COVID-19 preparedness—a survey among neonatal care providers in low- and middle-income countries

Objective - To evaluate COVID-19 pandemic preparedness, available resources, and guidelines for neonatal care delivery among neonatal health care providers in low- and middle-income countries (LMICs) across all continents. Study design - Cross-sectional, web-based survey administered between May and June, 2020. Results - Of 189 invited participants in 69 LMICs, we received 145 (77%) responses from 58 (84%) countries. The pandemic provides significant challenges to neonatal care, particularly in low-income countries. Respondents noted exacerbations of preexisting shortages in staffing, equipment, and isolation capabilities. In Sub-Saharan Africa, 9/35 (26%) respondents noted increased mortality in non-COVID-19-infected infants. Clinical practices on cord clamping, isolation, and breastfeeding varied widely, often not in line with World Health Organization guidelines. Most respondents noted family access restrictions, and limited shared decision-making. Conclusions - Many LMICs face an exacerbation of preexisting resource challenges for neonatal care during the pandemic. Variable approaches to care delivery and deviations from guidelines provide opportunities for international collaborative improvement

Chemical characterization of PM2.5 and source apportionment of organic aerosol in New Delhi, India

Delhi is one of the most polluted cities worldwide and a comprehensive understanding and deeper insight into the air pollution and its sources is of high importance. We report 5 months of highly time-resolved measurements of non-refractory PM2.5 and black carbon (BC). Additionally, source apportionment based on positive matrix factorization (PMF) of the organic aerosol (OA) fraction is presented. The highest pollution levels are observed during winter in December/January. During that time, also uniquely high chloride concentrations are measured, which are sometimes even the most dominant NR-species in the morning hours. With increasing temperature, the total PM2.5 concentration decreases steadily, whereas the chloride concentrations decrease sharply. The concentrations measured in May are roughly 6 times lower than in December/January. PMF analysis resolves two primary factors, namely hydrocarbon-like (traffic-related) OA (HOA) and solid fuel combustion OA (SFC-OA), and one or two secondary factors depending on the season. The uncertainties of the PMF analysis are assessed by combining the random a-value approach and the bootstrap resampling technique of the PMF input. The uncertainties for the resolved factors range from ±18% to ±19% for HOA, ±7% to ±19% for SFC-OA and ±6 % to ±11% for the OOAs. The average correlation of HOA with eBCtr is R2 = 0.40, while SFC-OA has a correlation of R2 = 0.78 with eBCsf. Anthracene (m/z 178) and pyrene (m/z 202) (PAHs) are mostly explained by SFC-OA and follow its diurnal trend (R2 = 0.98 and R2 = 0.97). The secondary oxygenated aerosols are dominant during daytime. The average contribution during the afternoon hours (1 pm–5 pm) is 59% to the total OA mass, with contributions up to 96% in May. In contrast, the primary sources are more important during nighttime: the mean nightly contribution (22 pm–3 am) to the total OA mass is 48%, with contributions up to 88% during some episodes in April