Air pollution's connection to infant mortality
June 29, 2020
Science Daily/Stanford University
The study of sub-Saharan Africa finds that a relatively small increase in airborne particles significantly increase infant mortality rates. A cost-effective solution may lie in an exotic-sounding proposal.
Dust sweeping across the Southeast U.S. in recent days warns of a growing risk to infants and children in many parts of the world. A Stanford-led study focuses on this dust, which travels thousands of miles from the Sahara Desert, to paint a clearer picture than ever before of air pollution's impact on infant mortality in sub-Saharan Africa. The paper, published June 29 in Nature Sustainability, reveals how a changing climate might intensify or mitigate the problem, and points to seemingly exotic solutions to reducing dust pollution that could be more effective and affordable than current health interventions in improving child health.
"Africa and other developing regions have made remarkable strides overall in improving child health in recent decades, but key negative outcomes such as infant mortality remain stubbornly high in some places," said study senior author Marshall Burke, an associate professor of Earth system science in Stanford's School of Earth, Energy & Environmental Sciences. "We wanted to understand why that was, and whether there was a connection to air pollution, a known cause of poor health."
Understanding airborne danger
Children under 5 are particularly vulnerable to the tiny particles, or particulate, in air pollution that can have a range of negative health impacts, including lower birth weight and impaired growth in the first year of life. In developing regions, exposure to high levels of air pollution during childhood is estimated to reduce overall life expectancy by 4-5 years on average.
Quantifying the health impacts of air pollution -- a crucial step for understanding global health burdens and evaluating policy choices -- has been a challenge in the past. Researchers have struggled to adequately separate out the health effects of air pollution from the health effects of activities that generate the pollution. For example, a booming economy can produce air pollution but also spur developments, such as lower unemployment, that lead to better healthcare access and improved health outcomes.
To isolate the effects of air pollution exposure, the Stanford-led study focuses on dust carried thousands of miles from the Bodélé Depression in Chad -- the largest source of dust emissions in the world. This dust is a frequent presence in West Africa and, to a lesser extent, across other African regions. The researchers analyzed 15 years of household surveys from 30 countries across Sub-Saharan Africa covering nearly 1 million births. Combining birth data with satellite-detected changes in particulate levels driven by the Bodélé dust provided an increasingly clear picture of poor air quality's health impacts on children.
Sobering findings and surprising solutions
The researchers found that a roughly 25 percent increase in local annual mean particulate concentrations in West Africa causes an 18 percent increase in infant mortality. The results expand on a 2018 paper by the same researchers that found exposure to high particulate matter concentrations in sub-Saharan Africa accounted for about 400,000 infant deaths in 2015 alone.
The new study, combined with previous findings from other regions, makes clear that air pollution, even from natural sources, is a "critical determining factor for child health around the world," the researchers write. Emissions from natural sources could change dramatically in a changing climate, but it's unclear how. For example, the concentration of dust particulate matter across Sub-Saharan Africa is highly dependent on the amount of rainfall in the Bodélé Depression. Because future changes in rainfall over the Bodélé region due to climate change are highly uncertain, the researchers calculated a range of possibilities for sub-Saharan Africa that could result in anywhere from a 13-percent decline in infant mortality to a 12-percent increase just due to changes in rainfall over the desert. These impacts would be larger than any other published projections for climate change impact on health across Africa.
Safeguarding children against air pollution is nearly impossible in many developing regions because many homes have open windows or permeable roofs and walls, and infants and young children are unlikely to wear masks. Instead, the researchers suggest exploring the possibility of dampening sand with groundwater in the Bodélé region to stop it from going airborne -- an approach that has been successful at small scale in California.
The researchers estimate that deploying solar-powered irrigation systems in the desert area could avert 37,000 infant deaths per year in West Africa at a cost of $24 per life, making it competitive with many leading health interventions currently in use, including a range of vaccines and water and sanitation projects.
"Standard policy instruments can't be counted on to reduce all forms of air pollution," said study lead author Sam Heft-Neal, a research scholar at Stanford's Center on Food Security and the Environment. "While our calculation doesn't consider logistical constraints to project deployment, it highlights the possibility of a solution that targets natural pollution sources and yields enormous benefits at a modest cost."
https://www.sciencedaily.com/releases/2020/06/200629120215.htm
High air pollution exposure in 1-year-olds linked to structural brain changes at age 12
January 24, 2020
Science Daily/Cincinnati Children's Hospital Medical Center
A new study suggests that significant early childhood exposure to traffic-related air pollution (TRAP) is associated with structural changes in the brain at the age of 12.
The Cincinnati Children's Hospital Medical Center study found that children with higher levels of TRAP exposure at birth had reductions at age 12 in gray matter volume and cortical thickness as compared to children with lower levels of exposure.
"The results of this study, though exploratory, suggest that where you live and the air you breathe can affect how your brain develops, says Travis Beckwith, PhD, a research fellow at Cincinnati Children's and lead author of the study. "While the percentage of loss is far less than what might be seen in a degenerative disease state, this loss may be enough to influence the development of various physical and mental processes."
Gray matter includes regions of the brain involved in motor control as well as sensory perception, such as seeing and hearing. Cortical thickness reflects the outer gray matter depth. The study found that specific regions in the frontal and parietal lobes and the cerebellum were affected with decreases on the order of 3 to 4 percent.
"If early life TRAP exposure irreversibly harms brain development, structural consequences could persist regardless of the time point for a subsequent examination," says Dr. Beckwith.
The researchers on the study, which is published online in PLOS One, used magnetic resonance imaging to obtain anatomical brain images from 147 12 year olds. These children are a subset of the Cincinnati Childhood Allergy and Air Pollution Study (CCAAPS), which recruited volunteers prior to the age of six months to examine early childhood exposure to TRAP and health outcomes.
The volunteers in the CCAAPS had either high or low levels of TRAP exposure during their first year of life. The researchers estimated exposure using an air sampling network of 27 sites in the Cincinnati area, and 24/7 sampling was conducted simultaneously at four or five sites over different seasons. Participating children and their caregivers completed clinic visits at ages 1, 2, 3, 4, 7 and 12.
Previous studies of TRAP suggest that it contributes to neurodegenerative diseases and neurodevelopmental disorders. This work supports that TRAP changes brain structure early in life.
https://www.sciencedaily.com/releases/2020/01/200124155107.htm
Mix of stress and air pollution may lead to cognitive difficulties in children
January 16, 2020
Science Daily/Columbia University's Mailman School of Public Health
Children with elevated exposure to early life stress in the home and elevated prenatal exposure to air pollution exhibited heightened symptoms of attention and thought problems, according to researchers at Columbia University Mailman School of Public Health and Columbia Psychiatry. Early life stress is common in youth from disadvantaged backgrounds who also often live in areas with greater exposure to air pollution.
Air pollution has negative effects on physical health, and recent work has begun to also show negative effects on mental health. Life stress, particularly early in life, is one of the best-known contributors to mental health problems. The new study is one of the first to examine the combined effects of air pollution and early life stress on school-age children. Results appear in the Journal of Child Psychology and Psychiatry.
"Prenatal exposure to polycyclic aromatic hydrocarbons, a neurotoxicant common in air pollution, seems to magnify or sustain the effects of early life social and economic stress on mental health in children," says first author David Pagliaccio, PhD, assistant professor of clinical neurobiology in psychiatry at Columbia Psychiatry.
"Air pollutants are common in our environment, particularly in cities, and given socioeconomic inequities and environmental injustice, children growing up in disadvantaged circumstances are more likely to experience both life stress and exposure to neurotoxic chemicals," says senior author Amy Margolis, PhD, assistant professor of medical psychology in psychiatry at Columbia Psychiatry.
"These exposures have a combined effect on poor mental health outcomes and point to the importance of public health programs that try to lessen exposure to these critical risk factors, to improve not only physical, but psychological health," says Julie Herbstman, PhD, associate professor of environmental health science and director of the Columbia Center for Children's Environmental Health at Columbia Mailman School of Public Health.
Data were from the CCCEH Mothers and Newborns longitudinal birth cohort study in Northern Manhattan and the Bronx, which includes many participants who self-identify as African American or Dominican. Mothers wore an air monitoring backpack during the third trimester of pregnancy to measure exposure to air pollutants in their daily lives. When their children were 5 years old, mothers reported on stress in their lives, including neighborhood quality, material hardship, intimate partner violence, perceived stress, lack of social support, and general distress levels. Mothers then reported on their child's psychiatric symptoms at ages 5, 7, 9 and 11.
The combined effect of air pollution and early life stress was seen across several measures of thought and attention problems/ADHD at age 11. (Thought problems included obsessive thoughts and behaviors or thoughts that others find strange.) The effects were also linked to PAH-DNA adducts -- a dose-sensitive marker of air pollution exposure.
The researchers say PAH and early life stress may serve as a "double hit" on shared biological pathways connected to attention and thought problems. Stress likely leads to wide-ranging changes in, for example, epigenetic expression, cortisol, inflammation, and brain structure and function. The mechanism underlying the effects of PAH is still being interrogated; however, alterations in brain structure and function represent possible shared mechanistic pathways.
Earlier studies making use of the same longitudinal cohort data found that prenatal exposure to air pollution combines with material hardship to significantly increase ADHD symptoms in children. A separate study found a combination of air pollution and poverty lowered child IQ.
https://www.sciencedaily.com/releases/2020/01/200116155436.htm
Air pollution in childhood linked to schizophrenia
January 7, 2020
Science Daily/Aarhus University
Air pollution affects physical health, and research results now conclude that it also affects our psychological health. The study, which combines genetic data from iPSYCH with air pollution data from the Department of Environmental Science, shows that children who are exposed to a high level of air pollution while growing up, have an increased risk of developing schizophrenia.
"The study shows that the higher the level of air pollution, the higher the risk of schizophrenia. For each 10 ?g/m3 (concentration of air pollution per cubic metre) increase in the daily average, the risk of schizophrenia increases by approximately twenty per cent. Children who are exposed to an average daily level above 25 ?g/m3 have an approx. sixty per cent greater risk of developing schizophrenia compared to those who are exposed to less than 10 ?g/m3," explains Senior Researcher Henriette Thisted Horsdal, who is behind the study.
To put these figures into perspective, the lifetime risk of developing schizophrenia is approximately two per cent, which equates to two out of a hundred people developing schizophrenia during their life. For people exposed to the lowest level of air pollution, the lifetime risk is just under two per cent, while the lifetime risk for those exposed to the highest level of air pollution is approx. three per cent.
Unknown cause
The results of the study have just been published in the scientific journal JAMA Network Open.
"The risk of developing schizophrenia is also higher if you have a higher genetic liability for the disease. Our data shows that these associations are independent of each other. The association between air pollution and schizophrenia cannot be explained by a higher genetic liability in people who grow up in areas with high levels of air pollution," says Henriette Thisted Horsdal about the study, which is the first of its kind to combine air pollution and genetics in relation to the risk of developing schizophrenia.
The study included 23,355 people in total, and of these, 3,531 developed schizophrenia. Though the results demonstrate an increased risk of schizophrenia when the level of air pollution during childhood increases, the researchers cannot comment on the cause. Instead they emphasise that further studies are needed before they can identify the cause of this association.
https://www.sciencedaily.com/releases/2020/01/200107104913.htm
Studies link air pollution to mental health issues in children
September 25, 2019
Science Daily/Cincinnati Children's Hospital Medical Center
Three new studies by scientists at Cincinnati Children's Hospital Medical Center, in collaboration with researchers at the University of Cincinnati, highlight the relationship between air pollution and mental health in children.
A study to be published Sept. 25 in Environmental Health Perspectives found that short-term exposure to ambient air pollution was associated with exacerbations of psychiatric disorders in children one to two days later, as marked by increased utilization of the Cincinnati Children's emergency department for psychiatric issues. The study also found that children living in disadvantaged neighborhoods may be more susceptible to the effects of air pollution compared to other children, especially for disorders related to anxiety and suicidality.
The lead authors of this study are Cole Brokamp, PhD, and Patrick Ryan, PhD. They are researchers in the division of Biostatistics and Epidemiology at Cincinnati Children's.
"This study is the first to show an association between daily outdoor air pollution levels and increased symptoms of psychiatric disorders, like anxiety and suicidality, in children," says Dr. Brokamp. "More research is needed to confirm these findings, but it could lead to new prevention strategies for children experiencing symptoms related to a psychiatric disorder. The fact that children living in high poverty neighborhoods experienced greater health effects of air pollution could mean that pollutant and neighborhood stressors can have synergistic effects on psychiatric symptom severity and frequency."
Two other Cincinnati Children's studies were recently published that also link air pollution to children's mental health:
· A study published in Environmental Research found an association between recent high traffic related air pollution (TRAP) exposure and higher generalized anxiety. The study is believed to be the first to use neuroimaging to link TRAP exposure, metabolic disturbances in the brain, and generalized anxiety symptoms among otherwise healthy children. The study found higher myoinositol concentrations in the brain -- a marker of the brain's neuroinflammatory response to TRAP.
· The lead authors of this study are Kelly Brunst, PhD, a researcher in the department of Environmental Health at the University of Cincinnati, and Kim Cecil, PhD, a researcher at Cincinnati Children's.
· A study published in Environmental Research found that exposure to TRAP during early life and across childhood was significantly associated with self-reported depression and anxiety symptoms in 12 year olds. Similar findings have been reported in adults, but research showing clear connections between TRAP exposure and mental health in children has been limited.
The lead authors of the study are Kimberly Yolton, PhD, director of research in the division of General and Community Pediatrics at Cincinnati Children's, and Dr. Ryan.
"Collectively, these studies contribute to the growing body of evidence that exposure to air pollution during early life and childhood may contribute to depression, anxiety, and other mental health problems in adolescence," says Dr. Ryan. "More research is needed to replicate these findings and uncover underlying mechanisms for these associations."
https://www.sciencedaily.com/releases/2019/09/190925075731.htm