The coronavirus disease 2019 (COVID-19), which is mainly transmitted through droplets without overlooking other sources of transmission, rendered attention on the air quality in indoor areas and more specifically in healthcare settings. The improvement of indoor air quality (IAQ) is ensured by frequent changes of the air that must be carried out in healthcare areas and with assistance from special devices that undertake the filtration of the air and its purification through special filters and lamps. In this research, the performance of air purifiers is assessed in terms of the limitation of PM2.5, PM10, VOCs and CO2 in a postgraduate clinic of the Dentistry School of the National and Kapodistrian University of Athens in parallel with mechanical ventilation. Our findings indicate that the use of mechanical ventilation plays a key role on the results, retaining good IAQ levels within the clinic and that air purifiers show a positive impact on IAQ by mainly reducing the levels of PM2.5 and secondly of TVOC.

Urbanization and climate change are two major issues that humanity faces in the 21st century. Megacities are large urban agglomerations with more than 10 million inhabitants that emerged in the 20th century. The world’s top 100 economies include many North and South American megacities, such as New York, Los Angeles, Mexico City, Sao Paulo and Buenos Aires; European cities such as London and Paris; and Asian cities such as Tokyo, Osaka, Seoul, Beijing and Mumbai. This paper addresses a dearth of megacity energy metabolism models in the literature. Cross-sectional data for 36 global megacities were collected from many literature and Internet sources. Variables included megacity name, country and region; population; area; population density; (per capita) GDP; income inequality measures; (per capita) energy consumption; household electricity prices; (per capita) carbon and ecological footprint; degree days; average urban heat island intensity; and temperature and precipitation. A descriptive comparison of the characteristics of megacities was followed by ordinary least squares with heteroskedasticity-robust standard errors that were used to estimate four alternative multiple regression models. The per-capita carbon footprint of megacities was positively associated with the megacity GDP per capita, and the megacity ecological footprint; and negatively associated with country income inequality, a low-income country dummy, the country household electricity price, and the megacity annual precipitation. Targeted policies are needed, but more policy autonomy should be left to megacities. Collecting longitudinal data for megacities is very challenging but should be a next step to overcome misspecification and bias issues that plague cross-sectional approaches.

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The assessment of indoor environmental quality in historic buildings converted to museums is a significant tool in deep energy renovation processes, as it provides insights for the microclimatic conditions in the interiors of the building where vast numbers of visitors walk every year and where artifacts that are vulnerable to pollution are exhibited. In this work, aiming to contribute to the development of an energy retrofitting protocol applied in the Mediterranean region (HAPPEN MedZeb protocol) for museums hosted in historic buildings by providing useful data, an experimental campaign to evaluate the indoor environmental quality of a museum housed in a historic building located in Athens took place from February 2019 to April 2021 and was divided into two periods. The findings revealed high concentrations of volatile organic compounds as well as poor thermal comfort levels since the sensors recorded low acceptable percentages of T values within the limits from 7 to 33% for the entire experimental period. Based on the findings, recommendations for retrofitting interventions are made.

Introduction Air pollution has been a well-described environmental factor contributing significantly to the global disease burden. Purpose To examine the association of gaseous air pollutants with atherosclerosis, especially in subjects with coronary artery disease (CAD). Methods 2053 individuals enrolled in the Corinthia study underwent clinical and biochemical assessment followed by carotid ultrasonography to evaluate carotid intima-media thickness (cIMT) and plaque burden. Inflammation was estimated via measurement of C-Reactive protein (CRP). Air pollutants concentration analysis was performed in prespecified regions with respect to their proximity to heavy industries, highways and shipyards. Results A higher concentration of gaseous air pollutants was observed in Region 4 when compared to other regions (Table). Mean cIMT, maximum cIMT and carotid plaque burden were significantly increased in individuals of Region 4 (Table, Figure A and B), a result which remained unaffected after adjustment for cardiovascular confounders (Figure C). In parallel, inhabitants of Region 4 had higher levels of CRP (Region 1: 4.60±5.01mg/l; Region 2: 3.08±3.26mg/l; Region 3: 4.37±4.70mg/l, Region 4: 6.78±9.77mg/l, p<0.001). To examine the effect of air pollution on atherosclerosis in CAD, propensity scores were applied to match healthy controls with CAD subjects in terms of atherosclerosis risk factors resulting in two matched groups; one in regions 1, 2 and 3 -low air pollution areas (LAPA)- and another in region 4 -high air pollution area (HAPA). Interestingly, we noted substantially higher inter-area differences in mean cIMT of CAD individuals (Figure D). Conclusion Air pollution may significantly contribute to atherosclerosis progression, potentially via the induction of inflammation. A more pronounced effect was noted in CAD individuals exposed to high air pollution. Funding Acknowledgement Type of funding source: None