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1.
Proc Natl Acad Sci U S A ; 120(24): e2215533120, 2023 06 13.
Artigo em Inglês | MEDLINE | ID: mdl-37276404

RESUMO

Biogeographic history can set initial conditions for vegetation community assemblages that determine their climate responses at broad extents that land surface models attempt to forecast. Numerous studies have indicated that evolutionarily conserved biochemical, structural, and other functional attributes of plant species are captured in visible-to-short wavelength infrared, 400 to 2,500 nm, reflectance properties of vegetation. Here, we present a remotely sensed phylogenetic clustering and an evolutionary framework to accommodate spectra, distributions, and traits. Spectral properties evolutionarily conserved in plants provide the opportunity to spatially aggregate species into lineages (interpreted as "lineage functional types" or LFT) with improved classification accuracy. In this study, we use Airborne Visible/Infrared Imaging Spectrometer data from the 2013 Hyperspectral Infrared Imager campaign over the southern Sierra Nevada, California flight box, to investigate the potential for incorporating evolutionary thinking into landcover classification. We link the airborne hyperspectral data with vegetation plot data from 1372 surveys and a phylogeny representing 1,572 species. Despite temporal and spatial differences in our training data, we classified plant lineages with moderate reliability (Kappa = 0.76) and overall classification accuracy of 80.9%. We present an assessment of classification error and detail study limitations to facilitate future LFT development. This work demonstrates that lineage-based methods may be a promising way to leverage the new-generation high-resolution and high return-interval hyperspectral data planned for the forthcoming satellite missions with sparsely sampled existing ground-based ecological data.


Assuntos
Biodiversidade , Plantas , Filogenia , Reprodutibilidade dos Testes , Plantas/genética , Evolução Biológica
2.
Environ Int ; 170: 107609, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36332494

RESUMO

Several recent longitudinal studies have found that exposure to the natural environment is associated with lower non-accidental mortality. However, most of these studies used the normalized difference vegetation index (NDVI) as an exposure metric; and because NDVI might not be sensitive enough to adequately capture changes in urban vegetation, these studies might lack true longitudinal variation in exposure. Therefore, we used a natural experiment to assess the impact of 30 years of tree planting by the nonprofit Friends of Trees on non-accidental, cardiovascular, lower-respiratory, and accidental mortality in Portland, Oregon (mortality data were provided by the Oregon Health Authority). We estimated autoregressive mixed models of Census-tract level mortality rate (deaths per 100,000 population) associated with trees planted, including a tract-level random effect. All models used data from the American Community Survey to control for year, race, education, income, and age. Each tree planted in the preceding 15 years was associated with significant reductions in non-accidental (-0.21, 95 % CI: -0.30, -0.12) and cardiovascular mortality (-0.066, 95 % CI: -0.11, -0.027). Furthermore, the dose-response association between tree planting and non-accidental mortality increased in magnitude as trees aged and grew. Each tree planted in the preceding 1-5 years was associated with a reduction in mortality rate of -0.154 (95 % CI: -0.323, 0.0146), whereas each tree planted in the last 6-10 and 11-15 years was associated with a reduction in mortality rate of -0.262 (95 % CI: -0.413, -0.110) and -0.306 (95 % CI: -0.527, -0.0841) respectively. Using US EPA estimates of a value of a statistical life, we estimated that planting a tree in each of Portland's 140 Census tracts would generate $14.2 million in annual benefits (95 % CI: $8.0 million to $20.4 million). In contrast, the annual cost of maintaining 140 trees would be $2,716-$13,720.


Assuntos
Árvores , Estados Unidos , Humanos , Idoso , Análise Custo-Benefício , Oregon , United States Environmental Protection Agency
3.
Nat Plants ; 8(6): 617-622, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-35697731

RESUMO

The health benefits of exposure to trees and plants is a rapidly expanding field of study. Research has shown that exposure is associated with improvements in a wide range of health outcomes including cardiovascular disease, birth outcomes, respiratory disease, cancer, mental health and all-cause mortality1. One of the challenges that these studies face is characterizing participants' exposure to trees and plants. A common approach is to use the normalized difference vegetation index, a greenness index typically derived from satellite imagery. Reliance on the normalized difference vegetation index is understandable; for decades, the imagery required to calculate the normalized difference vegetation index has been available for the entire Earth's surface and is updated at regular intervals. However, the normalized difference vegetation index may do a poor job of fully characterizing the human experience of being exposed to trees and plants, because scenes with the same normalized difference vegetation index value can appear different to the human eye. We demonstrate this phenomenon by identifying sites in Portland, Oregon that have the same normalized difference vegetation index value as a large, culturally significant elm tree. These sites are strikingly different aesthetically, suggesting that use of the normalized difference vegetation index may lead to exposure misclassification. Where possible, the normalized difference vegetation index should be supplemented with other exposure metrics.


Assuntos
Imagens de Satélites , Árvores , Humanos , Plantas
4.
Environ Pollut ; 284: 117343, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34030082

RESUMO

Studying the impacts of prenatal atmospheric heavy-metal exposure is challenging, because biological exposure monitoring does not distinguish between specific sources, and high-resolution air monitoring data is lacking for heavy metals. Bioindicators - animal or plant species that can capture environmental quality - are a low-cost tool for evaluating exposure to atmospheric heavy-metal pollution that have received little attention in the public-health literature. We obtained birth records for Portland, Oregon live births (2008-2014) and modeled metal concentrations derived from 346 samples of moss bioindicators collected in 2013. Exposure estimates were assigned using mother's residential address at birth for six metals with known toxic and estrogenic effects (arsenic, cadmium, chromium, cobalt, nickel, lead). Associations were evaluated for continuous (cts) and quartile-based (Q) metal estimates and three birth outcomes (preterm birth (PTB; <37 weeks)), very PTB (vPTB; <32 weeks), small for gestational age (SGA; 10th percentile of weight by age and sex)) using logistic regression models with adjustment for demographic characteristics, and stratified by maternal race. Chromium and cobalt were associated with increased odds of vPTB (chromium - odds ratio (OR)cts = 1.09, 95% CI: 1.00, 1.17; cobalt - ORQ4vsQ1 = 1.33, 95% CI: 1.03, 1.71). Cobalt, chromium and cadmium were significantly associated with odds of SGA, although the direction of association differed by metal (cobalt - ORcts = 1.04, 95% CI: 1.01, 1.07; chromium - ORQ3vsQ1 = 0.91, 95% CI: 0.83, 0.99; cadmium - ORcts = 0.96, 95% CI: 0.93, 1.00). In stratified analyses, odds of SGA were significantly different among non-white mothers compared to white mothers with exposure to chromium, cobalt, lead and nickel. This novel application of a moss-based exposure metric found that exposure to some atmospheric metals is associated with adverse birth outcomes. These findings are consistent with previous literature and suggest that moss bioindicators are a useful complement to traditional exposure-assessment methods.


Assuntos
Briófitas , Nascimento Prematuro , Biomarcadores Ambientais , Feminino , Humanos , Recém-Nascido , Exposição Materna , Oregon , Avaliação de Resultados em Cuidados de Saúde , Gravidez
5.
Sci Total Environ ; 768: 144627, 2021 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-33454490

RESUMO

The biodiversity hypothesis posits that declining biodiversity may be responsible, at least in part, for the global increase in immune diseases. However, few studies have been able to demonstrate a link between exposure to biodiversity and specific health outcomes. We test whether exposure to plant diversity protects against childhood acute lymphoblastic leukemia (ALL) by promoting immune maturation. Our sample consisted of all children born in New Zealand from 1998 to 2013 (n = 899,126; 264 ALL cases), which we followed from birth to age five. We calculated plant-diversity metrics using the Global Biodiversity Information Facility, which contains over two million geocoded plant records in New Zealand. Consistent with previous research, children who had always lived in an urban area, or who had an older mother, were at greater risk for ALL, whereas children with older siblings were at lower risk. In addition, we found that plant-diversity metrics based on the maximum number of plant genera a child was exposed to during the first two years of life were protective of ALL. Specifically, exposure to the highest tertile of plant diversity was associated with a reduction in ALL risk of 35% (95% CI: 11%-53%). Exposure to plant diversity, and associated microbial communities, may be a viable public-health intervention to reduce the risk of ALL and possibly other immune diseases.


Assuntos
Microbiota , Leucemia-Linfoma Linfoblástico de Células Precursoras , Biodiversidade , Criança , Humanos , Nova Zelândia/epidemiologia , Plantas , Leucemia-Linfoma Linfoblástico de Células Precursoras/epidemiologia
6.
Health Place ; 67: 102494, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33321458

RESUMO

A wealth of evidence links microbial exposure to better human immune function. However, few studies have examined whether exposure to plant diversity is protective of immune diseases, despite the fact that plant leaves support ~1026 bacterial cells. Using the Centers for Disease Control and Prevention's 500 cities project data, we found that a 1-SD increase in exposure to taxonomic plant diversity is associated with a 5.3 (95% CI: 4.2-6.4; p < 0.001) percentage-point decline in Census-tract level adult-asthma rate. In contrast, A 1-SD increase in overall greenness exposure (measured using the normalized difference vegetation index) was associated with a 3.8 (95% CI: 2.9-4.8; p < 0.001) percentage-point increase in adult-asthma rate. Interactions between air pollution and both overall greenness and plant diversity were positive, suggesting that air pollution may potentiate the allergic effects of plant pollen. Results show that the relationship between the natural environment and asthma may be more complex than previously thought, and the combination of air pollution and plant pollen may be a particular risk factor for asthma in adults.


Assuntos
Poluentes Atmosféricos , Poluição do Ar , Asma , Adulto , Poluentes Atmosféricos/análise , Poluentes Atmosféricos/toxicidade , Poluição do Ar/análise , Poluição do Ar/estatística & dados numéricos , Asma/epidemiologia , Centers for Disease Control and Prevention, U.S. , Cidades , Meio Ambiente , Humanos , Estados Unidos/epidemiologia
7.
BMJ Open ; 9(9): e029522, 2019 09 20.
Artigo em Inglês | MEDLINE | ID: mdl-31542746

RESUMO

OBJECTIVES: Determine whether patients who live in greener and more walkable neighbourhoods live longer, and take fewer opioids, following hip or knee arthroplasty. DESIGN: Retrospective cohort study. SETTING: Residential environment following surgery at one of 54 New Zealand hospitals. PARTICIPANTS: All people who received a total hip or knee arthroplasty at a publicly-funded hospital in New Zealand in 2006 and 2007 (7449 hip arthroplasties and 6558 knee arthroplasties). PRIMARY AND SECONDARY OUTCOME MEASURE: Time to all-cause mortality and number of postsurgical opioid prescriptions. RESULTS: Patients who lived in greener neighbourhoods, as measured by the Normalised Difference Vegetation Index, lived longer following hip or knee arthroplasty (standardised OR: 0.95, 95% CI 0.92 to 0.99). However, when we estimated separate hip-arthroplasty-only and knee-arthroplasty-only models, greenness was only significantly associated with greater longevity following hip arthroplasty. Similarly, patients who lived in greener neighbourhoods took fewer opioids in the 12 months following hip or knee arthroplasty (standardised OR: 0.97, 95% CI 0.95 to 0.99), but in separate hip-arthroplasty-only and knee-arthroplasty-only models, greenness was only significantly associated with lower opioid use following hip arthroplasty. Walkability was not significantly associated with postsurgical opioid use or postsurgical longevity. All ORs were adjusted for sex, ethnicity, age, presurgical chronic health conditions, presurgical opioid use, social deprivation and length of hospital stay. CONCLUSIONS: Consistent with the literature on enhanced-recovery programme, people who lived in greener neighbourhoods took fewer opioids, and lived longer, following hip arthroplasty. Improving access to the natural environment may therefore be an effective component of postsurgical recovery programme.


Assuntos
Artroplastia de Quadril , Artroplastia do Joelho , Fenômenos Ecológicos e Ambientais , Recuperação Pós-Cirúrgica Melhorada , Recuperação de Função Fisiológica , Características de Residência , Idoso , Idoso de 80 Anos ou mais , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Estudos Retrospectivos
8.
Lancet Planet Health ; 3(5): e226-e234, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31128768

RESUMO

BACKGROUND: Several small experimental studies and cross-sectional observational studies have shown that exposure to the natural environment might protect against attention-deficit hyperactivity disorder (ADHD) or moderate the symptoms of ADHD in children. We aimed to assess whether exposure to the natural environment protects against ADHD and whether this hypothesised protective effect varies across a child's life course. METHODS: We did a longitudinal study with data collected from all children born in New Zealand in 1998, excluding those without an address history, those who were not singleton births, and those who died or emigrated before 18 years of age. We used Statistics New Zealand's Integrated Data Infrastructure to identify children with ADHD and to define covariates. ADHD was defined according to hospital diagnosis or pharmacy records (two or more prescriptions for ADHD drugs). Exposure to green space for each year of a child's life (from gestation to 18 years of age) was estimated at the meshblock level (the smallest geographical unit for which the New Zealand Census reports data) using normalised difference vegetation index (NDVI), and land-use data from Landcare Research New Zealand. We used logit models to assess the associations between ADHD prevalence and minimum, maximum, and mean lifetime NDVI, as well as rural living, controlling for sex, ethnicity, mother's educational level, mother's smoking status, mother's age at parturition, birth order, antibiotic use, and low birthweight. FINDINGS: Of the 57 450 children born in New Zealand in 1998, 49 923 were eligible and had available data, and were included in the analysis. Children who had always lived in a rural area after 2 years of age were less likely to develop ADHD (odds ratio [OR] 0·670 [95% CI 0·461-0·974), as were those with increased minimum NDVI exposure after age 2 years (standardised OR for exposure vs first quartile: second quartile 0·841 [0·707-0·999]; third quartile 0·809 [0·680-0·963]; fourth quartile 0·664 [0·548-0·805]). In early life (prenatal to age 2 years), neither rural living nor NDVI were protective against ADHD. Neither mean nor maximum greenness was significantly protective against ADHD. INTERPRETATION: Rurality and increased minimum greenness were strongly and independently associated with a reduced risk of ADHD. Increasing a child's minimum lifetime greenness exposure, as opposed to maximum or mean exposure, might provide the greatest increment of protection against the disorder. FUNDING: None.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Meio Ambiente , População Rural/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Estudos Longitudinais , Masculino , Nova Zelândia/epidemiologia , Razão de Chances , Prevalência
10.
Sci Total Environ ; 668: 760-767, 2019 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-30865906

RESUMO

Despite reported health benefits of urban greenspace (gs), the epidemiological evidence is less clear for allergic disease. To address a limitation of previous research, we examined the associations of medium- and high-resolution residential gs measures and tree and/or grass canopies with allergic outcomes for children enrolled in the longitudinal cincinnati childhood allergy and air pollution study (ccaaps). We estimated residential gs based on 400 m radial buffers around participant addresses (n = 478) using the normalized differential vegetation index (ndvi) and land cover-derived urban greenspace (ugs) (tree and grass coverage, combined and separate) at 30 m and 1.5-2.5 m resolution, respectively. Associations between outdoor aeroallergen sensitization and allergic rhinitis at age 7 and residential gs measures at different exposure windows were examined using multivariable logistic regression models. A 10% increase in ugs-derived grass coverage was associated with an increased risk of sensitization to grass pollens (adjusted odds ratio [aor]: 1.27; 95% confidence interval = 1.02-1.58). For each 10% increase in ugs-derived tree canopy coverage, nonstatistically significant decreased odds were found for grass pollen sensitization, tree pollen sensitization, and sensitization to either (aor range = 0.87-0.94). Results similar in magnitude to ugs-tree canopy coverage were detected for ndvi and allergic sensitizations. High-resolution (down to 1.5 m) gs measures of grass- and tree-covered areas showed associations in opposite directions for different allergy outcomes. These data suggest that measures strongly correlated with tree canopy (e.g., ndvi) may be insufficient to detect health effects associated with proximity to different types of vegetation or help elucidate mechanisms related to specific gs exposure pathways.


Assuntos
Poluição do Ar/estatística & dados numéricos , Alérgenos/análise , Exposição Ambiental/estatística & dados numéricos , Rinite Alérgica/epidemiologia , Criança , Feminino , Humanos , Estudos Longitudinais , Masculino , Razão de Chances , Pólen , Desenvolvimento Sustentável/tendências , Árvores
11.
R Soc Open Sci ; 5(8): 181297, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30225093

RESUMO

[This corrects the article DOI: 10.1098/rsos.172192.].

12.
R Soc Open Sci ; 5(7): 172192, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30109055

RESUMO

Photogrammetry-based three-dimensional reconstruction of objects is becoming increasingly appealing in research areas unrelated to computer vision. It has the potential to facilitate the assessment of forest inventory-related parameters by enabling or expediting resource measurements in the field. We hereby compare several implementations of photogrammetric algorithms (CMVS/PMVS, CMPMVS, MVE, OpenMVS, SURE and Agisoft PhotoScan) with respect to their performance in vegetation assessment. The evaluation is based on (i) a virtual scene where the precise location and dimensionality of objects is known a priori and is thus conducive to a quantitative comparison and (ii) using series of in situ acquired photographs of vegetation with overlapping field of view where the photogrammetric outcomes are compared qualitatively. Performance is quantified by computing receiver operating characteristic curves that summarize the type-I and type-II errors between the reference and reconstructed tree models. Similar artefacts are observed in synthetic- and in situ-based reconstructions.

13.
Nat Plants ; 4(6): 358-364, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29735984

RESUMO

We assessed the association between the natural environment and asthma in 49,956 New Zealand children born in 1998 and followed up until 2016 using routinely collected data. Children who lived in greener areas, as measured by the normalized difference vegetation index, were less likely to be asthmatic: a 1 s.d. increase in normalized difference vegetation index was associated with a 6.0% (95% CI 1.9-9.9%) lower risk of asthma. Vegetation diversity was also protective: a 1 s.d. increase in the number of natural land-cover types in a child's residential meshblock was associated with a 6.7% (95% CI 1.5-11.5%) lower risk. However, not all land-cover types were protective. A 1 s.d. increase in the area covered by gorse (Ulex europaeus) or exotic conifers, both non-native, low-biodiversity land-cover types, was associated with a 3.2% (95% CI 0.0-6.0%) and 4.2% (95% CI 0.9-7.5%) increased risk of asthma, respectively. The results suggest that exposure to greenness and vegetation diversity may be protective of asthma.


Assuntos
Asma/epidemiologia , Biodiversidade , Plantas , Adolescente , Poluição do Ar/efeitos adversos , Asma/etiologia , Criança , Pré-Escolar , Meio Ambiente , Feminino , Humanos , Lactente , Recém-Nascido , Espécies Introduzidas , Estudos Longitudinais , Masculino , Nova Zelândia/epidemiologia , Prevalência , Fatores de Risco , Traqueófitas , Ulex
14.
Sci Total Environ ; 559: 84-93, 2016 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-27058127

RESUMO

Urban networks of air-quality monitors are often too widely spaced to identify sources of air pollutants, especially if they do not disperse far from emission sources. The objectives of this study were to test the use of moss bio-indicators to develop a fine-scale map of atmospherically-derived cadmium and to identify the sources of cadmium in a complex urban setting. We collected 346 samples of the moss Orthotrichum lyellii from deciduous trees in December, 2013 using a modified randomized grid-based sampling strategy across Portland, Oregon. We estimated a spatial linear model of moss cadmium levels and predicted cadmium on a 50m grid across the city. Cadmium levels in moss were positively correlated with proximity to two stained-glass manufacturers, proximity to the Oregon-Washington border, and percent industrial land in a 500m buffer, and negatively correlated with percent residential land in a 500m buffer. The maps showed very high concentrations of cadmium around the two stained-glass manufacturers, neither of which were known to environmental regulators as cadmium emitters. In addition, in response to our findings, the Oregon Department of Environmental Quality placed an instrumental monitor 120m from the larger stained-glass manufacturer in October, 2015. The monthly average atmospheric cadmium concentration was 29.4ng/m(3), which is 49 times higher than Oregon's benchmark of 0.6ng/m(3), and high enough to pose a health risk from even short-term exposure. Both stained-glass manufacturers voluntarily stopped using cadmium after the monitoring results were made public, and the monthly average cadmium levels precipitously dropped to 1.1ng/m(3) for stained-glass manufacturer #1 and 0.67ng/m(3) for stained-glass manufacturer #2.


Assuntos
Poluentes Atmosféricos/análise , Briófitas/química , Cádmio/análise , Monitoramento Ambiental/métodos , Oregon
15.
Health Place ; 36: 1-7, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26335885

RESUMO

Data from the Women's Health Initiative were used to quantify the relationship between the loss of trees to an invasive forest pest-the emerald ash borer-and cardiovascular disease. We estimated a semi-parametric Cox proportional hazards model of time to cardiovascular disease, adjusting for confounders. We defined the incidence of cardiovascular disease as acute myocardial infarction requiring overnight hospitalization, silent MI determined from serial electrocardiograms, ischemic or hemorrhagic stroke, or death from coronary heart disease. Women living in a county infested with emerald ash borer had an increased risk of cardiovascular disease (HR=1.25, 95% CI: 1.20-1.31).


Assuntos
Doença das Coronárias/etiologia , Saúde Ambiental , Árvores/parasitologia , Saúde da Mulher , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Vigilância da População , Modelos de Riscos Proporcionais , Fatores de Risco
16.
PLoS One ; 10(9): e0137765, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26393926

RESUMO

Detailed, precise, three-dimensional (3D) representations of individual trees are a prerequisite for an accurate assessment of tree competition, growth, and morphological plasticity. Until recently, our ability to measure the dimensionality, spatial arrangement, shape of trees, and shape of tree components with precision has been constrained by technological and logistical limitations and cost. Traditional methods of forest biometrics provide only partial measurements and are labor intensive. Active remote technologies such as LiDAR operated from airborne platforms provide only partial crown reconstructions. The use of terrestrial LiDAR is laborious, has portability limitations and high cost. In this work we capitalized on recent improvements in the capabilities and availability of small unmanned aerial vehicles (UAVs), light and inexpensive cameras, and developed an affordable method for obtaining precise and comprehensive 3D models of trees and small groups of trees. The method employs slow-moving UAVs that acquire images along predefined trajectories near and around targeted trees, and computer vision-based approaches that process the images to obtain detailed tree reconstructions. After we confirmed the potential of the methodology via simulation we evaluated several UAV platforms, strategies for image acquisition, and image processing algorithms. We present an original, step-by-step workflow which utilizes open source programs and original software. We anticipate that future development and applications of our method will improve our understanding of forest self-organization emerging from the competition among trees, and will lead to a refined generation of individual-tree-based forest models.


Assuntos
Tecnologia de Sensoriamento Remoto , Árvores , Algoritmos , Processamento de Imagem Assistida por Computador , Fotogrametria/instrumentação
17.
Am J Prev Med ; 44(2): 139-45, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23332329

RESUMO

BACKGROUND: Several recent studies have identified a relationship between the natural environment and improved health outcomes. However, for practical reasons, most have been observational, cross-sectional studies. PURPOSE: A natural experiment, which provides stronger evidence of causality, was used to test whether a major change to the natural environment-the loss of 100 million trees to the emerald ash borer, an invasive forest pest-has influenced mortality related to cardiovascular and lower-respiratory diseases. METHODS: Two fixed-effects regression models were used to estimate the relationship between emerald ash borer presence and county-level mortality from 1990 to 2007 in 15 U.S. states, while controlling for a wide range of demographic covariates. Data were collected from 1990 to 2007, and the analyses were conducted in 2011 and 2012. RESULTS: There was an increase in mortality related to cardiovascular and lower-respiratory-tract illness in counties infested with the emerald ash borer. The magnitude of this effect was greater as infestation progressed and in counties with above-average median household income. Across the 15 states in the study area, the borer was associated with an additional 6113 deaths related to illness of the lower respiratory system, and 15,080 cardiovascular-related deaths. CONCLUSIONS: Results suggest that loss of trees to the emerald ash borer increased mortality related to cardiovascular and lower-respiratory-tract illness. This finding adds to the growing evidence that the natural environment provides major public health benefits.


Assuntos
Doenças Cardiovasculares/epidemiologia , Besouros , Fraxinus , Doenças Respiratórias/epidemiologia , Animais , Doenças Cardiovasculares/mortalidade , Meio Ambiente , Humanos , Estudos Longitudinais , Avaliação de Resultados em Cuidados de Saúde , Saúde Pública , Análise de Regressão , Doenças Respiratórias/mortalidade , Fatores Socioeconômicos , Árvores , Estados Unidos/epidemiologia
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