Influence of air pressure, humidity, solar radiation, temperature, and wind speed on ambulatory visits due to chronic obstructive pulmonary disease in Bavaria, Germany.

Chronic obstructive pulmonary disease (COPD) is one of the most important causes of morbidity and mortality in the world. The disease is often aggravated by periods of increased symptoms requiring medical attention. Among the possible triggers for these exacerbations, meteorological factors are under consideration. The objective of this study was to assess the influence of various meteorological factors on the health status of patients with COPD. For this purpose, the daily number of ambulatory care visits due to COPD was analysed in Bavaria, Germany, for the years 2006 and 2007. The meteorological factors were provided by the model at the European Centre for Medium Range Weather Forecast (ECMWF). For the multivariate analysis, a generalised linear model was used. In Bavaria, an increase of 1% of daily consultations (about 103 visits per day) was found to be associated with a change of 0.72 K temperature, 209.55 of log air surface pressure in Pa, and a decrease of 1% of daily consultations with 1,453,763 Ws m(2) of solar radiation. There also seem to be regional differences between north and south Bavaria; for instance, the effect of wind speed and specific humidity with a lag of 1 day were only significant in the north. This study could contribute to a tool for the prevention of exacerbations. It also serves as a model for the further evaluation of the impact of meteorological factors on health, and could easily be applied to other diseases or other regions.

Ethanol effects on the fate and transport of gasoline constituents in the UK.

In the UK, use of ethanol in fuel as a fuel oxygenate/fuel supplement is currently limited but could rise in an effort to meet the requirements of the European "Biofuels" Directive. This Energy Institute study focussed on the risk that accidental releases of ethanol blended gasoline (EBG) (i.e. gasoline containing 10% or less of ethanol) could pose to UK groundwater resources. Ethanol is miscible and highly biodegradable. As a result it tends to be strongly attenuated in the unsaturated zone and in groundwater and so does not, in itself, pose a significant risk to groundwater resources. However, it may lead to increased persistence of other gasoline constituents, particularly through alteration of geochemical conditions as a result of intensive biodegradation activity. A semi-probabilistic modelling exercise was undertaken to better understand the risks that use of EBG could pose to UK groundwater resources. Site investigation information from over 500 filling stations was used in combination with GIS data to predict the proportion of potable water supply wells that could potentially be impacted by benzene and MtBE, and estimate the length of benzene and MtBE plumes with and without the use of ethanol in gasoline. The results show that the use of EBG is likely to have a negligible effect on MtBE plumes. Some increase in benzene plume length is predicted, most notably in fissured aquifers, but increases in plume length of greater than 30% are predicted to be rare. A corresponding slight increase in risk to licensed potable water supply wells from benzene was predicted with the use of EBG but the percentage of wells at risk was still predicted to be small (0.13%), and in the context of the conservatism within the modelling, it was concluded that widespread use of EBG is unlikely to cause an increased risk to UK water resources.