John D. Spengler

Westward US expansion invited many premier mid-nineteenth century painters to capture majestic landscape vistas unknown back East. The artistry of Thomas Moran, Albert Bierstadt, and Jasper Cropsey transported the Rockies and Sierra Nevada to eastern museums, where residents of industrialising cities discovered nature imagery on a grand scale. Paintings proxied these landscapes with such realism […]

Heat exposure in outdoor work environments poses risks to worker health and productivity. Engineering solutions like cool surfaces that increase surface albedo and reduce temperatures may help mitigate these impacts. We conducted detailed micrometeorological modeling to analyze surface characteristics and heat exposure for outdoor workers at San Francisco International Airport (SFO) under current conditions and three hypothetical albedo-increase scenarios. Wet bulb globe temperature (WBGT) was used to estimate potential productivity loss based on established relationships between heat stress and loss in physical work capacity. For the month of August 2020, we quantified possible gained hours of productivity per worker per month under each hypothetical albedo-increase scenario. Across the entire area of SFO, the average campus albedo was 0.20 (range: 0.08–0.85). Adopting low, moderate, and high albedo modifications for SFO would reduce peak midday WBGT by 0.89, 1.25, and 1.59 °C, respectively. The largest temperature reductions occurred during the morning shift (7 AM–3 PM). In one shift, we found a potential of 5.20, 7.16, and 8.95 h gained per worker over the entire month in the low, moderate, and high albedo modification scenarios, respectively.

The world is undergoing massive atmospheric and ecological change, driving unprecedented challenges to human well-being. Olfaction is a key sensory system through which these impacts occur. The sense of smell influences quality of and satisfaction with life, emotion, emotion regulation, cognitive function, social interactions, dietary choices, stress, and depressive symptoms. Exposures via the olfactory pathway can also lead to (anti-)inflammatory outcomes. Increased understanding is needed regarding the ways in which odorants generated by nature (i.e., natural olfactory environments) affect human well-being. With perspectives from a range of health, social, and natural sciences, we provide an overview of this unique sensory system, four consensus statements regarding olfaction and the environment, and a conceptual framework that integrates the olfactory pathway into an understanding of the effects of natural environments on human well-being. We then discuss how this framework can contribute to better accounting of the impacts of policy and land-use decision-making on natural olfactory environments and, in turn, on planetary health.

Significance: Despite decades of reductions in vehicle emissions in the United States, their impacts remain large, and the offsetting effects of different factors on benefits achieved in recent years are not well understood. We assess benefits from 2008 to 2017 on a fine spatial resolution using the latest epidemiological evidence and emissions inventories. We find that regulation continues to yield large benefits: $270 (190 to 480) billion in 2017 from reduced PM _2.5 -attributable mortality and greenhouse gas emissions. Traffic-related PM _2.5 -attributable mortality would have been 2.4 times as large in 2017 if vehicles had still been emitting at 2008 levels, accounting for most benefits. Urban passenger light-duty vehicles have become increasingly important, and major health gains require more stringent policies to curb their emissions.

Participants in mass gathering events are at risk of acquiring imported and locally endemic infectious diseases. The 2014 dengue outbreak in Tokyo gathered attention since it was the first time in 70 years for Japan to experience an autochthonous transmission. Preparation for emerging infectious threats is essential even in places where these outbreaks have been largely unknown. The aim of this study is to identify strategies for early detection and prevention of dengue infection during the 2020 summer Olympics and Paralympics in Tokyo. We modified and adapted the failure mode and effect analysis (FMEA) methodology, generally used in industrial manufacturing, to examine the current controls for dengue detection and assessment. Information on existing controls were obtained from publicly available resources. Our analysis revealed that the national infectious disease control system to detect dengue in Japan is robust. However, in the case of large assemblies of international visitors for special events when the spread of communicable and vector-borne diseases increases, there are three main gaps that could be reinforced. First, cyclical training or a certification program on tropical disease management is warranted for physicians, especially those working in non-infectious disease-designated hospitals or clinics. Second, multi-language communication methods need to be strengthened especially in the health and hospitality sector. Third, owners of accommodations should consider incorporating a formal tropical disease-training program for their staff members and have a contingency plan for infectious disease-suspected travelers. Our findings may facilitate physicians and public health officials where new controls would be beneficial for the 2020 summer Olympics and Paralympics. The FMEA framework has the potential to be applied to other infectious diseases, not just dengue. Dengue is a mosquito-borne disease that is most prevalent among the emerging arboviruses. Most patients recover from dengue without complications, but a small portion of cases may progress to severe dengue which carries a high mortality rate if left untreated. In 2014, a dengue outbreak unexpectedly occurred in Tokyo, which was the first time in 70 years for Japan to experience an autochthonous transmission. Thus, preparation for dengue and other emerging infectious threats is essential even in places where these outbreaks have been largely unknown. Tokyo will be hosting the Olympic and Paralympic games in 2020, and interventions are warranted to mitigate the risks. We modified and adapted the failure mode effect analysis (FMEA) methodology to test the vulnerability and resiliency of the current controls. Although the FMEA methodology is generally used in industrial manufacturing, it has the potential to be utilized for health preparedness for other infectious diseases as well. Our analysis identifies three strategies to reinforce early detection of dengue infection and prevent further transmission during the Olympic and Paralympic Games.

Environmental Health Perspectives is an Open Access journal published by the National Institute of Environmental Health Sciences. Environmental Health Perspectives is an Open Access journal published by the National Institute of Environmental Health Sciences.