Uncertainties in emissions estimates of greenhouse gases and air pollutants in India and their impacts on regional air quality

Greenhouse gas and air pollutant precursor emissions have been increasing rapidly in India. Large uncertainties exist in emissions inventories and quantification of their uncertainties is essential for better understanding of the linkages among emissions and air quality, climate, and health. We use Monte Carlo methods to assess the uncertainties of the existing carbon dioxide (CO2), carbon monoxide (CO), sulfur dioxide (SO2), nitrogen oxides (NOx), and particulate matter (PM) emission estimates from four source sectors for India. We also assess differences in the existing emissions estimates within the nine subnational regions. We find large uncertainties, higher than the current estimates for all species other than CO, when all the existing emissions estimates are combined. We further assess the impact of these differences in emissions on air quality using a chemical transport model. More efforts are needed to constrain emissions, especially in the Indo-Gangetic Plain, where not only the emissions differences are high but also the simulated concentrations using different inventories. Our study highlights the importance of constraining SO2, NOx, and NH3 emissions for secondary PM concentrations

Dispersion modelling of air pollutants in a hilly city in India

Vehicular pollution is one of the major sources of air pollution in urban locales that have reportedly elevated concentrations of air pollutants. This study aims to examine the performance of two air quality dispersion models, STREET and CALINE 4 to predict pollutant concentrations for an urban monitoring location that is en route to the high traffic volumes in Shimla, Himachal Pradesh, India. This study will compare the predicted and observed concentrations (for the urban monitoring location) using both quantitative and statistical methods for the 2 years of the study. The pollutant selected for the study is PM10. It was observed from the modeling studies that the performance of CALINE4 was slightly better than the STREET model. The models selected to a certain extent are defined by the available parameters for successful run completions. The application of detailed modeling studies is the first of its kind for the study location, to the best of the authors’ knowledge. Hence, the application of basic and simplistic models and the examination of their performance could potentially find the best fit model to predict approximately precise concentrations. Further scope of this study should include the use of advanced air quality dispersion models for the improved prediction of concentrations

Can a “Blue Sky” return to Indian megacities?

Deterioration of air quality in Indian megacities (Delhi, Mumbai or Kolkata) is much more significant than that observed in the megacities of developed countries. Densely packed high-rise buildings restrict the self-cleaning capabilities of Indian megacities. Also, the ever growing number of on-road vehicles, resuspension of the dust, and anthropogenic activities exacerbate the levels of ambient air pollution, which is in turn breathed by urban dwellers. Pollution levels exceeding the standards on a regular basis often result in a notable increase in morbidity and mortality. This article discusses the challenges faced by Indian megacities in their quest for sustainable growth, without compromising the air quality and urban way of life

Preliminary Estimates of Nanoparticle Number Emissions from Road Vehicles in Megacity Delhi and Associated Health Impacts

Rapid urbanisation in developing megacities like Delhi has resulted in an increased number of road vehicles and hence total particle number (ToN) emissions. For the first time, this study presents preliminary estimates of ToN emissions from road vehicles, roadside and ambient ToN concentrations, and exposure related excess deaths in Delhi in current and two future scenarios; business as usual (BAU) and best estimate scenario (BES). Annual ToN emissions are estimated as 1.37 × 10²⁵ for 2010 which are expected to increase by ∼4 times in 2030-BAU, but to decrease by ∼18 times in 2030-BES. Such reduction is anticipated due to a larger number of compressed natural gas driven vehicles and assumed retrofitting of diesel particulate filters to all diesel vehicles by 2020. Heavy duty vehicles emit the majority (∼65%) of ToN for only ∼4% of total vehicle kilometres traveled in 2010. Their contribution remains dominant under both scenarios in 2030, clearly requiring major mitigation efforts. Roadside and ambient ToN concentrations were up to a factor of 30 and 3 higher to those found in respective European environments. Exposure to ambient ToN concentrations resulted in ∼508, 1888, and 31 deaths per million people in 2010, 2030-BAU and 2030-BES, respectively

Safety of hospital discharge before return of bowel function after elective colorectal surgery

Background: Ileus is common after colorectal surgery and is associated with an increased risk of postoperative complications. Identifying features of normal bowel recovery and the appropriateness for hospital discharge is challenging. This study explored the safety of hospital discharge before the return of bowel function. Methods: A prospective, multicentre cohort study was undertaken across an international collaborative network. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The main outcome of interest was readmission to hospital within 30 days of surgery. The impact of discharge timing according to the return of bowel function was explored using multivariable regression analysis. Other outcomes were postoperative complications within 30 days of surgery, measured using the Clavien\u2013Dindo classification system. Results: A total of 3288 patients were included in the analysis, of whom 301 (9\ub72 per cent) were discharged before the return of bowel function. The median duration of hospital stay for patients discharged before and after return of bowel function was 5 (i.q.r. 4\u20137) and 7 (6\u20138) days respectively (P < 0\ub7001). There were no significant differences in rates of readmission between these groups (6\ub76 versus 8\ub70 per cent; P = 0\ub7499), and this remained the case after multivariable adjustment for baseline differences (odds ratio 0\ub790, 95 per cent c.i. 0\ub755 to 1\ub746; P = 0\ub7659). Rates of postoperative complications were also similar in those discharged before versus after return of bowel function (minor: 34\ub77 versus 39\ub75 per cent; major 3\ub73 versus 3\ub74 per cent; P = 0\ub7110). Conclusion: Discharge before return of bowel function after elective colorectal surgery appears to be safe in appropriately selected patients