Long-term ozone exposure and mortality in patients with chronic kidney disease: a large cohort study.

BACKGROUND: Epidemiologic studies on the effects of long-term exposure to ozone (O3) have shown inconclusive results. It is unclear whether to O3 has an effect on chronic kidney disease (CKD). We investigated the effects of O3 on mortality and renal outcome in CKD. METHODS: We included 61,073 participants and applied Cox proportional hazards models to examine the effects of ozone on the risk of end-stage renal disease (ESRD) and mortality in a two-pollutants model adjusted for socioeconomic status. We calculated the concentration of ozone exposure one year before enrollment and used inverse distance weighting (IDW) for interpolation, where the exposure was evenly distributed. RESULTS: In the single pollutant model, O3 was significantly associated with an increased risk of ESRD and all-cause mortality. Based on the O3 concentration from IDW interpolation, this moving O3 average was significantly associated with an increased risk of ESRD and all-cause mortality. In a two-pollutants model, even after we adjusted for other measured pollutants, nitrogen dioxide did not attenuate the result for O3. The hazard ratio (HR) value for the district-level assessment is 1.025 with a 95% confidence interval (CI) of 1.014-1.035, while for the point-level assessment, the HR value is 1.04 with a 95% CI of 1.035-1.045. The impact of ozone on ESRD, hazard ratio (HR) values are, 1.049(95%CI: 1.044-1.054) at the district unit and 1.04 (95%CI: 1.031-1.05) at the individual address of the exposure assessment. The ozone hazard ratio for all-cause mortality was 1.012 (95% confidence interval: 1.008-1.017) for administrative districts and 1.04 (95% confidence interval: 1.031-1.05) for individual addresses. CONCLUSIONS: This study suggests that long-term ambient O3 increases the risk of ESRD and mortality in CKD. The strategy to decrease O3 emissions will substantially benefit health and the environment.

Prediction of range expansion and estimation of dispersal routes of water deer (Hydropotes inermis) in the transboundary region between China, the Russian Far East and the Korean Peninsula.

Global changes may direct species expansion away from their current range. When such an expansion occurs, and the species colonizes a new region, it is important to monitor the habitat used by the species and utilize the information to updated management strategies. Water deer (Hydropotes inermis) is listed as Vulnerable species in IUCN Red List and is restricted to east central China and the Korean Peninsula. Since 2017, water deer has expanded its range towards northeast China and the Russian Far East. The objective of our study is to provide support for a better understanding of habitat use and provide suggestions for developing conservation strategy. We collected occurrence data in northeast China and the Russian Far East during 2017-2021. We used MaxEnt to predict habitat suitability for water deer and applied Circuitscape to determine possible dispersal routes for the species. We used seven environmental variables, viz., altitude, slope, aspect, distance to built-up area, distance to water source, distance to cropland and distance to roads for habitat suitability prediction. We chose the MaxEnt model (AICc = 2572.86) suitable for our data with the AUC value result of 0.935±0.014. There is good quality habitat for water deer in the boundary area of the Yalu and Tumen River estuaries between China, North Korea, and the Russian Far East, as well as the east and west regions of the Korean Peninsula. We identified three main suitable habitat patches, two of them located in east (NK2) and west (NK3) North Korea, and one in the newly colonized area downstream of the Tumen River along the border of China, Russia, and North Korea (TM1). Elevation, distance to cropland and water sources, and presence of wetlands were the variables that positively contributed to modelling the suitable habitats. Two possible dispersal routes were determined using the circuit theory, one was across the area from North Korea to the downstream Tumen transboundary region (Route B), and the other was across North Korea to the boundary region in China and along the tiger national park in northern China (Route A). A series of protected areas in North Korea, China, and Russia may support the dispersal of water deer. From the study on water deer dispersal, we can understand the existing ecological network in northeast Asia, which will benefit the whole landscape and biodiversity conservation. However, there are many threats present, and there is need for continued monitoring inside and outside the protected areas. Information sharing with stakeholders and carrying out local communities awareness activities are important. The establishment of a Northeast Asia landscape conservation network would help establish monitoring and conservation planning at a broad scale, and this study provides an example of the need for such a network.