Impact of large industrial emission sources on mortality and morbidity in Chile: A small-areas study

Metal(loid)s content in Concholepas concholepas (Mollusca) and human health assessment in a coastal environmental sacrifice zone, central Chile (∼32°S)

In seafood, the study of metal(loid)s is essential to assess their toxicity and to establish risks of human exposure. This study investigates the content of As, Cd, Cu, Ni and Pb in Concholepas concholepas in a coastal environmental sacrifice zone (Chile) to assess potential human-health risks by consumption of C. concholepas. The Cu and Cd content was found to be above the safety level established in chilean and international regulations. The Estimated Daily Intake (EDI) and Target Hazard Quotient (THQ) for As were comparatively high with respect to the other metals analysed. The THQ-As and Hazard Index (HI) suggest a moderate carcinogenic risk due to the consumption of C. concholepas in six of the nine sectors analysed. THQ and HI are reasonable indicators to assess risks to human-health from the consumption of shellfish with HMs. C. concholepas can be considered as a biomonitor to study metal(loid)s on the Chilean coast.

Chronic exposure to fine particles (PM2.5) and mortality: Evidence from Chile

Many Chilean cities suffer from high air pollution from industrial, mobile, and residential wood-burning sources. Several studies have linked PM2.5 air pollution exposure to higher mortality risk from cardiovascular, pulmonary, and lung cancer causes. In recent years, Chile has developed an extensive air pollution monitoring network to enforce air quality standards for PM2.5, allowing the study of the medium-term association between PM2.5 and mortality.

Methods

A negative binomial regression model was used to study the association between 3-year average PM2.5 concentrations and age-adjusted mortality rates for 105 of the 345 municipalities in Chile. Models were fitted for all (ICD10 A to Q codes), cardiopulmonary (I and J), cardiovascular (I), pulmonary (J), cancer (C), and lung cancer (C33-C34) causes; controlling for meteorological, socioeconomic, and demographic characteristics.

Results

A significant association of PM2.5 exposure with cardiopulmonary (relative risk for 10 µg/m3 PM2.5: 1.06; 95% confidence interval = 1.00, 1.13) and pulmonary (1.11; 1.02, 1.20) age-adjusted mortality rates was found. Cardiovascular (1.06; 0.99, 1.13) and all causes (1.02; 0.98, 1.07) were positive, but not significant. No significant association was found between cancer and lung cancer. The positive associations remained even when controlling for multiple confounding factors, model specifications, and when considering different methods for exposure characterization. These estimates are in line with results from cohort studies from the United States and European studies.

Conclusion

Three-year average PM2.5 exposure is positively associated with the age-adjusted mortality rate for cardiopulmonary and cardiovascular causes in Chile. This provides evidence of the medium-term exposure effect of fine particles on long-term mortality rates.

Monitoring of Thermal Comfort and Air Quality for Sustainable Energy Management inside Hospitals Based on Online Analytical Processing and the Internet of Things

There is a need to ensure comfortable conditions for hospital staff and patients from the point of view of thermal comfort and air quality so that they do not affect their performance. We consider the need for hospital employees and patients to enjoy conditions of greater well-being during their stay. This is understood as a comfortable thermal sensation and adequate air quality, depending on the task they are performing. The contribution of this article is the formulation of the fundamentals of a system and platform for monitoring thermal comfort and Indoor Air Quality (IAQ) in hospitals, based on an Internet of Things platform composed of a low-cost sensor node network that is capable of measuring critical variables such as humidity, temperature, and Carbon Dioxide (CO₂). As part of the platform, a multidimensional data model with an On-Line Analytical Processing (OLAP) approach is presented that offers query flexibility, data volume reduction, as well as a significant reduction in query response times. The experimental results confirm the suitability of the platform's data model, which facilitates operational and strategic decision making in complex hospitals.

Human health risks associated with urban soils in mining areas

We studied the chemical composition of As and Pb in total (<2 mm) and fine fractions (<50 μm) of 52 urban soil samples from Minas de Riotinto (mining area) and Aracena (non-exposed area) in SW Spain. In addition to a soil phytotoxicity bioassay using Lactuca Sativa L., we modelled and performed carcinogenic and non-carcinogenic human health risk assessment, later comparing our data with relative cancer mortality rates reported at the municipal level. This study demonstrates that mineralized bedrock and natural soil-forming processes affect the geochemistry of natural (in-situ) urban soils, which in many cases surpass the regulatory levels for As (36 mg/kg) and Pb (275 mg/kg). Fine fractions of in-situ and mixed urban soils -susceptible of inhalation- are significantly enriched in As and Pb with respect to fine fractions of aggregate materials (ex-situ soils of chalky sands and gravel) in Minas de Riotinto. The soils in Minas de Riotinto are significantly enriched in As (total and fine fractions) and Pb (total fraction) with respect to Aracena. Despite elevated bulk concentrations of As and Pb, only one in-situ sample exhibits phytotoxic effects of the soil-water extracts on Lactuca Sativa L. seeds. Health risk assessment of these towns as exposure areas indicates that the soils of Minas de Riotinto are indeed a health risk to the residents, whereas there is no potential risk in Aracena. The reported relative mortality rates in Minas de Riotinto show a greater mortality of carcinogenic tumors potentially related to As and Pb exposure, including lung cancer. Both soil type and use must be considered when administrators or policy-makers evaluate health risks involved in urbanistic decision-making. To minimize exposure risk and adverse health outcomes, we recommend that in-situ soils surpassing regulatory levels for As and Pb in public playgrounds and passing areas should be covered with aggregate materials.

Social-Environmental Conflicts in Chile: Is There Any Potential for an Ecological Constitution?

Social unrest is on the rise worldwide amid deepening inequalities, environmental degradation, and job crises worsened by increasing social-environmental conflicts. In Chile, a social revolt in 2019 resulted in a national referendum in 2020. An ample majority (78.3% vs. 21.7%) voted to draft a new constitution to replace the current constitution drawn up under dictatorship. The result led to the emergence and empowerment of several organizations demanding an “ecological constitution”. In this context, we aim to analyze: (1) the main social-environmental conflicts in Chile and how they are related to the country’s current constitution, and (2) the potential drafting of an ecological constitution that addresses these conflicts. Across different industries in Chile, we observed common problems that are intrinsically related to the current constitution. This relationship seems to be perceived by Chilean citizens since a survey carried out in May 2021 found 79% support for an ecological constitution. Moreover, 105 of the 155 delegates to the constitutional convention proposed three or more environmental principles to be included in the new constitution. A potential ecological constitution entails principles that would improve the current situation of social-environmental conflicts in Chile. Based on our analysis, we recommend the establishment of watershed-based “territorial rights” in the new Chilean constitution to improve sustainability and environmental justice.

Public health impact of coal-fired power plants: a critical systematic review of the epidemiological literature

Coal-based energy production is the most utilized method of electricity production worldwide and releases the highest concentration of gaseous, particulate, and metallic pollutants. Toxicological research has shown that coal combustion by-products are carcinogens, endocrine disruptors, and cardiorespiratory toxins. This article aims to systematically review the epidemiological literature on the impact emissions from coal-based power production has on morbidity and mortality worldwide. Two thousand one hundred and fifty-two articles were retrieved based on search criteria. Word search of abstract and article text filtered the results to 95 articles. Forty articles were included after screening. The literature indicates a significant adverse effect from particulate matter and polyaromatic hydrocarbon emissions on morbidity and mortality. There is a lack of consistency of exposure assessment and inadequate control of significant potential confounders such as social economic status. Future research should focus on improving exposure assessment models, specifically source-apportionment and geographic information system methods to model power plant-specific emissions.

Respiratory Hospitalizations and Their Relationship with Air Pollution Sources in the Period of FIFA World Cup and Olympic Games in Rio de Janeiro, Brazil

Background: From 2010 onwards, the city of Rio de Janeiro has undergone changes related to the 2014 FIFA World Cup and the 2016 Olympic Games, potentially affecting the respiratory health of inhabitants. Thus, the spatial distribution of respiratory hospitalizations (2008–2017) and the relationship between this outcome and potential air pollution sources in the city of Rio de Janeiro (2013–2017) were evaluated. Methods: An ecological study was performed using the Bayesian model with multivariate Poisson regression for the period of the sporting events (2013–2017). The outcome was the ratio of hospitalizations for respiratory diseases by the population at risk. Data analysis was performed in the total population and by sex and age group. The air pollution-related variables included industrial districts, traffic density, tunnel portals, a seaport, airports, and construction/road work. Results: All explanatory variables, except tunnel portals, were associated with an increase in the outcome. Construction/road work showed a greater magnitude of association than the other pollution-related variables. Airports were associated with an increased hospitalization ratio among the ≥60 year-old group (mean = 2.46, 95% credible intervals = 1.35–4.46). Conclusion: This study allows for a better understanding of the geographical distribution of respiratory problems in the city of Rio de Janeiro. Present results may contribute to improved healthcare planning and raise hypotheses concerning exposure to air pollution and respiratory hospitalizations.

Air pollution and cause-specific mortality: A comparative study of urban and rural areas in China

Air pollution increases the risks of all-cause mortality, cardiovascular mortality and respiratory mortality across China. However, the urban-rural differences in the associations between air pollution and mortality have not been clearly identified. In this study, a distributed lag nonlinear model was used to examine whether the air pollutants-mortality associations vary between urban and rural areas. Then, we used logistic regression analyses to evaluate the air pollutants-mortality relations. Also, generalized additive models were simulated to evaluate the nonlinear curves. Our results showed that the relative risks of air pollution-related mortality were generally higher in rural areas, where PM_2.5 pollution was the dominant factor (p-value < 0.05). Mortality risks for all-cause, cardiovascular and respiratory will increase when average annual PM_2.5 concentrations exceed approximately 38 μg/m³, 41 μg/m³ and 41 μg/m³, respectively, all of which exceed the annual Grade II standards. In urban areas, PM_10-2.5 and NO₂ were associated with mortality (p-value < 0.05). We proposed some area-specific strategies for controlling the NO₂ pollution and PM_10-2.5 pollution in urban areas and the PM_2.5 pollution in rural areas to eliminate the gaps. Our findings identify that rural residents are more sensitive to air pollution than urban residents in China, and this result challenges previous assumptions about the more adverse effects of urbanization on residents' health in developing countries.

Multidecadal environmental pollution in a mega-industrial area in central Chile registered by tree rings

One of the most polluted areas in Chile is the Ventanas Industrial Area (VIA; 32.74°S / 71.48°W), which started in 1958 and today comprises around 16 industries in an area of ca. 4 km². A lack of consistent long-term instrumental records precludes assessing the history of contamination in the area and also limits the evaluation of mitigation actions taken since the late 1980s. Here, we use dendrochemistry as an environmental proxy to analyze environmental changes over several decades at the VIA. We present chemical measurements of tree rings from planted, exotic Cupressus macrocarpa growing near the VIA with 4-year resolution over a period of 52 years (1960-2011). These data provide unprecedented information on regional anthropogenic pollution and are compared with a tree-ring elemental record of 48 years (1964-2011) from the Isla Negra (INE) control site not exposed to VIA emissions. For the 48 years of overlap between both sites, higher concentrations of Zn, V, Co, Cd, Ag, Fe, Cr, and Al were especially registered after the year 2000 at VIA compared to INE for the periods under study. Concentrations of Pb, Cu, As, Fe, Mo, Cr, and Zn increased through time, particularly over the period 1980-1990. Decontamination plans activated in 1992 appear to have had a positive effect on the amount of some elements, but the chemical concentration in the tree rings suggest continued accumulation of pollutants in the environment. Only after several years of implementation of the mitigation measures have some elements tended to decrease in concentration, especially at the end of the evaluated period. Dendrochemistry is a useful tool to provide a long-term perspective of the dynamics of trace metal pollution and represents a powerful approach to monitor air quality variability to extend the instrumental records back in time.

Mortality and hospitalization associated to emissions of a coal power plant: A population-based cohort study

BACKGROUND

Coal-fired thermal power plants represent a significant source of air pollutants, especially sulfur dioxide (SO₂) that has been associated with an increased risk of mortality and morbidity for respiratory and cardiovascular disease. A coal power plant in Vado Ligure (Italy) (CPP_VL) started in 1970 was stopped in 2014 by the Prosecutor's Office on the grounds of environmental and health culpable disaster.

OBJECTIVE

To investigate the association between the exposure of residents to atmospheric pollutants emitted by CPP_VL and the risk of mortality and hospitalization, considering both cancer and non-cancer causes in a population-based cohort study.

METHODS

SO₂ and nitrogen oxides (NO_x), estimated using the ABLE-MOLOCH-ADMS-Urban dispersion model, were selected as representative surrogates of exposure to CPP_VL emissions (SO₂-CPP_VL) and cumulative emissions from other sources of pollution (NO_x-MS), respectively. The relationship between each health outcome and categories of exposure to SO₂-CPP_VL was estimated by the Hazard Ratio (HR) using multiple sex-specific Cox regression models, adjusted for age, exposure to NO_x-MS, and socio-economic deprivation index using SO₂-CPP_VL first quartile as a reference.

RESULTS

144,019 individuals were recruited (follow-up 2001-2013). An excess of mortality was found for all natural causes (men: 1.49; 95% CI 1.38-1.60; women: 1.49; 95% CI 1.39-1.59), diseases of the circulatory system (men: 1.41; 95% CI 1.24-1.56; women: 1.59; 95% CI 1.44-1.77), of the respiratory system (men: 1.90; 95% CI 1.47-2.45; women: 1.62; 95% CI 1.25-2.09), and of the nervous system and sense organs (men: 1.34; 95% CI 0.97-1.86; women: 1.38; 95% CI 1.03-1.83), and in men for trachea, bronchus, and lung cancers (1.59; 95% CI 1.26-2.00). Results of hospitalization analysis were consistent with those of mortality.

CONCLUSION

Results obtained, also when considering multiple sources of exposure, indicate that exposure to CPP emissions represents a risk factor for selected health outcomes as well as the urgently adoption of primary prevention measures and of a specific surveillance programme.

Identifying the contributions of multiple driving forces to PM10-2.5 pollution in urban areas in China

Economic development and urban expansion have accelerated particulate matter pollution in urban areas in China. Particulate matter-driven haze poses a serious threat to human beings from a public health point of view. Substantial evidences had linked adverse health effects with exposures to PM_2.5, but recent research indicated that PM_10-2.5 also had great risk. However, the relative contributions of driving forces to PM_10-2.5 pollution are not well understood in the urban areas in China, and no targeted policies have been regulated to control the pollution. In this study, we quantified the contributions of potential driving factor across China with the structural equation model (SEM). Our results showed that in 2015 and 2016, the annual average concentrations of PM_10-2.5 in the 290 prefecture-level cities with a mean value of 36 and 35 μg/m³, respectively. Industrial scale contributed more to PM_10-2.5 pollution than city size and residents' activities in urban areas based on SEM results. Driving forces included in our model could explain 42% of variations in PM_10-2.5 pollution, which indicated that there existed influences from other anthropogenic sources and natural sources. Eleven targeted recommendations were then proposed to control PM_10-2.5 pollution based on our mechanism analysis. Findings from our study are beneficial to control PM_10-2.5 pollution on a national scale, and also can provide a theoretical basis for the formulation of PM_10-2.5 pollution control policy in China.

Analysis of Soot Propensity in Combustion Processes Using Optical Sensors and Video Magnification

Industrial combustion processes are an important source of particulate matter, causing significant pollution problems that affect human health, and are a major contributor to global warming. The most common method for analyzing the soot emission propensity in flames is the Smoke Point Height (SPH) analysis, which relates the fuel flow rate to a critical flame height at which soot particles begin to leave the reactive zone through the tip of the flame. The SPH and is marked by morphological changes on the flame tip. SPH analysis is normally done through flame observations with the naked eye, leading to high bias. Other techniques are more accurate, but are not practical to implement in industrial settings, such as the Line Of Sight Attenuation (LOSA), which obtains soot volume fractions within the flame from the attenuation of a laser beam. We propose the use of Video Magnification techniques to detect the flame morphological changes and thus determine the SPH minimizing observation bias. We have applied for the first time Eulerian Video Magnification (EVM) and Phase-based Video Magnification (PVM) on an ethylene laminar diffusion flame. The results were compared with LOSA measurements, and indicate that EVM is the most accurate method for SPH determination.

Geologic and anthropogenic sources of contamination in settled dust of a historic mining port city in northern Chile: health risk implications

Chile is the leading producer of copper worldwide and its richest mineral deposits are found in the Antofagasta Region of northern Chile. Mining activities have significantly increased income and employment in the region; however, there has been little assessment of the resulting environmental impacts to residents. The port of Antofagasta, located 1,430 km north of Santiago, the capital of Chile, functioned as mineral stockpile until 1998 and has served as a copper concentrate stockpile since 2014. Samples were collected in 2014 and 2016 that show elevated concentrations of As, Cu, Pb, and Zn in street dust and in residents' blood (Pb) and urine (As) samples. To interpret and analyze the spatial variability and likely sources of contamination, existent data of basement rocks and soil geochemistry in the city as well as public-domain airborne dust were studied. Additionally, a bioaccessibility assay of airborne dust was conducted and the chemical daily intake and hazard index were calculated to provide a preliminary health risk assessment in the vicinity of the port. The main conclusions indicate that the concentrations of Ba, Co, Cr, Mn, Ni, and V recorded from Antofagasta dust likely originate from intrusive, volcanic, metamorphic rocks, dikes, or soil within the city. However, the elevated concentrations of As, Cd, Cu, Mo, Pb, and Zn do not originate from these geologic outcrops, and are thus considered anthropogenic contaminants. The average concentrations of As, Cu, and Zn are possibly the highest in recorded street dust worldwide at 239, 10,821, and 11,869 mg kg^-1, respectively. Furthermore, the contaminants As, Pb, and Cu exhibit the highest bioaccessibilities and preliminary health risk indices show that As and Cu contribute to elevated health risks in exposed children and adults chronically exposed to dust in Antofagasta, whereas Pb is considered harmful at any concentration. Therefore, an increased environmental awareness and greater protective measures are necessary in Antofagasta and possibly other similar mining port cities in developing countries.