EAACI guidelines on environmental science for allergy and asthma: The impact of short-term exposure to outdoor air pollutants on asthma-related outcomes and recommendations for mitigation measures.

The EAACI Guidelines on the impact of short-term exposure to outdoor pollutants on asthma-related outcomes provide recommendations for prevention, patient care and mitigation in a framework supporting rational decisions for healthcare professionals and patients to individualize and improve asthma management and for policymakers and regulators as an evidence-informed reference to help setting legally binding standards and goals for outdoor air quality at international, national and local levels. The Guideline was developed using the GRADE approach and evaluated outdoor pollutants referenced in the current Air Quality Guideline of the World Health Organization as single or mixed pollutants and outdoor pesticides. Short-term exposure to all pollutants evaluated increases the risk of asthma-related adverse outcomes, especially hospital admissions and emergency department visits (moderate certainty of evidence at specific lag days). There is limited evidence for the impact of traffic-related air pollution and outdoor pesticides exposure as well as for the interventions to reduce emissions. Due to the quality of evidence, conditional recommendations were formulated for all pollutants and for the interventions reducing outdoor air pollution. Asthma management counselled by the current EAACI guidelines can improve asthma-related outcomes but global measures for clean air are needed to achieve significant impact.

Is exposure to pollen a risk factor for moderate and severe asthma exacerbations?

Limited number of studies have focused on the impact of pollen exposure on asthma. As a part of the EAACI Guidelines on Environment Science, this first systematic review on the relationship of pollen exposure to asthma exacerbations aimed to bridge this knowledge gap in view of implementing recommendations of prevention. We searched electronic iPubMed, Embase, and Web of Science databases using a set of MeSH terms and related synonyms and identified 73 eligible studies that were included for systemic review. When possible, meta-analyses were conducted. Overall meta-analysis suggests that outdoor pollen exposure may have an effect on asthma exacerbation, but caution is needed due to the low number of studies and their heterogeneity. The strongest associations were found between asthma attacks, asthma-related ED admissions or hospitalizations, and an increase in grass pollen concentration in the previous 2-day overall in children aged less than 18 years of age. Tree pollen may increase asthma-related ED visits or admissions lagged up to 7-day overall in individuals younger than 18 years. Rare data show that among subjects under 18 years of age, an exposure to grass pollen lagged up to 3 days may lower lung function. Further research considering effect modifiers of pollen sensitization, hay fever, asthma, air pollution, green spaces, and pre-existing medications is urgently warranted to better evaluate the impacts of pollen on asthma exacerbation. Preventive measures in relation to pollen exposure should be integrated in asthma control as pollen increase continues due to climate change.

Multi-sectoral impact assessment of an extreme African dust episode in the Eastern Mediterranean in March 2018.

In late March 2018, a large part of the Eastern Mediterranean experienced an extraordinary episode of African dust, one of the most intense in recent years, here referred to as the "Minoan Red" event. The episode mainly affected the Greek island of Crete, where the highest aerosol concentrations over the past 15 yeas were recorded, although impacts were also felt well beyond this core area. Our study fills a gap in dust research by assessing the multi-sectoral impacts of sand and dust storms and their socioeconomic implications. Specifically, we provide a multi-sectoral impact assessment of Crete during the occurrence of this exceptional African dust event. During the day of the occurrence of the maximum dust concentration in Crete, i.e. March 22nd, 2018, we identified impacts on meteorological conditions, agriculture, transport, energy, society (including closing of schools and cancellation of social events), and emergency response systems. As a result, the event led to a 3-fold increase in daily emergency responses compare to previous days associated with urban emergencies and wildfires, a 3.5-fold increase in hospital visits and admissions for Chronic Obstructive Pulmonary Disease (COPD) exacerbations and dyspnoea, a reduction of visibility causing aircraft traffic disruptions (eleven cancellations and seven delays), and a reduction of solar energy production. We estimate the cost of direct and indirect effects of the dust episode, considering the most affected socio-economic sectors (e.g. civil protection, aviation, health and solar energy production), to be between 3.4 and 3.8 million EUR for Crete. Since such desert dust transport episodes are natural, meteorology-driven and thus to a large extent unavoidable, we argue that the efficiency of actions to mitigate dust impacts depends on the accuracy of operational dust forecasting and the implementation of relevant early warning systems for social awareness.

Variations and trends of biologically effective doses of solar ultraviolet radiation in Asia, Europe and South America from 1999 to 2007.

Biological monitoring of solar UV radiation using spore dosimeters has been undertaken since the year 1999 at more than 20 sites in Asia, Europe and South America. The monthly-cumulative data to the end of the year 2004 have been presented before. In this paper, successive data to the end of the year 2007 are compiled and the trends and correlation analyses with yearly and monthly average amounts of columnar ozone are presented. Mean yearly doses at 10 northern and 6 southern hemisphere sites exhibited exponential latitudinal gradients with similar slopes indicating a doubling of the dose with the decline of about 14 degrees. Among 12 sites where continual data for more than 6 years were available, increasing trends in yearly UV doses were observed at 11 sites. At one European (Brussels), two tropical Asian (Padang and Denpasar), and two South American (São Martinho and Punta Arenas) sites, decreasing trends of ozone amounts were noted, whereas at the remaining 6 sites (five sites in Japan and Thessaloniki), increasing trends of the UV doses were observed without notable changes, or with an increase at one site (Kiyotake), of the average ozone amounts. At one site (Taipei), the UV doses and the ozone amounts stayed constant. In the monsoon areas, climatic variations and changes, particularly in the extent of cloudiness and frequency of rainfall in summer months, might have been largely responsible for the trends of the UV doses. However, even at these sites, the decreases in the ozone amounts in summer months were frequently observed and might have contributed to the increasing trends of the UV doses. Since each region and locality is unique in climatic and atmospheric conditions, it is not easy to generalize the global trends. However, at many sites involved in this monitoring project, the increases in the biological UV doses during this period seemed to be linked to the decreases in the ozone amounts.

Calculations of the human vitamin D exposure from UV spectral measurements at three European stations.

The health benefits of solar UVB and vitamin D in reducing the risk of cancer and several other diseases have been well documented in recent years. In this study, quality-checked spectral UV irradiance measurements from three European stations (Jokioinen, Finland; Bilthoven, The Netherlands; and Thessaloniki, Greece) are used and the vitamin D effective dose (VDED) is calculated. The maximum average daily VDED is measured during the second half of June and it is up to 250 times higher than the corresponding winter minimum value. At each site, a polynomial fit between the VDED and the erythemal dose rates is proposed. The average VDED rates at local noon exceed a detection threshold value for the cutaneous production of vitamin D at Thessaloniki and Bilthoven throughout the year. The proposed standard vitamin dose cannot be attained, even for skin types I-III and exposure time of 60 minutes around local noon, under physiological atmospheric conditions at Bilthoven and Jokioinen during 3 and 4 months respectively. The daily VDED values, using the CIE action spectrum, are higher from 2% and 8% during summer and winter respectively at all sites, compared with those derived by the action spectrum proposed by MacLaughlin et al. (Science, 1982, 216, 1001-1003). These differences are comparable with the uncertainty of spectral measurements.

Charge-coupled device spectrograph for direct solar irradiance and sky radiance measurements.

The characterization of a charged-coupled device (CCD) spectrograph developed at the Laboratory of Atmospheric Physics, Thessaloniki is presented. The absolute sensitivity of the instrument for direct irradiance and sky radiance measurements was determined, respectively, with an uncertainty of 4.4% and 6.6% in the UV-B, and 3% and 6% in the UV-A, visible and near-infrared (NIR) wavelength ranges. The overall uncertainty associated with the direct irradiance and the sky radiance measurements is, respectively, of the order of 5% and 7% in the UV-B, increasing to 10% for low signals [e.g., at solar zenith angles (SZAs) larger than 70 degrees ], and 4% and 6% in the UV-A, visible, and NIR. Direct solar spectral irradiance measurements from an independently calibrated spectroradiometer (Bentham DTM 300) were compared with the corresponding CCD measurements. Their agreement in the wavelength range of 310-500nm is within 0.5% +/- 1.1% (for SZA between 20 degrees and 70 degrees ). Aerosol optical depth (AOD) derived by the two instruments using direct Sun spectra and by a collocated Cimel sunphotometer [Aerosol Robotic network (AERONET)] agree to within 0.02 +/- 0.02 in the range of 315-870 nm. Significant correlation coefficients with a maximum of 0.99 in the range of 340-360 nm and a minimum of 0.90 at 870 nm were found between synchronous AOD measurements with the Bentham and the Cimel instruments.

Biological monitoring of solar UV radiation at 17 sites in Asia, Europe and South America from 1999 to 2004.

A small and robust dosimeter for determining the biologically effective dose of ambient UV radiation has been developed using UV-sensitive mutant spores of Bacillus subtilis strain TKJ6312. A membrane filter with four spots of the spores was snapped to a slide mount. The slide was wrapped and covered with two or more layers of polyethylene sheet to protect the sample from rain and snow and to reduce monthly-cumulative doses within the measurable range. From 1999, monthly data were collected at 17 sites for more than 1 year, and data for 4 to 6 consecutive years were obtained from 12 sites. Yearly total values of the spore inactivation dose (SID) ranged from 3200 at subarctic Oulu to 96 000 at tropical Denpasar, and the mean yearly values of SID exhibited an exponential dependence on latitude in both hemispheres with a doubling for about every 14 degrees of change. During the observation period, increasing trends of UV doses have been observed at all sites with more than 5 years of data available. Year-to-year variations at high and middle latitude sites are considered due mostly to climatic variation. At three tropical sites, negative correlations between the yearly doses and the column ozone amounts were observed. The results verified the applicability of spore dosimetry for global and long-time monitoring of solar UV radiation, in particular at tropical sites where no monitoring is taking place.

Traveling reference spectroradiometer for routine quality assurance of spectral solar ultraviolet irradiance measurements.

A transportable reference spectroradiometer for measuring spectral solar ultraviolet irradiance has been developed and validated. The expanded uncertainty of solar irradiance measurements with this reference spectroradiometer, based on the described methodology, is 8.8% to 4.6%, depending on the wavelength and the solar zenith angle. The accuracy of the spectroradiometer was validated by repeated site visits to two European UV monitoring sites as well as by regular comparisons with the reference spectroradiometer of the European Reference Centre for UV radiation measurements in Ispra, Italy. The spectral solar irradiance measurements of the Quality Assurance of Spectral Ultraviolet Measurements in Europe through the Development of a Transportable Unit (QASUME) spectroradiometer and these three spectroradiometers have agreed to better than 6% during the ten intercomparison campaigns held from 2002 to 2004. If the differences in irradiance scales of as much as 2% are taken into account, the agreement is of the order of 4% over the wavelength range of 300-400 nm.

Direct spectral measurements with a Brewer spectroradiometer: absolute calibration and aerosol optical depth retrieval.

We present three different methods for the absolute calibration of direct spectral irradiances measured with a Brewer spectroradiometer, which are shown to agree to within +/- 2%. Direct irradiance spectra derived by Brewer and Bentham spectroradiometers agree to within 4 +/- 3%. Good agreement was also found by a comparison of the aerosol optical depth and Angstrom exponent retrieved by the two instruments and a multifilter rotational shadowband radiometer. The spectral aerosol optical depth (300-365 nm) derived from six years of direct irradiance measurements at Thessaloniki shows a distinct seasonal variation, averaging to approximately 0.3 at 340 nm in winter and approximately 0.7 in summer.