Scoping Review of Climate Drivers on Maternal Health:Current Evidence and Clinical Implications

AJOG Global Reports, Journal Year: 2025, Volume and Issue: 5(1), P. 100444 - 100444

Published: Jan. 18, 2025

To systematically review the literature on associations between climate drivers and health outcomes among pregnant people. This fills a gap by synthesizing evidence for clinician audience. Systematic scoping of articles published in PubMed clinicaltrials.gov from January 2010 through December 2023. Empirical studies English-language peer-reviewed journals, assessing select adverse maternal birth outcomes. The included examining heat, storms, sea level rise, flooding, drought, wildfires, other climate-related factors. Health preterm birth, low birthweight, small gestational age, diabetes, pre-eclampsia/eclampsia, miscarriage/stillbirth mortality. protocol was registered with International Platform Registered Review Meta-analysis Protocols (INPLASY202410004, 3, 2024) conducted accordance Preferred Reporting Items Reviews Meta-Analysis (PRISMA). Data were extracted 2 authors; quality risk bias assessed independently. Total 966 references screened; 16.35% (k=158) met inclusion criteria. majority (146/158; 92.4%) documented statistically significant clinically meaningful perinatal outcomes, including stillbirth as well preeclampsia, miscarriage, death. Among most durable findings: extreme heat exposure early late pregnancy associated increased stillbirth. Driven part large (often population-based) objective surveillance data or medical record reviews, this evaluated high (scoring 7-9 Newcastle-Ottawa Scale). Risk generally low. Climate are consistently Continuing education clinicians, clinician-patient communications should be expanded to address risks change weather exposure, especially late-pregnancy. Results inform multilevel interventions effects during practice advisories, protocols, checklists, clinical guidelines obstetrics.

Language: Английский

Analysis of Pediatric Acute Upper Airway Pathology During Local Wildfires and Increased PM 2.5 Burden

Otolaryngology, Journal Year: 2025, Volume and Issue: unknown

Published: March 10, 2025

Abstract Objective As wildfires worldwide increase in severity and frequency, fine particulate matter (PM 2.5), generated as a component of wildfire smoke, increasingly impacts air quality. Children are particularly vulnerable to poor quality numerous ways, including inhalation more proportion their body size than adults. Though its adverse on the lower airway well demonstrated, clinical effects PM 2.5 pediatric upper poorly understood warrant investigation. Study Design Retrospective cohort study. Setting Tertiary academic medical center. Methods From 2014 2023, patient presentations emergency department Northern California during exposure periods elevated burden associated with nearby were identified. Patient diagnoses, presenting symptoms, management analyzed. Comparison group patients evaluated date‐matched control confirmed normal Chi‐squared analyses determined significance. Results During increased wildfire‐generated burden, significantly greater presented pathology compared matched healthy Further, diagnosed croup wildfires. Of pathology, experienced dysphonia had negative strep test. Conclusion Wildfire‐generated may contribute rates presentations, disproportionately affect larynx airway. Larger population‐based studies preclinical models clarify these manifestations growing public health threat.

Language: Английский

Development and laboratory evaluation of a do-it-yourself (DIY) filtration solution for residential evaporative coolers to reduce indoor wildfire smoke exposure

Building and Environment, Journal Year: 2024, Volume and Issue: unknown, P. 112475 - 112475

Published: Dec. 1, 2024

Language: Английский