Does Air Pollution Increase Depression and Suicide?
Now, the first review of studies linking air pollution and mental health problems has found that exposure to air pollution increases the risk of depression and suicide.
"We already know that air pollution is bad for people's health, with numerous physical health risks ranging from heart and lung disease to stroke and a higher risk of dementia," lead author Dr. Isobel Braithwaite of University College London (UCL) said in a press release. "Here, we're showing that air pollution could be causing substantial harm to our mental health as well, making the case for cleaning up the air we breathe even more urgent."
NOW AVAILABLE: A review of the epidemiological literature supports an association between long-term PM2.5 exposure… https://t.co/6GSN89XMEr— Environmental Health Perspectives (@Environmental Health Perspectives)1576688703.0
The review, published in Environmental Health Perspectives Wednesday, looked at data from 16 different countries gathered between 1974 and September of 2017. The researchers found 25 studies that met their criteria and used them to assess the association between particulate matter exposure and depression, suicide, anxiety, bipolar disorder and psychosis. The strongest links were between exposure and depression and suicide, New Scientist explained. They found a limited association with anxiety and none with bipolar disorder or psychosis.
A person who spends six months in an area with twice the World Health Organization's (WHO) fine particulate matter (PM2.5) limit of 10 micrograms per cubic metre of air (μg/m3) would have a 10 percent greater chance of developing depression than someone living in a place that met the limit, the study found.
This means that reducing air pollution to the EU's legal limit of 25µg/m3 could substantially reduce depression around the world, Braithwaite told The Guardian.
"You could prevent about 15% of depression, assuming there is a causal relationship. It would be a very large impact, because depression is a very common disease and is increasing," she said.
The researchers also found that a short term increase in coarse particulate matter (PM10) exposure could increase suicide risk. If PM10 levels rose by 10µg/m3 for three days, suicide risk went up by 2 percent, the press release explained. The researchers ruled out other potential causes of risk, such as weather or the day of the week.
"This is something everyone is exposed to, so at the population level it is potentially concerning," Braithwaite told The Guardian.
Correlation or Causation?
Researchers are still not sure if air pollution actually causes mental health problems, or if it is merely associated with them. There is evidence that a physical mechanism could be in play.
"We know that the finest particulates from dirty air can reach the brain via both the bloodstream and the nose, and air pollution has been implicated in increased neuroinflammation, damage to nerve cells and to changes in stress hormone production, which have been linked to poor mental health," Braithwaite said in the press release.
The studies included in the review also ruled out many other factors that could influence mental health, such as income, education, employment and other health factors like smoking and obesity, The Guardian explained. The results also covered a wide variety of locations.
"This is a comprehensive review over a 40-year period," Ioannis Bakolis of King's College London, who was not involved in the research, told The Guardian. "Although the studies included were from different parts of the world – e.g. China, the U.S., Germany – and varied in sample size, study design and measures of depression, the reported associations were very similar."
However, the studies could not rule out the influence of noise or access to green space, New Scientist pointed out.
But senior study author Dr. Joseph Hayes of UCL pointed out that tackling air pollution would improve mental health even if it is not the direct cause of depression or suicide risk.
"A lot of what we can do to reduce air pollution can also benefit our mental health in other ways, such as enabling people to cycle or walk rather than drive, and enhancing access to parks, so this adds support to the promotion of active travel and urban green spaces," he said in the press release.
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By Julia Conley
A new campaign unveiled this weekend by the nonprofit organization Fossil Free Media aims to expand on the goals of the fossil fuel divestment movement, cutting into oil and gas companies' profit margins through their public relations and ad campaigns.
<div id="1dcf1" class="rm-shortcode" data-rm-shortcode-id="d5e39a5a3812bc2589ba8aa0563756e0"><blockquote class="twitter-tweet twitter-custom-tweet" data-twitter-tweet-id="1330177734799208465" data-partner="rebelmouse"><div style="margin:1em 0">PR and ad companies' work for the fossil fuel industry is pushing the planet past the breaking point.… https://t.co/wOuDBM26ne</div> — Clean Creatives (@Clean Creatives)<a href="https://twitter.com/cleancreatives/statuses/1330177734799208465">1605974060.0</a></blockquote></div>
<div id="21b90" class="rm-shortcode" data-rm-shortcode-id="bdc23e69ff18075b4fb5df6d4939b9f5"><blockquote class="twitter-tweet twitter-custom-tweet" data-twitter-tweet-id="1330205383848288257" data-partner="rebelmouse"><div style="margin:1em 0">Porter Novelli isn't some small shop: they've got offices and clients in 60 countries and are part of @Omnicom, the… https://t.co/iw0BCmrdzx</div> — Jamie Henn (@Jamie Henn)<a href="https://twitter.com/jamieclimate/statuses/1330205383848288257">1605980652.0</a></blockquote></div><p>"It's a BIG deal that they're dropping fossil fuel clients—let's make sure it's the drop that starts a flood," wrote Henn. </p>
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By Jason Farley
COVID-19 has disrupted our daily lives, and it is poised to completely disrupt the holiday season. As people make holiday plans and think about ways to reduce the risks to their loved ones, a strategy is essential.
Are masks really necessary at family gatherings?<p>If you're gathering with friends and family who don't live in your home, yes. Just because you're with people you know doesn't mean you're safe from the coronavirus. Infection rates are <a href="https://coronavirus.jhu.edu/data/new-cases-50-states" target="_blank" rel="noopener noreferrer">higher now than they have ever been</a> in the U.S., and <a href="https://youtu.be/ehdgceGzQxs" target="_blank" rel="noopener noreferrer">small gatherings have been a source</a> of viral spread. All it takes is one infected person who doesn't know they have the coronavirus to infect others.</p><p>Remember, people can be <a href="https://medical.mit.edu/covid-19-updates/2020/07/how-long-symptom-onset-person-contagious" target="_blank" rel="noopener noreferrer">contagious two to three days</a> before symptoms show – that's one thing that makes this virus so hard to stop. And it's why, even if you feel fine, you should wear a mask.</p><p>The Centers for Disease Control and Prevention now estimates that when both people are wearing masks, the <a href="https://www.cdc.gov/coronavirus/2019-ncov/more/masking-science-sars-cov2.html" target="_blank">likelihood of infection is low</a>.</p>
Who am I protecting when I wear a mask?<p>In a word: everyone. The coronavirus <a href="https://theconversation.com/aerosols-are-a-bigger-coronavirus-threat-than-who-guidelines-suggest-heres-what-you-need-to-know-142233" target="_blank">spreads through respiratory droplets</a> that you send out into the air when you talk, sing or even just breathe. The tiniest of these droplets can float on air currents for long periods.</p><p>Face masks stop many of those droplets, reducing the amount of virus in the air. That lowers your chances of getting infected, and it also lowers the chances that you'll infect someone else.</p><p><a href="https://www.cdc.gov/coronavirus/2019-ncov/more/masking-science-sars-cov2.html" target="_blank">Studies of people who had prolonged exposure</a> to others with COVID-19 have demonstrated how masks can reduce the chance of the virus spreading. In general, <a href="https://www.cdc.gov/coronavirus/2019-ncov/more/masking-science-sars-cov2.html" target="_blank" rel="noopener noreferrer">well-fitted cloth masks</a> made up of multiple layers can stop most large droplets and at least half of the tiny ones. Plastic <a href="https://doi.org/10.1101/2020.10.05.20207241" target="_blank" rel="noopener noreferrer">face shields</a> alone are far less effective. <a href="https://www.washingtonpost.com/health/2020/08/13/cdc-mask-guidance-masks-valves/" target="_blank" rel="noopener noreferrer">Face masks with valves or vents</a> might be good for construction work, but they don't stop the wearer from breathing out virus into the air.</p>
Can I reuse a mask and when should I replace it?<p>Reusable masks should be kept clean and dry. We're moving into cold and flu season, and noses get drippy. A rule of thumb: Anytime a mask is wet to the point that you can discern the wetness, it's time for a new one if it's disposable, or it's time to clean your reusable mask.</p><p>Wetness allows viruses to more easily move through paper or fabric because it allows the threads to move and may reduce the electrostatic charge in the masks that add extra protection with some fabrics.</p><p>In general, you can use a mask that stays clean and dry for about a week before you need to wash or discard it.</p>
How should I clean a cloth mask?<p>Washing your mask is like washing your clothes. You know when it is time.</p><p>In general, <a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wash-cloth-face-coverings.html" target="_blank">cleaning your mask weekly</a> should be sufficient. If odors develop before then, it's a good idea to wash it sooner. Odor generally means bacterial buildup.</p><p>Cleaning your mask by hand with soap and water is your best option. Using a general detergent on a gentle cycle in the washing machine is also fine, but that may increase the risk of damage, depending on the quality of the material. COVID-19 is not a hardy virus. Any soap or detergent should work fine. There's no need for special chemicals, bleach or harsh soaps.</p><p>Be careful to remove any inserts before washing. Inserted filters are generally not washable.</p><p>Air drying masks works best. Remember, masks should be completely dry before use. So be sure to have a replacement mask handy while the one you just washed dries.</p><p>Sunlight is always a great source of heat to dry your mask. Also, sunlight has ultraviolet radiation, which has been shown to <a href="http://doi.org/10.1111/php.13293" target="_blank" rel="noopener noreferrer">eliminate coronavirus</a> and is also known to have antibacterial properties.</p>
Can I wear the mask below my nose?<p>Wearing your mask below your nose is, frankly, ridiculous.</p><p>Think about it. If you are breathing through your nose and only covering your mouth, you are effectively eliminating the point of the mask. Properly wearing a mask requires covering both your nose and mouth at all times.</p><p>Studies show that wearing a proper cloth mask or surgical mask while exercising <a href="http://doi.org/10.1513/AnnalsATS.202008-990CME" target="_blank">doesn't affect the flow of oxygen</a> or carbon dioxide in any detectable way. So, unless you have serious heart and lung problems, that isn't an excuse.</p>
How do I safely remove my mask if I’m going to eat or drink?<p>When you <a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wash-cloth-face-coverings.html" target="_blank">take your mask off</a>, remove it carefully by the straps without touching anything else and put it somewhere safe, like wrapped in paper in a purse, bag or pocket. Then wash your hands or use hand sanitizer. When you put it back on, wash your hands again.</p>
So, how can I have a safe holiday gathering?<p>The safest way to celebrate this year is to do so with members only within your household. The <a href="https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/holidays.html" target="_blank" rel="noopener noreferrer">CDC is now stressing that point</a>, as well. If you do celebrate with friends and relatives from outside your household, you need an action plan to reduce the risk of exposure.</p><p>Here are five recommendations:</p><ul><li>Limit the number of people – fewer people means fewer opportunities for exposure, and you'll have more room to spread out.</li><li>Require masks when not eating or drinking.</li><li>Use physical distancing when eating. Try to seat people <a href="https://doi.org/10.1136/bmj.m3223" target="_blank" rel="noopener noreferrer">at least 6 feet apart</a>. Eat outside if you can.</li><li>Consider being tested for COVID-19 before traveling or gathering. It's not a guarantee, but it can help flag illnesses. Remember to self-isolate between the test and the event.</li><li>Be prepared to self-isolate for 14 days after traveling or participating in any event that involves people from outside your home.</li></ul><p>[<em>Research into coronavirus and other news from science</em> <a href="https://theconversation.com/us/newsletters/science-editors-picks-71/?utm_source=TCUS&utm_medium=inline-link&utm_campaign=newsletter-text&utm_content=science-corona-research" target="_blank" rel="noopener noreferrer">Subscribe to The Conversation's new science newsletter</a>.]</p><p><em>The map has been updated with New Hampshire announcing a mask mandate effective Nov. 20.</em></p><p><em>Jason Farley is a professor, infectious disease-trained epidemiologist and nurse practitioner at the Johns Hopkins University School of Nursing.<br></em></p><p><em>Disclosure statement: Jason Farley, PhD, MPH, ANP-BC, FAAN receives funding from the National Institutes of Health on the Rapid Acceleration of Diagnostics for COVID-19 and Becton Dickinson for studies on SARS-CoV-2 diagnostics.</em></p><p><em>Reposted with permission from <a href="https://theconversation.com/why-face-masks-belong-at-your-thanksgiving-gathering-7-things-you-need-to-know-about-wearing-them-150130" target="_blank">The Conversation</a>. </em></p>
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