Regional impacts of COVID-19 on carbon dioxide detected worldwide from space
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ABSTRACT:
SUBMITTER: Weir B
PROVIDER: S-EPMC8565902 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:Urban air pollution is high on global health and sustainability agendas, but information is limited on associated city-level disease burdens. We estimated fine particulate matter (PM2.5) mortality in the 250 most populous cities worldwide using PM2.5 concentrations, population, disease rates, and concentration-response relationships from the Global Burden of Disease 2016 Study. Only 8% of these cities had population-weighted mean concentrations below the World Health Organization guideline for annual average PM2.5. City-level PM2.5-attributable mortality rates ranged from 13-125 deaths per 100,000 people. PM2.5 mortality rates and carbon dioxide (CO2) emission rates were weakly positively correlated, with regional influences apparent from clustering of cities within each region. Across 82 cities globally, PM2.5 concentrations and mortality rates were negatively associated with city gross domestic product (GDP) per capita, but we found no relationship between GDP per capita and CO2 emissions rates. While results provide only a cross-sectional snapshot of cities worldwide, they point to opportunities for cities to realize climate, air quality, and health co-benefits through low-carbon development. Future work should examine drivers of the relationships (e.g. development stage, fuel mix for electricity generation and transportation, sector-specific PM2.5 and CO2 emissions) uncovered here and explore uncertainties to test the robustness of our conclusions.
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Project description:The rapid and extensive changes in household consumption patterns during the coronavirus disease 2019 (COVID-19) pandemic can serve as a natural experiment for exploring the environmental outcomes of changing human behavior. Here, we assess the carbon footprint of household consumption in Japan during the early stages of the COVID-19 pandemic (January-May 2020), which were characterized by moderate confinement measures. The associated lifestyle changes did not have a significant effect on the overall household carbon footprint compared with 2015-2019 levels. However, there were significant trade-offs between individual consumption categories such that the carbon footprint increased for some categories (e.g., eating at home) or declined (e.g., eating out, transportation, clothing, and entertainment) or remained relatively unchanged (e.g., housing) for others. Furthermore, carbon footprint patterns between age groups were largely consistent with 2015-2019 levels. However, changes in food-related carbon footprints were visible for all age groups since March and, in some cases, since February.
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Project description:Disturbed oxygenation is foremost the leading clinical presentation in COVID-19 patients. However, a small proportion also develop carbon dioxide removal problems. The Advanced Organ Support (ADVOS) therapy (ADVITOS GmbH, Munich, Germany) uses a less invasive approach by combining extracorporeal CO2 -removal and multiple organ support for the liver and the kidneys in a single hemodialysis device. The aim of our study is to evaluate the ADVOS system as treatment option in-COVID-19 patients with multi-organ failure and carbon dioxide removal problems. COVID-19 patients suffering from severe respiratory insufficiency, receiving at least two treatments with the ADVOS multi system (ADVITOS GmbH, Munich, Germany), were eligible for study inclusion. Briefly, these included patients with acute kidney injury (AKI) according to KDIGO guidelines, and moderate or severe ARDS according to the Berlin definition, who were on invasive mechanical ventilation for more than 72 hours. In total, nine COVID-19 patients (137 ADVOS treatment sessions with a median of 10 treatments per patient) with moderate to severe ARDS and carbon dioxide removal problems were analyzed. During the ADVOS treatments, a rapid correction of acid-base balance and a continuous CO2 removal could be observed. We observed a median continuous CO2 removal of 49.2 mL/min (IQR: 26.9-72.3 mL/min) with some treatments achieving up to 160 mL/min. The CO2 removal significantly correlated with blood flow (Pearson 0.421; P < .001), PaCO2 (0.341, P < .001) and HCO3- levels (0.568, P < .001) at the start of the treatment. The continuous treatment led to a significant reduction in PaCO2 from baseline to the last ADVOS treatment. In conclusion, it was feasible to remove CO2 using the ADVOS system in our cohort of COVID-19 patients with acute respiratory distress syndrome and multiorgan failure. This efficient removal of CO2 was achieved at blood flows up to 300 mL/min using a conventional hemodialysis catheter and without a membrane lung or a gas phase.
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