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This study examines the impact of in utero exposure to ambient particulate matter (PM) on neonatal health outcomes, utilizing comprehensive population-level birth records from South Korea for pregnancies between 2016 and 2019. To address potential endogeneity concerns, the analysis adopts wind direction as an instrumental variable for prenatal PM exposure. The findings indicate that exposure to PM during the first trimester significantly increases the likelihood of preterm birth, and this effect remains robust across a range of model specifications. Because PM2.5 and PM10 co-move, we interpret the estimates as effects of broader particulate pollution rather than PM2.5 alone. Moreover, the estimated impacts are consistent across different socioeconomic strata. These results highlight the critical importance of environmental health during early pregnancy and suggest that in low-fertility, late-childbearing societies such as South Korea, environmental protection efforts should be closely aligned with maternal health policies.
The multifactorial risk landscape for depression includes endogenous and exogenous factors ranging from biological sex (higher risk in women), genetics, sex hormones, personality, chronic stress, and environmental toxins. Lower testosterone is associated with worse mood in men, and testosterone replacement therapy has been shown to improve depression symptoms in men with hypogonadism (i.e., having chronically low testosterone levels). In women, the association between testosterone and depression risk is unclear. Women’s mood often follows the cyclical changes in their hormone levels during the menstrual cycle. More broadly, the monoamine hypothesis of depression has long been dominant in psychiatry. The hypothesis posits that the central mechanism underlying clinical depression is the depletion of monoamines (noradrenaline, serotonin, and dopamine) and the resulting downregulation of neurotransmission. Recent large-scale genetic research does not, however, lend support to the hypothesis. Despite decades of behavioral genetic research, there seems to be no single gene that explains why some people are more likely to get depressed than others. Genes do play a role in depression risk, but the risk is polygenic, likely consisting of small effects found across hundreds of genetic loci. Genetics alone do not by any means wholly dictate a person’s mental health trajectory.
An evolutionary approach to depression seeks to analyze whether similar behavioral patterns that characterize depression in humans also occur in nonhuman animals – and if so, whether the events or circumstances that trigger such behaviors are analogous between humans and nonhuman animals. In nonhuman animals, triggers fvof depression-like behaviors include circumstances like being kept at zoos, being exposed to air pollution, experiencing sleep disturbances, or experiencing various stressors like electric shocks or separation from mother. In humans, evolutionary psychiatrists have criticized the diagnostic methods of depression used in psychiatry, partially because depressed mood is automatically classified as a disorder regardless of what caused it. An evolutionary perspective recognizes the possibility that negative emotions and mood states can be beneficial to the individual under some circumstances. This approach can help clarify the contexts, causes, adaptive functions (if any), and possible maladaptive manifestations of depressive symptoms, providing a framework for more intelligent, personalized, effective treatment strategies. Anthropological evidence indicates that depression is much more common in populations with contemporary western lifestyles than in populations with traditional or ancestral lifestyles. Understanding depression through an evolutionary lens helps clarify its biological roots, environmental triggers, and the reasons for its increasing prevalence in the modern world.
Air pollution has been identified as the single largest environmental health risk by the World Health Organisation. Existing legal instruments are inadequate to respond to the scale of the challenge. The question of how to design more efficient, as well as more just, legal systems is becoming increasingly pressing. The essay identifies three sets of ethical conundrums that decision-makers must confront when regulating air pollution – related to why govern, how to govern, and where to govern. It uses the planetary boundary framework that identifies the processes that regulate the stability of the Earth system, as a conceptual lens, to explore the ethical implications behind the motivations driving air quality governance, the framing of a complex environmental problem and the global governance of localized impacts. In doing so, the essay reflects on how the design of more ethically oriented legal systems can enhance environmental law’s response to planetary problems.
This chapter covers the interactions of urbanization with weather and climate. It begins with definitions of weather, climate, and climate change, and examples of urban interactions with weather and climate. Then urban impacts on temperatures and precipitation are reviewed. Thereafter, the reasons underlying these effects, including city structure, size, waste heat, and pollution, are described. This chapter concludes with explanations of the radiation budget and energy balance, which are central for understanding the city-climate interactions. This concluding sections are tailored to advanced readers with an interest in an in-depth understanding of physical processes underlying city effects on weather and climate.
Armed conflicts can deteriorate environmental conditions, including air quality, yet their short-term health implications remain underexplored. This study assessed the impact of the 2024 Beirut conflict on air pollution and associated respiratory and dermatological risks.
Methods
Satellite-derived air pollution concentrations for Beirut’s Southern Suburbs were compared between the pre-war period (Aug. 1-Sep. 22, 2024) and the war period (Sep. 23-Nov. 29, 2024), using Mann-Whitney U and independent t-tests. Ground-level PM2.5 was measured across 5 sites from October 25 to November 3, 2024. Relative risk (RR) and attributable risk percentage (AR%) for hospital admissions were estimated using exposure-response functions from the Beirut Air Pollution and Health Effects (BAPHE) study. WHO’s AirQ+ tool was applied for the validation of respiratory outcomes.
Results
Median PM2.5 increased from 15.11 μg/m3 pre-war satellite period to 20.21 μg/m3 during the war. Ground-measured wartime median increased from 19.33 μg/m3 to 22.16 μg/m3 in the direct war zone (DWZ). Wartime respiratory admissions increased modestly (RR = 1.011, AR% = 1.13%) in DWZ, while skin disease admissions were higher in DWZ (RR = 1.032, AR% = 3.10%). AirQ+ estimates were aligned with BAPHE-based findings.
Conclusion
The 2024 Beirut conflict elevated air pollution, with measurable short-term health impacts, underscoring the need for environmental monitoring and preparedness during armed conflicts.
This study examines the association between air pollution exposure and health using a representative survey sample from Siddharthanagar municipality of Nepal. Our data on household characteristics, spatial locations and individual lung function allow us to understand heterogeneity in exposure and respiratory health. We examine exposure differential through three potential mechanisms – occupation, residence and exposure avoidance. We employ a simultaneous equations model to account for the endogenous choice of avoidance and spatial error models to control for the spatial spillover of health outcomes. We find that outdoor workers and those residing near brick kilns have lower lung function. Exposure avoidance positively correlates with lung function. Exposure avoidance, however, is low among marginalized outdoor workers and individuals residing in polluted areas, further exacerbating the exposure gap among socioeconomic subgroups. The study advances the case of environmental inequity through the ‘triple jeopardy’ of low socioeconomic status, exposure differences and poor health.
As a major metropolitan city, London faces persistent road congestion and severe air pollution. To address these issues, static electronic road pricing (ERP) models have been implemented. While effective, these are inherently limited in flexibility. This paper explores dynamic ERP models to improve upon static pricing by minimizing air pollution and traffic congestion within the Congestion Charge Zone. The problem is formulated as a multi-stakeholder multi-objective optimization problem, incorporating the perspectives of three stakeholders—the government, vehicle owners, and environmental organizations—and three objectives: air pollution, traffic congestion, and price. The NSGA-II optimization algorithm was applied on a representative day and demonstrated substantial improvements. The concentration of PM$ {}_{2.5} $—the more harmful pollutant—was reduced by up to 23%, while NO2 levels fell by 2–3%. Traffic flow, used as a proxy for congestion, decreased by approximately 3–4% during peak hours. These improvements were achieved with only a modest increase in the mean price to £12.51 (from a baseline of £11.50), with a standard deviation of £1.59 and a variance of £2.43 across hourly prices. These results suggest that targeted dynamic pricing—when aligned with environmental and behavioural incentives—can deliver measurable gains in urban air quality and congestion without imposing a significant cost burden on drivers. A core novelty of this work lies in its practical, stakeholder-inclusive problem formulation. While the approach assumes infrastructure for automated price deduction and routing, this limitation can be addressed in future work through advances in vehicle–infrastructure communication systems.
We estimate the causal effects of local officials’ growth preferences on air pollution. Leveraging the unprecedented and uneven economic shocks caused by COVID-19, which resulted in substantial changes in gross domestic product growth rankings, we analyse variations in growth preferences. Our findings reveal that a 10-unit change in growth rankings leads to significant increases in Air Quality Index and ambient pollutant concentrations. Key predictors of this increased pollution include factors sensitive to governmental influence, such as fixed investments, industrial activities and registration requirements for polluting companies. Finally, we characterize the cautious behaviours of local officials in balancing economic and environmental objectives within China's context of multiple, yet unequally weighted, tasks. Our study illuminates how growth preferences contribute to environmental consequences and underscores the strategic responses with political motivations to meet dual conflicting targets set by higher authorities.
Using the synthetic difference-in-differences method, this study evaluates the comprehensive effects of the ‘coal-to-gas’ policy in China following its complete implementation in 2017. We propose four channels through which the policy could affect the air quality in untreated cities. The findings reveal a significant decrease in air pollution levels, as measured by PM10, in both the treated and untreated areas. However, the net spillover effect in the treated and untreated areas exhibits heterogeneous spatial distribution patterns due to different mechanisms. These differences could be related to the political economy and natural geography of China.
As environmental devastation in the Mono Basin gathered speed, local resistance gathered force. Scientists who studied the unique geologic and biological resources in the area raised the alarm of impending ecologic collapse. Residents feared for their health and their livelihoods, as water exports eroded the lake at the center of their public lands tourism economy. Gradually, a coalition of locals, students, scientists, birders, fishers, hunters, lawyers, politicians, and government agency staff coalesced around the idea that something had to be done. This chapter explores how that unlikely coalition joined together to mobilize political support for the lake’s preservation, reviewing the origins of the Mono Lake advocacy movement and the strategic legal and political choices they made in laying foundation for the eventual litigation.Volunteers launched a state-wide campaign to “Save Mono Lake,” raising awareness while cultivating relationships with the Angelenos who relied on exported Mono Basin water. The campaign eventually drew inspiration from a good idea, published by a legal scholar and championed by a student who read it in college: the common law public trust doctrine.
Climate change is increasingly recognized as a public health challenge, with emerging evidence linking climate-related factors to suicidality. A search was conducted in PubMed, Scopus, PsycINFO, Web of Science and Google Scholar following the PRISMA guidelines. The studies that assessed the association between climate indicators and suicidality were included, and risk of bias was assessed using MMAT and ROBINS-E. A total of 43 studies met the inclusion criteria, covering various geographic regions and populations. Rising ambient temperatures were the climate variable most frequently studied, with multiple studies showing a significant increase in suicide rates linked to higher temperatures, particularly during the summer months, especially among females. Seasonal variations, including heatwaves and extreme cold, were associated with increased suicidality. Additionally, extreme weather events such as floods, droughts and storms correlated with higher suicide risks, particularly in vulnerable populations, including older adults and individuals with pre-existing mental health conditions. Air pollution, particularly exposure to PM2.5, NO2 and SO2, was also found to contribute to suicidality. Most of the studies originated in high-income countries, highlighting a gap in research from low- and middle-income countries (LAMICs), where the impacts of climate change may be more severe but remain understudied. Although two studies examined suicidal ideation, the overwhelming majority of the evidence focused on suicide mortality, underscoring the marked under-representation of non-fatal suicidality outcomes in the existing literature. The findings suggest that climate change plays an important role in suicidality, with increasing temperatures, extreme weather and air pollution acting as key risk factors. As climate stressors grow, it is crucial to integrate them into mental health and suicide-prevention policies. More research, especially in underrepresented regions, is needed to guide effective interventions.
Extensive evidence links air pollution exposure to cognitive decline; however, it remains unclear whether cognitive reserve and brain reserve modify this association. We examined the moderating roles of cognitive reserve contributors and brain reserve in the association between air pollution and cognitive function in dementia-free adults.
Methods
Cross-sectional data were obtained from 650 participants who underwent 3T brain magnetic resonance imaging and completed the Montreal Cognitive Assessment (MoCA). Cognitive reserve contributors were assessed based on education, occupation, and social engagement. Brain reserve was quantified using the ventricle-to-brain ratio derived from brain scans. Five-year average concentrations of particulate matter with diameters ≤10 and ≤2.5 μm and nitrogen dioxide were estimated based on residential addresses. Partial least squares structural equation modeling was applied to construct latent variables representing the air pollution mixture and composite cognitive reserve (contributors). Analyses examined whether cognitive reserve contributors and brain reserve modified associations of air pollution with MoCA scores and suspected mild cognitive impairment.
Results
In individuals with an average level of cognitive reserve, a 1–standard deviation increase in air pollution mixture was associated with a 0.24-point decrease in MoCA scores (95% confidence interval [CI]: −0.31 to −0.16). This association was attenuated in individuals with higher cognitive reserve (β = −0.12; 95% CI: −0.25 to 0.02) and intensified in those with lower cognitive reserve (β = −0.36; 95% CI: −0.37 to −0.35). The moderating effect of brain reserve was not significant.
Conclusions
Higher cognitive reserve may mitigate the effects of air pollution on cognitive function.
Why do we want to transition all of our energy to clean, renewable energy? Why don’t we just continue burning fossil fuels until they run out, which may be in 50 to 150 years? For three major reasons. Namely, fossil fuels today cause massive air-pollution health damage, climate damage, and risks to the world’s energy security. These three problems, which have the same root cause, require immediate and drastic solutions. The longer we wait to solve these problems, the more the accumulated damage. This chapter examines each problem, in turn.
Poor air quality has been affecting the Chinese people for many years due to the country’s speedy industrialization and urbanization. However, very few initiatives had been taken by civil society until 2011. The air pollution campaign between October 2011 and March 2012 initiated on a Chinese microblogging website, mobilized millions of citizens and effected policy change. It is often seen as a milestone in the chronology of public participation in China. Using process tracing, participant observations, framing analysis and in-depth interviews, the article analyses this campaign by revealing its major actors and frames mobilizing issue entrepreneurs and environmental publics. Our analysis generates two findings: first, microblogging platforms can greatly expand the networks of Chinese environmental activists by involving public figures and governmental agencies; second, the frame which links air pollution to health and appreciates governmental efforts is critical to the success of civic participation in China’s environmental governance.
Air pollution remains a major challenge, especially in developing countries, requiring joint efforts from governments and society. This study examines how mass media, through its emotional tone, functions as an informal regulator of air pollution in China’s “war on air pollution”. Using daily data on media sentiment, air quality and related variables across Chinese cities, we find that negative emotional tones in environmental news are significantly associated with lower pollution levels. We identify mechanisms through which media influence public awareness, trigger government responses and pressure firms to reduce emissions. Our findings highlight the media’s role beyond information dissemination to shape agendas and social norms, even in contexts with restricted press freedom. This study offers new insights into how emotional framing in mass media contributes to environmental governance in developing countries.
Building collapses, debris removal, new construction, and increased stove use for heating have elevated air pollution in regions affected by the February 6, 2023, Kahramanmaraş earthquake. This study examines the relationship between carbon monoxide (CO) poisoning and air pollution in these areas 1 year after the disaster.
Methods
A retrospective analysis of 151 patients from 10 hospitals in 8 cities was conducted, including data on demographics, clinical symptoms, sources of CO exposure, vital signs, laboratory findings, air pollution levels, and outcomes.
Results
Indoor stove use was the primary source of CO exposure. The average Air Quality Index (AQI) was 55 (IQR 44-56), and particulate matter (PM2.5) levels averaged 17.5 μg/m3 (IQR 10-27), exceeding EPA (Environmental Protection Agency) thresholds. AQI levels post-earthquake were significantly higher than pre-earthquake in Kahramanmaraş (AQI1 = 48.5 [IQR 48-55], AQI2 = 55 [IQR 55-80]; P = 0.007), Hatay (AQI1 = 40.5 ± 13.7, AQI2 = 56 [IQR 51-60.5]; P <0.001), and Gaziantep (AQI1 = 44 [IQR 41-56], AQI2 = 55 [IQR 54-55.5]; P = 0.014). Leukocytosis (P = 0.004) and myocardial injury (P <0.001) in CO poisoning cases varied significantly across provinces.
Conclusions
In conclusion, elevated AQI and PM2.5 levels likely worsened myocardial injury in CO poisoning cases due to combined outdoor and indoor pollution effects. These findings emphasize the need for air quality monitoring and mitigation in disaster regions.
New York City’s policy efforts in the first two decades of the twenty-first century emphasize the potential for local governments to materially improve their local environments. During the mayoralty of Michael Bloomberg (2002-2013), the city government sought from the top to remake the city’s physical environment to appeal to postindustrial elites to promote local economic development. Under Mayor Bill de Blasio (2014-2021), the administration explicitly prioritized equity alongside economic growth and this commitment was reflected in environmental policy in a focus on investing in community parks. Under both mayors, environmental policy came from community groups, as well as city leaders. For example, across the two administrations, prominent environmental justice advocates prompted the city to adopt measures to address longstanding inequities in the allocation of responsibility for solid waste management, although the injustices persisted at the end of the de Blasio administration. Overall, the history of New York City’s efforts to address problems such as lack of greenspace, contaminated lands, and solid waste management underscores that change can come from the top and the bottom, but that there are legal, fiscal and other constraints on the ability of cities to address even paradigmatically local environmental problems.
Despite the substantial evidence linking particulate matter exposure to adverse health outcomes, a large portion of the global population, particularly in low-income countries, continues to rely on highly polluting fuels, such as wood, for cooking and heating. This study evaluates the immediate effects of wood-burning restrictions, which are triggered by air quality warnings, on levels of fine (PM2.5) and coarse (PM10) particulate matter in southern Chile. Using a difference-in-differences design that incorporates pre-policy data, we provide plausible causal estimates indicating that wood-burning restrictions lead to significant reductions in hourly PM10 and PM2.5 concentrations during the most severe air quality warning. Additional analyses, including a regression discontinuity design, further support these findings. While our analysis suggests that wood-burning restrictions are effective, they may not be sufficient to reduce air pollution concentrations to levels that are considered safe for public health.