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The death of Ella Kissi-Debrah in 2013 will be forever notable as the first instance in the United Kingdom of air pollution being recorded as contributing to the death of an individual. Whilst in itself a monumental shift in consideration of air pollution and the impact on human health, the recording by the coroner of Ella’s death as having been contributed to by air pollution has significant human rights implications. This piece considers the circumstances surrounding both Ella’s death and the report of the coroner and connects these to decisions of the European Court of Human Rights. It presents the argument that the failure to address a known risk to life presented by air pollution could constitute a breach of the right to life protected by Article 2 of the Convention for the Protection of Human Rights and Fundamental Freedoms (ECHR). Cases in which environmental conditions are found by the Court to have breached Article 2 are rare, but this paper contends that the formal acknowledgement of the threat of air pollution as a result of Ella’s death means that failure to address it meets this threshold.
Despite the substantial evidence linking particulate matter exposure to adverse health outcomes, a large portion of the global population, particularly in low-income countries, continues to rely on highly polluting fuels, such as wood, for cooking and heating. This study evaluates the immediate effects of wood-burning restrictions, which are triggered by air quality warnings, on levels of fine (PM2.5) and coarse (PM10) particulate matter in southern Chile. Using a difference-in-differences design that incorporates pre-policy data, we provide plausible causal estimates indicating that wood-burning restrictions lead to significant reductions in hourly PM10 and PM2.5 concentrations during the most severe air quality warning. Additional analyses, including a regression discontinuity design, further support these findings. While our analysis suggests that wood-burning restrictions are effective, they may not be sufficient to reduce air pollution concentrations to levels that are considered safe for public health.
Urbanization and the concentration of population and activity traditionally have brought cities an array of environmental quality and pollution issues. The process through which cities have responded to their air pollution problems are equally varied. This application chapter focuses on the narratives of three cities and an urbanized region: London, UK; Los Angeles, US; Rhine-Ruhr River Valley, Germany; and Tokyo, Japan. In all cases, worsening air pollution began to have clear and often immediate economic consequences and human health impacts. While different, several important similarities were present among the crisis-to-transformation processes for each city. These include an extended history of ever-worsening air quality conditions, often punctuated or accelerated through large-scale social or environmental trauma, the emergence and rapid application of new science and technology, and the concomitant innovation in public policy and governance capacity to address the problem of urban air pollution. The desire to address urban air pollution became both an economic imperative and an ambition to protect the well-being of the cities’ residents and to restore the sentiment that the communities were pleasant and healthy places in which to live.
Recording the epiphytic lichen flora in Amsterdam on 576 trees distributed over eight common lane tree species shows that the urban epiphytic diversity alone is considerable, representing 15.2%, or 100 species, of the total lichen diversity in the Netherlands. The species recorded include many rarities and some that can be viewed as urban opportunists. Trees bear 15 lichen species on average but are greatly influenced by local factors. Species-specific bark qualities such as water-holding capacity, texture and bark-shedding, influence species richness greatly but are often overshadowed by dominant environmental factors. Tree species with a higher water-holding capacity and texture generally bear the highest species richness. Bark qualities are more indicative of species richness than tree species, showing few significant differences between species richness linked to tree species. Platanus × hispanica is the only observed species whose frequent bark shedding causes it to consistently have the lowest lichen species richness, regardless of environmental factors. In general, bark desiccation and eutrophication are the most dominant factors in influencing urban epiphytic lichen diversity, resulting in xerophytic and nitrophytic lichen species being the most common. Pollution is no longer observed to be the main limiting factor for urban lichen diversity as it was in the past. Instead, bark desiccation associated with the Urban Heat Island (UHI) and low air humidity (drought) is the most damaging factor in contemporary urban conditions in Amsterdam, but it rarely reduces species richness to zero or near zero levels. Areas in which eutrophication and desiccation are much less dominant were repeatedly observed. Such areas sometimes showed local dominance of acidophytes or other distinctive communities. In line with long-term improvements to Dutch air quality, the city now offers a niche to a wider range of species. Three ecological groups (acidophytic, lithophytic-minerotrophic, xerophytic-nitrophytic) are described in this context to characterize reoccurring lichen communities in the city that are indicative of contemporary urban conditions. The term ‘lithification’ is proposed in an ecological context to describe the frequently observed urban phenomenon of tree bark taking on the properties of rock and consequently bearing lithophytic communities. Additionally, we show the potential use of lichen species and ecological groups to monitor urban climate factors such as the UHI on a very local and accurate scale.
Edited by
Richard Pinder, Imperial College of Science, Technology and Medicine, London,Christopher-James Harvey, Imperial College of Science, Technology and Medicine, London,Ellen Fallows, British Society of Lifestyle Medicine
Urbanisation has significant health implications, both positive and negative. Cities offer opportunities for public health improvement, but also pose challenges. Climate change and air pollution are major risks to global health, disproportionately affecting vulnerable populations. Integrating green and blue spaces into urban environments can enhance mental and physical health. Inclusive urban design encourages outdoor activities and reduces environmental pollutants. Promoting active travel and reducing reliance on motor vehicles improves public health. The concept of planetary health emphasises the interconnectedness of human health and the Earth’s natural systems. Social inequalities contribute to uneven health risks, particularly in deprived communities. Rural areas face unique health challenges. A well-designed built environment uplifts spirits and promotes healthy living. Addressing health impacts requires a systems-based approach and long-term resilience planning.
Air pollution exposure and its health effects are a central concern of environmental epigenetic research with birth cohorts. This article explores why researchers have turned to the placenta as a research object to study the dynamic interactions between in utero exposure to air pollution and future child health. Drawing on Science and Technology Studies, particularly the bio-object concept, this article analyses the transformation of the placenta into a technologically manipulated postgenomic bio-object through scientific discourse and practice. Building on ethnographic fieldwork conducted at an institute of epidemiology and public health in Spain, we analyse how researchers deal with the tension between the placenta’s promises for epigenetic research and the practical research realities in postgenomic sciences. First, researchers discursively call upon the placenta as a suitable research object that embodies air pollution exposure and becomes entangled with and responds to this exposure via epigenetic changes. Studying the placenta promises to elucidate the temporally dynamic and environmentally embedded process of disease development as one of postgenomics’ core epistemic concerns. Second, in practice, however, accessing and preparing the postpartum placenta for epigenetic analysis defies its promise as a postgenomic bio-object. The constraints of research with birth cohorts, such as only having access to the postpartum placenta at birth, limit what researchers can know about the dynamic process of disease development. Third, we show how researchers deal with these limitations by assembling additional data in and around this organ to recontextualise the epigenetic analysis performed in the postpartum placenta and revive its postgenomic character. We conclude by discussing how ethnographies of epistemic practices provide entry points to collaboratively reflect upon the theoretical and methodological opportunities and challenges in birth cohort research to study biosocial dynamics. We suggest avenues for using qualitative social science perspectives for future biosocial research and collaboration between the social and life sciences.
The undeniable impact of climate change and air pollution on respiratory health has led to increasing cases of asthma, allergic rhinitis and other chronic non-communicable immune-mediated upper and lower airway diseases. Natural bioaerosols, such as pollen and fungi, are essential atmospheric components undergoing significant structural and functional changes due to industrial pollution and atmospheric warming. Pollutants like particulate matter(PMx), polycyclic aromatic hydrocarbons(PAHs), nitrogen dioxide(NO2), sulfur dioxide(SO2) and carbon monoxide(CO) modify the surface and biological properties of atmospheric bioaerosols such as pollen and fungi, enhancing their allergenic potentials. As a result, sensitized individuals face heightened risks of asthma exacerbation, and these alterations likely contribute to the rise in frequency and severity of allergic diseases. NAMs, such as precision-cut lung slices(PCLS), air–liquid interface(ALI) cultures and lung-on-a-chip models, along with the integration of data from these innovative models with computational models, provide better insights into how environmental factors influence asthma and allergic diseases compared to traditional models. These systems simulate the interaction between pollutants and the respiratory system with higher precision, helping to better understand the health implications of bioaerosol exposure. Additionally, NAMs improve preclinical study outcomes by offering higher throughput, reduced costs and greater reproducibility, enhancing the translation of data into clinical applications. This review critically evaluates the potential of NAMs in researching airway diseases, with a focus on allergy and asthma. It highlights their advantages in studying the increasingly complex structures of bioaerosols under conditions of environmental pollution and climate change, while also addressing the existing gaps, challenges and limitations of these models.
This work provides a comprehensive examination of microplastic air pollution in Antarctica. Due to atmospheric microplastics’ emerging importance, analytical procedures and health effects are discussed. Microplastic pollution poses an increasing threat to the unique and delicate Antarctic ecosystem, potentially triggering harmful consequences not only for the local ecosystem and fauna, but also for human health and well-being, given the severe implications of microplastic pollution for global scenarios such as imminent worldwide warming and the melting of polar ice. Numerous investigations have now exposed the extent of microplastic pollution in the Antarctic and the prevalence of both nano- and microplastics in this region, a significant storehouse of the planet’s freshwater. This work also highlights the challenges of assessing the hazards that microplastics, particularly the nanoscale variants, may pose to human health and life maintenance. The results of this work suggest that global mechanisms of microplastic pollution mitigation are critical to microplastic transportation to the Antarctic reaches. This overview provides a better understanding of microplastic pollution in Antarctica while highlighting the urgency of more comprehensive research in this area to elucidate more precisely the short-, medium- and long-term effects of the arrival of these emerging contaminants in the Antarctic.
Outdoor air pollution is estimated to cause a huge number of premature deaths worldwide. It catalyzes many diseases on a variety of time scales, and it has a detrimental effect on the environment. In light of these impacts, it is necessary to obtain a better understanding of the dynamics and statistics of measured air pollution concentrations, including temporal fluctuations of observed concentrations and spatial heterogeneities. Here, we present an extensive analysis for measured data from Europe. The observed probability density functions (PDFs) of air pollution concentrations depend very much on the spatial location and the pollutant substance. We analyze a large number of time series data from 3544 different European monitoring sites and show that the PDFs of nitric oxide ($ NO $), nitrogen dioxide ($ {NO}_2 $), and particulate matter ($ {PM}_{10} $ and $ {PM}_{2.5} $) concentrations generically exhibit heavy tails. These are asymptotically well approximated by $ q $-exponential distributions with a given entropic index $ q $ and width parameter $ \lambda $. We observe that the power-law parameter $ q $ and the width parameter $ \lambda $ vary widely for the different spatial locations. We present the results of our data analysis in the form of a map that shows which parameters $ q $ and $ \lambda $ are most relevant in a given region. A variety of interesting spatial patterns is observed that correlate to the properties of the geographical region. We also present results on typical time scales associated with the dynamical behavior.
In this chapter, we first explain what energy economics is and what energy and climate policy mean. We then describe the advantages of energy for society, and the current energy systems and their environmental and economic problems. At the end of the chapter, we discuss the energy transition and the characteristics of the energy systems once the transition has taken place. In the discussions in this chapter, we make note of developing countries.
Despite growing awareness of the mental health damage caused by air pollution, the epidemiologic evidence on impact of air pollutants on major mental disorders (MDs) remains limited. We aim to explore the impact of various air pollutants on the risk of major MD.
Methods
This prospective study analyzed data from 170 369 participants without depression, anxiety, bipolar disorder, and schizophrenia at baseline. The concentrations of particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5), particulate matter with aerodynamic diameter > 2.5 μm, and ≤ 10 μm (PM2.5–10), nitrogen dioxide (NO2), and nitric oxide (NO) were estimated using land-use regression models. The association between air pollutants and incident MD was investigated by Cox proportional hazard model.
Results
During a median follow-up of 10.6 years, 9 004 participants developed MD. Exposure to air pollution in the highest quartile significantly increased the risk of MD compared with the lowest quartile: PM2.5 (hazard ratio [HR]: 1.16, 95% CI: 1.09–1.23), NO2 (HR: 1.12, 95% CI: 1.05–1.19), and NO (HR: 1.10, 95% CI: 1.03–1.17). Subgroup analysis showed that participants with lower income were more likely to experience MD when exposed to air pollution. We also observed joint effects of socioeconomic status or genetic risk with air pollution on the MD risk. For instance, the HR of individuals with the highest genetic risk and highest quartiles of PM2.5 was 1.63 (95% CI: 1.46–1.81) compared to those with the lowest genetic risk and lowest quartiles of PM2.5.
Conclusions
Our findings highlight the importance of air pollution control in alleviating the burden of MD.
Indoor air pollution is one of the leading causes of morbidity and mortality worldwide, but its sources and impacts are largely misunderstood by the public. In a randomised controlled trial including 281 households in France, we test two interventions aimed at changing indoor polluting behaviour by raising households’ awareness of health risks associated with indoor air pollution. While both generic and personalised information increased knowledge, only personalised information including social comparison feedback changed behaviour, leading to a reduction of indoor PM2.5 (particulate matter with an aerodynamic diameter ≤2.5 µm) emissions by 20% on average. Heterogeneous treatment effects show that this effect is concentrated on the most polluted households at baseline, for whom the reduction reaches 40%.
Although it has been hypothesized that air pollution, particularly PM2.5 and PM10, causes depressed symptoms, their interactions with greenness have not yet been confirmed. This study examined the association between depression symptoms and air pollution, as well as the potential moderating effects of greenness.
Methods
A total of 7657 people from all around South Korea were examined using information from the Korean Longitudinal Study of Aging, for the years 2016, 2018 and 2020. Depressive symptoms were assessed using the CES-D 10 score (Center for Epidemiology Studies of Depression scale, Boston form), and annual air pollution levels (PM2.5, PM10) and greenness (NDVI, Landsat Normalized Difference Vegetation Index) at the district level (si-gun-gu) were considered for the association analysis. The investigation was primarily concerned with determining how the CES-D 10 score changed for each 10 ${\mu \text{g/}}{{\text{m}}^{\text{3}}}$ increase in PM2.5 and PM10 according to NDVI quantiles, respectively. The analysis used generalized estimating equation models that were adjusted with both minimal and complete variables. Subgroup analyses were conducted based on age groups (<65, ≥65 years old), sex and exercise status.
Results
The impact of PM10 on depression in the fourth quantile of NDVI was substantially less in the fully adjusted linear mixed model (OR for depression with a 10 ${\mu\text{ g/}}{{\text{m}}^{\text{3}}}$ increment of PM10: 1.29, 95% CI: 1.06, 1.58) than in the first quantile (OR: 1.88, 95% CI: 1.58, 2.25). In a similar vein, the effect of PM2.5 on depression was considerably reduced in the fourth quantile of NDVI (OR for depression with a 10 ${\mu\text{ g/}}{{\text{m}}^{\text{3}}}$ increment of PM2.5: 1.78, 95% CI: 1.30, 2.44) compared to the first (OR: 3.75, 95% CI: 2.75, 5.10). Subgroup analysis results demonstrated beneficial effects of greenness in the relationship between particulate matter and depression.
Conclusions
This longitudinal panel study found that a higher quantile of NDVI was associated with a significantly reduced influence of air pollution (PM10, PM2.5) on depression among older individuals in South Korea.
Atmospheric chemical reactions play an important role in air quality and climate change. While the structure and dynamics of individual chemical reactions are fairly well understood, the emergent properties of the entire atmospheric chemical system, which can involve many different species that participate in many different reactions, are not well described. In this work, we leverage graph-theoretic techniques to characterize patterns of interaction (“motifs”) in three different representations of gas-phase atmospheric chemistry, termed “chemical mechanisms.” These widely used mechanisms, the master chemical mechanism, the GEOS-Chem mechanism, and the Super-Fast mechanism, vary dramatically in scale and application, but they all generally aim to simulate the abundance and variability of chemical species in the atmosphere. This motif analysis quantifies the fundamental patterns of interaction within the mechanisms, which are directly related to their construction. For example, the gas-phase chemistry in the very small Super-Fast mechanism is entirely composed of bimolecular reactions, and its motif distribution matches that of an individual bimolecular reaction well. The larger and more complex mechanisms show emergent motif distributions that differ strongly from any specific reaction type, consistent with their complexity. The proposed motif analysis demonstrates that while these mechanisms all have a similar design goal, their higher-order structure of interactions differs strongly and thus provides a novel set of tools for exploring differences across chemical mechanisms.
This position paper highlights the dire impacts of environmental and household air pollution, which were responsible for 6.7 million deaths globally in 2019. These deaths occurred predominantly in low- and middle-income countries, with Afghanistan reporting the highest age-adjusted mortality rate. The situation worsens during large-scale disasters like earthquakes, which release more pollutants into the air, exacerbating health risks and leading to severe conditions such as pulmonary diseases. Because political factors may hinder foreign NGOs and similar organizations from providing direct support, the frequent occurrence of earthquakes in Afghanistan underscores the critical need for emergency response training for local residents. Consequently, it is essential to provide ERT training, including the proper use of protective equipment, to local populations as well as disseminating risk communication through online technologies and other appropriate means.
Major depressive disorder (MDD) is one of the most prevalent medical conditions worldwide. Different factors were found to play a role in its etiology, including environmental ones (e.g., air pollution). The aim of this study was to evaluate the association between air pollution exposure and MDD severity.
Methods
Four hundred sixteen MDD subjects were recruited. Severity of MDD and functioning were evaluated through five rating scales: Montgomery–Asberg Depression Rating Scale (MADRS), Hamilton Depression Rating Scale (HAMD), Clinical Global Impression (CGI), Global Assessment of Functioning (GAF), and Sheehan Disability Scale (SDS). Daily mean estimates of particulate matter with diameter ≤10 (PM10) and 2.5 μm (PM2.5), nitrogen dioxide (NO2), and apparent temperature (AT) were estimated based on subjects’ residential addresses. Daily estimates of the 2 weeks preceding recruitment were averaged to obtain cumulative exposure. Multivariate linear and ordinal regression models were applied to assess the associations between air pollutants and MDD severity, overall and stratifying by hypersusceptibility and AT.
Results
Two-thirds of subjects were women and one-third had a family history of depression. Most women had depression with symptoms of anxiety, while men had predominantly melancholic depression. NO2 exposure was associated with worsening of MDD severity (HAMD: β = 1.94, 95% confidence interval [CI], [0.41–3.47]; GAF: β = −1.93, 95% CI [−3.89 to 0.02]), especially when temperatures were low or among hypersusceptible subjects. PM exposure showed an association with MDD severity only in these subgroups.
Conclusions
Exposure to air pollution worsens MDD severity, with hypersusceptibility and lower temperatures being exacerbating factors.
Poor air quality can both trigger and aggravate lung and heart conditions, as well as affecting child development. It can even lead to neurological and mental health problems. However, the precise mechanisms by which air pollution affect human health are not well understood.
Aims
To promote interdisciplinary dialogue and better research based on a critical summary of evidence on air quality and health, with an emphasis on mental health, and to do so with a special focus on bioaerosols as a common but neglected air constituent.
Method
A rapid narrative review and interdisciplinary expert consultation, as is recommended for a complex and rapidly changing field of research.
Results
The research methods used to assess exposures and outcomes vary across different fields of study, resulting in a disconnect in bioaerosol and health research. We make recommendations to enhance the evidence base by standardising measures of exposure to both particulate matter in general and bioaerosols specifically. We present methods for assessing mental health and ideal designs. There is less research on bioaerosols, and we provide specific ways of measuring exposure to these. We suggest research designs for investigating causal mechanisms as important intermediate steps before undertaking larger-scale and definitive studies.
Conclusions
We propose methods for exposure and outcome measurement, as well as optimal research designs to inform the development of standards for undertaking and reporting research and for future policy.
Coal is declining in the U.S. as part of the clean energy transition, resulting in remarkable air pollution benefits for the American public and significant costs for the industry. Using the AP3 integrated assessment model, we estimate that fewer emissions of sulfur dioxide, nitrogen oxides, and primary fine particulate matter driven by coal’s decline led to $300 billion in benefits from 2014 to 2019. Conversely, we find that job losses driven by less coal plant and mining activity resulted in $7.84 billion in foregone wages over the same timeframe. While the benefits were greatly distributed (mostly throughout the East), costs were highly concentrated in coal communities. Transferring a small fraction of the benefits to workers could cover these costs while maintaining societal net benefits. Forecasting coal fleet damages from 2020 to 2035, we find that buying out or replacing these plants would result in $589 billion in air quality benefits, which considerably outweigh the costs. The return on investment increases when policy targets the most damaging capacity, and net benefits are maximized when removing just facilities where marginal benefits exceed marginal costs. Evaluating competitive reverse auction policy designs akin to Germany’s Coal Exit Act, we find that adjusting bids based on monetary damages rather than based only on carbon dioxide emissions – the German design – provides a welfare advantage. Our benefit–cost analyses clearly support policies that drive a swift and just transition away from coal, thereby clearing the air while supporting communities needing assistance.
Evidence linking air pollutants and the risk of schizophrenia remains limited and inconsistent, and no studies have investigated the joint effect of air pollutant exposure and genetic factors on schizophrenia risk.
Aims
To investigate how exposure to air pollution affects schizophrenia risk and the potential effect modification of genetic susceptibility.
Method
Our study was conducted using data on 485 288 participants from the UK Biobank. Cox proportional hazards models were used to estimate the schizophrenia risk as a function of long-term air pollution exposure presented as a time-varying variable. We also derived the schizophrenia polygenic risk score (PRS) utilising data provided by the UK Biobank, and investigated the modification effect of genetic susceptibility.
Results
During a median follow-up period of 11.9 years, 417 individuals developed schizophrenia (mean age 55.57 years, s.d. = 8.68; 45.6% female). Significant correlations were observed between long-term exposure to four air pollutants (PM2.5; PM10; nitrogen oxides, NOx; nitrogen dioxide, NO2) and the schizophrenia risk in each genetic risk group. Interactions between genetic factors and the pollutants NO2 and NOx had an effect on schizophrenia events. Compared with those with low PRS and low air pollution, participants with high PRS and high air pollution had the highest risk of incident schizophrenia (PM2.5: hazard ratio = 6.25 (95% CI 5.03–7.76); PM10: hazard ratio = 7.38 (95% CI 5.86–9.29); NO2: hazard ratio = 6.31 (95% CI 5.02–7.93); NOx: hazard ratio = 6.62 (95% CI 5.24–8.37)).
Conclusions
Long-term exposure to air pollutants was positively related to the schizophrenia risk. Furthermore, high genetic susceptibility could increase the effect of NO2 and NOx on schizophrenia risk.