Search Results (20)

Background: Ambient air pollution remains a major risk factor for population health worldwide. The impact of PM_2.5 air pollution is underestimated in sub-Saharan Africa due to a lack of epidemiological studies. AirQ+ is proposed to reduce these inequalities in research. The aim of this study is to assess, by AirQ+, the impact of prolonged exposure to PM_2.5 on respiratory health in Kinshasa in 2019, and to estimate the health benefits of reducing this air pollution. Methods: Population and mortality data were obtained from the Institut National de la Statistique and the Institut de Métrologie et d’Évaluation en santé, respectively. PM_2.5 concentrations were measured using PurpleAir PA-II-SD sensors, and average annual concentration was 43.5 µg/m³ in 2019. AirQ+ was used to estimate the health effect attributable to PM_2.5 in adults aged over 25 in Kinshasa. Results: In 2019, the proportion of deaths attributable to PM_2.5 air pollution was 30.72% for ALRI, 26.55% for COPD and 24.32% for lung cancers. Each 10% reduction in current PM_2.5 levels would prevent 1093 deaths (from all causes) per year in Kinshasa. Life expectancy would increase by 4.7 years (CI 3.5–5.3) if the WHO threshold of 5 mg/m³ were respected. Conclusions: The results of this study highlight the major respiratory public health problem associated with air pollution by fine particles in Kinshasa. AirQ+ was used to assess the impact of prolonged exposure to PM_2.5 and respiratory deaths among adults in Kinshasa and revealed that this number of deaths could be avoided by improving air quality. Full article

Ozone is formed in the lower layers of the atmosphere mainly by gases emitted by anthropogenic activities in combination with solar radiation. In the present study, the short-term health impacts of ozone (O₃) on people living in the Greater Athens Area in Greece are analyzed for the period 2001–2018 by estimating the cardiorespiratory deaths with the AirQ+ model. Ozone measurements (8-h mean values) for two areas with different characteristics (Thrakomakedones and Athinas) were used provided by the National Air Pollution Monitoring Network. Data processing showed that environmental conditions and geographical characteristics influence O₃ variation and the risk of cardiorespiratory deaths. The statistical analysis of O₃ measurements revealed that at the southwestern suburb of Thrakomakedones the mean annual concentrations range from 74 to 96 μgr/m³, much higher than in the Athens center (40–56 μgr/m³, station: Athinas). Τhe O₃ concentration threshold was exceeded in Thrakomakedones approximately 90 times per year, while in the Athinas monitoring station, it was exceeded only 25 times. According to the AirQ+ software package, the percentage of deaths due to O₃ exposure ranges from 6% in Thrakomakedones to 7.5% in the Athinas station. Full article

The World Health Organization (WHO) has developed the AirQ+ software in order to estimate the magnitude of the impact of air pollution on health in a given population. In this study, the AirQ+ was applied to calculate the short-term effects attributed to PM_2.5, NO₂ and O₃ in the Attica Region, Greece. Based on the health endpoints handled by the AirQ+ software, we evaluated the impact of air pollutants on hospitalizations and work days lost. In 2015, 69,460 and 48,972 patients were admitted to the hospitals in the Attica Region due to circulatory and respiratory diseases, respectively. For the estimation of the attributable burden, the time-series of PM_2.5, NO₂ and O₃ concentrations for the year 2015 are used. The burden attributed to PM_2.5 is 297 (55–546) and 441 (0–953) hospitalizations for circulatory and respiratory diseases, respectively. NO₂ and O₃ also contribute to the burden of hospitalizations for respiratory diseases. Specifically, 424 (271–576) and 381 (61–718) respiratory-related hospitalizations are attributed to NO₂ and O₃, respectively. An important effect of PM_2.5 exposure also handled by the AirQ+ is work absenteeism. Based on health statistics for Greece, the number of self-reported work days lost per year due to illness are 14.7 days per employed person. The attributable burden of PM_2.5 is 0.33 (0.28–0.38) work days lost (per employed person per year). In conclusion, the short-term effects of air pollution exposure has a great impact on human health. Full article

We applied the AirQ+ model to analyze the 2021 data within our study period (15 December 2020 to 17 June 2022) to quantitatively estimate the number of specific health outcomes from long- and short-term exposure to atmospheric pollutants that could be avoided by adopting the new World Health Organization Air Quality Guidelines (WHO AQGs) in São Paulo, Southeastern Brazil. Based on temporal variations, PM_2.5, PM₁₀, NO₂, and O₃ exceeded the 2021 WHO AQGs on up to 54.4% of the days during sampling, mainly in wintertime (June to September 2021). Reducing PM_2.5 values in São Paulo, as recommended by the WHO, could prevent 113 and 24 deaths from lung cancer (LC) and chronic obstructive pulmonary disease (COPD) annually, respectively. Moreover, it could avoid 258 and 163 hospitalizations caused by respiratory (RD) and cardiovascular diseases (CVD) due to PM_2.5 exposure. The results for excess deaths by RD and CVD due to O₃ were 443 and 228, respectively, and 90 RD hospitalizations due to NO₂. Therefore, AirQ+ is a useful tool that enables further elaboration and implementation of air pollution control strategies to reduce and prevent hospital admissions, mortality, and economic costs due to exposure to PM_2.5, O₃, and NO₂ in São Paulo. Full article

It is well known that air pollution has a negative impact on human health. Research has shown an increasing trend in hospital admissions due to respiratory and heart diseases during and after consecutive days of high or even medium air pollution levels. The objective of this paper is to provide quantitative and qualitative data concerning the impact of long-term air pollution on the health of residents living in the Greater Athens Area (GAA). More accurately, the prevalence of bronchitis in children and the incidence of chronic bronchitis cases in adults due to particulate matter exposure are estimated utilizing the AirQ+ model. For this purpose, daily average concentrations of particulate matter with an aerodynamic diameter less than or equal to 10 μm (PM₁₀) from five different locations within the GAA, covering the period 2001–2020, are used. The results show a significant correlation between PM₁₀ concentrations and adverse health effects (R² = 0.9). Interestingly, there were more cases of children suffering from bronchitis disease than cases of adults. In addition, it was observed that the unhealthiest areas in the GAA are the center of Athens city (mean annual PM₁₀ concentration in 2019: 36 μgr/m³), as well as suburban areas (Lykovrissi and Marousi: mean annual PM₁₀ concentrations in 2019 were 27 μgr/m³ and 28 μgr/m³, respectively). Finally, a decreasing trend for both PM₁₀ concentrations and the prevalence of chronic bronchitis across the GAA was observed through the examined 20 years, which was significantly higher over the period 2010–2020. Full article

The health impact of air quality has recently become an emerging issue. Many regions, especially densely populated regions, have deteriorating air quality. The primary source of pollution in Poland is the municipal sector. Air pollutants have a negative impact on human health, contribute to premature deaths, and are the cause of various diseases. Over recent years, Europe’s air quality has largely improved due to several measures to reduce pollutant emissions. The following paper presents the impact of annual average PM2.5 and NO₂ concentrations on premature deaths in Poland in 2019. Exposure to PM2.5 caused more than 19 000 premature deaths, and exposure to NO₂ contributed to around 6000 premature deaths in 2019. Taking 2019 as a baseline, the impact of the envisaged implementation of the national Clean Air Programme on the number of premature deaths is analysed. Implementing the mitigation measures focused on replacing inefficient stoves and boilers in individual households would significantly improve air quality, mainly particulate matter. Reducing PM2.5 concentrations would reduce premature deaths by around 3000 cases, while for NO_2, the number of premature deaths would not change much. Full article

In this study, the AirQ+ software proposed by the World Health Organization (WHO) was applied in order to assess the health endpoints associated with the long-term exposure to PM_2.5 in Attica Region, Greece. For this purpose, we analyzed the daily average concentrations of PM_2.5 registered by the air quality monitoring stations in the region, from 1 January 2007 to 31 December 2018. Although there was a decreasing trend in PM_2.5 concentrations levels, the levels of PM_2.5 exceeded the AQG (Air Quality Guidelines) limit value (annual value: 5 μg/m³) established by the WHO. The findings revealed that the burden of mortality (from all-natural causes) at people above 30 years old associated with PM_2.5 exposure was 4752 [3179–6152] deaths in 2007 and 2424 [1598–3179] deaths in 2018. In general, the attributable mortality from specific causes of deaths (e.g., lung cancer, IHD (ischemic heart diseases) and stroke) in people above 25 years old decreased between the years, but the mortality from COPD (chronic obstructive pulmonary diseases) was stable at 146 [79–220] deaths in 2007 and 147 [63–244] deaths in 2018. We also found differences in mortality cases from IHD and stroke among the age groups and between the years 2007 and 2018. Full article

This study investigates the air pollution-induced mortality rate during the second wave of COVID-19, which claimed several thousand lives in the capital city of India, New Delhi, even during a lockdown period. Delhi is a hotspot of unhealthy air quality. During the second wave of COVID-19 in 2021, surface ozone levels were observed to be higher, which had a direct impact on lung function, thereby making people more susceptible to COVID-19. The correlation coefficient between surface ozone concentration and mortality has been observed to be 0.74 at a 95% confidence level. This work focuses on the plausible impact and feedback of poor air quality induced by the burning of open-air funeral pyres due to the increased COVID-19 mortality rate in New Delhi, estimated by using an epidemiological model (AirQ+) of the World Health Organization. The mortality rate estimated quantitatively with the aid of AirQ+ is 1.27 excess deaths per 100,000 population due to surface ozone from pyre burning. The findings suggest transformational system goals before the resurgence of a subsequent wave. Full article

Fifteen cities across the world have been selected to investigate the public health co-benefits of PM_2.5 reduction, during a period when various non-pharmaceutical interventions (NPIs) were adopted in the COVID-19 pandemic. Through applying a public health model, AirQ+, substantial spatial variations of global public health co-benefits were identified. Differences in seasonal air quality and population baselines were key underlying factors. For cities in North America, NPIs were introduced during the low pollution season, generating no co-benefits. On the other hand, tremendous health co-benefits were observed for cities in India and China, due to the high PM_2.5 background with a large population. Among all, New Delhi has received the largest co-benefits, which saved over 14,700 premature deaths. As the pollution level (i.e., 45 μg m⁻³) with NPIs still exceeded the air quality standard, more rigorous emission controls are urgently needed to protect the public′s health in India. At last, a novel and practical tool for co-benefit screening was developed using data from one of the global measurement networks (i.e., IQAir). Full article

Introduction and aim: Air pollution, a major environmental threat to human health, contributes to the premature deaths of millions of people worldwide. Cooking with solid fuels, such as charcoal and wood, in low- and middle-income countries generates very high emissions of particulate matter within and near the household as a result of their inefficient combustion. Women are especially exposed, as they often perform the cooking. The purpose of this study was to assess the burden of disease attributable to household air pollution exposure from cooking among women in Adama, Ethiopia. Methods: AirQ+ software (WHO Regional Office for Europe, Copenhagen, Denmark) was used to assess the health impact of household air pollution by estimating the burden of disease (BoD) including Acute Lower Respiratory Infections (ALRI), Chronic Obstructive Pulmonary Disease (COPD), Ischemic Heart Disease (IHD), lung cancer, and stroke, among a cohort of women in Adama. Household air pollution exposure estimated by cooking fuel type was assessed through questionnaires. Results: Three-quarters (75%) of Adama’s population used solid fuel for cooking; with this, the household air pollution attributable mortality was estimated to be 50% (95% CI: 38–58%) due to ALRI, 50% (95% CI: 35–61%) due to COPD, 50% (95% CI: 27–58%) due to lung cancer, (95% CI: 23–48%) due to IHD, and (95% CI: 23–51%) due to stroke. The corresponding disability-adjusted life years (DALYs) per 100,000 women ranged between 6000 and 9000 per disease. Conclusions: This health impact assessment illustrates that household air pollution due to solid fuel use among women in Adama leads to premature death and a substantial quantity of DALYs. Therefore, decreasing or eliminating solid fuel use for cooking purposes could prevent deaths and improve quality of life. Full article

The Campania region covers an area of about 13,590 km² with 5.8 million residents. The area suffers from several environmental issues due to urbanization, the presence of industries, wastewater treatment, and solid waste management concerns. Air pollution is one of the most relevant environmental troubles in the Campania region, frequently exceeding the limit values established by European directives. In this paper, airborne pollutant concentration data measured by the regional air quality network from 2003 to 2019 are collected to individuate the historical trends of nitrogen dioxide (NO₂), coarse and fine particulate matter with aerodynamic diameters smaller than 10 μm (PM10) and 2.5 μm (PM2.5), and ozone (O₃) through the analysis of the number of exceedances of limit values per year and the annual average concentration. Information on spatial variability and the effect of the receptor category is obtained by lumping together data belonging to the same province or category. To obtain information on the general air quality rather than on single pollutants, the European Air Quality Index (EU-AQI) is also evaluated. A special focus is dedicated to the effect of deep street canyons on air quality, since they are very common in the urban areas in Campania. Finally, the impact of air pollution from 2003 to 2019 on human health is also analyzed using the software AIRQ+. Full article

Ambient air pollution is one of eight global risk factors for deaths and accounts for 38.44 all causes death rates attributable to ambient PM pollution, while in Bosnia and Herzegovina, it is 58.37. We have estimated health endpoints and possible gains if two policy scenarios were implemented and air pollution reduction achieved. Real-world health and recorded PM pollution data for 2018 were used for assessing the health impacts and possible gains. Calculations were performed with WHO AirQ+ software against two scenarios with cut-off levels at country-legal values and WHO air quality recommendations. Ambient PM_2.5 pollution is responsible for 16.20% and 22.77% of all-cause mortality among adults in Tuzla and Lukavac, respectively. Our data show that life expectancy could increase by 2.1 and 2.4 years for those cities. In the pollution hotspots, in reality, there is a wide gap in what is observed and the implementation of the legally binding air quality limit values and, thus, adverse health effects. Considerable health gains and life expectancy are possible if legal or health scenarios in polluted cities were achieved. This estimate might be useful in providing additional health burden evidence as a key component for a clean air policy and action plans. Full article

Background: Quality of Life (QoL) questionnaires are used to describe the impact of aphasia on stroke survivors’ life. People with aphasia (PWA) are traditionally excluded from research, potentially leading to a mismatch between the factors chosen in the tools and the realistic needs of PWA. The purpose of this review was to determine the direct involvement of PWA in the creation of QoL and aphasia impact-related questionnaires (AIR-Qs). Methods: A scoping review methodology was conducted by an expert librarian and two independent reviewers on health sciences based on the Preferred Reporting Items for Systematic Reviews and Metanalyses extension for Scoping Reviews (PRISMA-ScR) protocol, through a literature search in five databases: Medline Complete, PubMed, PsychINFO, Scopus, and Google Scholar. Search terms included ‘stroke’, ‘people with aphasia’, ‘communication’, ‘well-being’, and ‘quality of life’. Results: Of 952 results, 20 studies met the eligibility criteria. Of these, only four AIR-Qs studies (20%) were found reporting the direct involvement of PWA, while no QoL tools did so. Evidence showed involvement in the creation phase of AIR-Q, mainly in a consultation role. Conclusions: There is an absence of a framework for conducting and reporting the involvement of PWA in qualitative participatory research studies, which limits effectiveness to promote equitable best practice in aphasia rehabilitation. Full article

Scientific evidence spanning experimental and epidemiologic studies has shown that air pollution exposures can lead to a range of health effects. Quantitative approaches that allow for the estimation of the adverse health impacts attributed to air pollution enable researchers and policy analysts to convey the public health impact of poor air quality. Multiple tools are currently available to conduct such analyses, which includes software packages designed by the World Health Organization (WHO): AirQ+, and the U.S. Environmental Protection Agency (U.S. EPA): Environmental Benefits Mapping and Analysis Program—Community Edition (BenMAP—CE), to quantify the number and economic value of air pollution-attributable premature deaths and illnesses. WHO’s AirQ+ and U.S. EPA’s BenMAP—CE are among the most popular tools to quantify these effects as reflected by the hundreds of peer-reviewed publications and technical reports over the past two decades that have employed these tools spanning many countries and multiple continents. Within this paper we conduct an analysis using common input parameters to compare AirQ+ and BenMAP—CE and show that the two software packages well align in the calculation of health impacts. Additionally, we detail the research questions best addressed by each tool. Full article

This work characterizes the dimension and the exceptionality of 2017 large- and mega-fires that occurred in the center region of Portugal through the assessment of their impact on the ambient levels of particulate matter (PM₁₀ and PM_2.5), retrieved from local monitoring stations, and the associated public health risks. PM₁₀ and PM_2.5 concentrations were increased during the occurrence of large fires and megafires, with daily concentrations exceeding the European/national guidelines in 7–14 and 1–12 days of 2017 (up to 704 µg/m³ for PM₁₀ and 46 µg/m³ for PM_2.5), respectively. PM₁₀ concentrations were correlated with total burned area (0.500 < r < 0.949; p > 0.05) and with monthly total burned area/distance² (0.500 < r < 0.667; p > 0.05). The forest fires of 2017 took the life of 112 citizens. A total of 474 cases of hospital admissions due to cardiovascular diseases and 3524 cases of asthma incidence symptoms per 100,000 individuals at risk were assessed due to exposure to 2017 forest fires. Real-time and in situ PM methodologies should be combined with protection action plans to reduce public health risks. Portuguese rural stations should monitor other health-relevant pollutants (e.g., carbon monoxide and volatile organic compounds) released from wildfires to allow performing more robust and comprehensive measurements that will allow a better assessment of the potential health risks for the exposed populations. Full article