High Levels Of PM2 Research Articles

Do environmental crimes contribute to air pollution? Empirical evidence and effects on health

AbstractThis paper investigates the effect of environmental crimes on ambient air pollution in Italy, using annual provincial data over the period 2010–2016. While the impact of ambient air pollution on health has been the focus of a significant amount of literature, a nascent body of works is focusing on the impact of illegal behavior on environmental quality. Our work is ideally divided in two steps: firstly, we identify and assess empirically the potential correlation between environmental crimes and four different kinds of ambient air pollution. Secondly, we identify the health impacts that may be triggered by environmentally harmful illegal activities, through their impact on ambient air pollution, by linking them to existing contributions. Our findings suggest that the existence of such an “indirect” link may indeed be confirmed. We find that higher levels of PM2.5, PM10, and O3 concentration are associated with higher levels of environmental crimes related to forest fires and landscape violations (except for PM10 in the latter case), while NO2 concentration is not significantly associated with any environmental crime. On the other hand, we also find non-linearities in the estimated correlations. We conclude our analysis by providing a straightforward quantification of health-related impacts of ambient air pollution changes potentially triggered by criminal environmental behaviors. We hope that our findings could contribute to a more accurate evaluation of environmental crime impacts and, subsequently, inform future criminal environmental enforcement and environmental policies.

The combined effects of heatwaves, air pollution and greenery on the risk of frailty: a national cohort study

The associations between heatwaves and frailty, as well as the joint effects of heatwaves with air pollution and greenery, are currently unknown. This study leverages data from the China Health and Retirement Longitudinal Study (CHARLS), which collected information from 6,400 older adults between 2011 and 2018. Our outcome variable was frailty, as measured by the frailty index (FI > 0.21). Heatwaves were defined based on maximum temperature, incorporating four thresholds (≥ 97.5%, 97.5%, 92.5%, and 90%) and three durations (≥ 2, 3, and 4 days). These variables were considered as time-varying variables, representing the one-year exposure preceding survival events. Fine particulate matter (PM2.5) and greenery (normalized difference vegetation index (NDVI)) were utilized as indicators of air pollution and greenery exposure, respectively, and were treated as time-varying indicators concurrent with heatwaves.Time-varying Cox proportional hazards models were employed to assess the independent effects, as well as the multiplicative and additive interactions of heatwaves, air pollution, and greenery on the risk of frailty. These effects were quantified using hazard ratios (HRs), a traditional product term representing the ratio of HRs, and the relative excess risk due to interaction (RERI). Our findings indicate that heatwaves are associated with an increased risk of frailty, with HRs ranging from 1.035 (95% CI: 1.006–1.064) to 1.063 (95% CI: 1.028–1.101). We observed both a positive multiplicative interaction (HRs > 1) and an additive interaction (RERI > 0) between high level PM2.5 concentration, lack of greenery, and heatwaves. This study reveals that the combined effects exacerbate the adverse impact of heatwaves on the risk of frailty. Moreover, the combined effects of heatwaves, air pollution, and greenery exposure on frailty risk vary across age, gender, and educational attainment.

Causes of the unremitting high ambient levels of PM10 in a suburban background site in NE Spain

Atmospheric PM10 and benzo(a)pyrene (BaP) concentrations in Manlleu (NE Spain) have remained high from 2008 to 2023, frequently exceeding EU limit/target values, and reaching BaP levels up to six times higher than urban averages in Spain. Furthermore, PM speciation campaigns were carried out in 2013, 2014–2015, 2016–2017 and 2021–2022. Chemical mass closure for autumn-winter showed a consistent PM10 composition for the different PM speciation campaigns, comprising 46–53% organic matter (OM), 18–26% secondary inorganic aerosol (SIA), 13–23% mineral matter (MM), and 5–9% elemental carbon (EC). Trend analysis revealed very light decrease and constant concentrations for PM10 and BaP, respectively over the study period, emphasizing the need for compliance with current and forthcoming EU air quality directives, the last aiming to halve PM10 limit values. Source apportionment of samples of the sporadic campaigns identified biomass burning (BB, 17.5 μg m−3, 48%) and MM and industry (16.3 μg m−3, 44%) as the main autumn-winter PM10 contributors, with high SIA concentrations attributed to several factors, including high ammonia (NH3) emissions. Local topography and meteorological conditions contribute to aggravate PM10 pollution. While metal concentrations have decreased since 2013, suggesting reduced industrial emissions, persistently high OM and EC concentrations indicate ongoing issues with BB emissions from domestic, commercial, and agricultural sources. Online analysis of black carbon (BC) and non-refractory PM1 components during winter 2016–2017 confirmed domestic and commercial BB as the primary sources of the BB contributions. These findings highlight the need of the implementation of more effective measures in reducing BB and agricultural/farming NH3 emissions. This study highlights the relevance of these issues for similar towns, the probable unremitting problem over the last decade, and the necessity of enhanced monitoring in small cities and policy actions to meet air quality standards under the new EU directive.

Differentiating local and regional drivers of exceedances of WHO PM2.5 standards with a low-cost sensor network in the greater male’ region (GMR)

Although pollution is visible at certain times in the capital Greater Male’ Region (GMR), Maldives, only limited quantitative measures of the pollution concentrations are available. Hence, this study aims to understand the spatiotemporal patterns of Particulate Matter 2.5 (PM2.5) and its contribution by both local and regional sources. Data was collected using harmonized and calibrated low-cost PM sensors from October 2021 to September 2023 across 8 locations in GMR. Results showed that the annual average PM2.5 concentration in both years surpassed the WHO guideline. Higher levels of PM2.5 were measured in the dry season and the 24-h WHO-recommended level was surpassed in 67% of the days in the dry season. This is the effect of pollutants transported from the subcontinental regions. PM2.5 concentrations in at least 93% of the days in the wet season (Apr–Oct) remained within the daily limit. Similar levels and patterns of PM2.5 concentrations were noticed across all locations, despite higher concentrations and more frequent exceedances were observed in certain locations in GMR. Besides vehicular emission, electricity generation, biomass burning, sea transport and construction activities are the likely local sources of PM2.5. The diurnal trend revealed significant peaks on weekend evenings in some hotspots due to increased outdoor activities. Hence to reduce regional drivers of pollutants, corporations from countries in the region must take action and municipalities need to implement plans to moderate local emissions.

Interactive effects of long-term exposure to air pollutants on SARS-CoV-2 infection and severity: a northern Italian population-based cohort study.

We examined interactions, to our knowledge not yet explored, between long-term exposures to particulate matter (PM 10 ) with nitrogen dioxide (NO 2 ) and ozone (O 3 ) on SARS-CoV-2 infectivity and severity. We followed 709,864 adult residents of Varese Province from 1 February 2020 until the first positive test, COVID-19 hospitalization, or death, up to 31 December 2020. We estimated residential annual means of PM 10 , NO 2 and O 3 in 2019 from chemical-transport and random-forest models. We estimated interactive effects of pollutants with urbanicity on SARS-CoV-2 infectivity, hospitalization, and mortality endpoints using Cox regression models adjusted for socio-demographic factors and comorbidities, and additional cases due to interactions using Poisson models. 41,065 individuals were infected, 5,203 were hospitalized and 1,543 died from COVID-19 during follow-up. Mean PM 10 was 1.6 times higher and NO 2 2.6 times higher than WHO limits, with wide gradients between urban and non-urban areas. PM 10 and NO 2 were positively associated with SARS-CoV-2 infectivity and mortality, and PM 10 with hospitalizations in urban areas. Interaction analyses estimated that the effect of PM 10 (per 3.5 µg/m 3 ) on infectivity was strongest in urban areas (HR=1.12, 95%CI:1.09-1.16), corresponding to 854 additional cases per 100,000 person-years, and in areas at high NO 2 co-exposure (HR=1.15, 1.08-1.22). At higher levels of PM 10 co-exposure the protective association of ozone reversed (HR=1.32, 1.17-1.49), yielding to 278 additional cases per µg/m 3 increase in O 3 . We estimated similar interactive effects for severity endpoints. We estimate that interactive effects between pollutants exacerbated the burden of SARS-CoV-2 pandemic in urban areas.

Air Pollution and Parkinson Disease in a Population-Based Study

The role of air pollution in risk and progression of Parkinson disease (PD) is unclear. To assess whether air pollution is associated with increased risk of PD and clinical characteristics of PD. This population-based case-control study included patients with PD and matched controls from the Rochester Epidemiology Project from 1998 to 2015. Data were analyzed from January to June 2024. Mean annual exposure to particulate matter with a diameter of 2.5 µm or less (PM2.5) from 1998 to 2015 and mean annual exposure to nitrogen dioxide (NO2) from 2000 to 2014. Outcomes of interest were PD risk, all-cause mortality, presence of tremor-predominant vs akinetic rigid PD, and development of dyskinesia. Models were adjusted for age, sex, race and ethnicity, year of index, and urban vs rural residence. A total of 346 patients with PD (median [IQR] age 72 [65-80] years; 216 [62.4%] male) were identified and matched on age and sex with 4813 controls (median [IQR] age, 72 [65-79] years, 2946 [61.2%] male). Greater PM2.5 exposure was associated with increased PD risk, and this risk was greatest after restricting to populations within metropolitan cores (odds ratio [OR], 1.23; 95% CI, 1.11-1.35) for the top quintile of PM2.5 exposure compared with the bottom quintile. Greater NO2 exposure was also associated with increased PD risk when comparing the top quintile with the bottom quintile (OR, 1.13; 95% CI, 1.07-1.19). Air pollution was associated with a 36% increased risk of akinetic rigid presentation (OR per each 1-μg/m3 increase in PM2.5, 1.36; 95% CI, 1.02-1.80). In analyses among patients with PD only, higher PM2.5 exposure was associated with greater risk for developing dyskinesia (HR per 1-μg/m3 increase in PM2.5, 1.42; 95% CI, 1.17-1.73), as was increased NO2 exposure (HR per 1 μg/m3 increase in NO2, 1.13; 95% CI, 1.06-1.19). There was no association between PM2.5 and all-cause mortality among patients with PD. In this case-control study of air pollution and PD, higher levels of PM2.5 and NO2 exposure were associated with increased risk of PD; also, higher levels of PM2.5 exposure were associated with increased risk of developing akinetic rigid PD and dyskinesia compared with patients with PD exposed to lower levels. These findings suggest that reducing air pollution may reduce risk of PD, modify the PD phenotype, and reduce risk of dyskinesia.

Geographic Variations in Urban‐Rural Particulate Matter (PM2.5) Concentrations in the United States, 2010–2019

AbstractFine particulate matter 2.5 (PM2.5) is a widely studied pollutant with substantial health impacts, yet little is known about the urban‐rural differences across the United States. Trends of PM2.5 in urban and rural census tracts between 2010 and 2019 were assessed alongside sociodemographic characteristics including race/ethnicity, poverty, and age. For 2010, we identified 13,474 rural tracts and 59,065 urban tracts. In 2019, 13,462 were rural and 59,055 urban. Urban tracts had significantly higher PM2.5 concentrations than rural tracts during this period. Levels of PM2.5 were lower in rural tracts compared to urban and fell more rapidly in rural than urban. Rural tract annual means for 2010 and 2019 were 8.51 [2.24] μg/m3 and 6.41 [1.29] μg/m3, respectively. Urban tract annual means for 2010 and 2019 were 9.56 [2.04] μg/m3 and 7.51 [1.40] μg/m3, respectively. Rural and urban majority Black communities had significantly higher PM2.5 pollution levels (10.19 [1.64] μg/m3 and 9.79 [1.10] μg/m3 respectively), in 2010. In 2019, they were: 7.75 [1.1] μg/m3 and 7.09 [0.78] μg/m3, respectively. Majority Hispanic communities had higher PM2.5 levels and were the highest urban concentration among all races/ethnicities (8.01 [1.73] μg/m3), however they were not the highest rural concentration among all races/ethnicities (6.22 [1.60] μg/m3) in 2019. Associations with higher levels of PM2.5 were found with communities in the poorest quartile and with higher proportions of residents age<15 years old. These findings suggest greater protections for those disproportionately exposed to PM2.5 are needed, such as, increasing the availability of low‐cost air quality monitors.

Effects of combined exposure to fine particulate matter and cold waves and on IHD hospitalizations at low and high altitudes

Climate change and air pollution are major challenges facing the world today. Cold waves and air pollution significantly impact ischemic heart disease (IHD), but the extent of these effects at different altitudes remains unclear, especially their interactions. We collected daily meteorological, pollutant, and IHD hospitalization data from Xining and Xinxiang from 2016 to 2021. Using a time-stratified case-crossover approach, we fitted conditional Poisson regression models to assess the association between cold waves, PM2.5, and IHD hospitalizations and quantified their interactions. Additionally, we calculated the attributable fraction (AF) and attributable number (AN) of hospitalizations due to exposure to cold waves and medium to high-level PM2.5. We also performed stratified analyses by altitude, gender, and age. Both cold waves and PM2.5 were positively associated with IHD hospitalization rates in Xining and Xinxiang, but the differences between the two regions were not significant. The relative risk of cold waves was 1.15 (1.07, 1.24) in Xining and 1.16 (1.11, 1.21) in Xinxiang. In Xining, there was an interaction between cold waves and different levels of PM2.5. We estimated the attributable fraction due to the joint exposure of cold waves and PM2.5 to be 0.14–0.49 in Xining and 0.26–0.36 in Xinxiang. Older adults and males faced higher risks. This study highlights the importance of reducing PM2.5 exposure and optimizing extreme weather warning systems and suggests further exploration of the impacts of individual behaviors and regional characteristics on IHD.

Neighbourhood environments and cognitive health in the longitudinal Personality and Total Health (PATH) through life study: A 12-year follow-up of older Australians

BackgroundUrban neighbourhood environments may impact older adults’ cognitive health. However, longitudinal studies examining key environmental correlates of cognitive health are lacking. We estimated cross-sectional and longitudinal associations of neighbourhood built and natural environments and ambient air pollution with multiple cognitive health outcomes in Australian urban dwellers aged 60+ years. MethodsThe study included 1160 participants of the PATH Through Life study (60+ cohort) who were followed up for 12 years (four assessments; 2001/02 to 2013/15) and with data on socio-demographics, health, cognitive functions and diagnoses, and full residential address. Neighbourhood environmental features encompassed population and street-intersection densities, non-commercial land use mix, transit points, presence of blue space, percentages of commercial land, parkland and tree cover, and annual average PM2.5 and NO2 concentrations. All exposures except for tree cover were assessed at two time points. Generalised additive mixed models estimated associations of person-level average, and within-person changes in, exposures with cognitive functions. Multi-state hidden Markov models estimated the associations of neighbourhood attributes with transitions to/from mild cognitive impairment (MCI). ResultsDense, destination-rich neighbourhoods were associated with a lower likelihood of transition to MCI and reversal to no MCI. Positive cross-sectional and longitudinal associations of non-commercial land use mix, street intersection density and percentage of commercial land were observed especially with global cognition and processing speed. While access to parkland and blue spaces were associated with a lower risk of transition to MCI, the findings related to cognitive functions were mixed and supportive of an effect of parkland on verbal memory only. Higher levels of PM2.5 and NO2 were consistently associated with steeper declines and/or decreases in cognitive functions and worse cognitive states across time. ConclusionTo support cognitive health in ageing populations, neighbourhoods need to provide an optimal mix of environmental complexity, destinations and access to the natural environment and, at the same time, minimise ambient air pollution.

Mapping air quality trends across 336 cities in India: Insights from three decades of monitoring (1987–2019)

Over a span of 34 years (1987–2019), an in-depth analysis of PM10, SO2, and NO2 trends across India was conducted using data from the National Ambient Air Quality Monitoring Programme’s manual monitoring stations in 336 cities. The study encompassed six geographical regions over three time blocks, revealing a correlation between the expansion of monitoring networks and the nation’s economic growth. Regions like the densely populated Indo-Gangetic Plains (IGP) and Central India consistently hosted more monitoring stations, while the Himalayan and Northeast regions saw substantial increases from initial scarcity. SO2 concentrations showed a declining trend, while NO2 levels remained relatively stable with intermittent fluctuations. Conversely, national average PM10 concentrations exhibited an upward trajectory, notably spiking by 128 % between 2006 and 2009 due to economic activities, construction, network expansion, the 2009 drought, and heightened coal consumption. Spatially, pollutant concentrations across three blocks demonstrated improved SO2 levels, several cities exceeding NO2 standards, and persistently high PM10 levels in the IGP. PM10 levels in block 3 were lower than in block 2, reflecting effective policy interventions. State rankings, however, did not consistently reflect pollutant trends across blocks. Regionally, the IGP consistently had the highest PM10 concentrations, while the Northeast recorded the lowest. Population-weighted exposure levels indicated an overall increase in public exposure to PM10. Analysis of major city per region aligned with national trends, as evidenced by Delhi (IGP), Guwahati (Northeast), Vadodara (Northwest), and Bhopal (Central) showing increased PM10 concentrations since 2006, followed by intermittent declines. In contrast, Shimla (Himalayan) and Chennai (Southern) exhibited distinct patterns. Major industrial cities such as Parwanoo, Bongaigaon, Angul and Talcher, and Visakhapatnam mirrored national trends, with PM10 levels rising since 2009, highlighting the significant impact of industrial activities on air quality. This research underscores the need for targeted, effective mitigation strategies based on spatial and temporal pollutant trends.

Impact of Exposure to Environmental Particulate Matter on the Onset of Giant Cell Arteritis.

The aim of this study was to investigate the association between exposure to particulate matter with an aerodynamic diameter ≤10 μm (PM10) and the development of giant cell arteritis (GCA) and its ischemic complications. This was case-crossover study on consecutive patients who received a diagnosis of GCA in three hospitals in northern Italy between 2013 and 2021. The PM10 hourly and daily average concentrations, collected in the Italian monitoring network and archived by Istituto Superiore per la Protezione e la Ricerca Ambientale, were determined using European reference. We used a Bayesian hierarchical model to determine patients' daily exposures to them. We employed conditional logistic regression to estimate the effect of exposure on GCA symptoms onset or ischemic complications. We included 232 patients. A positive association was observed between exposure to PM10 and GCA risk, with an incremental odd of 27.1% (95% confidence interval 5.8-52.6) for every 10-μg/m3 increase in PM10 concentration within a 60-day period. We did not find any significant association for shorter periods or with ischemic complications. Subgroup analysis found a significantly higher incremental risk at a 60-day lag for patients ≥70 years old. Comparing patients who were chronically exposed to high PM10 levels (26.9 ± 13.8 μg/m3) to those who were not (11.9 ± 7.9 μg/m3) revealed that only in the former group was there an association between GCA onset and increased PM10 levels in the preceding 60 days. Exposure to environmental PM10 in the preceding 60 days seems to be associated with an increased risk of developing GCA, especially in older individuals with prolonged exposure to high levels of air pollution.

Impact of Outdoor Air Pollutants Exposure on the Severity and Outcomes of Community-Acquired Pneumonia in Gabes Region, Tunisia.

Background Acute community-acquired pneumonia (CAP) is considered the leading cause of infectious death worldwide. Air pollution and prolonged exposure to airborne contaminants have been implicated in various respiratory conditions, including asthma and chronic obstructive pulmonary disease (COPD). However, the specific impact of air pollution on pneumonia, particularly CAP, remains underexplored. Given the rising levels of urban air pollution and its potential health ramifications, our study aimed to examine the association between exposure to outdoor air pollution and severity as well as the outcomes of pneumonia cases requiring hospitalization. Methodology A cohort analytical study with retrospective data collection was carried out in the pulmonology department of the Gabès University Hospital between January and October 2022. We compared levels of particulate matter less than or equal to 10µm in aerodynamic diameter (PM10),sulfur dioxide (SO2),ozone (O3), moisture and ambient temperature with severity and outcomes ofpneumonia requiring hospitalization. The choice of these specific pollutants and environmental factors was based on their established impact on respiratory health and their prevalence in the study region. Results Increased sulfur dioxide (SO2) levels were associated with increased use of non-invasive ventilation (NIV) (r = 0.400). Higher levels of particulate matter (PM10) were significantly associated with the development of lung abscesses. Similarly, increased humidity and ambient temperature were strongly correlated with the development of lung abscesses. Increased air SO2 levels were correlated with a higher CURB65 score (r = 0.299). High outdoor SO2 levels and increasing moisture content were associated with increased Pneumonia Severity Index (PSI) score (r = 0.303 and = 0.310, respectively). Higher levels of PM10 were associated with an increased risk of pleural effusion, a serious complication of pneumonia. Finally, higher ambient temperatures were correlated with more extensive opacities on chest X-rays (r = 0.706), suggesting the severity of pneumonia. Conclusion This study highlights the significant associations between environmental factors and various clinical parameters in pneumonia patients. The findings underscore the importance of considering environmental exposures, such as air quality and weather conditions, in understanding and managing the severity of pneumonia.

Estimation of Particulate Matter (PM10) Over Middle Indo-Gangetic Plain (Patna) of India: Seasonal Variation and Source Apportionment

Despite extensive research on particulate matter (PM) pollution in India’s Indo-Gangetic Plain (IGP), source apportionment remains challenging. This study investigates the effect of particulate matter (PM10)-associated water soluble inorganic ions (WSIIs) on ambient air concentration across the middle IGP from January to December 2018. Moreover, the seasonal fluctuation and chemical characterization of PM10 were assessed for the year 2018. The results revealed a high concentration of PM10 (156 µg/m3), exceeding the WHO and National Ambient Air Quality Standard (NAAQS) limits. The highest PM10 levels were observed during autumn, winter, summer, and the rainy season. The study identified SO42− and NH4+ as the most common WSIIs, constituting 46% and 23% of the total WSIIs. Source apportionment analysis indicated that street dust, biomass burning, and vehicle and industrial emissions together with secondary formation significantly contributed to IGP’s PM pollution. Additionally, the investigation of air mass back trajectory suggests that air quality in IGP is largely influenced by eastern and western Maritime air masses originated from the Arabian Sea, the Bay of Bengal, Gujarat, Afghanistan, Pakistan, and Bangladesh.

Particulate matter and black carbon exposure in Seoul subway: Implications for human health risk

Air pollution and the associated health risks to humans caused by exposure to particle matter in enclosed subway systems are currently concerns. This research first time investigated the substantial health hazards (cancerous, non-cancerous, relative risk, and excess mortality rates associated with all-cause, cardiovascular, and respiratory mortality) posed by metals and black carbon (BC) bound to particulate matter (PM10, PM2.5) within subway systems. The Seoul subway system has been found to show notably higher levels of PM (2–1.5 times) and BC (2.3–1.3 times) compared to outdoor environments. Inhalation of PM-containing trace metals such as Cr, Ni, Cd, Pb, and BC significantly contributes to cancer risk, irrespective of age or PM type. The risk of developing inhalation-related cancer due to PM10 and PM2.5-bound metals is notably higher (1.2–2 times) within the subway environment compared to outdoors. Inhalation cancer risk levels (ICRBC) associated with PM-bound BC are 1.8 times greater at subway stations compared to outdoor stations, with a strong association (1.93–1.98 times) with PM2.5-bound BC compared to PM10. Notably, PM levels in subway stations have a considerable impact on relative mortality risk, with approximately 1.98 times the observed increase in mortality attributed to PM2.5-bound BC. The trace metals and BC bound to PM that contribute to human health risks might originate from vehicle emissions. This includes both surface and underground transportation systems. These findings underscore the significance of addressing air quality within subway systems to mitigate health risks.

Systemic oxidative stress levels during the course of pregnancy: Associations with exposure to air pollutants

Increased systemic oxidative stress, implicated in adverse pregnancy outcomes for both mothers and fetuses, has been associated with gestational exposure to air pollutants such as polycyclic aromatic hydrocarbons (PAHs), fine particulate matter (PM2.5), and nitrogen dioxide (NO2). However, it is unclear whether exposure to pollutants at levels below the current air quality standards can increase oxidative stress in pregnant women. In a cohort of 305 pregnant persons residing in western New York, we examined the association between exposure to PM2.5, NO2, and PAHs (measured as urinary 1-hydroxypyrene) and urinary biomarkers of oxidative stress (malondialdehyde [MDA] and 8-hydroxy-2′-deoxyguanosine [8-OHdG]) measured in each trimester. After controlling for gestational stage, maternal age, lifestyles, and socioeconomic factors, each interquartile range (IQR) increase in 1-hydroxypyrene concentration (65.8 pg/ml) was associated with a 7.73% (95%CI: 3.18%,12.3%) higher in MDA levels throughout the pregnancy and in the first and second trimester. An IQR increase in PM2.5 concentration (3.20 μg/m3) was associated with increased MDA levels in the first trimester (8.19%, 95%CI: 0.28%,16.1%), but not the 2nd (−7.99%, 95% CI: 13.8%, −2.23%) or 3rd trimester (−2.81%, 95% CI: 10.0%, 4.38%). The average cumulative PM2.5 exposures in the 3–7 days before urine collection were associated with increased 8-OHdG levels during the second trimester, with the largest difference (22.6%; 95% CI: 3.46%, 41.7%) observed in relation to a one IQR increase in PM2.5 concentration in the previous 7 days. In contrast, neither oxidative stress biomarker was associated with NO2 exposure. Observed in pregnant women exposed to low-level air pollution, these findings expanded previously reported associations between systemic oxidative stress and high-level PM2.5 and PAH concentrations. Further, the first and second trimesters may be a susceptible window during pregnancy for oxidative stress responses to air pollution exposure.

Associations of long-term exposure to low-level PM2.5 and brain disorders in 260,922 middle-aged and older adults

Long-term exposure to high-level ambient PM2.5 was associated with increased risks of brain disorders, while the associations remain uncertain when the exposure is lower than current air quality standards in numerous countries. This study aimed to assess the effects of PM2.5 exposure on the brain system in the population with annual mean concentrations ≤15 μg/m3. We analyzed data from 260,922 participants without preexisting brain diseases at baseline in the UK Biobank. The geographical distribution of PM2.5 in 2010 was estimated by a land use regression model and linked with individual residential address. We investigated associations of ambient PM2.5 with incident neurological (dementia, Parkinson's diseases [PD], epilepsy, and migraine) and psychiatric (major depressive disorder [MDD] and anxiety disorder) diseases through Cox proportional hazard models. We further estimated the links with brain imaging phenotypes by neuroimaging analysis. Results showed that in the population with PM2.5 concentrations ≤15 μg/m3, each interquartile range (IQR, 1.28 μg/m3) increment in PM2.5 was related to incidence risks of dementia, epilepsy, migraine, MDD, and anxiety disorder with hazard ratios of 1.08 (95% confidence interval [CI]: 1.03, 1.13), 1.12 (1.05, 1.20), 1.07 (1.00, 1.13), 1.06 (1.03, 1.09), and 1.05 (1.02, 1.08), respectively. We did not observe a significant association with PD. The association with dementia was stronger among the population with poor cardiovascular health (measured by Life's Essential 8) than the counterpart (P for interaction = 0.037). Likewise, per IQR increase was associated with specific brain imaging phenotypes, including volumes of total brain (β = −0.036; 95% CI: −0.050, −0.022), white matter (−0.030; −0.046, −0.014), grey matter (−0.030; −0.042, −0.017), respectively. The findings suggest long-term exposure to ambient PM2.5 at low-level still has an adverse impact on the neuro-psychiatric systems. The brain-relevant epidemiological assessment suggests that each country should update the standard for ambient PM2.5 following the World Health Organization Air Quality Guidelines 2021.

Cold waves and fine particulate matter in high-altitude Chinese cities: assessing their interactive impact on outpatient visits for respiratory disease.

Extreme weather events like heatwaves and fine particulate matter (PM2.5) have a synergistic effect on mortality, but research on the synergistic effect of cold waves and PM2.5 on outpatient visits for respiratory disease, especially at high altitudes in climate change-sensitive areas, is lacking. we collected time-series data on meteorological, air pollution, and outpatient visits for respiratory disease in Xining. We examined the associations between cold waves, PM2.5, and outpatient visits for respiratory disease using a time-stratified case-crossover approach and distributional lag nonlinear modeling. Our analysis also calculated the relative excess odds due to interaction (REOI), proportion attributable to interaction (AP), and synergy index (S). We additionally analyzed cold waves over time to verify climate change. Under different definitions of cold waves, the odds ratio for the correlation between cold waves and outpatient visits for respiratory disease ranged from 0.95 (95% CI: 0.86, 1.05) to 1.58 (1.47, 1.70). Exposure to PM2.5 was significantly associated with an increase in outpatient visits for respiratory disease. We found that cold waves can synergize with PM2.5 to increase outpatient visits for respiratory disease (REOI > 0, AP > 0, S > 1), decreasing with stricter definitions of cold waves and longer durations. Cold waves' independent effect decreased over time, but their interaction effect persisted. From 8.1 to 21.8% of outpatient visits were due to cold waves and high-level PM2.5. People aged 0-14 and ≥ 65 were more susceptible to cold waves and PM2.5, with a significant interaction for those aged 15-64 and ≥ 65. Our study fills the gap on how extreme weather and PM2.5 synergistically affect respiratory disease outpatient visits in high-altitude regions. The synergy of cold waves and PM2.5 increases outpatient visits for respiratory disease, especially in the elderly. Cold wave warnings and PM2.5 reduction have major public health benefits.

Air pollution, life’s essential 8, and risk of severe non-alcoholic fatty liver disease among individuals with type 2 diabetes

BackgroundThe impacts of long-term exposure to air pollution on the risk of subsequent non-alcoholic fatty liver disease (NAFLD) among participants with type 2 diabetes (T2D) is ambiguous. The modifying role of Life’s Essential 8 (LE8) remains unknown.MethodsThis study included 23,129 participants with T2D at baseline from the UK Biobank. Annual means of nitrogen dioxide (NO2), nitrogen oxides (NOX), and particulate matter (PM2.5, PM2.5–10, PM10) were estimated using the land-use regression model for each participant. The associations between exposure to air pollution and the risk of severe NAFLD were evaluated using Cox proportional hazard models. The effect modification of LE8 was assessed through stratified analyses.ResultsDuring a median 13.6 years of follow-up, a total of 1,123 severe NAFLD cases occurred. After fully adjusting for potential covariates, higher levels of PM2.5 (hazard ratio [HR] = 1.12, 95%CI:1.02, 1.23 per interquartile range [IQR] increment), NO2 (HR = 1.15, 95%CI:1.04, 1.27), and NOX (HR = 1.08, 95%CI:1.01, 1.17) were associated with an elevated risk of severe NAFLD. In addition, LE8 score was negatively associated with the risk of NAFLD (HR = 0.97, 95% CI: 0.97, 0.98 per point increment). Compared with those who had low air pollution and high LE8, participants with a high air pollution exposure and low LE8 had a significantly higher risk of severe NAFLD.ConclusionsOur findings suggest that long-term exposure to air pollution was associated with an elevated risk of severe NAFLD among participants with T2D. A lower LE8 may increase the adverse impacts of air pollution on NAFLD.

Effects of the interaction between cold spells and fine particulate matter on mortality risk in Xining: a case-crossover study at high altitude.

With global climate change, the health impacts of cold spells and air pollution caused by PM2.5 are increasingly aggravated, especially in high-altitude areas, which are particularly sensitive. Exploring their interactions is crucial for public health. We collected time-series data on meteorology, air pollution, and various causes of death in Xining. This study employed a time-stratified case-crossover design and conditional logistic regression models to explore the association between cold spells, PM2.5 exposure, and various causes of death, and to assess their interaction. We quantitatively analyzed the interaction using the relative excess odds due to interaction (REOI), attributable proportion due to interaction (AP), and synergy index (S). Moreover, we conducted stratified analyses by average altitude, sex, age, and educational level to identify potential vulnerable groups. We found significant associations between cold spells, PM2.5, and various causes of death, with noticeable effects on respiratory disease mortality and COPD mortality. We identified significant synergistic effects (REOI>0, AP > 0, S > 1) between cold spells and PM2.5 on various causes of death, which generally weakened with a stricter definition of cold spells and longer duration. It was estimated that up to 9.56% of non-accidental deaths could be attributed to concurrent exposure to cold spells and high-level PM2.5. High-altitude areas, males, the older adults, and individuals with lower educational levels were more sensitive. The interaction mainly varied among age groups, indicating significant impacts and a synergistic action that increased mortality risk. Our study found that in high-altitude areas, exposure to cold spells and PM2.5 significantly increased the mortality risk from specific diseases among the older adults, males, and those with lower educational levels, and there was an interaction between cold spells and PM2.5. The results underscore the importance of reducing these exposures to protect public health.

Atmosphere particulate matter and respiratory diseases during COVID-19 in Korea

We aimed to examine the impact of COVID-19 non-pharmaceutical interventions (NPIs) on the relationship between air pollutants and hospital admissions for respiratory and non-respiratory diseases in six metropolitan cities in South Korea. This study compared the associations between particulate matter (PM10 and PM2.5) and hospital admission for respiratory and non-respiratory diseases before (2016–2019) and during (2020) the implementation of COVID-19 NPIs by using distributed lag non-linear models. In the Pre-COVID-19 period, the association between PM10 and admission risk for asthma and COPD showed an inverted U-shaped pattern. For PM2.5, S-shaped and inverted U-shaped changes were observed in asthma and COPD, respectively. Extremely high and low levels of PM10 and extremely low levels of PM2.5 significantly decreased the risk of admission for asthma and COPD. In the Post-COVID-19 outbreak period, the overall cumulative relationship between PM10 and PM2.5 and respiratory diseases and the effects of extreme levels of PM10 and PM2.5 on respiratory diseases were completely changed. For non-respiratory diseases, PM10 and PM2.5 were statistically insignificant for admission risk during both periods. Our study may provide evidence that implementing NPIs and reducing PM10 and PM2.5 exposure during the COVID-19 pandemic has contributed to reducing hospital admissions for environment-based respiratory diseases.