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Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program [email protected] Climate Change, Air Quality and Human Health

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Page 1: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Patrick L Kinney

Professor of Environmental Health SciencesDirector, Columbia Climate and Health

Program

[email protected]

Climate Change, Air Quality and Human Health

Page 2: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Overview• Health impacts of key air pollutants

• Ways that climate can affect air pollution

• Case study 1: health impact assessment for climate change and air quality in NYC metro region

• Case study 2: climate, pollen, and asthma

• Future research directions

Page 3: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Background

• The mixtures of air pollutants produced by burning of fuels can– Adversely affect human health– Promote climate change

• In addition– Climate can influence air pollution, resulting in

direct health effects– Climate can affect other aspects of air quality,

including smoke from agricultural or wild fires, and aero-allergens like pollen and mold spores

Page 4: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Criteria Pollutants:Ubiquitous Pollutants of Human Health Concern

• Carbon monoxide (CO)• Nitrogen dioxide (NO2)• Lead (Pb)• Sulfur dioxide (SO2)• Ozone (O3)• Particulate matter (PM2.5, PM10)

“National Ambient Air Quality Standards (NAAQS)”

Page 5: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Ozone

• Main pollutant responsible for photochemical smog, formed via reactions in the atmosphere from primary pollutants (NOx and VOCs) in the presence of sunlight

• Higher temperatures favor ozone formation• Strong oxidants that damage cells lining the

respiratory system, resulting in a variety of adverse health outcomes, including lung function decrease, asthma attacks, and premature deaths

• Ozone is also a greenhouse gas that contributes to warming

Page 6: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Source: US EPA (1991); in Kleinman and Lipfert, 1996. Note threshold~90°F (32°C)

Page 7: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Particulate Matter (PM2.5, PM10)

• Can be either primary or secondary; produced by combustion, atmospheric reactions, and mechanical processes

• Wide range of physical/chemical properties • Wide range of human health impacts,

including premature deaths• Higher temperatures may favor secondary

formation• Some particle types contribute to climate

warming; others to climate cooling

Page 8: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Fine Particle Composition

Annual average fine particle data for 2001 from the Look Rock station of the Tennessee Valley Authority. Source: http://www.tva.gov/environment/air/ontheair/fine_particles_smokies.htm

Page 9: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Health Effects of Air Pollution

• Historical experience provides strong evidence for causal relationship between air pollution and premature death

• Modern epidemiology studies have consistently found significant associations

• Two primary epidemiologic study designs:– Time series studies of acute effects– Cohort or cross-section studies of chronic

effects

Page 10: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

London Killer Fog, December, 1952

DateSource: UK Met Office http://www.metoffice.gov.uk/education/secondary/students/smog.html

Page 11: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Acute Mortality Responses to PM in US, Europe, and Asia

Exposure Risks

0.46 0.62 0.5

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

US (90 Cities)* Eur (21

Studies)*

Asia (6

Studies)

Perc

en

t In

crease

% Change per 10 ug/m3

0.46 0.62 0.5

0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

US (90 Cities)* Eur (21

Studies)*

Asia (6

Studies)

Perc

en

t In

crease

Source: Greenbaum and O’Keefe, BAQ 2003

Page 12: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Ozone & Acute Deaths

Bell et al., JAMA 2004

Page 13: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

• Long-term average concentrations of fine particle air pollution were associated with mortality rates, controlling for individual-level risk factors across six US cities

Results from Harvard Six Cities Study (Dockery et al., NEJM, 1993)

Page 14: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Health Effects Summary

• Outdoor levels of six air pollutants are regulated in the U.S. based on national standards that are assumed to avoid adverse health impacts

• Ozone and fine particles dominate current health concerns

• Many health effects have been associated with currently-observed distributions of ozone and fine particles, but mortality is most prominent among them

• Mortality impacts for fine particles tend to dominate most health impact assessments

Page 15: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

How might Climate Change Affect Air Pollution?

• Formation reactions for secondary pollutants generally happen faster at high temp and with greater sunlight

• Biogenic precursor emissions increase at higher temp

• Some particle species may volatilize at higher temperatures (e.g. nitrates, organics)

• Regional air mass patterns over time and space may change, altering stagnation and clearance events

• The mixing height of the lower atmosphere may change, affecting dilution of pollution emitted at the surface

Use Coupled Climate/Air Quality Models to Investigate

Page 16: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Case Study 1: Integrated health impact assessment for climate change and air

quality in NYC metro region

Linking models for global and regional climate, land use and cover, and air quality, examine the potential public health impacts of heat and air pollution under alternative scenarios of climate change and regional land use in the 2020s, 2050s, and 2080s in the NYC metropolitan region.

…grew out of MEC regional assessment (Rosenzweig, Solecki et al)

Page 17: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

ApproachDevelop an integrated modeling system that links changes in global climate, regional climate, land use, and emissions, to project future ozone and heat at policy-relevant geographic scales

Develop exposure-response functions for temperature and ozone using historical data from the NYC metro area

Run the models using alternative greenhouse gas growth scenarios

Combine to assess potential mortality risks in the NYC metro area in the 21st century

Funded by USEPA STAR grant

Page 18: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Integrated Modeling System

Global ClimateNASA-GISS

GCM

Regional Climate

MM5

Air QualitySMOKE, CMAQ

Public HealthRisk

Assessment

Changing Regional Land Use / Land CoverSLEUTH, Remote

Sensing, IPCC SRES Scenarios

Changing Greenhouse Gas Emissions

IPCC SRES Scenarios

Changing Ozone Precursor Emissions

IPCC SRES Scenarios

Page 19: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

The Study Team:Health: Patrick Kinney (PI), Joyce Rosenthal, Kim

Knowlton, Mailman School of Public Health, Columbia University; NRDC

Climate: Cynthia Rosenzweig, Richard Goldberg, Barry Lynn, NASA-Goddard Institute for Space Studies; David Werth & Roni Avissar, Duke University

Land use/remote sensing: William Solecki, Jennifer Cox, Hunter College Geography Dept; Christopher Small, Lamont Doherty Earth Observatory;

Air quality: Christian Hogrefe, SUNY Albany; Michael Ku, Kevin Civerolo, NY State Dept Environ Conservation; Tracey Holloway, Earth Institute and University of Wisconsin-Madison; Michelle Bell, Yale

Page 20: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Knowlton_ICUC5_2003

Downscaling of projections was a key objective

Scale:global (4°x5°) vs. regional (36 km)?

How to project regional & localhealth impacts?

4° x 5° lat/long

36 km grid

Source: C Rosenzweig & R Goldberg, NASA/GISS

Page 21: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Model SetupGISS coupled global ocean/atmosphere model driven

by IPCC greenhouse gas scenarios (“A2” and “B2”) MM5 regional climate model took initial and boundary

conditions from GISS GCM, and run on 2 nested domains of 108 km and 36 km over the U.S.

CMAQ is run at 36 km to simulate ozone1996 U.S. Emissions processed by SMOKE and – for

some simulations - scaled by IPCC scenarios

Simulations periods : June – August 1993-1997 June – August 2023-2027 June – August 2053-2057June – August 2083-2087

Page 22: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality
Page 23: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Hogrefe et al., J. Geophysical Research, 2004

∆2080s∆2050s

1990s ∆2020s

Page 24: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Develop exposure-response functions for temperature and ozone using historical data from the NYC metro

area

Model Inputs

Model Outputs

OUTCOME:All Internal-Cause

Daily Deaths at County Level

(JJA: 1990-1999)

POISSONRegression

PREDICTOR:Daily Ozone from 16

stations

PREDICTOR:Daily mean Temp. from 16 stations

Day of Week

(Indicator Variable);

Spline of time

β Coefficient Estimates (Standard

Errors)

Input to Risk Assessment

Final Model:log (daily deaths)= DOW + spline(time)+ b1(mean Tlag0)1-3 + b2(max O3 lag0-1)

Page 25: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality
Page 26: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Study Population x

Base Rate x

Change in Environmental

Conditions x

ConcentrationResponseFunction

(CRF) =

Number of

Additional Deaths

Year 2000county

populationBaseline countymortality rate

Projected fromIntegrated

Model:temp, O3

% increase in mortality per

unit

Health Impact Assessment

Page 27: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Knowlton et al., Environ Health Perspec, 2004

Modeled changes in:

Mean 1-hr max O3 (ppb) O3-related deaths (%)

Page 28: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Upper tail of ozone distribution is more sensitive to climate

Frequency distribution of the simulated daily ozone maxima averaged over southern Germany during summer (June-August) for the years 1991-2000 and 2031-2039. Right side: zoom of the high-ozone portion of the curve. From Forkel and Knoche 2006.

Page 29: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Ongoing work:

Examining the distribution of ozone and heat extremes at the county level across the entire 36 km domain.

Page 30: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Case Study Summary• Health impact assessment was carried out to

examine effects of climate change on air quality and resulting human health

• Holding ozone precursor emissions constant, increased ozone-related acute mortality was modeled under 2020s, 2050s, and 2080s climate

• Multiple uncertainties should be kept in mind

Page 31: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Beyond climate, future air pollution concentrations will depend on:

• Anthropogenic Emissions

• Intercontinental Transport

• Land Use

Furthermore, future pollution-related health impacts will depend on future population, age, health status, etc.

Page 32: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Case Study 2

Climate, Pollen and AsthmaBeggs and Bambrick, EHP 2005

Page 33: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Start date of Birch Pollen Season in Brussels1970-2006: Days after Jan 1st (5-yr running means)

Emberlin et al., Int J Biomet, 2002

Page 34: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality
Page 35: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality
Page 36: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Next steps: weather, pollen, asthma

• Quantify the exposure-response relationships linking pollen and health outcomes, including asthma emergency department visits, and allergy medication sales

• Analyze the effects of seasonal and daily meteorology on timing and magnitude of pollen peaks

• Examine future climate scenarios and their potential impacts on pollen and allergic asthma responses

Page 37: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

From: Singer et al., Functional Plant Biology 2005, 32, 667-670.

Ragweed allergen production increases as a function of CO2 concentration

Further:

Page 38: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Atmospheric CO2 estimated from the 14C content of celulose extracted from tree cores at each of

the sites from the urban to rural gradient. (unpublished data of D. Hsueh & K.L. Griffin).

Page 39: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Next steps: tree pollen production and immune response across the CO2 gradient

• Demonstrate the feasibility of quantitative tree pollen collection from three sampling sites that range from low to high in average CO2 concentrations and temperatures using Red Oak as a sentinel species.

• Analyze whether red oak pollen production increases (mass per flower cluster) with increasing CO2 and temperature.

• Test whether the intensity of human allergic immune response (as measured by tree pollen extract-induced lymphocyte proliferation, differentiation and cytokine production) increases across the rural to urban gradient.

Page 40: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Air Quality and Climate:Future Research Directions

There is a need for multi-model, multi-center ensemble studies using global-to-regional climate and air pollution model systems

Extend ozone health impact work to Europe

Examine future changes in fine particulate matter

Analyze the health co-benefits of alternative greenhouse pollutant mitigation strategies

Study further the relationships among weather, CO2, pollen, allergy and asthma

Page 41: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Collaborators

Cynthia Rosenzweig – NASA GISS

Christian Hogrefe – New York Dept of Environmental Conservation

Kim Knowlton – Natural Resources Defense Council

Perry Sheffield – Mt. Sinai School of Medicine

Tom Matte – New York City Dept. of Health

Kaz Ito – New York University

Kate Weinberger – Columbia University

Page 42: Patrick L Kinney Professor of Environmental Health Sciences Director, Columbia Climate and Health Program plk3@columbia.edu Climate Change, Air Quality

Merci!

STRATUS CONSULTING