Outbreak of Locally Acquired Mosquito-Transmitted (Autochthonous) Malaria - Florida and Texas, May-July 2023.

Eight cases of locally acquired, mosquito-transmitted (i.e., autochthonous) Plasmodium vivax malaria, which has not been reported in the United States since 2003, were reported to CDC from state health departments in Florida and Texas during May 18-July 17, 2023. As of August 4, 2023, case surveillance, mosquito surveillance and control activities, and public outreach and education activities continue in both states. U.S. clinicians need to consider a malaria diagnosis in patients with unexplained fever, especially in areas where autochthonous malaria has been recently reported, although the risk for autochthonous malaria in the United States remains very low. Prompt diagnosis and treatment of malaria can prevent severe disease or death and limit ongoing transmission to local Anopheles mosquitoes and other persons. Preventing mosquito bites and controlling mosquitoes at home can prevent mosquitoborne diseases, including malaria. Before traveling internationally to areas with endemic malaria, travelers should consult with a health care provider regarding recommended malaria prevention measures, including potentially taking malaria prophylaxis. Malaria is a nationally notifiable disease; continued reporting of malaria cases to jurisdictional health departments and CDC will also help ensure robust surveillance to detect and prevent autochthonous malaria in the United States.

Assessment of Spatial Variability across Multiple Pollutants in Auckland, New Zealand.

Spatial saturation studies using source-specific chemical tracers are commonly used to examine intra-urban variation in exposures and source impacts, for epidemiology and policy purposes. Most such studies, however, has been performed in North America and Europe, with substantial regional combustion-source contributions. In contrast, Auckland, New Zealand, a large western city, is relatively isolated in the south Pacific, with minimal impact from long-range combustion sources. However, fluctuating wind patterns, complex terrain, and an adjacent major port complicate pollution patterns within the central business district (CBD). We monitored multiple pollutants (fine particulate matter (PM2.5), black carbon (BC), elemental composition, organic diesel tracers (polycyclic aromatic hydrocarbons (PAHs), hopanes, steranes), and nitrogen dioxide (NO2)) at 12 sites across the ~5 km2 CBD during autumn 2014, to capture spatial variation in traffic, diesel, and proximity to the port. PM2.5 concentrations varied 2.5-fold and NO2 concentrations 2.9-fold across the CBD, though constituents varied more dramatically. The highest-concentration constituent was sodium (Na), a distinct non-combustion-related tracer for sea salt (µ = 197.8 ng/m3 (SD = 163.1 ng/m3)). BC, often used as a diesel-emissions tracer, varied more than five-fold across sites. Vanadium (V), higher near the ports, varied more than 40-fold across sites. Concentrations of most combustion-related constituents were higher near heavy traffic, truck, or bus activity, and near the port. Wind speed modified absolute concentrations, and wind direction modified spatial patterns in concentrations (i.e., ports impacts were more notable with winds from the northeast).

Separating spatial patterns in pollution attributable to woodsmoke and other sources, during daytime and nighttime hours, in Christchurch, New Zealand.

During winter nights, woodsmoke may be a predominant source of air pollution, even in cities with many sources. Since two major earthquakes resulted in major structural damage in 2010 and 2011, reliance on woodburning for home heating has increased substantially in Christchurch, New Zealand (NZ), along with intensive construction/demolition activities. Further, because NZ is a relatively isolated western country, it offers the unique opportunity to disentangle multiple source impacts in the absence of long-range transport pollution. Finally, although many spatial saturation studies have been published, and levoglucosan is an established tracer for woodburning emissions, few studies have monitored multiple sites simultaneously for this or other organic constituents, with the ability to distinguish spatial patterns for daytime vs. nighttime hours, in complex urban settings. We captured seven-day integrated samples of PM2.5, and elemental and organic tracers of woodsmoke and diesel emissions, during "daytime" (7 a.m. - 5:30 p.m.) and "nighttime" (7 p.m. - 5:30 a.m.) hours, at nine sites across commercial and residential areas, over three weeks in early winter (May 2014). At a subset of six sites, we also sampled during hypothesized "peak" woodburning hours (7 p.m. - 12 a.m.), to differentiate emissions during "active" residential woodburning, vs. overnight smouldering. Concentrations of PM2.5 were, on average, were twice as high during nighttime than daytime [µâ€¯= 18.4 (SD = 6.13) vs. 9.21 (SD = 6.13) µg/m3], with much greater differences in woodsmoke tracers (i.e., levoglucosan [µâ€¯= 1.83 (SD = 0.82) vs. 0.34 (SD = 0.17) µg/m3], potassium) and indicators of treated- or painted-wood burning (e.g., arsenic, lead). Only nitrogen dioxide, calcium, iron, and manganese (tracers of vehicular emissions) were higher during daytime. Levoglucosan and most PAHs were higher during "active" woodburning, vs. overnight smouldering. Our time-stratified spatial saturation detected strong spatial variability throughout the study area, which distinctly differed during daytime vs. night time hours, and quantified the substantial contribution of woodsmoke to overnight spatial variation in PM2.5 across Christchurch. Daytime vs. nighttime differences were greater than those observed across sites. Traffic, especially diesel, contributed substantially to daytime NO2 and spatial gradients in non-woodsmoke constituents.

Estimates of black carbon and size-resolved particle number emission factors from residential wood burning based on ambient monitoring and model simulations.

In this paper we derive typical emission factors for coarse particulate matter (PM(10)), oxides of nitrogen (NO(x)), black carbon (BC), and number particle size distributions based on a combination of measurements and air quality dispersion modeling. The advantage of this approach is that the emission factors represent integrated emissions from several vehicle types and different types of wood stoves. Normally it is very difficult to estimate the total emissions in cities on the basis of laboratory measurements on single vehicles or stoves because of the large variability in conditions. The measurements were made in Temuco, Chile, between April 18 and June 15, 2005 at two sites. The first one was located in a residential area relatively far from major roads. The second site was located in a busy street in downtown Temuco where wood consumption is low. The measurements support the assumption that the monitoring sites represent the impact of different emission sources, namely traffic and residential wood combustion (RWC). Fitting model results to the available measurements, emission factors were obtained for PM(10) (RWC = 2160 +/- 100 mg/kg; traffic = 610 +/- 51 mg/veh-km), NO(x) (RWC = 800 +/- 100 mg/kg; traffic = 4400 +/- 100 mg/veh-km), BC (RWC = 74 +/- 6 mg/kg; traffic = 60 +/- 3 mg/veh-km) and particle number (N) with size distribution between 25 and 600 nm (N(25-600)) (RWC = 8.9 +/- 1 x 10(14) pt/kg; traffic = 6.7 +/- 0.5 x 10(14) pt/veh-km). The obtained emission factors are comparable to results reported in the literature. The size distribution of the N emission factors for traffic was shown to be different than for RWC. The main difference is that although traffic emissions show a bimodal size distribution with a main mode below 30 nm and a secondary one around 100 nm, RWC emissions show the main mode slightly below 100 nm and a smaller nucleation mode below 50 nm.