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The frequency and magnitude of extreme summer temperature events in the United States have increased in the past few decades. Long-term exposure to extreme summer temperatures can be detrimental to human health, due to potential risks of dehydration and thermoregulation strains on the cardiovascular system, which may often lead to heat-related mortality (HRM). The summer climate of the United States is influenced by variability in Atlantic and Pacific sea surface temperatures, driven in part by Atlantic Multidecadal Oscillation (AMO) and El-Nino Southern Oscillation (ENSO), respectively. However, the influence of AMO and ENSO on HRM in the United States has not been investigated. Here the longest time series of HRM spanning the past five decades is analyzed in relation with AMO and ENSO. We find that HRM doubled in the early-1990s, coinciding with the positive phase of the AMO. Furthermore, we note a positive association between the variability in HRM and summer temperatures across all regions of the United States, with the strongest association found over the Southern United States. GSK2193874 Therefore, this research suggests that variability in Atlantic and Pacific sea surface temperatures has both a nationwide and regional impact on HRM in the United States. Hence, by understanding variability in sea surface temperatures, the future burden of heat-attributed emergencies during extreme summer temperature events can be reduced not only for the United States, but also worldwide. © 2019. The Authors.Strong demand for dairy products has led to a global increase in dairy production. In many parts of the world, dairy systems are undergoing rapid intensification. While increased production may contribute to food security, higher dairy stocking rates in some regions have resulted in increased pressure on natural resources with the potential to affect public health and wellbeing. The aim of this review was to identify and describe the potential health harms and benefits associated with dairy production and consumption. Electronic databases Medline, Embase, Scopus, Web of Science, PubMed, and Google Scholar were searched for published literature that investigated human health impacts of dairy production and consumption. Occupational hazards, environmental health impacts, ecosystem health impacts, foodborne hazards, and diet-related chronic diseases were identified as potential public health hazards. Some impacts, notably climate change, extend beyond directly exposed populations. Dairy production and consumption are also associated with important health benefits through the provision of nutrients and economic opportunities. As the global dairy sector increases production, exposure to a range of hazards must be weighed with these benefits. The review of impacts presented here can provide an input into decision making about optimal levels of dairy production and consumption, local land use, and identification and management of specific hazards from this sector. Future research should consider multiple exposure routes, socioeconomic implications, and environmental factors, particularly in regions heavily dependent on dairy farming. ©2020. The Authors.Fine particulate matter (PM2.5) raises human health concerns since it can deeply penetrate the respiratory system and enter the bloodstream, thus potentially impacting vital organs. Strong winds transport and disperse PM2.5, which can travel over long distances. Smoke from wildfires is a major episodic and seasonal hazard in Southern California (SoCal), where the onset of Santa Ana winds (SAWs) in early fall before the first rains of winter is associated with the region's most damaging wildfires. However, SAWs also tend to improve visibility as they sweep haze particles from highly polluted areas far out to sea. Previous studies characterizing PM2.5 in the region are limited in time span and spatial extent, and have either addressed only a single event in time or short time series at a limited set of sites. Here we study the space-time relationship between daily levels of PM2.5 in SoCal and SAWs spanning 1999-2012 and also further identify the impact of wildfire smoke on this relationship. We used a rolling correlation approach to characterize the spatial-temporal variability of daily SAW and PM2.5. SAWs tend to lower PM2.5 levels, particularly along the coast and in urban areas, in the absence of wildfires upwind. On the other hand, SAWs markedly increase PM2.5 in zip codes downwind of wildfires. These empirical relationships can be used to identify windows of vulnerability for public health and orient preventive measures. ©2019. The Authors.Ship emissions contribute to air pollution, increasing the adverse health impacts on people living in coastal cities. We estimated the impacts caused by ship emissions, both on air quality and human health, in 2015 and future (2030) within the Pearl River Delta (PRD) region of China. In addition, we assessed the potential health benefits of implementing an Emission Control Area (ECA) in the region by predicting avoided premature mortality with and without an ECA. In 2015, ship emissions increased PM2.5 concentrations and O3 mixing ratios by 1.4 μg/m3 and 1.9 ppb, respectively, within the PRD region. This resulted in 466 and 346 excess premature acute deaths from PM2.5 and O3, respectively. Premature mortality from chronic exposures was even more significant, with 2,085 and 852 premature deaths from ship-related PM2.5 and O3, respectively. In 2030, we projected the future ship emissions with and without an ECA, using two possible land scenarios. With an ECA, we predicted 76% reductions in SO2 and 13% reductions in NO x from the shipping sector. Assuming constant land emissions from 2015 in 2030 (2030 Constant scenario), we found that an ECA could avoid 811 PM2.5-related and 108 O3-related deaths from chronic exposures. Using 2030 Projected scenario for land emissions, we found that an ECA would avoid 1,194 PM2.5-related and 160 O3-related premature deaths in 2030. In both scenarios, implementing an ECA resulted in 30% fewer PM2.5-related premature deaths and 10% fewer O3-related premature deaths, illustrating the importance of reducing ship emissions. ©2019. The Authors.
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