World Cancer Day 2022: Bad AQI reason behind 60% increase in lung and bladder cancer, say doctors

– Contaminated air is only going to push cancer cases up.

– Cases in the country increased at an annual rate of 5 per cent from 2010 to 2019.

– Nearly 100 per cent cure for cancers like thyroid and ovarian; not with pancreatic cancer.

A recently released Lancet report found that pollution in India has led to an increase in diseases like lung cancer. According to an analysis by the Institute for Health Metrics and Evaluation, University of Washington School of Medicine in December last year, cancer cases in the country increased at an annual rate of 5 per cent from 2010-2019. The average rate also went up by 2 per cent in the same period.

“Bad AQI in metro cities has enhanced the problem. Cancer treatment had always posed a challenge but bad air has increased chances of fatality in a patient by over 80 per cent. It has also had an adverse effect on the number of new cancer cases. It’s difficult to give an absolute number at this stage, but I would say bad air results in almost 60 per cent chance of you developing a cancer,” said Dr Hrishikesh Solanki, oncologist with Hinduja Hospital in Mumbai.

Dr Moushumi’s Suryavanshi, managing Molecular Diagnostics at Rajiv Cancer Institute & Research Centre tells you that despite advancement in medicine and surgical techniques, cancer has been on the rise for several reasons. “It can be due to dietary reasons, genetics, smoking, obesity and even environmental reasons. When we say environmental pollution, it could mean many things; air pollution is one of them. There has been research done on the impact of environmental pollution on cancer and we do see a very clear link between the two. But in medical fraternity we don’t just label it as air pollution. We have noticed that high amount of benzene enzymes present in the air cause lung or bladder cancer. Benzene is seen when the quality of air is between the bad-worse category. We look at what kind of chemicals are there in the pollution causing cancer,” Suryavanshi explains.

A study conducted in 2014 by Delhi Pollution Control Committee (DPCC) had shown that benzene was found in higher quantities in most part of the city. But it was not included as a part of the AQI index. “Benzene exposure is inviting trouble. Most of our research has pointed out that in areas which had an AQI over 50, the benzene level was quite high. But it is not monitored anywhere in India,” said Solanki.

An updated Globocan study by IARC in December 2021, witnessed a new rise on the global cancer burden, with over 19.3 million cases and 10 million cancer deaths in 2020.

It’s not just pollutants in the air but environmental pollution around us that is causing more cancers. Dr Saurabh Verma, senior scientist at the Institute of Pathology in Delhi tells us that air pollution is definitely a contributor toward the rise in cancer cases that we have witnessed in the past five years. “Nothing is pure around us. Air is contaminated and so is the food. Fruits and veggies that look fresh have chemicals in them. The cauliflower that looks white and fresh has been washed with copper sulphate. These are all carcinogenic. While there has been plenty of research and advancement in medicine and how surgeries are done, sadly, the numbers are only going to go up until we eradicate pollution absolutely. This is an ideal world solution,” Verma adds.

Advanced technologies are there but dealing with cancer is tricky

Yes, we have made strides in medical technology to detect cancers before it is too late. We have also mitigated the side effects of chemo to a great extent thanks to modern medicine. Does that mean, cancer is now curable?

“Today, it is a possibility that you have biosensors in your blood that could detect abnormal cells and sound an alert. There will be better screening modalities, people will become more aware, there will be advancement in treatment – drug-wise. We have immuno-therapy where the body’s immuno cells to kill cancer cells which works in 10 per cent of tumours. We have molecular therapy, where you may have more patients taking medicines for life. We already do such drugs for lung cancer. There will be progress at every front. Humans will continue to progress and make technological advancement. But doing away with chemical and plastic use completely is not likely to happen in the near future. As long as these pollutants remain, environmental hazards will cause cancer case pile ups,” Suryavanshi said.

For Dr Praveen Garg who is a senior consultant in surgical oncology at the Indraprastha Apollo Hospital in New Delhi, it is not a surprise that number of cancer cases is on the rise. “One reason is that we are testing more. This means we are diagnosing cancers that were earlier going as unnoticed. Before 2010, most patients were oblivious to their body cancers or were wrongly diagnosed by local doctors. One fine morning, the patient would just be dead due to his illness but his cancer reality would never come to the fore. This has changed. Due to new testing techniques today, we can pick up what is wrong. Cancer can be detected pretty easily nowadays and hence the cases are on rise,” he said.

The second reason for the increase in cancer is due to our lifestyle. “Unhealthy eating and drinking habits in youngsters have a role to play in the sudden spike of cancer cases. Stress is another big reason for some forms of cancer. Bad sleeping habits is also a big cause for cancer today,” Dr Garg said.

Is there no cure for cancer at all?

The good news is that more people are surviving cancer than ever before. Early diagnosis is critical as it means patients can receive treatment when there is a better chance of achieving a complete cure. Also, over a third of cancers are preventable. We should invest in cancer prevention and give people faster access to diagnostic tests and make sure more patients can quickly benefit from precise, highly personalised treatments as medical science advances,” Dr Krithika Murugan, Surgical Oncologist, HCG Cancer Hospital Bengaluru, said.

But the operative word is early diagnosis. Even a delay of a few days in diagnosing your cancer can result in fatalities, say experts.

The other positive is that we are closer to almost 100 per cent treatment in certain types of cancers like thyroid, ovarian and breast cancer. “With cancers like testicular and thyroid, we can easily say there is a 100 per cent chance of recovery. But in other forms of cancer like pancreatic cancer, chances of survival are bleak. It is difficult to say with which research we will get closer to a cure. What we can say with certainty is that we are getting better with treatment – be it medicines, chemo and radiation,” Garg said.

World Cancer Day 2022: Bad AQI reason behind 60% increase in lung and bladder cancer, say doctors
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Air pollution in Chennai five times higher than WHO limits: Report

An analysis of air quality data of Chennai by Greenpeace India has shown that the average pollution level in the city was much higher than the WHO air quality guidelines.

A report by NGO Greenpace International, released in January, revealed that the air pollution in Chennai has surpassed the World Health Organisation’s permissible limits by five times. The levels of PM10, which is particulate matter less than 10-micron size in the air we breathe, have gone up by three to four times in Chennai.

The Greenpeace report said that Chennai’s annual average PM2.5 analysed between November 2020 and November 2021 was 27 micrograms/m3, five times higher than the WHO limit of 5 micrograms/m3. A report published in the Times of India (TOI) revealed that Greenpeace studies show that Chennai is one of the most polluted cities in India.

The levels of PM10 in Coimbatore and Puducherry have increased by two to three times than revised standards of WHO, the Hindu reported, citing the Greenpeace India Report. The studies have shown that the average pollution levels in Chennai, Coimbatore and Puducherry were much higher than WHO air quality guidelines. It shows that the air pollution was a public health crisis not in north Indian cities but also in south Indian cities.

Other stations also record high pollution levels

As per the Greenpeace India report, the PM2.5 levels were recorded six times higher than the WHO standard at Manali and Kodungaiyur Tamil Nadu Pollution Control Board (TNPCB) stations. Other stations such as Perungudi, Royapuram and Velachery recorded PM2.5 levels three to four times higher than the WHO limit.

Emphasising that identification of the exact source of pollution would better enforce pollution norms, Pooja Kumar, co-ordinator of coastal resource centre, told TOI that industries and thermal plants are the sources of pollution in North Chennai. She also said that the city is not adding monitoring systems in accordance to the growth in population and areas.

“More monitoring systems will help to get reliable data,” she told TOI.

Authors call for quick action

The authors of the report have suggested a comprehensive, systematic and time-bound action to curb air pollution.

“If we don’t act now, these south Indian cities are too not far from cities like Delhi in terms of the health and economic impact of air pollution,” reported the Hindu, quoting the authors. The Greenpeace study has recommended certain ways to reduce air pollution levels, one among them being that governments need to seek alternatives to burning fossil fuels for industries. It has also called for car-free days in the city and illustrate that it is possible to travel in the city without private vehicles.

Satyarupa Shekhar, Asia Pacific Coordinator for Break Free From Plastic Movement suggested that the TNPCB stations and the government must bring down petrochemical production, avoid burning of waste, incineration and stop the use of single-use plastics to reduce air pollution, reported TOI.

Air pollution in Chennai five times higher than WHO limits: Report – Cities News

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Energy poverty leads to pollution-related deaths in Albania and Western Balkans

At least 37% of Albanians are suffering from energy poverty, far above the European average of 5%, according to a study from DOOR and EIHP to address energy poverty in energy community contracting parties. This drives them to use wood to heat their homes, directly impacting the health of those around them.

Amongst the nine contracting parties, Kosovo has the largest share of households living in energy poverty at 40%. This is followed by Albania with 37%, 33% in North Macedonia, 22% in Serbia and 15% in Montenegro. The study defines energy poverty as not being able to adequately heat houses or meet day-to-day energy needs.

It also noted that energy-poor customers do not get support in meeting their energy needs.

A separate study found that almost half of all Western Balkan households rely on wood for heating, with significant impacts on health. The European Environmental Agency estimated that air pollution caused more than 30.000 premature deaths in 2019 in the six countries of the Western Balkans.

“No matter what we burn, we create pollution – that also goes for burning wood. It is quite simple: burning wood pollutes the air we breathe, both indoor and outdoor. It makes people sick, aggravates chronic diseases and even leads to numerous unnecessary early deaths. From a health perspective, the Western Balkans urgently need to transition to energy-efficient, non-polluting and healthy household heating”, the alliance’s Senior Health and Energy Officer Vlatka Matković said.

He added that the Western Balkans “urgently needs to transition to energy-efficient, non-polluting, and healthy household heating.

Many households in the region use woodburning stoves as a backup, in the case economic hardship pushes them into energy poverty. This means that the high rates of vulnerable homes in Albania and the region directly contribute to poor health outcomes for entire societies.

“Investing money in replacing stoves is likely not to deliver on pollution reduction or anticipated health and climate co-benefits. Instead, we need to put money into energy savings and insulating people’s houses, to both improve people’s health and elevate energy poverty, reducing energy bills,” Vlatka Matković asserted.

Energy poverty leads to pollution-related deaths in Albania and Western Balkans – EURACTIV.com
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Even Low Levels of Industrial Pollution Shortens Life Span of Older People

Older people are living shorter life span due to airborne contaminants produced by ‘dirty diesel’ pollution from traffic, wildfires, and other industries.

Researchers argue in an in-depth study released in Health Effects Institute (HEI), that even low levels of pollution have adverse health effects in senior citizens. The first-of-its-kind study tracked some 68.5 million people over four years, and extended to people living in rural areas and towns with little industry.

MarketWatch reported the study’s findings which suggest that if the federal rules for allowable emissions become slightly more stringent, some 143,000 deaths could have been prevented over the course of ten years.

Air pollution as significant contributor to the global diseases  

According to HEI’s recent Global Burden of Disease – Major Air Pollution Sources report, a major source of fine-particle soot comes from the burning of fossil fuels, accounting for more than 1 million deaths globally.

The 2021 Research Report shows that even though air pollution concentrations have declined over the past few decades, several studies in the past had recorded association of relatively low concentrations of these particles to great risk of mortality and long-term exposures. In addition, health problems linked to air pollution tends to concentrate on the youngest and oldest, and thus most vulnerable, citizens.

Meanwhile, elderlies living downwind of fracking sites also had an increased risk of premature death.

“There is an urgent need to understand the causal link between living near or downwind of [unconventional oil and gas development] and adverse health effects,” said study co-author Francesca Dominici in US News. The researchers analyzed data on more than 15 million Medicare beneficiaries who lived in all major U.S. fracking exploration regions between 2001 and 2015.

Risk of ‘Death by Dirty Diesel’  

A non-profit group named Clean Air Task Force (CATF) issued a U.S.-focused digital tool tracking deaths and economic impact linked to diesel fuel. The group calls it “Death by Dirty Diesel”.

“Diesel vehicle emissions are wreaking havoc on communities across the United States. This interactive map explores the negative health impacts of diesel emissions by U.S. state, county, and metropolitan area, with data on the deaths from diesel, as well other health and economic risks associated with diesel pollution,” the task force said on the website.

Aside from cars, Diesel powers commercial trucks over the nation’s roads and impacts economic areas torn up decades ago for major streets, highways and elevated interstates, to a greater degree.

According to national data, there were more than 8,000 deaths, 3,700 heart attacks, hundreds of thousands of other respiratory ailments, and nearly $1 trillion in economic damages projected for 2023 from diesel alone.

Moreover, other recent studies also linked fine-particle pollution to higher rates of death from COVID-19, particularly In Black and other communities of color living near highways, power plants and other industrial facilities.

Even Low Levels of Industrial Pollution Shortens Life Span of Older People | Nature World News
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WHY WEAR A MASK THIS WINTER

WHY WEAR A MASK THIS WINTER

Here are some reasons why you might want to wear an effective mask this winter:

1. Colds and flu viruses are still around and they are not just called Omicron.

2. The Allergy Season starts in February with the arrival of Hazel, Yew, Alder, Elm and Willow pollen.

3. Air pollution levels, especially in winter, are at their highest in built up cities.

4. Ventilation and heating systems on public transport do a great job of mixing air around with viruses that are present in it.

5. A mask will protect your lungs from bad, contaminated or extreme cold air.

With reusable filters, a Respro® Mask offers all-round protection. It is planet kind and will keep you in good health, ready for anything.

Posted in Air Quality, Respro® Products | Tagged , | 1 Comment

Rural air pollution may be as hazardous as urban, study finds

New research shows that chemical reactivity, seasonality and distribution of airborne particulate matter are critical metrics when considering air pollution’s impact on human health. Current environmental regulations focus on the mass of pollutant particles, and researchers at the University of Illinois Urbana-Champaign are pushing to refocus regulatory efforts on more regional and health-relevant factors.

A new study of air quality in the Midwestern U.S. found that measuring the mass concentration of PM2.5 — particles that are 2.5 micrometers in diameter or smaller — does not correspond well with current methods for classifying particle toxicity. Additionally, the researchers found that PM2.5 exposure may be just as hazardous in rural areas as in urban areas — evidence that challenges a common misconception that air pollution is more toxic in urban areas than in than rural areas, the researchers said.

The findings of the study, led by civil and environmental engineering professor Vishal Verma, are published in the Journal of Hazardous Materials.

“The EPA classification of PM2.5 accounts for particle diameter and mass, which are characteristics that are easy to measure,” Verma said. “However, not all particles that make up PM2.5 contribute to health equally.”

PM2.5 poses a health risk because it can become embedded in lung tissue when inhaled, the researchers said. Although chemically reactive fractions of these particles are known to be toxic, a previous study by Verma’s group shows that the exact relationship between PM2.5 mass and toxicity is unclear.

“Most air pollution studies have shifted focus from particle mass to a property called cellular oxidative potential,” Verma said. “Cellular oxidative potential describes the capability of the particles to generate reactive, oxygen-based chemicals that can lead to a variety of health problems in the cells of lung tissue.”

To examine the influence of oxidative potential more closely, the researchers collected PM2.5 samples weekly in the summer and fall of 2018 and in the winter and spring of 2019. They chose three urban localities: Chicago, Indianapolis and St. Louis; a rural location in Bondville, Illinois; and a roadside location adjacent to an interstate highway in Champaign, Illinois.

Using an automated analytical technique developed in a previous study, Verma’s team analyzed the sample composition, oxidative potential and mass. The team found that all locations shared similar levels of oxidative potental — but saw a poor correlation between oxidative potential and mass. That suggests that some of the lighter particles that make up PM2.5 contribute more to tissue damage than others, the study reports.

“Our rural samples did have less mass than those in the urban settings, but the oxidative potential was equal to samples from urban settings,” Verma said. “Additionally, the oxidative potential of the rural samples was higher in the summer than in the winter, suggesting that summertime agricultural activity can produce PM2.5 particles that are just as toxic as those from urban settings.”

The team hopes this study brings attention to these newly uncovered risks associated with PM2.5 in rural areas.

“The current methods used to measure PM2.5 oxidative potential are time-consuming and laborious, and we hope that our new methodology, combined with these study findings, makes testing for oxidative potential more appealing to environmental regulators and policymakers,” Verma said.

The National Science Foundation supported this research.

Rural air pollution may be as hazardous as urban, study finds — ScienceDaily
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Strict COVID-19 lockdown policies helped reduce air pollution levels and death rates in Europe

Strict COVID-19 lockdown policies such as workplace closures in European cities reduced levels of air pollution and the number of associated deaths, according to new estimates published in Nature’s Scientific Reports.

The research, which was funded by the European Centre for Medium-Range Weather Forecasts (ECMWF) on behalf of the Copernicus Atmosphere Monitoring Service (CAMS), was led by a team of statistical health and earth observation satellite modellers based at the London School of Hygiene & Tropical Medicine (LSHTM), with colleagues from CAMS.

The study compared government policies from 47 European cities from February to July 2020 and estimated the changes in pollution levels and related number of deaths avoided during the first wave of COVID-19 pandemic.

Government measures for COVID-19 such as school and workplace closure, cancelling public events, and stay-at-home requirements had the strongest effect on reducing NO2 levels. This is linked to the reduction in road transport and local mobility which is known to be a contributor to NO2 air pollution. Spanish, French and Italian cities had the largest decrease in NO2 of between 50% and 60% during the period.

Although strong decreases in NO2 were observed, levels of fine particulate matter PM2.5 and PM10 were reduced more modestly since they are also produced by natural sources (wildfires and dust), and other emission sources like residential activities, that were slightly increased during lockdown.

“The lockdown during the first wave of the COVID-19 pandemic created immense health and social costs, however, it has offered unique conditions to investigate potential effects of strict policies to reduce pollution levels in urban areas. This ‘natural experiment’ has given us a glimpse of how air quality can be improved by drastic public health measures that would be difficult to implement in normal times. The information can be important to design effective policies to tackle the problem of pollution in our cities.” – Antonio Gasparrini, Study Senior Author and Professor of Biostatistics and Epidemiology, London School of Hygiene & Tropical Medicine

CAMS provided the surface-level data for this research using an ensemble of regional air quality models. This allowed the team to compare the concentrations of the main air pollutants with two emissions scenarios, one corresponding to business-as-usual conditions and the other corresponding to a detailed estimate of emissions resulting from the actual governmental measures taken during the first lockdown, varying for each country, each day and for each of the main activity sectors (road traffic, industry etc.).

Based on the estimates for NO2, there were 485.5 (confidence interval of 590.9; 377.6) excess deaths avoided associated with the exposure change (lockdown – business-as-usual difference), compared to 2,572.9 (confidence interval of 2,042.3; 3,070.9) excess deaths estimated under a business-as-usual scenario.

Across all pollutants, a total of more than 800 deaths were avoided with improved air quality resulting from the governmental measures taken to limit the spread of the SARS-Cov-2 virus. Paris, London, Barcelona, and Milan were among the top six cities with the highest number of avoided deaths.

Although all cities experienced a slight increase in air pollution levels after the strong decline in March and April 2020, levels remained below business-as-usual scenario estimates throughout the period studied. Restrictions on internal and international travel showed a minor impact on the local pollution levels.

Rochelle Schneider, Honorary Assistant Professor in Geospatial Data Science at LSHTM, Visiting Scientist at ECMWF, and first author of the study said: “Connecting expertise rapidly after and during the COVID-19 pandemic began has allowed us to estimate the health benefits from specific government measures. This, and other similar studies, can help drive the message that we definitely need to improve urban air quality for human health, and for the environment.”

“Government policies decided during the spring and early summer of 2020 gave us a unique opportunity to study a “real-life” scenario with lower air pollution levels. This paper conveyed strong messages on the potential of replicable, scalable, and collaborative research conducted with complementary expertise and knowledge from public health and tropical medicine universities, Copernicus, and meteorological institutes.”

Vincent-Henri Peuch, Director of the Copernicus Atmosphere Monitoring Service (CAMS), said: “This research benefits from a unique dataset provided by CAMS, which allows to compare as realistically and accurately as possible European air quality as it was experienced as a result of the COVID-19 measures and what would have happened under normal conditions. This overcomes many limitations of other studies, which compared for instance different years or different periods. The CAMS multi-model ensemble that has been used to generate this dataset has capabilities that have no equivalent in the world.” Vincent-Henri Peuch added: “The findings are extremely significant as they consolidate the quantitative evidence that the COVID-related government measures had a direct effect on air pollution levels areas across Europe, particularly for NO2. Beyond the analysis of the mortality during the first months of the pandemic, this study could help shape future policy as the public health benefits of reducing pollution in our cities and the effectiveness of certain measures are clear to see”.

The authors acknowledge limitations of the study, including the use of country’s overall response rather than city-specific COVID-19 interventions.

The Copernicus Atmosphere Monitoring Service (CAMS) is implemented by the European Centre for Medium-Range Weather Forecasts (ECMWF) on behalf of the European Commission with funding from the European Union.

Source: London School of Hygiene & Tropical Medicine

Strict COVID-19 lockdown policies helped reduce air pollution levels and death rates in Europe
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Plastic snowfall in the Alps

Nanoplastic in the environment

In a new study, Empa researcher Dominik Brunner, together with colleagues from Utrecht University and the Austrian Central Institute for Meteorology and Geophysics, is investigating how much plastic is trickling down on us from the atmosphere. According to the study, some nanoplastics travel over 2000 kilometers through the air. According to the figures from the measurements about 43 trillion miniature plastic particles land in Switzerland every year. Researchers still disagree on the exact number. But according to estimates from the study, it could be as much as 3,000 tonnes of nanoplastics that cover Switzerland every year, from the remote Alps to the urban lowlands. These estimates are very high compared to other studies, and more research is needed to verify these numbers.

The study is uncharted scientific territory because the spread of nanoplastics through the air is still largely unexplored. The result of Brunner’s research is the most accurate record of air pollution by nanoplastics ever made. To count the plastic particles, Brunner and his colleagues have developed a chemical method that determines the contamination of the samples with a mass spectrometer.  

Extreme conditions

The scientists studied a small area at an altitude of 3106 meters at the top of the mountain “Hoher Sonnenblick” in the “Hohe Tauern” National Park in Austria. An observatory of the Central Institute for Meteorology and Geodynamics has been located here since 1886. The observatory is run by meteorologist and Arctic researcher Elke Ludewig. Since research began here in the late 19th century, the observatory has only been non-operational on four days. The research station also served as a base for the study on the spread of nanoplastics in remote areas.

Every day, and in all weather conditions, scientists removed a part of the top layer of snow around a marker at 8 AM and carefully stored it. Contamination of the samples by nanoplastics in the air or on the scientists’ clothes was a particular challenge. In the laboratory, the researchers sometimes had to remain motionless when a colleague handled an open sample.

The origin of the tiny particles was traced with the help of European wind and weather data. The researchers could show that the greatest emission of nanoplastics into the atmosphere occurs in densely populated, urban areas. About 30% of the nanoplastic particles measured on the mountain top originate from a radius of 200 kilometers, mainly from cities. However, plastics from the world’s oceans apparently also get into the air via the spray of the waves. Around 10% of the particles measured in the study were blown onto the mountain by wind and weather over 2000 kilometers – some of them from the Atlantic.  

Nanoparticles in the bloodstream

It is estimated that more than 8300 million tonnes of plastic have been produced worldwide to date, about 60% of which is now waste. This waste erodes through weathering effects and mechanical abrasion from macro- to micro- and nanoparticles. But discarded plastic is far from the only source. Everyday use of plastic products such as packaging and clothing releases nanoplastics. Particles in this size range are so light that their movement in the air can best be compared to gases.

Besides plastics, there are all kinds of other tiny particles. From Sahara sand to brake pads, the world is buzzing through the air as abrasion. It is as yet unclear whether this kind of air pollution poses a potential health threat to humans. Nanoparticles, unlike microparticles, do not just end up in the stomach. They are sucked deep into the lungs through respiration, where their size may allow them to cross the cell-blood barrier and enter the human bloodstream. Whether this is harmful or even dangerous, however, remains to be researched.

Plastic snowfall in the Alps | EurekAlert!
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