Increased respiratory morbidity associated with exposure to a mature volcanic plume from a large Icelandic fissure eruption.

Increased respiratory morbidity associated with exposure to a mature volcanic plume from a large Icelandic fissure eruption.
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DOI:
10.1038/s41467-021-22432-5
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发表时间:
2021-04-12
影响因子:
16.6
通讯作者:
Gudnason T
Gudnason T
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Carlsen HK;Ilyinskaya E;Baxter PJ;Schmidt A;Thorsteinsson T;Pfeffer MA;Barsotti S;Dominici F;Finnbjornsdottir RG;Jóhannsson T;Aspelund T;Gislason T;Valdimarsdóttir U;Briem H;Gudnason T

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2014-15年冰岛霍卢朗火山爆发是200多年来最大的裂缝喷发,向对流层排放了大量的气体和颗粒物质。冰岛首都雷克雅未克(距离喷发地点250公里)暴露于空气污染事件,这些事件来自(i)相对年轻和化学原始的火山羽流,具有高二氧化硫气体(SO2)与硫酸盐PM(SO 42 −)的比率,以及(ii)较老和化学成熟的火山羽流,具有低SO2/SO 42 −比率。而原始烟羽引起的平流和空气污染已在公共气象部门成功地预报和预警,成熟烟羽则没有。在这里,我们表明,暴露于成熟的羽与增加登记测量的卫生保健利用呼吸系统疾病的23%(95%CI 19.7-27.4%)和哮喘药物分配的19.3%(95%CI 9.6-29.1%)。公共医疗机构的缺乏与初级保健医生和医院急诊部的就诊人数增加有关。我们建议对火山空气污染的业务反应考虑原始和成熟类型的羽流。当火山羽流在最初的警告解除后返回同一地区时,大裂缝喷发可能导致空气污染事件。在这里,作者表明,这些事件对冰岛的医疗保健使用产生了重大影响,并且当医疗保险没有成功发布时,这种影响会加剧。
The 2014–15 Holuhraun eruption in Iceland was the largest fissure eruption in over 200 years, emitting prodigious amounts of gas and particulate matter into the troposphere. Reykjavík, the capital area of Iceland (250 km from eruption site) was exposed to air pollution events from advection of (i) a relatively young and chemically primitive volcanic plume with a high sulphur dioxide gas (SO2) to sulphate PM (SO42−) ratio, and (ii) an older and chemically mature volcanic plume with a low SO2/SO42− ratio. Whereas the advection and air pollution caused by the primitive plume were successfully forecast and forewarned in public advisories, the mature plume was not. Here, we show that exposure to the mature plume is associated with an increase in register-measured health care utilisation for respiratory disease by 23% (95% CI 19.7–27.4%) and for asthma medication dispensing by 19.3% (95% CI 9.6–29.1%). Absence of public advisories is associated with increases in visits to primary care medical doctors and to the hospital emergency department. We recommend that operational response to volcanic air pollution considers both primitive and mature types of plumes. Large fissure eruptions can cause air pollution events when the volcanic plume returns to the same area after the initial advisory has been lifted. Here, the authors show that these events had a significant impact on health care usage in Iceland, and the impact was exacerbated when advisories were not issued successfully.
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发表时间: 2017-08-15
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