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Wen D, Wang Y, Zhang H, Qi H, Li H, Chen Y, Wang W, Lin F, Zhao G. Synergistic effects of air pollution and cold spells on ischemic heart disease hospitalization risk: a case-crossover study in Xinxiang, China. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2025:10.1007/s00484-025-02899-3. [PMID: 40167755 DOI: 10.1007/s00484-025-02899-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Received: 08/29/2024] [Revised: 02/27/2025] [Accepted: 03/17/2025] [Indexed: 04/02/2025]
Abstract
Air pollution and extreme weather events pose a serious threat to human health. We collected atmospheric pollution, meteorological factors, and hospitalisation data for ischemic heart disease (IHD) in Xinxiang, Henan Province, from 2016 to 2021. Using a time-stratified case-crossover design and conditional Poisson regression analysis, we explored the association between atmospheric pollutants (particulate matter with diameter ≤ 2.5 μm [PM2.5], particulate matter with diameter ≤ 10 μm [PM10], nitrogen dioxide [NO2], carbon monoxide [CO]), meteorological factors, and IHD hospitalizations. We evaluated synergistic effects using relative excess risk due to interaction (RERI), attribute proportion (AP), and synergy index (S). PM2.5, PM10, NO2, CO, relative humidity, and cold spells were significantly associated with IHD hospitalization risk. Significant interaction effects (RERI > 0, AP > 0, S > 1) were found in PM2.5-PM10-NO2 combinations. The attributable fractions were 3.4-7.3% for pollutant combinations and 8-17% during cold spells with different PM2.5 levels. Males and individuals aged ≥ 65 were more susceptible to pollutants, while females and elderly individuals showed higher sensitivity to cold spells. These findings provide evidence for optimizing extreme weather warning systems and reducing air pollution exposure to protect public health.
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Affiliation(s)
- Desong Wen
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China
| | - Yongbin Wang
- Department of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, Xinxiang, Henan, 453003, China
| | - Hui Zhang
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China
| | - Hong Qi
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China
| | - Huan Li
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China
| | - Yingen Chen
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China
| | - Weimin Wang
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China
| | - Fei Lin
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
| | - Guoan Zhao
- Henan Engineering Technology Research Center of Environmental Meteorological Medicine, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, 453001, China.
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Gao PP, Chen RQ, Xue PY, Guan PB, Dong Y, Liang H, Geng LP, Zhao QL, Ma W, Zhao JJ, Liu WJ. Combined μ-XRF and XANES Track the Behavior of Pb from PM 2.5 Entering Chinese Cabbage Leaves. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2025; 59:4025-4035. [PMID: 39772520 DOI: 10.1021/acs.est.4c08776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2025]
Abstract
Atmospheric fine particulate matter (PM2.5) is the main contributor to Pb accumulation in edible Chinese cabbage leaves in North China. PM2.5-Pb primarily enters leaves via stomatal foliar uptake. However, how PM2.5-Pb is transported and stored within the leaf cells of Chinese cabbage remains unclear. Thus, this study mapped Pb, Ca, and Mg distributions in Chinese cabbage leaves following PM2.5-Pb stress using synchrotron and fast micro-X-ray fluorescence. Findings revealed that PM2.5-Pb was transported and localized in guard cells, the epidermal cell wall, and chloroplasts. X-ray absorption near-edge structure revealed that Pb(CO3)2·Pb(OH)2 in PM2.5 was converted to Pb(OH)2, glutathione-Pb (GSH-Pb), and PbC2O4 in Chinese cabbage leaves. GSH-Pb proportion in the low Pb accumulation (LPA) variety Chinese cabbage leaves was 2.13 times higher than that in the high Pb accumulation (HPA) variety. Glutamate concentration decreased by 44.53% in the LPA variety leaves under PM2.5-Pb stress, increasing GSH-Pb efflux symplasm and reducing Pb accumulation. X-ray fluorescence mapping of Ca and Mg in leaves indicated chlorophyll biosynthesis inhibition in the HPA variety leaves but not in the LPA variety leaves. Pb speciation and distribution vary drastically between the LPA and HPA variety leaves. This study provides guidance for breeding a high-quality LPA variety of Chinese cabbages.
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Affiliation(s)
- Pei-Pei Gao
- State Key Laboratory of North China Crop Improvement and Regulation, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
- Key Laboratory for Farmland Eco-environment of Hebei Province, College of Resources and Environmental Sciences, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
| | - Ren-Qiang Chen
- State Key Laboratory of North China Crop Improvement and Regulation, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
| | - Pei-Ying Xue
- State Key Laboratory of North China Crop Improvement and Regulation, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
- Key Laboratory for Farmland Eco-environment of Hebei Province, College of Resources and Environmental Sciences, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
| | - Pei-Bin Guan
- State Key Laboratory of North China Crop Improvement and Regulation, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
- Key Laboratory for Farmland Eco-environment of Hebei Province, College of Resources and Environmental Sciences, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
| | - Yan Dong
- State Key Laboratory of North China Crop Improvement and Regulation, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
- Key Laboratory for Farmland Eco-environment of Hebei Province, College of Resources and Environmental Sciences, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
| | - Hao Liang
- Key Laboratory of Vegetable Germplasm Innovation and Utilization of Hebei, Collaborative Innovation Centre of Vegetable Industry in Hebei, College of Horticulture, Baoding 071000, Hebei, China
| | - Li-Ping Geng
- State Key Laboratory of North China Crop Improvement and Regulation, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
- Key Laboratory for Farmland Eco-environment of Hebei Province, College of Resources and Environmental Sciences, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
| | - Quan-Li Zhao
- The Teaching and Experimental Station, Hebei Agricultural University, Baoding 071000, Hebei, China
| | - Wei Ma
- Key Laboratory of Vegetable Germplasm Innovation and Utilization of Hebei, Collaborative Innovation Centre of Vegetable Industry in Hebei, College of Horticulture, Baoding 071000, Hebei, China
| | - Jian-Jun Zhao
- Key Laboratory of Vegetable Germplasm Innovation and Utilization of Hebei, Collaborative Innovation Centre of Vegetable Industry in Hebei, College of Horticulture, Baoding 071000, Hebei, China
| | - Wen-Ju Liu
- State Key Laboratory of North China Crop Improvement and Regulation, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
- Key Laboratory for Farmland Eco-environment of Hebei Province, College of Resources and Environmental Sciences, Hebei Agricultural University, 2596 Lekai South Street, Baoding 071000, Hebei, China
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Ning Z, Ma Y, He S, Li G, Xiao T, Ma C, Wu J. The interactive effect of extreme weather events and PM 2.5 on respiratory health among the elderly: a case-crossover study in a high-altitude city. INTERNATIONAL JOURNAL OF BIOMETEOROLOGY 2025; 69:331-342. [PMID: 39453518 DOI: 10.1007/s00484-024-02811-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2024] [Revised: 09/25/2024] [Accepted: 10/20/2024] [Indexed: 10/26/2024]
Abstract
With climate change posing increasing threats and aging populations, understanding the complex relationship between extreme temperatures, PM2.5 pollution, and respiratory health among the elderly is crucial. While some research exists, there remains a significant gap in studying the combined effects of heat waves, cold spells, and PM2.5 on elderly respiratory health in high-altitude regions. We collected data from Xining (2016-2021), including respiratory disease outpatient visits, meteorological, and pollutant data. Employing a case-crossover design and conditional Poisson regression analysis, we investigated the individual and interactive impacts of heat wave, cold spell, and PM2.5 on outpatient visits for respiratory disease among the elderly. We used the relative excess odds due to interaction (REOI), proportion attributable to interaction (AP), and synergy index (S) as quantitative indicators of interaction. Our analysis revealed significant associations between heat wave, cold spell, PM2.5 exposure, and outpatient visits for respiratory disease among the elderly, with odds ratios of 1.10 (95%CI: 1.06, 1.15) and 1.16 (95%CI: 1.13, 1.20), respectively. Moreover, a synergistic effect between cold spell and PM2.5 was observed, particularly affecting vulnerable groups such as female and those aged ≥ 80. The combined exposure to cold spell and elevated PM2.5 levels was estimated to contribute to up to 0.18 (95%CI: 0.17, 0.27) of respiratory outpatient visits. This study underscores the need for urgent interventions, such as reducing PM2.5 exposure and enhancing extreme weather warning systems, to protect the respiratory health of the elderly, especially in high-altitude regions.
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Affiliation(s)
- Zhenxu Ning
- Department of Public Health, Qinghai University Medical College, Xining, 810016, China
| | - Yanjun Ma
- Qinghai Institute of Health Sciences, Xining, 810000, China
| | - Shuzhen He
- Xining Centre for Disease Control and Prevention, Xining, 810000, China.
| | - Genshan Li
- Department of Public Health, Qinghai University Medical College, Xining, 810016, China
| | - Ting Xiao
- Changsha Stomatological Hospital, School of Dental Medicine, Hunan University of Chinese Medicine, Changsha, Hunan, China
| | - Chunguang Ma
- Xining Centre for Disease Control and Prevention, Xining, 810000, China
| | - Jing Wu
- Xining Centre for Disease Control and Prevention, Xining, 810000, China
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Ning Z, He S, Liao X, Ma C, Wu J. Cold waves and fine particulate matter in high-altitude Chinese cities: assessing their interactive impact on outpatient visits for respiratory disease. BMC Public Health 2024; 24:1377. [PMID: 38778299 PMCID: PMC11110372 DOI: 10.1186/s12889-024-18896-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 05/20/2024] [Indexed: 05/25/2024] Open
Abstract
BACKGROUND Extreme weather events like heatwaves and fine particulate matter (PM2.5) have a synergistic effect on mortality, but research on the synergistic effect of cold waves and PM2.5 on outpatient visits for respiratory disease, especially at high altitudes in climate change-sensitive areas, is lacking. METHODS we collected time-series data on meteorological, air pollution, and outpatient visits for respiratory disease in Xining. We examined the associations between cold waves, PM2.5, and outpatient visits for respiratory disease using a time-stratified case-crossover approach and distributional lag nonlinear modeling. Our analysis also calculated the relative excess odds due to interaction (REOI), proportion attributable to interaction (AP), and synergy index (S). We additionally analyzed cold waves over time to verify climate change. RESULTS Under different definitions of cold waves, the odds ratio for the correlation between cold waves and outpatient visits for respiratory disease ranged from 0.95 (95% CI: 0.86, 1.05) to 1.58 (1.47, 1.70). Exposure to PM2.5 was significantly associated with an increase in outpatient visits for respiratory disease. We found that cold waves can synergize with PM2.5 to increase outpatient visits for respiratory disease (REOI > 0, AP > 0, S > 1), decreasing with stricter definitions of cold waves and longer durations. Cold waves' independent effect decreased over time, but their interaction effect persisted. From 8.1 to 21.8% of outpatient visits were due to cold waves and high-level PM2.5. People aged 0-14 and ≥ 65 were more susceptible to cold waves and PM2.5, with a significant interaction for those aged 15-64 and ≥ 65. CONCLUSION Our study fills the gap on how extreme weather and PM2.5 synergistically affect respiratory disease outpatient visits in high-altitude regions. The synergy of cold waves and PM2.5 increases outpatient visits for respiratory disease, especially in the elderly. Cold wave warnings and PM2.5 reduction have major public health benefits.
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Affiliation(s)
- Zhenxu Ning
- Department of Public Health, Faculty of Medicine, Qinghai University, Xining, China
| | - Shuzhen He
- Xining Centre for Disease Control and Prevention, Xining, China.
| | - Xinghao Liao
- Department of Public Health, Faculty of Medicine, Qinghai University, Xining, China
| | - Chunguang Ma
- Xining Centre for Disease Control and Prevention, Xining, China
| | - Jing Wu
- Xining Centre for Disease Control and Prevention, Xining, China
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Zhang X, Sun M, Aikawa M. Characteristics of PM 2.5-bound metals in Japan over six years: Spatial distribution, health risk, and source analysis. JOURNAL OF ENVIRONMENTAL MANAGEMENT 2023; 344:118750. [PMID: 37573701 DOI: 10.1016/j.jenvman.2023.118750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 07/12/2023] [Accepted: 08/09/2023] [Indexed: 08/15/2023]
Abstract
Air sampling campaigns were conducted at 100 survey sites across Japan from April 2014 to February 2020, and a comprehensive database of atmospheric particles was obtained. In this study, the characteristics of PM2.5 and 26 metals were investigated in depth. Spatially, the concentration of PM2.5 gradually increased from the northeast to the southwest of Japan. The pollution in Kitakyushu City was the most serious, reaching 19.8 μg m-3. As an important particle component, metals did not show obviously spatial variation in Japan, with a sum concentration of 0.4 μg m-3. Anthropogenic metals only accounted for about 8% of the total metals, but they could pose a serious threat to public health. For children, the non-carcinogenic risk and carcinogenic risk due to exposure to anthropogenic metals could not be neglected in Japan; the corresponding HI and CR values at 100 survey sites ranged from 2.7 to 15.0 and 4.1 × 10-5 to 3.4 × 10-4, respectively. Adults faced lower health risks than children, with HI values ranging from 0.2 to 2.0 and CR values ranging from 2.0 × 10-5 to 1.6 × 10-4. The integrated health risk assessment results showed that the coastal region of the Seto Inland Sea and the north Tohoku Region were the most heavily polluted areas of Japan; in this study, 20 survey sites were finally determined to be high-risk sites, among which pollution control for Niihama City, Kitakyushu City, Hachinohe City, and Shimonoseki City were of first priority. With further combination with a positive matrix factorization model, it can be known that these four cities mainly had five to seven metal sources, and their heavy pollution was mainly caused by ship emissions, industrial emissions, biomass burning, and coal combustion. Overall, our study comprehensively revealed the regional patterns of PM2.5-bound metal pollution across Japan, which can help in making cost-effective risk management policies with limited national/local budgets.
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Affiliation(s)
- Xi Zhang
- Faculty of Environmental Engineering, The University of Kitakyushu, 1-1, Hibikino, Wakamatsu, Kitakyushu, Fukuoka, 808-0135, Japan.
| | - Meng Sun
- Faculty of Environmental Engineering, The University of Kitakyushu, 1-1, Hibikino, Wakamatsu, Kitakyushu, Fukuoka, 808-0135, Japan
| | - Masahide Aikawa
- Faculty of Environmental Engineering, The University of Kitakyushu, 1-1, Hibikino, Wakamatsu, Kitakyushu, Fukuoka, 808-0135, Japan.
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Jiang M, Chen R, Cao B, Wang F. The performance of temperature and acid-modified sludge in removing lead and cadmium. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023:10.1007/s11356-023-27741-4. [PMID: 37233926 DOI: 10.1007/s11356-023-27741-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 05/15/2023] [Indexed: 05/27/2023]
Abstract
In the present study, the aluminum-containing wastewater treatment residue was modified at 400 °C and 2.5 mol/L HCl and used in the removal of Pb and Cd from an aqueous solution for the first time. The modified sludge was characterized by SEM, XRD, FTIR, and BET. Under the optimized conditions, including pH 6, adsorbent dose 3 g/L, Pb/Cd reaction time 120 and 180 min, and Pb/Cd concentration 400 and 100 mg/L, Pb/Cd adsorption capacity was obtained as 90.72 and 21.39 mg/g, respectively. The adsorption process of sludge before and after modification is more consistent with the quasi-second-order kinetics, and the correlation coefficients R2 are all above 0.99. The fitting of data with the Langmuir isotherm and pseudo-second-order kinetics showed that the adsorption process is monolayer and chemical in nature. The adsorption reaction included ion exchange, electrostatic interaction, surface complexation, cation-π interaction, co-precipitation, and physical adsorption. This work implies that the modified sludge has greater potential in the removal of Pb and Cd from wastewater relative to raw sludge.
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Affiliation(s)
- Meiyang Jiang
- Institute of Geotechnical Engineering, School of Transportation, Southeast University, Nanjing, 210096, China
| | - Ruixin Chen
- Institute of Geotechnical Engineering, School of Transportation, Southeast University, Nanjing, 210096, China
| | - Benyi Cao
- School of Sustainability, Civil and Environmental Engineering, University of Surrey, Guildford, GU2 7XH, Surrey, UK
| | - Fei Wang
- Institute of Geotechnical Engineering, School of Transportation, Southeast University, Nanjing, 210096, China.
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