The Association of Desert Dust with the Risk of Acute Coronary Syndrome in Subjects of a Younger Age.

Objectives: Recently, desert dust in Europe has been recognized as a cardiovascular health problem. In Spain, desert dust inflows in recent years have been associated with worsening air quality. The present study examines whether desert dust events are related to the incidence of acute coronary syndrome (ACS) in patients under 55 years of age. Methods: Data from 2416 consecutive patients admitted to a tertiary hospital due to ACS were prospectively analyzed. A case-crossover time-stratified design using Poisson conditional regression models was applied to estimate the impact of desert dust events involving particulate matter concentrations of an aerodynamic diameter <10 µm (PM10) on the incidence of ACS in patients under 55 years of age. Results: Desert dust intrusion on days 0 to 5 before ACS onset showed no significant association with the incidence of ACS in patients under 55 years of age. The incidence rate ratios of PM10 concentrations 1, 2, 3, 3, 4, and 5 days before ACS onset (for changes of 10 µg/m3) were 1.02 (95% CI 0.97-1.1; p = 0.41), 1.01 (95% CI 0.96-1.07; p = 0.66), 0.99 (95% CI 0.94-1.05; p = 0.78), 0.96 (95% CI 0.9-1.02; p = 0.18), and 0.97 (95% CI 0.91-1.04; p = 0.41). Conclusions: Our findings suggest that desert dust is unlikely to be related to the incidence of ACS in patients under 55 years of age.

Estimating the probability of occurrence of African dust outbreaks over regions of the western Mediterranean basin from thermodynamic atmospheric parameters.

Desert dust is currently recognized as a health risk factor. Therefore, the World Health Organization (WHO) is actively promoting the establishment of early warning systems for sand and dust storms. This study introduces a methodology to estimate the probability of African dust outbreaks occurring in eight different regions of the Iberian Peninsula and the Balearic Islands. In each region, a multilinear regression model was developed to calculate daily probabilities of dust events using three thermodynamic variables (geopotential thickness in the 1000-500 hPa layer, mean potential temperature between 925 and 700 hPa, and temperature anomalies at 850 hPa) as assessment parameters. All days with African dust transport over each study region were identified in the period 2001-2021 using a proven procedure. This information was then utilized to establish a functional relationship between the values of the thermodynamic parameters and the probability of African dust outbreaks occurring. The validation of this methodology involved comparing the daily probabilities of dust events generated by the models in 2001-2021 with the daily African dust contributions to PM10 regional background levels in each region. On average, daily dust contributions increased proportionally with the increase in daily probabilities, reaching zero for days with low probabilities. Furthermore, a well-defined seasonal evolution of probability values was observed in all regions, with the highest values in the summer months and the lowest in the winter period, ensuring the physical relevance of the models' results. Finally, upward trends were observed in all regions for the three thermodynamic parameters over 1940-2021. Thus, the probability of dust events development also increased in this period. It demonstrates that the aggravation of warm conditions in southern Europe in the last decades, have modified the frequency of North-African dust outbreaks over the western Mediterranean basin.

Airborne desert dust in the Northern Adriatic area (Croatia): Different sources.

During the implementation of the INTERREG IT-HR project ECOMOBILITY, whose one of the goals was to estimate the impact of ship emissions on air quality in the port city of Rijeka (Croatia) and Venice (Italy), two particular weekly samples were collected in Rijeka, during the first and the thirteen weeks of sampling, i.e. S01 (16.10.-23.10.2018) and S13 (24.04.-30.04.2019.), respectively. Both samples have similarities regarding species characteristic for desert dust contribution, but HYSPLIT analyses excluded Saharan desert to be the source of the S01 sample. Unlike Saharan dust, this sample had a high contribution of fine and ultrafine particles (>50 % and 9.8 %, respectively), as well as secondary inorganic (sulfates, ammonium) and organic (water soluble organic compounds - WSOC) aerosols. Detailed synoptic situation and HYSPLIT backward trajectories pointed out the Syrian Desert as the source of this collected sample. The same source was proved by MERRA-2 reanalysis of the desert dust emission. Although the Saharan dust episodes, mostly in precipitation, are well known in the Northern Adriatic area, this is the first time to indicate Syrian Desert as a source of airborne particulates. This assumption was confirmed with chemical species characteristic for the Syrian Desert, i.e. higher content of potassium from K- feldspar and phosphates.

Impact of desert dust storms, PM10 levels and daily temperature on mortality and emergency department visits due to stroke.

Objective: It is known that the inhalation of air pollutants adversely affects human health. These air pollutants originated from natural sources such as desert storms or human activities including traffic, power generating, domestic heating, etc. This study aimed to investigate the impacts of desert dust storms, particulate matter ≤10 µm (PM10) and daily maximum temperature (MT) on mortality and emergency department (ED) visits due to stroke in the city of Gaziantep, Southeast Turkey. Method: The data on mortality and ED visits due to stroke were retrospectively recruited from January 1, 2009, to March 31, 2014, in Gaziantep City Centre. Results: PM10 levels did not affect ED visits or mortality due to stroke; however, MT increased both ED visits [adjusted odds ratio (OR) = 1.002, 95% confidence interval (CI) = 1.001-1.003] and mortality (OR = 1.006, 95% CI = 0.997-1.014) due to stroke in women. The presence of desert storms increased ED visits due to stroke in the total population (OR = 1.219, 95% CI = 1.199-1.240), and all subgroups. It was observed that desert dust storms did not have an increasing effect on mortality. Conclusion: Our findings suggest that MT and desert dust storms can induce morbidity and mortality due to stroke.

Rationale and Design of the Impact of Air Pollution Due to DESERT Dust in Patients with HEART Failure (DESERT HEART).

AIMS: The main objective of this study is to determine whether exposure to Saharan dust causes airway inflammation and oxidative stress in patients with stable chronic heart failure (HF) and a left ventricular ejection fraction of less than 40%. METHODS: A longitudinal study design is used, involving the inclusion of 40 patients with stable chronic HF and a left ventricular ejection fraction of less than 40%. Four sputum samplings will be taken from each patient, with one sampling taken each week over four consecutive weeks. The sputum samples will be used to analyze the degree of inflammation and oxidative stress. Air quality monitoring stations will be used to analyze the particulate matter (PM) exposure of each patient. The intrusion of desert dust will be identified using meteorological models. There will be 160 scheduled samplings in 40 patients with chronic HF. Mixed regression models will be used to assess the influence of the concentrations of PM (from the episodes of desert dust) upon the airway inflammation and oxidative stress markers. CONCLUSION: The results of this study will test the hypothesis that exposure to high concentrations of Saharan dust affects the normal function of the respiratory epithelium due to the imbalance between the production of free radicals and antioxidant enzymes, thus causing increased pulmonary inflammation and oxidative stress in patients with HF that in turn may facilitate decompensations of their background disease condition.

Dithiothreitol-Measured Oxidative Potential of Reference Materials of Mineral Dust: Implications for the Toxicity of Mineral Dust Aerosols in the Atmosphere.

Oxidative stress is a mechanism that might raise the toxicity of mineral dust aerosols. We evaluated the oxidative potential (OP) of four reference materials (RMs) of mineral dusts using dithiothreitol assay. The OP of the water-soluble fraction of the dust RMs accounts for 40%-70% of the OP of the total fraction. The values of total and water-soluble OP normalized by the surface area of insoluble particles showed agreement among the different dust RMs. The surface area of insoluble dust particles was therefore inferred as an important factor affecting the OP of mineral dust. Using the relation between total OP and the surface area of insoluble particles of the dust RMs, we estimated the total OPs of fine and coarse atmospheric mineral dust aerosols assuming a typical particle size distribution of Asian dust aerosols observed in Japan. Mass-normalized total OPs were estimated at 44 and 23 pmol min-1 µg-1 for fine and coarse atmospheric mineral dust particles. They closely approximate the values observed for urban aerosols in Japan, which suggests that mineral dust plume advection can lead to a marked increase in human exposure to redox-active aerosols, even far downwind from mineral dust source regions.

Effects of Desert Dust and Sandstorms on Human Health: A Scoping Review.

Desert dust and sandstorms are recurring environmental phenomena that are reported to produce serious health risks worldwide. This scoping review was conducted to identify the most likely health effects of desert dust and sandstorms and the methods used to characterize desert dust exposure from the existing epidemiological literature. We systematically searched PubMed/MEDLINE, Web of Science, and Scopus to identify studies that reported the effects of desert dust and sandstorms on human health. Search terms referred to desert dust or sandstorm exposure, names of major deserts, and health outcomes. Health effects were cross-tabulated with study design variables (e.g., epidemiological design and methods to quantify dust exposure), desert dust source, health outcomes and conditions. We identified 204 studies that met the inclusion criteria for the scoping review. More than half of the studies (52.9%) used a time-series study design. However, we found a substantial variation in the methods used to identify and quantify desert dust exposure. The binary metric of dust exposure was more frequently used than the continuous metric for all desert dust source locations. Most studies (84.8%) reported significant associations between desert dust and adverse health effects, mainly for respiratory and cardiovascular mortality and morbidity causes. Although there is a large body of evidence on the health effects of desert dust and sandstorms, the existing epidemiological studies have significant limitations related to exposure measurement and statistical analysis that potentially contribute to inconsistencies in determining the effect of desert dust on human health.

Responses of schoolchildren with asthma to recommendations to reduce desert dust exposure: Results from the LIFE-MEDEA intervention project using wearable technology.

Current public health recommendations for desert dust storms (DDS) events focus on vulnerable population groups, such as children with asthma, and include advice to stay indoors and limit outdoor physical activity. To date, no scientific evidence exists on the efficacy of these recommendations in reducing DDS exposure. We aimed to objectively assess the behavioral responses of children with asthma to recommendations for reduction of DDS exposure. In two heavily affected by DDS Mediterranean regions (Cyprus & Crete, Greece), schoolchildren with asthma (6-11 years) were recruited from primary schools and were randomized to control (business as usual scenario) and intervention groups. All children were equipped with pedometer and GPS sensors embedded in smartwatches for objective real-time data collection from inside and outside their classroom and household settings. Interventions included the timely communication of personal DDS alerts accompanied by exposure reduction recommendations to both the parents and school-teachers of children in the intervention group. A mixed effect model was used to assess changes in daily levels of time spent, and steps performed outside classrooms and households, between non-DDS and DDS days across the study groups. The change in the time spent outside classrooms and homes, between non-DDS and DDS days, was 37.2 min (pvalue = 0.098) in the control group and -62.4 min (pvalue < 0.001) in the intervention group. The difference in the effects between the two groups was statistically significant (interaction pvalue < 0.001). The change in daily steps performed outside classrooms and homes, was -495.1 steps (pvalue = 0.350) in the control group and -1039.5 (pvalue = 0.003) in the intervention group (interaction pvalue = 0.575). The effects on both the time and steps performed outside were more profound during after-school hours. To summarize, among children with asthma, we demonstrated that timely personal DDS alerts and detailed recommendations lead to significant behavioral changes in contrast to the usual public health recommendations.

Desert dust intrusions and their incidence on airborne biological content. Review and case study in the Iberian Peninsula.

Desert dust intrusions cause the transport of airborne particulate matter from natural sources, with important consequences for climate regulation, biodiversity, ecosystem functioning and dynamics, human health, and socio-economic activities. Some effects of desert intrusions are reinforced or aggravated by the bioaerosol content of the air during these episodes. The influence of desert intrusions on airborne bioaerosol content has been very little studied from a scientific point of view. In this study, a systematic review of scientific literature during 1970-2021 was carried out following the standard protocol Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). After this literature review, only 6% of the articles on airborne transport from desert areas published in the last 50 years are in some way associated with airborne pollen, and of these, only a small proportion focus on the study of pollen-related parameters. The Iberian Peninsula is affected by Saharan intrusions due to its proximity to the African continent and is seeing an increasing trend the number of intrusion events. There is a close relationship among the conditions favouring the occurrence of intrusion episodes, the transport of particulate matter, and the transport of bioaerosols such as pollen grains, spores, or bacteria. The lack of linearity in this relationship and the different seasonal patterns in the occurrence of intrusion events and the pollen season of most plants hinders the study of the correspondence between both phenomena. It is therefore important to analyse the proportion of pollen that comes from regional sources and the proportion that travels over long distances, and the atmospheric conditions that cause greater pollen emission during dust episodes. Current advances in aerobiological techniques make it possible to identify bioaerosols such as pollen and spores that serve as indicators of long-distance transport from remote areas belonging to other bioclimatic and biogeographical units. A greater incidence of desert intrusion episodes may pose a challenge for both traditional systems and for the calibration and correct validation of automatic aerobiological monitoring methods.

The impact of meteorological parameters on PM10 and visibility during the Middle Eastern dust storms.

Air pollution is one of the most pressing issues in populated Middle Eastern cities, in particular for the city of Ahvaz, Iran, imposing deleterious effects on the environment, public health, economy, culture, and other sectors. In this study, we investigate the relationship between meteorological parameters, PM10, AOD, air mass source origin, and visibility during severe desert dust storms (Average3h PM10 > 3200 µg m-3) between 2009 and 2012. Six of seven such events occurred between February and March. Interestingly, for the seven cases there was always an alarming PM10 mass concentration peak (137-553 µg m-3) between 12:00-18:00 (local time) that was 18-24 h before the dominant peak of the storm (3279-4899 µg m-3). The maximum wind speed over the multi-day periods examined for the dust storms is usually observed 6 h before the alarming PM10 peak. The minimum relative humidity, dew point temperature and air pressure occurred ± 3 h around the time of the alarming PM10 peak. Wind speed was the meteorological parameter that was consistently higher around the time of the first peak as compared to the second peak, with the reverse being true for sea level pressure. Based on four years of daily data in Ahvaz, PM10 was positively correlated with wind speed and air temperature and inversely correlated with sea level pressure and RH. An empirically-derived equation with R2 = 0.95 is reported to estimate the maximum PM10 concentration for severe desert dust events in the study region based on meteorological parameters. Finally, AOD is shown to correlate strongly (R2 = 0.86) with PM10 during periods with severe desert dust storms in the region.

Infectious Diseases Associated with Desert Dust Outbreaks: A Systematic Review.

BACKGROUND: Desert dust outbreaks and dust storms are the major source of particulate matter globally and pose a major threat to human health. We investigated the microorganisms transported with desert dust particles and evaluated their potential impact on human health. METHODS: A systematic review of all reports on the association between non-anthropogenic desert dust pollution, dust microorganisms and human health is conducted. RESULTS: In total, 51 articles were included in this review. The affected regions studied were Asia (32/51, 62.7%) followed by Europe (9/51, 17.6%), America (6/51, 11.8%), Africa (4/51, 7.8%) and Australia (1/51, 2.0%). The Sahara Desert was the most frequent source of dust, followed by Asian and American deserts. In 39/51 studies the dust-related microbiome was analyzed, while, in 12/51 reports, the association of desert dust with infectious disease outbreaks was examined. Pathogenic and opportunistic agents were isolated from dust in 24/39 (61.5%) and 29/39 (74.4%) of the studies, respectively. A significant association of dust events with infectious disease outbreaks was found in 10/12 (83.3%) reports. The infectious diseases that were mostly investigated with dust outbreaks were pneumonia, respiratory tract infections, COVID-19, pulmonary tuberculosis and coccidioidomycosis. CONCLUSIONS: Desert dust outbreaks are vehicles of a significant number of pathogenic or opportunistic microorganisms and limited data indicate an association between dust events and infectious disease outbreaks. Further research is required to strengthen the correlation between dust events and infectious diseases and subsequently guide preventive public health measures.

Mass fractions, solubility, speciation and isotopic compositions of iron in coal and municipal waste fly ash.

Deposition of anthropogenic aerosols may contribute significantly to dissolved Fe in the open ocean, affecting marine primary production and biogeochemical cycles; however, fractional solubility of Fe is not well understood for anthropogenic aerosols. This work investigated mass fractions, solubility, speciation and isotopic compositions of Fe in coal and municipal waste fly ash. Compared to desert dust (3.1 ± 1.1%), the average mass fraction of Fe was higher in coal fly ash (6.2 ± 2.7%) and lower in municipal waste fly ash (2.6 ± 0.4%), and the average Fe/Al ratios were rather similar for the three types of particles. Municipal waste fly ash showed highest Fe solubility (1.98 ± 0.43%) in acetate buffer (pH: 4.3), followed by desert dust (0.43 ± 0.30%) and coal fly ash (0.24 ± 0.28%), suggesting that not all the anthropogenic aerosols showed higher Fe solubility than desert dust. For the samples examined in our work, amorphous Fe appeared to be an important controlling factor for Fe solubility, which was not correlated with particle size or BET surface area. Compared to desert dust (-0.05‰ to 0.21‰), coal and municipal waste fly ash showed similar or even higher δ56Fe values for total Fe (range: 0.05‰ to 0.75‰), implying that the presence of coal or municipal waste fly ash may not be able to explain significantly smaller δ56Fe values reported for total Fe in ambient aerosols affected by anthropogenic sources.

Air Pollution and Respiratory Hospital Admissions in Kuwait: The Epidemiological Applicability of Predicted PM2.5 in Arid Regions.

Dust is a major component of fine particulate matter (PM2.5) in arid regions; therefore, concentrations of this pollutant in countries such as Kuwait exceed air quality standards. There is limited understanding on the impact and burden of high PM2.5 concentrations on morbidity in these countries. In this study, we explore the association of PM2.5 and the risk of respiratory hospital admissions in Kuwait. A time-series regression model was used to investigate daily variations in respiratory admissions and PM2.5 concentrations from 2010 to 2018. Due to the lack of historical air quality sampling in Kuwait, we used estimated daily PM2.5 levels from a hybrid PM2.5 prediction model. Individual and cumulative lag effects of PM2.5 over a 5-day period were estimated using distributed lag linear models. Associations were stratified by sex, age, and nationality. There were 218,749 total respiratory admissions in Kuwait during the study period. Results indicate that for every 10 µg/m3 increase in PM2.5, a 1.61% (95% CI = 0.87, 2.35%) increase in respiratory admissions followed over a 5-day cumulative lag. Our estimates show that a 10 µg/m3 reduction in average exposure will potentially avert 391 yearly respiratory admissions (95% CI = 211,571), with 265 fewer admissions among Kuwaitis (95% CI = 139,393) and 262 fewer admissions among children under 15 years of age (95% CI = 125,351). Different strata of the Kuwaiti population are vulnerable to respiratory hospitalization with short-term exposure to PM2.5, especially those under 15 years of age. The findings are informative for public health authorities in Kuwait and other dust-prone countries.

Multiannual assessment of the desert dust impact on air quality in Italy combining PM10 data with physics-based and geostatistical models.

Desert dust storms pose real threats to air quality and health of millions of people in source regions, with associated impacts extending to downwind areas. Europe (EU) is frequently affected by atmospheric transport of desert dust from the Northern Africa and Middle East drylands. This investigation aims at quantifying the role of desert dust transport events on air quality (AQ) over Italy, which is among the EU countries most impacted by this phenomenon. We focus on the particulate matter (PM) metrics regulated by the EU AQ Directive. In particular, we use multiannual (2006-2012) PM10 records collected in hundreds monitoring sites within the national AQ network to quantify daily and annual contributions of dust during transport episodes. The methodology followed was built on specific European Commission guidelines released to evaluate the natural contributions to the measured PM-levels, and was partially modified, tested and adapted to the Italian case in a previous study. Overall, we show that impact of dust on the yearly average PM10 has a clear latitudinal gradient (from less than 1 to greater than 10 µg/m3 going from north to south Italy), this feature being mainly driven by an increased number of dust episodes per year with decreasing latitude. Conversely, the daily-average dust-PM10 (≅12 µg/m3) is more homogenous over the country and shown to be mainly influenced by the site type, with enhanced values in more urbanized locations. This study also combines the PM10 measurements-approach with geostatistical modelling. In particular, exploiting the dust-PM10 dataset obtained at site- and daily-resolution over Italy, a geostatistical, random-forest model was set up to derive a daily, spatially-continuous field of desert-dust PM10 at high (1-km) resolution. This finely resolved information represent the basis for a follow up investigation of both acute and chronic health effects of desert dust over Italy, stemming from daily and annual exposures, respectively.

Plumes and blooms - Locally-sourced Fe-rich aeolian mineral dust drives phytoplankton growth off southwest Africa.

Ocean-based photosynthesis accounts for half of global primary production. Productivity rates, driven by phytoplanktonic responses to nutrient availability, are however highly variable both spatially and temporally throughout the oceans. Intense primary production in the ocean's most productive areas, the Eastern Boundary Upwelling Systems (EBUS), cannot be fully explained by nutrient upwelling alone, with the role of local dust sources and complimentary aeolian nutrient delivery largely overlooked. Here we explore relationships between iron-rich dust plumes emanating from a significant regional dust source, Namibia's ephemeral river valleys, and blooms of phytoplankton growth off southwest Africa in the Benguela Upwelling System (BUS). We constrain dust source dynamics through field measurement of in-valley airborne dust concentrations made at daily resolution, and couple these with satellite observations of atmospheric aerosols, ocean phytoplankton concentrations, and sea surface temperature over a six-month period encompassing the known 'dust season' of the valley sources. Phytoplanktonic responses in BUS waters to individual dust emission events were identified and were importantly shown to be unassociated with upwelling events. We demonstrate a fast (1-2 day) chlorophyllic response to observed iron-rich dust emissions, a relationship that is concealed by monthly averaged data. We show that terrestrial in-valley airborne dust concentrations correlate with offshore increases in phytoplankton concentrations, providing the first study of oceanic response that is directly linked with a specific monitored terrestrial dust source.

Physical and chemical properties of dust in the Pre-Aral region of Uzbekistan.

The aim of this work is study of physical and chemical properties of dust of the Pre-Aral region of Uzbekistan such as Karakalpakstan and Khorezm that are located near the three deserts such as the Aralkum, Karakum, and Kyzylkum. The dust particles fell on glass have been collected in Karakalpakstan and Khorezm and studied systematically by employing wide range of methods. Particle volume vs size distribution has been measured with maximum around 600 nm and ~ 10 µm. The major and minor constituent materials present in the dust have been studied systematically by X-ray fluorescence spectroscopy, energy dispersive X-ray diffraction, and inductively coupled plasma optical emission spectroscopy. Main characteristic absorption bands corresponding to Si-O, Si-O-Si bonding in quartz and Fe-O bonds in hematite Fe2O3 have been identified by infrared and Raman spectroscopy. Quartz, hematite, lime, corundum, magnesia, and several other trace minerals have been identified in the dust particles. X-ray diffraction peaks corresponding to quartz, hematite, and corundum are sharp and are found to be more crystalline with some level of disorder. Analysis of the particle size and crystallinity on human being has been performed: disordered or crystalline quartz can create the lung disease; the particles in the size of 0.5-0.7 µm may produce diseases such as chronic silicosis, silicosis, and silica tuberculosis whereas hematite might create lung disease. Dust particles worsen optical transmittance of glass of the panels.

A Global-Scale Mineral Dust Equation.

A robust method to estimate mineral dust mass in ambient particulate matter (PM) is essential, as the dust fraction cannot be directly measured but is needed to understand dust impacts on the environment and human health. In this study, a global-scale dust equation is developed that builds on the widely used Interagency Monitoring of Protected Visual Environments (IMPROVE) network's "soil" formula that is based on five measured elements (Al, Si, Ca, Fe, and Ti). We incorporate K, Mg, and Na into the equation using the mineral-to-aluminum (MAL) mass ratio of (K2O + MgO + Na2O)/Al2O3 and apply a correction factor (CF) to account for other missing compounds. We obtain region-specific MAL ratios and CFs by investigating the variation in dust composition across desert regions. To calculate reference dust mass for equation evaluation, we use total-mineral-mass (summing all oxides of crustal elements) and residual-mass (subtracting non-dust species from total PM) approaches. For desert dust in source regions, the normalized mean bias (NMB) of the global equation (within ±1%) is significantly smaller than the NMB of the IMPROVE equation (-6% to 10%). For PM2.5 with high dust content measured by the IMPROVE network, the global equation estimates dust mass well (NMB within ±5%) at most sites. For desert dust transported to non-source regions, the global equation still performs well (NMB within ±2%). The global equation can also represent paved road, unpaved road, and agricultural soil dust (NMB within ±5%). This global equation provides a promising approach for calculating dust mass based on elemental analysis of dust.

Abundance and fractional solubility of phosphorus and trace metals in combustion ash and desert dust: Implications for bioavailability and reactivity.

Aerosol phosphorus (P) and trace metals derived from natural processes and anthropogenic emissions have considerable impacts on ocean ecosystems, human health, and atmospheric processes. However, the abundance and fractional solubility of P and trace metals in combustion ash and desert dust, which are two of the largest emission sources of aerosols, are still not well understood. In this study, the abundance and fractional solubility of P and trace metals in seven coal fly ash samples, two municipal waste fly ash samples, and three desert dust samples were experimentally examined. It was found that the abundance of aluminum (Al) in combustion ash was comparable or even higher than that in desert dust, and, therefore, care should be taken when using Al as a tracer of desert dust. The abundance and fractional solubility of P were higher in combustion ash, with a soluble P content ~4-6 times higher than that of the desert dust, indicating that combustion ash could be an important source of bioavailable P in the atmosphere. Except for Mn, the abundance and fractional solubility of other heavy metals were higher in the combustion ash compared to the desert dust, indicating the potential importance of combustion ash in ocean ecosystems, human health, and atmospheric processes. In contrast, both the abundance and solubility of Mn were highest in the desert dust, indicating a potentially important source of soluble Mn in the atmosphere. The fractional solubilities of P and trace metals are significantly affected by acidity and ions in the extraction solutions, and it is suggested that a buffer solution can better represent the acidity of the aqueous system in the true atmospheric environment. The results of this study improve our understanding of the sources of bioavailable and reactive P and trace metals in ambient aerosols.

Health effects of desert dust storm events in the south-eastern Mediterranean: perceptions and practices of local stakeholders.

BACKGROUND: The south-eastern Mediterranean experiences frequent desert dust storm events (DDS) that have been shown to be associated with adverse health effects. AIMS: This study assessed the perceptions and practices towards DDS of local authorities and stakeholders from 3 countries in the region, Cyprus, Greece and Israel. METHODS: Between October 2017 and April 2018, we administered a semi-structured questionnaire to regulatory authorities involved in public protection from DDS as well as social stakeholders in the 3 countries. The questionnaire addressed their knowledge regarding DDS, perceptions on the relationship between DDS and health effects and relevant actions taken towards public protection. RESULTS: Out of 58 stakeholders contacted, 49 participated in the study (84.5% response rate). Fourteen (28.6%) were regulatory authorities and 35 (71.4%) were social stakeholders. All responders were familiar with DDS but several underestimated the frequency of events while the majority (73%) instinctively reported that elders, children and respiratory patients are susceptible subpopulations. Nevertheless, 71% were unaware of a national policy on DDS, or considered that this was lacking in their country. Although several stakeholders reportedly receive questions from the public regarding DDS effects, only few reply according to a pre-determined action plan. CONCLUSIONS: Regulatory authorities and social stakeholders in Cyprus, Greece and Israel are characterized by good knowledge of DDS and associated health effects, although implementation of pre-determined action plans for public protection is limited. Future efforts should concentrate on increasing awareness among stakeholders and the public and developing national policies, including effective measures to minimize DDS exposure.

Mechanisms underlying the health effects of desert sand dust.

Desertification and climate change indicate a future expansion of the global area of dry land and an increase in the risk of drought. Humans may therefore be at an ever-increasing risk of frequent exposure to, and resultant adverse health effects of desert sand dust. This review appraises a total of 52 experimental studies that have sought to identify mechanisms and intermediate endpoints underlying epidemiological evidence of an impact of desert dust on cardiovascular and respiratory health. Toxicological studies, in main using doses that reflect or at least approach real world exposures during a dust event, have demonstrated that virgin sand dust particles and dust storm particles sampled at remote locations away from the source induce inflammatory lung injury and aggravate allergen-induced nasal and pulmonary eosinophilia. Effects are orchestrated by cytokines, chemokines and antigen-specific immunoglobulin potentially via toll-like receptor/myeloid differentiation factor signaling pathways. Findings suggest that in addition to involvement of adhered chemical and biological pollutants, mineralogical components may also be implicated in the pathogenesis of human respiratory disorders during a dust event. Whilst comparisons with urban particulate matter less than 2.5 µm in diameter (PM2.5) suggest that allergic inflammatory responses are greater for microbial element-rich dust- PM2.5, aerosols generated during dust events appear to have a lower oxidative potential compared to combustion-generated PM2.5 sampled during non-dust periods. In vitro findings suggest that the significant amounts of suspended desert dust during storm periods may provide a platform to intermix with chemicals on its surfaces, thereby increasing the bioreactivity of PM2.5 during dust storm episodes, and that mineral dust surface reactions are an unrecognized source of toxic organic chemicals in the atmosphere, enhancing toxicity of aerosols in urban environments. In summary, the experimental research on desert dust on respiratory endpoints go some way in clarifying the mechanistic effects of atmospheric desert dust on the upper and lower human respiratory system. In doing so, they provide support for biological plausibility of epidemiological associations between this particulate air pollutant and events including exacerbation of asthma, hospitalization for respiratory infections and seasonal allergic rhinitis.