Abstract
Asthma is epidemic in developed and developing countries including those in the Caribbean where it is widely believed that African dust, transported in high concentrations in the Trade Winds every year, is a major causative factor. The link between asthma and dust in the Caribbean is based largely on anecdotal evidence that associates sharp increases in the occurrence of asthma symptoms with hazy conditions often caused by dust. Here we report on a 2-year study of the relationship between the daily concentrations of dust measured in on-shore Trade Winds at Barbados and pediatric asthma attendance rates at Queen Elizabeth Hospital (QEH). We looked for large increases in QEH daily attendances in relation to daily dust concentrations as previously suggested by anecdotal observations. We could not find any obvious relationship although there may be more subtle linkages between dust and asthma. Our measurements show, however, that the concentration of dust in the size range under 2.5 μm diameter is sufficiently high as to challenge United States Environmental Protection Agency air quality standards for respirable particles. Thus, African dust may constitute a health threat of a different nature, producing symptoms less obvious than those of asthma.
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Ait-Khaled N, Enarson D, Bousquet J (2001) Chronic respiratory diseases in developing countries: the burden and strategies for prevention and management. Bull World Health Organ 79(10):971–979
Ait-Khaled N, Odhiambo J, Pearce N, Adjoh KS, Maesano IA, Benhabyles B, Bouhayad Z, Bahati E, Camara L, Catteau C, El Sony A, Esamai FO, Hypolite IE, Melaku K, Musa OA, Ng’ang’a L, Onadeko BO, Saad O, Jerray M, Kayembe JM, Koffi NB, Khaldi F, Kuaban C, Voyi KJ, Sow O, Tidjani O, Zar HJ (2007) Prevalence of symptoms of asthma, rhinitis and eczema in 13- to 14-year-old children in Africa: the International Study of Asthma and Allergies in Childhood Phase III. Allergy 62(3):247–258 doi:10.1111/j.1398–9995.2007.01325.x
Akimoto H (2003) Global air quality and pollution. Science 302(5651):1716–1719 doi:10.1126/science.1092666
Blades E, Kimes D, Levine E, Mathison G, Thani H, Lavoie M (2004) Predicting pediatric asthma admissions for Barbados. J Allergy Clin Immunol 113(2S):305–305 doi:10.1016/j.jaci.2004.01.589
Bousquet J, Ndiaye M, Ait-Khaled N, Annesi-Maesano I, Vignola AM (2003) Management of chronic respiratory and allergic diseases in developing countries. Focus on sub-Saharan Africa. Allergy 58(4):265–283 doi:10.1034/j.1398–9995.2003.02005.x
Bousquet J, Bousquet PJ, Godard P, Daures JP (2005) The public health implications of asthma. Bull World Health Organ 83(7):548–554
Chiapello I, Prospero JM, Herman JR, Hsu NC (1999) Detection of mineral dust over the North Atlantic Ocean and Africa with the Nimbus 7 TOMS. J Geophys Res D Atmos 104(D8):9277–9291 doi:10.1029/1998JD200083
Chiapello I, Moulin C, Prospero JM (2005) Understanding the long-term variability of African dust transport across the Atlantic as recorded in both Barbados surface concentrations and large-scale Total Ozone Mapping Spectrometer(TOMS) optical thickness. J Geophys Res D: Atmos 110(D18S10) doi:10.1029/2004JD005132
Conte MH, Weber JC (2002) Long-range atmospheric transport of terrestrial biomarkers to the western North Atlantic. Global Biogeochem Cycles 16(4):1142 doi:10.1029/2002GB001922
Cookson W (1999) The alliance of genes and environment in asthma and allergy. Nature 402(6760):B5–B11 doi:10.1038/35037002
Derbyshire E (2007) Natural minerogenic dust and human health. Ambio 36(1):73–77 doi:10.1579/0044–7447(2007)36[73:NMDAHH]2.0.CO;2
Dominici F, Peng RD, Bell ML, Pham L, McDermott A, Zeger SL et al (2006) Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases. JAMA 295(10):1127–1134 doi:10.1001/jama.295.10.1127
Dunion JP, Velden CS (2004) The impact of the Saharan Air Layer on Atlantic tropical cyclone activity. Bull Am Meteorol Soc 85(3):353–365 doi:10.1175/BAMS-85–3–353
Duzgoren-Aydin NS (2008) Health effects of atmospheric particulates: amedical geology perspective. J Environ Sci Health Part C Environ Carcinog Ecotoxicol Rev 26(1):1–39 doi:10.1080/10590500801907340
Eder W, Ege MJ, von Mutius E (2006) The asthma epidemic. N Engl J Med 355(21):2226–2235 doi:10.1056/NEJMra054308
Eglinton TI, Eglinton G, Dupont L, Sholkovitz ER, Montluçon D, Reddy CM (2002) Composition, age, and provenance of organic matter in NW African dust over the Atlantic Ocean. Geochem Geophys Geosyst 3(8):1050 doi:10.1029/2001GC000269
Glaccum RA, Prospero JM (1980) Saharan aerosols over the tropical North Atlantic—mineralogy. Mar Geol 37(3–4):295–321 doi:10.1016/0025–3227(80)90107–3
Gyan K, Henry W, Lacaille S, Laloo A, Lamsee-Ebanks C, McKay S et al (2005) African dust clouds are associated with increased paediatric asthma accident and emergency admissions on the Caribbean island of Trinidad. Int J Biometeorol 49(6):371–376 doi:10.1007/s00484–005–0257–3
Held IM, Delworth TL, Lu J, Findell KL, Knutson TR (2005) Simulation of Sahel drought in the 20th and 21st centuries. Proc Natl Acad Sci USA 102(50):17891–17896 doi:10.1073/pnas.0509057102
Holgate ST (1999) The epidemic of allergy and asthma. Nature 402(6760):B2–B4 doi:10.1038/35037000
Holt PG, Macaubas C, Stumbles PA, Sly PD (1999) The role of allergy in the development of asthma. Nature 402:B12–B17 doi:10.1038/35037009
Howitt ME, Roach TC, Naidu RP (1998) Prevalence of asthma and wheezing illnesses in Barbadian school children: the Barbados national asthma and allergy study. West Indian Med J 47(2):22–23
Huang J, Prospero J, Zhang C, Arimoto R (2006) The relationship between aerosol composition and concentration and visual range on Barbados, West Indies: the impact of African dust. American Geophysical Union, Spring Meeting 2005, abstract# AE21A-0998
Husar RB, Prospero JM, Stowe LL (1997) Characterization of tropospheric aerosols over the oceans with the NOAA advanced very high resolution radiometer optical thickness operational product. J Geophys Res 102:16889–16910 doi:10.1029/96JD04009
ICD-9 (1999) International Classification of Diseases, Ninth Revision, National Center for Health Statistics, Center for Disease Control and Prevention, U.S. Dept. of Health and Human Services, Hyatsville, MD 20782
Jaffe D, McKendry I, Anderson T, Price H (2003) Six ‘new’ episodes of trans-pacific transport of air pollutants. Atmos Environ 37(3):391–404
Kuehn B (2006) Desertification called global health threat. J Am Med Assoc 295(21):2463–2465
Kwaasi AAA, Parhar VRS, Al-Mohanna FAA, Harfi HA, Collison KS, Al-Sedairy ST (1998) Aeroallergens and viable microbes in sandstorm dust. Potential triggers of allergic and nonallergic respiratory ailments. Allergy 53(3):255–265
Leikauf GD (2002) Hazardous air pollutants and asthma. Environ Health Perspect 110:505–526
Li X, Maring H, Savoie D, Voss K, Prospero JM (1996) Dominance of mineral dust in aerosol light-scattering in the North Atlantic trade winds. Nature 380(6573):416–419
Li-Jones X, Prospero JM (1998) Variations in the size distribution of non-sea-salt sulfate aerosol in marine boundary layer at Barbados: impact of African dust. J Geophys Res 103(D13):27421–27440
McCarthy M (2001) Dust clouds implicated in spread of infection. Lancet 358(9280):478–478
Monteil MA, Joseph G, Changkit C, Wheeler G, Antoine RM (2005) Comparison of prevalence and severity of asthma among adolescents in the Caribbean islands of Trinidad and Tobago: results of a nationwide cross-sectional survey. BMC Public Health 5(1):96
Oltmans SJ, Levy H (1994) Surface ozone measurements from a global network. Atmos Environ 28(1):9–24
Perry KD, Cahill TA, Eldred RA, Dutcher DD, Gill TE (1997) Long-range transport of North African dust to the eastern United States. J Geophys Res 102(D10):11225–11238
Prospero JM (1996) The atmospheric transport of particles to the ocean. In: Ittekkot V, Schäfer P, Honjo S, Depetris PJ (eds) Particle flux in the ocean. SCOPE Report 57. Wiley, Chichester, pp 19–52
Prospero JM (1999) Long-term measurements of the transport of African mineral dust to the southeastern United States: Implications for regional air quality. J Geophys Res 104:15917–15928
Prospero JM, Lamb PJ (2003) African drought and dust transport to the Caribbean: climate change implications. Science 302:1024–1027
Prospero JM, Olmez I, Ames M (2001) Al and Fe in PM 2.5 and PM 10 suspended particles in south-central Florida: the impact of the long range transport of African mineral dust. Water Air Soil Pollut 125(1):291–317
Prospero JM, Ginoux P, Torres O, Nicholson SE, Gill TE (2002) Environmental characterization of global sources of atmospheric soil dust identified with the Nimbus 7 Total Ozone Mapping Spectrometer (TOMS) absorbing aerosol product. Rev Geophys 40(1):2–1
Prospero JM, Blades E, Mathison G, Naidu R (2005) Interhemispheric transport of viable fungi and bacteria from Africa to the Caribbean with soil dust. Aerobiologia 21(1):1–19
Rutherford S, Clark E, McTainsh G, Simpson R, Mitchell C (1999) Characteristics of rural dust events shown to impact on asthma severity in Brisbane, Australia. Int J Biometeorol 42(4):217–225
Savoie DL, Prospero JM, Nees RT (1987) Frequency distribution of dust concentration in Barbados as a function of averaging time. Atmos Environ 21(7):1659–1663
Savoie DL, Arimoto R, Keene WC, Prospero JM, Duce RA, Galloway JN (2002) Marine biogenic and anthropogenic contributions to non-sea-salt sulfate in the marine boundary layer over the North Atlantic Ocean. J Geophys Res 107(3):3–21
Schenker M (2000) Exposures and health effects from inorganic agricultural dusts. Environ Health Perspect 108(Suppl 4):661–664
Taylor DA (2002) Dust in the wind. Environ Health Perspect 110(2):80–87
Acknowledgments
We thank L. Custals, and T. Snowdon (University of Miami), and C. Shea (Barbados) for technical support, and the family of E. Manning for permitting us to operate our laboratory on their property on Barbados. This work was supported by grants from the National Science Foundation, the National Aeronautics and Space Administration and the National Oceanic and Atmospheric Administration.
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Prospero, J.M., Blades, E., Naidu, R. et al. Relationship between African dust carried in the Atlantic trade winds and surges in pediatric asthma attendances in the Caribbean. Int J Biometeorol 52, 823–832 (2008). https://doi.org/10.1007/s00484-008-0176-1
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DOI: https://doi.org/10.1007/s00484-008-0176-1