Clear The Air News Blog Rotating Header Image

Papers

OECD warns of rising costs of air pollution

Outdoor air pollution could cause up to nine million premature deaths a year by 2060 and cost US$ 3.3 trillion annually as a result of sick days, healthcare expenditure and reduced agricultural output, unless action is taken.

http://airclim.org/acidnews/oecd-warns-rising-costs-air-pollution

In 2010, outdoor air pollution caused more than three million premature deaths worldwide, with elderly people and children most vulnerable. New projections presented in an OECD report “The Economic Consequences of Outdoor Air Pollution” imply a doubling, or even tripling, of premature deaths from particulate matter (PM2.5) and ozone (O3) – or one premature death every four or five seconds – by 2060.

The projected increase in concentrations of PM2.5 and ozone will result in significant economic costs to society. The direct market impact of air pollution in terms of lower worker productivity due to illness, higher spending on health care, and lower crop yields, could exceed US$ 3,000 billion annually by 2060, equal to one per cent of GDP. For example, between now and 2060, the number of annual work days lost to air-pollution-related illness is expected to jump from 1.2 to 3.7 billion.

These estimates of economic market impacts do not however reflect the true costs of air pollution because shortening of people’s lives and pain and suffering from respiratory and cardiovascular diseases do not really have a market price. The OECD has therefore also estimated the non-market welfare costs by using economic studies on how people value their health and how much they would be prepared to pay to reduce the health risks, i.e. by introducing policies and measures that would cut air pollutant emissions.

Based on this data, the current (2015) annual global welfare costs of mortality and morbidity from outdoor air pollution are estimated at US$ 3,440 billion, and by 2060 they would amount to between US$ 20,000 and 27,000 billion a year (see table).

Table: Total global welfare costs of air pollution (billions US$)

global-welfare-costs

It should be noted that air pollution damage to ecosystems, biodiversity and our cultural heritage has not been assigned any monetary value and is therefore not included in these economic estimates.

According to the projections, the biggest rises in air pollution mortality rates are expected in India, China, Korea and Central Asian countries, where rising populations and congested cities mean more people are exposed to high levels of pollution. The premature death rates are forecast to be up to three times higher in 2060 than in 2010 in China and up to four times higher in India. Mortality rates are however seen to be stabilising in the United States and falling in much of Western Europe thanks in part to efforts to move to cleaner energy and transport.

Projected GDP losses will be biggest in China, Russia, India, Korea and countries in Eastern Europe and the Caspian region, as health costs and lower labour productivity hit output.

“The number of lives cut short by air pollution is already terrible and the potential rise in the next few decades is terrifying,” said OECD Environment Director Simon Upton. “If this is not motivation enough to act, this report shows there will also be a heavy economic cost to not taking action. We must prevent these projections from becoming reality.”

“It is time for governments to stop fussing about the costs of efforts to limit air pollution and start worrying about the much larger costs of allowing it to continue unchecked. Their citizens’ lives are in their hands,” concluded Simon Upton.

Christer Ågren

Air pollution could be to blame for hundreds of traffic accidents, warn researchers

Air pollution could be responsible for hundreds of car accidents a year, according to the London School of Economics.

http://www.telegraph.co.uk/science/2016/10/03/air-pollution-could-be-to-blame-for-hundreds-of-traffic-accident/

A study looking a five years of data showed that when levels of nitrogen dioxide (NO2) rise just one microgramme per cubic metre, the number of collisions rises by two per cent.

Although it might seem that effect could be explained by more traffic on the roads, and therefore more pollution and more accidents, the researchers found that the increase remained even when adjusting for the extra traffic

Instead, they believe that the toxic air impairs driver fitness, while watery eyes and an itchy nose could also be distracting for motorists.

A recent study found that air pollution inside a car can be more than double that on the outside because the NO2 builds up in a small space.

Lead researcher Lutz Sager of the Grantham Research Institute on Climate Change and the Environment at the LSE said: “Although it has already been shown that air pollution adversely affects human health and the ability to carry out mental tasks, this is the first published study that assesses the impact on road safety.

“The analysis identifies a causal effect of air pollution on road accidents, but I can only speculate about the cause of the link.

“My main theory is that air pollution impairs drivers’ fitness. However, other explanations are possible such as air pollution causing physical distractions, perhaps an itching nose, or limiting visibility.”

Air pollution can result from many different toxins, including carbon monoxide, nitrogen dioxide, sulphur dioxide, small particulate matter and ozone. But it was NO2 which was found to have the biggest impact.

Mr Sager, a postdoctoral candidate, divided the UK into a grid of 32 areas each covering about 4784 square miles (7700 sq km) and mapped accidents to the level of air pollution between 2009 and 2014 provided by the Department for the Environment (Defra)

He found a rise in the concentration of nitrogen dioxide of just one microgramme per cubic metre above the daily average is sufficient to increase the average number of accidents each day by two per cent, with the biggest effect occurring in cities.

Mr Sager calculated that in the area containing west London, which suffers from some of the highest levels of air pollution, a cut of about 30 per cent in the concentration of NO2 could reduce the number of road accidents every day by almost 5 per cent.

Levels of NO2 in polluted areas of London can reach beyond 97 microgrammes per cubic metre on average.

There are around 150,000 collisions in which someone is injured in Britain every year so preventing just two per cent of crashes could avert thousands of accidents.

Mr Sager added: “Whatever the exact mechanisms responsible, the robust finding of a significant effect of air quality on road safety is important given the high cost of road traffic accidents through damage to vehicles and deaths and injuries to people every day.

“Although this analysis has used data for the United Kingdom, I think my findings are relevant to other parts of the world. These additional costs from traffic accidents strengthen the case for reducing air pollution, particularly in congested cities.

“My analysis suggests that the causal effect of air pollution on road traffic accidents measured in this study more likely stems from nitrogen dioxide or other pollutant gases rather than particulate matter.”

However other experts were more sceptical about the link between air pollution and accidents.

AA president Edmund King said: “If you think about areas which are high in air pollution they are a lot busier, with taxis and buses and lorries and where you have a greater mix of traffic you tend to have more accidents.

“It would be hard to tease apart whether a crash is caused by a driver wiping his eyes because of pollution or the type of traffic which is to blame.

“If you look at Mumbai and New Delhi where you have some of the worst air pollution, yes you have far more accidents, but it is also far more chaotic.

“So I think this research may be far-fetched as I think it would be very difficult to prove that a driver’s fitness is impaired by pollution.”

The results of the study are published today as a working paper, and will be submitted for peer review in the coming weeks.

Something in the air: Is Hong Kong’s pollution problem worsening?

https://www.timeout.com/hong-kong/blog/something-in-the-air-is-hong-kongs-pollution-problem-worsening-092116

The government is trumpeting recent figures that show air pollution is significantly decreasing but is the news as good as it sounds? And what other forms of pollution should Hongkongers worry about?

Christie Tse and Joyce Au find out

“See the people walking by right now? Leisurely walking past, enjoying life, breathing the fresh air?” asks Dr Bob Tsui, vicechairman of NGO Clear The Air, as he points out his office window overlooking the streets of Jordan. You are being ‘attacked through your eyes, your cornea, your nostrils, your mouth and your skin” all the time, he follows up. As you’re reading this, tiny deadly pollution particles called magnetites are slowly moving up your nostrils, penetrating your brain tissue, nervous system and lungs. In a crowded, polluted city like Hong Kong, your body is constantly under attack, every second of every day according to Dr Tsui.

According to government statistics, though, air pollution has been decreasing for several years now. The Environmental Protection Department reckons that between 2011 and 2015, average concentrations of PM10, PM2.5, nitrogen dioxide and sulphur dioxide at roadside monitoring stations fell by 26 percent, 21 percent, 19 percent and 33 percent, respectively. The figures sound impressive and the government has been running adverts on TV trumpeting its success at clearing the air.

However, all is not rosy. Recent studies conducted by scientists in Mexico City have discovered a correlation between 100 and 200 nanometer magnetites released through the exhaust pipes of taxis and buses and the development of Alzheimer’s disease. This new information has sparked concern in the local scientific community since roadside pollution remains one of the leading causes of air pollution in our jam-packed city. “In the past 20 years, Hong Kong has not once met its own Air Quality Index standard or that of the World Health Organisation’s,” exclaims Patrick Fung, CEO of NGO Clean Air Network. Paul Zimmerman, Southern District councillor, believes this is unforgiveable, as ‘it’s almost like violence is around you the whole time’, he tells us.

And that’s not the half of it. You may think you can avoid pollution by simply turning recluse and staying at home, but you’d be very wrong.

Studies conducted at the University of Hong Kong reveal that our own kitchens discharge carcinogenic particles into the air every time food is made with vegetable oil. Dr Tsui states that vegetable oil is ‘the most dangerous oil you can use’ since it contributes to air pollution. Clear The Air has published an article that details the process by which vegetable oil, when subjected to high temperatures, oxidises into cancer causing chemicals. “People wonder how they get sick because they eat well all their lives,” Dr Tsui remarks, “but they don’t realise they’re constantly surrounded by these cancerous particles.”

The worst part of all of this is that the toxic kitchen discharge is completely preventable. According to Dr Tsui, the government has the ability and resources to go into restaurants and check their deep friers for dangerous particles.

“It’s a simple test strip and they can do it very easily,” he tells us. “But I have made this announcement for years and the government has not taken any action!” By placing steam jet filters in the kitchen stove, the carcinogenic particles could be released into water. This wouldn’t contaminate the water, according to Dr Tsui, because by the time the dangerous particles pass through the filter and hit the water, many things happen chemically to make the particles no longer harmful.

And cooking oil and air pollution are not the only worries we need have in Hong Kong. After the waves of rubbish that washed up on our beaches over the summer, Hongkongers should be acutely aware of the problem of landfill. Around 30 percent of landfill is made of Styrofoam and in 500 years, that same Styrofoam will still not have decomposed. What’s worse, Styrofoam is mainly composed of styrene, an extremely dangerous chemical that has been linked to cancer, vision and hearing loss, impaired memory and concentration, damage to the nervous systems and depression. “Styrene is dangerous,” Dr Tsui declares. “Styrene is vicious. Styrene should not exist in the food chain and yet, every restaurant [in Hong Kong] today still uses Styrofoam takeout boxes.” Worryingly, when we eat hot food or drink hot liquid from Styrofoam plates, boxes or cups, it’s possible for us to consume the styrene that leaches out of the hazardous material.

Once we’ve ingested these dangerous chemicals, they can swim into our bloodstreams, penetrate our organs and cause irrevocable damage to our bodies. Even Styrofoam that’s out in the ocean can ultimately affect us since when marine life, such as fish, consume it, styrene enters the food chain and eventually, Dr Tsui believes, ‘we’ll eat the darn thing’.

Dr Tsui asks: “How can the government be so blind and be so idiotic to allow this to go on?” Just as toxic kitchen discharges are preventable, so too is the use of Styrofoam. Not just in the food industry but all industries. Instead of using Styrofoam boxes for takeaway meals, companies should start using biodegradable containers, Clear The Air advocates. This minor innovation is also very much within the grasp of companies’ capabilities. Fibre generated from corn can be made to make the boxes and then coated in honey wax. Best of all, these resources are biodegradable.

Another solution that the government and corporations can consider implementing, according to Clear The Air, is changing the original chemical composition used to make Styrofoam. The government could order corporations to put titanium dioxide polymers in the Styrofoam so that once the material is dumped on landfill or into the ocean and exposed to UV light, the Styrofoam will disintegrate into carbon dioxide and water, which equates to less harmful pollution.

There are many little things we can do to contribute to a more environmentally friendly society, such as switching off the lights when we leave a room, turning off the air conditioner when we leave the house, adding insulated panels to our windows and attaching solar panels to our roofs. The list is endless. But while every little helps, these changes are too-little-too-late because, ultimately, it is up to our local authority to enact the kind of legislative reform required to make a real difference. As Dr Tsui so clearly puts it: “No matter how rich or how poor you are, you are subjected to this kind of invisible attack. The government needs to stop with the [political games] and start working on practical solutions to eradicate pollution-induced cancer.”

Unfortunately, when it comes to asking the government for help, every issue seems like an urgent matter. Compared to global threats such as deadly diseases like the zika virus or even more mundane local issues like affordable housing, the largely invisible problem of pollution is all too often pushed to the bottom of the list of priorities.

The public, not just the government, underestimate the drastic consequences of air contamination since the effects are not as apparent as many other similarly pressing matters. But pollution is an urgent problem because it surrounds us all. It’s in the air we breathe, the places we walk and the supposedly safe confines of our own homes. We live and breathe pollution whether we like it or not, so it’s about time we paid attention.

For more information visit cleartheair.org.hk.

Alzheimer’s could be caused by toxic air pollution particles found in brain tissue

Abundance of magnetite in brains of people from Mexico City and Manchester described as “dreadfully shocking”

http://www.independent.co.uk/life-style/health-and-families/health-news/alzheimers-toxic-air-pollution-particles-brain-tissue-magnetite-barbara-maher-a7227891.html

Minute magnetic particles typically found in air pollution have been detected in “abundant” quantities in human brain tissue for the first time.

The tiny particles of iron oxide, known as magnetite, are toxic and it has been suggested they could play a role in causing or hastening the onset of Alzheimer’s disease.

The study, in which brain tissue samples from 37 people were collected from those who had lived in Mexico City and in Manchester in the UK, is the first to prove magnetite particles found in air pollution have made their way into the brain.

Magnetite naturally occurs in angular formations in the brain. But for every one natural angular particle, researchers found as many as 100 smooth, spherical particles.

The smooth shape of the observed magnetite particles is characteristic of high temperature formation, such as from vehicle (particularly diesel) engines, power stations or open fires, researchers said.

The toxic magnetite particles disrupt normal cellular functions in the brain by causing oxidative stress, and by the creation of unstable free radicals – particles which damage essential structures in brain cells.

Though no definite link between magnetite and Alzheimer’s has been established, previous studies have found a correlation between high quantities of the compound and the disease in the brains of Alzheimer’s sufferers.

The study was led by scientists at Lancaster University and published in the Proceedings of the National Academy of Sciences (PNAS).

The World Health Organisation warned as many as three million premature deaths every year were the result of air pollution.

In the UK it is thought as many as 50,000 people die each year due to air pollution. A further 520,000 are affected by Alzheimer’s, a common form of dementia.

Physicist Barbara Maher, co-director of the Centre for Environmental Magnetism and Paleomagnetism at Lancaster University said in a statement: “Our results indicate that magnetite nanoparticles in the atmosphere can enter the human brain, where they might pose a risk to human health, including conditions such as Alzheimer’s disease.

“The particles we found are strikingly similar to the magnetite nanospheres that are abundant in the airborne pollution found in urban settings, especially next to busy roads, and which are formed by combustion or frictional heating from vehicle engines or brakes.”

Speaking to the BBC she added: “It’s dreadfully shocking. When you study the tissue you see the particles distributed between the cells and when you do a magnetic extraction there are millions of particles, millions in a single gram of brain tissue – that’s a million opportunities to do damage.”

Professor David Allsop, a specialist in Alzheimer’s at the University of Lancaster and co-author of the study, said: “This finding opens up a whole new avenue for research into a possible environmental risk factor for a range of different brain diseases.”

Geophysicist Joe Kirschvink at California Institute of Technology in Pasadena, who first detected naturally formed magnetite particles in the brain 25 years ago, told the journal Science, he believes the presence of the particle in the brain is “disturbing”.

He said: “Once you start getting larger volumes of [environmental] magnetite, the chemical reactivity goes way up.

“That nanoparticles of industrially generated magnetite are able to make their way into the brain tissues is disturbing.”

Dr David Reynolds, chief scientific officer at Alzheimer’s Research UK, told the Press Association: “Little is known about the role of magnetite nanoparticles in the brain and whether their magnetic properties influence brain function.

“It’s interesting to see further research investigating the presence of this mineral in the brain, but it’s too early to conclude that it may have a causal role in Alzheimer’s disease or any other brain disease.

“We know that air pollution can have a negative impact on certain aspects of human health, but we can’t conclude from this study that magnetite nanoparticles carried in air pollution are harmful to brain health.”

Policymakers should take note of the results, Professor Maher told Science.

“It’s an unfortunately plausible risk factor, and it’s worth taking precautions. Policymakers have tried to account for this in their environmental regulations, but maybe those need to be revised,” she said.

The true cost of consumption: The EU’s Land Footprint

EU’s dependence on overseas agricultural land trampling the world

Europe is becoming increasingly dependent on farm land beyond its borders, creating inequalities and threatening both the environment and rural communities, according to a new report released today by Friends of the Earth Europe.

The report reveals that the European Union requires almost 270 million hectares of agricultural land – known as Europe’s ‘Land Footprint’ – to sustain its unsustainable food production and agricultural practices. Almost 40% of this land is outside Europe, an area the size of Italy and France combined [1].

Meadhbh Bolger, resource use campaigner at Friends of the Earth Europe said: “Overconsumption is eating up ever more land, often with disastrous consequences. It is unjust, irresponsible and unsustainable that we continue to use more than our fair share of global land and are shifting more than one-third of the impacts related to land consumption to ecosystems and communities outside of the EU. It is vital that the EU take steps to measure and reduce Europe’s Land Footprint.”

animal-products-70

The report also reveals the knock-on impacts of over-reliance on imported animal feed and year-round seasonal goods, and surging demand for vegetable oils, particularly those for non-food uses such as biofuel – with a 34% increase in cropland consumed from outside the EU since 1990. Animal products like meat and dairy account for over 70% of the overall land requirements, and non-food crops like biofuels are linked to negative social impacts on local communities and environmental impacts, including forest loss.

Stanka Becheva, food campaigner at Friends of the Earth Europe said: “To reduce our inequitable footprint we need a radical overhaul in how and where we use land. Industrialised agriculture and global food chains are swallowing up land across the globe, damaging the environment and rural communities. We rapidly need a just transition to a greener way of farming that works for all people and the planet.”

Friends of the Earth Europe is calling on the European Union to reduce its land footprint, and the associated harmful impacts, ensuring that our use of land is environmentally sustainable and socially just.

foee-03-figure-hr-rgb_0

This can be achieved by implementing a system for measuring, monitoring and reducing Europe’s land footprint, especially in the areas of bio-economy, circular economy and sustainability policies. Providing incentives that encourage a reduction in the consumption of land intensive products or products that embody relatively high environmental impacts like animal products will also drastically reduce Europe’s land footprint, according to the organisation.

***
NOTES:

[1] The “Land Footprint” as referred to above, and in the report, refers to agricultural land only (cropland and grassland). Due to current data limitations, EU-wide Land Footprints for non-agricultural products are not possible to calculate.

Download (PDF, 668KB)

Download (PDF, 1.95MB)

Parma proves 70% recycling and 100kg residual waste can be achieved in only 4 years

This case study confirms that ZWE’s proposals for the Circular Economy package can be achieved in very little time

Zero Waste Europe (ZWE) has published today a new case study on the city of Parma, Italy, which highlights how with political will and citizen involvement it is possible to radically reduce residual waste, create jobs and save the taxpayers money.

Parma, with 190,284 inhabitants, had separate collection stagnated around 45% for some years. However a citizens-led initiative to move away from waste disposal managed in 2012 to transform waste policies and brought a zero waste plan for Parma.

The new plan copied and improved what is already working well in other towns of the zero waste network; intensive kerbside collection and pay-as-you-throw systems together with lots of education and keeping the system flexible to accomodate further improvements.

parma-graph

The indicator that the town used to measure success was the reduction of residual waste (what is sent for landfilling and/or WtE incineration) per capita which was reduced by a staggering 59%, from 283kg to 117kg, in only 4 years. By 2015 the separate collection was raised to 72% and the quality of the materials separated for recycling had also increased.

The new system of collection is more labour intensive which has meant that the number of waste collectors has increased from 77 to 121 with a number of other indirect jobs being created whilst the city has saved €453,736 in comparison with the former system.

parma-graph-2

But the transition is far from over. By end of 2016 Parma will be generating less than 100kg of residual waste per person and have achieved 80% separate collection and plans are to continue on the path to zero waste.

Joan Marc Simon, Director of ZWE said “Some spend their time finding excuses not to deliver in 2030, others like the city of Parma prove that a target of 70% recycling and 100kg residual waste per capita is achievable in less than 5 years”.

This case study and the case for a target on residual waste per capita will be presented in Brussels next Wednesday 22nd June by the Councilor for Environment of the city of Parma, Gabriele Folli, in the conference Towards Zero Waste Cities: How local authorities can apply waste prevention policies taking place at the Committee of the Regions.

Air pollution becomes leading risk factor for stroke worldwide

http://www.news-medical.net/news/20160613/Air-pollution-becomes-leading-risk-factor-for-stroke-worldwide.aspx

Three quarters of strokes worldwide could be prevented by addressing behavioural risk factors such as smoking, poor diet and low physical activity

Air pollution – including environmental and household air pollution – has emerged as a leading risk factor for stroke worldwide, associated with about a third of the global burden of stroke in 2013, according to a new study published in The Lancet Neurology journal.

The findings, from an analysis of global trends of risk factors for stroke between 1990-2013, also show that over 90% of the global burden of stroke is linked to modifiable risk factors, most of which (74%) are behavioural risk factors such as smoking, poor diet and low physical activity. The authors estimate that control of these risk factors could prevent about three-quarters of all strokes.

The study is the first to analyse the global risk factors for stroke in such detail, especially in relation to stroke burden on global, regional and national levels. The researchers used data from the Global Burden of Disease Study to estimate the disease burden of stroke associated with 17 risk factors in 188 countries. They estimated the population-attributable fraction (PAF) of stroke-related disability-adjusted life years (DALYs) – ie. the estimated proportion of disease burden in a population that would be avoided if exposure to a risk factor were eliminated.

Every year, approximately 15 million people worldwide suffer a stroke – of these, nearly six million die and five million are left with permanent disability. Disability may include loss of vision and/or speech, paralysis and confusion.

Globally, the ten leading risk factors for stroke were high blood pressure, diet low in fruit, high body mass index (BMI), diet high in sodium, smoking, diet low in vegetables, environmental air pollution, household pollution from solid fuels, diet low in whole grains, and high blood sugar (figure 2). About a third (29.2%) of global disability associated with stroke is linked to air pollution (including environmental air pollution and household air pollution). This is especially high in developing countries (33.7% vs 10.2% in developed countries).

In 2013, 16.9% of the global stroke burden was attributed to environmental air pollution (as measured by ambient particle matter [PM] pollution of aerodynamic diameter smaller than 2·5 μm) – almost as much as that from smoking (20.7%) (paper, table). From 1990 to 2013, stroke burden associated with environmental air pollution (PM25) has increased by over 33% (Appendix, table 4).

“A striking finding of our study is the unexpectedly high proportion of stroke burden attributable to environmental air pollution, especially in developing countries. Smoking, poor diet and low physical activity are some of the major risk factors for stroke worldwide, suggesting that stroke is largely a disease caused by lifestyle risk factors. Controlling these risk factors could prevent about three-quarters of strokes worldwide.” says lead author Professor Valery L Feigin, of Auckland University of Technology, New Zealand.

“Our findings are important for helping national governments and international agencies to develop and prioritise public health programmes and policies. Governments have the power and responsibility to influence these risk factors through legislation and taxation of tobacco, alcohol, salt, sugar or saturated fat content, while health service providers have the responsibility to check and treat risk factors such as high blood pressure,” he says.

“Taxation has been proven to be the most effective strategy in reducing exposure to smoking and excessive intake of salt, sugar and alcohol. If these risks take a toll on our health, and taxation is the best way to reduce exposure to these risks, it logically follows that governments should introduce such taxation and reinvest the resulting revenue back into the health of the population by funding much needed preventative programmes and research in primary prevention and health. All it takes is recognition of the urgent need to improve primary prevention, and the good will of the governments to act,” says Professor Feigin.

The relative importance of risk factors varied depending on age group, country and region:

  • Household air pollution was a more important risk factor for stroke in central, eastern, and western sub-Saharan Africa and south Asia (ranked 3rd), compared to North America, central, eastern and western Europe (where it was not in the top 10 risk factors) (paper, figure 2)
  • Low physical activity was a much greater risk factor for stroke among adults over 70 than among adults aged 15-69 (Appx, table 2)
  • Globally, the risk factor that was most reduced between 1990 and 2013 was second-hand smoke (31% reduction in stroke-related DALYs). The greatest reduction was in developed countries (Appx, table 4), but the contribution of second-hand smoke to global stroke burden still remains noticeable at 3.1% for 15-49 year olds, especially in developing countries where it reaches 3.2% (Appx, table 2).
  • The risk factor that was most increased was a diet high in sugar-sweetened beverages (63.1% increase in stroke-related DALYs). The greatest increase was in developed countries (Appx, table 4) but the contribution to stroke burden remains low at 1.6% for 15-49 year olds (Appx, table 2).
  • Air pollution, environmental risks, tobacco smoke, high blood pressure and dietary risks were more important risk factors for stroke in developing countries compared to developed countries.
  • Low physical activity was a more important risk factor for stroke in developed countries compared to developing countries.

The authors say that because of a lack of data, they could not include some important risk factors for stroke such as atrial fibrillation, substance abuse or other health conditions. They were also unable to account for patterns of some risk factors such as levels of smoking, BMI level or underlying genetic risk factors. The data does not differentiate between ischaemic and haemorrhagic strokes but the authors say that while the risk factors for different types of stroke may vary slightly at the individual level, global, regional and national policies tend to look at the overall risk of stroke.

The study also provides information on the contribution of all 17 risk factors for stroke for 188 countries, for example the top 5 risk factors for stroke in the following countries were:

  • UK & USA: high blood pressure, high BMI, diet low in fruit, diet low in vegetables, smoking (Appx, table 7 and 8).
  • India: high blood pressure, diet low in fruit, household air pollution, diet low in vegetables, diet high in sodium (Appx, table 7 and 8).
  • China: high blood pressure, diet low in fruit, diet high in sodium, smoking, environmental air pollution (Appx, table 7 and 8).

Writing in a linked Comment, Professor Vladimir Hachinski, University of Western Ontario, London, Canada and Dr Mahmoud Reza Azarpazhooh, Mashhad University of Medical Sciences, Mashhad, Iran, say:

The most alarming finding was that about a third of the burden of stroke is attributable to air pollution. Although air pollution is known to damage the lungs, heart, and brain, the extent of this threat seems to have been underestimated. Air pollution is not just a problem in big cities, but is also a global problem. With the ceaseless air streams across oceans and continents, what happens in Beijing matters in Berlin. Air pollution is one aspect of the fossil fuel and global warming problem, which is itself partly a result of westernisation and urbanisation, especially in India and China. In 1900, only about 15% of the world’s population lived in cities; now more than half the world’s population does. In cities, particularly in megacities (>10 million inhabitants), getting unhealthy food is easy and getting exercise is hard, emphasising the difficulty of achieving a healthy lifestyle in an unhealthy environment.

Hidden danger: keeping your house clean can harm your kids’ health, Hong Kong study finds

Researchers suggest limiting frequent exposure to chemicals to avoid rhinitis

Blocked noses, headaches, sneezing and other allergic symptoms among children in Hong Kong could be caused by household cleaning products, an alarming news study
has found.

Research by Chinese University of Hong Kong – the first to examine such products’ health effects on children in Asia – found that frequent use of the chemicals at home could increase the risk of children having rhinitis, or inflammation of the lining of the nose, by between 29 and 97 per cent.

The condition affecting up to 50 per cent of local primary school students could impair their quality of life as well as their scholastic performance, the researchers warned.

How living near a landfill can be harmful to health, especially for children ( Dr Xiangqian Lao, an assistant professor at Chinese University’s school of public health and primary care, said the findings suggested it was “necessary to develop healthier cleaning products”.

“Parents are also recommended to prevent triggering rhinitis in children by reducing their exposure to chemical cleaning products at home,” he said.

The three-year study surveyed over 2,299 students from 21 local primary schools on the use of 14 cleaning products at home.

It found the youngsters were most often exposed to kitchencleaning products, followed by floor-cleaning and bathroomcleaning products.

Children with the highest level of exposure to cleaning products – tallying more than 3.2 hours per week – had a 29 per cent higher risk of experiencing occasional rhinitis, a 97 per cent higher risk of frequent rhinitis, and a 67 per cent higher risk of persistent rhinitis.

Every additional hour of exposure was associated with a 2.1 per cent higher risk of occasional rhinitis, a 3.6 per cent higher risk of frequent rhinitis, and a 1.2 per cent higher risk of persistent rhinitis.

The results suggested the ensuing health effect could be due to one’s total exposure to an array of cleaning products rather than to just a single type of product.

But no such associations were observed regarding the use of clean water for daily household cleaning.

Hong Kong children wait more than a year for mental health treatment as list increases to 27,000 (The researchers suggested that common household cleaning products contained harmful chemicals, including propylene glycol, ethylenediaminetetraacetic acid or EDTA, and volatile organic compounds.

They said their study was in line with others noting the adverse effect of cleaning products, especially relating to various respiratory health outcomes like infections and
wheezing.

The study was published this month in The Journal of Allergy and Clinical Immunology.

According to the World Health Organisation, allergies affect up to 40 per cent of the world’s population, and the rate is rising, with allergic rhinitis being the most common.

A New Air Pollution Database Is Good, but Imperfect

WHO’s most recent atlas of air quality leaves significant gaps in coverage

The World Health Organization (WHO) recently released its latest global urban air pollution database, including information for nearly 3,000 cities—a doubling from the 2014 database, which itself had data from 500 more cities than the previous (2011) iteration. These increases in coverage in air pollution measurement and reporting is encouraging, but the WHO numbers reveal that we still have a ways to go to construct a comprehensive and accurate picture of global air quality.

WHO singles out Onitsha, Nigeria and Zabol, Iran as the cities with the world’s worst air pollution, the first for elevated coarse particulate, or PM10, levels and the second for extreme fine particulate, or PM2.5, concentrations.

Yet these dubious rankings come with many uncertainties and stir more questions than they answer. “It is difficult to get accurate measurements in Africa,” a WHO spokeswoman said. “[I]deally the measurements should be done over a year to include different seasons and times of day. The reading in Onitsha may be representative but not altogether reliable.”

The air in Onitsha and Zabol is, in other words, bad, though just how bad we cannot say with certainty. Global air quality is worsening, human exposure to air pollution is on the rise, and deaths caused by these toxins have increased from 4.8 million in 1990 to 5.5 million in 2015. These trends are not, however, represented evenly throughout the world. Developing nations, those experiencing rapid industrial and urban expansion, bear the brunt of air pollution’s pernicious effects. The air in cities like Onitsha and Delhi has worsened as their populations and polluting industries have grown, while New York and London’s air quality has steadily improved.

And yet it is developing cities and nations that are least equipped to monitor and manage their ambient environment. WHO’s latest air quality database underscores this problem, as nations with the most resources have steadily increased air quality monitoring and reporting and have seen their air quality steadily improve. Developing countries have experienced deteriorating air quality alongside economic growth, as measurement in these places lags behind.

The vast majority of ground-based monitors are located in Europe and North America meaning there are major “blindspots” obfuscating where air pollution is affecting the most people in the most pernicious ways. These blindspots are why we need new ways to monitor global air pollution. The 2016 Environmental Performance Index (EPI) reveals the extent to which ground-based air monitoring and reporting is missing areas suffering from some of the world’s worst air pollution. Using satellite data, researchers at Dalhousie University have estimated ground-based exposures to fine particulate pollution or PM2.5—microscopic particles that can penetrate deep into human lung and blood tissue, leading to cardiovascular disease and other serious health impacts.

These satellite data have advantages as well as their disadvantages compared to ground-based information. Satellites offer a globally-consistent, long-term, and dynamic view of air pollution levels, exposures and trends. Satellite data provide a picture of the average PM pollution that an individual living in a particular place would be exposed to on a typical day, potentially smoothing out outlying spikes in air toxin concentrations. These data can be used to gauge pollution’s impacts on human health – in total, Global Burden of Disease estimates outdoor and indoor air pollution is responsible for 5.5 million premature deaths a year. Satellites do not, however, measure air pollution at the ground level, where people live and breathe, which is why governments need to invest in ground-based monitors.

Here we present four visualizations from Data-Driven Yale’s latest research on global air pollution and a fifth graphic from recent studies on pollution sources with original analysis:

1. Nearly half of the world’s people breathes unsafe air, with populations in developing countries disproportionately exposed. One-third (1.3 billion) of these people live in the East Asia and Pacific region, where in China and South Korea more than 50 percent of their populations are exposed to unsafe levels of fine particulate matter. In India and Nepal, the percentage is nearly 75 percent – a figure reinforced by WHO’s 2016 database, showing that 16 of the world’s 30 most polluted cities are in India. In our interactive map areas shaded red or darker experience air pollution that exceeds 10 micrograms/m3 – the threshold WHO considers unsafe for people to breathe. The map shows that East Asia, Northern India, and Northern Africa have the world’s highest levels of fine particulate pollution.

GLOBAL EXPOSURE (IN MICROGRAMS PER CUBIC METER) TO FINE PARTICULATE POLLUTION (PM.5).

GLOBAL EXPOSURE (IN MICROGRAMS PER CUBIC METER) TO FINE PARTICULATE POLLUTION (PM.5).

2. Nitrogen dioxide pollution, produced mainly from fossil fuel combustion, is a precursor of ozone and smog and mostly affects Europe and East Asia. In Europe, tax policies dating back to the 1970s and regulations from the 1990s designed to limit tailpipe CO2 emissions have encouraged the production and use of diesel vehicles, resulting in elevated NO2 levels. While diesel vehicles generate 15 percent less CO2 than their gasoline counterparts, diesel engines emit four times more NO2. In London, NO2 pollution is linked to 9,500 deaths annually. These data, derived from satellite estimates, show that air pollution is not only a developing world problem, but that industrialized countries also suffer from foul air. European cities, however, are implementing ambitious policies to reduce air pollution, such as the British capital’s Ultra Low Emissions Zone, which is expected to cut central London’s pollution in half by 2020. Overall air quality has improved in Europe in the last decade, while pollution continues to worsen in most of Asia, Africa, and Latin America.

GLOBAL EXPOSURE (IN PPM) TO NITROGEN DIOXIDE (NO2).

GLOBAL EXPOSURE (IN PPM) TO NITROGEN DIOXIDE (NO2).

3. Global monitoring is improving, primarily in developed countries. Figure 3 shows increases in the number of cities monitoring air pollution from the WHO’s 2011, 2014 and 2016 databases. Cities monitoring air pollution have increased in number to the greatest extent in Europe and high-income countries in the Americas in the last five years. Progress in lower to middle-income countries has been much slower.

NUMBER OF CITIES WITH AIR POLLUTION DATA IN WHO’S URBAN AIR POLLUTION DATABASE IN 2011, 2014 AND 2016. DATA SOURCE: WORLD HEALTH ORGANIZATION

NUMBER OF CITIES WITH AIR POLLUTION DATA IN WHO’S URBAN AIR POLLUTION DATABASE IN 2011, 2014 AND 2016. DATA SOURCE: WORLD HEALTH ORGANIZATION

4. Governments that have implemented policies to control air pollution have reduced deaths. New data released in February of this year as part of the Global Burden of Disease (GDB) project show that 5.5 million premature deaths occur each year due to air pollution. Looking at GBD data over 10 years (Figure 4), key trends emerge. Air pollution-related deaths in Latin America, Sub-Saharan Africa, and Southeast Asia have worsened more dramatically than other regions the last decade. The United States, European Union, and Australia have significantly reduced air pollution-related deaths, largely due to policy interventions targeted at industrial pollution control, reducing fossil fuel consumption, and improving fuel quality in the transport sector.

PERCENTAGE DIFFERENCE BETWEEN AIR POLLUTION-RELATED DEATHS IN 2000 AND 2013. DATA SOURCE: GLOBAL BURDEN OF DISEASE (GDB)

PERCENTAGE DIFFERENCE BETWEEN AIR POLLUTION-RELATED DEATHS IN 2000 AND 2013. DATA SOURCE: GLOBAL BURDEN OF DISEASE (GDB)

5. New sources of air pollution detected. Recent studies show that a major contributor to air pollution is shipping. This finding is particularly salient in coastal regions in East Asia. Forty-two percent of Hong Kong’s particulates, for instance, are from the maritime sector. And East Asia has experienced the highest number of shipping-related air pollution deaths. A new study shows that air pollution from the agriculture sector exceeds anthropogenic sources of particulate pollution in the United States and Europe (Figure 5). These studies underscore air pollution’s complex origins, as airborne toxins come from many different sources and activities, both natural and human-driven. The mix of sources makes it ever more challenging to design policies and interventions to address this class of pollutants. Despite the challenges, the imperative is clear: more efforts must be made to reverse the current trends, to reduce human exposure to air pollution and to improve global air quality.

DOMINANT CONTRIBUTOR TO PM2.5 CONCENTRATIONS WITH RESPECT TO NATURAL (BEIGE), ANTHROPOGENIC (WITHOUT AGRICULTURE IN RED), AND AGRICULTURAL SOURCES (GREEN). SOURCE: BAUER ET AL. (2016).

DOMINANT CONTRIBUTOR TO PM2.5 CONCENTRATIONS WITH RESPECT TO NATURAL (BEIGE), ANTHROPOGENIC (WITHOUT AGRICULTURE IN RED), AND AGRICULTURAL SOURCES (GREEN). SOURCE: BAUER ET AL. (2016).

http://blogs.scientificamerican.com/guest-blog/a-new-air-pollution-database-is-good-but-imperfect/

Exposure to air pollution raises your blood pressure, Chinese study shows

Even brief exposure to chemicals found in air pollution can adversely affect blood pressure. Also in the news: women smokers more likely to give up by timing their quit date with their period

Both short- and long-term exposure to some air pollutants commonly associated with coal burning, vehicle exhaust, airborne dust and dirt are associated with the development of high blood pressure, according to new research in the American Heart Association’s journal Hypertension.

“In our analysis of 17 previously published studies we discovered a significant risk of developing high blood pressure due to exposure to air pollution,” says Tao Liu, lead study author from the Guangdong Provincial Institute of Public Health in China. “People should limit their exposure on days with higher air pollution levels, especially for those with high blood pressure; even very short-term exposure can aggravate their conditions.”

The 17 studies involved a total of more than 108,000 hypertension patients and 220,000 non-hypertensive controls. The meta-analysis found high blood pressure was significantly associated with short-term exposure to sulphur dioxide, which mainly comes from the burning of fossil fuel, and particulate matter (PM2.5, the most common and hazardous type of air pollution, and PM10). It was also significantly associated with long-term exposure to nitrogen dioxide (NO2), which is produced from combustion, and PM10.

No significant associations were found between hypertension and short-term effects of ozone and carbon monoxide exposure. Researchers said ozone and carbon monoxide’s links to high blood pressure requires further study.

Female smokers more likely to kick the habit by ‘timing’ their quit date with their menstrual cycle

Women who want to quit smoking may have better success synchronising their quit date with the period of time following ovulation and prior to menstruation, according to a new study from the University of Pennsylvania’s Perelman School of Medicine. This period, according to the study published in Biology of Sex Differences, is when brain circuitry involved in making “good decisions” is optimal.

Penn researchers recruited 38 physically healthy, premenopausal women aged between 21 and 51 years of age who smoke and who were not taking hormonal contraceptives. Functional MRI scans were done on the women to examine how regions of the brain that help control behaviour are functionally connected to regions of the brain that signal reward.

Results revealed that during the follicular phase – which begins at menstruation and continues until ovulation – there was reduced functional connectivity between brain regions that helps make good decisions and the brain regions that contain the reward centre, which could place women in the follicular phase at greater risk for continued smoking and relapse. Using smoking cues (pictures of smoking reminders such as an individual smoking) was associated with weaker connections between cognitive control regions in follicular females.

“Interestingly, the findings may represent a fundamental effect of menstrual cycle phase on brain connectivity and may be linked to other behaviours, such as responses to other rewarding substances (ie alcohol and foods high in fat and sugar),” says study senior author Teresa Franklin.

Long-term memory test could aid earlier Alzheimer’s diagnosis

People with Alzheimer’s disease could benefit from earlier diagnosis if a long-term memory test combined with a brain scan were carried out, a study suggests. University of Edinburgh scientists, in collaboration with colleagues in the US, studied long-term memory in young mice, some of which had the equivalent of very early stage Alzheimer’s disease, and some of which were healthy.

They say testing memory over a long timescale reveals early deficits in the brain’s ability to remember that go undetected by checks for short-term forgetfulness, which is the current practice for diagnosis. They add that the type of memory loss revealed by such tests could potentially be reversed by the development of new treatments.

In the study, the mice were taught to locate a hidden platform in a pool filled with water, using signs on the wall of the room to navigate. When tested shortly after the initial task, both groups of mice were able to remember the way to the platform. However, when tested one week later, the mice in the Alzheimer’s group had significantly more difficulty remembering the route.

Professor Richard Morris, who led the research, says: “We recognise that tests with animals must be interpreted with caution, but the use of these genetic models in conjunction with appropriate testing is pointing at an important dimension of early diagnosis.”
________________________________________
Source URL: http://www.scmp.com/lifestyle/health-beauty/article/1962643/exposure-air-pollution-raises-your-blood-pressure-chinese