggregates. The environmental concentrations of total dust and its respirable fraction were all lower than the relative TLV-TWA—ACGIH, yet not negligible. Conclusions The above findings and a multidisciplinary assessment led to the diagnosis of mixed dust pneumoconiosis s/q with 2/2 profusion of occupational origin. This diagnosis in a dental technician was supported for the first time in literature by environmental exposure analysis.
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Affiliation(s)
- Luigi Di Lorenzo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy.
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy.
| | - Antonella Pipoli
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
| | - Filippo Cassano
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
| | - Maria Elena Maggiore
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
| | | | - Sabino Ceci
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
| | - Assunta Patano
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
| | - Antonio Mancini
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
| | - Giosi Longo
- National Institute for Insurance Against Injuries at Work (INAIL), Bari, Italy
| | | | - Eugenio Maiorano
- Department of Emergency and Transplantation, Pathology Section, University of Bari, Bari, Italy
| | - Rocco Laviano
- Department of Earth and Geoenvironmental Sciences, University of Bari, Bari, Italy
| | - Nicola Mariano Manghisi
- Department of Prevention, Prevention and Safety at Work Service, Local Health Board of Brindisi, Brindisi, Italy
| | - Antonio Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100, Chieti, Italy.
| | - Felice Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100, Chieti, Italy.
| | - Antonio Di Lorenzo
- Department of Biomedical Science and Human Oncology, University of Bari, 70124, Bari, Italy
| | | | - Gianna Dipalma
- Department of Interdisciplinary Medicine, University of Medicine Aldo Moro, 70124, Bari, Italy
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Di Lorenzo L, Vimercati L, Pipoli A, Manghisi NM, Lampignano L, Caputi A, De Maria L, Zupo R, De Pergola G. Interplay Between Adherence to the Mediterranean Diet and Lipid Profile: A Comparative Survey Between Day-Time Healthcare and Non-healthcare Female Workers. Front Public Health 2021; 9:649760. [PMID: 34805058 PMCID: PMC8599123 DOI: 10.3389/fpubh.2021.649760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Accepted: 10/13/2021] [Indexed: 11/28/2022] Open
Abstract
Introduction: Occupational physicians, as an aspect of the periodic health surveillance of workers prescribed by law, must develop preventive programs against adverse health-related occurrences (Legislative Decree 81/2008, art.25) to reduce major risk factors for non-communicable/chronic diseases. Eating habits play an important role in defining risk trajectories in the workplace. Methods: We randomly and cross-sectionally evaluated 147 females, of which 59 were healthcare workers (HCWs) and 88 were non-HCWs. The assessment included a dietary screening for adherence to the Mediterranean diet (MD) and a clinical baseline collection of major fluid biomarkers and anthropometric indicators for cardiovascular and metabolic risk. Results: The HCW group exhibited greater adherence to the MD than the non-HCW group. Nevertheless, they showed higher serum levels of triglycerides and total cholesterol. Menopause and type of work significantly and unfavorably affected triglyceride serum levels among HCWs. Conclusion: Greater preventive efforts are needed in the context of periodic health surveillance by occupational physicians. Disseminating additional information on a healthier lifestyle, particularly among female workers of perimenopausal age, is a key issue.
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Affiliation(s)
- Luigi Di Lorenzo
- Interdisciplinary Department of Medicine (DIM), Section of Occupational Medicine B. Ramazzini, School of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Luigi Vimercati
- Interdisciplinary Department of Medicine (DIM), Section of Occupational Medicine B. Ramazzini, School of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Antonella Pipoli
- Interdisciplinary Department of Medicine (DIM), Section of Occupational Medicine B. Ramazzini, School of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Nicola Mariano Manghisi
- Interdisciplinary Department of Medicine (DIM), Section of Occupational Medicine B. Ramazzini, School of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Luisa Lampignano
- Population Health Unit, Salus in Apulia Study, National Institute of Gastroenterology “Saverio de Bellis” Research Hospital, Bari, Italy
| | - Antonio Caputi
- Interdisciplinary Department of Medicine (DIM), Section of Occupational Medicine B. Ramazzini, School of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Luigi De Maria
- Interdisciplinary Department of Medicine (DIM), Section of Occupational Medicine B. Ramazzini, School of Medicine, University of Bari Aldo Moro, Bari, Italy
| | - Roberta Zupo
- Population Health Unit, Salus in Apulia Study, National Institute of Gastroenterology “Saverio de Bellis” Research Hospital, Bari, Italy
| | - Giovanni De Pergola
- Population Health Unit, Salus in Apulia Study, National Institute of Gastroenterology “Saverio de Bellis” Research Hospital, Bari, Italy
- Department of Biomedical Science and Human Oncology, School of Medicine, University of Bari, Bari, Italy
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De Maria L, Caputi A, Tafuri S, Cannone ESS, Sponselli S, Delfino MC, Pipoli A, Bruno V, Angiuli L, Mucci N, Ledda C, Vimercati L. Health, Transport and the Environment: The Impacts of the COVID-19 Lockdown on Air Pollution. Front Public Health 2021; 9:637540. [PMID: 33928063 PMCID: PMC8076632 DOI: 10.3389/fpubh.2021.637540] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 03/17/2021] [Indexed: 12/18/2022] Open
Abstract
Lockdown measures were initiated in Italy on March 9th after the start of the SARS-CoV-2 epidemic to flatten the epidemic curve. The aim of the present study was to assess the impact of restrictive measures in the Apulia Region, southern Italy, on air quality from March to April 2020. We applied a dual-track approach. We assessed citizen mobility and vehicle traffic with mobility network data and information obtained from satellite tracking, and we evaluated and compared pollutant concentration data as measured by monitoring stations maintained by the Regional Agency for Environmental Protection and Prevention of Apulia (ARPA). The results showed a decrease in the weekly mean NO2 concentration recorded by urban traffic stations during the lockdown period. In particular, in the city of Bari, the average NO2 concentration decreased from 62.2 μg/m3 in March 2019 to 48.2 μg/m3 in March 2020. Regarding PM10 levels, the average concentrations at the individual traffic stations showed no particular variation compared to those in the same months of the previous year, except for Bari-Caldarola Station in March 2019/2020 (p-value < 0.001) and in April 2019/2020 (p-value = 0.04). In particular the average in March 2019 was ~26.9 μg/m3, while that in March 2020 was ~22.9 μg/m3. For April, the average concentration of PM10 in 2019 was 27.9 μg/m3, while in 2020, the average was ~22.4 μg/m3. This can be explained by the fact that PM10 levels are influenced by multiple variables such as weather and climate conditions and desert dust advections.
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Affiliation(s)
- Luigi De Maria
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.,Unit of Occupational Medicine, University Hospital of Bari, Bari, Italy
| | - Antonio Caputi
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.,Unit of Occupational Medicine, University Hospital of Bari, Bari, Italy
| | - Silvio Tafuri
- Department of Biomedical Science and Human Oncology, University of Bari, Bari, Italy
| | - Enza Sabrina Silvana Cannone
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.,Unit of Occupational Medicine, University Hospital of Bari, Bari, Italy
| | - Stefania Sponselli
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.,Unit of Occupational Medicine, University Hospital of Bari, Bari, Italy
| | - Maria Celeste Delfino
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.,Unit of Occupational Medicine, University Hospital of Bari, Bari, Italy
| | - Antonella Pipoli
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.,Unit of Occupational Medicine, University Hospital of Bari, Bari, Italy
| | - Vito Bruno
- Regional Agency for Environmental Protection Agenzia Regionale per la Protezione Ambientale (ARPA) Puglia, Bari, Italy
| | - Lorenzo Angiuli
- Regional Agency for Environmental Protection Agenzia Regionale per la Protezione Ambientale (ARPA) Puglia, Bari, Italy
| | - Nicola Mucci
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Caterina Ledda
- Occupational Medicine, Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
| | - Luigi Vimercati
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.,Unit of Occupational Medicine, University Hospital of Bari, Bari, Italy
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Di Lorenzo L, Pipoli A, Manghisi NM, Clodoveo ML, Corbo F, De Pergola G, Sabbà C. Nutritional hazard analysis and critical control points at work (NACCPW): interdisciplinary assessment of subjective and metabolic work-related risk of the workers and their prevention. Int J Food Sci Nutr 2020; 71:902-908. [DOI: 10.1080/09637486.2020.1750572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Luigi Di Lorenzo
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - Antonella Pipoli
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - Nicola M. Manghisi
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - Maria L. Clodoveo
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - Filomena Corbo
- Department of Pharmacy-Drug Sciences, University of Bari, Bari, Italy
| | - Giovanni De Pergola
- Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, School of Medicine, University of Bari, Bari, Italy
| | - Carlo Sabbà
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
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