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Lung health in Africa is of great public health concern. To exchange knowledge, communicate the latest scientific advances in lung health, build the capacity of young researchers, and provide a platform for networking of lung health stakeholders in Africa, the Pan African Thoracic Society (PATS), in partnership with the Respiratory Society of Kenya organized and held the 3rd Biennial PATS congress, from June 7–10, 2023 in Mombasa, Kenya. There were a total of 30 conference sessions, which included six skills building workshops, two research dissemination workshops, six plenary sessions, and five each of pediatric, adult, and thoracic surgery symposia. A total of 60 abstracts were presented, including 27 oral abstracts and 33 posters. A wide range of issues for lung health in Africa emerged. These include the emerging role of the environment, especially climate change and global warming, on lung health, the threat posed by the use of tobacco and other nicotine products in Africa, the high burden of lung infections, insecurity of medical oxygen supply systems, and high burden of chronic respiratory disease. In this paper, we summarize the proceedings of this conference and draw lessons that can be used to advance lung health in the African continent. [ABSTRACT FROM AUTHOR]

Carbon monoxide (CO) concentrations in the troposphere are decreasing globally, with Africa as an exception. Yet, the region is understudied, with a deficit of ground-based observations and highly uncertain CO emission inventories. This paper reports multiyear observational CO data from the Mt. Kenya Global Atmosphere Watch (GAW) station, as well as summertime CO isotope observations from both Mt. Kenya and Nairobi, Kenya. The CO variability at Mt. Kenya is characterized by slightly increased concentrations during dry periods and a strong influence of short-term pollution events. While some data gaps and differences in instrumentation complicate decadal-scale trend analysis, a small long-term increase is resolved. High-pollution events are consistent with isotopic signal from downwind savanna fires. The isotope fingerprint of CO in Nairobi indicates an overwhelming dominance (near 100 %) of primary emissions from fossil fuel combustion with implications for air pollution policy. In contrast, the isotope signature of CO intercepted at the large-footprint Mt. Kenya region suggests that at least 70 % is primary sourced, with a predominance likely from savanna fires in Africa. Taken together, this study provides quantitative constraints of primary vs. secondary CO in the eastern Africa region and in urban Nairobi, with implications for satellite-based emission inventories as well as for chemical transport and climate modeling. [ABSTRACT FROM AUTHOR]

One of the major consequences of Africa's rapid urbanisation is the worsening air pollution, especially in urban centres. However, existing societal challenges such as recovery from the COVID-19 pandemic, poverty, intensifying effects of climate change are making prioritisation of addressing air pollution harder. We undertook a scoping review of strategies developed and/or implemented in Africa to provide a repository to stakeholders as a reference that could be applied for various local contexts. The review includes strategies assessed for effectiveness in improving air quality and/or health outcomes, co-benefits of the strategies, potential collaborators, and pitfalls. An international multidisciplinary team convened to develop well-considered research themes and scope from a contextual lens relevant to the African continent. From the initial 18,684 search returns, additional 43 returns through reference chaining, contacting topic experts and policy makers, 65 studies and reports were included for final analysis. Three main strategy categories obtained from the review included technology (75%), policy (20%) and education/behavioural change (5%). Most strategies (83%) predominantly focused on household air pollution compared to outdoor air pollution (17%) yet the latter is increasing due to urbanisation. Mobility strategies were only 6% compared to household energy strategies (88%) yet motorised mobility has rapidly increased over recent decades. A cost effective way to tackle air pollution in African cities given the competing priorities could be by leveraging and adopting implemented strategies, collaborating with actors involved whilst considering local contextual factors. Lessons and best practices from early adopters/implementers can go a long way in identifying opportunities and mitigating potential barriers related to the air quality management strategies hence saving time on trying to "reinvent the wheel" and prevent pitfalls. We suggest collaboration of various stakeholders, such as policy makers, academia, businesses and communities in order to formulate strategies that are suitable and practical to various local contexts., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)

The problem of air pollution caused by urbanization in fast-growing countries has begun to receive widespread attention. Africa is facing serious air pollution problem and is experiencing rapid urbanization. However, due to the backward economy and the difficulty of obtaining data, there have been few studies on the impact of urbanization on air quality in Africa. In this paper, we use remote sensing data aerosol optical depth (AOD) to characterize air quality, and night lights to characterize urbanization. We aim to analyze the characteristics of air quality distribution in Africa and investigate the relationship between urbanization and AOD from the perspective of time by random forest and space by adopting the geographically weighted regression models (GWR). The results show that (1) in the past 10 years, though not obvious, the AOD in the African region has a slight downward trend from 2011 to 2020. And a significant spatial correlation between urbanization and AOD is confirmed; (2) treating Africa as a whole, AOD has spatial spillover effects and could be affected significantly and positively by urbanization; (3) locally, taking each country as the scale, urbanization could have different impacts on AOD for different countries. In Central Africa, the increase in urbanization will bring about an increase in AOD; and in Western Africa, the increase in urbanization will help reduce AOD; (4) improving power facilities, increasing per capita income, and strengthening commodity trade are conducive to improving air quality in Africa. [ABSTRACT FROM AUTHOR]

African culture is a rich reservoir of varying degrees of information. It encompasses unique knowledge originating from within Africa, which is reflected in its people's traditions and customs. This knowledge engrafts and provides solutions to a myriad of problems. Among others, it provides solutions to compelling environmental challenges like land degradation, water and air pollution, global warming and climate change. This paper presents a textual analysis of five (5) Sangu oral tales that represent ecological knowledge and practices of the Sangu people. This is done as a way to unriddle the ongoing environmental enigma in the Usangu Plain, and the world at large. The tales under scrutiny are: Umutwa na Avatambule Vaakwe ('The Chief and His Sub-chiefs'); iNjokha wiita Nguluvi ('Snake like God'); Munego ('A Trap'); iJungwa Sikhandi Vaanu ('Elephants Were Once Human Beings'); and Amagulu ga Nguluvi ('The Feet of God'). A total of twenty (20) tales were collected qualitatively through one-on-one in-depth interviews with Sangu storytellers; and then through a content analysis method: all of which found the five aforementioned tales fit for the subject matter. The results show that the telling of oral stories is not just an occasion but also a display of skills and knowledge of a particular people, and that solutions to the current global environmental crisis lie in people's traditions as expressed in their environment-related oral narratives. [ABSTRACT FROM AUTHOR]

Mt. Nyiragongo in Goma, DR Congo, exploded on 22 May 2022. In the Philippines, on 1 July 2021, the Taal volcano, considered a restive volcano, spewed a 0.62 mile-high plume of gas and steam into the air, cascading a mass evacuation. Without any prior warning, Goma and central Manila were in a state of emergency, not knowing what to expect and how to react. Volcanoes provide a conduit by which magma – the earth's molten rock, gases and water – may interact with human biological systems. The importance of effective pre-disaster planning cannot be over-emphasised in such situations. The article dwells on the volcanic phenomena, which can cause many health hazards during the eruption and in between eruptions. The vast majority of volcanogenic fatalities in the past few centuries have resulted from events at the proximity – such as pyroclastic density currents, lahars and suffocation or building/roof collapse from ash or debris – and also distal events, such as tsunamis, which may travel for hundreds of miles from the active site, and indirect consequences of eruptions, such as famine or infectious disease outbreaks, including podoconiosis, fluorosis, geophagy, iodine deficiency disorders and rift valley fever. Although technology and geology can give a better lead time, predicting natural hazards and formulating, a plan in advance will obviously be very helpful for public health professionals. This paper is intended for health-care workers to understand the health problems faced due to a volcanic eruption, and this understanding, along with the recommendations given, will enable them to plan and prepare for the management of relief, rescue and medical care. [ABSTRACT FROM AUTHOR]

Various fire emission estimates for southern Africa during 2019, derived with multiple burned area data sets with resolutions ranging from 500 to 20 m, are evaluated using satellite carbon monoxide (CO) observations. Southern African emissions derived from burned area generated by 20 m Sentinel‐2 satellite imagery are up to 120% higher than other estimates because small fires are better detected with a higher‐resolution satellite instrument. A comprehensive comparison between simulated and observed atmospheric CO indicates that the Sentinel‐2 burned area data significantly improves emission estimates, with up to 15% reduction in CO concentration biases in comparison to emissions based on coarser resolution burned area data. We also found that the temporal lag between emissions and atmospheric CO concentrations during the peak fire month was related to atmospheric transport. These findings emphasize the importance of utilizing higher‐resolution satellite instruments in accurately estimating emissions and understanding the impact of small fires on global climate. Plain Language Summary: We studied how much carbon monoxide (CO) was released into the air in southern Africa due to fires. To derive CO emissions we used different remotely sensed data of area burned, with varying levels of detail, from 500 to 20 m, and used these emissions in a model to mimic atmospheric transport and chemistry of CO. We found that emissions derived from the very detailed 20‐m satellite images from Sentinel‐2 produced a similar large amount of CO in the atmosphere over southern Africa as seen by CO satellite observations. This is because the smaller fires, which are harder to spot, were detected with the 20‐m burned area satellite observations. We also found that the air movement and inflow of polluted air from outside Africa impacted the peak of air pollution. Key Points: Sentinel‐2 burned area detects small fires, resulting in up to 120% higher fire emissions compared to conventional resolution estimatesImproved fuel load modeling and new emission factors yield more trustworthy fire emissions that can be evaluated with top‐down constraintsAtmospheric modeling and TROPOMI CO observations indicate a 15% bias reduction using Sentinel‐2 burned area compared with coarser fire data [ABSTRACT FROM AUTHOR]

Future African aerosol emissions, and therefore air pollution levels and health outcomes, are uncertain and understudied. Understanding the future health impacts of pollutant emissions from this region is crucial. Here, this research gap is addressed by studying the range in the future health impacts of aerosol emissions from Africa in the Shared Socioeconomic Pathway (SSP) scenarios, using the UK Earth System Model version 1 (UKESM1), along with human health concentration–response functions. The effects of Africa following a high-pollution aerosol pathway are studied relative to a low-pollution control, with experiments varying aerosol emissions from industry and biomass burning. Using present-day demographics, annual deaths within Africa attributable to ambient particulate matter are estimated to be lower by 150 000 (5th–95th confidence interval of 67 000–234 000) under stronger African aerosol mitigation by 2090, while those attributable to O 3 are lower by 15 000 (5th–95th confidence interval of 9000–21 000). The particulate matter health benefits are realised predominantly within Africa, with the O 3 -driven benefits being more widespread – though still concentrated in Africa – due to the longer atmospheric lifetime of O 3. These results demonstrate the important health co-benefits from future emission mitigation in Africa. [ABSTRACT FROM AUTHOR]

In the context of still-low-but-rising levels of motorization and economic growth, increasing social and spatial inequalities, and growing concerns about air pollution and climate change, the formulation and implementation of policies, practices and partnerships that can support an accelerated implementation of sustainable mobility policies is an urgent concern for rapidly developing cities. This paper seeks to contribute to reframing some of the knowledge and methodologies produced in and about cities of Sub-Saharan Africa, through a comprehensive assessment of mobility patterns and accessibility needs within a larger debate about mobility transitions and sustainable development. By deploying a mixed-methods approach that builds upon case-study focus groups and city-wide accessibility and mobility analysis in the city of Freetown, Sierra Leone's capital, the paper maps travel patterns and their links with structural factors such as urban form, poverty, informality and social identities at the macro, meso and micro levels. The paper also presents evidence from a variety of methods that illustrate the significance of accessibility-centred information and analysis for establishing policy priorities for improving urban mobility and accessibility in the local, African and global contexts. [ABSTRACT FROM AUTHOR]

Future African aerosol emissions, and therefore air pollution levels and health outcomes, are uncertain. Here, the range in the future impacts of African emissions in the Shared Socioeconomic Pathway (SSP) scenarios is studied, using the Earth System Model UKESM1 along with human health concentration-response functions. Using present-day demographics, annual deaths attributable to ambient particulate matter are estimated to be lower by 150,000 under stronger African aerosol mitigation by 2090, while those attributable to O3 are lower by 15,000. The particulate matter health benefits are realised predominantly within Africa, with the O3-driven benefits being more widespread – though still concentrated in Africa – due to the longer atmospheric lifetime of O3. These results demonstrate the important health co-benefits from future emissions mitigation in Africa. [ABSTRACT FROM AUTHOR]

This study sought to examine the impact of air pollution on health in Africa. Air pollution is a major public health concern around the world. Exposure to air pollution has been linked to a slew of negative health consequences, ranging from subclinical effects, physiological changes in pulmonary functions and the cardiovascular system, to clinical symptoms, outpatient and emergency-room visits, hospital admissions, and finally to premature death. Health impact assessments indicate that sub-Saharan Africa suffers a high burden of disease and premature deaths, attributable to environmental pollution in the world. The health and economic repercussions of rapid pollution increases could jeopardize African efforts to enhance economic development, establish human capital, and achieve the Sustainable Development Goals (SDGs). Despite all these, literature on pollution and health is still scanty in the case of Africa. This study was quantitative in nature, and it used a difference GMM approach to estimate its model. The GMM results showed that children are negatively affected by pollution. Children under the age of five are especially at risk, and the effects are believed to be most severe in developing countries, where exposure to high levels of ambient air pollution throughout childhood is thought to lower total life expectancy by an average of 4–5 years. Based on the findings of this study, it is recommended that African countries must not overlook the pollution problem. They must promote and use low carbon technologies and services. In the absence of active intervention, pollution will soon raise morbidity and death. [ABSTRACT FROM AUTHOR]

Global outdoor biomass burning is a major contributor to air pollution, especially in low- and middle-income countries. Recent years have witnessed substantial changes in the extent of biomass burning, including large declines in Africa. However, direct evidence of the contribution of biomass burning to global health outcomes remains limited. Here, we use georeferenced data on more than 2 million births matched to satellite-derived burned area exposure to estimate the burden of biomass fires on infant mortality. We find that each additional square kilometer of burning is associated with nearly 2% higher infant mortality in nearby downwind locations. The share of infant deaths attributable to biomass fires has increased over time due to the rapid decline in other important causes of infant death. Applying our model estimates across harmonized district-level data covering 98% of global infant deaths, we find that exposure to outdoor biomass burning was associated with nearly 130,000 additional infant deaths per year globally over our 2004 to 2018 study period. Despite the observed decline in biomass burning in Africa, nearly 75% of global infant deaths due to burning still occur in Africa. While fully eliminating biomass burning is unlikely, we estimate that even achievable reductions--equivalent to the lowest observed annual burning in each location during our study period--could have avoided more than 70,000 infant deaths per year globally since 2004. [ABSTRACT FROM AUTHOR]

Long‐term exposure to ambient fine particulate matter (PM2.5) is the second leading risk factor of premature death in Sub‐Saharan Africa. We use GEOS‐Chem to quantify the effects of (a) trash burning, (b) residential solid‐fuel burning, and (c) open biomass burning (BB) (i.e., landscape fires) on ambient PM2.5 and PM2.5‐attributable mortality in Africa. Using a series of sensitivity simulations, we excluded each of the three combustion sources in each of five African regions. We estimate that in 2017 emissions from these three combustion sources within Africa increased global ambient PM2.5 by 2%, leading to 203,000 (95% confidence interval: 133,000–259,000) premature mortalities yr−1 globally and 167,000 premature mortalities yr−1 in Africa. BB contributes more ambient PM2.5‐related premature mortalities per year (63%) than residential solid‐fuel burning (29%) and trash burning (8%). Open BB in Central Africa leads to the largest number of PM2.5‐attributed mortalities inside the region, while trash burning in North Africa and residential solid‐fuel burning in West Africa contribute the most regional mortalities for each source. Overall, Africa has a unique ambient air pollution profile because natural sources, such as windblown dust and BB, contribute strongly to ambient PM2.5 levels and PM2.5‐related mortality. Air pollution policies may need to focus on taking preventative measures to avoid exposure to ambient PM2.5 from these less‐controllable sources. Plain Language Summary: Air pollution substantially impacts human health in Africa and may continue to get worse in the coming years with population and economic growth and urbanization. In this modeling study, we estimate the health benefits from removing three combustion sources (trash burning, residential biofuel used for home cooking and heating, and open biomass burning) and the regional differences across Africa. Our finding suggests that eliminating these sources in Africa can prevent 167,000 premature mortalities each year in the continent alone and 203,000 deaths globally. The information we provide may help policy makers in developing appropriate policies to mitigate the impacts of air pollution in Africa. Key Points: Three solid‐fuel combustion sources in Africa led to 203,000 annual PM2.5‐attributable premature mortalities globally and 167,700 in AfricaOf the five regions and three sources studied, open biomass burning in Central Africa led to the most PM2.5‐attributed mortalitiesTrash burning contributed the most mortalities in North Africa and residential solid‐fuel burning contributed the most mortalities in West Africa [ABSTRACT FROM AUTHOR]

Background: Undernutrition is a global public health crisis, causing nearly half of deaths for children under age 5 years. Little is known regarding the impact of air pollution in-utero and early childhood on health outcomes related to undernutrition. The aim of our study is to evaluate the association of prenatal and early-life exposure to PM2.5 and child malnutrition as captured by the height-for-age z-score (HAZ), and stunting in 32 countries in Africa. We also evaluated critical windows of susceptibility during pregnancy to each environmental risk. Methods: We linked nationally representative anthropometric data from 58 Demographic and Health Surveys (DHS) (n = 264,207 children < 5 years of age) with the average in-utero PM2.5 concentrations derived from satellite imagery. We then estimated associations between PM2.5 and stunting and HAZ after controlling for child, mother and household factors, and trends in time and seasonality. Results: We observed lower HAZ and increased stunting with higher in-utero PM2.5 exposure, with statistically significant associations observed for stunting (OR: 1.016 (95% CI: 1.002, 1.030), for a 10 μg/m3 increase). The associations observed were robust to various model specifications. Wald tests revealed that sex, wealth quintile and urban/rural were not significant effect modifiers of these associations. When evaluating associations between trimester-specific PM2.5 levels, we observed that associations between PM2.5 and stunting was the largest. Conclusions: This is one of the first studies for the African continent to investigate in-utero and early-life exposure to PM2.5 is an important marker of childhood undernutrition. Our results highlight that PM2.5 concentrations need to be urgently mitigated to help address undernutrition in children on the continent. [ABSTRACT FROM AUTHOR]

As in other parts of the world, air pollution over West and Central Africa has major health and meteorological impacts. Air quality assessment and its possible sanitary impact have become essential even in medium-sized towns, therefore amplifying the need for easy-to-implement monitoring methods with low environmental impact. We present here the potential of magnetic methods to monitor air quality at street level in the medium-sized city of Maroua (northern Cameroon) affected by dust-laden desert winds. More than five hundred (544) samples of bark and leaves taken from Neem trees in Maroua were analyzed. Magnetic susceptibility, saturation remanence, and S-ratio were found to determine the concentration and nature of magnetic particles. They are dominated by magnetite-like particle signals as a part of particulate emissions due to urban activities, including both traffic, composed of a substantial proportion of motorcycles, and wood burning for food preparation. We show that both bark and leaves from Neem trees are adequate passive bio-recorders. The use of both enables different times and heights to be sampled, allowing for the high-resolution monitoring, in terms of spatialization, of various urban environments. Particle emissions require assessment and screening that could be carried out rapidly and efficiently by magnetic methods on bio-recorders, even in cities impacted by dust-laden wind. [ABSTRACT FROM AUTHOR]