In 2015, stricter regulations to reduce sulfur dioxide emissions and particulate air pollution from shipping were implemented in the Baltic Sea. We investigated the effects on population exposure to particles <2.5 µm (PM2.5) from shipping and estimated related morbidity and mortality in Sweden’s 21 counties at different spatial resolutions. We used a regional model to estimate exposure in Sweden and a city-scale model for Gothenburg. Effects of PM2.5 exposure on total mortality, ischemic heart disease, and stroke were estimated using exposure–response functions from the literature and combining them into disability-adjusted life years (DALYS). PM2.5 exposure from shipping in Gothenburg decreased by 7% (1.6 to 1.5 µg/m3) using the city-scale model, and 35% (0.5 to 0.3 µg/m3) using the regional model. Different population resolutions had no effects on population exposures. In the city-scale model, annual premature deaths due to shipping PM2.5 dropped from 97 with the high-sulfur scenario to 90 in the low-sulfur scenario, and in the regional model from 32 to 21. In Sweden, DALYs lost due to PM2.5 from Baltic Sea shipping decreased from approximately 5700 to 4200. In conclusion, sulfur emission restrictions for shipping had positive effects on health, but the model resolution affects estimations.

Cardiovascular disease (CVD) is the top cause of mortality and a main contributor to disability globally. The evidence so far is varied on whether cold or heat modifies the CVD effects of air pollution. Weather conditions and air pollution sources and levels are different in different countries. Studies in low-and middle-income countries are lacking. Mortality data were obtained from Statistics South Africa. Air pollution and meteorological data were obtained from the South African Weather Service. A time-stratified case–crossover epidemiological design was applied. The association between air pollutants (PM10, NO2 and SO2) and CVD mortality was investigated using conditional logistic regression models. Susceptibility by sex and age groups was investigated. In total, 54,356 CVD deaths were included in the 10-year study. The daily PM10, NO2 and SO2 levels exceeded the daily WHO guidelines on 463, 421 and 8 days of the 3652 days, respectively. Higher air pollution risks were observed in this study compared to those reported in meta-analyses. In general, the elderly and females seemed to be vulnerable to air pollutants, especially at high and moderate apparent temperature levels. Harvesting effects were observed at longer lags. The results can be used to develop an early warning system for the city.

Background: Epidemiological studies reported independent effects of air pollution and temperature on health, yet these twoexposures are often treated as separate risk factors. Few studies investigated temperature effect modification on the health effects ofair pollution in Africa and none examined the effects of black carbon on respiratory disease (RD) hospitalisations. The aim of this studywas to determine whether the association between RD hospitalisations and air pollution in the Vaal Triangle Air Pollution Priority Areawas modified by apparent temperature (Tapp) during January 2013 to February 2020. Methods: RD admission data (ICD10 J00-J99) were obtained from two hospitals located in Vanderbijlpark and Vereeniging. AmbientPM10, PM2.5, BC, NO2, SO2 and O3, temperature and relative humidity data were obtained from six monitoring stations. A case-crossover epidemiological study design was applied. Lag0-1 was investigated, i.e. the average air pollutant level on the day and the day before hospitalisation. Models were adjusted for public holidays and Tapp. Effect modification was investigated by stratifying days into low, moderate and high Tapp days. Susceptibility by age and sex was investigated. Results: Of the 43 386 hospital admissions, 50.9% (n=22 092) were women and 51.4% (n=22 304) were 0-14-year olds. Air pollutantsexceeded the daily WHO air quality guidelines generally on more than 50% of the days. In general, moderate Tapp worsened the effects of PM2.5, PM10, SO2 and BC, whilst the effects of NO2 and O3 were most pronounced on days with high Tapp. The elderly and females were more vulnerable to air pollution, especially on days with moderate Tapp. Conclusions: These results indicate that the risk of RD hospitalisation due to ambient air pollution exposure is different on low,moderate and high Tapp days in Vanderbijlpark and Vereeniging.

No abstract

No abstract