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Coronavirus: Air Pollution Might Raise Risk of Fatality
By Ajit Niranjan
Two main risk factors are currently known to raise the chance of dying from the novel coronavirus that has brought the world to a halt: being old and having a weak immune system.
Air pollution makes the second of those more likely.
"If you live in a polluted area, your lungs are compromised like somebody who smokes, so you're more susceptible to the coronavirus," said Kofi Amegah, an epidemiologist and air pollution expert at the University of Cape Coast in Ghana.
Dirty air, which claims more than 7 million lives a year, could make Covid-19 more deadly by contributing to chronic health conditions that leave patients weak in the face of infection.
The European Public Health Alliance said last week that air pollution is likely to cut survival chances from Covid-19.
Research on previous outbreaks has also suggested bad air makes viruses more deadly and spread further. A study of SARS-CoV-1 victims in 2003 found that patients were twice as likely to die in regions where air pollution was high rather than low. Even in regions that were only moderately polluted, the risk of dying was 84% higher.
If a similar dynamic exists for Covid-19, it could add pressure on the critical care units of hospitals in smoggy cities with rapidly rising cases, such as Madrid, London and New York. It could also spell trouble for countries in the global south where most people burn wood, dung, kerosene or coal indoors to cook and heat their homes.
In northern Italy and the Chinese city of Wuhan, home to high levels of pollution and some of the most severe outbreaks to date, preliminary data suggests that particulate matter may already have played a role in overwhelming health care systems.
PM2.5 — particulate matter smaller than 2.5 microns in diameter, less than the width of a human hair — can penetrate the lung barrier and enter the bloodstream, raising the risk of developing heart and lung disease.
The case fatality rate in China was nine times higher for people with cardiovascular disease and six times higher for patients with diabetes, hypertension and respiratory disease than it was for people without underlying health conditions, a joint study by the World Health Organization and China found in February.
In Italy, health officials reported in March that 99% of a sample of patients who died from Covid-19 had an underlying illness — with almost half the deceased having suffered from three or more — though the sample was not drawn randomly and may not represent the population. The most common ailments were high blood pressure, heart disease and diabetes.
The WHO says the pandemic is too recent to draw a link between air pollution and the deadliness of Covid-19, but this shouldn't stop countries from acting.
"Whether or not we have this correlation between Covid-19 and air pollution, we need to reduce air pollution no matter what," Maria Neira, director of public and environmental health at the World Health Organization, told DW.
"Stop smoking and reduce the levels of air pollution — that is a recommendation we can make even without having more evidence."
Together with ozone pollution, PM2.5 particles shave almost three years off our lives, a study in the journal Cardiovascular Research found last month. The global loss of life from outdoor air pollution is 10 times greater than that of all forms of violence put together.
Moreover, about nine in 10 premature deaths caused by air pollution — including toxic gases NO2 and SO2 — hit people in low and middle-income countries. Even within rich cities in Europe and North America, working class, black and ethnic minority communities tend to breathe the dirtiest air.
Across sub-Saharan Africa, women are particularly exposed to pollutants from indoor cooking.
"For these women, their lung systems are compromised," said Amegah from Ghana's University of Cape Coast, adding that if Covid-19 spreads they will be especially vulnerable.
"We pray and keep our fingers crossed we don't see the levels [we're seeing] in northern Italy and China."
As well as weakening the body, airborne pollutants could even act as a carrier of the new coronavirus and allow it to survive in the air attached to particulates, a team of Italian researchers suggested in March.
High concentrations of particulate matter in parts of northern Italy in February may have "boosted" the spread of the epidemic this way, according to a position paper published by the Italian Society of Environmental Medicine that has not yet been peer-reviewed.
Other scientists have cast doubt on this, pointing out that there are no reported cases of this coronavirus spreading in the air and that people are the main vector of transmission.
"It's good to reduce air pollution to promote health, even to help decrease preconditions that could aggravate coronavirus, such as asthma, but I cannot see [air pollution] as an important contribution to the discussion about containment of the virus," said Jos Lelieveld, director of atmospheric chemistry at the Max Planck Institute and lead author of the study on deaths from air pollution.
As coronavirus cases rise exponentially around the world, lockdowns to stop its spread have reduced pollution levels.
Satellite images of China and Italy show striking drops in NO2, a toxic gas that inflames the airways, as governments closed factories and kept cars off the streets. The drop in air pollution in China may even have saved more lives than were lost from Covid-19, a study that has not yet been peer-reviewed suggested on Friday, though this comparison does not factor in the lives that would have been lost had the coronavirus spread unchecked.
Not all of the fall in air pollution seen from space can be attributed to lockdowns, either. Air pollution is higher in colder months anyway because people heat more and drive cars more often, so it tends to fall around this time of year, said Christian Retscher of the European Space Agency.
"Certainly, we see an effect of the coronavirus on NO2 … We see an additional effect [but] we don't know the precise number."
While lockdowns have helped clean the air, it is also uncertain how long they will keep pollution levels down.
"Once the crisis is over, and we see this in China, there's a temptation to compensate for the weeks and months lost," said Zoltan Massay-Kosubek, a policy expert for clean air and sustainable transport at the European Public Health Alliance.
Nonetheless, this shows that air pollution can be reduced and lives saved, said the WHO's Neira. "Now we need to maintain that — not the fact that we'll be confined, but reducing the air pollution levels outside."
Reposted with permission from DW.
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EcoWatch Daily Newsletter
By Victoria Masterson
Using one of the world's problems to solve another is the philosophy behind a Norwegian start-up's mission to develop affordable housing from 100% recycled plastic.
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Artist's impression of an Othalo community, imagined by architect Julien De Smedt. Othalo<p>Othalo's process involves shredding plastic waste and mixing it with other elements, including non-flammable materials. Components are used to build up to four floors, with a home of 60 square metres using eight tons of recycled plastic. A factory with one production line can produce 2,800 housing units annually.</p><p>Following successful laboratory tests, Othalo's factory in Estonia has started producing components to build three demonstration homes for Kenya's capital, Nairobi; Yaoundé, the capital of Cameroon and Dakar, the capital of Senegal.</p><p>Othalo founder Frank Cato Lahti has been developing and testing the technology since 2016 in partnership with <a href="https://www.sintef.no/en/" target="_blank">SINTEF</a>, a 70-year-old independent research organization in Trondheim, Norway, and experts at Norway's <a href="https://en.uit.no/startsida" target="_blank" rel="noopener noreferrer">University of Tromsø</a>.</p>
Othalo founder Frank Cato Lahti. Othalo<p>Almost <a href="https://www.un.org/development/desa/publications/2018-revision-of-world-urbanization-prospects.html" target="_blank">seven out of every 10 people in the world are expected to live in urban areas by 2050</a>. More than 90% of this growth will take place in Africa, Asia, Latin America, and the Caribbean.</p><p>"In the absence of effective urban planning, the consequences of this rapid urbanization will be dramatic," UN-Habitat warns.</p><p>Lack of proper housing and growth of slums, inadequate and outdated infrastructure, escalating poverty and unemployment, and pollution and health issues, are just some of the effects.</p><p>Mindsets, policies, and approaches towards urbanization need to change for the growth of cities and urban areas to be turned into opportunities that will leave nobody behind, UN-Habitat says.</p>
Pioneers of Change<p>Reimagining cities and communities for greater resilience and sustainability was a key topic at the<a href="https://www.weforum.org/events/pioneers-of-change-summit-2020" target="_blank"> World Economic Forum's Pioneers of Change Summit 2020</a>.</p><p>The digital event brought together innovators and stakeholders from around the world to explore solutions to the challenges facing enterprises, governments and society.</p><p>Opening the summit, <a href="https://www.weforum.org/events/pioneers-of-change-summit-2020/sessions/opening-plenary-8f731cbc65" target="_blank">Stephan Mergenthaler, the Forum's Head of Strategic Intelligence and a member of the Executive Committee</a>, said: "We need to change the way we produce, the way we live and interact in our cities to make this transition to net-zero emissions a reality…</p><p>"And as this year has illustrated so dramatically, we need to make every effort that we keep populations healthy, if we want to avoid jeopardizing all this progress."</p><p><em>Reposted with permission from </em><em><a href="https://www.weforum.org/agenda/2020/11/un-africa-recycled-plastic-housing/" target="_blank">World Economic Forum</a>.</em><a href="https://www.ecowatch.com/r/entryeditor/2649069252#/" target="_self"></a></p>
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By Dolf Gielen and Morgan Bazilian
John Kerry helped bring the world into the Paris climate agreement and expanded America's reputation as a climate leader. That reputation is now in tatters, and President-elect Joe Biden is asking Kerry to rebuild it again – this time as U.S. climate envoy.
Energy Is at the Center of the Climate Challenge<p>The <a href="https://science2017.globalchange.gov/chapter/1/" target="_blank">effects of climate change</a> are already evident across the globe, from <a href="https://theconversation.com/100-degrees-in-siberia-5-ways-the-extreme-arctic-heat-wave-follows-a-disturbing-pattern-141442" target="_blank">extreme heat waves</a> to <a href="https://science2017.globalchange.gov/chapter/12/" target="_blank">sea level rise</a>. But while the challenge is daunting, there is hope. Solar and wind power have become the <a href="https://www.irena.org/publications/2020/Jun/Renewable-Power-Costs-in-2019" target="_blank">cheapest forms of power generation globally</a>, and technology progress and innovation continue apace to support a transition to clean energy.</p><p>In the U.S. under a Biden administration, long-term national climate legislation will depend on who controls the Senate, and that won't be clear until after two run-off elections in Georgia in January.</p><p>But there is no shortage of <a href="https://www.bloomberg.com/features/2020-biden-climate-change-advice/" target="_blank">ideas for ways Biden</a> could still take action even if his proposals are blocked in Congress. For example, he could use executive orders and direct government agencies to tighten regulations on greenhouse gas emissions; increase research and development in clean energy technologies; and empower states to exceed national standards, <a href="https://www.reuters.com/article/us-autos-emissions-california/defying-trump-california-locks-in-vehicle-emission-deals-with-major-automakers-idUSKCN25D2CH" target="_blank" rel="noopener noreferrer">as California did in the past with auto emission standards</a>. A focus on a just and equitable transition for communities and people affected by the decline of fossil fuels will also be key to creating a sustainable transition.</p><p>The U.S. position as the world's largest oil and gas producer and consumer creates political challenges for any administration. U.S. forays into European energy security are often treated with suspicion. Recently, France blocked <a href="https://www.wsj.com/articles/frances-engie-backs-out-of-u-s-lng-deal-11604435609" target="_blank">a multi-billion dollar contract</a> to buy U.S. liquefied natural gas because of concerns about limited emissions regulations in Texas.</p><p>Strengthening cooperation and partnerships with like-minded countries will be critical to bring about a transition to cleaner energy as well as sustainability in agriculture, forestry, water and other sectors of the global economy.</p>
Creating a Global Sustainable Transition<p>How the world recovers from COVID-19's economic damage could help drive a lasting shift in the global energy mix.</p><p>Nearly one-third of Europe's US$2 trillion economic relief package <a href="https://www.bloomberg.com/news/articles/2020-07-21/eu-approves-biggest-green-stimulus-in-history-with-572-billion-plan" target="_blank" rel="noopener noreferrer">involves investments that are also good for the climate</a>. The European Union is also strengthening its 2030 climate targets, though each country's energy and climate plans will be critical for successfully implementing them. The <a href="https://joebiden.com/clean-energy/" target="_blank" rel="noopener noreferrer">Biden plan</a> – including a $2 trillion commitment to developing sustainable energy and infrastructure – is aligned with a global energy transition, but its implementation is also uncertain.</p><p>Once Biden takes office, Kerry will be joining ongoing <a href="https://www.un.org/en/conferences/energy2021/about#:%7E:text=The%20overarching%20goal%20of%20the,2030%20Agenda%20for%20Sustainable%20Development.&text=Accelerate%20delivery%20of%20United%20Nations,related%20issues%20at%20all%20levels." target="_blank" rel="noopener noreferrer">high-level discussions on the energy transition</a> at the U.N. General Assembly and other gatherings of international leaders. With the U.S. no longer obstructing work on climate issues, the G-7 and G-20 have more potential for progress on energy and climate.</p><p>Lots of technical details still need to be worked out, including international trade frameworks and standards that can help countries lower greenhouse gas emissions enough to keep global warming in check. <a href="https://www.carbonpricingleadership.org/what" target="_blank" rel="noopener noreferrer">Carbon pricing</a> and <a href="https://www.csis.org/analysis/how-can-europe-get-carbon-border-adjustment-right" target="_blank" rel="noopener noreferrer">carbon border adjustment taxes</a>, which create incentive for companies to reduce emissions, may be part of it. A consistent and comprehensive set of national energy transition plans will also be needed.</p><p>The global shift to <a href="https://www.irena.org/publications/2019/Jan/A-New-World-The-Geopolitics-of-the-Energy-Transformation" target="_blank">clean energy will also have geopolitical implications for countries and regions</a>, and this will have a profound impact on wider international relations. Kerry, with his experience as secretary of state in the Obama administration, and Biden's plan to make the climate envoy position part of the National Security Council, may help mend these relations. In doing so, the U.S. may again join the wider community of countries willing to lead.</p>
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As we approach the holidays I, like most people, have been reflecting on everything 2020 has given us (or taken away) while starting to look ahead to 2021.