Crop Fires and Cardiovascular Health : A Study from North India

Peer reviewedPublisher PD

Systematizing the approach to air quality measurement and analysis in low and middle income countries

Peer reviewe

Industrial heat island: a case study of Angul-Talcher region in India

Most of the urban heat island (UHI) studies are carried out in densely populated cities but core industrial areas are also potential sites of heat island effect despite having a comparatively lower population. In the present study, heat island assessment has been carried out for Angul-Talcher industrial area (ATIA) which is one of the oldest industrial areas of India and is still undergoing a transformation to accommodate more industries and mining operations. As the major contributors towards influencing local meteorology were expected to be industrial (and mining) activities, the heat island was studied as "industrial heat island" (IHI) rather than urban heat island. Industrial and mining sites were the most frequent nighttime canopy-layer heat island intensity (HIN) hotspots due to anthropogenic heat of associated industrial processes as well as built structures. During the daytime, croplands experienced the most frequent canopy-layer HIN hotspots which could be attributed to low moisture of the soils during the non-farming period of the field campaign. Hourly maximum atmospheric heat island intensities were observed in the range of 7-9 degrees C. Monthly maximum HINs ranged from 2.97 to 4.04 degrees C while 3-month mean HINs varied from 1.45 to 2.74 degrees C. Amongst different land use/land cover classes, the highest mean canopy-layer heat island intensity for the entire 3-month-long duration of field campaign during nighttime was assessed at the mining sites (3-month mean 2.74 degrees C) followed in decreasing order by the industrial sites (2.52 degrees C), rural and urban settlements (2.13 degrees C), and croplands (2.06 degrees C). Corresponding daytime canopy-layer heat island intensity was highest for the croplands (2.07 degrees C) followed in decreasing order by the mining sites (1.70 degrees C), rural and urban settlements (1.68 degrees C), and industry (1.45 degrees C)

A Satellite-Driven Model to Estimate Long-Term Particulate Sulfate Levels and attributable Mortality Burden in China

Ambient fine particulate matter (P

Mapping 123 million neonatal, infant and child deaths between 2000 and 2017

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that had attained rates of 25 or fewer child deaths per 1,000 live births by 2017, and that 58% of child deaths between 2000 and 2017 in these countries could have been averted in the absence of geographical inequality. This study enables the identification of high-mortality clusters, patterns of progress and geographical inequalities to inform appropriate investments and implementations that will help to improve the health of all populations

Mapping development and health effects of cooking with solid fuels in low-income and middle-income countries, 2000-18 : a geospatial modelling study

Background More than 3 billion people do not have access to clean energy and primarily use solid fuels to cook. Use of solid fuels generates household air pollution, which was associated with more than 2 million deaths in 2019. Although local patterns in cooking vary systematically, subnational trends in use of solid fuels have yet to be comprehensively analysed. We estimated the prevalence of solid-fuel use with high spatial resolution to explore subnational inequalities, assess local progress, and assess the effects on health in low-income and middle-income countries (LMICs) without universal access to clean fuels.Methods We did a geospatial modelling study to map the prevalence of solid-fuel use for cooking at a 5 km x 5 km resolution in 98 LMICs based on 2.1 million household observations of the primary cooking fuel used from 663 population-based household surveys over the years 2000 to 2018. We use observed temporal patterns to forecast household air pollution in 2030 and to assess the probability of attaining the Sustainable Development Goal (SDG) target indicator for clean cooking. We aligned our estimates of household air pollution to geospatial estimates of ambient air pollution to establish the risk transition occurring in LMICs. Finally, we quantified the effect of residual primary solid-fuel use for cooking on child health by doing a counterfactual risk assessment to estimate the proportion of deaths from lower respiratory tract infections in children younger than 5 years that could be associated with household air pollution.Findings Although primary reliance on solid-fuel use for cooking has declined globally, it remains widespread. 593 million people live in districts where the prevalence of solid-fuel use for cooking exceeds 95%. 66% of people in LMICs live in districts that are not on track to meet the SDG target for universal access to clean energy by 2030. Household air pollution continues to be a major contributor to particulate exposure in LMICs, and rising ambient air pollution is undermining potential gains from reductions in the prevalence of solid-fuel use for cooking in many countries. We estimated that, in 2018, 205000 (95% uncertainty interval 147000-257000) children younger than 5 years died from lower respiratory tract infections that could be attributed to household air pollution.Interpretation Efforts to accelerate the adoption of clean cooking fuels need to be substantially increased and recalibrated to account for subnational inequalities, because there are substantial opportunities to improve air quality and avert child mortality associated with household air pollution. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.Peer reviewe

Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic