Long-term effects of air pollutants on respiratory and cardiovascular mortality in a port city along the Adriatic sea.

BACKGROUND: Shipping and port-related air pollution has a significant health impact on a global scale. The present study aimed to assess the mortality burden attributable to long-term exposure to ambient particulate matter (PM2.5, PM10) and nitrogen dioxide (NO2) in the city of Ancona (Italy), with one of the leading national commercial harbours. METHODS: Exposure to air pollutants was derived by dispersion models. The relationship between the long-term exposure of air pollution exposure and cause-specific mortality was evaluated by Poisson regression models, after adjustment for gender, age and socioeconomic status. Results are expressed as percent change of risk (and relative 95% confidence intervals) per 5 unit increases in the exposures. The health impact on the annual number of premature cause-specific deaths was also assessed. RESULTS: PM2.5 and NO2 annual concentrations were higher in the area close to the harbour than in the rest of the city. Positive associations between each pollutant and most of the mortality outcomes were observed, with estimates of up to 7.6% (95%CI 0.1, 15.6%) for 10 µg/m3 increase in NO2 and cardiovascular mortality and 15.3% (95%CI-1.1, 37.2%) for 10 µg/m3 increase PM2.5 and lung cancer. In the subpopulation living close to the harbour, there were excess risks of up to 13.5%, 24.1% and 37.9% for natural, cardiovascular and respiratory mortality. The number of annual premature deaths due to the excess of PM2.5 and NO2 exposure (having as a reference the 2021 World Health Organization Air Quality Guidelines) was 82 and 25, respectively. CONCLUSIONS: Our study confirms the long-term health effects of PM and NO2 on mortality and reveals a higher mortality burden in areas close to shipping and port-related emissions. Estimating the source-specific health burdens is key to achieve a deeper understanding of the role of different emission sources, as well as to support effective and targeted mitigation strategies.

Asian aerosols: current and year 2030 distributions and implications to human health and regional climate change.

Aerosol distributions in Asia calculated over a 4-year period and constrained by satellite observations of aerosol optical depth (AOD) are presented. Vast regions in Asia that include > 80% of the population have PM2.5 concentrations that exceed on an annual basis the WHO guideline of 10 microg/m3, often by factors of 2 to 4. These high aerosol loadings also have important radiative effects, causing a significant dimming at the surface, and mask approximately 45% of the warming by greenhouse gases. Black carbon (BC) concentrations are high throughout Asia, representing 5-10% of the total AOD, and contributing significantly to atmospheric warming (its warming potential is approximately 55% of that due to CO2). PM levels and AODs in year 2030, estimated based on simulations that consider future changes in emissions, are used to explore opportunities for win-win strategies built upon addressing air quality and climate change together. It is found that in 2030 the PM2.5 levels in significant parts of Asia will increase and exacerbate health impacts; but the aerosols will have a larger masking effect on radiative forcing, due to a decrease in BC and an increase in SO2 emissions.