Housing and respiratory health: Exposures, health effects and interventions

Housing quality and affordability are well established as social determinants of health through direct and indirect mechanisms. Respiratory illnesses related to housing are nearly all the result of housing disrepair that allows intrusion into the home of environmental agents that are directly or indirectly associated with disease. Structural deficiencies such as leaks, cracks in the foundation or holes in the home's exterior can facilitate the presence of mould, which is causally linked to the development of asthma and is associated with exacerbation of asthma symptoms in children and adults. Indoor cleanliness can also contribute to the presence of mice and cockroaches. Proper ventilation can improve air quality, reducing exposure to PM, VOCs and infectious respiratory agents. Disparities in exposure to the housing conditions associated with respiratory disease are readily apparent across socioeconomic lines. Low-income families are less likely to be able to afford the costs of maintaining a home, which prevents them from making repairs that could improve respiratory health.Copyright © ERS 2023.

Balneotherapy in Stimulating Resistance to Infections the Little-used Health Resort's Potential During the COVID-19 Pandemic

To function properly, the human immune system must be adequately stimulated. Immune activity is stimulated as a result of the use of vaccines as well as the exposure of the body to infections. This type of stimulation only increases the specific humoral immunity, characterized by relatively short duration, and targeted at a well-defined antigen. In the case of the COVID-19 virus, immune memory cells persist for up to one year. In parallel with specific stimulation, it is necessary to develop non-specific immunity. It is the body's first line of defense against infection, affects many microorganisms, and supports specific immunity. We can develop and strengthen this immunity using non-pharmacological methods, including balneotherapy, physical activity, and an appropriate diet. There is now much scientific evidence showing the effectiveness of balneotherapy in improving innate immunity. In in vitro and in vivo studies with high gientifi << redibility, the following effects of balneotherapy on the immune system were demonstrated: stimulation of the proliferation of T lymphocytes (especially CD4), normalization of the ratio between lymphocytes with different cytotoxic and anti-idam oratory effects, increased number of granulocytes and stimulation of the phagocytic activity of granulocytes and macrophages, lowering the concentration of proinflammatory cytokines and stimulating the secretion of anti-inflammatory cytokines, CRP, prostaglandin (PGE2), as well as antioxidant and neurohonnonal activity. Among treatments with balneoimmunostimulatory effects, one should mention sulfide baths, peloid compresses, brine baths, radon treatments, and hot baths. These treatments are mainly used as part of health resort treatment. In Poland, health resort treatment represents excellent health potential. Unfortunately, it is very modestly used in activities aimed at improving the immunity of Polish society. This treatment would be best combined in patients after vaccination and in a certain period before vaccination, which would significantly increase the effectiveness of prophylactic vaccinations.

Introduction to advances in the toxicity of construction and building materials

This chapter starts by addressing the impact of COVID-19 on the time spent by the general population indoors and how this reality exacerbates problems associated with pollutant concentration in indoor air. An introduction on a few indoor pollutants and also on toxic materials used in the built environment is given. Some prospective considerations about the importance of a healthy built environment are included. An outline of the book is also given. © 2022 Elsevier Ltd. All rights reserved.

Cumulative effects of air pollution and climate drivers on COVID-19 multiwaves in Bucharest, Romania.

Over more than two years of global health crisis due to ongoing COVID-19 pandemic, Romania experienced a five-wave pattern. This study aims to assess the potential impact of environmental drivers on COVID-19 transmission in Bucharest, capital of Romania during the analyzed epidemic period. Through descriptive statistics and cross-correlation tests applied to time series of daily observational and geospatial data of major outdoor inhalable particulate matter with aerodynamic diameter ≤ 2.5 µm (PM2.5) or ≤ 10 µm (PM10), nitrogen dioxide (NO2), ozone (O3), sulfur dioxide (SO2), carbon monoxide (CO), Aerosol Optical Depth at 550 nm (AOD) and radon (222Rn), we investigated the COVID-19 waves patterns under different meteorological conditions. This study examined the contribution of individual climate variables on the ground level air pollutants concentrations and COVID-19 disease severity. As compared to the long-term average AOD over Bucharest from 2015 to 2019, for the same year periods, this study revealed major AOD level reduction by ~28 % during the spring lockdown of the first COVID-19 wave (15 March 2020-15 May 2020), and ~16 % during the third COVID-19 wave (1 February 2021-1 June 2021). This study found positive correlations between exposure to air pollutants PM2.5, PM10, NO2, SO2, CO and 222Rn, and significant negative correlations, especially for spring-summer periods between ground O3 levels, air temperature, Planetary Boundary Layer height, and surface solar irradiance with COVID-19 incidence and deaths. For the analyzed time period 1 January 2020-1 April 2022, before and during each COVID-19 wave were recorded stagnant synoptic anticyclonic conditions favorable for SARS-CoV-2 virus spreading, with positive Omega surface charts composite average (Pa/s) at 850 mb during fall- winter seasons, clearly evidenced for the second, the fourth and the fifth waves. These findings are relevant for viral infections controls and health safety strategies design in highly polluted urban environments.

Radon(Rn) detected Amount and Countermeasures for New Apartment Buildings

In 2020, COVID-19 became a global pandemic;new vocabulary such as self-quarantine, social distancing, and temporary living facilities emerged in tandem with a rising interest for indoor isolation spaces. As a result, more than 80-90% were voluntarily or artificially trapped in an indoor space, essentially making indoor air quality a top priority. Since 2003, the Ministry of Environment in Korea implemented and imposed on local governments the indoor air quality management law as a statutory regulation to monitor and determine if the recommended standard range is exceeded;it measures, diagnoses, evaluates, and informs indoor air quality from sample households during a certain period and a certain number of times each year. Since 2000, many researchers have studied indoor air quality, but research on radon in new apartment buildings is somewhat insufficient. Since 2018, the dangers of domestic and foreign radon have been intensifying. From 2019, Korea was obliged to strengthen the recommendation standards for radon and to notify its measurements and diagnosis. For new apartment buildings with business plans approved after January 1, 2018, residents were provided with obligatory access to the measured and diagnosed indoor air quality. This study examines the administrative notices from 2017 to 2020 regarding the indoor air quality measurements and evaluations of new apartment buildings conducted by the Ministry of Environment. Actual radon measurement data for approximately 3,000 new apartment housing units scheduled to move in between June and October 2021 were analyzed and evaluated to determine how well the recommended radon standards set by the Ministry of Environment were followed. Additionally, achieving the goal of reducing radon from the current standard of 148Bq/㎥ to 100Bq/㎥ by 2024 was assessed. © 2022 Architectural Institute of Korea.

Contributions to computed tomography (2)

Boone and McCollough respond to comments from Steven Greenberg and Kenneth Hanson regarding their article, "Computed tomography turns 50." They state that while writing it, they realized that so many people were involved in the development of modern computed tomography (CT), starting with Johann Radon in 1917, that they couldn't mention them all in their limited space. So they chose to mention only the few who were intricately involved early on in the clinical translation of CT--which is what the 50th anniversary celebrated.

PROBABILITY MONADS AS CODENSITY MONADS

We show from a categorical point of view that probability measures on certain measurable or topological spaces arise canonically as the extension of probability distributions on countable sets. We do this by constructing probability monads as the codensity monads of functors that send a countable set to the space of probability distributions on that set. On (pre)measurable spaces we discuss monads of probability (pre)measures and their finitely additive analogues. We also give codensity constructions for monads of Radon measures on compact Hausdorff spaces and compact metric spaces and for the monad of Baire measures on Hausdorff spaces. A crucial role in these constructions is given by integral representation theorems, which we derive from a generalized Daniell-Stone theorem.

Impacts of exposure to air pollution, radon and climate drivers on the COVID-19 pandemic in Bucharest, Romania: A time series study.

During the ongoing global COVID-19 pandemic disease, like several countries, Romania experienced a multiwaves pattern over more than two years. The spreading pattern of SARS-CoV-2 pathogens in the Bucharest, capital of Romania is a multi-factorial process involving among other factors outdoor environmental variables and viral inactivation. Through descriptive statistics and cross-correlation analysis applied to daily time series of observational and geospatial data, this study aims to evaluate the synergy of COVID-19 incidence and lethality with air pollution and radon under different climate conditions, which may exacerbate the coronavirus' effect on human health. During the entire analyzed period 1 January 2020-21 December 2021, for each of the four COVID-19 waves were recorded different anomalous anticyclonic synoptic meteorological patterns in the mid-troposphere, and favorable stability conditions during fall-early winter seasons for COVID-19 disease fast-spreading, mostly during the second, and the fourth waves. As the temporal pattern of airborne SARS-CoV-2 and its mutagen variants is affected by seasonal variability of the main air pollutants and climate parameters, this paper found: 1) the daily outdoor exposures to air pollutants (particulate matter PM2.5 and PM10, nitrogen dioxide-NO2, sulfur dioxide-SO2, carbon monoxide-CO) and radon - 222Rn, are directly correlated with the daily COVID-19 incidence and mortality, and may contribute to the spread and the severity of the pandemic; 2) the daily ground ozone-O3 levels, air temperature, Planetary Boundary Layer height, and surface solar irradiance are anticorrelated with the daily new COVID-19 incidence and deaths, averageingful for spring-summer periods. Outdoor exposure to ambient air pollution associated with radon is a non-negligible driver of COVID-19 transmission in large metropolitan areas, and climate variables are risk factors in spreading the viral infection. The findings of this study provide useful information for public health authorities and decision-makers to develop future pandemic diseases strategies in high polluted metropolitan environments.

Determination of the indoor radon concentration in schools of Tenerife (Canary Islands): a comparative study.

A radon survey was carried out in 18 high schools located in Tenerife Island when anti-pandemic strategies were used to reduce COVID-19 dissemination during 2021. High schools were located in radon-prone areas previously identified by the Spanish Nuclear Safety Council. Our results showed that 12 high schools presented radon activities lower than 100 Bq/m3, 5 high schools presented values in the range 100-200 Bq/m3, and only 1 high school presented radon activity concentration higher than 200 Bq/m3. Such values are below the reference level (300 Bq/m3) recommended by the Spanish legislation in the Basics Document of Health Standards (section HS6) of the Technical Building Code and the European Union directive (2013/59/EURATOM). Assuming an indoor occupancy time of about 1620 h per year, the annual dose contribution due to indoor radon exposure ranged from 0.07 to 1.18 mSv/year. Comparing such result against previous values reported in the literature on the island of Tenerife, we conclude that during the pandemic situation the indoor radon concentration (median valued) was reduced from 130.9 (2007) to 73.5 (2021) Bq/m3. Finally, continuous indoor radon concentration measurements were obtained to study short-time fluctuations (intra-day changes) under different ventilation conditions.

Indoor Air Radon Concentration in Premises of Public Companies and Workplaces in Latvia.

Considering the multitudes of people who spend their time working indoors in public premises and workplaces, it is worth knowing what their level of exposure is to natural radioactive radon gas, the second most widespread and dangerous carcinogen for lung cancer development after cigarette smoking. This state-level study covered most of the territory of Latvia and conducted 941 radon measurements with Radtrack2, placed for 4-6 months in the premises of public companies, educational institutions, medical care institutions, etc. The study found that 94.7% of samples did not exceed the national permissible limit (200 Bq/m3), the level at which preventive measures should be initiated. The median value of average specific radioactivity of radon in these premises was 48 Bq/m3 (Q1 and Q3 being 27 and 85 Bq/m3), which is below the average of the European region. Slightly higher concentrations were observed in well-insulated premises with plastic windows and poorer air exchange, mostly in schools (59 (36, 109) Bq/m3) and kindergartens (48 (32, 79) Bq/m3). Industrial workplaces had surprisingly low radon levels (28 (16, 55) Bq/m3) due to strict requirements for air quality and proper ventilation. Public premises and workplaces in Latvia mostly have low radon concentrations in the air, but more attention should be paid to adequate ventilation and air exchange.

COVID-19 and the Additional Radiological Risk during the Lockdown Period in the Province of Naples City (South Italy).

The lockdown restrictions, as a first solution to contain the spread of the COVID-19 pandemic, have affected everyone's life and habits, including the time spent at home. The latter factor has drawn attention to indoor air quality and the impact on human health, particularly for chemical pollutants. This study investigated how the increasing time indoor influenced exposure to natural radioactive substances, such as radon gas. To calculate the radiological risk, we considered the most consolidated indices used for radiation protection: annual effective dose, excess lifetime cancer risk, and the lung cancer case. Furthermore, two different exposure times were considered: pre-lockdown and post-lockdown. The lockdown increased the indoor exposure time by 4% and, consequently, the radiological risk factors by 9%. Furthermore, the reference value of 300 Bq/m3, considered acceptable for human radiation protection, may need to be lowered further in the case of conditions similar to those of the lockdown period.

Simulated Annealing-Based Image Reconstruction for Patients With COVID-19 as a Model for Ultralow-Dose Computed Tomography.

The proposed algorithm of inverse problem of computed tomography (CT), using limited views, is based on stochastic techniques, namely simulated annealing (SA). The selection of an optimal cost function for SA-based image reconstruction is of prime importance. It can reduce annealing time, and also X-ray dose rate accompanying better image quality. In this paper, effectiveness of various cost functions, namely universal image quality index (UIQI), root-mean-squared error (RMSE), structural similarity index measure (SSIM), mean absolute error (MAE), relative squared error (RSE), relative absolute error (RAE), and root-mean-squared logarithmic error (RMSLE), has been critically analyzed and evaluated for ultralow-dose X-ray CT of patients with COVID-19. For sensitivity analysis of this ill-posed problem, the stochastically estimated images of lung phantom have been reconstructed. The cost function analysis in terms of computational and spatial complexity has been performed using image quality measures, namely peak signal-to-noise ratio (PSNR), Euclidean error (EuE), and weighted peak signal-to-noise ratio (WPSNR). It has been generalized for cost functions that RMSLE exhibits WPSNR of 64.33 ± 3.98 dB and 63.41 ± 2.88 dB for 8 × 8 and 16 × 16 lung phantoms, respectively, and it has been applied for actual CT-based image reconstruction of patients with COVID-19. We successfully reconstructed chest CT images of patients with COVID-19 using RMSLE with eighteen projections, a 10-fold reduction in radiation dose exposure. This approach will be suitable for accurate diagnosis of patients with COVID-19 having less immunity and sensitive to radiation dose.

Temporal and Spatial Variation of Radon Concentrations in Environmental Water from Okinawa Island, Southwestern Part of Japan.

In this study, to get a better understanding in characterizing groundwater and ensure its effective management, the radon concentrations in water samples were measured through Ryukyu limestone in southern Okinawa Island, Japan. Water samples were collected from a limestone cave (Gyokusendo cave, dropping water) and two springs (Ukinju and Komesu, spring water), and the radon concentrations were measured by liquid scintillation counters. The radon concentrations in the samples from the Gyokusendo cave, and Ukinju and Komesu springs were 10 ± 1.3 Bq L-1, 3.2 ± 1.0 Bq L-1, and 3.1 ± 1.1 Bq L-1, respectively. The radon concentrations showed a gradually increasing trend from summer to autumn and decreased during winter. The variation of radon concentrations in the dripping water sample from the Gyokusendo cave showed a lagged response to precipitation changes by approximately 2-3 months. The estimated radon concentrations in the dripping water sample were calculated with the measured radon concentrations from the dripping water obtained during the study period. Based on our results, groundwater in the Gyokusendo cave system was estimated to percolate through the Ryukyu limestone in 7-10 days, and the residence time of groundwater in the soil above Gyokusendo cave was estimated to be approximately 50-80 days. This work makes a valuable contribution to the understanding of groundwater processes in limestone aquifers, which is essential for ensuring groundwater sustainability.

[The Gastein Healing Gallery and a Potential Risk of Viral Infections in the Treatment Area]. / Der Gasteiner Heilstollen und eine mögliche Ansteckungsgefahr im Therapiebereich mit Viren.

The SARS-CoV­2 has infected millions of humans worldwide in the past few months and hundreds of thousands have died as a result of an infection. The end of the pandemic is not in sight and many people are anxious of becoming infected in different settings. The Gastein Healing Gallery (GHG) is a unique outpatient facility combining heat, high humidity and mild radon radiation. Every year approximately 12,000 patients with inflammatory rheumatic, degenerative diseases and chronic pain are treated. We have therefore reviewed and analyzed the literature with respect to a possible increased risk of infection for patients during treatment in the GHG. On the one hand the climatic and physical conditions in the GHG can be viewed as hostile to viruses and on the other hand the mild radon hyperthermia and the geographic location of the GHG lead to positive effects on the patient's health via complex physiological processes. We therefore consider the likelihood of infection with viruses in the GHG in no way increased, in contrast, it is probably considerably lower compared to other settings.