George Ban-Weiss’s research while affiliated with University of Southern California and other places

Background Extreme heat and air pollution is associated with increased mortality. Recent evidence suggests the combined effects of both is greater than the effects of each individual exposure. Low neighborhood socioeconomic status (“socioeconomic burden”) has also been associated with increased exposure and vulnerability to both heat and air pollution. We investigated if neighborhood socioeconomic burden or the combination of socioeconomic and environmental exposures (“socioenvironmental burden”) modified the effect of combined exposure to extreme heat and particulate air pollution on mortality in California. Methods We used a time-stratified case-crossover design to assess the impact of daily exposure to extreme particulate matter <2.5 μm (PM2.5) and heat on cardiovascular, respiratory, and all-cause mortality in California 2014–2019. Daily average PM2.5 and maximum temperatures based on decedent’s residential census tract were dichotomized as extreme or not. Census tract-level socioenvironmental and socioeconomic burden was assessed with the CalEnviroScreen (CES) score and a social deprivation index (SDI), and individual educational attainment was derived from death certificates. Conditional logistic regression was used to estimate associations of heat and PM2.5 with mortality with a product term used to evaluate effect measure modification. Results During the study period 1,514,292 all-cause deaths could be assigned residential exposures. Extreme heat and air pollution alone and combined were associated with increased mortality, matching prior reports. Decedents in census tracts with higher socioenvironmental and socioeconomic burden experienced more days with extreme PM2.5 exposure. However, we found no consistent effect measure modification by CES or SDI on combined or separate extreme heat and PM2.5 exposure on odds of total, cardiovascular or respiratory mortality. No effect measure modification was observed for individual education attainment. Conclusion We did not find evidence that neighborhood socioenvironmental- or socioeconomic burden significantly influenced the individual or combined impact of extreme exposures to heat and PM2.5 on mortality in California. Impact We investigated the effect measure modification by socioeconomic and socioenvironmental of the co-occurrence of heat and PM2.5, which adds support to the limited previous literature on effect measure modification by socioeconomic and socioenvironmental burden of heat alone and PM2.5 alone. We found no consistent effect measure modification by neighborhood socioenvironmental and socioeconomic burden or individual level SES of the mortality association with extreme heat and PM2.5 co-exposure. However, we did find increased number of days with extreme PM2.5 exposure in neighborhoods with high socioenvironmental and socioeconomic burden. We evaluated multiple area-level and an individual-level SES and socioenvironmental burden metrics, each estimating socioenvironmental factors differently, making our conclusion more robust.

To demonstrate how a mega city can lead in decarbonizing beyond legal mandates, the city of Los Angeles (LA) developed science-based, feasible pathways towards utilizing 100% renewable energy for its municipally-owned electric utility. Aside from decarbonization, renewable energy adoption can lead to co-benefits such as improving urban air quality from reductions in combustion-related emissions of oxides of nitrogen (NOx), primary fine particulate matter (PM2.5) and others. Herein, we quantify changes to air pollutant concentrations and public health from scenarios of 100% renewable electricity adoption in LA in 2045, alongside aggressive electrification of end-use sectors. Our analysis suggests that while ensuring reliable electricity supply, reductions in emissions of air pollutants associated with the 100% renewable electricity scenarios can lead to 8% citywide reductions of PM2.5 concentration while increasing ozone concentration by 5% relative to a 2012 baseline year, given identical meteorology conditions. The combination of these concentration changes could result in net monetized public health benefits (driven by avoided deaths) of up to $1.4 billion in year 2045 in LA, results potentially replicable for other city-scale decarbonization scenarios.

Background: Higher ambient temperature and air pollution may contribute to increased risk of behaviors harmful to oneself or to others; however, quantitative evidence is limited. We examined the relationship of deaths due to suicide and homicide with temperature and air pollution in California-a state prone to high levels of both exposures. Method: California death certificates from 2014 to 2019 were used to identify deaths due to suicide and homicide. Residential data for decedents were used to assign exposure to daily temperature (maximum[Tmax], minimum[Tmin]) and daily average air pollution concentrations (particulate matter <10 μm[PM10] and < 2.5 μm[PM2.5], nitrogen dioxide[NO2], ozone[O3]). Tmin served as a surrogate for nighttime temperature. A time-stratified case-crossover study design using conditional logistic regression was used to assess the effects of daily exposure to temperature and air pollutants on suicide and homicide mortality, adjusting for relative humidity. Effect modification by sex and age was assessed. Results: We observed 24,387 deaths due to suicide and 10,767 deaths due to homicide. We found a monotonic temperature association for both outcomes. A 5 °C increase in Tmax at lag-2 and Tmin at lag-0 was associated with 3.1 % (95 % confidence interval [CI]: 1.1 %-5.2 %) and 3.8 % (95%CI: 0.9 %-6.8 %) increased odds of death due to suicide, respectively. The increased odds of homicide mortality per 5 °C increase in Tmax at lag-0 and Tmin at lag-1 were 4.9 % (95%CI: 1.6 %-8.1 %) and 6.2 % (95%CI: 1.6 %-11.0 %), respectively. No air pollutant associations were statistically significant. Temperature associations were robust after adjustment for PM2.5. Some temperature effects were larger among women for suicide and men for homicide mortality, and among those over age 65 years for both outcomes. Conclusion: Risk of suicide and homicide mortality increases with increasing daily ambient temperatures. Findings have public health relevance given anticipated increases in temperatures due to global climate change.

Rationale: Extremes of heat and particulate air pollution threaten human health and are becoming more frequent due to climate change. Understanding health impacts of co-exposure to extreme heat and air pollution is urgent. Objectives: To estimate association of acute co-exposure to extreme heat and ambient fine particulate matter (PM2.5) with all-cause, cardiovascular, and respiratory mortality in California from 2014-2019. Methods: We used a case-crossover study design with time-stratified matching using conditional logistic regression to estimate mortality associations with acute co-exposures to extreme heat and PM2.5. For each case day (date of death) and its control days, daily average PM2.5, maximum and minimum temperature were assigned (0-3-day lag) based on decedent's residence census tract. Main results: All-cause mortality risk increased 6.1% (95%confidence interval, CI: 4.1, 8.1) on extreme maximum temperature only days and 5.0% (95%CI: 3.0, 8.0) on extreme PM2.5 only days, compared to non-extreme days. Risk increased 21.0% (95%CI: 6.6, 37.3) on days with exposure to both extreme maximum temperature and PM2.5. Increased risk of cardiovascular and respiratory mortality on extreme co-exposure days was 29.9% (95%CI: 3.3, 63.3) and 38.0% (95%CI:-12.5, 117.7), respectively, and were more than the sum of individual effects of extreme temperature and PM2.5 only. A similar pattern was observed for co-exposure to extreme PM2.5 and minimum temperature. Effect estimates were larger over age 75 years. Conclusion: Short-term exposure to extreme heat and air pollution alone were individually associated with increased risk of mortality, but their co-exposure had larger effects beyond the sum of their individual effects. This article is open access and distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).

Climate change is expected to exacerbate the urban heat island effect in cities worldwide, increasing the risk of heat-related morbidity and mortality. Solar reflective “cool pavement” is one of several mitigation strategies that may counteract the negative effects of the urban heat island effect. An increase in pavement albedo results in less heat absorption, which results in reduced surface temperatures (T surface ). Near surface air temperatures (T air ) could also be reduced if cool pavements are deployed at sufficiently large spatial scales, though this has never been confirmed by field measurements. This field study is the first to conduct controlled measurements of the impacts of neighborhood-scale cool pavement installations. We measured the impacts of cool pavement on albedo, T surface , and T air . In addition, pavement albedo was monitored after installation to assess its degradation over time. The field site (~0.64 km2) was located in Covina, California; ~30 km east of Downtown Los Angeles. We found that an average pavement albedo increase of 0.18 (from 0.08 to 0.26) corresponded to maximum neighborhood averaged T surface and T air reductions of 5 °C and 0.2 °C, respectively. Maximum T surface reductions were observed in the afternoon, while minimum reductions of 0.9 °C were observed in the morning. T air reductions were detected at 12:00 local standard time (LST), and from 20:00 LST to 22:59 LST, suggesting that cool pavement decreases T air during the daytime as well as in the evening. An average albedo reduction of 30% corresponded to a ~1 °C reduction in the T surface cooling efficacy. Although we present here the first measured T air reductions due to cool pavement, we emphasize that the tradeoffs between T air reductions and reflected shortwave radiation increases are still unclear and warrant further investigation in order to holistically assess the efficacy of cool pavements, especially with regards to pedestrian thermal comfort.