Hygiene and environmental health advances最新文献

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Occupational chemical safety and management: A case study to identify best practices for sustainable advancement of Bangladesh 职业化学品安全与管理:确定孟加拉国可持续发展最佳做法的案例研究
Hygiene and environmental health advances Pub Date : 2024-09-10 DOI: 10.1016/j.heha.2024.100110
{"title":"Occupational chemical safety and management: A case study to identify best practices for sustainable advancement of Bangladesh","authors":"","doi":"10.1016/j.heha.2024.100110","DOIUrl":"10.1016/j.heha.2024.100110","url":null,"abstract":"<div><p>Bangladesh has experienced numerous tragedies and casualties in the chemical industry, resulting in unparalleled losses in terms of human, social, and economic adversity, primarily attributed to the absence of effective occupational health and safety management. Despite having various sectoral legislative frameworks, there is a notable absence of a comprehensive legal framework specifically addressing chemical safety management issues. Moreover, the existing regulations have not successfully established a nexus between chemical safety, employee well-being, potential opportunities, and task performance. This highlights the insufficient attention given to occupational health and chemical safety issues at the policy level, with limited research dedicated to these critical concerns. Consequently, this critical review aims to identify optimal strategies for the long-term sustainable development of Bangladesh in the realm of occupational chemical safety and management. The review critically evaluates the current state of Bangladesh's national chemical management, offering a policy trajectory for consideration. It meticulously analyzes the disjunctions and incongruities between prescribed guidelines and actual practices in chemical management within the Bangladeshi context. Furthermore, it establishes a comprehensive framework for a nationwide chemical management system, aligning with global best practices and guidelines. The study also delineates existing gaps and challenges while outlining future priorities that warrant immediate government attention and sustained commitment to enhance chemical safety management. Therefore, this study serves as a foundational reference for policymakers not only in Bangladesh but also for those in other developing economies grappling with escalating chemical demands, providing guidance for constructing an appropriate infrastructure and legal framework for enduring chemical management.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000230/pdfft?md5=c11a758857e7fdba9fa43884960952d5&pid=1-s2.0-S2773049224000230-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Black box analysis with linear regression on global warming 关于全球变暖的线性回归黑箱分析
Hygiene and environmental health advances Pub Date : 2024-09-03 DOI: 10.1016/j.heha.2024.100109
{"title":"Black box analysis with linear regression on global warming","authors":"","doi":"10.1016/j.heha.2024.100109","DOIUrl":"10.1016/j.heha.2024.100109","url":null,"abstract":"<div><p>This paper demonstrates that the conclusions drawn from datasets on global temperature anomaly and atmospheric CO2 from NOAA can vary depending on the range of investigated periods. By examining the data from both macroscopic and microscopic perspectives, the study reveals that different levels of analysis can produce different outcomes from the same datasets based on statistics.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000229/pdfft?md5=8dea976b9745ec91f3c29a1401fbba02&pid=1-s2.0-S2773049224000229-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expansion of a versatile pathogen: Clostridioides difficile 一种多用途病原体的扩展:艰难梭菌
Hygiene and environmental health advances Pub Date : 2024-09-03 DOI: 10.1016/j.heha.2024.100108
{"title":"Expansion of a versatile pathogen: Clostridioides difficile","authors":"","doi":"10.1016/j.heha.2024.100108","DOIUrl":"10.1016/j.heha.2024.100108","url":null,"abstract":"<div><p><em>Clostridioides difficile</em> is a gram positive and spore forming bacterium responsible for significant global morbidity and mortality. There is increasing incidence of <em>C. difficile</em> disease that constitutes a deviation from the traditionally understood toxin-mediated colonic disease. Comprehensive literature review has determined a conservative increase of over 600 cases of <em>C. difficile</em> extra–intestinal and small–intestinal disease detailed in &gt;200 papers over the past 20 years. Chronic colonization with increased intestinal permeability that permits the translocation of toxins and metabolites may partially explain this expanded disease manifestation. Currently there is little evidence in support of a role for toxins however, and greater evidence to support the role of metabolites in extra-intestinal disease pathogenesis. Specifically, increased levels of p-cresol, p-cresyl sulfate, indoxyl sulfate and ammonia are associated with <em>C. difficile</em>colonization. One important health consideration involves ongoing biotransformation of such metabolites, together with the overall metabolic load from all endogenous and exogenous sources, that can result in glutathione depletion. Chronic glutathione depletion in turn increases oxidative stress and is correlated with neurological compromise across all age groups, and a host of other conditions. Key factors supporting chronic colonization with <em>C. difficile</em> in susceptible hosts include widespread and indiscriminate use of antimicrobials, pharmaceuticals, pesticides, intensive agricultural practices, diet, food additives, and gastrointestinal disturbances. Appreciation of the role of the exposome in <em>C. difficile</em> disease expansion will further emphasize the importance of decreasing environmental contamination, antimicrobial resistance, inter-species transmission, and individual toxic metabolite burdens.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000217/pdfft?md5=b73b3f0a28575f48f0f30efede611fe6&pid=1-s2.0-S2773049224000217-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Removal mechanism of decabromodiphenyl ether in soil by Cu/Fe nanoparticles 铜/铁纳米颗粒去除土壤中十溴二苯醚的机理
Hygiene and environmental health advances Pub Date : 2024-09-03 DOI: 10.1016/j.heha.2024.100106
{"title":"Removal mechanism of decabromodiphenyl ether in soil by Cu/Fe nanoparticles","authors":"","doi":"10.1016/j.heha.2024.100106","DOIUrl":"10.1016/j.heha.2024.100106","url":null,"abstract":"<div><p>Decabromodiphenyl ether (BDE-209), a widely used and environmentally significant legacy brominated flame retardant, is frequently found in farmland soil near electronic waste disposal sites and manufacturing facilities. Due to their high adsorption and dehalogenation capabilities, nanoparticles have become a prominent solution for soil remediation. Herein, Cu/Fe bimetallic nanoparticles (BNPs) were prepared and the use of these particles was investigated for the removal of BDE-209 from soil. Optimal conditions, including 9.1 wt% Cu loading and acidic environments, were identified to enhance the removal efficiency. The process involves desorption from soil, adsorption onto BNPs, and subsequent degradation. The contributions of adsorption and degradation were investigated by isolating the BNPs after the experiments conducted herein. Initially, adsorption played an important role, accounting for 25 %–38 % of the total removal, but this decreased to 14 % to 20 % as the reaction progressed, reaching at the equilibrium adsorption capacity after ∼3 h. Notably, hydroxylated polybrominated diphenyl ethers (PBDE) congeners were absent in all soil, BNP, and aqueous solution samples, indicating that stepwise debromination primarily drives the degradation process.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000199/pdfft?md5=34a95efe77d5a8b0d0b57cc93713e90c&pid=1-s2.0-S2773049224000199-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From human cohorts to plant cohorts: The potential of plants in epidemiological studies 从人类队列到植物队列:植物在流行病学研究中的潜力
Hygiene and environmental health advances Pub Date : 2024-09-02 DOI: 10.1016/j.heha.2024.100105
{"title":"From human cohorts to plant cohorts: The potential of plants in epidemiological studies","authors":"","doi":"10.1016/j.heha.2024.100105","DOIUrl":"10.1016/j.heha.2024.100105","url":null,"abstract":"<div><p>Cohort studies are traditionally focused on human participants. The emergence of the “Planetary Health” and “One Health” paradigms has expanded the scope of cohort studies to include animal participants. Despite this, plants remain largely overlooked in traditional biomedical research. This gap prompts the introduction of the concept of a “plant cohort,” which involves treating plants as participants in cohort studies. By collecting comprehensive data on plant characteristics and biosamples, plant cohorts may assist in enhancing our understanding of the interactions between plants, ecosystems, and human health. However, establishing plant cohorts presents unique challenges, including interdisciplinary collaboration and data collection methods. Nonetheless, the potential contribution of plant cohorts to environmental health and human well-being may warrant further exploration and research.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000187/pdfft?md5=a712573f282290ee7a4ca8ec8a17c2e4&pid=1-s2.0-S2773049224000187-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142162254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mobile air-decontamination units: Can they be used for immunocompromised patients at high risk for fungal infections? 移动式空气净化装置:能否用于真菌感染高风险免疫力低下的病人?
Hygiene and environmental health advances Pub Date : 2024-07-26 DOI: 10.1016/j.heha.2024.100102
{"title":"Mobile air-decontamination units: Can they be used for immunocompromised patients at high risk for fungal infections?","authors":"","doi":"10.1016/j.heha.2024.100102","DOIUrl":"10.1016/j.heha.2024.100102","url":null,"abstract":"<div><p>Immunocompromised patients in the hematology department are usually hospitalized in areas protected by the high-efficiency particulate air (HEPA) filtration system. Renovations may require moving these patients at risk for invasive fungal infection to areas without HEPA. Mobile air handling units may be a solution in these cases. For renovation purposes, we evaluated the efficiency of mobile air handling units called Plasmair® as well as their optimization, by comparing two generations of devices.</p><p>Particle counts were performed to determine a particle cleanliness classification according to the ISO 14644–1 standard (high ISO classes correspond to a degraded particulate cleanliness). Mycological air samples were also taken to determine the percentage of positive samples and the median number of filamentous fungi colonies.</p><p>Without air treatment, only 18 % (38/216) of particle counts were classified as ISO 6. With the use of mobile air treatment units, this proportion increased to 71 % (205/288). The positivity rate of mycological samples without air treatment was 86 % (31/36) with a median number of fungal colonies of 3 (1–5)/0.5m<sup>3</sup>. A significant decrease in fungal pressure was observed when using Plasmair®. Percentages of positive air samples and the median number of colonies found between the old generation Plasmair® (T2006) and the new generation Plasmair® (Guardian) were significantly different, respectively 55.6 % (20/36) <em>versus</em> 22.2 % (8/36) and 1(0–1) <em>versus</em> 0 (0–0).</p><p>Finally, we confirm Plasmair® were effective in reducing airborne fungal pressure, the new generation especially. However, they were not effective enough to obtain negative mycological air samples as usually observed with the HEPA system, whatever the generation.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000151/pdfft?md5=88679416b1a922398b45cfc4f2f29bed&pid=1-s2.0-S2773049224000151-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Access to hygiene facilities and experiences of hygiene-related disease: A pilot study of unsheltered individuals in Tucson, Arizona 使用卫生设施的机会与卫生相关疾病的经历:对亚利桑那州图森市无家可归者的试点研究
Hygiene and environmental health advances Pub Date : 2024-07-21 DOI: 10.1016/j.heha.2024.100100
{"title":"Access to hygiene facilities and experiences of hygiene-related disease: A pilot study of unsheltered individuals in Tucson, Arizona","authors":"","doi":"10.1016/j.heha.2024.100100","DOIUrl":"10.1016/j.heha.2024.100100","url":null,"abstract":"<div><p>Unsheltered individuals have limited access to restroom facilities. With this, many unsheltered individuals are forced to urinate, defecate, and engage in other hygiene practices outdoors. They may also lack access to necessary hygiene toiletries or wait to urinate or defecate until they are able to gain access to a facility. These challenges can lead to health issues, like urinary tract infections (UTIs), diarrhea, rashes, etc. The study objective was to understand the relationship between lack of access to basic hygiene facilities and health effects among unsheltered individuals. A verbal survey (English and Spanish) was used to explore the relationship between hygiene and unsheltered status. In Fall 2022, a researcher accompanied the homeless outreach team from El Rio Health, a Federally Qualified Health Center in Tucson, Arizona to verbally consent and recruit participants. Thirty consenting unsheltered adults ranging in ages from 29 to 68 years old participated in the study. Access to water was the greatest reported hygiene barrier, followed by access to soap, concerns for privacy, and concerns for safety. Eleven of thirty participants experienced a UTI at least once since becoming unsheltered and nine of thirty experienced a yeast infection at least once, with female participants having a statistically significant (<em>p</em> &lt; 0.05) higher rate of occurrence than male participants. In addition, 19/30 of participants experienced a rash at least once and 17/30 of participants experienced diarrhea at least once. However, 20/30 of participants did not seek medical care for their health-related issues. Low healthcare utilization when there is a high need for care highlights the importance of community outreach and care for those experiencing homelessness. Next steps include replicating the project on a larger scale to determine generalizability.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000138/pdfft?md5=7cbe95cd1cd86d51fda5035869986736&pid=1-s2.0-S2773049224000138-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative multivariate analysis for high-touch surface disinfection using optimized ultraviolet-C LEDs configuration 使用优化的紫外线-C LED 配置进行高接触表面消毒的多变量比较分析
Hygiene and environmental health advances Pub Date : 2024-07-21 DOI: 10.1016/j.heha.2024.100101
{"title":"Comparative multivariate analysis for high-touch surface disinfection using optimized ultraviolet-C LEDs configuration","authors":"","doi":"10.1016/j.heha.2024.100101","DOIUrl":"10.1016/j.heha.2024.100101","url":null,"abstract":"<div><p>UV light-emitting diodes (LEDs) have been regarded as feasible alternatives for traditional UV lamps since the early 2000s, owing to their improved safety features, environmental advantages, and efficiency. Because of the inherent challenges associated with lower intensity of LEDs over extended distances, our findings demonstrated the optimized disinfection efficiency using various LED setups. This study evaluated the antimicrobial effectiveness of single, six, and eight-LED configurations against <em>Staphylococcus aureus</em> (<em>S. aureus</em>), specifically emphasizing attaining the utmost disinfection efficiency within an extended range of up to 60 cm. With an 8-LED configuration, the study achieved a substantial reduction of 6.10×10<sup>4</sup> CFU/mL from an initial level of 5.20×10<sup>9</sup> CFU/mL, corresponding to 4.9-log<sub>10</sub> inactivation, requiring a dose of 264 µJ-cm<sup>−2</sup>. 2.9-log<sub>10</sub> inactivation was achieved using a 6-LED, yielding lower yet comparable efficiency requiring 192 µJ-cm<sup>−2</sup> of dose. However, with 60 µJ-cm<sup>−2</sup> of dose, a single LED could only reduce the bacterial burden from the initial level to merely 0.2-log<sub>10</sub> inactivation, corresponding to 2.9 × 10<sup>9</sup> CFU/mL, under similar exposure settings. In conclusion, UV-LEDs show promise for disinfection, with LED configuration and distance significantly impacting their efficiency, holding perspective for various applications, particularly within healthcare facilities.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277304922400014X/pdfft?md5=4ada6873c8640341da8ccf8af922dfad&pid=1-s2.0-S277304922400014X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between prolonged dual use of cigarettes and E-cigarettes and psychosocial factors among U.S. Smokers: Secondary data analysis from the 2013 to 2019 PATH study 美国吸烟者长期双重使用香烟和电子烟与社会心理因素之间的关系:2013年至2019年PATH研究的二手数据分析
Hygiene and environmental health advances Pub Date : 2024-07-21 DOI: 10.1016/j.heha.2024.100103
{"title":"Association between prolonged dual use of cigarettes and E-cigarettes and psychosocial factors among U.S. Smokers: Secondary data analysis from the 2013 to 2019 PATH study","authors":"","doi":"10.1016/j.heha.2024.100103","DOIUrl":"10.1016/j.heha.2024.100103","url":null,"abstract":"<div><h3>Objective</h3><p>Dual use of combustible cigarettes and e-cigarettes is common among U.S. tobacco users, yet misperceptions about the harm of dual use persist, often oversimplifying its multifaceted exposure and health impacts. To address this gap, we evaluated the association of prolonged dual use (consecutive use for more than 1 year) with psychosocial factors, including perceptions of absolute and relative harm of e-cigarettes, social norms, and intentions to quit smoking, among U.S. adult smokers over time.</p></div><div><h3>Methods</h3><p>Using the data from Waves 1 to 5 (2013–2019) from the Population Assessment of Tobacco and Health (PATH) Study, we characterized dual use and prolonged dual use by sociodemographics and psychosocial factors among U.S. adult smokers. We examined the association between dual use, including prolonged dual use, and psychosocial factors over time using logistic regression.</p></div><div><h3>Results</h3><p>Dual use of smokers decreased from 19.8 % in 2013 to 16.4 % in 2019, and prolonged dual use among dual users decreased from 40.0 % in 2013 to 27.4 % in 2019. Prolonged dual users, independent of frequency of use, presented significantly higher cigarette dependence than temporary dual users. The perception of absolute e-cigarette harm (perceiving e-cigarettes as very or extremely harmful) was negatively associated with prolonged dual use. No significant association was found between prolonged dual use and perception of relative e-cigarette harm (perceiving e-cigarettes are less harmful that cigarettes) as well with intentions to quit smoking and beliefs that most people disapprove of e-cigarette use.</p></div><div><h3>Conclusion</h3><p>: Increased perceptions of absolute harm of e-cigarettes, rather than relative harm, appear to decrease prolonged dual use. Public health strategies should consider further emphasis in educating users of the absolute harm, as opposed to endorsing e-cigarette use as a harm reduction alternative, in their tobacco cessation efforts to further discourage dual use.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000163/pdfft?md5=12e5d20389317eb976e7821e55a0355f&pid=1-s2.0-S2773049224000163-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex and age characteristics of thunderstorm asthma emergency department visits 雷暴哮喘急诊就诊者的性别和年龄特征
Hygiene and environmental health advances Pub Date : 2024-07-17 DOI: 10.1016/j.heha.2024.100099
{"title":"Sex and age characteristics of thunderstorm asthma emergency department visits","authors":"","doi":"10.1016/j.heha.2024.100099","DOIUrl":"10.1016/j.heha.2024.100099","url":null,"abstract":"<div><p>Severe asthma has been shown to occur in the combined presence of high pollen and thunderstorm conditions, also known as ‘thunderstorm asthma.’ First studied as severe epidemic events, recent longitudinal work studied less dramatic but more frequent occurrences. We explore thunderstorm asthma-related emergency department visits in the Minneapolis-St. Paul metropolitan area and evaluated risk differences by sex and age. We define a thunderstorm asthma exposure event as the daily occurrence of 2 or more lightning strikes during high pollen periods, and use daily counts of asthma-related emergency department visits to estimate relative and absolute risk of severe asthma during thunderstorm asthma events for the full population and for sex and age subgroups. The overall population had a 1.06 (95 % CI: 1.02, 1.09) times higher risk of asthma-related ED visits during thunderstorm asthma events compared to days without thunderstorm asthma events. Children under 18 show no higher risk (RR 1.02; 95 % CI: 0.97 1.08), but adults 18–44 years (RR 1.08; 95 % CI: 1.02, 1.13) and 45 and up (RR 1.08; 95 % CI 1.02, 1.15) show higher relative risk. Absolute risk measures show similar patterns to the age and sex results, but age-sex subgroups show more variation in absolute vs relative risk. Our results support an association between ED visits and thunderstorm asthma and provide evidence of varying risks by sex across the life course. These differences in risk have implications for clinical treatment of this allergic type of asthma and for future research into this poorly recognized environmental exposure.</p><p>Plain Language Summary: Recent research has highlighted the existence of Thunderstorm asthma events, a phenomenon in which pollen grains rupture in the conditions that occur with a thunderstorm, releasing sub-pollen particles that are capable of triggering severe asthma in susceptible populations. Where severe asthma is a disease that usually impacts children, we find in this study that asthma ED visits associated with thunderstorm asthma events more frequently impact adults, particularly males 18–44 and females 45 and up.</p></div>","PeriodicalId":73269,"journal":{"name":"Hygiene and environmental health advances","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773049224000126/pdfft?md5=2069b0fa0173b6a2621c5feba8aca92e&pid=1-s2.0-S2773049224000126-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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