Auswahl der wissenschaftlichen Literatur zum Thema „Tobacco smoke pollution South Australia“

Smoke pollution from wildfires can adversely affect human health, and there is uncertainty about the amount of smoke pollution caused by prescribed v. wildfires, a problem demanding a landscape perspective given that air quality monitoring is sparse outside of urban airsheds. The primary objective was to assess differences in fire intensity and smoke plume area between prescribed fires and wildfires around Melbourne and Sydney, Australia. We matched thermal anomaly satellite data to databases of fires in forests surrounding both cities. For each matched fire we determined hotspot count and quantified their intensity using the fire radiative power (FRP) measurement. Smoke plumes were mapped using MODIS true colour images. Wildfires had more extreme fire intensity values than did prescribed burns and the mean size of wildfire plumes was six times greater than of prescribed fire plumes for both cities. Statistical modelling showed that the horizontal area covered by smoke plumes could be predicted by hotspot count and sum of FRP, with differences between cities and fire type. Smoke plumes from both fire types reached both urban areas, and particulate pollution was higher on days affected by smoke plumes. Our results suggested that prescribed fires produced smaller smoke plume areas than did wildfires in two different flammable landscapes. Smoke plume and FRP data, combined with air pollution data from static monitors, can be used to improve smoke management for human health.

Smoke pollution from landscape fires is a major health issue. Prescribed burning aims to reduce the area and impact of wildfire, but itself produces smoke pollution. This raises the question as to whether the smoke production and transport from prescribed fires is substantially different compared to wildfires. We examined the maximum height, width and areal footprint of large-particle plumes from 97 wild and 126 prescribed fires in south-eastern Australia using the existing network of weather radars. Radar detects large particles in smoke (probably those >100 μm) and hence is an imperfect proxy for microfine (<2 μm) particles that are known to affect human health. Of the 223 landscape fires, ~45% of plumes were detected, with the probability being >0.8 for large fires (>100 000 ha) regardless of type, closer than 50 km from the radar. Plume height was strongly influenced by fire area, the height of the planetary boundary layer and fire type. Plume heights differed between wildfire (range 1016–12 206 m, median 3260 m) and prescribed fires (range 706–6397 m, median 1669 m), and prescribed fires were predicted to be 800–1200 m lower than wildfires, controlling for other factors. For both wildfires and prescribed fires, the maximum plume footprint was always near the ground.

Licensees of all licensed premises in the Hunter Region of New South Wales, Australia, were offered free services to encourage adoption of health promotion initiatives relating to responsible service of alcohol, environmental tobacco smoke, healthy food choices, breast and cervical cancer prevention, and the prevention of HIV/AIDS. A total of 239 premises participated in the follow-up survey. Increases in prevalence ranged between 11% and 59% for alcohol-related initiatives. The prevalence of smoke-free areas and healthy food choices increased from 32% to 65% and 42% to 96%, respectively, and the provision of cancer prevention information increased from 3% to 59%. Licensed premises represent a particularly challenging sector for health promotion practitioners to work in. The results of this study suggest that the adoption of health promotion initiatives by licensed premises can be increased. A considerable opportunity therefore exists for health promotion practitioners to become more actively involved in facilitating the adoption of such initiatives in this setting.

Smoking prevalence among Indigenous Australians far exceeds that of non-Indigenous Australians and is considered the greatest contributor to burden of disease for Indigenous Australians. The Quitline is a primary intervention for facilitating smoking cessation and, given the health implications of tobacco use, maximising its effectiveness for Indigenous Australians is imperative. However, the utilisation and effectiveness of this service within the Indigenous Australian population has not been examined. This study explores the utilisation of the South Australian Quitline by smokers identifying as Indigenous Australian. Quitline counsellors collected data regarding demographic characteristics, and smoking and quitting behaviour from Quitline callers in 2010. Results indicated that the proportion of Indigenous and non-Indigenous smokers who registered for the service was comparable. Demographic variables and smoking addiction at time of registration with the Quitline were similar for Indigenous and non-Indigenous callers. However, results indicated that Indigenous callers received significantly fewer callbacks than non-Indigenous callers and were significantly less likely to set a quit date. Significantly fewer Indigenous callers reported that they were still successfully quit at 3 months. Thus, Indigenous Australian callers may be less engaged with the Quitline and further research is required exploring whether the service could be tailored to make it more engaging for Indigenous Australians who smoke.

The accuracy and utility of low-cost PM2.5 sensors was evaluated for measuring spatial variation and modeling population exposure to PM2.5 pollution from domestic wood-heating (DWH) in Armidale, a regional town in New South Wales (NSW), Australia, to obtain estimates of health costs and mortality. Eleven ‘PurpleAir’ (PA) monitors were deployed, including five located part of the time at the NSW government station (NSWGov) to derive calibration equations. Calibrated PA PM2.5 were almost identical to the NSWGov tapered element oscillating microbalance (TEOM) and Armidale Regional Council’s 2017 DustTrak measurements. Spatial variation was substantial. National air quality standards were exceeded 32 times from May–August 2018 at NSWGov and 63 times in one residential area. Wood heater use by about 50% of households increased estimated annual PM2.5 exposure by over eight micrograms per cubic meter, suggesting increased mortality of about 10% and health costs of thousands of dollars per wood heater per year. Accurate real-time community-based monitoring can improve estimates of exposure and avoid bias in estimating dose-response relationships. Efforts over the past decade to reduce wood smoke pollution proved ineffective, perhaps partly because some residents do not understand the health impacts or costs of wood-heating. Real-time Internet displays can increase awareness of DWH and bushfire pollution and encourage governments to develop effective policies to protect public health, as recommended by several recent studies in which wood smoke was identified as a major source of health-hazardous air pollution.

1 The determination of personal exposures to environmental tobacco smoke (ETS) and respirable suspended particles (RSP) for housewives, and fixed site monitoring of their homes, have been undertaken by these authors throughout Europe, South East Asia and Australia. Median 24 h time weighted average (TWA) concentrations for ETS particles and nicotine were found to be significantly higher for housewives living in smoking households compared with those living in nonsmoking households. For Europe, median TWA concentrations of 4.1 and <0.26 sg/m3 for ETS particles and 0.63 and < 0.08 ig/m3 for nicotine were found for housewives living in smoking and nonsmoking households respectively. 2 In addition to the measurement of RSP, ETS particles and nicotine, saliva cotinine concentrations were determined using a radioimmunoassay method with a limit of quantitation of 1 ng/ml. Median saliva cotinine concentrations of 1.4 and <1 ng/ml were determined for European housewives living in smoking and nonsmoking households respectively, which reflected the poor limit of quantitation of this methodology. A chromatographic method utilising tandem mass-spectrometric detection was developed and validated for the determination of both cotinine and 3-hydroxycotinine, two of the main metabolites of nicotine, with lower limits of quantitation of 0.05 and 0.10 ng/ml respectively. This method was applied to samples collected from subjects with a known ETS exposure history and median cotinine concentrations of <0.05 ng/ml for self-reported unexposed nonsmokers, 0.65 ng/ml for nonsmokers reporting some ETS exposure and 1.28 ng/ml for nonsmokers living with smokers were found. 3 In conclusion, the measurement of RSP and ETS concentrations derived from personal or fixed site monitors for housewives may provide some indication of potential exposures to dependent children. The recent development and application of a highly sensitive assay for the determination of cotinine in saliva has provided evidence to suggest that concentrations determined at sub-nanogram levels may be used as a biomarker for ETS exposure. This improved methodology, coupled with non-invasive sampling for saliva, may be of significance when considering the application of cotinine as a biomarker for ETS exposure in children.

Indoor air pollution (IAP) or environmental tobacco smoke (ETS) exposure may influence nasopharyngeal carriage of bacterial species and development of lower respiratory tract infection (LRTI). The aim of this study was to longitudinally investigate the impact of antenatal or postnatal IAP/ETS exposure on nasopharyngeal bacteria in mothers and infants.A South African cohort study followed mother–infant pairs from birth through the first year. Nasopharyngeal swabs were taken at birth, 6 and 12 months for bacterial culture. Multivariable and multivariate Poisson regression investigated associations between nasopharyngeal bacterial species and IAP/ETS. IAP exposures (particulate matter, carbon monoxide, nitrogen dioxide, volatile organic compounds) were measured at home visits. ETS exposure was measured through maternal and infant urine cotinine. Infants received the 13-valent pneumococcal andHaemophilus influenzaeB conjugate vaccines.There were 881 maternal and 2605 infant nasopharyngeal swabs. Antenatal ETS exposure was associated withStreptococcus pneumoniaecarriage in mothers (adjusted risk ratio (aRR) 1.73 (95% CI 1.03–2.92)) while postnatal ETS exposure was associated with carriage in infants (aRR 1.14 (95% CI 1.00–1.30)) Postnatal particulate matter exposure was associated with the nasopharyngeal carriage ofH. influenzae(aRR 1.68 (95% CI 1.10– 2.57)) orMoraxella catarrhalis(aRR 1.42 (95% CI 1.03–1.97)) in infants.Early-life environmental exposures are associated with an increased prevalence of specific nasopharyngeal bacteria during infancy, which may predispose to LRTI.

Abstract. Smoke from wildfires poses a significant threat to affected communities. Prescribed burning is conducted to reduce the extent and potential damage of wildfires, but produces its own smoke threat. Planners of prescribed fires model the likely dispersion of smoke to help manage the impacts on local communities. Significant uncertainty remains about the actual smoke impact from prescribed fires, especially near the fire, and the accuracy of smoke dispersal models. To address this uncertainty, a detailed study of smoke dispersal was conducted for one small (52 ha) and one large (700 ha) prescribed fire near Appin in New South Wales, Australia, through the use of stationary and handheld pollution monitors, visual observations and rain radar data, and by comparing observations to predictions from an atmospheric dispersion model. The 52 ha fire produced a smoke plume about 800 m high and 9 km long. Particle concentrations (PM2.5) reached very high peak values (> 400 µg m−3) and high 24 h average values (> 100 µg m−3) at several locations next to or within ∼ 500 m downwind from the fire, but low levels elsewhere. The 700 ha fire produced a much larger plume, peaking at ∼ 2000 m altitude and affecting downwind areas up to 14 km away. Both peak and 24 h average PM2.5 values near the fire were lower than for the 52 ha fire, but this may be because the monitoring locations were further away from the fire. Some lofted smoke spread north against the ground-level wind direction. Smoke from this fire collapsed to the ground during the night at different times in different locations. Although it is hard to attribute particle concentrations definitively to smoke, it seems that the collapsed plume affected a huge area including the towns of Wollongong, Bargo, Oakdale, Camden and Campbelltown (∼ 1200 km2). PM2.5 concentrations up to 169 µg m−3 were recorded on the morning following the fire. The atmospheric dispersion model accurately predicted the general behaviour of both plumes in the early phases of the fires, but was poor at predicting fine-scale variation in particulate concentrations (e.g. places 500 m from the fire). The correlation between predicted and observed varied between 0 and 0.87 depending on location. The model also completely failed to predict the night-time collapse of the plume from the 700 ha fire. This study provides a preliminary insight into the potential for large impacts from prescribed fire smoke to NSW communities and the need for increased accuracy in smoke dispersion modelling. More research is needed to better understand when and why such impacts might occur and provide better predictions of pollution risk.

middleincome countries (LMIC) and a major reason for health care visits and hospitalisation. Environmental exposures to indoor air pollution (IAP) or tobacco smoke are important risk factors for childhood respiratory disease. Despite increased electrification, many communities in LMIC rely on alternate fuel sources for household cooking or heating. The impact of antenatal or postnatal exposures on early childhood respiratory disease has not been comprehensively studied in LMIC especially in Africa. The aim of this work was to investigate the impact of IAP and environmental tobacco smoke (ETS) exposure on child health and early-life respiratory disease in the Drakenstein Child Health Study (DCHS), a South African birth cohort study. The DCHS investigates the epidemiology and impact of early-life exposures on child health including lung disease. The study is set in a peri-urban poor community in the Western Cape, South Africa. Pregnant women were enrolled from two public primary healthcare clinics, Mbekweni (serving a predominantly black African population) and Newman (predominantly mixed-ancestry population) and 1000 mother-infant pairs longitudinally followed from birth through 1 year of life. The thesis chapters are presented as published manuscripts that describe IAP and ETS exposure in the 2 communities in the DCHS cohort from the antenatal period and the impact of these exposure on child health and lung diseases, LRTI and wheezing illness in the first year of life. To measure exposures comprehensively, two home visits, one in the antenatal period (third trimester) and the second postnatally (between 4 and 6 months of the infant’s life), were conducted to assess the home environment and to measure the most common indoor air pollutants and by-products of combustion. Devices placed in participants’ homes measured exposure to particulate matter (PM10), carbon monoxide (CO), nitrogen dioxide (NO2), sulphur dioxide (SO2) and volatile organic compounds (VOC). Maternal and infant urine cotinine measures were used to validate self-reported tobacco smoking and exposure. Study staff trained in recognition of LRTI or wheeze documented all episodes, which were categorised according to WHO case definition criteria. Exposure to IAP was comprehensively assessed in over 800 homes antenatally and postnatally providing important South African data on IAP and potential sources of exposure. Tobacco smoke exposure was assessed longitdunially by maternal self-report using validated scales and by measurement of urine cotinine in mothers and infants. Tobacco smoke exposure was found to be highly prevalent with a smoking prevalence of >50% in mixedancestry mothers. Alarmingly, 18% of infants were born with urine cotinine levels in keeping with active smoking, while a further 30% had levels indicating passive smoke exposure. Key findings were despite 92% of homes reporting access to electricity, there was still a reliance on cheaper alternate fuels. Tobacco smoking prevalence amongst pregnant women was high (32%), as was household exposure to tobacco smoke (44%). ETS exposure was associated with low birth weight and antenatal IAP or ETS exposure was significantly associated with increased LRTI. ETS exposure was also associated with wheezing illnesses. A novel finding was that antenatal exposure to toluene, a volatile organic compound, was associated with severe LRTI and hospitalisation. The timing of environmental exposures on the subsequent development of LRTI in infancy has not been well described. An important finding was that antenatal exposures were the main risk factors associated with LRTI, with maternal smoking in pregnancy or PM10 exposure most strongly associated with LRTI. Wheezing illness was associated with both antenatal and postnatal maternal smoking and antenatal maternal smoke exposure and postnatal household member smoking. Both IAP and ETS exposure impacted on both maternal and infant nasopharyngeal bacterial carriage which may be a precursor to the development of LRTI. Environmental exposures therefore had a substantial impact on child health and on LRTI and wheezing illness. The effect on LRTI of antenatal compared with postnatal exposure suggests an in utero developmental lung effect. This study highlights antenatal and early life as a critical period for lung development. Urgent and effective smoking cessation programmes targeting women of child bearing age as well as public health interventions to reduce IAP are required. Woman of childbearing age, pregnant women and children in poor communities represent vulnerable populations at risk for long-term health effects of these exposures.

M.A. (Psychology)
The study of behavioural toxicology was started in 1972 with the Port Pirie Cohort study and therefor a relative young field. Little information is available about the effect of cigarette smoke, containing the toxic substance carbon monoxide, on the neurocognitive functioning of children. The purpose of this study was to determine whether carbon monoxide has an effect on the neurocognitive functioning of children, more specifically as it relates to school performance. A group of school children was selected in the Vaal Triangle area who were sUbjected to a large quantity of cigarette smoke during the day and a group of children was selected who had no contact with any cigarette smoke during the day. The results of these groups were compared. From the results obtained it appears that cigarette smoke, would have a negative neurocognitive functioning of the children.