'New Research Links Air Pollution to Higher Coronavirus Death Rates' diff viewer (6/7)

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New Research Links Air Pollution to Higher Coronavirus Death Rates	New Research Links Air Pollution to Higher Coronavirus Death Rates
2020-06-08 14:56:30 UTC	2020-06-10 03:21:11 UTC (1 day later)
WASHINGTON — Coronavirus patients in areas that had high levels of air pollution before the pandemic are more likely to die from the infection than patients in cleaner parts of the country, according to a new nationwide study that offers the first clear link between long-term exposure to pollution and Covid-19 death rates.	WASHINGTON — Coronavirus patients in areas that had high levels of air pollution before the pandemic are more likely to die from the infection than patients in cleaner parts of the country, according to a new nationwide study that offers the first clear link between long-term exposure to pollution and Covid-19 death rates.
In an analysis of 3,080 counties in the United States, researchers at the Harvard University T.H. Chan School of Public Health found that higher levels of the tiny, dangerous particles in air known as PM 2.5 were associated with higher death rates from the disease.	In an analysis of 3,080 counties in the United States, researchers at the Harvard University T.H. Chan School of Public Health found that higher levels of the tiny, dangerous particles in air known as PM 2.5 were associated with higher death rates from the disease.
For weeks, public health officials have surmised a link between dirty air and death or serious illness from Covid-19, which is caused by the coronavirus. The Harvard analysis is the first nationwide study to show a statistical link, revealing a “large overlap” between Covid-19 deaths and other diseases associated with long-term exposure to fine particulate matter.	For weeks, public health officials have surmised a link between dirty air and death or serious illness from Covid-19, which is caused by the coronavirus. The Harvard analysis is the first nationwide study to show a statistical link, revealing a “large overlap” between Covid-19 deaths and other diseases associated with long-term exposure to fine particulate matter.
“The results of this paper suggest that long-term exposure to air pollution increases vulnerability to experiencing the most severe Covid-19 outcomes,” the authors wrote.	“The results of this paper suggest that long-term exposure to air pollution increases vulnerability to experiencing the most severe Covid-19 outcomes,” the authors wrote.
The paper found that if Manhattan had lowered its average particulate matter level by just a single unit, or one microgram per cubic meter, over the past 20 years, the borough would most likely have seen 248 fewer Covid-19 deaths by this point in the outbreak.	The paper found that if Manhattan had lowered its average particulate matter level by just a single unit, or one microgram per cubic meter, over the past 20 years, the borough would most likely have seen 248 fewer Covid-19 deaths by this point in the outbreak.
Over all, the research could have significant implications for how public health officials choose to allocate resources like ventilators and respirators as the coronavirus spreads. The paper has been submitted for peer review and publication in the New England Journal of Medicine.	Over all, the research could have significant implications for how public health officials choose to allocate resources like ventilators and respirators as the coronavirus spreads. The paper has been submitted for peer review and publication in the New England Journal of Medicine.
It found that just a slight increase in long-term pollution exposure could have serious coronavirus-related consequences, even accounting for other factors like smoking rates and population density.	It found that just a slight increase in long-term pollution exposure could have serious coronavirus-related consequences, even accounting for other factors like smoking rates and population density.
For example, it found that a person living for decades in a county with high levels of fine particulate matter is 15 percent more likely to die from the coronavirus than someone in a region with one unit less of the fine particulate pollution.	For example, it found that a person living for decades in a county with high levels of fine particulate matter is 15 percent more likely to die from the coronavirus than someone in a region with one unit less of the fine particulate pollution.
The District of Columbia, for instance, is likely to have a higher death rate than the adjacent Montgomery County, Md. Cook County, Ill., which includes Chicago, should be worse than nearby Lake County, Ill. Fulton County, Ga., which includes Atlanta, is likely to suffer more deaths than the adjacent Douglas County.	The District of Columbia, for instance, is likely to have a higher death rate than the adjacent Montgomery County, Md. Cook County, Ill., which includes Chicago, should be worse than nearby Lake County, Ill. Fulton County, Ga., which includes Atlanta, is likely to suffer more deaths than the adjacent Douglas County.
“This study provides evidence that counties that have more polluted air will experience higher risks of death for Covid-19,” said Francesca Dominici, a professor of biostatistics at Harvard who led the study.	“This study provides evidence that counties that have more polluted air will experience higher risks of death for Covid-19,” said Francesca Dominici, a professor of biostatistics at Harvard who led the study.
Counties with higher pollution levels, Dr. Dominici said, “will be the ones that will have higher numbers of hospitalizations, higher numbers of deaths and where many of the resources should be concentrated.”	Counties with higher pollution levels, Dr. Dominici said, “will be the ones that will have higher numbers of hospitalizations, higher numbers of deaths and where many of the resources should be concentrated.”
The study is part of a small but growing body of research, mostly still out of Europe, that offers a view into how a lifetime of breathing dirtier air can make people more susceptible to the coronavirus, which has already killed more than 10,000 people in the United States and 74,000 worldwide.	The study is part of a small but growing body of research, mostly still out of Europe, that offers a view into how a lifetime of breathing dirtier air can make people more susceptible to the coronavirus, which has already killed more than 10,000 people in the United States and 74,000 worldwide.
In the short term, Dr. Dominici and other public health experts said the study’s finding meant that places like the Central Valley of California, or Cuyahoga County, Ohio, may need to prepare for more severe cases of Covid-19.	In the short term, Dr. Dominici and other public health experts said the study’s finding meant that places like the Central Valley of California, or Cuyahoga County, Ohio, may need to prepare for more severe cases of Covid-19.
The analysis did not look at individual patient data and did not answer why some parts of the country have been hit harder than others. It also remains unclear whether particulate matter pollution plays any role in the spread of the coronavirus or whether long-term exposure directly leads to a greater risk of falling ill.	The analysis did not look at individual patient data and did not answer why some parts of the country have been hit harder than others. It also remains unclear whether particulate matter pollution plays any role in the spread of the coronavirus or whether long-term exposure directly leads to a greater risk of falling ill.
Dr. John R. Balmes, a spokesman for the American Lung Association and a professor of medicine at University of California, San Francisco, said the findings were particularly important for hospitals in poor neighborhoods and communities of color, which tend to be exposed to higher levels of air pollution than affluent, white communities.	Dr. John R. Balmes, a spokesman for the American Lung Association and a professor of medicine at University of California, San Francisco, said the findings were particularly important for hospitals in poor neighborhoods and communities of color, which tend to be exposed to higher levels of air pollution than affluent, white communities.
“We need to make sure that hospitals taking care of folks who are more vulnerable and with even greater air pollution exposure have the resources they need,” Dr. Balmes said.	“We need to make sure that hospitals taking care of folks who are more vulnerable and with even greater air pollution exposure have the resources they need,” Dr. Balmes said.
As more is learned about the recurrence of Covid-19, the study also could have far-reaching implications for clean-air regulations, which the Trump administration has worked to roll back over the past three years on the grounds that they have been onerous to industry.	As more is learned about the recurrence of Covid-19, the study also could have far-reaching implications for clean-air regulations, which the Trump administration has worked to roll back over the past three years on the grounds that they have been onerous to industry.
“The study results underscore the importance of continuing to enforce existing air pollution regulations to protect human health both during and after the Covid-19 crisis,” the study said.	“The study results underscore the importance of continuing to enforce existing air pollution regulations to protect human health both during and after the Covid-19 crisis,” the study said.
Last week, the Trump administration announced a plan to weaken Obama-era regulations on automobile tailpipe emissions, asserting the rollback would save lives because Americans would buy newer, safer vehicles. But the administration’s own analysis also found that there would be even more premature deaths from increased air pollution.	Last week, the Trump administration announced a plan to weaken Obama-era regulations on automobile tailpipe emissions, asserting the rollback would save lives because Americans would buy newer, safer vehicles. But the administration’s own analysis also found that there would be even more premature deaths from increased air pollution.
Updated June 5, 2020	Updated June 5, 2020
	So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.	A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.	The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.	Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.
Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.	Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.
States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.	States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.	Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.	Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)	If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.	Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.
The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.	The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.	If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.	If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.
In weakening a regulation last year on carbon pollution from coal-fired power plants, the Environmental Protection Agency similarly acknowledged that the measure was likely to result in about 1,400 additional premature deaths a year because of more pollution.	In weakening a regulation last year on carbon pollution from coal-fired power plants, the Environmental Protection Agency similarly acknowledged that the measure was likely to result in about 1,400 additional premature deaths a year because of more pollution.
Asked whether the E.P.A. was also studying the link between air pollution and the virus or considering policies to address the link, Andrea Woods, a spokeswoman for the agency, referred the question to the Centers for Disease Control and Prevention, and asserted that the Trump administration rollbacks would lead to some air quality improvements.	Asked whether the E.P.A. was also studying the link between air pollution and the virus or considering policies to address the link, Andrea Woods, a spokeswoman for the agency, referred the question to the Centers for Disease Control and Prevention, and asserted that the Trump administration rollbacks would lead to some air quality improvements.
Beth Gardiner, a journalist and the author of “Choked: Life and Breath in the Age of Air Pollution,” said she was particularly worried about what the coronavirus outbreak would mean for countries with far worse pollution, such as India.	Beth Gardiner, a journalist and the author of “Choked: Life and Breath in the Age of Air Pollution,” said she was particularly worried about what the coronavirus outbreak would mean for countries with far worse pollution, such as India.
“Most countries don’t take it seriously enough and aren’t doing enough given the scale of the harm that air pollution is doing to all of our health,” she said.	“Most countries don’t take it seriously enough and aren’t doing enough given the scale of the harm that air pollution is doing to all of our health,” she said.
Most fine particulate matter comes from fuel combustion, like automobiles, refineries and power plants, as well as some indoor sources like tobacco smoke. Breathing in such microscopic pollutants, experts said, inflames and damages the lining of the lungs over time, weakening the body’s ability to fend off respiratory infections.	Most fine particulate matter comes from fuel combustion, like automobiles, refineries and power plants, as well as some indoor sources like tobacco smoke. Breathing in such microscopic pollutants, experts said, inflames and damages the lining of the lungs over time, weakening the body’s ability to fend off respiratory infections.