Early exposure to traffic pollution may affect lungs later

Infants exposed to higher levels of vehicular air pollution more often have problems later on in the small airways near the edges of their lungs, according to a new study.

The finding that early life exposure to air pollutants affects the so-called peripheral airways, “has not been reported before,” said lead author Dr. Erica S. Schultz of the Karolinska Institutet Institute of Environmental Medicine in Stockholm, Sweden.

“The lungs and airways are exposed to different air pollutants throughout life, but as the lungs are not fully developed at birth, young children are considered to be particularly vulnerable to adverse effects,” she said.

Because the effects are small, they may have little impact on healthy people living in areas with little pollution, Schultz and her coauthors write.

But the findings may be relevant in areas with high pollution levels and for people with respiratory conditions.

The researchers studied roughly 2,400 children recruited between 1994 and 1996 in Sweden for whom they had data on air pollution exposure as infants and lung function as teens. In particular, they studied the “resistance” in the teen’s peripheral airways, or how hard it is to get air through those passages.

The researchers focused on nitrogen oxides in vehicle exhaust and particulate matter from road erosion. They used records of road traffic, meteorological conditions and topography to model pollution levels at residential and school addresses for the kids in the first year of life and for the year prior to their 16th birthdays.

As infant exposure to nitrogen oxides increased by 10 micrograms per cubic meter, teen airway resistance also increased. The association was strongest for boys and for those with asthma at age 16.

Pollution exposure at ages 15 and 16 was not related to lung function, however.

The authors reported in the Journal of Allergy and Clinical Immunology that particulate matter did not have a significant relationship with airway resistance.

“An increasing amount of studies demonstrate the importance of airway periphery for lung health,” Schultz told Reuters Health by email. “What´s concerning is that the effect from first year of life seem to be long-lasting although we yet don’t know the full clinical implication of this effect.”

Most teens would not feel any symptoms of their reduced lung function as the effect was small, she said.

Stockholm has relatively low air pollution levels, she said. For more polluted cities, the effects may be greater and cause conditions like asthma, heart attacks, strokes and early death.

“From this study, we cannot say that children with asthma or any other respiratory conditions will become worse from current exposure, even though that has been reported from several other studies,” Schultz said.

But policymakers should take traffic air pollution levels into considerations when planning for housing, schools and daycare centers, she said.

Source: Early exposure to traffic pollution may affect lungs later | Reuters

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Kenya: 14,000 Die Annually in Kenya Due to Air Pollution 

More than 14,300 Kenyans die every year from health conditions which can be traced back to indoor air pollution, a new United Nations report has revealed.

Wood and kerosene, which are behind most of the pollution, are still the dominant fuels used by the poor for cooking and lighting in the country.

Pneumonia is one of the biggest killers associated with air pollution and has led to half of all the global deaths associated with air pollution.

The UN report titled “Actions on Air Quality” also revealed that car exhaust fumes contribute to 40 per cent of the particulate matter air pollution in urban areas.

Imported second hand vehicles and frequent traffic jams in urban areas, along with poor vehicle maintenance have exacerbated the air pollution problem in the country.

Motorised transport is one of the fastest growing sectors in Kenya, with an average growth rate of 12 per cent per year for light duty vehicles.

WELL DONE

Mr Rob de Jong, head of the UNEP Transport Unit said that Kenya has made great strides towards containing pollution from car exhaust emissions, but more needs to be done.

“Kenya is among the countries in the world that made a decision to allow only low sulphur fuels would be allowed in,” he said on Tuesday as he launched the report at the UN offices in Gigiri.

Most of the other outdoor emissions are associated with combustion facilities within industries, such as boilers and standby power generators.

Industrial emissions contributes less than 7 per cent of the particulate matter concentration in the atmosphere.

The report revealed that air quality monitoring in Kenya is practically non-existent, although a few cases of monitoring have happened after complaints from the public, only to be abandoned later on.

United Nations Environment Programme Executive Director Mr Achim Steiner said many developing countries do not even have the technology to monitor air quality.

NOT AWARE

This means that they may not even be aware of the extent of the problem and are not well placed to come up with policies to deal with the problem.

But some local solutions to the problem of fuel emissions were celebrated in this year’ United Nations Environment Assembly where the report was launched.

For instance, the Ruiru Youth Community Empowerment Program has developed a less-polluting firewood-burning stove that is up to 60 per cent more efficient than traditional open fires common in rural areas.

Source: Kenya: 14,000 Die Annually in Kenya Due to Air Pollution – Report – allAfrica.com

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‘Suggestive evidence’ for link between air pollution and heightened stillbirth risk 

Tighter curbs on car exhaust and industrial waste and boost in fuel quality needed

There is ‘suggestive evidence’ for a link between air pollution and a heightened risk of stillbirth, indicates a summary of the available data, published online in Occupational & Environmental Medicine.

An estimated 2.6 million children worldwide were stillborn at 28 weeks or more in 2015, with the wide geographical variation in prevalence suggesting that most of these deaths were preventable, say the study authors.

To date, two reviews of the available evidence have pointed to a link between air pollution and stillbirth. But the strength of the association found was weak, and further evidence has since emerged, prompting the authors to carry out a systematic review of research published up to 2015.

Thirteen studies were eligible for inclusion in the summary, which found an association between exposure to air pollution–particularly during the third term of pregnancy–and a heightened risk of stillbirth.

Specifically, a 4 ug/m3 increase in exposure to small particulate matter of less than 2.5 in diameter (PM2.5) was associated with a 2% increased risk of stillbirth, while exposure to nitrogen dioxide, carbon monoxide, PM10 and ozone were also linked to a heightened risk.

The researchers say that differences in study design and the type of pollutant assessed, made it impossible to include all 13 studies in the final analysis, leaving three register based studies from the US and Asia.

And as a linked editorial by Dr Marie Pedersen, of the Centre for Epidemiology and Screening, University of Copenhagen, highlights, most of these previous studies were unable to take account of potentially influential factors, such as obesity, infections, alcohol, and occupation and stress, all of which have been associated with an increased risk of stillbirth.

Furthermore, most of the existing evidence relies on air monitoring data, which doesn’t adequately capture variations in levels within the same city.

Despite these caveats, the study authors conclude: “However, the existing evidence is suggestive of causality for air pollution and stillbirth without precise identification of the timing of exposure.”

But they add that further research is needed to strengthen the body of evidence available: “With the limited studies on the relevant topic, our review suggests strong priorities for future research,” they write.

“Stillbirth is one of the most neglected tragedies in global health today, and the existing evidence summarised by [the authors] deserves additional investigation,” writes Dr Pedersen.

“If the evidence of an association between ambient air population and stillbirth is confirmed in future studies, it would be of major public health importance,” she adds.

And she goes on to say that even though the size of the effect seems relatively small, the ubiquitous nature of ambient air pollution exposure suggests that exposure to it might have considerable impact on stillbirth risk at the population level.

Source: ‘Suggestive evidence’ for link between air pollution and heightened stillbirth risk | EurekAlert! Science News

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Air pollution exposure may raise heart disease risk: Study found exposure linked to poorer blood sugar, cholesterol measures 

Exposure to air pollution can worsen blood sugar levels, cholesterol and other risk factors for heart disease, particularly in people with diabetes, according to a new study.

Exposure to air pollution can worsen blood sugar levels, cholesterol and other risk factors for heart disease, particularly in people with diabetes, according to a new study published in the Endocrine Society’s Journal of Clinical Endocrinology & Metabolism.

Cardiovascular and lipid disorders are the leading cause of death in the United States, according to the Society’s Endocrine Facts and Figures Report. As of 2011, the total cost of cardiovascular disease nationwide was $320.1 billion. The total includes direct costs of treatment as well as indirect costs such as lost productivity.

Unhealthy cholesterol levels and excess glucose in the bloodstream can put an individual at greater risk of developing heart disease, according to the Hormone Health Network, the Society’s public education arm.

“While air pollution is linked with relatively small changes in cardiometabolic risk factors, the continuous nature of exposure and the number of people affected gives us cause for concern,” said the study’s senior author, Victor Novack, MD, PhD, of Soroka University Medical Center and Ben-Gurion University in Beer Sheva, Israel. “Even small changes in glucose levels and glycemic control can contribute to increased risk of cardiovascular disease.”

The population-based retrospective cohort study examined the effects of air pollution exposure on 73,117 adults living in southern Israel, where levels of particulate matter can escalate due to its location in the global dust belt. To assess air pollution, the researchers used daily satellite data on how much sunlight was blocked by particles in the air — a measurement called aerosol optical depth. By examining this and other weather data, the scientists developed a model that allowed them to estimate daily air pollution exposure for each study participant using their address.

Researchers analyzed the results of more than 600,000 blood samples taken from the study subjects, who were insured by Clalit Health Services between 2003 and 2012. All of the study participants were known smokers or were diagnosed with diabetes, ischemic heart disease, hypertension or dyslipidemia, which occurs when levels of fats in the blood are too high or low.

The study found participants tended to have higher blood sugar levels and a poorer cholesterol profile when they were exposed to higher average levels of air particulates in the preceding three months compared to those exposed to lower levels of air pollutants. Particulate matter exposure was associated with increases in blood glucose, LDL cholesterol levels, and triglycerides, or fats in the blood. Exposure to particulate matter also was linked to lower levels of HDL, or “good,” cholesterol.

The associations were stronger for people with diabetes. However, those who were taking medications other than insulin to treat diabetes experienced a protective effect. This group experienced smaller changes in blood sugar and cholesterol levels following air pollution exposure.

Although air pollution did not have an immediate effect on blood test results taken within as little as seven days of exposure, the researchers found that cumulative exposure over the course of three months was tied to risk factors for cardiovascular disease.

“We found an association between air pollution exposure in the intermediate term and undesirable changes in cholesterol,” said the study’s first author, Maayan Yitshak Sade, MPH, of Ben-Gurion University and Soroka University Medical Center, both in Beer Sheva, Israel. “This suggests that cumulative exposure to air pollution over the course of a lifetime could lead to elevated risk of cardiovascular disease.”

Source: Air pollution exposure may raise heart disease risk: Study found exposure linked to poorer blood sugar, cholesterol measures — ScienceDaily

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Coal burning aggravating air pollution: Greenpeace 

Burning of coal is major source of air pollution, and thermal power plants including, those in NCR, are the main culprits for increase in deadly pollutants all over the country during past five years, a new report on Monday claimed.

Greenpeace India in its report ‘Out of Sight – How coal burning advances India’s Air Pollution Crisis’ released on Monday, claimed thermal power generation is causing a “steady” deterioration in the overall air quality in North India.

“The report reveals coal as the largest overlooked source of air pollution and identifies air pollution emission hotspots in India visibly linked to thermal power plants in the area. Satellite based analysis from 2009 to 2015 reveals the thermal power plant clusters in Singrauli, Korba Raigarh, Angul, Chandrapur, Mundra and NCR were the source of SO2 (sulphur dioxide) and NO2 (nitrogen dioxide) emission growth in India over the past five years, showing nationwide increase of 13 per cent and 31 per cent respectively for PM2.5 and SO2,” the NGO said in a statement.

It said using similar data, earlier studies have shown an increase of 20 per cent in the regional trends for NO2 levels over the last decade. Secondary particulate matter formed by SO2 and NO2 is one of the major contributors to PM2.5 levels.

The NGO said that multiple research studies have emphasised 30 per cent to 34 per cent of total PM2.5 concentration in India is contributed by the secondary particulates, most of which come from burning of fossil fuels. Large industrial clusters, hotspots of SO2 and NO2 emissions, are found to be highest coal guzzlers, it said.

“To address the air pollution crisis, we need to accept that coal burning is responsible for increased emissions of SO2 and NO2 contributing to overall particulate matter concentration and identify the correlation between such increases and major coal consuming hot-spots in the country. An estimated 75-90 per cent of sulphates and 50 per cent nitrates are formed from SO2 and NOx emissions primarily originating from the thermal power plants. The satellite images clearly show that the emissions are highest in the regions where a lot of coal is being burnt,” said Sunil Dahiya, a Greenpeace India Campaigner.

Particulate matter, or PM, is the term for particles found in the air, including dust, dirt, soot, smoke, and liquid droplets. Particles less than 2.5 micrometres in diameter (PM2.5) are referred to as “fine” particles and are believed to pose the greatest health risks. Because of their small size (approximately 1/30th the average width of a human hair), they can lodge deeply into the lungs.

Greenpeace India said the current installed capacity of thermal power generation is causing a “steady deterioration” in the overall air quality in North India.

A recent report by IIT Kanpur on Delhi’s air pollution indicated that it would need a comprehensive and systematic plan in place for an area of at least 300 kilometres around Delhi to make a meaningful impact on the air quality. The report said that urgent, coordinated inter-agency efforts is needed to resolve the crisis not just for Delhi but to address the pollution in most north Indian cities.

“Greenpeace is calling for an ambitious and systematic national clean air action plan with focused targets, clear timelines and demonstrable accountability towards public health. Now that we have a clear understanding of the primary and secondary sources causing pollution, it provides us an opportunity to test India’s emergency response plan on air pollution,” added Dahiya.

Source: Coal burning aggravating air pollution: Greenpeace | Latest News & Updates at Daily News & Analysis

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The global air pollution ‘blindspot’ affecting 1 billion people 

More than 100 of the world’s poorest and most poorly governed countries have no or limited monitoring of the polluted air their citizens are breathing

More than 1 billion people live in countries that do not monitor the air they breathe, according to data released by the World Health Organisation (WHO).

Guardian analysis has revealed a great air pollution blindspot stretching the length of Africa, across large parts of the former Soviet Union, south-east Asia and the Caribbean. In 92 countries the monitoring equipment and staff needed to measure one of the world’s most deadly pollutants – particulate matter (PM) – are simply not available.

A further 33 countries, including Indonesia, Egypt and Russia monitor just one or two cities.

Outdoor air pollution kills 3.3 million people each year and it is getting worse. Globally, pollution levels have risen by 8% in five years. But there are signs that it can be brought under control. According to the WHO, pollution is falling in many places where monitoring occurs, including a third of cities in low- and middle-income countries.

Setting up stations to record pollution was the first step, said a WHO spokeswoman: “The cities which have invested in the capacity to regularly monitor and report the local air quality measurements have already demonstrated a commitment to starting to address air quality issues and public health.”

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In those countries with no checks, citizens’ lungs remain the only place where pollution is recorded. People may be acutely aware of the corrupted air, but without the evidence that global or national standards have been breached, there is little imperative for governments to act.

The WHO data, made public last week, showed air pollution was a hallmark of global inequality. Where it is monitored, denizens of poor cities are almost twice as likely as the rich to be breathing bad air.

Poverty is also a common theme. Of the world’s poorest 50 countries by GDP per capita, 35 are not monitoring air in any of their cities. Because they are predominantly poor- to middle-income, unmonitored countries are very likely to have high air pollution in their cities, meaning the majority of city-dwellers in those places will be be unknowingly exposed to pollution that breaches WHO standards.

The cost of setting up a single monitoring station is currently around $150,000-200,000, according to the UN Environment Programme. This does not include the ongoing staffing and maintenance costs. Although new technology may be significantly cheaper.

In Africa, the world’s poorest continent, just 10 out of 54 countries are doing any monitoring at all. Africa has just 1.3% of the cities where the WHO records air quality, despite having 16% of global population and cities set to set to triple in size in the next 50 years.

But it is not only the poor who lack information – the poorly governed also live in the dark. The Economist Intelligence Unit’s (EIU) democracy index labels 51 countries as “authoritarian”. Of these, 36 do not monitor their air. Just five non-monitoring countries appear in the democratic top 50.

In post-Soviet states, most of which rank as middle-income countries, barely any investment has been made in keeping tabs on the air. Across the vast expanse of Russia, with its thousand towns and cities, only Moscow records air quality.

Tiny Latvia boasts more monitoring stations than its former imperial master. Only the three Baltic states – Latvia, Lithuania and Estonia – have managed to implement thorough surveillance. Each of these rates above 7 out of 10 on the EIU index – Russia scores 3.31.

Even in countries where democratic freedom is limited, public information about air pollution can force great change. In China, the public outcry that followed the release of air quality data by the US embassy at Beijing’s forced the Communist party to make air a national priority. The consequent control measures, including a mass shutdown of coal power stations and steelworks, has lead to falling pollution in some of the worst-affected Chinese cities.

The pressure has also encouraged more monitoring. In China, 210 cities are now monitored, compared to 111 just two years before. This fits with an improving trend across the world. In 2014, 1,622 cities were monitored. Now it’s 2,974.

With high costs associated with monitoring, it is necessary to target high-risk areas first. One satellite study found that 96% of west Africans live above the WHO guidelines. However satellite observations are notoriously inexact. Professor Randall Martin is head of the Spartan project, which operates a network of on-ground sites at which satellite measurements can be calibrated.

“Satellite remote sensing offers a global observation source to fill that monitoring gap,” he said.

With these improvements, the blindspot is growing smaller. The number of cities monitored in Africa has doubled, with the notable addition of Nigeria. Africa’s most populous country had no cities being recorded in 2014. Now it has 12, with the city of Onitsha named as the worst city in the world for PM10 (particles under 10 but above 2.5 microns in width) pollution.

Similarly, because of an expansion of monitoring in Iran, the city of Zabol has superseded Delhi as the city with the worst fine particle (PM2.5) pollution.

With hundreds, perhaps thousands, more cities (including Lagos, Nigeria’s largest conurbation) waiting for the fog to be lifted on their own air quality, it is unlikely these two will remain at the top for long.

Source: The global air pollution ‘blindspot’ affecting 1 billion people | Environment | The Guardian

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Air pollution ‘kills 600,000′ in Africa every year 

Every year, 600,00 people die prematurely from indoor air pollution in Africa, a report by the United Nations Environment Programme (UNEP) has revealed. 

According to UNEP, the continent’s reliance on the use of biomass for cooking, lighting and heating means that 90 per cent of the region’s population is exposed to health threat.

UNEP also said land degradation, air pollution, and the provision of sanitation and safe drinking water were among the main problems on the continent.

Also, many of the region’s fisheries, both inland and marine, face over-exploitation from illegal, under-reported and unregulated fishing.

It, however, said that the continent had an opportunity to use its large young population to drive its growth.

“Low-carbon, climate-resilient choices can develop the continent’s infrastructure, accelerate industrialization, increase energy and food production, and promote sustainable natural resource governance,” it said.

On water and sanitation, the report said the proportion of the population served with “clean water is increasing and grew from 64 per cent in 2005 to 68 per cent in 2012.”

UNEP said that absolute numbers of people without safe drinking water remain high.

“More than half of the population in sub-Saharan Africa still does not have any access to improved sanitation, compared to 90 per cent coverage in North Africa, with a vast difference between urban and rural areas,” the report said.

It listed African megacities such as Cairo, Kinshasa and Lagos, and emerging mega cities such as Dar es Salaam, Johannesburg and Luanda, as facing challenges from poor management of sanitation services.

The report said those challenges arose from inadequate and deteriorating infrastructure resulting from under-investment.

According to it, land-based activities causing pollution of freshwater bodies ultimately impact coastal and marine resources.

On land and forest, it noted that Africa had the second largest continent in the world, but most prized asset for food production, nutritional health and economic development.

“Worryingly, about 500 000 square meters of land in Africa is being degraded due to soil erosion, pollution and deforestation,” it said.

“This land degradation can damage agricultural productivity, nutrition and human health.

“A growing population and a rise in the demand for firewood will mean that forest cover in Africa is likely to continue shrinking, declining to less than 600 million hectares by 2050.

“Over cultivation, inefficient irrigation practices, overgrazing, the over-exploitation of resources, uncontrolled mining activities and climate change will further degrade land in Africa”.

The report said these challenges lead to reduced agricultural productivity, reduced food security, which could increase migration and spread disease, destroy infrastructure such as roads and bridges, and high rates of poverty.

Source: Air pollution ‘kills 600,000′ in Africa every year | TheCable

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Why air pollution in schools is such a big deal – and what to do about it 

Ian Colbeck: About 3,000 British schools are in areas where air quality is poor, with those in poorer communities suffering more

Former London mayor Boris Johnson has been accused of holding back negative findings from a 2013 report on the city’s air pollution.

The report stated that 433 of London’s 1,777 primary schools were in areas where nitrogen dioxide concentrations breached EU limits. Nitrogen dioxide, or NO2, is an air pollutant that when inhaled can aggravate respiratory diseases such as asthma, emphysema and bronchitis. It has been estimated that in 2010 there were 5,900 deaths in London associated with long term exposure to NO2.

There’s a social element too. Of those 433 polluted schools, 82% were officially considered “deprived” (where more than 40% of pupils eligible for free school meals).

Given that the then-mayor was, for some time, promoting Cleaner Air 4 Schools it is difficult to understand why the report wasn’t released three years ago. After all, the finding that children, especially poorer children, suffer the most from air pollution isn’t particularly surprising.

In November 2015 a study by King’s College London and the thinktank Policy Exchange found that a third of the capital’s primary, secondary and independent schools were situated in areas with NO2concentrations above legal limits. This equates to about one in four school children in London being exposed to poor air quality.

This isn’t just a London thing: the Sunday Times mapped school location against government data of NO2 emissions per square kilometre and found that about 3,000 British schools were sited in areas with potentially dangerous levels of air pollution.

Two schools in South Yorkshire next to the M1, England’s main north-south motorway, are to be relocated as their pupils were exposed to too much air pollution.

However in Croydon, south London, a new school is to be built next to a busy arterial road where NO2 concentrations have been shown to exceeded EU limits. It is proposed that the school will be “internally ventilated” to reduce the pupil’s exposure.

The London report highlights the importance of environmental justice: deprived poorer communities suffer from poor air quality more than wealthy communities and by implication its associated disease burden. This has been known for some time and data from 2001 indicates that of the 2.5 million people in areas of Britain where the NO2 limit value was breached, more than half were among the poorest 20% of the population. A more recent analysis found that air quality improvement has been greatest in the least deprived areas.

There is now a wealth of research papers that have characterised children’s exposure to air pollutants in schools, although many concentrate on indoor air quality. In one of the most comprehensive studies, focused on Barcelona, it was found that schools had high levels of pollutants because the majority of them were very close to high traffic streets. However schools contribute to just over 30% of a child’s total exposure to air pollution.

Why is exposure to air pollution of particular concern for children? Young people are more susceptible to air pollution as their lungs are still growing and developing, and because they tend to spend more time being active outdoors. For example children living in areas with high levels of nitrogen dioxide have up to 10% less lung capacity) than normal.

Both the Royal College of Physicians and parliament’s environment audit committee have noted that little attention has been paid to planning when it comes to air pollution at schools due to their proximity to roads. The committee even recommended that national planning policy “should make it impossible to build new schools, care homes or health clinics near existing air pollution hotspots, and any redevelopment of such existing buildings should only be approved if they reduce pollution exposure for their users. Building regulations should provide for existing schools sited near pollution hotspots to be fitted with air filtration systems.”

Transport to and from school is one option that should be considered. However, parents are often reluctant to allow their child to walk along busy roads and so often drive, making the situation worse. Children these days are walking to school less often. In the 1970s an estimated 64% of all trips to school were made by walking (74% for primary age pupils and 53% for secondary age). By 2014 younger children were being driven as often as they walked in (both 46%) while older children were walking just 38% of the time.

Exploring safer or “well-being” walking routes could be one solution to encourage more walking to school and reduce exposure to air pollution.

Every council has a legal duty to increase opportunities for children to travel to and from school by sustainable modes such as cycling and walking. Most schools have a “travel plan” which identifies healthy and sustainable transport options to help to reduce the numbers of cars on the road at peak times and improve the local environment. More could be done to make parents aware of these.

Source: Why air pollution in schools is such a big deal – and what to do about it | Ian Colbeck | Environment | The Guardian

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