Imperial College London

ProfessorFrankKelly

Faculty of MedicineSchool of Public Health

Battcock Chair in Community Health and Policy
 
 
 
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Contact

 

+44 (0)20 7594 8098 ext 48098frank.kelly Website

 
 
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Location

 

Sir Michael Uren HubWhite City Campus

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Summary

 

Publications

Publication Type
Year
to

590 results found

Fussell JC, Franklin M, Green DC, Gustafsson M, Harrison RM, Hicks W, Kelly FJ, Kishta F, Miller MR, Mudway IS, Oroumiyeh F, Selley L, Wang M, Zhu Yet al., 2022, A Review of road traffic-derived non-exhaust particles: emissions, physicochemical characteristics, health risks, and mitigation measures., Environmental Science and Technology (Washington), Vol: 56, ISSN: 0013-936X

Implementation of regulatory standards has reduced exhaust emissions of particulate matter from road traffic substantially in the developed world. However, nonexhaust particle emissions arising from the wear of brakes, tires, and the road surface, together with the resuspension of road dust, are unregulated and exceed exhaust emissions in many jurisdictions. While knowledge of the sources of nonexhaust particles is fairly good, source-specific measurements of airborne concentrations are few, and studies of the toxicology and epidemiology do not give a clear picture of the health risk posed. This paper reviews the current state of knowledge, with a strong focus on health-related research, highlighting areas where further research is an essential prerequisite for developing focused policy responses to nonexhaust particles.

Journal article

Tseng T-WJ, Carter E, Yan L, Chan Q, Elliott P, Ezzati M, Kelly F, Schauer JJ, Wu Y, Yang X, Zhao L, Baumgartner Jet al., 2022, Household air pollution from solid fuel use as a dose-dependent risk factor for cognitive impairment in northern China, Scientific Reports, Vol: 12, ISSN: 2045-2322

The relationship between exposure to household air pollution (HAP) from solid fuel use and cognition remains poorly understood. Among 401 older adults in peri-urban northern China enrolled in the INTERMAP-China Prospective Study, we estimated the associations between exposure to HAP and z-standardized domain-specific and overall cognitive scores from the Montreal Cognitive Assessment. Interquartile range increases in exposures to fine particulate matter (53.2-µg/m3) and black carbon (0.9-µg/m3) were linearly associated with lower overall cognition [- 0.13 (95% confidence interval: - 0.22, - 0.04) and - 0.10 (- 0.19, - 0.01), respectively]. Using solid fuel indoors and greater intensity of its use were also associated with lower overall cognition (range of point estimates: - 0.13 to - 0.03), though confidence intervals included zero. Among individual cognitive domains, attention had the largest associations with most exposure measures. Our findings indicate that exposure to HAP may be a dose-dependent risk factor for cognitive impairment. As exposure to HAP remains pervasive in China and worldwide, reducing exposure through the promotion of less-polluting stoves and fuels may be a population-wide intervention strategy to lessen the burden of cognitive impairment.

Journal article

Griffiths SD, Entwistle JA, Kelly FJ, Deary MEet al., 2022, Characterising the ground level concentrations of harmful organic and inorganic substances released during major industrial fires, and implications for human health, Environment International, Vol: 162, ISSN: 0160-4120

We report on the concentration ranges and combustion source-related emission profiles of organic and inorganic species released during 34 major industrial fires in the UK. These episodic events tend to be acute in nature and demand a rapid public health risk assessment to indicate the likely impact on exposed populations. The objective of this paper is to improve our understanding of the nature, composition and potential health impacts of emissions from major incident fires and so support the risk assessment process. Real world monitoring data was obtained from portable Fourier Transform Infrared (FTIR) monitoring (Gasmet DX-4030/40) carried out as part of the UK’s Air Quality in Major Incidents service. The measured substances include carbon monoxide, sulphur dioxide, nitrogen dioxide, ammonia, hydrogen chloride, hydrogen bromide, hydrogen fluoride, hydrogen cyanide, formaldehyde, 1,3-butadiene, benzene, toluene, xylenes, ethyl benzene, acrolein, phosgene, arsine, phosphine and methyl isocyanate. We evaluate the reported concentrations against Acute Exposure Guideline Values (AEGLs) and Emergency Response Planning Guidelines (ERPGs), as well as against UK, EU and WHO short-term ambient guideline values. Most exceedances of AEGL or ERPG guideline values were at levels likely only to cause discomfort to exposed populations (hydrogen cyanide, hydrogen chloride, hydrogen fluoride and formaldehyde), though for several substances the exceedances could have potentially given rise to more serious health effects (acrolein, phosphine, phosgene and methyl isocyanate). In the latter cases, the observed high concentrations are likely to be due to cross-interference from other substances that absorb in the mid-range of the infrared spectrum, particularly when the ground level plume is very concentrated.

Journal article

Heydari S, Asgharian M, Kelly FJ, Goel Ret al., 2022, Potential health benefits of eliminating traffic emissions in urban areas, PLoS One, Vol: 17, ISSN: 1932-6203

Traffic is one of the major contributors to PM2.5 in cities worldwide. Quantifying the role of traffic is an important step towards understanding the impact of transport policies on the possibilities to achieve cleaner air and accompanying health benefits. With the aim of estimating potential health benefits of eliminating traffic emissions, we carried out a meta-analysis using the World Health Organisation (WHO) database of source apportionment studies of PM2.5 concentrations. Specifically, we used a Bayesian meta-regression approach, modelling both overall and traffic-related (tailpipe and non-tailpipe) concentrations simultaneously. We obtained the distributions of expected PM2.5 concentrations (posterior densities) of different types for 117 cities worldwide. Using the non-linear Integrated Exposure Response (IER) function of PM2.5, we estimated percent reduction in different disease endpoints for a scenario with complete removal of traffic emissions. We found that eliminating traffic emissions results in achieving the WHO-recommended concentration of PM2.5 only for a handful of cities that already have low concentrations of pollution. The percentage reduction in premature mortality due to cardiovascular and respiratory diseases increases up to a point (30–40 ug/m3), and above this concentration, it flattens off. For diabetes-related mortality, the percentage reduction in mortality decreases with increasing concentrations—a trend that is opposite to other outcomes. For cities with high concentrations of pollution, the results highlight the need for multi-sectoral strategies to reduce pollution. The IER functions of PM2.5 result in diminishing returns of health benefits at high concentrations, and in case of diabetes, there are even negative returns. The results show the significant effect of the shape of IER functions on health benefits. Overall, despite the diminishing results, a significant burden of deaths can be prevented by policies that aim to

Journal article

Nematollahi MJ, Zarei F, Keshavarzi B, Zarei M, Moore F, Busquets R, Kelly FJet al., 2022, Microplastic occurrence in settled indoor dust in schools, Science of the Total Environment, Vol: 807, ISSN: 0048-9697

This study examines for the first time the characteristics and human exposure of microplastics (MPs) in settled indoor dust in schools. An average of 195 MPs·g−1 of dust were detected in settled indoor composite dust samples from 28 schools in Shiraz. White-transparent microfibres with lengths 500–1000 μm were the most abundant type of MP found among the samples examined. Polyethylene terephthalate and polypropylene MPs were dominant across all types of MP found including microfibres. MPs had generally smooth morphology with sharp or regular edges which could have been released to the environment as primary MPs. Among all sampling sites, higher concentrations of MPs were found in the south and centre of the city. These were areas affected by high population density, high traffic load and high presence of industrial units and workshops. Principal Component Analysis (PCA) showed a positive strong correlation between sampling sites and MP physical characteristics. The PCA plots revealed that MP sheets and fragments were prevalent in sites in the North of Shiraz, whereas microfibres were mainly associated with sites in the South. The levels of MPs in the South of Shiraz were greater than in the rest of the country and the wind direction and topography were found to be important factors affecting the MP distribution observed. Compared to other population groups, elementary school students had relatively high exposure risk to MPs. This study reveals that microfibres are widespread in Shiraz’ schools and pose a high exposure risk to MPs for young students.

Journal article

Batool I, Qadir A, Levermore JM, Kelly FJet al., 2022, Dynamics of airborne microplastics, appraisal and distributional behaviour in atmosphere; a review, Science of the Total Environment, Vol: 806, ISSN: 0048-9697

The use of plastics is common across all aspects of human life owing to its durable and versatile nature. The generation and utilization of plastics are directly related to the anthropogenic activities. The extensive use of plastics and adoption of inappropriate waste-management frameworks has resulted in their release into the environment, where they may persist. Different environmental factors, such as, photochemical, thermo-oxidation, and biological degradation, can lead to the degradation of plastics into micro- (MPs) and nano-plastics (NPs). The behaviour and concentration of MPs in the terrestrial environment can depend on their size, density, and local atmospheric conditions. Microplastics and nanoplastics may enter the food web, carrying various organic pollutants, which bio-accumulate at different trophic levels, prompting organism health concerns. Microplastics being airborne identifies as new exposure route. Dietary and airborne exposure to MPs has led researchers to stress the importance of evaluating their toxicological potential. The primary goal of this paper is to explore the environmental fate of MPs from sources to sink in the terrestrial environment, as well as detail their potential impacts on human health. Additionally, this review article focuses on the presence of airborne microplastics, detailed sample pre-processing methods, and outlines analytical methods for their characterization.

Journal article

Kanagasabai T, Xie W, Yan L, Zhao L, Carter E, Guo D, Chan Q, Daskalopoulou S, Elliott P, Ezzati M, Yang X, Xie G, Kelly F, Wu Y, Baumgartner Jet al., 2022, Household air pollution and blood pressure, vascular damage and sub-clinical indicators of cardiovascular disease in older Chinese adults, American Journal of Hypertension, Vol: 35, Pages: 121-131, ISSN: 0895-7061

BackgroundLimited data suggest that household air pollution from cooking and heating with solid fuel (i.e., coal and biomass) stoves may contribute to the development of hypertension and vascular damage.MethodsUsing mixed-effects regression models, we investigated the associations of household air pollution with blood pressure (BP) and vascular function in 753 adults (ages 40-79y) from three diverse provinces in China. We conducted repeated measures of participants’ household fuel use, personal exposure to fine particulate air pollution (PM2.5), BP, brachial-femoral pulse wave velocity (bfPWV), and augmentation index. Ultrasound images of the carotid arteries were obtained to assess intima-media thickness (CIMT) and plaques. Covariate information on socio-demographics, health behaviors, 24-h urinary sodium, and blood lipids was also obtained.ResultsAverage estimated yearly personal exposure to PM2.5 was 97.5 μg/m 3 (SD: 79.2; range: 3.5-1241), and 65% of participants cooked with solid fuel. In multivariable models, current solid fuel use was associated with higher systolic (2.4 mmHg, 95%CI: -0.4, 4.9) and diastolic BP (1.4 mmHg, 95%CI: -0.1, 3.0) and greater total area of plaques (1.7 mm 2, 95%CI: -6.5, 9.8) compared with exclusive use of electricity or gas stoves. A 1-ln(µg/m 3) increase in PM2.5 exposure was associated with higher systolic (1.5 mmHg, 95%CI: 0.2, 2.7) and diastolic BP (1.0 mmHg, 95%CI: 0.4, 1.7) and with greater CIMT (0.02 mm, 95%CI: 0.00, 0.04) and total area of plaques (4.7 mm 2, 95%CI: -2.0, 11.5). We did not find associations with arterial stiffness, except for a lower bfPWV (-1.5 m/s, 95%CI: -3.0, -0.0) among users of solid fuel heaters.ConclusionsThese findings add to limited evidence that household air pollution is associated with higher BP and with greater CIMT and total plaque area.

Journal article

Green D, 2022, Source attribution and quantification of atmospheric nickel concentrations in an industrial area in the United Kingdom (UK), Environmental Pollution, Vol: 293, Pages: 1-10, ISSN: 0269-7491

Pontardawe in South Wales, United Kingdom (UK), consistently has the highest concentrations of nickel (Ni) in PM10 in the UK and repeatedly breaches the 20 ng m−3 annual mean EU target value. Several local industries use Ni in their processes. To assist policy makers and regulators in quantifying the relative Ni contributions of these industries and developing appropriate emission reduction approaches, the hourly concentrations of 23 elements were measured using X-ray fluorescence alongside meteorological variables and black carbon during a four-week campaign in November–December 2015. Concentrations of Ni ranged between 0 and 2480 ng m−3 as hourly means. Positive Matrix Factorization (PMF) was used to identify sources contributing to measured elements. Cluster analysis of bivariate polar plots of those factors containing Ni in their profile was further used to quantify the industrial processes contributing to ambient PM10 concentrations. Two sources were identified to contribute to Ni concentrations, stainless-steel (which contributed to 10% of the Ni burden) and the Ni refinery (contributing 90%). From the stainless-steel process, melting activities were responsible for 66% of the stainless-steel factor contribution.

Journal article

Wang J, Alli AS, Clark S, Hughes A, Ezzati M, Beddows A, Vallarino J, Nimo J, Bedford-Moses J, Baah S, Owusu G, Agyemang E, Kelly F, Barratt B, Beevers S, Agyei-Mensah S, Baumgartner J, Brauer M, Arku REet al., 2022, Nitrogen oxides (NO and NO2) pollution in the Accra metropolis: spatiotemporal patterns and the role of meteorology, Science of the Total Environment, Vol: 803, ISSN: 0048-9697

Economic and urban development in sub-Saharan Africa (SSA) may be shifting the dominant air pollution sources in cities from biomass to road traffic. Considered as a marker for traffic-related air pollution in cities, we conducted a city-wide measurement of NOx levels in the Accra Metropolis and examined their spatiotemporal patterns in relation to land use and meteorological factors. Between April 2019 to June 2020, we collected weekly integrated NOx (n = 428) and NO2 (n = 472) samples at 10 fixed (year-long) and 124 rotating (week-long) sites. Data from the same time of year were compared to a previous study (2006) to assess changes in NO2 concentrations. NO and NO2 concentrations were highest in commercial/business/industrial (66 and 76 μg/m3, respectively) and high-density residential areas (47 and 59 μg/m3, respectively), compared with peri-urban locations. We observed annual means of 68 and 70 μg/m3 for NO and NO2, and a clear seasonal variation, with the mean NO2 of 63 μg/m3 (non-Harmattan) increased by 25–56% to 87 μg/m3 (Harmattan) across different site types. The NO2/NOx ratio was also elevated by 19–28%. Both NO and NO2 levels were associated with indicators of road traffic emissions (e.g. distance to major roads), but not with community biomass use (e.g. wood and charcoal). We found strong correlations between both NO2 and NO2/NOx and mixing layer depth, incident solar radiation and water vapor mixing ratio. These findings represent an increase of 25–180% when compared to a small study conducted in two high-density residential neighborhoods in Accra in 2006. Road traffic may be replacing community biomass use (major source of fine particulate matter) as the prominent source of air pollution in Accra, with policy implication for growing cities in SSA.

Journal article

Han Y, Xue T, Kelly FJ, Zheng Y, Yao Y, Li J, Li J, Fan C, Li P, Zhu Tet al., 2022, Association of PM2.5 reduction with improved kidney function: a nationwide quasiexperiment among Chinese adults, Health Data Science, Vol: 2022, ISSN: 2765-8783

Background. Increasing evidence from human studies has revealed the adverse impact of ambient fine particles (PM 2.5) on health outcomes related to metabolic disorders and distant organs. Whether exposure to ambient PM 2.5 leads to kidney impairment remains unclear. The rapid air quality improvement driven by the clean air actions in China since 2013 provides an opportunity for a quasiexperiment to investigate the beneficial effect of PM 2.5 reduction on kidney function.Methods. Based on two repeated nationwide surveys of the same population of 5115 adults in 2011 and 2015, we conducted a difference-in-difference study. Variations in long-term exposure to ambient PM 2.5 were associated with changes in kidney function biomarkers, including estimated glomerular filtration rate by serum creatinine (GFR scr) or cystatin C (GFR cys), blood urea nitrogen (BUN), and uric acid (UA).Results. For a 10  μg/m 3 reduction in PM 2.5, a significant improvement was observed for multiple kidney functional biomarkers, including GFR scr, BUN and UA, with a change of 0.42 (95% confidence interval [CI]: 0.06, 0.78) mL/min/1.73m 2, -0.38 (-0.64, -0.12) mg/dL, and -0.06 (-0.12, -0.00) mg/dL, respectively. A lower socioeconomic status, indicated by rural residence or low educational level, enhanced the adverse effect of PM 2.5 on kidney function.Conclusions. These results support a significant nephrotoxicity of PM 2.5 based on multiple serum biomarkers and indicate a beneficial effect of improved air quality on kidney function.

Journal article

Fussell JC, Kelly FJ, 2021, Mechanisms underlying the health effects of desert sand dust, Environment International, Vol: 157, ISSN: 0160-4120

Desertification and climate change indicate a future expansion of the global area of dry land and an increase in the risk of drought. Humans may therefore be at an ever-increasing risk of frequent exposure to, and resultant adverse health effects of desert sand dust. This review appraises a total of 52 experimental studies that have sought to identify mechanisms and intermediate endpoints underlying epidemiological evidence of an impact of desert dust on cardiovascular and respiratory health. Toxicological studies, in main using doses that reflect or at least approach real world exposures during a dust event, have demonstrated that virgin sand dust particles and dust storm particles sampled at remote locations away from the source induce inflammatory lung injury and aggravate allergen-induced nasal and pulmonary eosinophilia. Effects are orchestrated by cytokines, chemokines and antigen-specific immunoglobulin potentially via toll-like receptor/myeloid differentiation factor signaling pathways. Findings suggest that in addition to involvement of adhered chemical and biological pollutants, mineralogical components may also be implicated in the pathogenesis of human respiratory disorders during a dust event. Whilst comparisons with urban particulate matter less than 2.5 μm in diameter (PM2.5) suggest that allergic inflammatory responses are greater for microbial element-rich dust- PM2.5, aerosols generated during dust events appear to have a lower oxidative potential compared to combustion-generated PM2.5 sampled during non-dust periods. In vitro findings suggest that the significant amounts of suspended desert dust during storm periods may provide a platform to intermix with chemicals on its surfaces, thereby increasing the bioreactivity of PM2.5 during dust storm episodes, and that mineral dust surface reactions are an unrecognized source of toxic organic chemicals in the atmosphere, enhancing toxicity of aerosols in urban environments. In summary, the experiment

Journal article

Kelly FJ, 2021, COP26-time for action, Air Quality, Atmosphere and Health, Vol: 14, Pages: 1891-1891, ISSN: 1873-9318

Journal article

Lai A, Lee M, Carter E, Chan Q, Elliott P, Ezzati M, Yan L, Wu Y, Yang X, Zhao L, Baumgartner J, Schauer Jet al., 2021, A chemical investigation of household solid fuel use and outdoor air pollution contributions to personal PM2.5 exposures, Environmental Science and Technology (Washington), Vol: 55, Pages: 15969-15979, ISSN: 0013-936X

In communities with household solid fuel use, transitioning to clean stoves/fuels often results in only moderate reductions in fine particulate matter (PM2.5) exposures; the chemical composition of those exposures may help explain why. We collected personal exposure (men and women) and outdoor PM2.5 samples in villages in three Chinese provinces (Shanxi, Beijing, and Guangxi) and measured chemical components, including water-soluble organic carbon (WSOC), ions, elements, and organic tracers. Source contributions from chemical mass balance modeling (biomass burning, coal combustion, vehicles, dust, and secondary inorganic aerosol) were similar between outdoor and personal PM2.5 samples. Principal component analysis of organic and inorganic components identified analogous sources, including a regional ambient source. Chemical components of PM2.5 exposures did not differ significantly by gender. Participants using coal had higher personal/outdoor (P/O) ratios of coal combustion tracers (picene, sulfate, As, and Pb) than those not using coal, but no such trend was observed for biomass burning tracers (levoglucosan, K+, WSOC). Picene and most levoglucosan P/O ratios exceeded 1 even among participants not using coal and biomass, respectively, indicating substantial indirect exposure to solid fuel emissions from other homes. Contributions of community-level emissions to exposures suggest that meaningful exposure reductions will likely require extensive fuel use changes within communities.

Journal article

Morawska L, Zhu T, Liu N, Torkmahalleh MA, Andrade MDF, Barratt B, Broomandi P, Buonanno G, Belalcazar Ceron LC, Chen J, Cheng Y, Evans G, Gavidia M, Guo H, Hanigan I, Hu M, Jeong CH, Kelly F, Gallardo L, Kumar P, Lyu X, Mullins BJ, Nordstrom C, Pereira G, Querol X, Rojas Roa NY, Russell A, Thompson H, Wang H, Wang L, Wang T, Wierzbicka A, Xue T, Ye Cet al., 2021, The state of science on severe air pollution episodes: quantitative and qualitative analysis, Environment International, Vol: 156, ISSN: 0160-4120

Severe episodic air pollution blankets entire cities and regions and have a profound impact on humans and their activities. We compiled daily fine particle (PM2.5) data from 100 cities in five continents, investigated the trends of number, frequency, and duration of pollution episodes, and compared these with the baseline trend in air pollution. We showed that the factors contributing to these events are complex; however, long-term measures to abate emissions from all anthropogenic sources at all times is also the most efficient way to reduce the occurrence of severe air pollution events. In the short term, accurate forecasting systems of such events based on the meteorological conditions favouring their occurrence, together with effective emergency mitigation of anthropogenic sources, may lessen their magnitude and/or duration. However, there is no clear way of preventing events caused by natural sources affected by climate change, such as wildfires and desert dust outbreaks.

Journal article

Rivas I, Vicens L, Basagaña X, Tobías A, Katsouyanni K, Walton H, Hüglin C, Alastuey A, Kulmala M, Harrison RM, Pekkanen J, Querol X, Sunyer J, Kelly FJet al., 2021, Associations between sources of particle number and mortality in four European cities, Environment International, Vol: 155, ISSN: 0160-4120

BACKGROUND: The evidence on the association between ultrafine (UFP) particles and mortality is still inconsistent. Moreover, health effects of specific UFP sources have not been explored. We assessed the impact of UFP sources on daily mortality in Barcelona, Helsinki, London, and Zurich. METHODS: UFP sources were previously identified and quantified for the four cities: daily contributions of photonucleation, two traffic sources (fresh traffic and urban, with size mode around 30 nm and 70 nm, respectively), and secondary aerosols were obtained from data from an urban background station. Different periods were investigated in each city: Barcelona 2013-2016, Helsinki 2009-2016, London 2010-2016, and Zurich 2011-2014. The associations between total particle number concentrations (PNC) and UFP sources and daily (natural, cardiovascular [CVD], and respiratory) mortality were investigated using city-specific generalized linear models (GLM) with quasi-Poisson regression. RESULTS: We found inconsistent results across cities, sources, and lags for associations with natural, CVD, and respiratory mortality. Increased risk was observed for total PNC and natural mortality in Helsinki (lag 2; 1.3% [0.07%, 2.5%]), CVD mortality in Barcelona (lag 1; 3.7% [0.17%, 7.4%]) and Zurich (lag 0; 3.8% [0.31%, 7.4%]), and respiratory mortality in London (lag 3; 2.6% [0.84%, 4.45%]) and Zurich (lag 1; 9.4% [1.0%, 17.9%]). A similar pattern of associations between health outcomes and total PNC was followed by the fresh traffic source, for which we also found the same associations and lags as for total PNC. The urban source (mostly aged traffic) was associated with respiratory mortality in Zurich (lag 1; 12.5% [1.7%, 24.2%]) and London (lag 3; 2.4% [0.90%, 4.0%]) while the secondary source was associated with respiratory mortality in Zurich (lag 1: 12.0% [0.63%, 24.5%]) and Helsinki (4.7% [0.11%, 9.5%]). Reduced risk for the photonucleation source was observed for respiratory mortalit

Journal article

Karamanos A, Mudway I, Webb A, Lu Y, Kelly F, Dajnak D, Beevers SD, Elia C, Maynard M, Harding S, Cruickshank JKet al., 2021, Air pollution and Blood Pressure change over time in 3323 adolescents in London: differences by gender and ethnicity, 2021 Annual Scientific Meeting of the British and Irish Hypertension Society (BIHS), Publisher: Springer Nature [academic journals on nature.com], Pages: 2-2, ISSN: 0950-9240

Conference paper

Xue T, Geng G, Li J, Han Y, Guo Q, Kelly FJ, Wooster MJ, Wang H, Jiangtulu B, Duan X, Wang B, Zhu Tet al., 2021, Associations between exposure to landscape fire smoke and child mortality in low-income and middle-income countries: a matched case-control study, The Lancet Planetary Health, Vol: 5, Pages: E588-E598, ISSN: 2542-5196

BackgroundThe prevalence of landscape fires has increased, particularly in low-income and middle-income countries (LMICs). We aimed to assess the impact of exposure to landscape fire smoke (LFS) on the health of children.MethodsWe conducted a sibling-matched case-control study and selected 552 155 children (aged <18 years) from Demographic and Health Surveys in 55 LMICs from 2000 to 2014. Each deceased child was matched with their sibling(s). The exposure indicators were fire-sourced PM2·5 and dry-matter emissions. We associated these exposure indicators with child mortality using conditional regressions, and derived an exposure–response function using a non-linear model. Based on the association, we quantified the global burden of fire-attributable child deaths in LMICs from 2000 to 2014.FindingsEach 1 μg/m3 increment of fire-sourced PM2·5 was associated with a 2·31% (95% CI 1·50–3·13) increased risk of child mortality. The association was robust to different models. The exposure–response function was superlinear and suggested per-unit exposure to larger fires was more toxic. Based on our non-linear exposure–response function, we estimated that between 2000 and 2014, the five countries with the largest number of child deaths associated with fire-sourced PM2·5 were Nigeria (164 000 [126 000 to 209 000] annual deaths), Democratic Republic of the Congo (126 000 [95% CI 114 000 to 139 000] annual deaths), India (65 900 [−22 200 to 147 000] annual deaths), Uganda (30 200 [24 500 to 36 300] annual deaths), and Indonesia (28 900 [19 100 to 38 400]).InterpretationExposure to landscape fire smoke contributes substantially to the global burden of child mortality.FundingNational Natural Science Foundation of China, Ministry of Science and Technology of China, Peking University, UK National Institute for Health Research Health Protection Research Unit, Leverhulme Center for Wildfires, Environment and

Journal article

Kelly F, 2021, Air pollution and chronic bronchitis: the evidence firms up, Thorax, Vol: 76, Pages: 744-745, ISSN: 0040-6376

Journal article

Evangelopoulos D, Chatzidiakou L, Walton H, Katsouyanni K, Kelly FJ, Quint JK, Jones RL, Barratt Bet al., 2021, Personal exposure to air pollution and respiratory health of COPD patients in London, European Respiratory Journal, Vol: 58, ISSN: 0903-1936

Previous studies have investigated the effects of air pollution on chronic obstructive pulmonary disease (COPD) patients using either fixed site measurements or a limited number of personal measurements, usually for one pollutant and a short time period. These limitations may introduce bias and distort the epidemiological associations as they do not account for all the potential sources or the temporal variability of pollution.We used detailed information on individuals' exposure to various pollutants measured at fine spatio-temporal scale to obtain more reliable effect estimates. A panel of 115 patients was followed up for an average continuous period of 128 days carrying a personal monitor specifically designed for this project that measured temperature, PM10, PM2.5, NO2, NO, CO and O3 at one-minute time resolution. Each patient recorded daily information on respiratory symptoms and measured peak expiratory flow (PEF). A pulmonologist combined related data to define a binary variable denoting an "exacerbation". The exposure-response associations were assessed with mixed-effects models.We found that gaseous pollutants were associated with a deterioration in patients' health. We observed an increase of 16.4% (95% confidence interval: 8.6-24.6%), 9.4% (5.4-13.6%) and 7.6% (3.0-12.4%) in the odds of exacerbation for an interquartile range increase in NO2, NO and CO respectively. Similar results were obtained for cough and sputum. O3 was found to have adverse associations with PEF and breathlessness. No association was observed between particles and any outcome.Our findings suggest that, when considering total personal exposure to air pollutants, mainly the gaseous pollutants affect COPD patients' health.

Journal article

Alli AS, Clark S, Hughes AF, Nimo J, Bedford-Moses J, Baah S, Wang J, Vallarino J, Agyemang E, Barratt B, Beddows A, Kelly F, Owusu G, Baumgartner J, Brauer M, Ezzati M, Agyei-Mensah S, Arku REet al., 2021, Spatial-temporal patterns of ambient fine particulate matter (PM2.5) and black carbon (BC) pollution in Accra, Environmental Research Letters, Vol: 16, Pages: 1-12, ISSN: 1748-9326

Background: Sub-Saharan Africa (SSA) is rapidly urbanizing, and ambient air pollution has emerged as a major environmental health concern in SSA cities. Yet, effective air quality management is hindered by limited data. We deployed robust, low-cost and low-power devices in a large-scale measurement campaign and characterized within-city variations in fine particulate matter (PM2.5) and black carbon (BC) pollution in Accra, Ghana. Methods: Between April 2019 and June 2020, we measured weekly gravimetric (filter-based) and minute-by-minute PM2.5 concentrations at 146 unique locations, comprising of 10 fixed (~1-year) and 136 rotating (7-day) sites covering a range of land-use and source influences. Filters were weighed for mass, and light absorbance (10−5m−1) of the filters was used as proxy for BC concentration. Year-long data at four fixed sites that were monitored in a previous study (2006-2007) were compared to assess change in PM2.5 concentrations. Results: The mean annual PM2.5 across the fixed sites ranged from 26 μg/m3 at a peri-urban site to 40 μg/m3 at commercial, business, and industrial (CBI) areas. CBI areas had the highest PM2.5 levels (mean: 37 μg/m3), followed by high-density residential neighborhoods (mean: 36 μg/m3), while peri-urban areas recorded the lowest (mean: 26 μg/m3). Both PM2.5 and BC levels were highest during the dry dusty Harmattan period (mean PM2.5: 89 μg/m3) compared to non-Harmattan season (mean PM2.5: 23 μg/m3). PM2.5 at all sites peaked at dawn and dusk, coinciding with morning and evening heavy traffic. We found about a ~50% reduction (71 vs 37 μg/m3) in mean annual PM2.5 concentrations when compared to measurements in 2006-2007 in Accra. Conclusion: Ambient PM2.5 concentrations in Accra may have plateaued at levels lower than those seen in large Asian megacities. However, levels are still 2- to 4-fold higher than the WHO guideline. Effective and equitable policies are needed to reduce pollution

Journal article

Danko D, Bezdan D, Afshin EE, Ahsanuddin S, Bhattacharya C, Butler DJ, Chng KR, Donnellan D, Hecht J, Jackson K, Kuchin K, Karasikov M, Lyons A, Mak L, Meleshko D, Mustafa H, Mutai B, Neches RY, Ng A, Nikolayeva O, Nikolayeva T, Png E, Ryon KA, Sanchez JL, Shaaban H, Sierra MA, Thomas D, Young B, Abudayyeh OO, Alicea J, Bhattacharyya M, Blekhman R, Castro-Nallar E, Cañas AM, Chatziefthimiou AD, Crawford RW, De Filippis F, Deng Y, Desnues C, Dias-Neto E, Dybwad M, Elhaik E, Ercolini D, Frolova A, Gankin D, Gootenberg JS, Graf AB, Green DC, Hajirasouliha I, Hastings JJA, Hernandez M, Iraola G, Jang S, Kahles A, Kelly FJ, Knights K, Kyrpides NC, Łabaj PP, Lee PKH, Leung MHY, Ljungdahl PO, Mason-Buck G, McGrath K, Meydan C, Mongodin EF, Moraes MO, Nagarajan N, Nieto-Caballero M, Noushmehr H, Oliveira M, Ossowski S, Osuolale OO, Özcan O, Paez-Espino D, Rascovan N, Richard H, Rätsch G, Schriml LM, Semmler T, Sezerman OU, Shi L, Shi T, Siam R, Song LH, Suzuki H, Court DS, Tighe SW, Tong X, Udekwu KI, Ugalde JA, Valentine B, Vassilev DI, Vayndorf EM, Velavan TP, Wu J, Zambrano MM, Zhu J, Zhu S, Mason CE, International MetaSUB Consortiumet al., 2021, A global metagenomic map of urban microbiomes and antimicrobial resistance, Cell, Vol: 184, Pages: 3376-3393.e17, ISSN: 0092-8674

We present a global atlas of 4,728 metagenomic samples from mass-transit systems in 60 cities over 3 years, representing the first systematic, worldwide catalog of the urban microbial ecosystem. This atlas provides an annotated, geospatial profile of microbial strains, functional characteristics, antimicrobial resistance (AMR) markers, and genetic elements, including 10,928 viruses, 1,302 bacteria, 2 archaea, and 838,532 CRISPR arrays not found in reference databases. We identified 4,246 known species of urban microorganisms and a consistent set of 31 species found in 97% of samples that were distinct from human commensal organisms. Profiles of AMR genes varied widely in type and density across cities. Cities showed distinct microbial taxonomic signatures that were driven by climate and geographic differences. These results constitute a high-resolution global metagenomic atlas that enables discovery of organisms and genes, highlights potential public health and forensic applications, and provides a culture-independent view of AMR burden in cities.

Journal article

Leung MHY, Tong X, Bøifot KO, Bezdan D, Butler DJ, Danko DC, Gohli J, Green DC, Hernandez MT, Kelly FJ, Levy S, Mason-Buck G, Nieto-Caballero M, Syndercombe-Court D, Udekwu K, Young BG, Mason CE, Dybwad M, Lee PKHet al., 2021, Characterization of the public transit air microbiome and resistome reveals geographical specificity, Microbiome, Vol: 9, ISSN: 2049-2618

BACKGROUND: The public transit is a built environment with high occupant density across the globe, and identifying factors shaping public transit air microbiomes will help design strategies to minimize the transmission of pathogens. However, the majority of microbiome works dedicated to the public transit air are limited to amplicon sequencing, and our knowledge regarding the functional potentials and the repertoire of resistance genes (i.e. resistome) is limited. Furthermore, current air microbiome investigations on public transit systems are focused on single cities, and a multi-city assessment of the public transit air microbiome will allow a greater understanding of whether and how broad environmental, building, and anthropogenic factors shape the public transit air microbiome in an international scale. Therefore, in this study, the public transit air microbiomes and resistomes of six cities across three continents (Denver, Hong Kong, London, New York City, Oslo, Stockholm) were characterized. RESULTS: City was the sole factor associated with public transit air microbiome differences, with diverse taxa identified as drivers for geography-associated functional potentials, concomitant with geographical differences in species- and strain-level inferred growth profiles. Related bacterial strains differed among cities in genes encoding resistance, transposase, and other functions. Sourcetracking estimated that human skin, soil, and wastewater were major presumptive resistome sources of public transit air, and adjacent public transit surfaces may also be considered presumptive sources. Large proportions of detected resistance genes were co-located with mobile genetic elements including plasmids. Biosynthetic gene clusters and city-unique coding sequences were found in the metagenome-assembled genomes. CONCLUSIONS: Overall, geographical specificity transcends multiple aspects of the public transit air microbiome, and future efforts on a global scale are warranted to in

Journal article

Tayal U, Fecht D, Chadeau-Hyam M, Owen R, Gregson J, Halliday B, Lota A, Gulliver J, Ware J, Pennell D, Kelly F, Shah A, Miller M, Newby D, Prasad Set al., 2021, Air pollution and adverse cardiac remodelling in patients with dilated cardiomyopathy, 70th Annual Scientific Session and Expo of the American-College-of-Cardiology (ACC), Publisher: Elsevier, Pages: 600-600, ISSN: 0735-1097

Conference paper

Karamanos A, Mudway I, Kelly F, Beevers SD, Dajnak D, Elia C, Cruickshank JK, Lu Y, Tandon S, Enayat E, Dazzan P, Maynard M, Harding Set al., 2021, Air pollution and trajectories of adolescent conduct problems: the roles of ethnicity and racism; evidence from the DASH longitudinal study, Social Psychiatry and Psychiatric Epidemiology: the international journal for research in social and genetic epidemiology and mental health services, Vol: 56, Pages: 2029-2039, ISSN: 0933-7954

PurposeNo known UK empirical research has investigated prospective associations between ambient air pollutants and conduct problems in adolescence. Ethnic minority children are disproportionately exposed to structural factors that could moderate any observed relationships. This prospective study examined whether exposure to PM2.5 and NO2 concentrations is associated with conduct problems in adolescence, and whether racism or ethnicity moderate such associations.MethodsLongitudinal associations between annual mean estimated PM2.5 and NO2 concentrations at the residential address and trajectories of conduct problems, and the potential influence of racism and ethnicity were examined school-based sample of 4775 participants (2002–2003 to 2005–2006) in London, using growth curve models.ResultsOverall, in the fully adjusted model, exposure to lower concentrations of PM2.5 and NO2 was associated with a decrease in conduct problems during adolescence, while exposure to higher concentrations was associated with a flattened trajectory of conduct symptoms. Racism amplified the effect of PM2.5 (β = 0.05 (95% CI 0.01 to 0.10, p < 0.01)) on adolescent trajectories of conduct problems over time. At higher concentrations of PM2.5, there was a divergence of trajectories of adolescent conduct problems between ethnic minority groups, with White British and Black Caribbean adolescents experiencing an increase in conduct problems over time.ConclusionThese findings suggest that the intersections between air pollution, ethnicity, and racism are important influences on the development of conduct problems in adolescence.

Journal article

Naraki H, Keshavarzi B, Zarei M, Moore F, Abbasi S, Kelly FJ, Dominguez AO, Jaafarzadeh Net al., 2021, Urban street dust in the Middle East oldest oil refinery zone: oxidative potential, source apportionment and health risk assessment of potentially toxic elements, Chemosphere, Vol: 268, ISSN: 0045-6535

The current study is the intented to investigate the intensity of pollution, source characterization, oxidative potential, and human health risks of fourteen potentially toxic elements in the street dust of the Middle East oldest oil refinery zone. Thirty five street dust samples were collected from various regions in Abadan and Khorramshahr cities. The mean concentration of As, Mo, Cu, Pb, Hg, Zn, Cd, and Sb in Abadan street dust were 5.55, 3.39, 83.68, 49.82, 4493.54, 281.24, 1.15,and 1.17, while in Khorramshahr As, Mo, Cu, Pb, Hg, Zn, Cd, and Sb were.14, 2.58, 74.35, 56.50, 0.74, 214.26, 0.62, and 1.18, respectively. The concentration of these elements in both cities is higher than the local background values. Potential ecological risk index and pollution load index at all stations of both cities are greater than 1, indicating a high pollution load in the study area. Calculated enrichment factor showed high enrichment of Hg, Sb, Cd, Mo, Cu, Pb, and Zn in both areas. Of particular concern is the enrichment factor for mercury which proved to be 3370.54 ppb in the vicinity of the petrochemical unit in Abadan city (EF > 40). The results of positive matrix factorization receptor model together with geochemical maps and multivariate statistics indicated that industrial activities (especially petrochemical industries) are responsible for Hg, Cu, and Zn pollution, while exhaust emissions are responsible for Mo, Pb, Cd, and Sb, and natural sources for Al, Cr, Mn, Fe, Co, and Ni. The percentage of OPAA in the region ranged from 15.1 to 26.4 and OPGSH ranged from 9.5 to 24.4. The percentage of OPTOTAL/μg (OPAA/μg + OPGSH/μg) values varied between 0.6 and 1. The health risk evaluation models indicated that specific attention should be paid to Hg, Cd, Pb, and Zn and that the higher oxidative potential of street dust recovered from polluted locations is also a matter of concern in Abadan and Khorramshahr Cities.

Journal article

Zongbo S, Barratt B, Bloss W, Coe H, Doherty R, Fu P, Guan D, Grimmond S, Guo X, Hamilton J, Harrison R, He K, Heard D, Hewitt N, Lee J, Lewis A, Li J, Loh M, Jones R, Kalbrer M, Kelly F, Miller M, Monks P, Nemitz E, Palmer P, Reeves C, Longyi S, Shi Z, Shengui T, Wang X, Whalley L, Wild O, Wu Z, Zheng M, Zhang Q, Zhu Tet al., 2021, Atmospheric pollution and human health in a Chinese megacity (APHH-Beijing) programme, Atmospheric Pollution and Human Health in a Chinese Megacity (APHH-Beijing) Programme

In 2016, over 150 UK and Chinese scientists joined forces to understand the causes and impacts - emission sources, atmospheric processes and health effects - of air pollution in Beijing, with the ultimate aim of informing air pollution solutions and thus improving public health. The Atmospheric Pollution and Human Health in a Chinese Megacity (APHH-Beijing) research programme succeeded in delivering its ambitious objectives and significant additional science, through a large-scale, coordinated multidisciplinary collaboration. APHH-Beijing conducted the largest international air pollution field campaigns to date in Beijing in 2016 and 2017, generating new insight into air pollution characteristics using novel observational and modelling tools. The multi-faceted capabilities of the APHH-Beijing team addressed key policy-relevant air pollution challenges, such as the role of road traffic and long-range transport in influencing air quality, by combining approaches across disciplines, institutions and countries. To date, the APHH Beijing team has contributed to over 400 international peer-reviewed scientific journal papers including in multidisciplinary journals and 47 in the APHH-Beijing Atmospheric Chemistry & Physics / Atmospheric Measurement Techniques special Issue. More importantly, APHH-Beijing generated a range of scientific insights which can support the development of mitigation strategies to improve air quality and public health and reduce air quality inequality. In this report, we highlight some of the research outcomes that have potential implications for policymaking:

Report

Zazouli MA, Dehbandi R, Mohammadyan M, Aarabi M, Dominguez AO, Kelly FJ, Khodabakhshloo N, Rahman MM, Naidu Ret al., 2021, Physico-chemical properties and reactive oxygen species generation by respirable coal dust: implication for human health risk assessment, Journal of Hazardous Materials, Vol: 405, ISSN: 0304-3894

This study investigates the mineralogy, micro-morphology, chemical characteristics and oxidation toxicity of respirable dusts generated in underground coal mines. The active sampling was applied to collect airborne particulates with aerodynamic diameter <4 µm (PM4) at depth greater than 500 m from earth surface. The average mass concentration of PM4 was extremely higher than recommended values. QXRD and FESEM-EDS analyses were applied to study the micro-mineralogy and micro-morphology of respirable dusts. The chemical analysis by ICP-MS revealed an enrichment of V, Cr, Cu, Zn, As, Ag, Cd and Sb in respirable dust compared with the background environment and world coals. The EPA’s health risk model showed that the health risk posed by Cr and Co in all workplaces exceeded the acceptable risk value for human health. The synthetic respiratory tract lining fluid (RTLF) model was utilized to achieve a novel insight into the toxicity of respirable coal dust. The result showed an overall depletion of lung surface antioxidants with the decreasing trend of ascorbic acid > reduced glutathione >> urate, implying low- to medium level of oxidative stress. The result of this study can be applied globally by decision-makers to decrease hazardous exposure of mine workers to respirable dust.

Journal article

Han Y, Chatzidiakou L, Yan L, Chen W, Zhang H, Krause A, Xue T, Chan Q, Liu J, Wu Y, Barratt B, Jones RL, Zhu T, Kelly FJet al., 2021, Difference in ambient-personal exposure to PM2.5 and its inflammatory effect in local residents in urban and peri-urban Beijing, China: results of the AIRLESS project, Faraday Discussions, Vol: 226, Pages: 569-583, ISSN: 1359-6640

Measurement of ambient fine particulate matter (PM2.5) is often used as a proxy of personal exposure in epidemiological studies. However, the difference between personal and ambient exposure, and whether it biases the estimates of health effects remain unknown. Based on an epidemiological study (AIRLESS) and simultaneously launched intensive monitoring campaigns (APHH), we quantified and compared the personal and ambient exposure to PM2.5 and the related health impact among residents in Beijing, China. In total, 123 urban and 128 peri-urban non-smoking participants were recruited from two well-established cohorts in Beijing. During winter 2016 and summer 2017, each participant was instructed to carry a validated personal air monitor (PAM) to measure PM2.5 concentration at high spatiotemporal resolution for seven consecutive days in each season. Multiple inflammatory biomarkers were measured, including exhaled NO, blood monocytes counts and C-reactive protein. Linear mixed-effect models were used for the associations between exposure and health outcomes with adjustment for confounders. The average level of daily personal exposure to PM2.5 was consistently lower than using corresponding ambient concentration, and the difference is greater during the winter. The personal to ambient (P/A) ratio of exposure to PM2.5 exhibited an exponentially declining trend, and showed larger variations when ambient PM2.5 levels < 25 μg m−3. Personal exposure to PM2.5 was significantly associated with the increase in respiratory and systemic inflammatory biomarkers; however, the associations were weaker or became insignificant when ambient concentrations were used. Exposure to ambient PM2.5 might not be a good proxy to estimate the health effect of exposure to personal PM2.5.

Journal article

Hanigan G, Min H, Gallardo L, Kelly F, Kumar P, Lyu X, Mullins B, Nordstrøm C, Pereira G, Querol X, Thompson H, Russell A, Wang H, Wang T, Wierzbicka A, Xue T, Ye Cet al., 2021, Will the plague of severe urban air pollution episodes continue?, Natural Science Review

Journal article

Annesi-Maesano I, Forastiere F, Balmes J, Garcia E, Harkema J, Holgate S, Kelly F, Khreis H, Hoffmann B, Maesano CN, McConnell R, Peden D, Pinkerton K, Schikowski T, Thurston G, Van Winkle LS, Carlsten Cet al., 2021, The clear and persistent impact of air pollution on chronic respiratory diseases: a call for interventions, European Respiratory Journal, Vol: 57, ISSN: 0903-1936

Journal article

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