Chapter 4. Air quality and climate in the Mediterranean region

Ambient air ranks number one among the natural resources vital to human beings, with an average individual daily need of 12 kg. Due to the specificities of the Mediterranean region (sunny, hot and dry climate; long-range transport converging over the basin), air pollution in reactive compounds over the Mediterranean is often higher than in most European inland regions. Climate change (increase in temperature and drought) and anthropogenic pressure (growing population) should significantly impact the regional air quality. As a result, Mediterranean inhabitants who are already regularly exposed to pollutant loads well above WHO air quality recommendations will be further exposed, resulting in an excess of premature deaths. Exposure monitoring and win-win strategies should be developed in the future both to improve air quality and develop a low carbon economy. The evolution of emissions under climate change is not always clear and much uncertainty remains around present emissions from large urban-industrial centers, although recent progress has been made on emissions of the different regional sources of pollutants. It has been established that the regional climate and water cycle are affected by atmospheric chemistry. By reducing solar radiation at the surface, aerosols reduce the yearly average precipitation in the Mediterranean by 10%, which is a major issue since water is already scarce. Aerosols could further reduce precipitations by reducing the size of cloud droplets or through the formation of cloud droplets and ice crystals. Moreover, recent in situ and model experiments indicate that anthropogenic nitrogen and desert dust phosphorus deposition in nutrient-depleted surface seawater favors phytoplankton development, which stimulates the sink of atmospheric CO2 into marine sediments. But Saharan dust deposition by rain also stimulates bacterial growth, which reemits CO2. The net effect of desert dust deposition at large scales needs to be established.L’air est sans aucun doute la ressource naturelle la plus essentielle à l’homme: chaque jour 12 kg d’air sont nécessaires à sa survie. Du fait des spécificités de la région méditerranéenne (climat ensoleillé, chaud et sec; convergence de masses d’air d’horizons lointains), la pollution de l’air en espèces réactives y est souvent plus forte que dans la plupart de l’Europe continentale. Les changements climatiques (augmentation des sécheresses et de la température) et la pression démographique devraient dégrader encore la qualité de l’air. En conséquence, les habitants de la Méditerranée qui sont déjà régulièrement soumis à des niveaux de pollution bien au-dessus des recommandations de l’OMS devraient se trouver plus exposés encore, ce qui engendrera une surmortalité. Un meilleur suivi de l’exposition des habitants et des solutions «gagnant-gagnant» devraient être mises en place dans le but d’améliorer la qualité de l’air et de s’engager dans une économie décarbonée. Les conséquences des changements climatiques sur les émissions de polluants par les principales sources régionales ne sont pas toujours très claires. Il a été établi que le climat régional et le cycle de l’eau sont altérés par la chimie de l’atmosphère. En réduisant le flux solaire en surface, les aérosols réduisent les précipitations moyennes annuelles de 10% en moyenne sur le bassin méditerranéen, réduisant un peu plus une ressource déjà rare. Les aérosols pourraient réduire plus encore les précipitations en réduisant la taille des gouttes d’eau dans les nuages ou en agissant sur la formation de cristaux de glaces. Par ailleurs, de récentes expériences indiquent que le dépôt atmosphérique d’azote et le phosphore issu des poussières désertiques à la surface des eaux pauvres en nutriments de la Méditerranée favorise le développement du phytoplancton activant par la même occasion l’absorption de CO2 par l’océan. Cependant, il a aussi été observé que le dépôt de poussières favorise le développement de bactéries qui elles-mêmes rejettent du CO2 du fait de la respiration. L’effet net du dépôt de ces poussières à grande échelle reste à établir

Breakthrough in basin modeling using time/space frame

International audienceA new way to model basins that couples the new space-time mathematical framework (defined as the UVT transform) and 3D restoration allows for easy and realistic construction of 4D models. Using models built with the UVT transform, basin modelers will not only include faults and erosional surface properly in all structural settings, but also restore them using a 3D geomechanical finite element engine to model the proper paleo-basin geometries. As the UVT model is being restored, a "hybrid" grid carrying the static and dynamic properties is fully restored. The basin simulation software then takes all the time-dependent geological models and performs its computations on the 4D grid. The goals of basin modeling are to find out whether the oil window was reached, to locate possible traps, and to estimate the volume and quality of hydrocarbons initially generated, migrated, and trapped, as well as to estimate pressure and temperatures in the reservoir (Rudkiewicz et al., 2000). To achieve this, a full subsurface geologic model must be constructed and restored from the source rock to the current topography. Currently, a 4D basin model is a simple horizon based layer cake grid where faults are not represented explicitly as discontinuities. The reconstruction through time is based on the vertical back-stripping of layers. This is limited because the displacement of the blocks along the fault planes cannot be modeled and the material on both sides of reverse faults cannot be represented. The estimation of migration paths across faults can be inaccurate especially in compressive basins or in extensive basins with long offset listric faults.In addition to the limitations in properly representing the model at a given time step, the evolution of the basin as a function of time is done through the simple back-stripping and flattening of layers. So, this paleo-basin geometry can be inaccurate

Simultaneous observations of lower tropospheric continental aerosols with a ground-based, an airborne, and the spaceborne CALIOP lidar system

International audienceWe present an original experiment with multiple lidar systems operated simultaneously to study the capability of the Cloud-Aerosol LIdar with Orthogonal Polarization (CALIOP), on board the Cloud-Aerosol Lidar Pathfinder Satellite Observation (CALIPSO), to infer aerosol optical properties in the lower troposphere over a midlatitude continental site where the aerosol load is low to moderate. The experiment took place from 20 June to 10 July 2007 in southern France. The results are based on three case studies with measurements coincident to CALIOP observations: the first case study illustrates a large-scale pollution event with an aerosol optical thickness at 532 nm (τa532) of ∼0.25, and the two other case studies are devoted to background conditions due to aerosol scavenging by storms with τa532 <0.1. Our experimental approach involved ground-based and airborne lidar systems as well as Sun photometer measurements when the conditions of observation were favorable. Passive spaceborne instruments, namely the Spinning Enhanced Visible and Infrared Imager (SEVERI) and the Moderate-resolution Imaging Spectroradiometer (MODIS), are used to characterize the large-scale aerosol conditions. We show that complex topographical structures increase the complexity of the aerosol analysis in the planetary boundary layer by CALIOP when τa532 is lower than 0.1 because the number of available representative profiles is low to build a mean CALIOP profile with a good signal-to-noise ratio. In a comparison, the aerosol optical properties inferred from CALIOP and those deduced from the other active and passive remote sensing observations in the pollution plume are found to be in reasonable agreement. Level-2 aerosol products of CALIOP are consistent with our retrievals

Genotypic and phenotypic spectrum of pyridoxine-dependent epilepsy (ALDH7A1 deficiency)

Pyridoxine-dependent epilepsy was recently shown to be due to mutations in the ALDH7A1 gene, which encodes antiquitin, an enzyme that catalyses the nicotinamide adenine dinucleotide-dependent dehydrogenation of L-{alpha}-aminoadipic semialdehyde/L-{Delta}1-piperideine 6-carboxylate. However, whilst this is a highly treatable disorder, there is general uncertainty about when to consider this diagnosis and how to test for it. This study aimed to evaluate the use of measurement of urine L-{alpha}-aminoadipic semialdehyde/creatinine ratio and mutation analysis of ALDH7A1 (antiquitin) in investigation of patients with suspected or clinically proven pyridoxine-dependent epilepsy and to characterize further the phenotypic spectrum of antiquitin deficiency. Urinary L-{alpha}-aminoadipic semialdehyde concentration was determined by liquid chromatography tandem mass spectrometry. When this was above the normal range, DNA sequencing of the ALDH7A1 gene was performed. Clinicians were asked to complete questionnaires on clinical, biochemical, magnetic resonance imaging and electroencephalography features of patients. The clinical spectrum of antiquitin deficiency extended from ventriculomegaly detected on foetal ultrasound, through abnormal foetal movements and a multisystem neonatal disorder, to the onset of seizures and autistic features after the first year of life. Our relatively large series suggested that clinical diagnosis of pyridoxine dependent epilepsy can be challenging because: (i) there may be some response to antiepileptic drugs; (ii) in infants with multisystem pathology, the response to pyridoxine may not be instant and obvious; and (iii) structural brain abnormalities may co-exist and be considered sufficient cause of epilepsy, whereas the fits may be a consequence of antiquitin deficiency and are then responsive to pyridoxine. These findings support the use of biochemical and DNA tests for antiquitin deficiency and a clinical trial of pyridoxine in infants and children with epilepsy across a broad range of clinical scenarios

Supplement of Wet deposition in the remote western and central Mediterranean as a source of trace metals to surface seawater [Dataset]

3 pages. -- Figure S1: Atmospheric conditions during rain ION period, the 29 May 2017. -- Figure S2: Atmopsheric conditions during rain FAST period, the 05 June 2017Peer reviewe

Genotypic and phenotypic spectrum of pyridoxine-dependent epilepsy (ALDH7A1 deficiency)

Pyridoxine-dependent epilepsy was recently shown to be due to mutations in the ALDH7A1 gene, which encodes antiquitin, an enzyme that catalyses the nicotinamide adenine dinucleotide-dependent dehydrogenation of l-α-aminoadipic semialdehyde/l-Δ1-piperideine 6-carboxylate. However, whilst this is a highly treatable disorder, there is general uncertainty about when to consider this diagnosis and how to test for it. This study aimed to evaluate the use of measurement of urine l-α-aminoadipic semialdehyde/creatinine ratio and mutation analysis of ALDH7A1 (antiquitin) in investigation of patients with suspected or clinically proven pyridoxine-dependent epilepsy and to characterize further the phenotypic spectrum of antiquitin deficiency. Urinary l-α-aminoadipic semialdehyde concentration was determined by liquid chromatography tandem mass spectrometry. When this was above the normal range, DNA sequencing of the ALDH7A1 gene was performed. Clinicians were asked to complete questionnaires on clinical, biochemical, magnetic resonance imaging and electroencephalography features of patients. The clinical spectrum of antiquitin deficiency extended from ventriculomegaly detected on foetal ultrasound, through abnormal foetal movements and a multisystem neonatal disorder, to the onset of seizures and autistic features after the first year of life. Our relatively large series suggested that clinical diagnosis of pyridoxine dependent epilepsy can be challenging because: (i) there may be some response to antiepileptic drugs; (ii) in infants with multisystem pathology, the response to pyridoxine may not be instant and obvious; and (iii) structural brain abnormalities may co-exist and be considered sufficient cause of epilepsy, whereas the fits may be a consequence of antiquitin deficiency and are then responsive to pyridoxine. These findings support the use of biochemical and DNA tests for antiquitin deficiency and a clinical trial of pyridoxine in infants and children with epilepsy across a broad range of clinical scenario

Different epidemiology of bloodstream infections in COVID-19 compared to non-COVID-19 critically ill patients: A descriptive analysis of the Eurobact II study

Background: The study aimed to describe the epidemiology and outcomes of hospital-acquired bloodstream infections (HABSIs) between COVID-19 and non-COVID-19 critically ill patients. Methods: We used data from the Eurobact II study, a prospective observational multicontinental cohort study on HABSI treated in ICU. For the current analysis, we selected centers that included both COVID-19 and non-COVID-19 critically ill patients. We performed descriptive statistics between COVID-19 and non-COVID-19 in terms of patients’ characteristics, source of infection and microorganism distribution. We studied the association between COVID-19 status and mortality using multivariable fragility Cox models. Results: A total of 53 centers from 19 countries over the 5 continents were eligible. Overall, 829 patients (median age 65 years [IQR 55; 74]; male, n = 538 [64.9%]) were treated for a HABSI. Included patients comprised 252 (30.4%) COVID-19 and 577 (69.6%) non-COVID-19 patients. The time interval between hospital admission and HABSI was similar between both groups. Respiratory sources (40.1 vs. 26.0%, p < 0.0001) and primary HABSI (25.4% vs. 17.2%, p = 0.006) were more frequent in COVID-19 patients. COVID-19 patients had more often enterococcal (20.5% vs. 9%) and Acinetobacter spp. (18.8% vs. 13.6%) HABSIs. Bacteremic COVID-19 patients had an increased mortality hazard ratio (HR) versus non-COVID-19 patients (HR 1.91, 95% CI 1.49–2.45). Conclusions: We showed that the epidemiology of HABSI differed between COVID-19 and non-COVID-19 patients. Enterococcal HABSI predominated in COVID-19 patients. COVID-19 patients with HABSI had elevated risk of mortality. Trial registration ClinicalTrials.org number NCT03937245. Registered 3 May 2019

The role of atmospheric deposition in the biogeochemistry of the Mediterranean Sea

Estimates of atmospheric inputs to the Mediterranean (MED) and some coastal areas are reviewed, and uncertainities in these estimates considered. Both the magnitude and the mineralogical composition of atmospheric dust inputs indicate that eolian deposition is an important (50%) or prevailing (>80%) contribution to sediments in the offshore waters of the entire Mediterranean (MED) basin. Model data for trace metals and nutrients indicate that the atmosphere delivers more than half the lead and nitrogen, one-third of total phosphorus, and 10% of the zinc entering the entire basin. Measured data in sub-basins, such as the north-western MED and northern Adriatic indicate an even greater proportion of atmospheric versus riverine inputs. When dissolved fluxes are compared (the form most likely to impinge on surface water biogeochemical cycles), the atmosphere is found to be 5 to 50 times more important than rivers for dissolved Zn and 15 to 30 times more important for Pb fluxes. Neglecting co-limitation by other nutrients, new production supported by atmospheric nitrogen deposition ranges from 2-4 g C m-2 yr-1, whereas atmospheric phosphorus deposition appears to support less than 1 g C m-2 yr-1. In spite of the apparently small contribution of atmospheric deposition to overall production in the basin it has been suggested that certain episodes of phytoplankton blooms are triggered by atmospheric deposition of N, P or Fe. Future studies are needed to clarify the extent and causal links between these episodic blooms and atmospheric/oceanographic forcing functions. A scientific program aimed at elucidating the possible biogeochemical effects of Saharan outbreaks in the MED through direct sampling of the ocean and atmosphere before and after such events is therefore highly recommended