Global Health Asia-Pacific July 2020 July 2020 | Page 70

Environment Continued from page 66 Globally, air pollution is estimated to be responsible for nearly 40 percent of lower respiratory tract infections and chronic obstructive pulmonary disease burden and about 20 percent of coronary heart disease and diabetes burden assessed that 8,911 air-quality-related deaths were avoided during the quarantine period. “Our estimates suggest that interventions to contain the covid-19 outbreak led to improvements in air quality that brought health benefits in non-covid-19 deaths, which could potentially have outnumbered the confirmed deaths attributable to covid-19 in China,� the researchers wrote. �Our findings show the substantial human health benefits related to cardiovascular disease morbidity and mortality that can be achieved when aggressive control measures for air pollution are taken to reduce emissions from vehicles, such as through climate mitigation-related traffic restrictions or efforts to accelerate the transition to electric vehicles,� the study also noted. Globally, air pollution is estimated to be responsible for nearly 40 percent of lower respiratory tract infections and chronic obstructive pulmonary disease burden and about 20 percent of coronary heart disease and diabetes burden. New research has found that air pollution shortens people’s lives by nearly three years on average, which puts it ahead of wars, malaria, HIV�AID�, and smoking as the leading cause of shortened life spans. But it would be a mistake to think that these temporary benefits represent an improvement in long-term prospects, warns Dr �arah Vogel, vicepresident of the Environmental Defense �und’s health programme in New York. Home confinement has taken a toll on children “While air quality may have temporarily improved across the world, these health conditions are the result of long-term exposure, and don’t go away,� she said. “That is to say that a few months of clear air that is much shorn of particulate matter does not make heart disease, diabetes, and chronic pulmonary conditions disappear. Indeed, people who have these conditions still face them in combination with, potentially, covid-19.� The impact of this dangerous combination will not only hit individuals but could be an additional burden on already overloaded healthcare systems. While the improvements in air quality will likely be temporary, the findings give scientists a unique glimpse into what air quality could be like in the future if emissions regulations become more stringent, according to the researchers. Dr �enny �tavrakou, an atmospheric scientist at the Royal �elgian Institute for �pace Aeronomy in �russels, says that such a significant drop in emissions as we’re now experiencing is unprecedented. The only other comparable event that resulted in short-term reductions in emissions took place during the 2008 Beijing Olympics when strict environmental regulations were implemented. “Maybe this unintended experiment could be used to understand better emission regulations,� Dr �tavrakou said. �It’s some positive news among a very tragic situation.� How long the current pause in emissions will last, however, will depend on a number of factors, such as government policies going forward, the behaviour of private industry, and the rate of economic recovery. And while cardiovascular and pulmonary health have clearly benefited from the slowdown in economic activity, other aspects of human life have suffered, particularly mental health. In one study of the mental health of primary school children in Hubei province, researchers looked at 1,784 6-12-year-olds who took a well-used test of depression. They found that 22.6 percent reported symptoms of depression, which is 30 percent higher than historical norms (17.2 percent). Anxiety levels were also higher. “Many of the factors associated with home confinement amidst the covid-19 pandemic � from fear of infection to social isolation and risk of child maltreatment � are known risk factors for poor mental health in children. This research letter is among the first pieces of evidence to help us quantify the toll of home confinement on child mental health,� said Dr Andrea Danese, professor of child and adolescent psychiatry at King’s College London, in a statement. �The research suggests that home confinement may be linked to increase in anxiety and depressive symptoms among primary school children [but] it is unclear if these emotional symptoms should be interpreted as short-term, normal psychological responses to the restrictions imposed by home confinement, or early signs of longer-term psychiatric 68 JULY 2020 GlobalHealthAndTravel.com