Climate change and human health in the Eastern Mediterranean and Middle East: Literature review, research priorities and policy suggestions.

Human health is linked to climatic factors in complex ways, and climate change can have profound direct and indirect impacts on the health status of any given region. Susceptibility to climate change is modulated by biological, ecological and socio-political factors such as age, gender, geographic location, socio-economic status, occupation, health status and housing conditions, among other. In the Eastern Mediterranean and Middle East (EMME), climatic factors known to affect human health include extreme heat, water shortages and air pollution. Furthermore, the epidemiology of vector-borne diseases (VBDs) and the health consequences of population displacement are also influenced by climate change in this region. To inform future policies for adaptation and mitigation measures, and based on an extensive review of the available knowledge, we recommend several research priorities for the region. These include the generation of more empirical evidence on exposure-response functions involving climate change and specific health outcomes, the development of appropriate methodologies to evaluate the physical and psychological effects of climate change on vulnerable populations, determining how climate change alters the ecological determinants of human health, improving our understanding of the effects of long-term exposure to heat stress and air pollution, and evaluating the interactions between adaptation and mitigation strategies. Because national boundaries do not limit most climate-related factors expected to impact human health, we propose that adaptation/mitigation policies must have a regional scope, and therefore require collaborative efforts among EMME nations. Policy suggestions include a decisive region-wide decarbonisation, the integration of environmentally driven morbidity and mortality data throughout the region, advancing the development and widespread use of affordable technologies for the production and management of drinking water by non-traditional means, the development of comprehensive strategies to improve the health status of displaced populations, and fostering regional networks for monitoring and controlling the spread of infectious diseases and disease vectors.

Impact of PAHs compounds on air quality in Maragheh city: Probabilistic risk assessment and source apportionment.

This study explores the concentrations and spatial distribution of polycyclic aromatic hydrocarbons (PAHs) in the ambient air of Maragheh city, Iran, while evaluating their potential health implications. PAHs levels were examined in PAHs-bound to particulate matter samples collected from diverse locations across the city. The results showed that in all sampling points, there was contamination by PAHs. The mean total PAHs concentration was 11.5 ng.m-3, with Benzo[a]pyrene (BaP) emerging as the predominant compound. Comparative analysis with other cities revealed relatively lower BaP levels in Maragheh, yet surpassing WHO guidelines in 92 % of samples. Spatial assessment heightened pollution in areas characterized by heavy traffic and industrial operations. Based on PCA analysis, it appears that 74 % of PAHs compounds originate from vehicle emissions, 13 % from the combustion of petroleum, and 6 % from a possible petroleum source. Health risk appraisal uncovered escalated carcinogenic and mutagenic hazards, especially among children. While risks remained below USEPA thresholds, ongoing monitoring and targeted interventions are advised to mitigate PAHs pollution in Maragheh and similar urban locales. Future endeavors should prioritize source elucidation, health impact assessments, and public awareness initiatives to safeguard community well-being.

Salt wedges and trapped brines of low-latitude endoreic saline lakes as potential modulators of GHG emission.

Large salt lakes are long-term witnesses to climatic conditions and land use in their basins. The majority are experiencing a drastic drop in water levels due to climate change and human impact. Endoreic Lake Urmia (NW Iran), the sixth largest salt lake worldwide, is a striking example of this decline. Quantification of the relative contributions of natural variability and human impact on the lake's water supply is therefore essential. Here we present isotopic and radiocarbon analyses of surface and groundwater from the Shahr Chay River catchment, entering Lake Urmia on its western shore, and radiocarbon dating of a sedimentary core. Lake Urmia behaves like a large saltwater wedge almost entirely fed by the river and shallow groundwater. This leads to trapping of residual brines and formation of CH4 and secondary CO2 greenhouse gases, impacting sediment geochemical records and corresponding time scales for paleoenvironmental reconstructions. We conclude that (1) salt lakes functioning like a saline wedge, allowing organic matter oxidation, could contribute to increasing methane sources or reducing carbon sinks globally, and (2) endoreic basins worldwide need to be monitored before aridification-related salinization leads to the establishment of a saline wedge precluding any possibility of return to an equilibrium state.

Sediment Source Fingerprinting of the Lake Urmia Sand Dunes.

Aeolian sand dunes are continuously being discovered in inner dry lands and coastal areas, most of which have been formed over the Last Glacial Maximum. Presently, due to some natural and anthropogenic implications on earth, newly-born sand dunes are quickly emerging. Lake Urmia, the world's second largest permanent hypersaline lake, has started shrinking, vast lands comprising sand dunes over the western shore of the lake have appeared and one question has been playing on the minds of nearby dwellers: where are these sand dunes coming from, What there was not 15 years ago!! In the present study, the determination of the source of the Lake Urmia sand dunes in terms of the quantifying relative contribution of each upstream geomorphological/lithological unit has been performed using geochemical fingerprinting techniques. The findings demonstrate that the alluvial and the fluvial sediments of the western upstream catchment have been transported by water erosion and they accumulated in the lower reaches of the Kahriz River. Wind erosion, as a secondary agent, have carried the aeolian sand-sized sediments to the sand dune area. Hence, the Lake Urmia sand dunes have been originating from simultaneous and joint actions of alluvial, fluvial and aeolian processes.

Sand Dune Encroachment and Desertification Processes of the Rigboland Sand Sea, Central Iran.

Early studies on sand dune movement and desertification in Iran have not always been convincingly demonstrated because of problems with the field-based measurements. In some areas where various land uses have been engulfed by aeolian sand dunes, desertification is clear, but in other less settled areas, it may not be so obvious. The objective of this study is to demonstrate encroachments of the Rigboland sand sea, central Iran, in its different directions and variable magnitude rates. Determining the rate and direction of the sand sea movements is critical for specifying which lands should be prioritized and quickly protected. The study has trialed a change detection technique which uses a Cross-Tabulation module to compare two available LandsatTM images over the Rigboland sand sea. This indicates that within a ten-year span (from 1988 to 1998) more than 200 ha/yr were added to the Rigboland sand sea, from the alluvial fan landforms in the eastern upstream, outer margins of the Rigboland sand sea. Coupled with GIS techniques, this type of analysis of the remote sensing (RS) images provides an effective tool for the monitoring and prognostication of sand dune movement and sand sea change.