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Associations between ambient air pollution and daily mortality among persons with diabetes and cardiovascular disease.

BACKGROUND: Recent studies suggest that persons with diabetes and with cardiovascular disease may be at higher risk for the short-term effects of air pollution. We carried out this mortality time series study in Montreal, Quebec, Canada to confirm these observations and to determine whether diabetics who had other health conditions were also at higher risk of dying when air pollution increases. METHODS AND RESULTS: In one analysis, we related daily deaths from diabetes (using the underlying cause) to daily concentrations of particles and gaseous pollutants. In another analysis, we created subgroups by identifying subjects diagnosed 1 year before death with diabetes and other major health conditions from billing and prescription data from the universal Quebec Health Insurance Plan. The analysis made use of parametric log-linear Poisson models that were adjusted for long-term temporal trends and daily weather conditions. We found positive associations between most air pollutants and daily mortality from diabetes as well as among subjects diagnosed with diabetes 1 year before death. In the latter group of subjects, greater effects were found generally in the warm season and especially among subjects who had diabetes and who also had any cardiovascular disease, chronic coronary disease, and atherosclerosis. We did not find evidence of associations among persons who only had diabetes (i.e., did not also have cancer, cardiovascular disease, or lower respiratory disease). CONCLUSIONS: These data indicate that individuals with diabetes who also have cardiovascular disease may be susceptible to the short-term effects of air pollution.

Aged↗

Assessment of antibiotic resistance genes in soils polluted by chemical and technogenic ways with poly-aromatic hydrocarbons and heavy metals.

Anthropogenic activities are leaving lots of chemical footprints on the soil. It alters the physiochemical characteristics of the soil thereby modifying the natural soil microbiome. The prevalence of antimicrobial-resistance microbes in polluted soil has gained attention due to its obvious public health risks. This study focused on assessing the prevalence and distribution of antibiotic-resistance genes in polluted soil ecosystems impacted by industrial enterprises in southern Russia. Metagenomic analysis was conducted on soil samples collected from polluted sites using various approaches, and the prevalence of antibiotic-resistance genes was investigated. The results revealed that efflux-encoding pump sequences were the most widely represented group of genes, while genes whose products replaced antibiotic targets were less represented. The level of soil contamination increased, and there was an increase in the total number of antibiotic-resistance genes in proteobacteria, but a decrease in actinobacteria. The study proposed an optimal mechanism for processing metagenomic data in polluted soil ecosystems, which involves mapping raw reads by the KMA method, followed by a detailed study of specific genes. The study's conclusions provide valuable insights into the prevalence and distribution of antibiotic-resistance genes in polluted soils and have been illustrated in heat maps.

Soil Pollutants↗

Quantifying the human health benefits of curbing air pollution in Shanghai.

Urban development in the mega-cities of Asia has caused detrimental effects on the human health of its inhabitants through air pollution. However, averting these health damages by investing in clean energy and industrial technologies and measures can be expensive. Many cities do not have the capital to make such investments or may prefer to invest that capital elsewhere. In this article, we examine the city of Shanghai, China, and perform an illustrative cost/benefit analysis of air pollution control. Between 1995 and 2020 we expect that Shanghai will continue to grow rapidly. Increased demands for energy will cause increased use of fossil fuels and increased emissions of air pollutants. In this work, we examine emissions of particles smaller than 10 microm in diameter (PM10), which have been associated with inhalation health effects. We hypothesize the establishment of a new technology strategy for coal-fired power generation after 2010 and a new industrial coal-use policy. The health benefits of pollution reduction are compared with the investment costs for the new strategies. The study shows that the benefit-to-cost ratio is in the range of 1-5 for the power-sector initiative and 2-15 for the industrial-sector initiative. Thus, there appear to be considerable net benefits for these strategies, which could be very large depending on the valuation of health effects in China today and in the future. This study therefore provides economic grounds for supporting investments in air pollution control in developing cities like Shanghai.

Air Pollution↗

Roofing as a source of nonpoint water pollution.

Sixteen wooden structures with two roofs each were installed to study runoff quality for four commonly used roofing materials (wood shingle, composition shingle, painted aluminum, and galvanized iron) at Nacogdoches, Texas. Each roof, either facing NW or SE, was 1.22 m wide x 3.66 m long with a 25.8% roof slope. Thus, there were 32 alternatively arranged roofs, consisting of four roof types x two aspects x four replicates, in the study. Runoff from the roofs was collected through galvanized gutters, downspouts, and splitters. The roof runoff was compared to rainwater collected by a wet/dry acid rain collector for the concentrations of eight water quality variables, i.e. Cu(2+), Mn(2+), Pb(2+), Zn(2+), Mg(2+), Al(3+), EC and pH. Based on 31 storms collected between October 1997 and December 1998, the results showed: (1) concentrations of pH, Cu, and Zn in rainwater already exceed the EPA freshwater quality standards even without pollutant inputs from roofs, (2) Zn and Cu, the two most serious pollutants in roof runoff, exceeded the EPA national freshwater water quality standards in virtually 100% and more than 60% of the samples, respectively, (3) pH, EC, and Zn were the only three variables significantly affected by roofing materials, (4) differences in Zn concentrations were significant among all roof types and between all roof runoff and rainwater samples, (5) although there were no differences in Cu concentrations among all roof types and between roof runoff and rainwater, all means and medians of runoff and rainwater exceeded the national water quality standards, (6) water quality from wood shingles was the worst among the roof types studied, and (7) although SE is the most frequent and NW the least frequent direction for incoming storms, only EC, Mg, Mn, and Zn in wood shingle runoff from the SE were significantly higher than those from the NW; the two aspects affected no other elements in runoff from the other three roof types. Also, Zn concentrations from new wood-shingle roofs were significantly higher than those from aged roofs of a previous study. The study demonstrated that roofs could be a serious source of nonpoint water pollution. Since Zn is the most serious water pollutant and wood shingle is the worst of the four roof types, using less compounds and materials associated with Zn along with good care and maintenance of roofs are critical in reducing Zn pollution in roof runoff.

Construction Materials↗

Different cardiac response to copper in limpets from metal polluted and clean shores of Hong Kong.

The gastropod limpet, Cellana grata, is common on moderately exposed to exposed Hong Kong rocky shores. On the basis of the existing literature on trace metal contamination in Hong Kong, four sites were identified, representative of highly polluted (Aberdeen and Lei Yue Mun) and clean (Cape d'Aguilar and Clear Water Bay) conditions. Limpets from the two polluted sites showed similar, but significantly higher body concentrations of copper than limpets from the two clean sites, which were also similar. Non-invasive measurements of cardiac activity of limpets from the four sites showed between site differences in baseline heart rates under standard seawater, irrespective of pollution level. When acutely exposed to water borne copper (2 h, 0.5+/-0.06 SD ppm), however, limpets from clean sites showed a significantly higher increase in inter-beating time (bradycardia) than those from polluted sites. These results highlight the potential use of cardiac activity to assess the exposure of natural populations of limpets to trace metal pollution.

Animals↗

A review of pollutants in the sea-surface microlayer (SML): a unique habitat for marine organisms.

Boundary layers between different environmental compartments represent critical interfaces for biological, chemical and physical processes. The sea-surface microlayer (uppermost 1-1000 microm layer) forms the boundary layer interface between the atmosphere and ocean. Environmental processes are controlled by the SML, and it is known to play a key role in the global distribution of anthropogenic pollutants. Due to its unique chemical composition, the upper organic film of the SML represents both a sink and a source for a range of pollutants including chlorinated hydrocarbons, organotin compounds, petroleum hydrocarbons, polycyclic aromatic hydrocarbons (PAH) and heavy metals. These pollutants can be enriched in the SML by up to 500 times relative to concentrations occurring in the underlying bulk water column. The SML is also a unique ecosystem, serving as an important habitat for fish eggs and larvae. Concentration ranges and enrichment factors of pollutants in the SML in different areas of the world's oceans have been critically reviewed, together with available toxicity data for marine biota found within the SML. Overall, the SML is highly contaminated in many urban and industrialized areas of the world, resulting in severe ecotoxicological impacts. Such impacts may lead to drastic effects on the marine food web and to fishery recruitment in coastal waters. Studies of the toxicity of fish eggs and larvae exposed to the SML contaminants have shown that the SML in polluted areas leads to significantly higher rates of mortality and abnormality of fish embryos and larvae.

Animals↗

A multi-criteria approach to Great Barrier Reef catchment (Queensland, Australia) diffuse-source pollution problem.

This paper presents a multi-criteria based tool for assessing the relative impact of diffuse-source pollution to the Great Barrier Reef (GBR) from the river basins draining into the GBR lagoon. The assessment integrates biophysical and ecological data of water quality and pollutant concentrations with socio-economic information pertaining to non-point source pollution and (potential) pollutant impact. The tool generates scores for each river basin against four criteria, thus profiling the basins and enabling prioritization of management alternatives between and within basins. The results support policy development for pollution control through community participation, scientific data integration and expert knowledge contributed by people from across the catchment. The results specifically provided support for the Reef Water Quality Protection Plan, released in October 2003. The aim of the plan is to provide a framework for reducing discharge of sediment, nutrient and other diffuse-source loads and (potential) impact of that discharge and for prioritising management actions both between and within river basins.

Agriculture↗

Changes in the marine pollution management system in response to the Amorgos oil spill in Taiwan.

The Marine Pollution Control Act (MPCA) of Taiwan was promulgated on November 1, 2000, with the specific aim of controlling marine pollution, safeguarding public health, and promoting the sustainable use of marine resources. In addition to land-based pollution, oil spills are one of the most significant threats to the local marine environment largely on account of the some 30,000 tankers which pass through Taiwan's coastal waters each year. In January 2001, two months after the enactment of this newly-introduced law, a Greek merchant vessel, the Amorgos ran aground in the vicinity of a national park on the southern tip of Taiwan, causing a serious oil spill and leading to considerable changes with regard to the marine pollution management system. The incident brought to the forefront many serious problems, such as a lack of experience, expertise as well as equipment required to respond to such disasters, as well as the ambiguous, unclear jurisdiction among related agencies. Thus, this paper reviews the incident of the Amorgos spill, identifies the major issues and lessons learned, and proposes several recommendations in an effort for Taiwan to further improve its marine pollution management system.

Conservation of Natural Resources↗

Basic physiological biomarkers in adult female perch (Perca fluviatilis) in a chronically polluted gradient in the Stockholm recipient (Sweden).

By measuring a battery of basic physiological biomarkers and the concentration of SigmaDDT in adult female perch (Perca fluviatilis), an assumed aquatic pollution gradient was confirmed, with the city of Stockholm (Sweden) as a point source of anthropogenic substances. The investigation included an upstream gradient, westwards through Lake Mälaren (46 km), and a downstream gradient, eastwards through the Stockholm archipelago (84 km). The results indicated a severe pollution situation in central Stockholm, with poor health status of the perch: retarded growth, increased frequency of sexually immature females, low gonadosomatic index, and disturbed visceral fat metabolism. SigmaDDT, measured as a pollution indicator, was 10-28 times higher than the background in perch from the Baltic Proper. Besides the main gradient other sources of pollution also influenced the response pattern of the measured biomarkers. In particular, there were strong indications of pollution coming from the Baltic Sea.

Analysis of Variance↗

The influence of weather and environment on pulmonary embolism: pollutants and fossil fuels.

Previous publications have highlighted seasonal variations in the incidence of thrombosis and pulmonary embolism, and that weather patterns can influence these. While medical risk factors for pulmonary thrombo-embolism such as age, obesity, hypercoagulable states, cancer, previous thrombo-embolism, immobility, limb paralysis, surgery, major illness, trauma, hypotension, tachypnoea and right ventricular hypokinesis are not directly implicated regarding environmental factors such as weather, they could be influenced indirectly by these. This would be especially relevant in polluted areas that are associated with a higher pulmonary embolism risk. Routine nuclear medicine lung ventilation/perfusion studies (V/Q scans) of 2071 adult patients referred to the nuclear medicine department of the Royal Surrey County Hospital in Guildford, UK, between January 1998 and October 2002 were reviewed and 316 of these patients were classified as positive for pulmonary embolism with high probability scan on PIOPED criteria. The occurrence of positive scans was compared to environmental factors such as temperature, humidity, vapour pressure, air pressure and rainfall. Multiple linear regression was used to establish the significance of these relations. The incidence of pulmonary embolism was positively related to vapour pressure and rainfall. The most significant relation was to vapour pressure (p=0.010) while rainfall was less significant (p=0.017). There was no significant relation between pulmonary embolism and air pressure, humidity or temperature. It is postulated that rainfall and water vapour may be contributary factors in thrombosis and pulmonary embolism by way of pollutants that are carried as condensation nuclei in micro-droplets of water. In particular, fossil fuel pollutants are implicated as these condensation nuclei. Pollutants may be inhaled by populations exposed to windborne vapour droplets in cities or airports. Polluted vapour droplets may be absorbed by the lung to hasten coagulation cascades in the blood. This may lead to thrombosis and increased pulmonary embolism under high vapour pressure conditions. With combined factors such as pre-existing ill health or immobility on long flights, the risk of thrombosis and consequent embolism might increase substantially.

Adult↗

Do environmental pollutants influence the onset of respiratory syncytial virus epidemics or disease severity?

The trigger for annual epidemics of respiratory syncytial virus (RSV) infections and the factors contributing to the disappearance of RSV infections in late winter remain obscure. Similarly, there is no adequate explanation for the higher morbidity and admission rates in industrialised as compared with rural areas. It has been suggested that a variety of environmental factors such as temperature, daylight and humidity may influence the onset and waning of the epidemics. However, the few studies assessing these variables fail to support such a link. In many tropical countries the annual epidemic occurs in the summer or autumn, arguing against temperature having a direct influence. A number of studies have suggested that indoor pollutants, including cigarette smoke, are associated with an increased likelihood of being admitted to hospital with severe lower respiratory tract disease. One study exploring the potential role of outdoor pollutants on the pattern of RSV related illness in infancy was unable to identify a clear link between a variety of pollutants and the timing of the epidemic. Nitric oxide levels were higher in winter than during the summer and much higher winter peaks of NO were observe in industrialised areas as compared with urban and rural areas. Whether this or other environmental pollutants contribute to the higher incidence of severe disease in industrialised areas is unclear. Further work is required to explore the possible influence of NO and other environmental pollutants on both the timing and severity of epidemics.

Disease Outbreaks↗

Groundwater pollution on the Zambian Copperbelt: deciphering the source and the risk.

The protection of groundwater resources is of great importance in many semi-arid and sub-tropical environments. The Copperbelt of Zambia is one such environment and due to the high proportion of tailings impoundments, residue heaps, high-density informal settlements and extensive sulfidic ore deposits in the region, its groundwater resources are under threat of anthropogenic or geogenic pollution. One such pollutant plume is investigated in this study, to determine its origin, rate of progression and the environmental and health risk it poses. Geological and geochemical investigation strongly suggests an upslope tailings impoundment as the source of contaminants, with the edge of the pollution plume lying 500-700 m downstream of the impoundment. Although cobalt, nickel and zinc concentrations were elevated within the polluted groundwater, the concentrations are low as a result of sulfide precipitation and adsorption within the aquifer, and meets guidelines for drinking water quality. Attenuation of heavy metals is linked to tailings dam and aquifer pH, with the high buffering capacity of each implying that these processes of attenuation are likely to continue removing harmful metals from the aquifer. Thus, it appears unlikely that the contaminated groundwater will present a major environmental risk at this site. However, tailings impoundments are widespread throughout the Copperbelt: sites with low tailings dam buffer capacity and in catchments on crystalline bedrock geology, groundwater pollution through tailings dam leachate may liberate high concentrations of heavy metals into the shallow groundwater, potentially posing a serious human health risk to the communities using the water resources and an environmental risk to the downstream ecosystems.

Conservation of Natural Resources↗

Environmental costs of mercury pollution.

Mercury (Hg) has been used for millennia in many applications, primarily in artisanal mining and as an electrode in the chlor-alkali industry. It is anthropogenically emitted as a pollutant from coal fired power plants and naturally emitted, primarily from volcanoes. Its unique chemical characteristics enable global atmospheric transport and it is deposited after various processes, ultimately ending up in one of its final sinks, such as incorporated into deep sediment or bioaccumulated, primarily in the marine environment. All forms of Hg have been established as toxic, and there have been no noted biological benefits from the metal. Throughout time, there have been notable incidents of Hg intoxication documented, and the negative health effects have been documented to those chronically or acutely exposed. Today, exposure to Hg is largely diet or occupationally dependent, however, many are exposed to Hg from their amalgam fillings. This paper puts a tentative monetary value on Hg polluted food sources in the Arctic, where local, significant pollution sources are limited, and relates this to costs for strategies avoiding Hg pollution and to remediation costs of contaminated sites in Sweden and Japan. The case studies are compiled to help policy makers and the public to evaluate whether the benefits to the global environment from banning Hg and limiting its initial emission outweigh the benefits from its continued use or lack of control of Hg emissions. The cases we studied are relevant for point pollution sources globally and their remediation costs ranged between 2,500 and 1.1 million US dollars kg(-1) Hg isolated from the biosphere. Therefore, regulations discontinuing mercury uses combined with extensive flue gas cleaning for all power plants and waste incinerators is cost effective.

Arctic Regions↗

Skull pathology in East Greenland and Svalbard polar bears (Ursus maritimus) during 1892 to 2002 in relation to organochlorine pollution.

East Greenland and Svalbard polar bears (Ursus maritimus) are heavily polluted with long-range transported organochlorines such as PCBs (polychlorinated biphenyls). To investigate the negative health impacts, a time-trend study of skull pathology was conducted on 269 East Greenland and 241 Svalbard polar bears. The skulls were sampled during 1892-2002 and 1964-1992, respectively. Seven different pathological changes were found: adonti, displacement of teeth, caries, osseous proliferations, exostosis, tooth wear and periodontitis. Only tooth wear and periodontitis was in a prevalence that allowed statistical treatment. The most severe cases of tooth wear and periodontitis were accompanied by a substantial loss of alveolar bone structure. The prevalence of tooth wear and periodontitis increased significantly with age (p<0.001) with incisor wear being more severe than in canines, premolars and molars (p<0.001). No sex difference was found for tooth wear (p=0.22) while a significant difference between sexes was found for periodontitis (p=0.01) with males having higher prevalence than females (odds ratio of 2.5 for males:females). In East Greenland, the prevalence of tooth wear was significantly higher in polar bears collected in the pre pollution period (<1960) than in bears sampled during polluted periods (1960-1980 and 1981-2002) (p<0.001). Regarding periodontitis, the prevalence was not significantly different between pre-pollution and pollution periods (p=0.309). Polar bears from Svalbard had significantly higher prevalence of tooth wear (p<0.001) and periodontitis (p=0.02) than polar bears from East Greenland. The tooth wear and periodontitis odds ratios for Svalbard:East Greenland were 135 and 2.6, respectively. Hence, we found a clear age/sex link and geographical difference but no evidence for an association between skull pathology and exposure to organochlorines in East Greenland and Svalbard polar bears.

Animal Diseases↗

Changes in carbohydrate metabolism in fine roots of the native European black poplar (Populus nigra L.) in a heavy-metal-polluted environment.

Effects of copper-smelter-related deposition of heavy metals in the soil on carbohydrate metabolism of fine roots of the native European black poplar were investigated in spring and autumn. Total soluble non-structural carbohydrates in fine roots from trees growing in the polluted habitat were lower than in a control site, but this was directly associated only with a lower raffinose concentration. Neither glucose nor fructose concentrations differed significantly between polluted and unpolluted sites. In contrast, the galactose concentration was higher in the presence of heavy metals, especially in autumn. Also the stachyose concentration was higher in the polluted site, but only in autumn, suggesting it could be an alternative way of detoxification of galactose. No difference between control and polluted stands was observed in sucrose concentration. However, estimates of sucrolytic activity revealed markedly higher activities of sucrose synthase (SuSy), soluble acid (AI) and neutral (NI) invertases in the polluted stand than in the control. In contrast, the estimated glycolytic enzyme activities were not affected by the presence of heavy metals in soil.

Glucosyltransferases↗

Biological indicators in relation to coastal pollution along Karnataka coast, India.

Marine pollutants in relation to planktonic and benthic organisms were examined at two locations along Karnataka coast, one at Kulai (74 degrees 47.74''E and 12 degrees 55.16''N) receiving huge amount of industrial effluents from fertilizer, petroleum and chemical plants along with the sewage discharges. The other site Padubidri (74 degrees 45''E and 13 degrees 10''N) is located 20 km away, which is a typically agricultural and fishing village having no stress of industrial discharges. Although the concentrations of dissolved oxygen (DO), nutrients and trace metals in water and sediment showed marginal differences at these two locations, the concentration of petroleum hydrocarbon (PHC) remained exceptionally high with a maximum of 1523 microg/l at Kulai which is 10 times higher than that at Padubidri (144 microg/l). Biomass and population of phytoplankton and zooplankton showed that the seasonal differences were more conspicuous rather than the regional changes. Macro and meiobenthic population remained high at both the locations during the two seasons. Phytoplankton species indicated that centric diatoms such as Rhizosolenia, Leptocylindricus, Chaetoceros, Thalassiosira and Coscinodiscus contributed to > 90% of population in May and > 70% in January at Kulai. While mixed population of centric, pennate, cyanophycean and dinoflagellates prevailed at Padubidri in January. Lower species diversity and richness accompanied with dominance of fast growing centric diatoms over pennates observed at Kulai act as an index for detection of organic pollution and nutrient enrichment. Similarly, proliferation of benthic bivalves > 54% at Kulai relative to Padubidri suggests that these organisms could sustain organic and industrial pollutants. The results suggest that although Kulai receives large quantities of industrial and sewage effluents responsible for alteration of the ecosystem structure, the excellent wind-driven mixing and tidal flushing keep the waters well aerated thus reducing the severe pollution stress by dispersing the organic and other pollutants. Direct relationship of PHC with Cd and Pb as contaminants, NO3 and PO4 as oxidants of excess PHC and species diversity as promoters of phytoplankton (centric diatoms) and benthic bivalves shown by multiple regression analysis further suggest that these biological parameters could serve as indicators for detecting moderately high environmental stress at Kulai, compared to Padubidri.

Diatoms↗

Heart rate variability associated with particulate air pollution.

BACKGROUND: Epidemiologic studies have linked fine particulate air pollution with cardiopulmonary mortality, yet underlying biologic mechanisms remain unknown. Changes in heart rate variability (HRV) may reflect changes in cardiac autonomic function and risk of sudden cardiac death. This study evaluated changes in mean heart rate and HRV in human beings associated with changes in exposure to particulate air pollution. METHODS: Repeated ambulatory electrocardiographic monitoring was conducted on 7 subjects for a total of 29 person-days before, during, and after episodes of elevated pollution. Mean HR, the standard deviation of normal-to-normal (NN) intervals (SDNN), the standard deviation of the averages of NN intervals in all 5-minute segments of the recording (SDANN), and the square root of the mean of squared differences between adjacent NN intervals (r-MSSD) were calculated for 24-hour and 6-hour time segments. Associations of HRV with particulate pollution levels were evaluated with fixed-effects regression models. RESULTS: After controlling for differences across patients, elevated particulate levels were associated with (1) increased mean HR, (2) decreased SDNN, a measure of overall HRV, (3) decreased SDANN, a measure that corresponds to ultralow frequency variability, and (4) increased r-MSSD, a measure that corresponds to high-frequency variability. The associations between HRV and particulates were small but persisted even after controlling for mean HR. CONCLUSIONS: This study suggests that changes in cardiac autonomic function reflected by changes in mean HR and HRV may be part of the pathophysiologic mechanisms or pathways linking cardiovascular mortality and particulate air pollution.

Adult↗

Part VII. Air pollution: overview of sources and health effects.

In this era of increasing interest about environmental contributors to illness, primary care providers may be asked by patients for guidance about air pollution. Some components of outdoor air pollution have improved in the past 30 years, but locally hazardous conditions continue to occur, especially for vulnerable subpopulations. Such groups include people with chronic cardiac and respiratory conditions, the elderly, pregnant women, and newborns. This overview discusses the sources and health effects of the primary pollutant groups--ozone, sulfur dioxide (SO2), nitrogen oxides, carbon monoxide (CO), particulates, and other air toxics. A number of Web links are provided to help clinicians and patients get up-to-date information about pollution in the areas where they live. This section concludes with a discussion of treatment and of behavioral and societal approaches to air pollution.

Aged↗