RESUMO
Severe ground-level ozone (O3) pollution over major Chinese cities has become one of the most challenging problems, which have deleterious effects on human health and the sustainability of society. This study explored the spatiotemporal distribution characteristics of ground-level O3 and its precursors based on conventional pollutant and meteorological monitoring data in Zhejiang Province from 2016 to 2021. Then, a high-performance convolutional neural network (CNN) model was established by expanding the moment and the concentration variations to general factors. Finally, the response mechanism of O3 to the variation with crucial influencing factors is explored by controlling variables and interpolating target variables. The results indicated that the annual average MDA8-90th concentrations in Zhejiang Province are higher in the northern and lower in the southern. When the wind direction (WD) ranges from east to southwest and the wind speed (WS) ranges between 2 and 3 m/sec, higher O3 concentration prone to occur. At different temperatures (T), the O3 concentration showed a trend of first increasing and subsequently decreasing with increasing NO2 concentration, peaks at the NO2 concentration around 0.02 mg/m3. The sensitivity of NO2 to O3 formation is not easily affected by temperature, barometric pressure and dew point temperature. Additionally, there is a minimum [Formula: see text] at each temperature when the NO2 concentration is 0.03 mg/m3, and this minimum [Formula: see text] decreases with increasing temperature. The study explores the response mechanism of O3 with the change of driving variables, which can provide a scientific foundation and methodological support for the targeted management of O3 pollution.
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Poluentes Atmosféricos , Poluição do Ar , Cidades , Monitoramento Ambiental , Redes Neurais de Computação , Ozônio , Ozônio/análise , Poluentes Atmosféricos/análise , China , Poluição do Ar/estatística & dados numéricos , Análise Espaço-TemporalRESUMO
Polychlorinated naphthalenes (PCNs) are detrimental to human health and the environment. With the commercial production of PCNs banned, unintentional releases have emerged as a significant environmental source. However, relevant information is still scarce. In this study, provincial emissions for eight PCNs homologues from 37 sources in the Chinese mainland during the period of 1960-2019 were estimated based on a source-specific and time-varying emission factor database. The results showed that the total PCNs emissions in 2019 reached 757.0 kg with Hebei ranked at the top among all the provinces and iron & steel industry as the biggest source. Low-chlorinated PCNs comprised 90% of emissions by mass, while highly chlorinated PCNs dominated in terms of toxicity, highlighting divergent priorities for mitigating emissions and safeguarding human health. The emissions showed an overall upward trend from 1960 to 2019 driven by emission increase from iron & steel industry in terms of source, and from North China and East China in terms of geographic area. Per-capita emissions followed an inverted U-shaped environmental Kuznets curve while emission intensities decreased with increasing per-capita Gross Domestic Product (GDP) following a nearly linear pattern when log-transformed.
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Poluentes Atmosféricos , Monitoramento Ambiental , Naftalenos , China , Naftalenos/análise , Poluentes Atmosféricos/análise , Poluição do Ar/estatística & dados numéricosRESUMO
Objective weather classification methods have been extensively applied to identify dominant ozone-favorable synoptic weather patterns (SWPs), however, the consistency of different classification methods is rarely examined. In this study, we apply two widely-used objective methods, the self-organizing map (SOM) and K-means clustering analysis, to derive ozone-favorable SWPs at four Chinese megacities in 2015-2022. We find that the two algorithms are largely consistent in recognizing dominant ozone-favorable SWPs for four Chinese megacities. In the case of classifying six SWPs, the derived circulation fields are highly similar with a spatial correlation of 0.99 between the two methods, and the difference in the mean frequency of each SWP is less than 7%. The six dominant ozone-favorable SWPs in Guangzhou are all characterized by anomaly higher radiation and temperature, lower cloud cover, relative humidity, and wind speed, and stronger subsidence compared to climatology mean. We find that during 2015-2022, the occurrence of ozone-favorable SWPs days increases significantly at a rate of 3.2 day/year, faster than the increases in the ozone exceedance days (3.0 day/year). The interannual variability between the occurrence of ozone-favorable SWPs and ozone exceedance days are generally consistent with a temporal correlation coefficient of 0.6. In particular, the significant increase in ozone-favorable SWPs in 2022, especially the Subtropical High type which typically occurs in September, is consistent with a long-lasting ozone pollution episode in Guangzhou during September 2022. Our results thus reveal that enhanced frequency of ozone-favorable SWPs plays an important role in the observed 2015-2022 ozone increase in Guangzhou.
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Poluentes Atmosféricos , Monitoramento Ambiental , Ozônio , Tempo (Meteorologia) , Ozônio/análise , China , Poluentes Atmosféricos/análise , Poluição do Ar/estatística & dados numéricosRESUMO
To explore air contamination resulting from special biomass combustion and suspended dust in Lhasa, the present study focused on the size distribution and chemical characteristics of particulate matter (PM) emission resulting from 7 types of non-fossil pollution sources. We investigated the concentration and size distribution of trace elements from 7 pollution sources collected in Lhasa. Combining Lhasa's atmospheric particulate matter data, enrichment factors (EFs) have been calculated to examine the potential impact of those pollution sources on the atmosphere quality of Lhasa. The highest mass concentration of total elements of biomass combustion appeared at PM0.4, and the second highest concentration existed in the size fraction 0.4-1 µm; the higher proportion (12 %) of toxic metals was produced by biomass combustion. The elemental composition of suspended dust and atmospheric particulate matter was close (except for As and Cd); the highest concentration of elements was all noted in PM2.5-10 (PM3-10). Potassium was found to be one of the main biomass markers. The proportion of Cu in suspended dust is significantly lower than that of atmospheric particulate matter (0.53 % and 3.75 %), which indicates that there are other anthropogenic sources. The EFs analysis showed that the Cr, Cu, Zn, and Pb produced by biomass combustion were highly enriched (EFs > 100) in all particle sizes. The EFs of most trace elements increased with decreasing particle size, indicating the greater influence of humanfactors on smaller particles.
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Aerossóis , Poluentes Atmosféricos , Poeira , Monitoramento Ambiental , Tamanho da Partícula , Material Particulado , Poluentes Atmosféricos/análise , Aerossóis/análise , Material Particulado/análise , Poeira/análise , Oligoelementos/análise , Poluição do Ar/estatística & dados numéricos , Poluição do Ar/análise , China , Atmosfera/químicaRESUMO
China is the most important steel producer in the world, and its steel industry is one of the most carbon-intensive industries in China. Consequently, research on carbon emissions from the steel industry is crucial for China to achieve carbon neutrality and meet its sustainable global development goals. We constructed a carbon dioxide (CO2) emission model for China's iron and steel industry from a life cycle perspective, conducted an empirical analysis based on data from 2019, and calculated the CO2 emissions of the industry throughout its life cycle. Key emission reduction factors were identified using sensitivity analysis. The results demonstrated that the CO2 emission intensity of the steel industry was 2.33 ton CO2/ton, and the production and manufacturing stages were the main sources of CO2 emissions, accounting for 89.84% of the total steel life-cycle emissions. Notably, fossil fuel combustion had the highest sensitivity to steel CO2 emissions, with a sensitivity coefficient of 0.68, reducing the amount of fossil fuel combustion by 20% and carbon emissions by 13.60%. The sensitivities of power structure optimization and scrap consumption were similar, while that of the transportation structure adjustment was the lowest, with a sensitivity coefficient of less than 0.1. Given the current strategic goals of peak carbon and carbon neutrality, it is in the best interest of the Chinese government to actively promote energy-saving and low-carbon technologies, increase the ratio of scrap steel to steelmaking, and build a new power system.
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Dióxido de Carbono , Pegada de Carbono , Aço , China , Dióxido de Carbono/análise , Poluentes Atmosféricos/análise , Metalurgia , Monitoramento Ambiental , Indústrias , Poluição do Ar/estatística & dados numéricos , Poluição do Ar/prevenção & controleRESUMO
Chinese diesel trucks are the main contributors to NOx and particulate matter (PM) vehicle emissions. An increase in diesel trucks could aggravate air pollution and damage human health. The Chinese government has recently implemented a series of emission control technologies and measures for air quality improvement. This paper summarizes recent control technologies and measures for diesel truck emissions in China and introduces the comprehensive application of control technologies and measures in Beijing-Tianjin-Hebei and surrounding regions. Remote online monitoring technology has been adopted according to the China VI standard for heavy-duty diesel trucks, and control measures such as transportation structure adjustment and heavy pollution enterprise classification control continue to support the battle action plan for pollution control. Perspectives and suggestions are provided for promoting pollution control and supervision of diesel truck emissions: adhere to the concept of overall management and control, vigorously promote the application of systematic and technological means in emission monitoring, continuously facilitate cargo transportation structure adjustment and promote new energy freight vehicles. This paper aims to accelerate the implementation of control technologies and measures throughout China. China is endeavouring to control diesel truck exhaust pollution. China is willing to cooperate with the world to protect the global ecological environment.
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Poluentes Atmosféricos , Poluição do Ar , Monitoramento Ambiental , Material Particulado , Emissões de Veículos , Emissões de Veículos/análise , China , Poluentes Atmosféricos/análise , Poluição do Ar/prevenção & controle , Poluição do Ar/estatística & dados numéricos , Monitoramento Ambiental/métodos , Material Particulado/análise , Veículos AutomotoresRESUMO
Air pollution stands as an environmental risk to child mental health, with proven relationships hitherto observed only in urban areas. Understanding the impact of pollution in rural settings is equally crucial. The novelty of this article lies in the study of the relationship between air pollution and behavioural and developmental disorders, attention deficit hyperactivity disorder (ADHD), anxiety, and eating disorders in children below 15 living in a rural area. The methodology combines spatio-temporal models, Bayesian inference and Compositional Data (CoDa), that make it possible to study areas with few pollution monitoring stations. Exposure to nitrogen dioxide (NO2), ozone (O3), and sulphur dioxide (SO2) is related to behavioural and development disorders, anxiety is related to particulate matter (PM10), O3 and SO2, and overall pollution is associated to ADHD and eating disorders. To sum up, like their urban counterparts, rural children are also subject to mental health risks related to air pollution, and the combination of spatio-temporal models, Bayesian inference and CoDa make it possible to relate mental health problems to pollutant concentrations in rural settings with few monitoring stations. Certain limitations persist related to misclassification of exposure to air pollutants and to the covariables available in the data sources used.
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Poluentes Atmosféricos , Poluição do Ar , Teorema de Bayes , Saúde Mental , População Rural , Humanos , Criança , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Feminino , Masculino , Poluentes Atmosféricos/análise , Poluentes Atmosféricos/efeitos adversos , Exposição Ambiental/efeitos adversos , Análise Espaço-Temporal , Material Particulado/análise , Material Particulado/efeitos adversos , Adolescente , Pré-Escolar , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtorno do Deficit de Atenção com Hiperatividade/induzido quimicamente , Transtorno do Deficit de Atenção com Hiperatividade/etiologia , Dióxido de Nitrogênio/análise , Dióxido de Nitrogênio/efeitos adversos , Ozônio/análise , Ozônio/efeitos adversos , Dióxido de Enxofre/análise , Dióxido de Enxofre/efeitos adversos , Ansiedade/epidemiologia , Ansiedade/etiologiaRESUMO
The article evaluates air pollution by particulate matter (PM) in indoor and outdoor air in one of the Polish health resorts, where children and adults with respiratory diseases are treated. The highest indoor PM concentrations were recorded during the winter season. Therefore, the maximum average daily concentration values in indoor air for the PM10, PM2.5, and PM1 fractions were 50, 42 and 23 µg/m3, respectively. In the case of outdoor air, the highest average daily concentrations of PM2.5 reached a value of 40 µg/m3. The analyses and backward trajectories of episodes of high PM concentrations showed the impact of supra-regional sources and the influx of pollutants from North Africa on the variability of PM concentrations. The correlation between selected meteorological parameters and PM concentrations shows the relationship between PM concentrations and wind speed. For example, the correlation coefficients between PM1(I) and PM1(O) concentrations and wind speed were - 0.8 and - 0.7 respectively. These factors determined episodes of high PM concentrations during winter periods in the outdoor air, which were then transferred to the indoor air. Elevated concentrations in indoor air during summer were also influenced by chimney/gravity ventilation and the appearance of reverse chimney effect.
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Poluição do Ar em Ambientes Fechados , Monitoramento Ambiental , Material Particulado , Estações do Ano , Material Particulado/análise , Polônia , Poluição do Ar em Ambientes Fechados/análise , Humanos , Monitoramento Ambiental/métodos , Poluentes Atmosféricos/análise , Conceitos Meteorológicos , Poluição do Ar/análiseRESUMO
Urbanization and industrialization have led to a significant increase in air pollution, posing a severe environmental and public health threat. Accurate forecasting of air quality is crucial for policymakers to implement effective interventions. This study presents a novel AIoT platform specifically designed for PM2.5 monitoring in Southwestern Morocco. The platform utilizes low-cost sensors to collect air quality data, transmitted via WiFi/3G for analysis and prediction on a central server. We focused on identifying optimal features for PM2.5 prediction using Minimum Redundancy Maximum Relevance (mRMR) and LightGBM Recursive Feature Elimination (LightGBM-RFE) techniques. Furthermore, Bayesian optimization was employed to fine-tune hyperparameters of popular machine learning models for the most accurate PM2.5 concentration forecasts. Model performance was evaluated using Root Mean Square Error (RMSE), Mean Absolute Error (MAE), and the coefficient of determination (R2). Our results demonstrate that the LightGBM model achieved superior performance in PM2.5 prediction, with a significant reduction in RMSE compared to other evaluated models. This study highlights the potential of AIoT platforms coupled with advanced feature selection and hyperparameter optimization for effective air quality monitoring and forecasting.
Assuntos
Poluição do Ar , Teorema de Bayes , Monitoramento Ambiental , Material Particulado , Marrocos , Poluição do Ar/análise , Monitoramento Ambiental/métodos , Material Particulado/análise , Aprendizado de Máquina , Previsões/métodos , Poluentes Atmosféricos/análiseRESUMO
The Yellow River Basin has been instrumental in advancing ecological preservation and fostering national high-quality development. However, since the advent of China's reform and opening-up policies, the basin has faced severe environmental pollution issues. This study leverages remote sensing data from 1998 to 2019. As per the "Basin Scope and Its Historical Changes" published by the Yellow River Conservancy Commission of the Ministry of Water Resources, the Yellow River Basin is categorized into upstream, midstream, and downstream regions for analysis of their spatial and temporal distribution traits using spatial autocorrelation methods. Additionally, we employed probes to study the effects of 10 factors, including mean surface temperature and air pressure, on PM2.5. The study findings reveal that (1) the annual average concentration of PM2.5 in the Yellow River Basin exhibited a fluctuating trend from 1998 to 2019, initially increasing, then decreasing, followed by another increase before ultimately declining. (2) The air quality in the Yellow River Basin is relatively poor, making it challenging for large-scale areas with low PM2.5 levels to occur. (3) The PM2.5 concentration in the Yellow River Basin exhibits distinct high and low-value concentration areas indicative of air pollution. Low-value areas are predominantly found in the sparsely populated central and southwestern plateau regions of Inner Mongolia, characterized by a better ecological environment. In contrast, high-value areas are prevalent in the inland areas of Northwest China, with poorer natural conditions, as well as densely populated zones with high energy demand and a relatively developed economy. (4) The overall population density in the Yellow River Basin, as well as in the upstream, midstream, and downstream regions, serves as a primary driving factor. (5) The primary drivers in the middle reaches and the entire Yellow River Basin remain consistent, whereas those in the upper and lower reaches have shifted. In the upstream, air pressure emerges as a primary driver of PM2.5, while in the downstream, NDVI and precipitation become the main influencing factors.
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Poluentes Atmosféricos , Poluição do Ar , Monitoramento Ambiental , Material Particulado , Rios , Análise Espaço-Temporal , China , Material Particulado/análise , Rios/química , Poluição do Ar/análise , Poluição do Ar/estatística & dados numéricos , Poluentes Atmosféricos/análise , HumanosAssuntos
Poluição do Ar , Exercício Físico , Esportes , Humanos , Poluentes Atmosféricos/análise , Exposição AmbientalRESUMO
Environmental air pollution presents a considerable risk to global respiratory health. If critical levels are exceeded, inhaled pollutants can lead to the development of respiratory dysfunction and provoke exacerbation in those with pre-existing chronic respiratory disease. Over 90% of the global population currently reside in areas where environmental air pollution is considered excessive-with adverse effects ranging from acute airway irritation to complex immunomodulatory alterations. This narrative review provides an up-to-date perspective concerning the impact of environmental air pollution on respiratory health and function and describes the underpinning mechanisms that contribute to the development and progression of chronic respiratory disease.
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Poluentes Atmosféricos , Poluição do Ar , Humanos , Poluição do Ar/efeitos adversos , Poluentes Atmosféricos/efeitos adversos , Poluentes Atmosféricos/toxicidade , Doenças Respiratórias/etiologia , Doenças Respiratórias/induzido quimicamente , Doenças Respiratórias/fisiopatologia , Animais , Exposição Ambiental/efeitos adversosRESUMO
Respiratory diseases represent one of the most significant economic burdens on healthcare systems worldwide. The variation in the increasing number of cases depends greatly on climatic seasonal effects, socioeconomic factors, and pollution. Therefore, understanding these variations and obtaining precise forecasts allows health authorities to make correct decisions regarding the allocation of limited economic and human resources. We aimed to model and forecast weekly hospitalizations due to respiratory conditions in seven regional hospitals in Costa Rica using four statistical learning techniques (Random Forest, XGboost, Facebook's Prophet forecasting model, and an ensemble method combining the above methods), along with 22 climate change indices and aerosol optical depth as an indicator of pollution. Models were trained using data from 2000 to 2018 and were evaluated using data from 2019 as testing data. During the training period, we set up 2-year sliding windows and a 1-year assessment period, along with the grid search method to optimize hyperparameters for each model. The best model for each region was selected using testing data, based on predictive precision and to prevent overfitting. Prediction intervals were then computed using conformal inference. The relative importance of all climatic variables was computed for the best model, and similar patterns in some of the seven regions were observed based on the selected model. Finally, reliable predictions were obtained for each of the seven regional hospitals.
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Mudança Climática , Previsões , Costa Rica/epidemiologia , Humanos , Alta do Paciente/estatística & dados numéricos , Doenças Respiratórias/epidemiologia , Clima , Modelos Estatísticos , Estações do Ano , Hospitais , Poluição do Ar/análise , Hospitalização/estatística & dados numéricos , Aprendizado de Máquina , AlgoritmosRESUMO
By linking medical real-world data with geographic information, it is possible to evaluate the impact on hospitalization based on these characteristics, such as patient residence information and disease and medical information. In this study, environmental exposure to air pollutants was reported as a risk factor, and predictive models were used to examine factors affecting health. The importance of the characteristics appeared according to the disease, and overall, the patient profile at the time of admission, such as ADL, was shown to be high, but for respiratory diseases, the cumulative concentration of air pollutants NO2, SPM, and NOx for one year before the onset of admission was the top risk factor for long-term hospitalization, suggesting the influence of exposure due to environmental factors.
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Exposição Ambiental , Hospitalização , Hospitalização/estatística & dados numéricos , Humanos , Poluentes Atmosféricos/análise , Fatores de Risco , Sistemas de Informação Geográfica , Poluição do ArRESUMO
Air pollution has long been a significant environmental health issue. Previous studies have employed diverse methodologies to investigate the impacts of air pollution on public health, yet few have thoroughly examined its spatiotemporal heterogeneity. Based on this, this study investigated the spatiotemporal heterogeneity of the impacts of air pollution on public health in 31 provinces in China from 2013 to 2020 based on the theoretical framework of multifactorial health decision-making and combined with the spatial durbin model and the geographically and temporally weighted regression model. The findings indicate that: (1) Air pollution and public health as measured by the incidence of respiratory diseases (IRD) in China exhibit significant spatial positive correlation and local spatial aggregation. (2) Air pollution demonstrates noteworthy spatial spillover effects. After controlling for economic development and living environment factors, including disposable income, population density, and urbanization rate, the direct and indirect spatial impacts of air pollution on IRD are measured at 3.552 and 2.848, correspondingly. (3) China's IRD is primarily influenced by various factors such as air pollution, economic development, living conditions, and healthcare, and the degree of its influence demonstrates an uneven spatiotemporal distribution trend. The findings of this study hold considerable practical significance for mitigating air pollution and safeguarding public health.
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Poluição do Ar , Saúde Pública , Análise Espaço-Temporal , China/epidemiologia , Poluição do Ar/efeitos adversos , Humanos , Cidades , Doenças Respiratórias/epidemiologia , Doenças Respiratórias/etiologia , Exposição Ambiental/efeitos adversos , Exposição Ambiental/estatística & dados numéricosRESUMO
Introduction: This study addresses a critical gap in understanding how technological advancements, specifically industrial robots, influence urban pollution emissions and public health. The rapid evolution of technology and changing working conditions significantly affect these areas, yet research has not extensively explored this domain. Methods: Utilizing 2018 China Labor-force Dynamic Survey (CLDS) dataset, this study examines the impact of industrial robots on public health. An analytical framework is employed to assess the correlation between the adoption of eco-friendly industrial robots and improvements in worker health, attributed to the reduction of pollution emissions. Results: The findings reveal that the adoption of industrial robots significantly enhance both public physical and mental health. This study also identifies potential demographic heterogeneity in the effects of industrial robots. The benefits are more pronounced among non-insured manual female workers who are older, have lower education levels, and hold rural hukou. These benefits are closely linked to improvements in the quality of the production environment and reductions in pollution emissions at both macro and micro levels. Discussion: The study underscores the significant potential of industrial robots to positively impact urban health, advocating for strategies that promote the development of safer, greener environments.
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Indústrias , Saúde Pública , Robótica , Humanos , China , Feminino , Adulto , Pessoa de Meia-Idade , Masculino , Saúde da População Urbana , Local de Trabalho , Inquéritos e Questionários , Poluição do Ar/análise , Poluição AmbientalRESUMO
Background: The evidence on the association of fine particulate matter with an aerodynamic diameter of 2.5 µm or less (PM2.5) with pulmonary tuberculosis (PTB) retreatment is limited. There are no data on whether greenness exposure protects air pollution-related PTB retreatment in patients with prior PTB. Objective: In a population-based retrospective study, we aimed to investigate the influence of PM2.5 and residential greenness on the risk of PTB retreatment. Methods: A total of 26,482 patients with incident PTB, registered in a mandatory web-based reporting system between 2012 and 2019 in Zhengzhou, China, were included in the analysis. The exposure to PM2.5 was assessed based on the China High Air Pollutants dataset, and the level of greenness was estimated using the Normalized Difference Vegetation Index (NDVI) values. The associations of PTB retreatment with exposure to PM2.5 and greenness were evaluated, respectively, considering the local socioeconomic level indicated by the nighttime light index. Results: Among the 26,482 patients (mean age 46.86, SD 19.52 years) with a median follow-up time of 1523 days per patient, 1542 (5.82%) PTB retreatments were observed between 2012 and 2019. Exposure to PM2.5 was observed to be significantly associated with the increased risk of PTB retreatment in fully adjusted models with a hazard ratio of 1.97 (95% CI 1.34-2.83) per 10 µg/m3 increase in PM2.5. Patients living in the regions with relatively high quartiles of NDVI values had a 45% lower risk of PTB retreatment than those living in the regions with the lowest quartile for the 500 m buffers (hazard ratio 0.55, 95% CI 0.40-0.77). Such a protective effect of residential greenness was more pronounced among patients living in lower nighttime light areas. The strength of the association between PM2.5 exposure and the risk of PTB retreatment was attenuated by greenness. No significant association was observed between NDVI and the incidence of drug resistance. Conclusions: Long-term exposure to PM2.5 might be a risk factor for PTB retreatment, while an increased level of residential greenness was found to be associated with reduced risks of PTB retreatment. Our results suggest strengthening the control of ambient air pollution and improving residential greenness may contribute to the reduction of PTB retreatment.
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Material Particulado , Tuberculose Pulmonar , Humanos , Estudos Retrospectivos , Material Particulado/análise , Material Particulado/efeitos adversos , Pessoa de Meia-Idade , Feminino , Tuberculose Pulmonar/epidemiologia , Tuberculose Pulmonar/tratamento farmacológico , Masculino , China/epidemiologia , Adulto , Poluição do Ar/efeitos adversos , Poluição do Ar/análise , Exposição Ambiental/efeitos adversos , Exposição Ambiental/estatística & dados numéricos , Retratamento/estatística & dados numéricos , Idoso , Fatores de Risco , Características de Residência/estatística & dados numéricosRESUMO
BACKGROUND: Air pollution poses a significant threat to global public health. While broad mitigation policies exist, an understanding of the economic consequences, both in terms of health benefits and mitigation costs, remains lacking. This study systematically reviewed the existing economic implications of air pollution control strategies worldwide. METHODS: A predefined search strategy, without limitations on region or study design, was employed to search the PubMed, Scopus, Cochrane Library, Embase, Web of Science, and CEA registry databases for studies from their inception to November 2023 using keywords such as "cost-benefit analyses", "air pollution", and "particulate matter". Focus was placed on studies that specifically considered the health benefits of air pollution control strategies. The evidence was summarized by pollution control strategy and reported using principle economic evaluation measurements such as net benefits and benefit-cost ratios. RESULTS: The search yielded 104 studies that met the inclusion criteria. A total of 75, 21, and 8 studies assessed the costs and benefits of outdoor, indoor, and mixed control strategies, respectively, of which 54, 15, and 3 reported that the benefits of the control strategy exceeded the mitigation costs. Source reduction (n = 42) and end-of-pipe treatments (n = 15) were the most commonly employed pollution control methodologies. The association between particulate matter (PM) and mortality was the most widely assessed exposure-effect relationship and had the largest health gains (n = 42). A total of 32 studies employed a broader benefits framework, examining the impacts of air pollution control strategies on the environment, ecology, and society. Of these, 31 studies reported partially or entirely positive economic evidence. However, despite overwhelming evidence in support of these strategies, the studies also highlighted some policy flaws concerning equity, optimization, and uncertainty characterization. CONCLUSIONS: Nearly 70% of the reviewed studies reported that the economic benefits of implementing air pollution control strategies outweighed the relative costs. This was primarily due to the improved mortality and morbidity rates associated with lowering PM levels. In addition to health benefits, air pollution control strategies were also associated with other environmental and social benefits, strengthening the economic case for implementation. However, future air pollution control strategy designs will need to address some of the existing policy limitations.
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Poluição do Ar , Análise Custo-Benefício , Poluição do Ar/prevenção & controle , Poluição do Ar/economia , Humanos , Material Particulado/análise , Material Particulado/efeitos adversosRESUMO
Importance: Socioeconomically disadvantaged subpopulations are more vulnerable to fine particulate matter (PM2.5) exposure. However, as prior studies focused on individual-level socioeconomic characteristics, how contextual deprivation modifies the association of PM2.5 exposure with cardiovascular health remains unclear. Objective: To assess disparities in PM2.5 exposure association with cardiovascular disease among subpopulations defined by different socioeconomic characteristics. Design, Setting, and Participants: This cohort study used longitudinal data on participants with electronic health records (EHRs) from the All of Us Research Program between calendar years 2016 and 2022. Statistical analysis was performed from September 25, 2023, through February 23, 2024. Exposure: Satellite-derived 5-year mean PM2.5 exposure at the 3-digit zip code level according to participants' residential address. Main Outcome and Measures: Incident myocardial infarction (MI) and stroke were obtained from the EHRs. Stratified Cox proportional hazards regression models were used to estimate the hazard ratio (HR) between PM2.5 exposure and incident MI or stroke. We evaluated subpopulations defined by 3 socioeconomic characteristics: contextual deprivation (less deprived, more deprived), annual household income (≥$50 000, <$50 000), and race and ethnicity (non-Hispanic Black, non-Hispanic White). We calculated the ratio of HRs (RHR) to quantify disparities between these subpopulations. Results: A total of 210â¯554 participants were analyzed (40% age >60 years; 59.4% female; 16.7% Hispanic, 19.4% Non-Hispanic Black, 56.1% Non-Hispanic White, 7.9% other [American Indian, Asian, more than 1 race and ethnicity]), among whom 954 MI and 1407 stroke cases were identified. Higher PM2.5 levels were associated with higher MI and stroke risks. However, disadvantaged groups (more deprived, income <$50 000 per year, Black race) were more vulnerable to high PM2.5 levels. The disparities were most pronounced between groups defined by contextual deprivation. For instance, increasing PM2.5 from 6 to 10 µg/m3, the HR for stroke was 1.13 (95% CI, 0.85-1.51) in the less-deprived vs 2.57 (95% CI, 2.06-3.21) in the more-deprived cohort; 1.46 (95% CI, 1.07-2.01) in the $50 000 or more per year vs 2.27 (95% CI, 1.73-2.97) in the under $50 000 per year cohort; and 1.70 (95% CI, 1.35-2.16) in White individuals vs 2.76 (95% CI, 1.89-4.02) in Black individuals. The RHR was highest for contextual deprivation (2.27; 95% CI, 1.59-3.24), compared with income (1.55; 95% CI, 1.05-2.29) and race and ethnicity (1.62; 95% CI, 1.02-2.58). Conclusions and Relevance: In this cohort study, while individual race and ethnicity and income remained crucial in the adverse association of PM2.5 with cardiovascular risks, contextual deprivation was a more robust socioeconomic characteristic modifying the association of PM2.5 exposure.