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Dust storms are an important environmental problem worldwide. The main sources of dust storms include the Sahara, the Middle East, and central and northeastern Asia. Dust originating from these regions can be dispersed across oceans and in some cases globally. The storms occur throughout the year and vary in frequency and intensity. The biological agents (e.g., fungi, bacteria and viruses) and the mineral and chemical compositions of dust may have adverse effects on human health and quality of life. Desert dusts may cause respiratory diseases, cardiovascular diseases, cardiopulmonary diseases, mental health issues, injuries and death from transport accidents caused by poor visibility. This paper presents dust storm human health research conducted in the Middle East in both indoor and outdoor environments. Results illustrate that particle concentration and bioaerosol types in the atmosphere are affected by climate change and meteorological factors. Recent data trends indicate that annual dust aerosol concentrations have increased worldwide. According to studies conducted in the Middle East, the incidence of respiratory and cardiovascular mortality and hospital visits have increased dramatically following dust storm exposures but very few have demonstrated a regional causation. National and international collaborative research is needed to advance our understanding of the global implications of dust storms and what may be the most effective means of mitigation. • First review study of its kind to present on dust storms and their impact health and bioaerosols in the Middle East. • The Middle East has heavy PM10 loads that are due to dust storms. • A review of dust event studies, their particulate matter concentrations, their points of origins, seasonality and movement routes have been summarized in this paper. • Aerobiology: collection, concentration and identification of microorganisms. • The influence of environmental factors on the viability of microorganisms in the atmosphere and the health effects of bioaerosol (bacteria, fungi) exposure. [ABSTRACT FROM AUTHOR]

Abstract: In this second of two companion papers, we quantify for the first time the global impact on premature mortality of the inter-continental transport of fine aerosols (including sulfate, black carbon, organic carbon, and mineral dust) using the global modeling results of (Liu et al., 2009). Our objective is to estimate the number of premature mortalities in each of ten selected continental regions resulting from fine aerosols transported from foreign regions in approximately year 2000. Our simulated annual mean population-weighted (P-W) concentrations of total PM2.5 (aerosols with diameter less than 2.5 μm) are highest in East Asia (EA, 30 μg m−3) and lowest in Australia (3.6 μg m−3). Dust is the dominant component of PM2.5 transported between continents. We estimate global annual premature mortalities (for adults age 30 and up) due to inter-continental transport of PM2.5 to be nearly 380 thousand (K) in 2000. Approximately half of these deaths occur in the Indian subcontinent (IN), mostly due to aerosols transported from Africa and the Middle East (ME). Approximately 90K deaths globally are associated with exposure to foreign (i.e., originating outside a receptor region) non-dust PM2.5. More than half of the premature mortalities associated with foreign non-dust aerosols are due to aerosols originating from Europe (20K), ME (18K) and EA (15K); and nearly 60% of the 90K deaths occur in EA (21K), IN (19K) and Southeast Asia (16K). The lower and higher bounds of our estimated 95% confidence interval (considering uncertainties from the concentration–response relationship and simulated aerosol concentrations) are 18% and 240% of the estimated deaths, respectively, and could be larger if additional uncertainties were quantified. We find that in 2000 nearly 6.6K premature deaths in North America (NA) were associated with foreign PM2.5 exposure (5.5K from dust PM2.5). NA is least impacted by foreign PM2.5 compared to receptors on the Eurasian continent. However, the number of premature mortalities associated with foreign aerosols in NA (mostly occurring in the U.S.) is comparable to the reduction in premature mortalities expected to result from tightening the U.S. 8-h O3 standard from 0.08 ppmv to 0.075 ppmv. International efforts to reduce inter-continental transport of fine aerosol pollution would substantially benefit public health on the Eurasian continent and would also benefit public health in the United States. [Copyright &y& Elsevier]