Short-term exposure to air pollution and infant mortality: A systematic review and meta-analysis
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Background: Radiation is one of the most important stressors related to missions in space beyond Earth’s orbit. Epidemiologic studies of exposed workers have reported elevated rates of Parkinson’s disease. The importance of cognitive dysfunction related to low-dose rate radiation in humans is not defined. A meta-analysis was conducted of six cohorts in the Million Person Study (MPS) of low-dose health effects to learn whether there is consistent evidence that Parkinson’s disease is associated with radiation dose to brain. Materials and methods: The MPS evaluates all causes of death among U.S. radiation workers and veterans, including Parkinson’s disease. Systematic and consistent methods are applied to study all categories of workers including medical radiation workers, industrial radiographers, nuclear power plant workers, atomic veterans, and Manhattan Projects workers at the Los Alamos National Laboratory and at Rocky Flats. Consistent methods for all cohorts are used to estimate organ-specific doses and to obtain vital status and cause of death. Results: The meta-analysis include 6 cohorts within the MPS, consisting of 517,608 workers and 17,219,001 person-years of observation. The mean dose to brain ranged from 6.9 to 47.6 mGy and the maximum dose from 0.76 to 2.7 Gy. Five of the 6 cohorts revealed positive associations with Parkinson’s disease. The overall summary estimate from the meta-analysis was statistically significant based on 1573 deaths due to Parkinson’s disease. The summary excess relative risk at 100 mGy was 0.17 (95% CI: 0.05; 0.29). Conclusions: Parkinson’s disease was positively associated with radiation in the MPS cohorts indicating the need for careful evaluation as to causality in other studies, delineation of possible mechanisms, and assessing possible implications for space travel as well as radiation protection guidance for terrestrial workers.
Ambient fine particulate matter (PM 2.5 ) is the world’s leading environmental health risk factor. Reducing the PM 2.5 disease burden requires specific strategies that target dominant sources across multiple spatial scales. We provide a contemporary and comprehensive evaluation of sector- and fuel-specific contributions to this disease burden across 21 regions, 204 countries, and 200 sub-national areas by integrating 24 global atmospheric chemistry-transport model sensitivity simulations, high-resolution satellite-derived PM 2.5 exposure estimates, and disease-specific concentration response relationships. Globally, 1.05 (95% Confidence Interval: 0.74–1.36) million deaths were avoidable in 2017 by eliminating fossil-fuel combustion (27.3% of the total PM 2.5 burden), with coal contributing to over half. Other dominant global sources included residential (0.74 [0.52–0.95] million deaths; 19.2%), industrial (0.45 [0.32–0.58] million deaths; 11.7%), and energy (0.39 [0.28–0.51] million deaths; 10.2%) sectors. Our results show that regions with large anthropogenic contributions generally had the highest attributable deaths, suggesting substantial health benefits from replacing traditional energy sources.
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This paper compares the probabilistic accuracy of short-term forecasts of reported deaths due to COVID-19 during the first year and a half of the pandemic in the United States. Results show high variation in accuracy between and within stand-alone models and more consistent accuracy from an ensemble model that combined forecasts from all eligible models. This demonstrates that an ensemble model provided a reliable and comparatively accurate means of forecasting deaths during the COVID-19 pandemic that exceeded the performance of all of the models that contributed to it. This work strengthens the evidence base for synthesizing multiple models to support public-health action.
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This article is a Commentary on Robbins et al . (2024), 244 : 2239–2250 .
A common MUC5B gene polymorphism, rs35705950-T, is associated with idiopathic pulmonary fibrosis (IPF), but its role in severe acute respiratory syndrome coronavirus 2 infection and disease severity is unclear. To assess whether rs35705950-T confers differential risk for clinical outcomes associated with coronavirus disease (COVID-19) infection among participants in the Million Veteran Program (MVP). The MUC5B rs35705950-T allele was directly genotyped among MVP participants; clinical events and comorbidities were extracted from the electronic health records. Associations between the incidence or severity of COVID-19 and rs35705950-T were analyzed within each ancestry group in the MVP followed by transancestry meta-analysis. Replication and joint meta-analysis were conducted using summary statistics from the COVID-19 Host Genetics Initiative (HGI). Sensitivity analyses with adjustment for additional covariates (body mass index, Charlson comorbidity index, smoking, asbestosis, rheumatoid arthritis with interstitial lung disease, and IPF) and associations with post–COVID-19 pneumonia were performed in MVP subjects. The MUC5B variant rs35705950-T may confer protection in COVID-19 hospitalizations.
Modifications to vertical barrier screens (VBS) and the addition of concrete corbels to improve passage conditions for juvenile salmonids in the gatewells of Bonneville Dam’s second powerhouse (B2) were completed prior to the 2024 passage season. To evaluate the effectiveness of those modifications, PNNL carried out a post construction evaluation to contrast fish condition and mortality between two turbine unit operational ranges within the peak efficiency range. A block-treatment study design was implemented in 2024 to contrast descaling and mortality of juvenile salmonids sampled in the juvenile fish facility following exposure to turbine operations (middle versus upper 1% peak efficiency range) during spring and summer passage periods. In spring, 1.96% of juvenile salmonids sampled during mid-1% operations were descaled and 0.46% were mortalities. Of those sampled during upper 1% unit operations in spring, 2.90% were descaled and 0.95% were mortalities. Although these differences appeared to be meaningful, substantial exceedances of the upper 1% limit occurred during two treatment blocks of the spring study period. Fish collected during the upper 1% treatment of these two blocks experienced substantially higher rates of descaling and mortality compared to those collected during mid-1% treatments. Censoring these two upper 1% samples from the spring study period resulted in upper 1% descaling and mortality rates that were statistically similar to those from the mid-1% treatment. During the summer study period, 0.99% of juveniles sampled during mid-1% operations were descaled and 0.33% suffered mortality; these rates were significantly lower than the descaling (2.80%) and mortality (1.73%) rates observed during upper 1% treatments. Comparing the results from the 2024 study to those from the historical (2008–2013) baseline of unmodified units revealed that the descaling and mortality rates observed during upper 1% operations in spring 2024 were near the upper end of the historic range observed for mid-1% operations. Spring 2024 upper 1% descaling and mortality rates were below, or well below the median of historical mid and upper 1% (combined) rates, which suggests that the modifications have had a positive effect. Summer 2024 upper 1% descaling and mortality rates were at or above the top of the range of historical mid 1% and above or well above the median of historical mid and upper 1% (combined) rates. It is important to keep in mind that 2024 is a single year when considering these comparisons. Additional study could help confirm these results or seek a level of operation that achieves the desired outcomes for fish.
Exposure to ultrafine particles (UFP, ≤100 nm) is an emerging health concern linked to premature mortality, with jet fuel combustion identified as a significant source of UFPs near airports. Sustainable aviation fuel (SAF) adoption has the potential to reduce aviation-related UFPs and may particularly benefit populations who reside nearby. However, assessing aviation-specific impacts on health remains challenging due to the lack of tools capable of addressing: fine-scale exposure evaluation, novel ambient pollutants, and groups with increased exposure or susceptibility. We develop and apply a method to estimate reductions in mortality associated with aviation-related UFP reductions at the Seattle-Tacoma (SEA-TAC) International Airport under SAF adoption scenarios, with a focus on near-airport communities. Using UFP exposure surfaces generated from AERMOD modeling, flight count data, and UFP measurements, we evaluated UFP reductions under various control scenarios. We estimated mortality reductions by combining this with population data, baseline mortality, and a hazard ratio of 1.012 (95 % confidence interval: 1.010, 1.015) per interquartile range increment of 2723 particles/cm 3 . Our analysis included 412 census tracts representing almost 1.5 million adults. Baseline aviation-related UFP exposures averaged 1145 (SD: 277) particles/cm 3 . The highest baseline concentrations and subsequent reductions under SAF scenarios were near SEA-TAC. Mortality case reductions averaged between 3.1 (95 % range: 2.5–3.7) for a 5 % UFP reduction to 31.0 (24.6–37.4) for a 50 % reduction, with corresponding mortality rate reductions of 0.2 (0.2–0.3) to 2.1 (1.7–2.5) cases per 100,000 people per year. Mortality rate reductions were larger among populations residing closer to SEA-TAC, including those that were Hispanic or Latino, below-poverty, and did not identify as White. Reducing aviation-related UFPs through SAF adoption could lead to lower mortality, particularly in near-airport communities. This reproducible approach can be adapted to other settings to evaluate health benefits from aviation-related UFP reductions.
Subalpine forests in western North America are threatened by rapid climate change, increased activity by endemic and exotic insects and diseases, and changing wildfire regimes. The interactive effects of these stressors have resulted in pronounced population declines in many subalpine tree species; however, a systematic assessment of the status and trends of subalpine forests is lacking. Subalpine fir (Abies lasiocarpa) is a widespread species across the western United States, with documented population declines in many parts of its distribution. Here we use subalpine fir as an initial leverage point to build a more complete understanding of subalpine forest baseline conditions and responses to environmental change. Specifically, we leverage the USDA Forest Service Forest Inventory and Analysis (FIA) database to (1) ask how subalpine fir populations are changing across the species’ distribution in the western US, (2) assess the drivers of recent subalpine fir population trends, and (3) explore whether those changes imply generalized species-wide and/or system-wide decline. We found that subalpine fir abundance and basal area are declining concurrently across ~ 62% of the species’ distribution, and increasing across ~ 19%. Range-wide, we estimated 25.02 ± 2.74 % subalpine fir mortality between 2000 and 2009 and 2010–2019 FIA inventory periods, with higher mortality concentrated in the eastern Oregon Cascades, central Idaho, and parts of southern Colorado. High regeneration density did not predict positive population trajectories, which were instead associated with higher rates of adult recruitment. While the importance of different mortality agents varied substantially between ecoregions, 83.4% of total range-wide mortality was related to fire or biological disturbance. Declining subalpine fir basal area coincided with declines in the basal area of other co-occurring tree species in 39% of subalpine forest area, and with increases in conspecific basal area in 22% of forest area. Fire disturbance was the single largest cause of subalpine fir mortality; however, even where subalpine fir fire mortality was high, mortality among other species was primarily caused by insects. In conclusion, our results suggest that subalpine fir declines across large portions of the western United States are driven by forest disturbance, and that declines in subalpine fir populations may be indicative of negative change in subalpine forest systems broadly.
Earth’s forests face grave challenges in the Anthropocene, including hotter droughts increasingly associated with widespread forest die-off events. But despite the vital importance of forests to global ecosystem services, their fates in a warming world remain highly uncertain. Lacking is quantitative determination of commonality in climate anomalies associated with pulses of tree mortality—from published, field-documented mortality events—required for understanding the role of extreme climate events in overall global tree die-off patterns. Here we established a geo-referenced global database documenting climate-induced mortality events spanning all tree-supporting biomes and continents, from 154 peer-reviewed studies since 1970. Our analysis quantifies a global “hotter-drought fingerprint” from these tree-mortality sites—effectively a hotter and drier climate signal for tree mortality—across 675 locations encompassing 1,303 plots. Frequency of these observed mortality-year climate conditions strongly increases nonlinearly under projected warming. Our database also provides initial footing for further community-developed, quantitative, ground-based monitoring of global tree mortality.
Spirometry-based studies of occupational lung disease have mostly focused on obstructive or mixed obstructive/restrictive outcomes. We wanted to determine if restrictive spirometry pattern (RSP) is associated with occupation and increased mortality. Study participants included 18,145 workers with demographic and smoking data and repeatable spirometry. The mortality analysis cohort included 15,445 workers with known vital status and cause of death through December 31, 2016. Stratified analyses explored RSP prevalence by demographic and clinical variables and trade. Log-binomial regression models explored RSP risk factors while controlling for important confounders such as smoking, obesity, and comorbidities. Cox regression models explored mortality risk by spirometry category. Prevalence of RSP was very high (28.6%). Mortality hazard ratios for RSP were 1.50 for all causes, 1.86 for cardiovascular diseases, 2.31 for respiratory diseases, and 1.66 for lung cancer. All construction trades except painters, machinists, and roofers had significantly elevated risk for RSP compared to our internal reference group. RSP was significantly associated with both parenchymal and pleural changes seen by chest X-ray. Construction trade workers are at significantly increased risk for RSP independent of obesity. Individuals with RSP are at increased risk for all-cause mortality as well as mortality attributable to respiratory diseases, cardiovascular diseases, and lung cancer. RSP deserves greater attention in occupational medicine and epidemiology.