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  1. Prescribed fires, smoke exposure, and hospital utilization among heart failure patients

    Abstract Background Prescribed fires often have ecological benefits, but their environmental health risks have been infrequently studied. We investigated associations between residing near a prescribed fire, wildfire smoke exposure, and heart failure (HF) patients’ hospital utilization. Methods We used electronic health records from January 2014 to December 2016 in a North Carolina hospital-based cohort to determine HF diagnoses, primary residence, and hospital utilization. Using a cross-sectional study design, we associated the prescribed fire occurrences within 1, 2, and 5 km of the patients’ primary residence with the number of hospital visits and 7- and 30-day readmissions. To compare prescribed fire associationsmore » with those observed for wildfire smoke, we also associated zip code-level smoke density data designed to capture wildfire smoke emissions with hospital utilization amongst HF patients. Quasi-Poisson regression models were used for the number of hospital visits, while zero-inflated Poisson regression models were used for readmissions. All models were adjusted for age, sex, race, and neighborhood socioeconomic status and included an offset for follow-up time. The results are the percent change and the 95% confidence interval (CI). Results Associations between prescribed fire occurrences and hospital visits were generally null, with the few associations observed being with prescribed fires within 5 and 2 km of the primary residence in the negative direction but not the more restrictive 1 km radius. However, exposure to medium or heavy smoke (primarily from wildfires) at the zip code level was associated with both 7-day (8.5% increase; 95% CI = 1.5%, 16.0%) and 30-day readmissions (5.4%; 95% CI = 2.3%, 8.5%), and to a lesser degree, hospital visits (1.5%; 95% CI: 0.0%, 3.0%) matching previous studies. Conclusions Area-level smoke exposure driven by wildfires is positively associated with hospital utilization but not proximity to prescribed fires.« less
  2. Projecting Changes in the Frequency and Magnitude of Ozone Pollution Events Under Uncertain Climate Sensitivity

    Abstract Climate change is projected to worsen ozone pollution over many populated regions, with larger impacts at higher concentrations. More intense and frequent ozone episodes risk setbacks to human health and environmental policy achievements. However, assessing these changes is complicated by uncertain climate sensitivity, closely related to climate model response, and internal variability in simulations projecting climate's influence on air quality. Here, leveraging a global modeling framework that one‐way couples a human activity model, an Earth system model of intermediate complexity, and an atmospheric chemistry model, we investigate the role of climate sensitivity in climate‐induced changes to high ozone pollutionmore » episodes in the United States using multiple greenhouse gas emissions scenarios, representations of climate sensitivity, and initial condition members. We bias correct and evaluate historical model simulations, identifying modeled and observed O 3 episodes using extreme value theory, and extend the approach to projections of mid‐ and end‐century climate impacts. Results show that the influence of climate sensitivity can be as significant as that of greenhouse gas emissions scenario absent precursor emissions changes. Climate change is projected to increase the magnitude of the highest annually occurring O 3 concentrations by over 2.3 ppb on average across the U.S. at mid‐century under a high climate sensitivity and moderate emissions scenario, but the increase is limited to less than 0.3 ppb under lower climate sensitivity. Further, we show that areas in the U.S. currently meeting air quality standards risk being pushed into non‐compliance due to a climate‐induced increase in frequency of high ozone days.« less
  3. The Health and Climate Benefits of Economic Dispatch in China’s Power System

    China’s power system is highly regulated and uses an “equal-share” dispatch approach. However, market mechanisms are being introduced to reduce generation costs and improve system reliability. Here, we quantify the climate and human health impacts brought about by this transition, modeling China’s power system operations under economic dispatch. We find that significant reductions in mortality related to air pollution (11%) and CO2 emissions (3%) from the power sector can be attained by economic dispatch, relative to the equal-share approach, through more efficient coal-powered generation. Additional health and climate benefits can be achieved by incorporating emission externalities in electricity generation costs.more » However, the benefits of the transition to economic dispatch will be unevenly distributed across China and may lead to increased health damage in some regions. Our results show the potential of dispatch decision-making in electricity generation to mitigate the negative impacts of power plant emissions with existing facilities in China.« less
  4. Characterizing and quantifying uncertainty in projections of climate change impacts on air quality

    Climate change can aggravate air pollution, with important public health and environmental consequences. While major sources of uncertainty in climate change projections - greenhouse gas (GHG) emissions scenario, model response, and internal variability - have been investigated extensively, their propagation to estimates of air quality impacts has not been systematically assessed. Here, we compare these uncertainties using a coupled modeling framework that includes a human activity model, an Earth system model of intermediate complexity, and a global atmospheric chemistry model. Uncertainties in projections of U.S. air quality under 21st century climate change are quantified based on a climate-chemistry ensemble thatmore » includes multiple initializations, representations of climate sensitivity, and climate policy scenarios, under constant air pollution emissions. We find that climate-related uncertainties are comparable at mid-century, making it difficult to distinguish the impact of variations in GHG emissions on ozone and particulate matter pollution. While GHG emissions scenario eventually becomes the dominant uncertainty based on the scenarios considered, all sources of uncertainty are significant through the end of the century. The results provide insights into intrinsically different uncertainties in projections of air pollution impacts and the potential for large ensembles to better capture them.« less
  5. Inferring and evaluating satellite-based constraints on NOx emissions estimates in air quality simulations

    Satellite observations of tropospheric NO2 columns can provide top-down observational constraints on emissions estimates of nitrogen oxides (NOx). Mass-balance-based methods are often applied for this purpose but do not isolate near-surface emissions from those aloft, such as lightning emissions. Here, we introduce an inverse modeling framework that couples satellite chemical data assimilation to a chemical transport model. In the framework, satellite-constrained emissions totals are inferred using model simulations with and without data assimilation in the iterative finite-difference mass-balance method. The approach improves the finite-difference mass-balance inversion by isolating the near-surface emissions increment. We apply the framework to separately estimate lightningmore » and anthropogenic NOx emissions over the Northern Hemisphere for 2019. Using overlapping observations from the Ozone Monitoring Instrument (OMI) and the Tropospheric Monitoring Instrument (TROPOMI), we compare separate NOx emissions inferences from these satellite instruments, as well as the impacts of emissions changes on modeled NO2 and O3. OMI inferences of anthropogenic emissions consistently lead to larger emissions than TROPOMI inferences, attributed to a low bias in TROPOMI NO2 retrievals. Updated lightning NOx emissions from either satellite improve the chemical transport model's low tropospheric O3 bias. The combined lighting and anthropogenic emissions updates improve the model's ability to reproduce measured ozone by adjusting natural, long-range, and local pollution contributions. Thus, the framework informs and supports the design of domestic and international control strategies.« less
  6. Maximizing ozone signals among chemical, meteorological, and climatological variability

    The detection of meteorological, chemical, or other signals in modeled or observed air quality data – such as an estimate of a temporal trend in surface ozone data, or an estimate of the mean ozone of a particular region during a particular season – is a critical component of modern atmospheric chemistry. However, the magnitude of a surface air quality signal is generally small compared to the magnitude of the underlying chemical, meteorological, and climatological variabilities (and their interactions) that exist both in space and in time, and which include variability in emissions and surface processes. This can present difficultiesmore » for both policymakers and researchers as they attempt to identify the influence or signal of climate trends (e.g., any pauses in warming trends), the impact of enacted emission reductions policies (e.g., United States NOx State Implementation Plans), or an estimate of the mean state of highly variable data (e.g., summertime ozone over the northeastern United States). Here we examine the scale dependence of the variability of simulated and observed surface ozone data within the United States and the likelihood that a particular choice of temporal or spatial averaging scales produce a misleading estimate of a particular ozone signal. Our main objective is to develop strategies that reduce the likelihood of overconfidence in simulated ozone estimates. We find that while increasing the extent of both temporal and spatial averaging can enhance signal detection capabilities by reducing the noise from variability, a strategic combination of particular temporal and spatial averaging scales can maximize signal detection capabilities over much of the continental US. For signals that are large compared to the meteorological variability (e.g., strong emissions reductions), shorter averaging periods and smaller spatial averaging regions may be sufficient, but for many signals that are smaller than or comparable in magnitude to the underlying meteorological variability, we recommend temporal averaging of 10–15 years combined with some level of spatial averaging (up to several hundred kilometers). If this level of averaging is not practical (e.g., the signal being examined is at a local scale), we recommend some exploration of the spatial and temporal variability to provide context and confidence in the robustness of the result. These results are consistent between simulated and observed data, as well as within a single model with different sets of parameters. The strategies selected in this study are not limited to surface ozone data and could potentially maximize signal detection capabilities within a broad array of climate and chemical observations or model output.« less

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"Garcia-Menendez, Fernando"

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