No abstract

Yakima County, Washington was subject to the extrordinary Washington Wildfire Season of 2020 in which unhealty air (PM2.5) persisted for a 14-day period. This remarkable fire and smoke season began in tandem with the COVID-19 pandemic. SARS-CoV-2 virus, like inhaled particulate matter is known to cause respiratory illness or injury. This study sought to determine through publicly available data whether increased levels of PM2.5 were associated with increased cases of COVID-19. Using a 12-day lag analysis, Pearson product correlations were performed between PM2.5 24-hour averages in Yakima County Washington and daily confirmed cases of COVID-19 for data available on March 1, 2020-October 15, 2020. In addition, total running cases of confirmed COVID-19, daily mortality and total running mortality rates were compared in the lag analyses. All days (PM2.5) in the lag analysis were found to have a statistically significant positive correlation with COVID-19 case counts and total running counts of COVID-19 (p<.001) with correlation coefficients ranging from 0.24-0.28. The total running mortality rates were also significantly associated with daily PM2.5 (p<.001); however, the daily mortality rates were not found to be statistically significantly related to PM2.5. This simple analysis provides preliminary evidence that increased air pollution (PM2.5) is associated with higher rates of confirmed COVID-19 cases. However, further research is required to determine the potentially confounding factors in this relationship.

Category A agents are biological pathogens that could pose a threat to health and human safety if used as bioweapons. The exploration and possibility of these threats must be comprehensively reviewed to create a preparedness plan to recognize outbreaks, to educate the public, and to offer vaccinations and/or treatment options, if available. A scoping review using PRISMA guidelines was performed to categorize current information on Category A biological agents as well as understand their potential for future threats. The results used 34 articles and found that while botulin neurotoxins were the most lethal, anthrax posed the most likely threat for use as a bioweapon. Most research was conducted on plague, though it is not the most likely threat. Smallpox is the most likely agent to vaccinate against as there is already a working vaccine that has proven effective and the issue at hand is the need for a larger stockpile. Ultimately, preparedness efforts should include vaccinations and continued research and development of them. Category A agents are a serious public health concern; updated and reformed bioterrorism preparedness plans could greatly minimize panic and mortality.

Yakima County, Washington, a rural county with an urban core suffered disproportionately under the conditions presented by the COVID-19 pandemic and summer wildfires of 2020. With an infection rate of over 700 per 100,000 population at the height of the pandemic, the county concurrently experienced 14 consecutive days of an air quality index in the unhealthy to hazardous range in August 2020. This paper examines the contributing socioeconomic, geographic, and environmental vulnerabilities that make Yakima County particularly susceptible to the continuum of expected COVID-19 disease and related outcomes and suggests comprehensive areas of investigation to mitigate its impact on special populations, including Hispanic-Latino communities, agricultural, food production, and other essential workers.