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Epidemic asthma events represent a significant risk to emergency services as well as the wider community. In southeastern Australia, these events occur in conjunction with relatively high amounts of grass pollen during the late spring and early summer, which may become concentrated in populated areas through atmospheric convergence caused by a number of physical mechanisms including thunderstorm outflow. Thunderstorm forecasts are therefore important for identifying epidemic asthma risk factors. However, the representation of thunderstorm environments using regional numerical weather prediction models, which are a key aspect of the construction of these forecasts, have not yet been systematically evaluated in the context of epidemic asthma events. Here, we evaluate diagnostics of thunderstorm environments from historical simulations of weather conditions in the vicinity of Melbourne, Australia, in relation to the identification of epidemic asthma cases based on hospital data from a set of controls. Skillful identification of epidemic asthma cases is achieved using a thunderstorm diagnostic that describes near-surface water vapor mixing ratio. This diagnostic is then used to gain insights on the variability of meteorological environments related to epidemic asthma in this region, including diurnal variations, long-term trends, and the relationship with large-scale climate drivers. Results suggest that there has been a long-term increase in days with high water vapor mixing ratio during the grass pollen season, with large-scale climate drivers having a limited influence on these conditions. Significance Statement: We investigate the atmospheric conditions associated with epidemic thunderstorm asthma events in Melbourne, Australia, using historical model simulations of the weather. Conditions appear to be associated with high atmospheric moisture content, which relates to environments favorable for severe thunderstorms, but also potentially pollen rupturing as suggested by previous studies. These conditions are shown to be just as important as the concentration of grass pollen for a set of epidemic thunderstorm asthma events in this region. This means that weather model simulations of thunderstorm conditions can be incorporated into the forecasting process for epidemic asthma in Melbourne, Australia. We also investigate long-term variability in atmospheric conditions associated with severe thunderstorms, including relationships with the large-scale climate and long-term trends. [ABSTRACT FROM AUTHOR]

The world's most severe thunderstorm asthma event occurred in Melbourne, Australia on 21 November 2016, coinciding with the peak of the grass pollen season. The aetiological role of thunderstorms in these events is thought to cause pollen to rupture in high humidity conditions, releasing large numbers of sub-pollen particles (SPPs) with sizes very easily inhaled deep into the lungs. The humidity hypothesis was implemented into a three-dimensional atmospheric model and driven by inputs from three meteorological models. However, the mechanism could not explain how the Melbourne event occurred as relative humidity was very low throughout the atmosphere, and most available grass pollen remained within 40 m of the surface. Our tests showed humidity induced rupturing occurred frequently at other times and would likely lead to recurrent false alarms if used in a predictive capacity. We used the model to investigate a range of other possible pollen rupturing mechanisms which could have produced high concentrations of SPPs in the atmosphere during the storm. The mechanisms studied involve mechanical friction from wind gusts, electrical build up and discharge incurred during conditions of low relative humidity, and lightning strikes. Our results suggest that these mechanisms likely operated in tandem with one another, but the lightning method was the only mechanism to generate a pattern in SPPs following the path of the storm. If humidity induced rupturing cannot explain the 2016 Melbourne event, then new targeted laboratory studies of alternative pollen rupture mechanisms would be of considerable value to help constrain the parameterisation of the pollen rupturing process. [ABSTRACT FROM AUTHOR]