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Desertification and Health Effects of Desert Dusts. Hasan Bayram MD, PhD. Department of Chest Diseases, School of Medicine, University of Gaziantep E-mail: bayram@gantep.edu.tr. TTS 16 th Annual Congress, Antalya 3-7 April, 2013. Contents. Desertification: Globally , Turkey Sand storms
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Desertification and HealthEffects of Desert Dusts Hasan Bayram MD, PhD. Department of Chest Diseases, School of Medicine, University of Gaziantep E-mail: bayram@gantep.edu.tr TTS 16th Annual Congress, Antalya 3-7 April, 2013
Contents • Desertification:Globally,Turkey • Sand storms • Contents of desert dusts • Health effects of desert dust • Mortality • Hospitalization • Experimentalstudies; inflammation • Summary
Desertification: Globally • Inlastfourdecades, 15 to 63% of global landresulted in degradation • In the drylands, due to drought and desertification, 12 million hectares of land are transformedinto new man-made deserts each year. • An area with the potential to produce20 million tons of grain every year. Zero Net Land Degradation,UNCCD, 2012
KeyObservedandProjectedClimateChangeandImpactsfortheMainRegions in Europe Climate change, impacts and vulnerability in Europe 2012 EEA Report No: 12/2012
Desertification: Turkey • Turkey and Middle East; greater risk • Summer temperature increases, mostly Western and South Western Turkey. • Winter precipitation in Western Turkey decreased in last five decades. • Most areas of Turkey including Inner Anatolia, Western and South Eastern Turkey (Mesopotamia Basin) has high potential for desertification Bayram H, Ozturk AB, Chapter in Pinkerton KE, Rom W (eds), ClimateChangeand Global PublicHealth, 2013 (in press).
Trend, Frequency of Sand Storms • Analysis of long-term meteorological records of the Great Plains of the USA, the USSR, Morocco, The Arabian Gulf, Australia, the Sahel-Sudan zone of Africa, China, Mongolia and Mexico • No global pattern • “Some stations (e.g. in the Sahel) show a clear upward trend of great severity, others show a downward trend (e.g. Mexico City), while others show a more cyclical pattern” Goudie AS; Middleton NJ, ClimChange, 1992
Trend, Frequency of SandStorms –Middleast • Dust observations in Israel were carried out since 1958. During 1958-2006, 966 dust days were observed. • The number of dust days associated with Red Sea Troughs has increased by 2.3 d/10 yr, and with highs by 0.9 d/10 yr. • The total incidence of dust days has increased with an average rate of 2.7 days per decade Ganor E, et al, J Geophysıcal Res. Atmosph. 2010
Sudan, July 11, 2010 http://wholeheartedly-sudaniya.blogspot.com/2010/07/kataha-sand-storm.html
Dust Plumes Blowing From the Sahara Desert in theDirection Of Turkey Perfumo A, Marchant R Environ. Microbiol. Rep. 2010.
Gaziantep - 14. 03. 2013 Hakimiyet Newspaper, Gaziantep.
Ministry of EnvironmentandUrbanisation AIR QUALITY MONITORING STATIONS WEB
Concentrations of ElementalSpecies in AerosolSamplesfromSaharanDust, Oct 2007 Koçak M, et al. AtmosEnviron, 2012
Bacteria in DesertDust: YellowSand • Aquabacterium sp., Flavobacteriales bacterium sp., Prevotellaceae bacterium sp., others • Non-YellowSand: Propionibacterium sp., Bacillus sp., Acinetobacter sp., and others. Lee S, et al. Sci Total Environ. 2009
DustSamples: • Thermophilicorganisms: • Geobacillus(G) thermoglucosidasius • G. thermodenitrificans, • Aeribacilluspallidus Perfumo A, Marchant R. Environ. Microbiolo. Rep., 2010.
FungalCompositions in Asian DustEvents in Taipei, Taiwan Chao HJ et al. Int J Biometeorol, 2012.
Al EskanDisease: Desert Storm Pneumonitis • An acute desert-related disease • A new clinicopathological entity, Desert Storm pneumonitis or Al Eskan disease • Hyperergic lung condition, opportunistic infection of the lung, hyperergia. • Fine Saudi sand dust (0.1-0.25µm) and pigeon droppings Korényi-Both AL, et al. Mil Med. 1992
Odds Ratios (non-Saharan dust [white], Saharandust[black]Intrusion days), of Daily TotalMortality for an Increase of 10 μg/m3 of PM10-2.5. Tobias A, et al. SciTotEnviron 2011.
Effects of DesertDust (>0.1 mg/m3) on Asthma Hospitalization in Children in Japan Kanatani KT, et al. Am J RespirCrit Care Med, 2010
Pneumoconiosis • Pneumoconiosis; progressive massive fibrosis and egg shell calcification of hilar glands • The prevalence of pneumoconiosis in three villages was 2.0%, 20.1% and 45.3%, Ladakh, India. • The free silica content of the storms was between 60 and 70%. Saiyed HN, et al. Br J Ind Med. 1991
Effects of Asian Sand Dust(ASD) on PathologicalChanges in the Lungs of Mice ASD saline OVA • OVA+ASD • ASD-SO4 OVA+ASD HE Stain PAS Stain Hiyoshia K, et al. EnvironRes 2005
Male Sprague-Dawley rats • A single intratrachealdose of 1, 5, or 10 mg of Middle East PM10 collected inKuwait, • Silica (positive control), or titanium dioxide (TiO2); • 24 hrs, 3 d, 7 d and 6 molater, histopathologicalchanges • BALF; cellular and biochemical parameters, including cytokines and chemokines.
Total protein (µg/ml) LDH (µg/ml) Wilfong ER, et al. J ToxicolEnvironHealth, 2011
Concentrations of 1β, MIP-2 and MCP-1 in BALF Wilfong ER, et al. J ToxicolEnvironHealth, 2011
Effects of Middle East Sand Particles (10mg) on PathologicalChanges in the Lungs. saline 24h 3d 7d Wilfong ER, et al. J ToxicolEnvironHealth, 2011
Yellowdust (Kosa) samples (fromdifferentlocations), administered intratracheally tomice • Bronchitis, alveolitis, • Neutrophils, lymphocytesoreosinophils in BAL, dosedependent • IL-12, TNF-α, KC, MCP-l and MIP-l increased in BAL • β-glucanwaseffective Ichinosea T et al. 2005
Effects of AsianDustParticles (250µg) on Gene Expression of InflammatoryCytokines in Mice MIP-2 KC MIP-1α IP-10 Yanagisawa R, et al. Exp.Biol. Med. 2007
Effects of Asian Sand Dust (ASD) on Rhinovirus-induced CytokineSecretion and ViralReplication in HumanNEC • Primary human nasal epithelial cells treated with ASD and/or rhinovirus (RV) • ASD significantly increased RV-induced IFN-γ, IL-1β, IL-6, and IL-8 mRNA levels and protein secretion • ASD increased RV replication • ASD may potentiate common cold symptoms associated with RV infection Yeo NK, et al. InhalToxicol, 2010.
Effects of AsianDustParticles on Expression of Cytochromesand Pro-inflammatory Cytokin Genes in Human EpidermalKeratinocytes Choia H, et al. ToxicolLett, 2011.
Summary • Desertification is a serious problem • Sand storms, increasing • Desert dustscontainchemical, microbial, viralandfungalagents • Effects on mortality, hospitalization • Exerttheseeffectsbyinducinginflammationandsensitivitytoinfectiveagents
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