In vitro assessment of arsenic mobility in historical mine waste dust using simulated lung fluid.

Exposure studies have linked arsenic (As) ingestion with disease in mining-affected populations; however, inhalation of mine waste dust as a pathway for pulmonary toxicity and systemic absorption has received limited attention. A biologically relevant extractant was used to assess the 24-h lung bioaccessibility of As in dust isolated from four distinct types of historical gold mine wastes common to regional Victoria, Australia. Mine waste particles less than 20 µm in size (PM20) were incubated in a simulated lung fluid containing a major surface-active component found in mammalian lungs, dipalmitoylphosphatidylcholine. The supernatants were extracted, and their As contents measured after 1, 2, 4, 8 and 24 h. The resultant As solubility profiles show rapid dissolution followed by a more modest increasing trend, with between 75 and 82% of the total 24-h bioaccessible As released within the first 8 h. These profiles are consistent with the solubility profile of scorodite, a secondary As-bearing phase detected by X-ray diffraction in one of the investigated waste materials. Compared with similar studies, the cumulative As concentrations released at the 24-h time point were extremely low (range 297 ± 6-3983 ± 396 µg L-1), representing between 0.020 ± 0.002 and 0.036 ± 0.003% of the total As in the PM20.

Trace metal content in inhalable particulate matter (PM2.5-10 and PM2.5) collected from historical mine waste deposits using a laboratory-based approach.

Mine wastes and tailings are considered hazardous to human health because of their potential to generate large quantities of highly toxic emissions of particulate matter (PM). Human exposure to As and other trace metals in PM may occur via inhalation of airborne particulates or through ingestion of contaminated dust. This study describes a laboratory-based method for extracting PM2.5-10 (coarse) and PM2.5 (fine) particles from As-rich mine waste samples collected from an historical gold mining region in regional, Victoria, Australia. We also report on the trace metal and metalloid content of the coarse and fine fraction, with an emphasis on As as an element of potential concern. Laser diffraction analysis showed that the proportions of coarse and fine particles in the bulk samples ranged between 3.4-26.6 and 0.6-7.6 %, respectively. Arsenic concentrations were greater in the fine fraction (1680-26,100 mg kg-1) compared with the coarse fraction (1210-22,000 mg kg-1), and Co, Fe, Mn, Ni, Sb and Zn were found to be present in the fine fraction at levels around twice those occurring in the coarse. These results are of particular concern given that fine particles can accumulate in the human respiratory system. Our study demonstrates that mine wastes may be an important source of metal-enriched PM for mining communities.

Size-dependent characterisation of historical gold mine wastes to examine human pathways of exposure to arsenic and other potentially toxic elements.

Abandoned historical gold mining wastes often exist as geographically extensive, unremediated, and poorly contained deposits that contain elevated levels of As and other potentially toxic elements (PTEs). One of the key variables governing human exposure to PTEs in mine waste is particle size. By applying a size-resolved approach to mine waste characterisation, this study reports on the proportions of mine waste relevant to human exposure and mobility, as well as their corresponding PTE concentrations, in four distinct historical mine wastes from the gold province in Central Victoria, Australia. To the best of our knowledge, such a detailed investigation and comparison of historical mining wastes has not been conducted in this mining-affected region. Mass distribution analysis revealed notable proportions of waste material in the readily ingestible size fraction (≤250 µm; 36.1-75.6 %) and the dust size fraction (≤100 µm; 5.9-45.6 %), suggesting a high potential for human exposure and dust mobilisation. Common to all mine waste types were statistically significant inverse trends between particle size and levels of As and Zn. Enrichment of As in the finest investigated size fraction (≤53 µm) is of particular concern as these particles are highly susceptible to long-distance atmospheric transport. Human populations that reside in the prevailing wind direction from a mine waste deposit may be at risk of As exposure via inhalation and/or ingestion pathways. Enrichment of PTEs in the finer size fractions indicates that human health risk assessments based on bulk contaminant concentrations may underestimate potential exposure intensities.

Biases encountered in long-term monitoring studies of invertebrates and microflora: Australian examples of protocols, personnel, tools and site location.

Monitoring forms the basis for understanding ecological change. It relies on repeatability of methods to ensure detected changes accurately reflect the effect of environmental drivers. However, operator bias can influence the repeatability of field and laboratory work. We tested this for invertebrates and diatoms in three trials: (1) two operators swept invertebrates from heath vegetation, (2) four operators picked invertebrates from pyrethrum knockdown samples from tree trunk and (3) diatom identifications by eight operators in three laboratories. In each trial, operators were working simultaneously and their training in the field and laboratory was identical. No variation in catch efficiency was found between the two operators of differing experience using a random number of net sweeps to catch invertebrates when sequence, location and size of sweeps were random. Number of individuals and higher taxa collected by four operators from tree trunks varied significantly between operators and with their 'experience ranking'. Diatom identifications made by eight operators were clustered together according to which of three laboratories they belonged. These three tests demonstrated significant potential bias of operators in both field and laboratory. This is the first documented case demonstrating the significant influence of observer bias on results from invertebrate field-based studies. Examples of two long-term trials are also given that illustrate further operator bias. Our results suggest that long-term ecological studies using invertebrates need to be rigorously audited to ensure that operator bias is accounted for during analysis and interpretation. Further, taxonomic harmonisation remains an important step in merging field and laboratory data collected by different operators.

Modelling the effects of water-point closure and fencing removal: a GIS approach.

Artificial water-points in the form of troughs or ground tanks are used to augment natural water supplies within rangelands in many parts of the world. Access to such water-points leads to the development of a distinct ecological sub-system, the piosphere, where trampling and grazing impact modify the vegetation. This study aims to consolidate existing information in a GIS based model to investigate grazing patterns within the landscape. The model focuses on the closure of water-points and removal of fences on Nanya Station, New South Wales, Australia. We found that the manipulation of water-points and fences in one management intervention may change grazing activity in a way different to that which would be experienced if each had been modified separately. Such effects are further modified by the spatial distribution of the water-points and the underlying vegetation.

Assessing Seedbank Longevity and Seed Persistence of the Invasive Tussock Grass Nassella trichotoma Using in-Field Burial and Laboratory-Controlled Ageing.

The ability to produce highly dense and persistent seedbanks is a major contributor to the successful widespread establishment of invasive plants. This study seeks to identify seed persistence and seedbank longevity for the invasive tussock grass Nassella trichotoma (Nees.) Hack. ex Arechav in order to recommend management strategies for preventing re-emergence from the seedbank. To determine the seedbank longevity and persistence, two experiments were conducted: (i) seeds were buried at four depths (0, 1, 2, and 4 cm) and collected and assessed for viability, seed decay, and in-field germination after 6, 9, 12, 15, and 18 months of field burial; and (ii) seeds were exposed to artificial ageing conditions (60% RH and 45 °C) for 1, 2, 5, 9, 20, 30, 50, 75, 100, and 120 days, and viability was determined through germination tests and tetrazolium tests. Less than 10% of the seeds collected after 12 months of in-field burial were viable. The artificial ageing treatment found germination declined to 50% after 5.8 days, further suggesting that N. trichotoma seeds are short lived. The results from both experiments indicate that N. trichotoma has a transient seedbank, with less than 10% of the seeds demonstrating short-term persistence. It is likely the persistent seeds beyond 12 months were exhibiting secondary dormancy as viable seeds did not germinate under optimal germination conditions. The "Best Practice Guidelines" recommend monitoring for seedbank recruitment for at least three years after treating N. trichotoma infestations. The results of this study support this recommendation as a small proportion of the seeds demonstrated short-term persistence.

The Angiosperm Stem Hemiparasitic Genus Cassytha (Lauraceae) and Its Host Interactions: A Review.

Cassytha, also known as laurel dodder or love vine, is a stem hemiparasite of the Lauraceae family. It has long been used for medicinal purposes in many countries and has increasingly influenced agricultural and natural ecosystems by its effects on a wide range of host species. Previous studies have focused on the taxonomy and evolutionary position of different Cassytha, with the pan-tropical species Cassytha filiformis being the most widely studied. However, Cassytha-host interactions have never been reviewed, which is an essential issue related to the understanding of mechanisms underlying plant hemiparasitic and the assessment of benefits and damage caused by aerial parasitic plants. This review explores the parasitic habits, worldwide distribution, and host range of Cassytha, and examines its impacts on the biology of host plants and the overall influence of environmental changes on Cassytha-host associations. We also comment on areas of future research directions that require to better understanding Cassytha-host interactions. It appeared that some traits, such as flowering phenology, facilitated Cassytha's widespread distribution and successful parasitism and that Cassytha preferred woody species rather than herbaceous species as a host, and preferred species from certain families as hosts, such as Fabaceae and Myrtaceae. Cassytha often decreased biomass and impacted the physiology of host species and global environmental changes seemed to intensify the negative impacts of Cassytha on their hosts. Cassytha was not only a noxious weed, but can also function as a biocontrol agent to mitigate alien plant invasion.

An integrated approach for the restoration of Australian temperate grasslands invaded by Nassella trichotoma.

Invasive plants are considered to be one of the biggest threats to environmental assets, and once established, they can be immensely difficult to control. Nassella trichotoma is an aggressive, perennial grass species, and is considered to be one of the most economically damaging weeds to grazing systems due to its unpalatability, as well as being one of the leading causes of biodiversity loss in grassland communities. This species produces high density seedbanks that rapidly respond to disturbance events. Despite control programs being developing in Australia since the 1930s, this species is still widespread throughout south-east Australia, indicating that a new management approach is critical to control this Weed of National Significance at the landscape scale. The present study explored the effect of 12 different combinations of herbicide, fire, a second application of herbicide, grazing exclusion, tillage and broadcasting seeds in order to reduce the above and below-ground density of N. trichotoma. A control treatment was also included. The results were assessed using a Hierarchy analysis, whereby treatments of increasing complexity were compared for their efficacy in reducing N. trichotoma cover and seedbank density, while simultaneously increasing the establishment of the broadcast species. Whilst all integrated treatments effectively reduced N. trichotoma's seedbank, the treatments that included fire performed significantly better at simultaneously reducing N. trichotoma and increasing the establishment of broadcasted seeds. Overall, the integration of herbicide, fire and broadcasting native seeds was observed to provide the most economically feasible management strategy for the landscape scale restoration of a degraded temperate grassland dominated by N. trichotoma.

Effect of Rhizome Fragment Length and Burial Depth on the Emergence of a Tropical Invasive Weed Cyperus aromaticus (Navua Sedge).

Cyperus aromaticus (Navua sedge) is a problematic perennial weed in pastures and crops including sugarcane, banana, rice, and fruits and vegetables in tropical climates. It reproduces both via rhizomes and seeds. As a regenerative and storage organ, these rhizomes play an important part in the invasion, establishment, and persistence of this weed. To eliminate their regenerative ability, it is important to understand the regrowth potential with respect to rhizome fragment size and burial depth. This study evaluated the emergence of C. aromaticus from rhizomes in a controlled condition. Three different sizes of rhizome fragments were buried at seven depths of up to 20 cm in two soil types. The experimental measurements included (i) the time for tillers to emerge, (ii) the cumulative emergence of tillers, recorded weekly, and (iii) the number of underground emerging tillers. The cumulative shoot emergence and the number of underground tillers produced were found to be positively correlated with the initial length of the rhizome fragments and negatively correlated with the burial depth. The time for the emergence of the tillers was negatively correlated with the burial depth, and soil type had no significant effect on any of the parameters recorded. There was no emergence recorded from rhizomes buried at 15 cm depth and deeper, irrespective of their size. Our results indicate that the combination of the fragmentation of rhizomes into small pieces and a deep burial, below 15 cm, is an important aspect to control the regeneration of C. aromaticus from rhizomes, if tillage is carried out, and can therefore form a part of an integrated weed management strategy for this troublesome weed.

Challenges Inherent in Controlling Prickly Pear Species; a Global Review of the Properties of Opuntia stricta, Opuntia ficus-indica and Opuntia monacantha.

Opuntia species (prickly pear) were deliberately introduced to many countries around the world for fruit, cochineal dye production, living fencing or as ornamentals. They are now some of the world's most significant weeds, particularly in regions with warm and or dry climates, as they pose threats to economic and environmental assets. In addition, they can cause considerable health issues for humans and animals. Opuntia spp. have prolific reproduction abilities, being able to reproduce both vegetatively and by seed. They have generalist pollination and dispersal requirements, which promotes their establishment and spread. Opuntia stricta, O. monacantha and O. ficus-indica are the most globally widespread of the Opuntia spp. In many countries, biological control agents, particularly the cactus moth (Cactoblastis cactorum) and various cochineal insects from the Dactylopius genus, have successfully reduced land-scape scale populations. On a smaller scale, controlling these weeds by either injecting or spraying the cladodes with herbicides can provide effective control. Care must be taken during herbicide treatments as any untreated areas will regenerate. While biological control is the most cost and time effective control method for landscape-scale infestations, further research into the combined efficacy of herbicides, fire, grubbing and pre-burial techniques would be beneficial for land managers to control small-scale and establishing populations. It would also be useful to have greater knowledge of the potential seedbank longevity and seed ecology of these species so that integrated management strategies can be developed to not only deal with initial populations but also the subsequent seedling regrowth.

Assessing Seed Longevity of the Invasive Weed Navua Sedge (Cyperus aromaticus), by Artificial Ageing.

Navua sedge (Cyperus aromaticus (Ridley) Mattf. & Kukenth) is a significant agricultural and environmental weed found in tropical island countries including north Queensland, Australia. It is a prolific seed producer and consequently forms a high-density seedbank, and therefore understanding the longevity and persistence of the seeds can provide critical information required for the management of this species. A laboratory-controlled artificial ageing experiment was conducted where the seeds were exposed to a temperature of 45 °C and 60% relative humidity for 125 days. Seeds were removed at various times (1, 2, 5, 9, 20, 30, 50, 75, 100 and 125 days) and their viability determined through standard germination tests. It took 20 days in the artificial ageing environment for the seeds to decline to 50% viability which indicates that Navua sedge has relatively short-lived persistent seeds. These findings will assist in developing a better understanding of the seedbank dynamics of this invasive species, allowing managers to tactically implement control strategies and prepare budgets for ongoing treatments, and have implications for the duration and success of management programs.

A Global Review of the Woody Invasive Alien Species Mimosa pigra (Giant Sensitive Plant): Its Biology and Management Implications.

Populations of invasive alien plants create disruptive plant communities that are extremely adaptable, imposing severe ecological impacts on agriculture, biodiversity and human activities. To minimise these impacts, prevention and effective weed management strategies are urgently required, including the identification of satellite populations before they invade new areas. This is a critical element that allows weed management practices to become both successful and cost-effective. Mimosa pigra L. (Giant sensitive plant) is an invasive weed that has spread across various environments around the world and is considered one of the world's top 100 most invasive plant species. Being adaptable to a wide range of soil types, in addition to its woody protective prickles and low palatability, M. pigra has quickly spread and established itself in a range of habitats. Current control methods of this species include biological, chemical and physical methods, together with attempts of integrated application. Reports suggest that integrated management appears to be the most effective means of controlling M. pigra since the use of any single method has not yet proved suitable. In this regard, this review synthesises and explores the available global literature and current research gaps relating to the biology, distribution, impacts and management of M. pigra. The contribution of this work will help guide land managers to design appropriate and sustainable management programs to control M. pigra.

Achievements, Developments and Future Challenges in the Field of Bioherbicides for Weed Control: A Global Review.

The intrusion of weeds into fertile areas has resulted in significant global economic and environmental impacts on agricultural production systems and native ecosystems, hence without ongoing and repeated management actions, the maintenance or restoration of these systems will become increasingly challenging. The establishment of herbicide resistance in many species and unwanted pollution caused by synthetic herbicides has ushered in the need for alternative, eco-friendly sustainable management strategies, such as the use of bioherbicides. Of the array of bioherbicides currently available, the most successful products appear to be sourced from fungi (mycoherbicides), with at least 16 products being developed for commercial use globally. Over the last few decades, bioherbicides sourced from bacteria and plant extracts (such as allelochemicals and essential oils), together with viruses, have also shown marked success in controlling various weeds. Despite this encouraging trend, ongoing research is still required for these compounds to be economically viable and successful in the long term. It is apparent that more focused research is required for (i) the improvement of the commercialisation processes, including the cost-effectiveness and scale of production of these materials; (ii) the discovery of new production sources, such as bacteria, fungi, plants or viruses and (iii) the understanding of the environmental influence on the efficacy of these compounds, such as atmospheric CO2, humidity, soil water stress, temperature and UV radiation.

Effects on Photosynthetic Response and Biomass Productivity of Acacia longifolia ssp. longifolia Under Elevated CO2 and Water-Limited Regimes.

It is known that the impact of elevated CO2 (eCO2) will cause differential photosynthetic responses in plants, resulting in varying magnitudes of growth and productivity of competing species. Because of the aggressive invasive nature of Acacia longifolia ssp. longifolia, this study is designed to investigate the effect of eCO2 on gas exchange parameters, water use efficiency, photosystem II (PSII) activities, and growth of this species. Plants of A. longifolia ssp. longifolia were grown at 400 ppm (ambient) and 700 ppm (elevated) CO2 under 100 and 60% field capacity. Leaf gas exchange parameters, water use efficiency, intrinsic water use efficiency, instantaneous carboxylation efficiency, and PSII activity were measured for 10 days at 2-day intervals. eCO2 mitigated the adverse effects of drought conditions on the aforementioned parameters compared to that grown under ambient CO2 (aCO2) conditions. A. longifolia, grown under drought conditions and re-watered at day 8, indicated a partial recovery in most of the parameters measured, suggesting that the recovery of this species under eCO2 will be higher than that with aCO2 concentration. This gave an increase in water use efficiency, which is one of the reasons for the observed enhanced growth of A. longifolia under drought stress. Thus, eCO2 will allow to adopt this species in the new environment, even under severe climatic conditions, and foreshadow its likelihood of invasion into new areas.

Interactive effect of elevated CO2 and drought on physiological traits of Datura stramonium.

Rising atmospheric CO2 concentrations are known to influence the response of many plants under drought. This paper aimed to measure the leaf gas exchange, water use efficiency, carboxylation efficiency, and photosystem II (PS II) activity of Datura stramonium under progressive drought conditions, along with ambient conditions of 400 ppm (aCO2) and elevated conditions of 700 ppm (eCO2). Plants of D. stramonium were grown at 400 ppm and 700 ppm under 100 and 60% field capacity in a laboratory growth chamber. For 10 days at two-day intervals, photosynthesis rate, stomatal conductance, transpiration rate, intercellular CO2 concentration, water use efficiency, intrinsic water use efficiency, instantaneous carboxylation efficiency, PSII activity, electron transport rate, and photochemical quenching were measured. While drought stress had generally negative effects on the aforementioned physiological traits of D. stramonium, it was found that eCO2 concentration mitigated the adverse effects of drought and most of the physiological parameters were sustained with increasing drought duration when compared to that with aCO2. D. stramonium, which was grown under drought conditions, was re-watered on day 8 and indicated a partial recovery in all the parameters except maximum fluorescence, with this recovery being higher with eCO2 compared to aCO2. These results suggest that elevated CO2 mitigates the adverse growth effects of drought, thereby enhancing the adaptive mechanism of this weed by improving its water use efficiency. It is concluded that this weed has the potential to take advantage of climate change by increasing its competitiveness with other plants in drought-prone areas, suggesting that it could expand into new localities.

A Comparative Review of Six Invasive Nassella Species in Australia with Implications for Their Management.

Two Nassella species, Nassella trichotoma and Nassella neesiana, have significantly reduced the carrying capacity of Australia's south-east rangelands and agricultural systems. It is, therefore, of considerable concern that four other Nassella species have also become naturalised in Australia, and are noted to share many of the ecological features of the two currently widespread species. This paper reviews the distribution, ecology, and impacts of all six Nassella species, which are currently naturalised in Australia, and makes recommendations toward a blanket Nassella control program. The review highlights observed similarities between the species, including the time of flowering, seed type, germination requirements, and growth morphology. These common factors support the possibility that an integrated Nassella control program could be designed to integrate good grazing management with cultural control methods, such as soil cultivation, fire, and native plant competition, with treatments being implemented prior to the common annual seed maturation period. Notwithstanding the success of these integrated programs, it is recognised that seeds of all species may remain viable in the seedbank for up to 12 years, meaning ongoing monitoring and management will be required. To develop even finer control programs, further research into the ecology of these Nassella species is recommended to determine any additional weak spots in these species' defences, and to subsequently develop and apply novel integrated control methods that target all six species.

Biology, Ecology, Distribution and Control of the Invasive Weed, Lactuca serriola L. (Wild Lettuce): A Global Review.

Lactuca serriola L. (wild lettuce) is a highly invasive C3 weed in many countries, including Australia, Canada, and the USA. This weed is a severe threat to agricultural systems, especially in crops grown with reduced or no-tillage approaches, which commonly include wheat, cereals and pulses. Owing to the vertical orientation of its leaves in the north-south plane and its root architecture, L. serriola can maintain high water use efficiency under drought conditions, giving it the ability to expand its range under a drying climate. Each plant can produce up to 100,000 seeds which have no primary dormancy and form a short-term seedbank lasting up to three years. Most seedlings emerge in autumn and overwinter as a rosette, with a small flush of emergence in spring depicting staggered germination. Research into control methods for this weed has been performed, and these methods include chemical herbicides applied alone and in combination, the establishment of plant competition, tillage, mowing and bioherbicide. Herbicides can provide effective control when applied in the seedling or rosette stage; however, spring germination is difficult to control, as it skips the rosette stage. Some biotypes are now resistant to ALS inhibitor and synthetic auxins, causing concern regarding using herbicides. A dedicated integrated management plan for 3-4 years is recommended for the control of this troublesome species. This review will explore the biology, ecology, distribution, current control techniques and previous research on this weed, allowing us to make recommendations for its future research and management.

Licorice (Glycyrrhiza glabra) Extracts-Suitable Pharmacological Interventions for COVID-19? A Review.

Even though vaccination has started against COVID-19, people should continue maintaining personal and social caution as it takes months or years to get everyone vaccinated, and we are not sure how long the vaccine remains efficacious. In order to contribute to the mitigation of COVID-19 symptoms, the pharmaceutical industry aims to develop antiviral drugs to inhibit the SARS-CoV-2 replication and produce anti-inflammatory medications that will inhibit the acute respiratory distress syndrome (ARDS), which is the primary cause of mortality among the COVID-19 patients. In reference to these tasks, this article considers the properties of a medicinal plant named licorice (Glycyrrhiza glabra), whose phytochemicals have shown both antiviral and anti-inflammatory tendencies through previous studies. All the literature was selected through extensive search in various databases such as google scholar, Scopus, the Web of Science, and PubMed. In addition to the antiviral and anti-inflammatory properties, one of the licorice components has an autophagy-enhancing mechanism that studies have suggested to be necessary for COVID-19 treatment. Based on reviewing relevant professional and historical literature regarding the medicinal properties of licorice, it is suggested that it may be worthwhile to conduct in vitro and in vivo studies, including clinical trials with glycyrrhizic and glycyrrhetinic acids together with other flavonoids found in licorice, as there is the potentiality to provide natural interventions against COVID-19 symptoms.

Reflections on an international nursing placement experience in Nepal: A thematic analysis.

BACKGROUND: Increasing patient diversity, as a result of growing global interaction, has necessitated that nursing academics better prepare nursing students to provide culturally appropriate and respectful care to their patients, particularly in culturally diverse countries such as Australia. One approach to improve cultural awareness of nursing students is a cultural immersion placement, and this paper describes such an experience which has been embraced by undergraduate participants. Purpose of this paper was to describe experiences, cultural awareness and challenges encountered by final year undergraduate nursing students undertaking a 22-day cultural immersion placement in Nepal. The researchers accompanied one group of students per year on this trip, which was repeated for three consecutive years. Describing and reflecting on the lived experience of nursing students engaged in this cultural immersion placement has helped to discern how this experience affects the cultural awareness of undergraduate nursing students and helps to decrease the challenges for similar placements in the future. DESIGN AND METHODS: To gain insight into the way this initiative impacted on the development of the participant's cultural competence, a qualitative descriptive design was chosen. Semi-structured interviews were carried out over three consecutive years with final year undergraduate nursing students upon their return from Nepal over three consecutive years. Data analysis followed standard suggestions for a systematic, unbiased approach to dealing with the condensed text, and was analysed using thematic analysis. RESULTS: The findings suggested that this experience, albeit of limited duration, provided a significant contribution to students' understanding of cross-cultural awareness in the context of providing health care. CONCLUSIONS: There was a strong implication from the outcomes that this cultural immersion placement should be permanently integrated into the undergraduate nursing course. There was, however, indication that there is room for added reflection and advantages to be made from the experience.

Can Optimum Solar Radiation Exposure or Supplemented Vitamin D Intake Reduce the Severity of COVID-19 Symptoms?

The foremost mortality-causing symptom associated with COVID-19 is acute respiratory distress syndrome (ARDS). A significant correlation has been identified between the deficiency in vitamin D and the risk of developing ARDS. It has been suggested that if we can reduce or modify ARDS in COVID-19 patients, we may significantly reduce the severity of COVID-19 symptoms and associated mortality rates. The increased mortality of dark-skinned people, who have a reduced UV absorption capacity, may be consistent with diminished vitamin D status. The factors associated with COVID-19 mortality, such as old age, ethnicity, obesity, hypertension, cardiovascular diseases, and diabetes, are all found to be linked with vitamin D deficiency. Based on this review and as a precautionary measure, it is suggested that the adoption of appropriate and safe solar exposure and vitamin D enriched foods and supplements should be considered to reduce the possible severity of COVID-19 symptoms. Safe sun exposure is deemed beneficial globally, specifically in low and middle-income countries, as there is no cost involved. It is also noted that improved solar exposure and vitamin D levels can reduce the impact of other diseases as well, thus assisting in maintaining general human well-being.