bluuebunny/crossref_metadata_2025_split huggingface dataset:
Artificial sport surfaces and adverse effects for human health. A literature review
Authors: Ghelli F , El Sherbiny S , Squillacioti G , Bellisario V , Panizzolo M , Bono R 
Published: October 2024

Abstract

The management of the Post-Consumer Tyres (PCTs) is still a hot topic. In 2021, the 27 EU Member States plus Norway, Switzerland, and the UK discarded 4,200 Ktons of PCTs. The main application of the rubber granules obtained from their recycling is represented by infill material in synthetic turf playgrounds. These widespread installations have become fundamental tools for the promotion of physical activity, especially among children. However, this material is in the spotlight for the presence in its composition of hazardous substances and for the small size of granules, which the European Commission classified as “microplastics”. This review aims to clarify the scientific knowledge, focusing on the assessment of the bio-accessibility/availability of hazardous chemicals and the risk assessment for users. Eligible articles reporting original data were identified in CAB Direct, Embase, PubMed, Scopus, and Web of Science. The included articles (preliminary results) variously demonstrated the presence of PAHs, metals, volatile organic compounds, and phthalates in artificial biofluids (n = 9 articles). The risk assessment for these toxicants and the potential cancer risk induction (n = 19), revealed a risk for users from absent or negligible to potential, according to the exposure scenario considered and the relative assumptions, the contaminants, the exposure route, the age of the pitch, and characteristics of the rubber granules such as origin, concentration of the different toxicants, and particle size. The assessment of the potential hazard due to the exposure to artificial sports surfaces is anything but simple. Indeed, the crumb rubber compositions may vary in different settings and over time and can be variously influenced by the climate and environmental conditions, making it difficult to quantify the possible health effects, as well as the specific mixture, the quantities, and sources responsible for them (Funded by LIFE20 GIE FR 282 - RE-PLAN CITY LIFE).

Key messages
• The bioccessibility of PAHs, metals, volatile organic compounds, and phthalates included in the infill material composition was variously demonstrated in literature.
• The assessment of the potential risks due to the exposure to synthetic turf, revealed a risk from negligible to potential, according to the exposure scenario considered and the relative assumptions.
School canteens healthier for children and the planet in the Valencian Region
Authors: Muelas H , Quiles J , Boned-Ombuena A , Vicent P , Hernández P , Taut P , Sánchez-González R , Navarro E , García A , Garcia-Sierra M 
Published: October 2024

Abstract

Issue
SchoolFood4Change (SF4C), an EU Horizon 2020 project in 12 EU countries, aims at making school meals healthier for children and the planet through innovative and sustainable food procurement, promotion of planetary health diets and cooking, and a Whole School Food Approach. In the Valencian Region two subsequent market dialogues (MDs) were organised to explore a new school food procurement and feeding model.

Description
In our context, most children have lunch at school daily. SF4C sees schools as catalysts for a systemic change. Two intersectoral MDs were conducted with the participation of public authorities, food procurers, cooks and schools. The first one MD1, 23 attendees, used a gamification dynamic through building blocks. MD2, 58 participants, used a World Cafe methodology to analyse nutritional, environmental, educational, social and economic determinants.

Results
MD1 highlighted the need to increase food education in the curricula, value regional products and cuisine, improve culinary training and reduce food waste. It suggested establishing percentages of local and organic products in tenders and improving communication between the public administration and the educational community. MD2 emphasised the objective of promoting the Mediterranean diet and sustainability in canteens. To that end, participants identified the importance of establishing requirements in public tenders, annual planning of procurement, optimising logistics and integrating the canteen into the educational project. This would enhance predictability, economic sustainability, and social support for a new innovative model.

Lessons
Structured interaction between stakeholders was essential to devise innovative and sustainable solutions. The creation and dynamization of intersectoral working groups is an effective public health strategy to build networks for the co-creation of viable alternatives to achieve a healthier and more environmentally sustainable school feeding.

Key messages
• Structured interaction in intersectoral working groups is an effective public health strategy for the co-creation of viable alternatives to make school feeding healthier for children and the planet.
• Tailored innovative and sustainable solutions entail a framework for structured discussions, specific context analysis, negotiations between stakeholders and locally adaptation of good practices.
Distribution of the Culex pipiens mosquito in mainland Portugal: a geospatial modelling study
Authors: Martinho J , Osório H , Amaro F , Silva M , Zé-Zé L , Alves M J , Nunes B , Soares P 
Published: October 2024

Abstract

Background
The mosquito Culex pipiens is a vector for several pathogens, such as the West Nile virus. As the most abundant mosquito in Portugal, understanding its spatial distribution can support vector-borne diseases control and robust public health planning, given the mainland’s favourable climate for this vector. Information on its spatial distribution at a national level is limited, especially its association with climate variables. Thus we aimed to predict the suitability of Culex pipiens distribution in mainland Portugal, considering climate factors.

Methods
We used presence records for adult and larvae of Culex pipiens mosquitoes sampled across mainland Portugal from January 2017 to October 2023, as part of the Portuguese Vector Surveillance Network program (REVIVE). Between May-October, in random locations and throughout the year in point-of-entry sites, adult mosquito collection used CDC light traps and BG-Sentinel traps, and larvae collection used dippers in breeding sites. Sampling bias was corrected by filtering presence sites, retaining one record per each cell grid of 1 km2. Climatic data (including temperature, precipitation and elevation) were used as predictors in a maximum entropy (MaxEnt) model of the Culex pipiens geographical distribution.

Results
From the dataset of 6859 records, 1416 unique sites were obtained after filtering. Suitable habitats seem to be mainly distributed on the coast, particularly in Minho, Porto and Lisbon metropolitan areas, and Tagus Valley, with precipitation as the most important predictor.

Conclusions
Most West Nile Virus case reports come from the south of Portugal, but the potential distribution of Culex pipiens covers the whole mainland territory, with seemingly higher distribution on the north coast. However, bias due to convenience sampling could be present. West Nile vector surveillance should be a priority across all regions to accurately assess transmission risk and implement effective control measures.

Key messages
• The suitability of Culex pipiens distribution covers the entire mainland of Portugal, with higher presence in the north.
• The distribution of Culex pipiens in the country points towards a need for developing region-specific strategies regarding West Nile Virus prevention and control.
Mercury contamination of soil and Matricaria chamomilla in selected regions of the Slovak Republic
Authors: Kimáková T , Ruszkiewicz K , Poračová J , Bednarski A , Yip C , Sieradzka Uchnár K 
Published: October 2024

Abstract

Background
The aim of our study was to determine the amount of mercury in Chamomile. In certain parts of Slovakia, such as Middle Spiš region in Eastern Slovakia, there has been reports of higher concentration of mercury in the soil. Heavy metals, including mercury, can enter human organism by ingestion. In case of using Chamomile infusions orally there is a risk of administration of mercury into the organism through digestive system.

Methods
We monitored mercury presence in Chamomile (Matricaria chamomilla) (n = 20) and the soil. We determined the mercury concentration by using the flameless atomic absorption spectrometer - Advanced Mercury Analyzer (AMA-254).

Results
Chamomile: The lowest concentration was in the roots (0.513 mg.kg-1). The second lowest was in the flower stem samples (1.105 mg.kg-1). The concentration of mercury was higher in the leaves (2.205 mg.kg-1). The highest was measured in the flower (2.541 mg.kg-1). Soil: The mercury content in soil in the entire territory of Slovakia is higher compared to the soil in the world. During our measurements, the concentration of mercury in the soil samples in the territory of Middle Spiš ranged from 100 to 500 mg.kg-1.

Conclusions
We have to take into account that the quality and contents of the soil are important for the crops, as it will entail their contents. With the knowledge of exceeded norms of mercury content in Slovak soils, it is crucial to monitor the mercury concentration in plants that are harvested there.

Key messages
• In the examined samples of Chamomile we found mercury, with its highest concentration in flowers and lowest in roots.
• In the regions with significant mercury contamination it is crucial to monitor mercury content in harvested plants and to be cautious in regards of their consumption.
Monitoring of mosquito breeding sites in the municipality of Cascais, Portugal
Authors: Costa e Silva R , Duarte da Silva J , Nunes R , Quelhas C , Lopes M , Fernandes M 
Published: October 2024

Abstract

Culex pipiens is the primary West Nile Virus vector in Portugal. Additionally, in 2017, Aedes albopictus, vector of various arboviruses, was detected in Northern Portugal. To mitigate viral transmission risks, effective surveillance is crucial, including monitoring egg, larva, and pupa stages. Located on the west of Lisbon, Cascais implemented a surveillance based on monitoring invasive species at Points of Entry and, complementarily, on detecting and intervening in breeding sites. Active searches for new breeding sites and monitoring those that were already identified are conducted weekly during the peak mosquito season (May to October) and biweekly during the colder season (November to April), following the methodology outlined below: • Upon detection, samples of immature stages are collected for submission to the National Institute of Health (INSA); • Corrective measures are requested to the managing entities of the locations where the sites are found; • Date of action, location, collection point, date of report, and status (pending or intervened) are recorded on a database; • Locations with pending status undergo continuous monitoring.
In 2023, 16 artificial breeding sites were identified. These findings resulted from 23 actions conducted across 8 locations. 35 samples of immatures were collected, followed by their submission and notification to the respective managing entities. Recurrent detections were noted in 9 breeding sites. The managing entities implemented measures at 13 of the identified sites, leaving 3 with pending intervention. The identification of breeding sites demands continuous monitoring efforts and requires an effective coordination between the Public Health services and the management entities. Based on the achieved outcomes, it is evident that the implementation of corrective measures has been successful, making a significant contribution to reducing mosquito density.

Key messages
• Effective surveillance and intervention strategies are crucial in mitigating West Nile Virus and arbovirus transmission risks in Portugal.
• Continuous monitoring and coordination between public health services and management entities are key for maintaining effective vector control measures.
Development of an air quality communication strategy with underserved groups
Authors: Tolley C , Wilson S , Hassan N , de Nazelle A J , Slight R , Slight S 
Published: October 2024

Abstract

Air quality is the greatest environmental health threat. Effective communication can support individuals to take actions to protect themselves, however, we know some groups are less likely to engage with exposure reducing behaviours than others. We aimed to explore what information individuals want to receive about raised air pollution levels, when, where and how they would like to receive it. In this qualitative study individuals participated in either semi-structured interviews (n = 6) or focus groups (n = 8) in North East England between Oct23-Feb24. We used purposive sampling underpinned by extensive community-based engagement to ensure inclusion of those who were underserved and/ or at risk of digital exclusion. The Capability Opportunity Motivation-Behaviour model was used to help guide discussions and the data thematically analysed using an inductive approach. Fifty individuals participated, many of whom were of non-white ethnicity (n = 23, 46%), spoke English as an additional language (n = 12, 24%), and had lower educational attainment levels (i.e., no-qualifications n = 7, 14%). Participants discussed four aspects that they deemed important to include in air quality communication: (1) the risk and harms of air pollution should be stated, and be tailored because “what’s a dangerous level for one person isn’t a dangerous level for another”(P41) (2) Participants felt detail about the pollutants should be included such as: “what is causing the air pollution?”(P15) to “avoid the exposure to this source”(P21). (3) Messages should also include actionable recommendations about how to protect oneself and, (4) various ways to communicate these messages (text-message-based approaches being the most popular) were suggested. Our findings indicated using a combined communication strategy including text messages and community-based approaches. This work can inform the development of inclusive future air quality information communication

Key messages
• Effective communication can support individuals to take actions to protect themselves from air pollution.
• A combined communication strategy including text messages and community-based approaches were suggested as being effective communication strategies.
Cancer mortality attributable to air pollution in Slovakia
Authors: Pekarcikova J 
Published: October 2024

Abstract

Introduction
Air pollution is considered one of the most significant global environmental health risks. According to the Global Burden of Disease estimates, fine particulate matter, a key component of ambient air pollution, was the fifth leading risk factor for mortality worldwide in 2015, contributing to 4.2 million deaths (7.6% of total global deaths). In 2019, ambient air pollution was responsible for 4.5 million deaths. This rise is attributed to the growing levels of air pollution and the increasing incidence of NCDs associated with air pollution.

Aim
This contribution aims to clarify the possible association between environmental air pollution and cancer in Slovakia in the years 2015-2019 overall and by gender and age.

Methodology
This ecological study focuses on the population of Slovakia from 2015 to 2019. The data used are from the Global Burden of Disease study (IHME, 2019), the Statistical Office of the Slovak Republic and the Slovak Hydrometeorological Institute.

Results
In 2019, mortality from NCDs related to environmental pollution accounted for 6.6% of total mortality in Slovakia, which is lower than the global average of 8.3%. Cancer mortality attributable to ambient particulate matter pollution (APMP) was lower in 2019 (2.97 per 100,000, CI 95% 4.43-1.76) than in 2015. Higher cancer mortality rates attributable to APMP, were observed mainly in men (7.18 per 100,950, CI % 10.67-4.31 in 2015) and especially in the 80-84 age group (59.49 per 100,000; CI 95 % 94.60-32.20) in 2015 and in men aged 75-79 (510.76 per 510.76 per 100,000) in 2019.

Conclusions
While Slovakia has experienced a long-term decline in cancer mortality, bucking the global trend, challenges persist due to the country’s relatively poorer outcomes associated with environmental pollution. Addressing environmental pollution remains a critical aspect of ongoing efforts to enhance population health through targeted strategies and policies.

Key messages
• The significant impact of environmental pollution on cancer mortality underscores the urgent need for targeted interventions and policies to improve public health outcomes in Slovakia.
• Cancer mortality attributable to air pollution differs by gender.
Environmental Public Health Tracking in England- support for Health Impact Assessments
Authors: Zeka A , Crabbe H , Leonardi G 
Published: October 2024

Abstract
Environmental epidemiology is a key function for the public health service with regards to investigating the public health effects of environmental hazards, monitoring the public health efforts to control the environmental risks, and providing the evidence that informs decisions making and preparedness. At the United Kingdom Health Security Agency (UKHSA), the Environmental Public Health Tracking (EPHT) Programme, initiated in 2010, has developed a number of data streams to help link environment and health data, to support Health Impact Assessment (HIA). The main aims of the EPHT programme in England are to:
1. Identify populations at risk from exposure to significant environmental and chemical hazards
2. Investigate relationships between hazard and disease
3. Inform public health policy making
4. Optimise intervention and prevention strategies
5. Generate hypotheses for further research.
Such EPHT functions are based on three key components: a) by building a national EPHT program that integrates surveillance of environmental hazards, exposures and related health outcomes, to allow data linkage and assessment of environmental and health information; b) strengthening the epidemiology science, by conducting research and training of the workforce and c) developing strategies for response to immediate risks, incidents and preparing for future risks. Examples to support HIA include a) developing an air pollution exposure surveillance work programme, that has designed a pilot population vulnerability indicator; b) developing indicators for climate change impacts for public health, c) reporting regularly on the health impacts of public fluoridation water supply schemes (as mandated by Government) and d) exploring risk factors associated with elevated blood lead concentration in children, through laboratory reporting to surveillance systems. The talk will highlight some examples of practice and outline how the EPHT programme in England has supported HIA practices.
Income transfer and COVID-19 pandemic in Brazil: wrong and right at the same time
Authors: Castro M , Souza A , Silva G , Oliveira G , Paes-Sousa R 
Published: October 2024

Abstract

To alleviate the effects of socioeconomic inequalities and of the fall in economic activity on vulnerable populations during the COVID-19 pandemic, many countries have implemented or expanded income distribution programs. Brazil, amid the political and economic 2020 crisis, exacerbated by the pandemic, established Emergency Aid (EA). This longitudinal ecological study aimed to analyze whether the availability of EA contributed to the reduction of morbidity and mortality due to COVID-19 in the Brazilian 5,570 municipalities, from March 2020 to December 2021. The theoretical model considered as control covariates socioeconomic, sociodemographic and morbidity characteristics and access to health services, including COVID-19 testing availability and vaccination. Classical variable selection methods were applied considering the theoretical model, culminating in the adjustment of Bayesian hierarchical models with the inclusion of spatial and temporal effects. First dose COVID-19 vaccine coverage and EA had a protective effect against hospitalization (RR = 0.982 and RR = 0.986) and mortality (RR = 0.978 and RR = 0.976) due to COVID-19 in Brazil, when controlled by socioeconomic variables, access to health services and spatial-temporal effects. The results highlight the important role of income transfer in morbidity and mortality due to the disease, however, the way in which EA was implemented in Brazil presented a series of problems, the main ones being discontinued payment of aid, reduction in values throughout the duration of the benefit, in addition to the use of public resources to pay people who did not meet the eligibility criteria. Such problems might not have happened if the federal government had maintained the registration structure of Bolsa Familia Program (BFP), which did not happen. Furthermore, vaccination was started late for several reasons, that is, its role in reducing morbidity and mortality could have been even greater if started as soon as it become available.

Key messages
• Even with planning and execution problems, income transfer and specific vaccination were important in reducing COVID-19 morbidity and mortality in Brazil during the COVID-19 pandemic.
• Income transfer during the COVID-19 pandemic in Brazil was not done in the best way possible, due to discontinued payment, reduction in values and payment to not eligible people.
Did the COVID-19 Pandemic Affect Suicide Rates Differently in Urban and Rural South Korea?
Authors: Kweon S , Baek M , Choi Y 
Published: October 2024

Abstract

Background
The influence of the COVID-19 pandemic on suicide rates remains a subject of debate. Despite increases in suicidal ideation and attempts reported during the pandemic, several recent meta-analyses have not demonstrated corresponding rises in suicide rates. Given the potential for substantial regional and demographic variability in the psychological consequences of COVID-19-related restrictions, this study explores differential suicide rates in urban versus rural contexts within South Korea subsequent to the pandemic outbreak.

Methods
This investigation employed age-standardized suicide rates from two periods, 2015-2019 and 2020-2022, across 234 administrative divisions (152 urban, 82 rural). A difference-in-differences approach was utilized to evaluate the pandemic’s impact on suicide rates, segmented by urban and rural classifications. A linear regression model was developed to examine the interaction between location (urban/rural) and time period, controlled for annual variations, perceived stress, and health status within each locale.

Results
Analysis revealed higher suicide rates in rural areas compared to urban counterparts (β = 1.247, p = 0.003), although no significant changes were observed during the pandemic period itself (β=-0.425, p = 0.682). Furthermore, the interaction between urban/rural status and the pandemic period did not reach statistical significance (p = 0.367).

Conclusions
The findings indicate no significant contribution of the COVID-19 pandemic to increased suicide rates, irrespective of the urban or rural setting. Further research is warranted to dissect the impact of more direct socioeconomic factors on this dynamic.

Key messages
• There in no evidence of increased suicide rates during the COVID-19 pandemic in South Korea.
• The impact of the COVID-19 pandemic on suicide rates did not significantly different between urban and rural areas.