Exploring the impact of particulate matter on mortality in coastal Mediterranean environments.

Air pollution is one of the most important problems the world is facing nowadays, adversely affecting public health and causing millions of deaths every year. Particulate matter is a criteria pollutant that has been linked to increased morbidity, as well as all-cause and cause-specific mortality. However, this association remains under-investigated in smaller-size cities in the Eastern Mediterranean, which are also frequently affected by heat waves and dust storms. This study explores the impact of particulate matter with an aerodynamic diameter ≤ 10 µm (PM10) and ≤ 2.5 µm (PM2.5) on mortality (all-cause, cardiovascular, respiratory) in two coastal cities in the Eastern Mediterranean; Thessaloniki, Greece and Limassol, Cyprus. Generalized additive Poisson models were used to explore overall and gender-specific associations, controlling for long- and short-term patterns, day of week and the effect of weather variables. Moreover, the effect of different lags, season, co-pollutants and dust storms on primary associations was investigated. A 10 µg/m3 increase in PM2.5 resulted in 1.10 % (95 % CI: -0.13, 2.34) increase in cardiovascular mortality in Thessaloniki, and in 3.07 % (95 % CI: -0.90, 7.20) increase in all-cause mortality in Limassol on the same day. Additionally, significant positive associations were observed between PM2.5 as well as PM10 and mortality at different lags up to seven days. Interestingly, an association with dust storms was observed only in Thessaloniki, having a protective effect, while the gender-specific analysis revealed significant associations only for the males in both cities. The outcome of this study highlights the need of city- or county-specific public health interventions to address the impact of climate, population lifestyle behaviour and other socioeconomic factors that affect the exposure to air pollution and other synergistic effects that alter the effect of PM on population health.

Analysis of the heat- and cold-related cardiovascular mortality in an urban mediterranean environment through various thermal indices.

During the last decades the effects of thermal stress on public health have been a great concern worldwide. Thermal stress is determined by air temperature in combination with other meteorological parameters, such as relative humidity and wind speed. The present study is focused on the Mediterranean city of Thessaloniki, Greece and it aims to explore the association between thermal stress and mortality from cardiovascular diseases, using both air temperature and other thermal indices as indicators. For that, an over-dispersed Poisson regression function was used, in combination with distributed lag non-linear models, in order to capture the delayed and nonlinear effects of temperature. Our results revealed a reverse J-shaped exposure-response curve for the total population and females and a U-shaped association for males. In all cases examined, the minimum mortality temperature was identified around the 80th percentile of each distribution. It is noteworthy that despite the fact that the highest risks of cardiovascular mortality were estimated for exposure to extreme temperatures, moderate temperatures were found to cause the highest burden of mortality. On the whole, our estimations demonstrated that the population in Thessaloniki is more susceptible to cold effects and in regard with gender, females seem to be more vulnerable to ambient thermal conditions.

Correlation of local lightning activity with extra low frequency detector for Schumann Resonance measurements.

A dedicated extremely low frequency (ELF) detector has been constructed and used successfully for Schumann Resonance (SRs) measurements in N.W. Greece. The main objective of this work was to investigate the effect of local lightning activity on the signal of our ELF detector and consequently on the estimated SRs parameters, namely the power, the frequency and the quality factor of each mode. Therefore, several measurements were taken into account for the ELF signal continuously recorded and the lightning intensity in a specific range around the ELF detector. Additionally, a simple filtering technique was used, in order to reject the distorted SRs spectra. The statistical analysis performed showed a positive and statistically significant correlation between the lightning events and the recorded magnetic component of the ELF signal. It was found that local lightnings have a significant impact on the SRs measurements, and it is necessary to be removed from the background signal.

Assessment of genetic effects and pesticide exposure of farmers in NW Greece.

The present study aims at evaluating potential genotoxic and cytotoxic effects caused by the occupational exposure of farmers to pesticide mixtures in the Aitoloakarnania Prefecture (Greece). The aforementioned assessment was conducted through in vivo Cytokinesis Block Micronucleus assay (CBMN assay) in peripheral blood lymphocytes, in relation to chemical analysis of pesticide residues in blood samples. The exposure of the farmers' population studied to different combinations of pesticides induced significant differences in the frequencies of micronuclei (MN) compared to those of the control group. Furthermore, our results indicated a possible clastogenic and aneugenic effect of pesticides on the genetic material of the farmers exposed. Five pesticides (trifluralin, chlorpyriphos methyl, metolachlor, fenthion and dimethoate) and three metabolites (fenthion sulfone, fenthion sulfoxide and 4,4' DDE) were detected in the 62.5% of blood samples, with mean concentrations ranging from 0.4 ng/ml to 48 ng/ml. Since the farmers studied probably exhibit detectable levels of systematic exposure to the pesticides applied, continuous educational programs focused on the rational and safe use of pesticides, together with implementation of risk communication strategies among farmers are highly recommended.

Study of the variations in the Schumann resonances parameters measured in a southern Mediterranean environment.

Schumann resonances (SRs) provide a unique tool for exploring continuous and long-term monitoring of global environmental parameters, although their detection and study is a very complex task. This paper presents diurnal and seasonal variations of principal parameters, namely the resonance frequency, the Q-factor, and the power of SRs, in the North-South (NS) magnetic field component for the first five modes from Extra Low Frequency (ELF) measurements. These were acquired at the observation site located at Doliana, Kalpaki, in the Region of Epirus, North West Greece. These variations are the first ones reported for the principal parameters in the South Eastern Mediterranean area and correspond to the one-year measurement period from 2016 to 2017. The comparison with variations at several observations sites is also discussed. Moreover, correlation with global lighting centers, as well as local lightning activity, and SRs parameters variation is attempted.

Analysis of the synoptic winter mortality climatology in five regions of England: Searching for evidence of weather signals.

Although heat-related mortality has received considerable research attention, the impact of cold weather on public health is less well-developed, probably due to the fact that physiological responses to cold weather can vary substantially among individuals, age groups, diseases etc., depending on a number of behavioral and physiological factors. In the current work we use the classification techniques provided by the COST-733 software to link synoptic circulation patterns with excess cold-related mortality in 5 regions of England. We conclude that, regardless of the classification scheme used, the most hazardous conditions for public health in England are associated with the prevalence of the Easterly type of weather, favoring advection of cold air from continental Europe. It is noteworthy that there has been observed little-to-no regional variation with regards to the classification results among the 5 regions, suggestive of a spatially homogenous response of mortality to the atmospheric patterns identified. In general, the 10 different groupings of days used reveal that excess winter mortality is linked with the lowest daily minimum/maximum temperatures in the area. However it is not uncommon to observe high mortality rates during days with higher, in relative terms, temperatures, when rapidly changing weather results in an increase of mortality. Such a finding confirms the complexity of cold-related mortality and highlights the importance of synoptic climatology in understanding of the phenomenon.

What are the most fire-dangerous atmospheric circulations in the Eastern-Mediterranean? Analysis of the synoptic wildfire climatology.

Wildfire management is closely linked to robust forecasts of changes in wildfire risk related to meteorological conditions. This link can be bridged either through fire weather indices or through statistical techniques that directly relate atmospheric patterns to wildfire activity. In the present work the COST-733 classification schemes are applied in order to link wildfires in Greece with synoptic circulation patterns. The analysis reveals that the majority of wildfire events can be explained by a small number of specific synoptic circulations, hence reflecting the synoptic climatology of wildfires. All 8 classification schemes used, prove that the most fire-dangerous conditions in Greece are characterized by a combination of high atmospheric pressure systems located N to NW of Greece, coupled with lower pressures located over the very Eastern part of the Mediterranean, an atmospheric pressure pattern closely linked to the local Etesian winds over the Aegean Sea. During these events, the atmospheric pressure has been reported to be anomalously high, while anomalously low 500hPa geopotential heights and negative total water column anomalies were also observed. Among the various classification schemes used, the 2 Principal Component Analysis-based classifications, namely the PCT and the PXE, as well as the Leader Algorithm classification LND proved to be the best options, in terms of being capable to isolate the vast amount of fire events in a small number of classes with increased frequency of occurrence. It is estimated that these 3 schemes, in combination with medium-range to seasonal climate forecasts, could be used by wildfire risk managers to provide increased wildfire prediction accuracy.

Extreme weather and air pollution effects on cardiovascular and respiratory hospital admissions in Cyprus.

In many regions of the world, climatic change is associated with increased extreme temperatures, which can have severe effects on mortality and morbidity. In this study, we examine the effect of extreme weather on hospital admissions in Cyprus, for inland and coastal areas, through the use of synoptic weather classifications (air mass types). In addition, the effect of particulate air pollution (PM10) on morbidity is examined. Our results show that two air mass types, namely (a) warm, rainy days with increased levels of water vapour in the atmosphere and (b) cold, cloudy days with increased levels of precipitation, were associated with increased morbidity in the form of hospital admissions. This was true both for cardiovascular and respiratory conditions, for all age groups, but particularly for the elderly, aged over 65. Particulate air pollution was also associated with increased morbidity in Cyprus, where the effect was more pronounced for cardiovascular diseases.

Tracking the association between metro-railway construction works and PM levels in an urban Mediterranean environment.

Metro-railways are considered to be a sustainable means of public transportation, as they contribute substantially to the reduction of air pollutant emissions through the decrease in the number of cars and heavy vehicles circulating in the road network. However, the works related to their construction may pose an extra burden in air quality status and consequently in public health. In the present study, we studied the possible effects of the metro-railway construction works in Thessaloniki, Greece, on public health through 2 well-established air quality indices, namely the PI and DAQI. The analysis suggested that there were excess high levels of PM10 measured in the close vicinity of the construction-sites during the period studied (2008-2014). These concentrations are likely to have originated from local construction sources rather than transport or continental secondary dust sources and might have an adverse health impact, as according to the PI index, the majority of days in the construction sites were grouped as "low pollution" or "moderate pollution", while a small percentage of days (1.84%) were suggested to be unhealthy for the most vulnerable groups of the population. Similarly, the DAQI index revealed that the vast majority of days were grouped as "poor" air quality, while 5.50% of the days reflected the most oppressive conditions for public health, as they were characterized as "very poor" air quality. Given the need of reaching a compromise between future transportation sustainability and public health during the construction works, the feasibility of appropriate measures in the area should be examined.

Disaggregating the contribution of local dispersion and long-range transport to the high PM10 values measured in a Mediterranean urban environment.

The EU daily PM10 limit-value of 50 µg m(-3) is frequently breached in the center of Athens, Greece. A total of 852 daily exceedances were recorded in the city-center during the 6-year period 2001-2006. These exceedances were more frequent in winter, followed by spring and autumn. For the needs of the study, the PM10 episodes (i.e., concentrations 30% above the median value) were grouped in two categories: (a) the City-Center episodes and (b) the Wider Metropolitan Area episodes. It was assumed that City-Center episodes occurred when elevated PM10 values were measured in the city-center exclusively, whereas Wider Metropolitan Area episodes occurred when high PM10 concentrations were also measured in the suburbs. Then back-trajectory cluster analysis was performed in an attempt to associate high PM10 levels with local dispersion or long-range transport. The City-Center episodes were associated according to the origin of air parcels with six types of air-masses (slow and fast moving from northern, northeasterly and southern directions, or stagnated around Athens) and were mainly due to traffic or other local sources, whereas the Wider Metropolitan Area episodes were mainly associated with air-masses coming from southern directions and were linked to long-range transport. On the whole, the analysis provided evidence of Sahara-dust events and sea-spray transportation.

Temperature inversion characteristics in relation to synoptic circulation above Athens, Greece.

In this paper, the characteristic properties of inversions formed inside the lower boundary layer over Athens, Greece, were studied using 35-year radiosonde measurements of temperature, humidity, and atmospheric pressure. The analysis revealed that the inversion parameters demonstrate considerable seasonal variation. Specifically, inversions associated with weak anticyclonic conditions are more frequent during the winter and summer months, while during spring, weak lows are more probable to produce inversions. Some theoretically expected associations between synoptic circulation patterns and certain inversion parameters were also identified.

Human health damage caused by particulate matter PM10 and ozone in urban environments: the case of Athens, Greece.

Studies conducted over the past decades have provided substantial evidence that both the long- and the short-term exposures to ozone and particulate matter are responsible for mortality and cardiopulmonary morbidity. This paper examines the relationship between exposure to ambient concentrations of ozone (O3) and particulate matter with aerodynamic diameter of less than 10 µm (PM10) and public health and provides the quantification of the burden of disease from PM10 and O3-related mortality and morbidity through a Life Cycle Impact Assessment focused on the greater area of Athens, Greece. Thus, characterizations factors (CFs) for human health damage are calculated in 17 sites in Athens, in terms of the annual marginal change in the disability-adjusted life years (DALYs) due to a marginal increase in the ambient concentrations. It is found that the PM10 intake factors range between 1.25 × 10(-6) and 2.78 × 10(-6), suggesting that 1.25-2.78 µg of PM10 are inhaled by the Athenian population per kg of PM10 in the urban atmosphere. Mortality due to chronic exposure to PM10 has a dominant contribution to years of life lost with values ranging between 6.2 × 10(-5) and 1.1 × 10(-4). On the other hand, the mortality caused by short-term exposure to O3 is weaker with the CFs ranging between 1.58 × 10(-7) years of life lost in the urban/traffic areas and 4.71 × 10(-7) years in the suburbs. Finally, it is found that 9,000 DALYs are lost on average in Athens, corresponding to 0.0018 DALYs per person. This is equal to 0.135 DALYs per person over a lifetime of approximately 75 years, assuming constant emission rates for the whole period.

Adaptation of the BOXURB model in a southeastern European environment: the case of Athens.

The present work describes the adaptation and application of an operational air quality forecast model in a net grid of (1 x 1) km(2) emission source resolution, covering the Greater Area of Athens, Greece. The model is used to estimate the hourly concentrations of nitrogen oxides at a receptor grid of 17 monitoring stations for the 10-year period 1995-2004. The analysis reveals that the best model performance occurs under heavy-traffic conditions, whereas in rural and industrial areas, the model performance is worse.

A comparative study on various statistical techniques predicting ozone concentrations: implications to environmental management.

The objective of the present work is to compare various techniques for modeling the dependence of the tropospheric ozone concentrations on several meteorological and pollutant parameters. The study focuses on two different sites in the metropolitan area of Athens, Greece; one in the city centre and another one in the suburbs. It is found that although simple Linear Regression Analysis fails to construct accurate equations due to the existence of multicollinearity among the independent variables, still various combinations of a Multivariate Method (PCA) and Stepwise Regression Analysis manage to produce equations free of the multicollinearity issue. The derived formulas are validated and prove to have R(2) values in the order of 0.8 approximately. However, the equations are found to be unsuccessful in case of severe episodes. For this reason, a new procedure is followed for estimating the ozone values in case of episodes exclusively. The new R(2) value is estimated to be 0.9, approximately.

On the evaluation of box model results: the case of BOXURB model.

In the present paper, the BOXURB model results, as they occurred in the Greater Area of Athens after model application on an hourly basis for the 10-year period 1995-2004, are evaluated both in time and space in the light of observed pollutant concentrations time series from 17 monitoring stations. The evaluation is performed at a total, monthly, daily and hourly scale. The analysis also includes evaluation of the model performance with regard to the meteorological parameters. Finally, the model is evaluated as an air quality forecasting and urban planning tool. Given the simplicity of the model and the complexity of the area topography, the model results are found to be in good agreement with the measured pollutant concentrations, especially in the heavy traffic stations. Therefore, the model can be used for regulatory purposes by authorities for time-efficient, simple and reliable estimation of air pollution levels within city boundaries.

Comparison of air pollutant concentrations between weekdays and weekends in Athens, Greece for various meteorological conditions.

The objective of the present study is to contribute to the understanding of the "ozone weekend effect" as it occurs in the Greater Area of Athens, Greece both in the summer and wintertime. Therefore, weekly cycles of CO, NO and O3 concentrations for the 18-year-period 1983-2000 are studied. Each day of the week is considered separately, while sites with different levels of primary pollutants are examined. The reduction of the meteorological influence in the O3 mechanisms is achieved by applying meteorological classifications. The analysis for the cold period reveals that CO and NO display decreasing concentrations from weekdays to weekends, whereas O3 shows increasing concentrations. During the warm period, although primary pollutants display decreased concentrations compared to the cold period, their weekly cycles remain the same. On the other hand, meteorological changes affect the weekly cycle of ozone peaks. During days with unfavourable meteorology to ozone production, weekend ozone concentrations are higher than weekday O3 concentrations. The reverse is observed during days with favourable meteorology to ozone production.