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1.
Environ Manage ; 2024 Jun 19.
Artículo en Inglés | MEDLINE | ID: mdl-38896241

RESUMEN

Air pollution is arguably the most pressing human health concern today, accounting for approximately 7-9 million premature deaths worldwide. In the United States, more than 40% of early deaths caused by air pollution are assessed to be caused by emissions produced by neighboring states. This article examines one of the governance mechanisms used by the U.S. to address this issue: section 126 of the Clean Air Act. Critical factors including case length, evidence used, and case outcome are compiled for the population of section 126 petitions submitted from 2000-2022. This evidence is assessed using comparative case analysis. The findings reinforce two issues with the petition process already identified in the literature-the use of cost as a proxy for significance and the excessive and unclear burden of proof placed on downwind states-adding texture to the latter issue by examining the modeling techniques used by downwind states. This analysis identifies lengthy response timelines as an additional issue and calls to attention the infrequency with which the EPA has formally accepted petitions. Collectively, these issues increase the cost, complexity, and unpredictability of filing a section 126 petition.

2.
Environ Res ; 212(Pt D): 113587, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35654155

RESUMEN

Implementing effective policy to protect human health from the adverse effects of air pollution, such as premature mortality, requires reducing the uncertainty in health outcomes models. Here we present a novel method to reduce mortality uncertainty by increasing the amount of input data of air pollution and health outcomes, and then quantifying tradeoffs associated with the different data gained. We first present a study of long-term mortality from fine particulate matter (PM2.5) based on simulated data, followed by a real-world application of short-term PM2.5-related mortality in an urban area. We employ information yield curves to identify which variables more effectively reduce mortality uncertainty when increasing information. Our methodology can be used to explore how specific pollution scenarios will impact mortality and thus improve decision-making. The proposed framework is general and can be applied to any real case-scenario where knowledge in pollution, demographics, or health outcomes can be augmented through data acquisition or model improvements to generate more robust risk assessments.


Asunto(s)
Contaminantes Atmosféricos , Contaminación del Aire , Contaminantes Atmosféricos/análisis , Contaminantes Atmosféricos/toxicidad , Entropía , Humanos , Material Particulado/análisis , Incertidumbre
3.
Geohealth ; 7(10): e2023GH000854, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37780098

RESUMEN

Ambient air pollution is an increasing threat to society, with rising numbers of adverse outcomes and exposure inequalities worldwide. Reducing uncertainty in health outcomes models and exposure disparity studies is therefore essential to develop policies effective in protecting the most affected places and populations. This study uses the concept of information entropy to study tradeoffs in mortality uncertainty reduction from increasing input data of air pollution versus health outcomes. We study a case scenario for short-term mortality from particulate matter (PM2.5) in North Carolina for 2001-2016, employing a case-crossover design with inputs from an individual-level mortality data set and high-resolution gridded data sets of PM2.5 and weather covariates. We find a significant association between mortality and PM2.5, and the information tradeoffs indicate that a 10% increase in mortality information reduces model uncertainty three times more than increased resolution of the air pollution model from 12 to 1 km. We also find that Non-Hispanic Black (NHB) residents tend to live in relatively more polluted census tracts, and that the mean PM2.5 for NHB cases in the mortality model is significantly higher than that of Non-Hispanic White cases. The distinct distribution of PM2.5 for NHB cases results in a relatively higher information value, and therefore faster uncertainty reduction, for new NHB cases introduced into the mortality model. This newfound influence of exposure disparities in the rate of uncertainty reduction highlights the importance of minority representation in environmental research as a quantitative advantage to produce more confident estimates of the true effects of environmental pollution.

4.
Lancet Planet Health ; 4(10): e474-e482, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32976757

RESUMEN

BACKGROUND: Exposure to poor air quality leads to increased premature mortality from cardiovascular and respiratory diseases. Among the far-reaching implications of the ongoing COVID-19 pandemic, a substantial improvement in air quality was observed worldwide after the lockdowns imposed by many countries. We aimed to assess the implications of different lockdown measures on air pollution levels in Europe and China, as well as the short-term and long-term health impact. METHODS: For this modelling study, observations of fine particulate matter (PM2·5) concentrations from more than 2500 stations in Europe and China during 2016-20 were integrated with chemical transport model simulations to reconstruct PM2·5 fields at high spatiotemporal resolution. The health benefits, expressed as short-term and long-term avoided mortality from PM2·5 exposure associated with the interventions imposed to control the COVID-19 pandemic, were quantified on the basis of the latest epidemiological studies. To explore the long-term variability in air quality and associated premature mortality, we built different scenarios of economic recovery (immediate or gradual resumption of activities, a second outbreak in autumn, and permanent lockdown for the whole of 2020). FINDINGS: The lockdown interventions led to a reduction in population-weighted PM2·5 of 14·5 µg m-3 across China (-29·7%) and 2·2 µg m-3 across Europe (-17·1%), with unprecedented reductions of 40 µg m-3 in bimonthly mean PM2·5 in the areas most affected by COVID-19 in China. In the short term, an estimated 24 200 (95% CI 22 380-26 010) premature deaths were averted throughout China between Feb 1 and March 31, and an estimated 2190 (1960-2420) deaths were averted in Europe between Feb 21 and May 17. We also estimated a positive number of long-term avoided premature fatalities due to reduced PM2·5 concentrations, ranging from 76 400 (95% CI 62 600-86 900) to 287 000 (233 700-328 300) for China, and from 13 600 (11 900-15 300) to 29 500 (25 800-33 300) for Europe, depending on the future scenarios of economic recovery adopted. INTERPRETATION: These results indicate that lockdown interventions led to substantial reductions in PM2·5 concentrations in China and Europe. We estimated that tens of thousands of premature deaths from air pollution were avoided, although with significant differences observed in Europe and China. Our findings suggest that considerable improvements in air quality are achievable in both China and Europe when stringent emission control policies are adopted. FUNDING: None.


Asunto(s)
Contaminación del Aire/prevención & control , Control de Enfermedades Transmisibles/legislación & jurisprudencia , Infecciones por Coronavirus/prevención & control , Modelos Teóricos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Contaminantes Atmosféricos/análisis , Contaminación del Aire/análisis , Betacoronavirus , COVID-19 , China/epidemiología , Control de Enfermedades Transmisibles/economía , Infecciones por Coronavirus/economía , Infecciones por Coronavirus/epidemiología , Exposición a Riesgos Ambientales/análisis , Exposición a Riesgos Ambientales/prevención & control , Europa (Continente)/epidemiología , Humanos , Mortalidad Prematura/tendencias , Pandemias/economía , Material Particulado/análisis , Neumonía Viral/economía , Neumonía Viral/epidemiología , SARS-CoV-2
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