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• By reducing growth of leaves, ozone pollution reduces the cooling effect of trees. • Tree performance on surface temperature, sensible heat and PET were studied. • Planning implications of tree planting due to the ozone effect were discussed. Urban tree planting is an important measure to provide micro-climate cooling (MCC) in megacities. However all of the studies available in the literature were focused on an ideal and clean environment where trees are not under environmental stresses. Here, we studied the effects of ambient ozone on the leaf area index (LAI) of trees and the resultant reduction in the effectiveness of trees in providing MCC. The ENVI-met model, which was well validated against our bio-meteorological measurements, was used to quantify the effect of reduced LAI on the cooling performance of trees in two urban sites of Hong Kong. Under the influence of ambient ozone stress with a high sky view factor (SVF), the sensible heat fluxes and surface temperatures were calculated to be at least 40 Wm−2 and 5 °C higher than the stress-free case, respectively. For the low-SVF situation with the LAI value decreased by 25%, the physiological equivalent temperature (PET) values indicated that heat-related physiological stress increased by 1 grade in the planted areas. With the increasing surface-level ozone concentrations in the southern China region, the current study provides useful information for cities to refine design schemes and plan specifications for urban greenery to cope with the problem. [ABSTRACT FROM AUTHOR]

Background: Although socio-environmental factors which may affect dementia have widely been studied, the mortality of dementia and socio-environmental relationships among older adults have seldom been discussed. Method: A retrospective, observational study based on territory-wide register-based data was conducted to evaluate the relationships of four individual-level social measures, two community-level social measures, six short-term (temporally varying) environmental measures, and four long-term (spatially varying) environmental measures with dementia mortality among older adults in a high-density Asian city (Hong Kong), for the following decedents: (1) all deaths: age >= 65, (2) "old-old": age > = 85, (3) "mid-old": aged 75–84, and (4) "young-old": aged 65–74. Results: This study identified 5438 deaths (3771 old-old; 1439 mid-old; 228 young-old) from dementia out of 228,600 all-cause deaths among older adults in Hong Kong between 2007 and 2014. Generally, regional air pollution, being unmarried or female, older age, and daily O3 were associated with higher dementia mortality, while more urban compactness and greenness were linked to lower dementia mortality among older adults. Specifically, being unmarried and the age effect were associated with higher dementia mortality among the "old-old", "mid-old" and "young-old". Regional air pollution was linked to increased dementia mortality, while urban compactness and greenness were associated with lower dementia mortality among the "old-old" and "mid-old". Higher daily O3 had higher dementia mortality, while districts with a greater percentage of residents whose native language is not Cantonese were linked to lower dementia mortality among the "old-old". Economic inactivity was associated with increased dementia mortality among the "young-old". Gender effect varied by age. Conclusion: The difference in strengths of association of various factors with dementia mortality among different age groups implies the need for a comprehensive framework for community health planning. In particular, strategies for air quality control, usage of greenspace and social space, and activity engagement to reduce vulnerability at all ages are warranted. [ABSTRACT FROM AUTHOR]

With the prevalence of stroke rising due to both aging societies and more people getting strokes at a younger age, a comprehensive investigation into the relationship between urban characteristics and age-specific stroke mortality for the development of a healthy built environment is necessary. Specifically, assessment of various dimensions of urban characteristics (e.g. short-term environmental change, long-term environmental conditions) is needed for healthy built environment designs and protocols. A multifactorial assessment was conducted to evaluate associations between environmental and sociodemographic characteristics with age-stroke mortality in Hong Kong. We found that short-term (and temporally varying) daily PM 10 , older age and being female were more strongly associated with all types of stroke deaths compared to all-cause deaths in general. Colder days, being employed and being married were more strongly associated with hemorrhagic stroke deaths in general. Long-term (and spatially varying) regional-level air pollution were more strongly associated with non-hemorrhagic stroke deaths in general. These associations varied by age. Employment (manual workers) and low education were risk factors for stroke mortality at younger ages (age <65). Greenness and open space did not have a significant association with stroke mortality. Since a significant connection was expected, this leads to questions about the health-inducing efficacy of Hong Kong's compact open spaces (natural greenery being limited to steep slopes, and extensive impervious surfaces on public open spaces). In conclusion, urban plans and designs for stroke mortality prevention should implement age-specific health care to neighborhoods with particular population segments. • Evaluated socio-environmental impacts on age-specific stroke mortality. • Female and older age contributed to higher stroke mortality. • Daily PM 10 also contributed to higher stroke mortality. • Regional-level air pollution were associated with non-hemorrhagic stroke deaths. • These associations varied by age. [ABSTRACT FROM AUTHOR]