Friday, September 02, 2022

Individual risk-factor data could help predict the next Ebola outbreak, new study shows


Researchers confirm a relationship between social, economic and demographic factors and the propensity for individuals to engage in behaviors that expose them to Ebola spillover

Peer-Reviewed Publication

LEHIGH UNIVERSITY

Javier Buceta and Paolo Bocchini 

IMAGE: JAVIER BUCETA (FRONT LEFT), A FACULTY MEMBER AT THE INSTITUTE FOR INTEGRATIVE SYSTEMS BIOLOGY, AND PAOLO BOCCHINI (FRONT RIGHT), PROFESSOR OF CIVIL AND ENVIRONMENTAL ENGINEERING AT LEHIGH UNIVERSITY. view more 

CREDIT: STEPHANIE VETO/LEHIGH UNIVERSITY

Several years ago, a team of scientists at Lehigh University developed a predictive model to accurately forecast Ebola outbreaks based on climate-driven bat migration. Ebola is a serious and sometimes-deadly infectious disease that is zoonotic, or enters a human population via interaction with animals. It is widely believed that the source of the 2014 Ebola outbreak in West Africa, which killed more than 11,000 people, was human interaction with bats.

Now members of the team have examined how social and economic factors, such as level of education and general knowledge of Ebola, might contribute to “high-risk behaviors” that may bring individuals into contact with potentially infected animals. A focus on geographical locations with high concentrations of individuals at high-risk could help public health officials better target prevention and education resources.  

“We created a survey that combined the collection of social, demographic and economic data with questions related to general knowledge of Ebola transmission and potentially high-risk behaviors,” says Paolo Bocchini, professor of civil and environmental engineering at Lehigh and one of the study’s leaders. “Our results show that it is indeed possible to calibrate a model to predict, with a reasonable level of accuracy, the propensity of an individual to engage in high-risk behaviors.”

For example, the team’s data and analyses suggested Kailahun, a town in Eastern Sierra Leone, and Kambia in the northern part of the country, as the rural districts in the country with the highest likelihood of infection spillover, based on individual risk factors accurately identifying the location, Kailahun, where the 2014 Ebola epidemic is believed to have originated.

The results are detailed in a paper “Estimation of Ebola’s spillover infection exposure in Sierra Leone based on sociodemographic and economic factors” which will soon be published in PLOS ONE. Additional authors include: Lehigh University graduate student Sena Mursel, undergraduates Nathaniel Alter, Lindsay Slavit and Anna Smith; and Javier Buceta, a faculty member at the Institute for Integrative Systems Biology in Valencia, Spain.

Among the findings: young adults (ages between 18-34) and adults (ages between 34 - 50) were most at risk in the population they studied. This group constituted 77% of the investigated sample, but 86% of the respondents were at risk. In addition, those with agricultural jobs were among the most at risk: 50% of the study respondents have an agriculture-related occupation, but represent 79% of respondents at risk

“We confirmed a relationship between social, economic and demographic factors and the propensity for individuals to engage in behaviors that expose them to Ebola spillover,” says Bocchini. “We also calibrated a preliminary model that quantifies this relationship.”

The authors say these results point to the need for a holistic approach for any model seeking to accurately predict disease outbreaks. Their findings may also be useful for population health officials, who may be able to use such models to better focus scarce resources.

“One has to look at the big picture,” says Bocchini. “We collected satellite images that showed the evolution of enviro-climatic data and combined them with ecological models and random field models to capture the spatial and temporal fluctuations of natural resources and the resulting continent-wide migrations of infected animal carriers. We also studied the human population’s social, economic, demographic and behavioral characteristics, integrating everything to obtain our predictions.”

“Only this broad perspective and interdisciplinary approach can truly capture these dynamics, and with this line of research we are proving that it works,” adds Bocchini.

“In the end, the conclusions of our study are not that surprising: greater economic means, more education, and access to information are key factors to reduce health-related high-risk behaviors” said Buceta. “Indeed, some of these factors have been related with what is known as the ‘health poverty trap.’ Our study and methodology show how quantitative analyses concerning individual, rather than aggregated, data can be used to identify these factors.”   

To collect data for their study, Bocchini and Buceta traveled to Sierra Leone with a delegation of undergraduate students from Lehigh with support from the National Institutes of Health, Lehigh’s Office of Creative Inquiry and in collaboration with nonprofit World Hope International. The assistance of two local translators was critical to the team’s success in administering their survey door-to-door. The students who worked on the project were part of Lehigh’s Global Social Impact Fellowship program which engages undergraduate and graduate students in work focused on addressing sustainable development challenges in low- and middle-income countries. 

“This is precisely the kind of ambitious interdisciplinary project with tremendous potential for social impact that we want Lehigh students to engage with through the Global Social Impact Fellowship,” says Khanjan Mehta, Vice Provost for Creative Inquiry at Lehigh. “Students from various disciplines across Lehigh had the opportunity to contribute to this work under Dr. Bocchini and Dr. Buceta’s leadership.”

The team’s promising results are a strong argument for broader data collection and they are in conversations with Statistics Sierra Leone, the country’s census bureau, to perform a nationwide version of their study.

Recent advances in air quality research

Peer-Reviewed Publication

AMERICAN CHEMICAL SOCIETY

A deep breath of fresh air can feel restorative. However, if the air is polluted by airborne particles or volatile compounds, then breathing it in can be an unpleasant, or potentially harmful, experience. Below are some recent papers published in ACS journals that report insights into the sources and potential exposure risks of particulate matter and gases that affect air quality indoors and outdoors. Reporters can request free access to these papers by emailing newsroom@acs.org.

“Plastic Burning Impacts on Atmospheric Fine Particulate Matter at Urban and Rural Sites in the USA and Bangladesh”
ACS Environmental Au
June 9, 2022
Burning garbage, particularly plastic waste, releases particulate matter and toxic gases into the air. Here, researchers measured a molecular tracer for burned plastic in airborne particles collected at urban and rural locations in the U.S. and Bangladesh. They found that plastic burning was a minor source of particulate matter in the U.S., but in Dhaka, Bangladesh, the country’s capital, it contributed up to 15% of the particulate matter.

“Gas- and Particle-Phase Amide Emissions from Cooking: Mechanisms and Air Quality Impacts”
Environmental Science & Technology
June 7, 2022
In this study, researchers conducted lab experiments to investigate the compounds released by the high-temperature cooking of meats in oil. They heated amino acids, the building blocks of meat proteins, and different oils at 347 to 419 F. They found that amides, including some that are harmful to humans, were in both vapors and airborne particles. This food preparation method could contribute to poorer indoor and outdoor air quality and potential health risks if inhaled, the researchers say.

“Molecular Characterization of Organosulfate-Dominated Aerosols over Agricultural Fields from the Southern Great Plains by High-Resolution Mass Spectrometry”
ACS Earth and Space Chemistry
May 10, 2022
Here, researchers examined the molecular composition of aerosols — extremely small droplets — above crop fields, using high-resolution mass spectrometry. The aerosol composition followed diurnal cycles and was strongly affected by the wind’s direction, which episodically brought in urban emissions. The researchers say these results could have implications for local weather patterns, crop growth and human health.

The American Chemical Society (ACS) is a nonprofit organization chartered by the U.S. Congress. ACS’ mission is to advance the broader chemistry enterprise and its practitioners for the benefit of Earth and all its people. The Society is a global leader in promoting excellence in science education and providing access to chemistry-related information and research through its multiple research solutions, peer-reviewed journals, scientific conferences, eBooks and weekly news periodical Chemical & Engineering News. ACS journals are among the most cited, most trusted and most read within the scientific literature; however, ACS itself does not conduct chemical research. As a leader in scientific information solutions, its CAS division partners with global innovators to accelerate breakthroughs by curating, connecting and analyzing the world’s scientific knowledge. ACS’ main offices are in Washington, D.C., and Columbus, Ohio.

To automatically receive news releases from the American Chemical Society, contact newsroom@acs.org.

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Study of people exposed to air pollution reveals greater effects on females than males


Reports and Proceedings

EUROPEAN LUNG FOUNDATION

 NEWS RELEASE 

The impact of breathing diesel exhaust fumes may be more severe for females than males, according to new research that will be presented at the European Respiratory Society International Congress in Barcelona, Spain [1].

Researchers looked for changes in people’s blood brought about by exposure to diesel exhaust. In both females and males, they found changes in components of the blood related to inflammation, infection and cardiovascular disease, but they found more changes in females than males.

The research was presented by Dr Hemshekhar Mahadevappa, from the University of Manitoba, Winnipeg, Canada and was a collaboration between two research groups led by Professor Neeloffer Mookherjee at the University of Manitoba and Professor Chris Carlsten at the University of British Columbia, Vancouver, Canada. Dr Mahadevappa told the Congress: “We already know that there are sex differences in lung diseases such as asthma and respiratory infections. Our previous research showed that breathing diesel exhaust creates inflammation in the lungs and has an impact on how the body deals with respiratory infections. In this study, we wanted to look for any effects in the blood and how these differ in females and males.”

The study involved ten volunteers, five female and five male, who were all healthy non-smokers. Each volunteer spent four hours breathing filtered air and four hours breathing air containing diesel exhaust fumes at three different concentrations – 20, 50 and 150 micrograms of fine particulate matter (PM2.5) per cubic metre – with a four-week break in between each exposure. The current European Union annual limit value for PM2.5 is 25 micrograms per cubic metre, but much higher peaks are common in many cities.

Volunteers donated blood samples 24 hours after each exposure and the researchers made detailed examinations of the volunteers’ blood plasma. Plasma is the liquid component of the blood that carries blood cells as well as hundreds of proteins and other molecules around the body. Using a well-established analysis technology called liquid chromatography–mass spectrometry, the researchers looked for changes in the levels of different proteins following exposure to diesel exhaust and compared the changes in females and males.

Comparing the plasma samples, the researchers found levels of 90 proteins that were distinctly different between female and male volunteers following exposure to diesel exhaust. Among the proteins that differed between females and males, were some that are known to play a role in inflammation, damage repair, blood clotting, cardiovascular disease and the immune system. Some of these differences became clearer when volunteers were exposed to the higher levels of diesel exhaust.

Professor Mookherjee explained: “These are preliminary findings, however they show that exposure to diesel exhaust has different effects in female bodies compared to male and that could indicate that air pollution is more dangerous for females than males.

“This is important as respiratory diseases such as asthma are known to effect females and males differently, with females more likely to suffer severe asthma that does not respond to treatments. Therefore, we need to know a lot more about how females and males respond to air pollution and what this means for preventing, diagnosing and treating their respiratory disease.”

The researchers plan to continue studying the functions of these proteins to better understand their role in the difference between female and male immune responses.

Professor Zorana Andersen from the University of Copenhagen, Denmark, is Chair of the European Respiratory Society Environment and Health Committee and was not involved in the research. She said: “We know that exposure to air pollution, especially diesel exhaust, is a major risk factor in diseases such as asthma and chronic obstructive pulmonary disease. There is very little we can do as individuals to avoid beathing polluted air, so we need governments to set and enforce limits on air pollutants.

“We also need to understand how and why air pollution contributes to poor health. This study offers some important insight into how the body reacts to diesel exhaust and how that may differ between females and males.”

Rethinking indoor air chemistry

People generate their own oxidation field and change the indoor air chemistry around them

Peer-Reviewed Publication

MAX PLANCK INSTITUTE FOR CHEMISTRY

OH reactivity and concentration around human bodies 

IMAGE: COMPUTER MODELLING OF THE OH REACTIVITY (LEFT) AND OH CONCENTRATION (RIGHT) AROUND HUMAN BODIES IN A TYPICAL INDOOR SITUATION WHILE PEOPLE SITTING AROUND A TABLE view more 

CREDIT: UC IRVINE

People typically spend 90 percent of their lives inside, at home, at work, or in transport. Within these enclosed spaces, occupants are exposed to a multitude of chemicals from various sources, including outdoor pollutants penetrating indoors, gaseous emissions from building materials and furnishings, and products of our own activities such as cooking and cleaning. In addition, we are ourselves potent mobile emission sources of chemicals that enter the indoor air from our breath and skin.

But how do the chemicals disappear again? In the atmosphere outdoors, this happens to a certain extent naturally by itself, when it rains and through chemical oxidation. Hydroxyl (OH) radicals are largely responsible for this chemical cleaning. These very reactive molecules are also called the detergents of the atmosphere and they are primarily formed when UV light from the sun interacts with ozone and water vapor.

Indoors, on the other hand, the air is of course far less affected by direct sunlight and rain. Since UV rays are largely filtered out by glass windows it has been generally assumed that the concentration of OH radicals is substantially lower indoors than outdoors and that ozone, leaking in from outdoors, is the major oxidant of indoor airborne chemical pollutants.

OH radicals are formed from ozone and skin oils

However, now it has been discovered that high levels of OH radicals can be generated indoors, simply due to the presence of people and ozone. This has been shown by a team led by the Max Planck Institute for Chemistry in cooperation with researchers from the USA and Denmark.

"The discovery that we humans are not only a source of reactive chemicals, but we are also able to transform these chemicals ourselves was very surprising to us," says Nora Zannoni, first author of the study published in the research magazine Science, and now at the Institute of Atmospheric Sciences and Climate in Bologna, Italy. "The strength and shape of the oxidation field are determined by how much ozone is present, where it infiltrates, and how the ventilation of the indoor space is configured," adds the scientist from Jonathan Williams' team. The levels the scientists found were even comparable to outside daytime OH concentrations levels.

The oxidation field is generated by the reaction of ozone with oils and fats on our skin, especially the unsaturated triterpene squalene, which constitutes about 10 percent of the skin lipids that protect our skin and keep it supple. The reaction releases a host of gas phase chemicals containing double bonds that react further in the air with ozone to generate substantial levels of OH radicals. These squalene degradation products were characterized and quantified individually using Proton Transfer reaction Mass Spectrometry and fast gas chromatograph-mass spectrometry systems. In addition, the total OH reactivity was determined in parallel enabling the OH levels to be quantified empirically.

The experiments were conducted at the Technical University of Denmark (DTU) in Copenhagen. Four test subjects stayed in a special climate-controlled chamber under standardized conditions. Ozone was added to the chamber air inflow in a quantity that was not harmful to humans but representative of higher indoor levels. The team determined the OH values before and during the volunteers' stay both with and without ozone present.

In order to understand how the human-generated OH field looked like in space and time during the experiments, results from a detailed multiphase chemical kinetic model from the University of California, Irvine were combined with a computational fluid dynamics model from Pennsylvania State University, both based in the USA. After validating the models against the experimental results, the modeling team examined how the human-generated OH field varied under different conditions of ventilation and ozone, beyond those tested in the laboratory. From the results, it was clear that the OH radicals were present, abundant, and forming strong spatial gradients.

“Our modeling team is the first and currently the only group that can integrate chemical processes between the skin and indoor air, from molecular scales to room scales,” said Manabu Shiraiwa, a professor at UC Irvine who led the modeling part of the new work. “The model makes sense of the measurements — why OH is generated from the reaction with the skin.”

Shiraiwa added that there remain unanswered questions, like the way humidity levels impact the reactions the team traced. “I think this study opens up a new avenue for indoor air research,” he said.

Adapt test methods for furniture and building materials

"We need to rethink indoor chemistry in occupied spaces because the oxidation field we create will transform many of the chemicals in our immediate vicinity. OH can oxidize many more species than ozone, creating a multitude of products directly in our breathing zone with as yet unknown health impacts”. This oxidation field will also impact the chemical signals we emit and receive," says project leader Jonathan Williams, “and possibly help explain the recent finding that our sense of smell is generally more sensitive to molecules that react faster with OH.”

The new finding also has implications for our health: Currently, chemical emissions of many materials and furnishings are being tested in isolation before they are approved for sale. However, it would be advisable to also conduct tests in the presence of people and ozone, says atmospheric chemist Williams. This is because oxidation processes can lead to the generation of respiratory irritants such as 4-oxopentanal (4-OPA) and other OH radical-generated oxygenated species, and small particles in the immediate vicinity of the respiratory tract. These can have adverse effects, especially in children and the infirm.

These findings are part of the project ICHEAR (Indoor Chemical Human Emissions and Reactivity Project) which brought together a group of collaborating international scientists from Denmark (DTU), the USA (Rutgers University), and Germany (MPI). The modeling was part of the MOCCIE project based at the University of California Irvine and the Pennsylvania State University. Both projects were funded by grants from the A. P. Sloan foundation.

CAPTION

Not visible, but measurable: an oxidation field is generated around each person in the stainless steel climate chamber at the Technical University of Denmark.

CREDIT


 

Original publication

The Human Oxidation Field
Nora Zannoni, Pascale S. J. Lakey, Youngbo Won, Manabu Shiraiwa, Donghyun Rim, Charles J. Weschler, Nijing Wang, Lisa Ernle, Mengze Li, Gabriel Bekö, Pawel Wargocki, Jonathan Williams
Science, 1 September 2022
Doi: 10.1126/science.abn0340

Toxins in old toys an obstacle for circular economy

Peer-Reviewed Publication

UNIVERSITY OF GOTHENBURG

Graph over toxins in toys 

IMAGE: MANY OF THE OLDER TOYS CONTAINED TOXINS. view more 

CREDIT: NONE

Letting children play with hand-me-down plastic toys could constitute a health risk. When researchers at the University of Gothenburg tested a large number of old toys and dress-up items made of plastic, 84 per cent of the items were found to contain toxins that can disrupt growth and development and reproductive capacities in children. These toxins are an obstacle for the circular economy in the future involving reuse and recycling, the researchers explain.

The current use-and-discard behaviour is wasteful with resources and a drain on the Earth’s finite resources. In 2021, the European Parliament adopted a Circular Economy Action Plan. It encourages the re-use, repair and recycling of products and materials. But the question is whether all products are good to reuse again?

Researchers from the University of Gothenburg have recently published an article in the Journal of Hazardous Materials Advances which shows that old toys and dress-up items may contain toxic chemicals that can cause cancer, damage DNA or disrupt the future reproductive capacities of children.

Toxic chemicals in most old toys

The hazardous chemicals that were discovered included phthalates and short chain chlorinated paraffins used as plasticizers and flame retardants in toys.  

Professor Bethanie Carney Almroth at the University of Gothenburg conducts research on the environmental impact of plastics and plastic-related chemicals, and has led the research study conducted at the interdisciplinary Centre for Future Chemical Risk Assessment and Management Strategies (FRAM). For the study, researchers selected 157 different toys, new and old, and measured their chemical content.

The study showed that most of the older toys and items (84 per cent) contained quantities of chemicals that exceed current legal limits. A total of 30 per cent of the newer toys and items also exceeded the legal limits. By far however, the older toys were significantly worse.

“The concentrations of toxic substances were significantly higher in the older items. For example, many of the old balls were found to have concentrations of phthalates totalling more than 40 per cent of the toy’s weight, which is 400 times over the legal limit,” says Bethanie Carney Almroth.

Toxins an obstacle to a circular economy

EU legislation on the chemical content of toys, known as the Toy Safety Directive, regulates the permissible quantities of a number of chemical substances found in toys in an attempt to protect the health and safety of children. At present, the permissible limit values for new toys under the Toy Safety Directive are 0.1 per cent by weight for phthalates and 0.15 per cent by weight for short chain chlorinated paraffins.

“The study indicates that reuse and recycling is not always automatically a good thing. The transition to a more circular economy requires bans and other policy measures that get rid of hazardous chemicals from plastic and other materials. Although the Toy Safety Directive has been crucial in reducing the incidence of hazardous chemicals in toys, it has only been applicable to new toys, not old ones,” explains Daniel Slunge, Environmental Economist at the University of Gothenburg. 

Facts: FRAM

FRAM is the Swedish acronym for the University of Gothenburg’s interdisciplinary Centre for Future Chemical Risk Assessment and Management Strategies. FRAM brings together expertise from the fields of science, economics, law and political science to garner support for a precautionary principle when assessing and managing risks linked to how chemical compounds impact human health and the environment.

Read the scientific journal article: Circular economy could expose children to hazardous phthalates and chlorinated paraffins via old toys and childcare articles

Links for further reading:

What counts as a toy? Read more about the Toy Safety Directive (in Swedish only)

Read more about toxic chemicals that the Swedish Chemicals Agency wants to phase out

Thursday, September 01, 2022

Global analysis identifies at-risk forests

Peer-Reviewed Publication

UNIVERSITY OF UTAH

Lick Fire on the Umatilla National Forest burning at night 

IMAGE: WILDFIRE AT LICK CREEK, UMATILLA NATIONAL FOREST, OREGON, UNITED STATES. view more 

CREDIT: BRENDAN O'REILLY/U.S. FOREST SERVICE

Forests are engaged in a delicate, deadly dance with climate change, sucking carbon dioxide out of the air with billions of leafy straws and hosting abundant biodiversity, as long as climate change, with its droughts, wildfires and ecosystem shifts, doesn’t kill them first.

In a study published in Science William Anderegg, inaugural director of the University of Utah’s Wilkes Center for Climate Science and Policy, and colleagues quantify the risk to forests from climate change along three dimensions: carbon storage, biodiversity and forest loss from disturbance, such as fire or drought. The results show forests in some regions experiencing clear and consistent risks. In other regions, the risk profile is less clear, because different approaches that account for disparate aspects of climate risk yield diverging answers.

“Large uncertainty in most regions highlights that there's a lot more scientific study that's urgently needed,” Anderegg says.

An international team

Anderegg assembled a team including researchers from the United Kingdom, Germany, Portugal and Sweden.

“I had met some of these folks before,” he says, “and had read many of their papers. In undertaking a large, synthetic analysis like this, I contacted them to ask if they wanted to be involved in a global analysis and provide their expertise and data.”

Their task was formidable –assess climate risks to the world’s forests, which span continents and climes and host tremendous biodiversity while storing an immense amount of carbon. Researchers had previously attempted to quantify risks to forests using vegetation models, relationships between climate and forest attributes and climate effects on forest loss.

“These approaches have different inherent strengths and weaknesses,” the team writes, “but a synthesis of approaches at a global scale is lacking.” Each of the previous approaches investigated one dimension of climate risk: carbon storage, biodiversity, and risk of forest loss. For their new analysis, the team went after all three.

Three dimensions of risk

“These dimensions of risk are all important and, in many cases, complementary. They capture different aspects of forests resilience or vulnerability,” Anderegg says.  

Carbon storage: Forests absorb about a quarter of the carbon dioxide that’s emitted into the atmosphere, so they play a critically important role in buffering the planet from the effects of rising atmospheric carbon dioxide. The team leveraged output from dozens of different climate models and vegetation models simulating how different plant and tree types respond to different climates. They then compared the recent past climate (1995-2014) with the end of the 21st century (2081-2100) in scenarios of both high and low carbon emissions.

On average, the models showed global gains in carbon storage by the end of the century, although with large disagreements and uncertainty across the different climate-vegetation models. But zooming in to regional forests and taking into account models that forecast carbon loss and changes in vegetation, the researchers found higher risk of carbon loss in southern boreal (just south of the Arctic) forests and the drier regions of the Amazon and African tropics.

Biodiversity: Unsurprisingly, the researchers found that the highest risk of ecosystems shifting from one “life zone” to another due to climate change could be found at the current boundaries of biomes – at the current transition between temperate and boreal forests, for example. The models the researchers worked from described changes in ecosystems as a whole and not species individually, but the results suggested that forests of the boreal regions and western North America faced the greatest risk of biodiversity loss.

Disturbance: Finally, the authors looked at the risk of “stand-replacing disturbances,” or events like drought, fire or insect damage that could wipe out swaths of forest. Using satellite data and observations of stand-replacing disturbances between 2002 and 2014, the researchers then forecast into the future using projected future temperatures and precipitation to see how much more frequent these events might become. The boreal forests, again, face high risk under these conditions, as well as the tropics.  

“Forests store an immense amount of carbon and slow the pace of climate change,” Anderegg says. “They harbor the vast majority of Earth's biodiversity. And they can be quite vulnerable to disturbances like severe fire or drought. Thus, it's important to consider each of these aspects and dimensions when thinking about the future of Earth's forests in a rapidly changing climate.”

Future needs

Anderegg was surprised that the spatial patterns of high risk didn’t overlap more across the different dimensions.
“They capture different aspects of forests' responses,” he says, “so they wouldn't likely be identical, but I did expect some similar patterns and correlations.”

Models can only be as good as the basis of scientific understanding and data on which they’re built and this study, the researchers write, exposes significant understanding and data gaps that may contribute to the inconsistent results. Global models of biodiversity, for example, don’t incorporate dynamics of growth and mortality, or include the effects of rising CO2 directly on species. And models of forest disturbance don’t include regrowth or species turnover.

“If forests are tapped to play an important role in climate mitigation,” the authors write, “an enormous scientific effort is needed to better shed light on when and where forests will be resilient to climate change in the 21st century.”

Key next steps, Anderegg says, are improving models of forest disturbance, studying the resilience of forests after disturbance, and improving large-scale ecosystem models.

The recently-launched Wilkes Center for Climate Science and Policy at the University of Utah aims to provide cutting-edge science and tools for decision-makers in the US and across the globe. For this study, the authors built a visualization tool of the results for stakeholders and decision-makers.  

Despite uncertainty in the results, western North America seems to have a consistently high risk to forests. Preserving these forests, he says, requires action.

“First we have to realize that the quicker we tackle climate change, the lower the risks in the West will be,” Anderegg says. “Second, we can start to plan for increasing risk and manage forests to reduce risk, like fires.”

Physically active adolescents up to 23% more likely to vape than less active peers

New study is the first in the U.S. to link e-cigarette use to physical activity levels in high schoolers

Peer-Reviewed Publication

UNIVERSITY OF GEORGIA

Physically active adolescents may be more likely to use electronic cigarettes, also known as e-cigarettes or vapes, than their less active peers, according to new research from the University of Georgia.

The study found high school students who said they were physically active were at higher risk of using vape products than their classmates who were only active one day a week or less. Teenagers who reported four to five days of at least 60 minutes of physical activity were 23% more likely to smoke an electronic vapor product than their less active peers. Teens who said they were active two to three days a week were 11% more likely to use such products.

The study is the first to show a link between physical activity levels and risk of e-cigarette use among American adolescents.

“Our youth who tend to be on the healthy spectrum for physical health have heightened risk of using electronic vapor products. This may be because vape is perceived to be a healthier option to traditional smoking,” said Janani Rajbhandari-Thapa, lead author of the study and an associate professor in UGA’s College of Public Health. “Marketing campaigns have marketed vapes as a healthier option to traditional cigarettes, but data shows that additives in vape products were linked to e-cigarette, or vaping, product use-associated lung injury.

“If adolescents are thinking vapes are a better option to traditional cigarettes that is a big problem.”

Vape juice is full of potentially cancer-causing chemicals

It seems counterintuitive for the “healthy” adolescents who are reaching the recommended amount of physical activity recommended for their age group to be at higher risk of becoming vape users.

Previous studies have shown that sport participation is associated with alcohol abuse, Thapa said. Teens participating in group sports or athletic teams may face peer pressure to indulge in alcoholic beverages to celebrate wins as a means of team bonding. They also may have larger social networks than non-participating teens, putting them at risk of more social pressure to participate in risky behaviors.

Factor in that some younger vape users are under the misguided belief that they’re just inhaling water vapor with nicotine and some minor additives, and it’s a recipe for teenage addiction.

But that “water vapor” can contain not just nicotine but also benzene, which is found in car exhaust; flavorings that have been linked to lung disease; and other unidentified, possibly carcinogenic chemicals, according to the U.S. Department of Health and Human Services.

The amount of nicotine in vape products varies widely, but e-cigarettes can have higher concentrations of the drug than traditional cigarettes, according to the Centers for Disease Control and Prevention. Vapes are frequently cheaper per use, don’t smell of tobacco and can often be “smoked” in areas where tobacco products are banned, which makes them a popular option for young people.

“We have to make parents more aware that vaping is not OK,” Thapa said. “If I take my public health expertise off the table, as a parent, I may be thinking, ‘Well, my child isn’t smoking. It’s OK that he’s vaping.’ But that’s not the case. We have evidence of how harmful vaping is.”

Previous research has shown e-cigarettes can cause a variety of dangerous medical conditions, including vape-associated illness, a potentially deadly disease that causes severe respiratory symptoms including shortness of breath, cough and fever, according to the Georgia Department of Public Health.

11% of Georgia high school students reported having smoked an electronic vapor product

The researchers relied on data from the 2018 Georgia Student Health Survey 2.0, an annual, anonymous survey implemented by the Georgia Department of Education. The study included survey responses from more than 362,000 Georgia high school students from 439 schools across the state.

More than 10% of the students reported that they had smoked an electronic vapor product, such as e-cigarettes, e-pipes, vaping pens or hookah pens at least once in the past month.

Overall, the researchers found that 7% of high school students in the state had used electronic vapor products for at least one day in the past 30 days. An additional 4% reported that they had smoked both traditional cigarettes and vape products.  The rate of traditional tobacco products use was low—only 1% reported exclusive traditional smoke use.

Male students were more likely to smoke cigarettes or vapes than female students, and students in higher grades reported using both traditional smoke and vape products at higher rates than high school students in lower grades.

More active students were less likely to smoke traditional cigarettes or to use them in combination with vaping products. But they were more likely to report using e-cigarettes exclusively.

“Physically active students who are meeting the guidelines for physical activity being at higher risk of vape use brings up a concern of health belief and engagement in risky behaviors,” Thapa said. “I would like this finding to inform our state legislators specifically to address risky substance use behaviors by adolescents in our state.”

“Limiting vape use by limiting marketing, not allowing vape use around schools and implementing school-level policies to discourage vape use—we want our research to inform those policies because vaping is a threat among high school students.”

Published in Tobacco Use Insights, the study was co-authored by Kiran Thapa and Kathryn Chiang, doctoral students in the College of Public Health; Justin Ingels, a clinical assistant professor in the college; Donglan Zhang, a former assistant professor in the college; Ye Shen, an associate professor in the college; and Yan Li, of the Icahn School of Medicine at Mount Sinai.