Mercury in air and soil on an urban-rural transect in East Africa

There are large knowledge gaps concerning concentrations, sources, emissions, and spatial trends of mercury (Hg) in the atmosphere in developing regions of the Southern Hemisphere, particularly in urban areas. Filling these gaps is a prerequisite for assessing the effectiveness of international regulation and for enabling a better understanding of the global transport of Hg in the environment. Here we use a passive sampling technique to study the spatial distribution of gaseous elemental Hg (Hg(0), GEM) and assess emission sources in and around Dar es Salaam, Tanzania's largest city. Included in the study were the city's main municipal waste dumpsite and an e-waste processing facility as potential sources of GEM. To complement the GEM data and for a better overview of the Hg contamination status of Dar es Salaam, soil samples were collected from the same locations where passive air samplers were deployed and analysed for total Hg. Overall, GEM concentrations ranged between <0.86 and 5.34 ng m−3, indicating significant local sources within the urban area. The municipal waste dumpsite and e-waste site had GEM concentrations elevated above the background, at 2.41 and 1.77 ng m−3, respectively. Hg concentrations in soil in the region (range 0.0067 to 0.098 mg kg−1) were low compared to those of other urban areas and were not correlated with atmospheric GEM concentrations. This study demonstrates that GEM is a significant environmental issue in the urban region of Dar es Salaam. Further studies from urban areas in the Global South are needed to better identify sources of GEM

Mercury in air and soil on an urban-rural transect in East Africa

There are large knowledge gaps concerning concentrations, sources, emissions, and spatial trends of mercury (Hg) in the atmosphere in developing regions of the Southern Hemisphere, particularly in urban areas. Filling these gaps is a prerequisite for assessing the effectiveness of international regulation and for enabling a better understanding of the global transport of Hg in the environment. Here we use a passive sampling technique to study the spatial distribution of gaseous elemental Hg (Hg(0), GEM) and assess emission sources in and around Dar es Salaam, Tanzania's largest city. Included in the study were the city's main municipal waste dumpsite and an e-waste processing facility as potential sources of GEM. To complement the GEM data and for a better overview of the Hg contamination status of Dar es Salaam, soil samples were collected from the same locations where passive air samplers were deployed and analysed for total Hg. Overall, GEM concentrations ranged between <0.86 and 5.34 ng m−3, indicating significant local sources within the urban area. The municipal waste dumpsite and e-waste site had GEM concentrations elevated above the background, at 2.41 and 1.77 ng m−3, respectively. Hg concentrations in soil in the region (range 0.0067 to 0.098 mg kg−1) were low compared to those of other urban areas and were not correlated with atmospheric GEM concentrations. This study demonstrates that GEM is a significant environmental issue in the urban region of Dar es Salaam. Further studies from urban areas in the Global South are needed to better identify sources of GEM

Mercury in air and soil on an urban-rural transect in East Africa

There are large knowledge gaps concerning concentrations, sources, emissions, and spatial trends of mercury (Hg) in the atmosphere in developing regions of the Southern Hemisphere, particularly in urban areas. Filling these gaps is a prerequisite for assessing the effectiveness of international regulation and for enabling a better understanding of the global transport of Hg in the environment. Here we use a passive sampling technique to study the spatial distribution of gaseous elemental Hg (Hg(0), GEM) and assess emission sources in and around Dar es Salaam, Tanzania's largest city. Included in the study were the city's main municipal waste dumpsite and an e-waste processing facility as potential sources of GEM. To complement the GEM data and for a better overview of the Hg contamination status of Dar es Salaam, soil samples were collected from the same locations where passive air samplers were deployed and analysed for total Hg. Overall, GEM concentrations ranged between <0.86 and 5.34 ng m−3, indicating significant local sources within the urban area. The municipal waste dumpsite and e-waste site had GEM concentrations elevated above the background, at 2.41 and 1.77 ng m−3, respectively. Hg concentrations in soil in the region (range 0.0067 to 0.098 mg kg−1) were low compared to those of other urban areas and were not correlated with atmospheric GEM concentrations. This study demonstrates that GEM is a significant environmental issue in the urban region of Dar es Salaam. Further studies from urban areas in the Global South are needed to better identify sources of GEM

Spatial trends of chlorinated paraffins and dechloranes in air and soil in a tropical urban, suburban, and rural environment

There are large knowledge gaps concerning environmental levels and fate of many organic pollutants, particularly for chemicals of emerging concern in tropical regions of the Global South. In this study, we investigated the levels of chlorinated paraffins (CPs) and dechloranes in air and soil in rural, suburban, and urban regions in and around Dar es Salaam, Tanzania. Samples were also collected near the city's main municipal waste dumpsite and an electronic waste (e-waste) handling facility. In passive air samples, short chain CPs (SCCPs) dominated, with an average estimated concentration of 22 ng/m3, while medium chain CPs (MCCPs) had an average estimated concentration of 9 ng/m3. The average estimated air concentration of ∑dechloranes (Dechlorane Plus (DP) + Dechlorane 602 + Dechlorane 603) was three to four orders of magnitudes lower, 2 pg/m3. In soil samples, MCCPs dominated with an average concentration of 640 ng/g dw, followed by SCCPs with an average concentration of 330 ng/g dw, and ∑dechloranes with an average concentration of 0.9 ng/g dw. In both air and soil, DP was the dominating dechlorane compound. Urban pulses were observed for CPs and dechloranes in air and soil. CPs were in addition found in elevated levels at the municipal waste dumpsite and the e-waste handling facility, while DPs were found in elevated levels at the e-waste handling facility. This suggests that waste handling sites represent important emission sources for these pollutants. Investigations into seasonal trends and environmental fate of CPs and dechloranes showed that monsoonal rain patterns play a major role in governing air concentrations and mobility, particularly for the less volatile MCCPs and dechloranes. This study is the first to report levels of CPs in air from sub-Saharan Africa, and DP, Dechlorane 602, and Dechlorane 603 in soil from sub-Saharan Africa

Spatial trends of chlorinated paraffins and dechloranes in air and soil in a tropical urban, suburban, and rural environment

There are large knowledge gaps concerning environmental levels and fate of many organic pollutants, particularly for chemicals of emerging concern in tropical regions of the Global South. In this study, we investigated the levels of chlorinated paraffins (CPs) and dechloranes in air and soil in rural, suburban, and urban regions in and around Dar es Salaam, Tanzania. Samples were also collected near the city's main municipal waste dumpsite and an electronic waste (e-waste) handling facility. In passive air samples, short chain CPs (SCCPs) dominated, with an average estimated concentration of 22 ng/m3, while medium chain CPs (MCCPs) had an average estimated concentration of 9 ng/m3. The average estimated air concentration of ∑dechloranes (Dechlorane Plus (DP) + Dechlorane 602 + Dechlorane 603) was three to four orders of magnitudes lower, 2 pg/m3. In soil samples, MCCPs dominated with an average concentration of 640 ng/g dw, followed by SCCPs with an average concentration of 330 ng/g dw, and ∑dechloranes with an average concentration of 0.9 ng/g dw. In both air and soil, DP was the dominating dechlorane compound. Urban pulses were observed for CPs and dechloranes in air and soil. CPs were in addition found in elevated levels at the municipal waste dumpsite and the e-waste handling facility, while DPs were found in elevated levels at the e-waste handling facility. This suggests that waste handling sites represent important emission sources for these pollutants. Investigations into seasonal trends and environmental fate of CPs and dechloranes showed that monsoonal rain patterns play a major role in governing air concentrations and mobility, particularly for the less volatile MCCPs and dechloranes. This study is the first to report levels of CPs in air from sub-Saharan Africa, and DP, Dechlorane 602, and Dechlorane 603 in soil from sub-Saharan Africa

Increased interleukin-6 and macrophage chemoattractant protein-1 are associated with respiratory failure in COVID-19

In SARS-CoV-2 infection there is an urgent need to identify patients that will progress to severe COVID-19 and may benefit from targeted treatment. In this study we analyzed plasma cytokines in COVID-19 patients and investigated their association with respiratory failure (RF) and treatment in Intensive Care Unit (ICU). Hospitalized patients (n = 34) with confirmed COVID-19 were recruited into a prospective cohort study. Clinical data and blood samples were collected at inclusion and after 2–5 and 7–10 days. RF was defined as PaO2/FiO2 ratio (P/F) < 40 kPa. Plasma cytokines were analyzed by a Human Cytokine 27-plex assay. COVID-19 patients with RF and/or treated in ICU showed overall increased systemic cytokine levels. Plasma IL-6, IL-8, G-CSF, MCP-1, MIP-1α levels were negatively correlated with P/F, whereas combinations of IL-6, IP-10, IL-1ra and MCP-1 showed the best association with RF in ROC analysis (AUC 0.79–0.80, p < 0.05). During hospitalization the decline was most significant for IP-10 (p < 0.001). Elevated levels of pro-inflammatory cytokines were present in patients with severe COVID-19. IL-6 and MCP-1 were inversely correlated with P/F with the largest AUC in ROC analyses and should be further explored as biomarkers to identify patients at risk for severe RF and as targets for improved treatment strategies

Increased interleukin-6 and macrophage chemoattractant protein-1 are associated with respiratory failure in COVID-19

In SARS-CoV-2 infection there is an urgent need to identify patients that will progress to severe COVID-19 and may benefit from targeted treatment. In this study we analyzed plasma cytokines in COVID-19 patients and investigated their association with respiratory failure (RF) and treatment in Intensive Care Unit (ICU). Hospitalized patients (n = 34) with confirmed COVID-19 were recruited into a prospective cohort study. Clinical data and blood samples were collected at inclusion and after 2–5 and 7–10 days. RF was defined as PaO2/FiO2 ratio (P/F) < 40 kPa. Plasma cytokines were analyzed by a Human Cytokine 27-plex assay. COVID-19 patients with RF and/or treated in ICU showed overall increased systemic cytokine levels. Plasma IL-6, IL-8, G-CSF, MCP-1, MIP-1α levels were negatively correlated with P/F, whereas combinations of IL-6, IP-10, IL-1ra and MCP-1 showed the best association with RF in ROC analysis (AUC 0.79–0.80, p < 0.05). During hospitalization the decline was most significant for IP-10 (p < 0.001). Elevated levels of pro-inflammatory cytokines were present in patients with severe COVID-19. IL-6 and MCP-1 were inversely correlated with P/F with the largest AUC in ROC analyses and should be further explored as biomarkers to identify patients at risk for severe RF and as targets for improved treatment strategies

Increased interleukin-6 and macrophage chemoattractant protein-1 are associated with respiratory failure in COVID-19

In SARS-CoV-2 infection there is an urgent need to identify patients that will progress to severe COVID-19 and may benefit from targeted treatment. In this study we analyzed plasma cytokines in COVID-19 patients and investigated their association with respiratory failure (RF) and treatment in Intensive Care Unit (ICU). Hospitalized patients (n = 34) with confirmed COVID-19 were recruited into a prospective cohort study. Clinical data and blood samples were collected at inclusion and after 2–5 and 7–10 days. RF was defined as PaO2/FiO2 ratio (P/F) < 40 kPa. Plasma cytokines were analyzed by a Human Cytokine 27-plex assay. COVID-19 patients with RF and/or treated in ICU showed overall increased systemic cytokine levels. Plasma IL-6, IL-8, G-CSF, MCP-1, MIP-1α levels were negatively correlated with P/F, whereas combinations of IL-6, IP-10, IL-1ra and MCP-1 showed the best association with RF in ROC analysis (AUC 0.79–0.80, p < 0.05). During hospitalization the decline was most significant for IP-10 (p < 0.001). Elevated levels of pro-inflammatory cytokines were present in patients with severe COVID-19. IL-6 and MCP-1 were inversely correlated with P/F with the largest AUC in ROC analyses and should be further explored as biomarkers to identify patients at risk for severe RF and as targets for improved treatment strategies

Elevated plasma sTIM-3 levels in patients with severe COVID-19

Background - The pathogenesis of coronavirus disease 2019 (COVID-19) is still incompletely understood, but it seems to involve immune activation and immune dysregulation. Objective - We examined the parameters of activation of different leukocyte subsets in COVID-19–infected patients in relation to disease severity. Methods - We analyzed plasma levels of myeloperoxidase (a marker of neutrophil activation), soluble (s) CD25 (sCD25) and soluble T-cell immunoglobulin mucin domain-3 (sTIM-3) (markers of T-cell activation and exhaustion), and sCD14 and sCD163 (markers of monocyte/macrophage activation) in 39 COVID-19–infected patients at hospital admission and 2 additional times during the first 10 days in relation to their need for intensive care unit (ICU) treatment. Results - Our major findings were as follows: (1) severe clinical outcome (ICU treatment) was associated with high plasma levels of sTIM-3 and myeloperoxidase, suggesting activated and potentially exhausted T cells and activated neutrophils, respectively; (2) in contrast, sCD14 and sCD163 showed no association with need for ICU treatment; and (3) levels of sCD25, sTIM-3, and myeloperoxidase were inversely correlated with degree of respiratory failure, as assessed by the ratio of Pao2 to fraction of inspired oxygen, and were positively correlated with the cardiac marker N-terminal pro-B–type natriuretic peptide. Conclusion - Our findings suggest that neutrophil activation and, in particular, activated T cells may play an important role in the pathogenesis of COVID-19 infection, suggesting that T-cell–targeted treatment options and downregulation of neutrophil activation could be of importance in this disorder