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1.
Sci Rep ; 13(1): 4631, 2023 03 21.
Article in English | MEDLINE | ID: covidwho-2278476

ABSTRACT

The extraordinary circumstances of the COVID-19 pandemic led to measures to mitigate the spread of the disease, with lockdowns and mobility restrictions at national and international levels. These measures led to sudden and sometimes dramatic reductions in human activity, including significant reductions in ship traffic in the maritime sector. We report on a reduction of deep-ocean acoustic noise in three ocean basins in 2020, based on data acquired by hydroacoustic stations in the International Monitoring System of the Comprehensive Nuclear-Test-Ban Treaty. The noise levels measured in 2020 are compared with predicted levels obtained from modelling data from previous years using Gaussian Process regression. Comparison of the predictions with measured data for 2020 shows reductions of between 1 and 3 dB in the frequency range from 10 to 100 Hz for all but one of the stations.


Subject(s)
Acoustics , COVID-19 , Geographic Mapping , Noise , Oceans and Seas , COVID-19/epidemiology , Human Activities/statistics & numerical data , Ships/statistics & numerical data , Regression Analysis , Islands , Ecosystem , Noise, Transportation/statistics & numerical data
2.
OMICS ; 26(10): 542-551, 2022 10.
Article in English | MEDLINE | ID: covidwho-2051229

ABSTRACT

Metabolome is the end point of the genome-environment interplay, and enables an important holistic overview of individual adaptability and host responses to environmental, ecological, as well as endogenous changes such as disease. Pharmacometabolomics is the application of metabolome knowledge to decipher the mechanisms of interindividual and intraindividual variations in drug efficacy and safety. Pharmacometabolomics also contributes to prediction of drug treatment outcomes on the basis of baseline (predose) and postdose metabotypes through mathematical modeling. Thus, pharmacometabolomics is a strong asset for a diverse community of stakeholders interested in theory and practice of evidence-based and precision/personalized medicine: academic researchers, public health scholars, health professionals, pharmaceutical, diagnostics, and biotechnology industries, among others. In this expert review, we discuss pharmacometabolomics in four contexts: (1) an interdisciplinary omics tool and field to map the mechanisms and scale of interindividual variability in drug effects, (2) discovery and development of translational biomarkers, (3) advance digital biomarkers, and (4) empower drug repurposing, a field that is increasingly proving useful in the current era of Covid-19. As the applications of pharmacometabolomics are growing rapidly in the current postgenome era, next-generation proteomics and metabolomics follow the example of next-generation sequencing analyses. Pharmacometabolomics can also empower data reliability and reproducibility through multiomics integration strategies, which use each data layer to correct, connect with, and inform each other. Finally, we underscore here that contextual data remain crucial for precision medicine and drug development that stand the test of time and clinical relevance.


Subject(s)
COVID-19 Drug Treatment , Humans , Reproducibility of Results , Metabolomics , Biomarkers , Proteomics , Pharmaceutical Preparations , Oceans and Seas
3.
BMC Public Health ; 22(1): 242, 2022 02 06.
Article in English | MEDLINE | ID: covidwho-1736398

ABSTRACT

BACKGROUND: There are increasing concerns about mental health consequences of the COVID-19 pandemic among seafarers. This study aims to assess the effects of the current global health pandemic on life satisfaction and adverse psychological outcomes among seafarers. METHODS: In this cross-sectional study, 470 multinational seafarers working on board ships of two international shipping companies were assessed. Mental health outcomes were assessed by the general anxiety disorder (GAD-7) questionnaire, post-traumatic stress disorder (PTSD-8) questionnaire, and patient health questionnaire (PHQ-9) depressive severity score. Multivariate logistic regression was used to determine the association of demographic and work-related variables with mental health outcomes. RESULTS: Overall, 439 out of 470 invited seafarers with a mean age of 34.5 (SD: 8.05) years participated in this study (participation rate: 93.4%). The prevalence of anxiety, depressive, and post-traumatic stress symptoms was 12.4, 14.1, and 37.3%, respectively. In the multivariate model, the current vessel's signing duration was directly associated with the odds of depressive and intrusion symptoms. Moreover, the duration of work per week was inversely associated with hyper-vigilance and avoidance. Also, non-officers, compared to officers, experienced significantly lower anxiety and depressive symptoms, hyper-vigilance, and avoidance. CONCLUSION: The present study revealed a high prevalence of mental health problems among seafarers during the COVID-19 pandemic. We recommend that more evidence is generated regarding psychosocial health issues for this vulnerable occupation.


Subject(s)
COVID-19 , Stress Disorders, Post-Traumatic , Adult , Anxiety/epidemiology , Cross-Sectional Studies , Depression/epidemiology , Humans , Mental Health , Oceans and Seas , Pandemics , SARS-CoV-2 , Stress Disorders, Post-Traumatic/epidemiology
4.
Sensors (Basel) ; 22(4)2022 Feb 16.
Article in English | MEDLINE | ID: covidwho-1699660

ABSTRACT

This study examined the effect of online technical lessons of how ocean sensors function on student interest in ocean science technology, as well as knowledge gain outcomes. Additionally, the study contributes novel findings to sensor-based learning literature by measuring changes to self-efficacy and confidence gains stemming from sensor-based learning, as well as changes in interest in ocean careers. The area of educational focus was also novel-focusing on how the sensors themselves function, not just what they do. Precipitated by COVID-19 pandemic constraints, the team used a remote learning approach to provide lessons on sensors at a distance, providing an additional opportunity to contrast this approach with previously studied hands-on learning modes. A sample of students from four high school marine science classes completed two assessments both before and after a series of lessons on ocean sensors. This included a self-reported survey (N = 48), and an open-ended knowledge assessment (N = 40). Results showed modest gains in knowledge assessments, and students experienced statistically significant gains in confidence in their ability to explain what sensors are, confidence in their ability to use sensors and understand resulting data, and confidence in accuracy of sensor data (p < 0.05). No changes were observed for several measures of interest in ocean technology, nor were there changes in an already high belief that understanding these sensors is important to marine science careers. Notably, these findings measure a positive shift in several measures of self-efficacy and confidence, which is a new finding for sensor-based learning. The findings also contrast with prior related work that included hands-on activities with sensors, which reported an increase in interest after working with sensors, whereas this intervention did not. This suggests a hands-on component is key to increasing interest in ocean technology.


Subject(s)
COVID-19 , Self Efficacy , Humans , Oceans and Seas , Pandemics , SARS-CoV-2 , Schools , Students
5.
6.
Proc Natl Acad Sci U S A ; 118(47)2021 11 23.
Article in English | MEDLINE | ID: covidwho-1506603

ABSTRACT

The COVID-19 pandemic has led to an increased demand for single-use plastics that intensifies pressure on an already out-of-control global plastic waste problem. While it is suspected to be large, the magnitude and fate of this pandemic-associated mismanaged plastic waste are unknown. Here, we use our MITgcm ocean plastic model to quantify the impact of the pandemic on plastic discharge. We show that 8.4 ± 1.4 million tons of pandemic-associated plastic waste have been generated from 193 countries as of August 23, 2021, with 25.9 ± 3.8 thousand tons released into the global ocean representing 1.5 ± 0.2% of the global total riverine plastic discharge. The model projects that the spatial distribution of the discharge changes rapidly in the global ocean within 3 y, with a significant portion of plastic debris landing on the beach and seabed later and a circumpolar plastic accumulation zone will be formed in the Arctic. We find hospital waste represents the bulk of the global discharge (73%), and most of the global discharge is from Asia (72%), which calls for better management of medical waste in developing countries.


Subject(s)
COVID-19/therapy , Oceans and Seas , Plastics , SARS-CoV-2 , Water Pollutants , Developing Countries , Global Health , Humans
7.
Future Microbiol ; 16: 1289-1301, 2021 11.
Article in English | MEDLINE | ID: covidwho-1484978

ABSTRACT

COVID-19, caused by the SARS-CoV-2 outbreak, has resulted in a massive global health crisis. Bioactive molecules extracted or synthesized using starting material obtained from marine species, including griffithsin, plitidepsin and fingolimod are in clinical trials to evaluate their anti-SARS-CoV-2 and anti-HIV efficacies. The current review highlights the anti-SARS-CoV-2 potential of marine-derived phytochemicals explored using in silico, in vitro and in vivo models. The current literature suggests that these molecules have the potential to bind with various key drug targets of SARS-CoV-2. In addition, many of these agents have anti-inflammatory and immunomodulatory potentials and thus could play a role in the attenuation of COVID-19 complications. Overall, these agents may play a role in the management of COVID-19, but further preclinical and clinical studies are still required to establish their role in the mitigation of the current viral pandemic.


Subject(s)
Antiviral Agents/pharmacology , Antiviral Agents/therapeutic use , COVID-19 Drug Treatment , Oceans and Seas , SARS-CoV-2/drug effects , Alkaloids/pharmacology , Anti-Inflammatory Agents , Antiviral Agents/chemistry , Depsipeptides , Fingolimod Hydrochloride/chemistry , Fingolimod Hydrochloride/pharmacology , Humans , Lectins , Marine Biology , Molecular Docking Simulation , Peptides, Cyclic/chemistry , Peptides, Cyclic/pharmacology , Phycocyanin/pharmacology , Phytochemicals , Plant Lectins/chemistry , Plant Lectins/pharmacology , Polyphenols/pharmacology , Polysaccharides/pharmacology , Seaweed , Sesquiterpenes/pharmacology
8.
Mar Pollut Bull ; 172: 112891, 2021 11.
Article in English | MEDLINE | ID: covidwho-1440253
9.
Cell ; 184(6): 1407-1408, 2021 03 18.
Article in English | MEDLINE | ID: covidwho-1408617

ABSTRACT

Measuring scientific success has traditionally involved numbers and statistics. However, due to an increasingly uncertain world, more than ever we need to measure the effect that science has on real-world scenarios. We asked researchers to share their points of view on what scientific impact means to them and how impact matters beyond the numbers.


Subject(s)
Science , Biodiversity , COVID-19/epidemiology , Global Warming , Humans , Oceans and Seas , Research Personnel
10.
Sci Rep ; 11(1): 15482, 2021 07 29.
Article in English | MEDLINE | ID: covidwho-1333991

ABSTRACT

To ensure the safe operation of schools, workplaces, nursing homes, and other businesses during COVID-19 pandemic there is an urgent need to develop cost-effective public health strategies. Here we focus on the cruise industry which was hit early by the COVID-19 pandemic, with more than 40 cruise ships reporting COVID-19 infections. We apply mathematical modeling to assess the impact of testing strategies together with social distancing protocols on the spread of the novel coronavirus during ocean cruises using an individual-level stochastic model of the transmission dynamics of COVID-19. We model the contact network, the potential importation of cases arising during shore excursions, the temporal course of infectivity at the individual level, the effects of social distancing strategies, different testing scenarios characterized by the test's sensitivity profile, and testing frequency. Our findings indicate that PCR testing at embarkation and daily testing of all individuals aboard, together with increased social distancing and other public health measures, should allow for rapid detection and isolation of COVID-19 infections and dramatically reducing the probability of onboard COVID-19 community spread. In contrast, relying only on PCR testing at embarkation would not be sufficient to avert outbreaks, even when implementing substantial levels of social distancing measures.


Subject(s)
COVID-19/prevention & control , Contact Tracing/methods , Disease Outbreaks/prevention & control , COVID-19/transmission , Humans , Models, Theoretical , Oceans and Seas , Pandemics/prevention & control , Physical Distancing , Public Health , Public Health Practice , Quarantine , SARS-CoV-2/isolation & purification , Ships
11.
Transbound Emerg Dis ; 68(4): 2603-2609, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1331774

ABSTRACT

African swine fever virus (ASFV) can survive in soya-based products for 30 days with T ½ ranging from 9.6 to 12.9 days in soya bean meals and soya oil cake. As the United States imports soya-based products from several ASFV-positive countries, knowledge of the type and quantity of these specific imports, and their ports of entry (POE), is necessary information to manage risk. Using the data from the International Trade Commission Harmonized Tariff Schedule website in conjunction with pivot tables, we analysed imports across air, land and sea POE of soya-based products from 43 ASFV-positive countries to the United States during 2018 and 2019. In 2018, 104,366 metric tons (MT) of soya-based products, specifically conventional and organic soya bean meal, soya beans, soya oil cake and soya oil were imported from these countries into the United States via seaports only. The two largest suppliers were China (52.7%, 55,034 MT) and the Ukraine (42.9%, 44,775 MT). In 2019, 73,331 MT entered the United States and 54.7% (40,143 MT) came from the Ukraine and 8.4% (6,182 MT) from China. Regarding POE, 80.9%-83.2% of soya-based imports from China entered the United States at the seaports of San Francisco, CA, and Seattle, WA, while 89.4%-100% entered from the Ukraine via the seaports of New Orleans, LA, and Charlotte, NC. Analysis of five-year trends (2015-2019) of the volume of soya imports from China indicated reduction over time (with a noticeably sharp decrease between 2018 and 2019), and seaport utilization was consistent. In contrast, volume remained high for Ukrainian soya imports, and seaport utilization was inconsistent. Overall, this exercise introduced a new approach to collect objective data on an important risk factor, providing researchers, government officials and industry stakeholders a means to objectively identify and quantify potential channels of foreign animal disease entry into the United States.


Subject(s)
African Swine Fever Virus , Animal Feed/analysis , Animals , Commerce , Internationality , Oceans and Seas , Swine , United States
12.
Sci Rep ; 11(1): 15110, 2021 07 23.
Article in English | MEDLINE | ID: covidwho-1322504

ABSTRACT

The lockdown measures that were taken to combat the COVID-19 pandemic minimized anthropogenic activities and created natural laboratory conditions for studying air quality. Both observations and WRF-Chem simulations show a 20-50% reduction (compared to pre-lockdown and same period of previous year) in the concentrations of most aerosols and trace gases over Northwest India, the Indo Gangetic Plain (IGP), and the Northeast Indian regions. It is shown that this was mainly due to a 70-80% increase in the height of the boundary layer and the low emissions during lockdown. However, a 60-70% increase in the pollutants levels was observed over Central and South India including the Arabian sea and Bay of Bengal during this period, which is attributed to natural processes. Elevated (dust) aerosol layers are transported from the Middle East and Africa via long-range transport, and a decrease in the wind speed (20-40%) caused these aerosols to stagnate, enhancing the aerosol levels over Central and Southern India. A 40-60% increase in relative humidity further amplified aerosol concentrations. The results of this study suggest that besides emissions, natural processes including background meteorology and dynamics, play a crucial role in the pollution concentrations over the Indian sub-continent.


Subject(s)
Air Pollutants/analysis , Air Pollution/analysis , Environmental Monitoring/methods , Vehicle Emissions/analysis , Aerosols/analysis , Africa , Bays , COVID-19 , Communicable Disease Control , Correlation of Data , Dust/analysis , Environmental Pollution/analysis , Humans , India , Meteorology , Middle East , Oceans and Seas , Pandemics
13.
J Hazard Mater ; 417: 126036, 2021 09 05.
Article in English | MEDLINE | ID: covidwho-1235928

ABSTRACT

The COVID-19 pandemic has driven explosive growth in the use of masks has resulted in many issues related to the disposal and management of waste masks. As improperly disposed masks enter the ocean, the risk to the marine ecological system is further aggravated, especially in the shoreline environment. The objective of this study is to explore the changing characteristics and environmental behaviors of disposable masks when exposed to the shoreline environment. The transformation of chain structure and chemical composition of masks as well as the decreased mechanical strength of masks after UV weathering were observed. The melt-blown cloth in the middle layer of masks was found to be particularly sensitive to UV irradiation. A single weathered mask can release more than 1.5 million microplastics to the aqueous environment. The physical abrasion caused by sand further exacerbated the release of microplastic particles from masks, with more than 16 million particles released from just one weathered mask in the presence of sand. The study results indicate that shorelines are not only the main receptor of discarded masks from oceans and lands, but also play host to further transformation of masks to plastic particles.


Subject(s)
COVID-19 , Microplastics , Humans , Oceans and Seas , Pandemics , Plastics , SARS-CoV-2
14.
Nat Commun ; 12(1): 2415, 2021 04 27.
Article in English | MEDLINE | ID: covidwho-1205443

ABSTRACT

The COVID-19 pandemic has resulted in unparalleled global impacts on human mobility. In the ocean, ship-based activities are thought to have been impacted due to severe restrictions on human movements and changes in consumption. Here, we quantify and map global change in marine traffic during the first half of 2020. There were decreases in 70.2% of Exclusive Economic Zones but changes varied spatially and temporally in alignment with confinement measures. Global declines peaked in April, with a reduction in traffic occupancy of 1.4% and decreases found across 54.8% of the sampling units. Passenger vessels presented more marked and longer lasting decreases. A regional assessment in the Western Mediterranean Sea gave further insights regarding the pace of recovery and long-term changes. Our approach provides guidance for large-scale monitoring of the progress and potential effects of COVID-19 on vessel traffic that may subsequently influence the blue economy and ocean health.


Subject(s)
COVID-19/epidemiology , Oceans and Seas , Ships/statistics & numerical data , COVID-19/prevention & control , Ecosystem , Human Activities , Humans , SARS-CoV-2 , Ships/classification , Ships/economics
15.
Mar Pollut Bull ; 168: 112419, 2021 Jul.
Article in English | MEDLINE | ID: covidwho-1201510

ABSTRACT

Face masks are playing an essential role in preventing the spread of COVID-19. Face masks such as N95, and surgical masks, contain a considerable portion of non-recyclable plastic material. Marine plastic pollution is likely to increase due to the rapid use and improper dispensing of face masks, but until now, no extensive quantitative estimation exists for coastal regions. Linking behaviour dataset on face mask usage and solid waste management dataset, this study estimates annual face mask utilization and plastic pollution from mismanaged face masks in coastal regions of 46 countries. It is estimated that approximately 0.15 million tons to 0.39 million tons of plastic debris could end up in global oceans within a year. With lower waste management facilities, the number of plastic debris entering the ocean will rise. Significant investments are required from global communities in improving the waste management facilities for better disposal of masks and solid waste.


Subject(s)
COVID-19 , Plastics , Humans , Masks , Oceans and Seas , SARS-CoV-2
16.
J Acoust Soc Am ; 149(1): 652, 2021 01.
Article in English | MEDLINE | ID: covidwho-1175125

ABSTRACT

Confinement due to the COVID-19 pandemic drastically reduced human activities. Underwater soundscape variations are discussed in this study, comparing a typical and confinement day in a coastal lagoon near a popular tourist city in Mexico. Recording devices were located at 2 m in depth and 430 m away from the main promenade-a two-way avenue for light vehicle traffic-where main tourist infrastructure is located. The nearby marine environment is habitat to birds and dolphins as well as fish and invertebrates of commercial importance. Medium and small boats usually transit the area. The main underwater sound level reduction was measured at low frequencies (10-2000 Hz) because of the decrease in roadway noise. Vessel traffic also decreased by almost three quarters, although the level reduction due to this source was less noticeable. As typical day levels in the roadway noise band can potentially mask fish sounds and affect other low frequency noise-sensitive marine taxa, this study suggests that comprehensive noise analysis in coastal marine environments should consider the contribution from nearby land sources.


Subject(s)
COVID-19/epidemiology , Environmental Monitoring/methods , Motor Vehicles , Noise/adverse effects , Quarantine/trends , Animals , Fishes/physiology , Humans , Mexico/epidemiology , Oceans and Seas/epidemiology , Sound Spectrography/methods , Sound Spectrography/trends
17.
Environ Sci Pollut Res Int ; 28(16): 19544-19562, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-1114312

ABSTRACT

Surging dismissal of plastics into water resources results in the splintered debris generating microscopic particles called microplastics. The reduced size of microplastic makes it easier for intake by aquatic organisms resulting in amassing of noxious wastes, thereby disturbing their physiological functions. Microplastics are abundantly available and exhibit high propensity for interrelating with the ecosystem thereby disrupting the biogenic flora and fauna. About 71% of the earth surface is occupied by oceans, which holds 97% of the earth's water. The remaining 3% is present as water in ponds, streams, glaciers, ice caps, and as water vapor in the atmosphere. Microplastics can accumulate harmful pollutants from the surroundings thereby acting as transport vectors; and simultaneously can leach out chemicals (additives). Plastics in marine undergo splintering and shriveling to form micro/nanoparticles owing to the mechanical and photochemical processes accelerated by waves and sunlight, respectively. Microplastics differ in color and density, considering the type of polymers, and are generally classified according to their origins, i.e., primary and secondary. About 54.5% of microplastics floating in the ocean are polyethylene, and 16.5% are polypropylene, and the rest includes polyvinyl chloride, polystyrene, polyester, and polyamides. Polyethylene and polypropylene due to its lower density in comparison with marine water floats and affect the oceanic surfaces while materials having higher density sink affecting seafloor. The effects of plastic debris in the water and aquatic systems from various literature and on how COVID-19 has become a reason for microplastic pollution are reviewed in this paper.


Subject(s)
COVID-19 , Water Pollutants, Chemical , Aquatic Organisms , Ecosystem , Environmental Monitoring , Humans , Microplastics , Oceans and Seas , Plastics , SARS-CoV-2 , Water , Water Pollutants, Chemical/analysis
18.
Int J Environ Res Public Health ; 18(2)2021 01 07.
Article in English | MEDLINE | ID: covidwho-1024577

ABSTRACT

The article presents a comprehensive and cross-cutting review of key marine waste issues, taking into account: sources, fate, risks, transport pathways, threats, legislation, current challenges, and knowledge gaps. The growing amount of both human-created waste in seas and oceans and waste reaching marine ecosystems from land is one of today's challenges for the global economy and the European Union. It is predicted that if no decisive steps are taken to limit the amount of this type of waste, there may be more plastic waste than fish in the oceans after 2050. The influence of microplastics and nanoplastics on living organisms remains undiagnosed. Within the international and EU law, solutions are being developed to properly manage waste on board ships and to reduce the impact of processes related to the recycling of the vessels on the environment. Currently, over 80% of ships are dismantled in the countries of South Asia, in conditions that threaten the environment and the safety of workers. After World War 2, large quantities of chemical weapons were deposited in the seas. Steel containers with dangerous substances residing in the sea for over 70 years have begun leaking, thus polluting water. For many years, radioactive waste had also been dumped into marine ecosystems, although since 1993 there has been a total ban on such disposal of radionuclides. The impact of the COVID-19 pandemic on marine waste generation has also been presented as a significant factor influencing marine waste generation and management.


Subject(s)
Ecosystem , Oceans and Seas , Plastics , Water Pollution , Asia , COVID-19 , Environmental Monitoring , Humans , Pandemics
20.
Int J Environ Res Public Health ; 18(2)2021 01 08.
Article in English | MEDLINE | ID: covidwho-1016175

ABSTRACT

Early known cases of COVID-19 emerged in late 2019 in the city of Wuhan (China) and in a relatively short time, it has reached more than 200 countries up to July 2020. In Italy, from 21 February 2020, (first official Italian positive case of COVID-19) until 27 July 2020, 246,286 confirmed cases were observed of which over 68,150 (28%) needed hospitalization and 35,112 died. In recent scientific research, it has been shown that the severity of symptoms and mortality rates were different not only among the various countries of the world but also in different regions of the same country. This research investigates whether and by how much air environmental conditions (such as exposure to fine particulate matter-PM2.5, sea air masses and altitude) influences the risk of hospitalization due to COVID-19 in Italy, once the spreading of the virus and the percentage of the elderly in the population have been accounted for. A log-linear multiple regression model was estimated where the log of the ratio of hospitalized patients per inhabitant, since the beginning of the epidemic up to July 27, has been considered as a dependent variable. Among the independent variables, the ones that have been taken into account are the spreading of the virus, the rate of people over 50 years of age, the concentration of PM2.5, the rate of population living by the sea, the rate of green public space for each resident and the ratio of population living at a high altitude. The results showed an increase in the hospitalization rate in terms of the percentage of people over 50 and the average concentration of PM2.5. If average limits of PM2.5 concentration allowed by the current European regulations (25 µg/m3) were respected in all Italian provinces, that would have led to 7339 less hospitalizations for COVID-19 (-11%). On the contrary, near the coast there were lower hospitalized cases in the referred period. In the hypothetical case that no Italians lived near the sea, about 1363 (+2%) more hospitalizations would have been recorded in the analysis period in addition to the effect of a lower PM concentration. This paper wanted to investigate which are the areas with a higher risk of hospitalization in Italy, so as to help the Italian Government to strengthen Health System measures, predicting the most suffering areas and health care systems. According to the results, this is directly related to the severity of symptoms which decreased with the long-time exposure to the sea.


Subject(s)
Air Pollution/adverse effects , Altitude , COVID-19/epidemiology , Hospitalization/statistics & numerical data , Oceans and Seas , China , Environmental Exposure/adverse effects , Humans , Italy/epidemiology , Particulate Matter/adverse effects
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