Green space,health inequality and pregnancy

Green spaces have been suggested to improve physical and mental health and well-being by increasing physical activity, reducing air pollution, noise, and ambient temperature, increasing social contacts and relieving psychophysiological stress. Although these mechanisms also suggest potential beneficial effects of green spaces on pregnancy outcomes, to our knowledge there is no available epidemiological evidence on this impact. We investigated the effects of surrounding greenness and proximity to major green spaces on birth weight and gestational age at delivery and described the effect of socioeconomic position (SEP) on these relationships. This study was based on a cohort of births (N = 8246) that occurred in a major university hospital in Barcelona, Spain, during 2001–2005. We determined surrounding greenness from satellite retrievals as the average of Normalized Difference Vegetation Index (NDVI) in a buffer of 100 m around each maternal place of residence. To address proximity to major green spaces, a binary variable was used to indicate whether maternal residential address is situated within a buffer of 500 m from boundaries of a major green space. For each indicator of green exposure, linear regression models were constructed to estimate change in outcomes adjusted for relevant covariates including individual and area level SEP. None of the indicators of green exposure was associated with birth weight and gestational age. After assessing effect modification based on the level of maternal education, we detected an increase in birth weight (grams) among the lowest education level group (N = 164) who had higher surrounding NDVI (Regression coefficient (95% confidence interval (CI) of 436.3 (43.1, 829.5)) or lived close to a major green space (Regression coefficient (95% CI)) of 189.8 (23.9, 355.7)). Our findings suggest a beneficial effect of exposure to green spaces on birth weight only in the lowest SEP group.     

Benefits and Challenges of Urban Green Spaces

Abstract

The aim of this paper is to illustrate the benefits, and challenges towards providing multifunctional urban green spaces. The results are based on critical analysis of study findings from different cities in Europe, America and to a lesser extent in Asia. Inner-city green spaces are especially important for improving air quality through uptake of pollutant gases and particulates which are responsible for respiratory infections. Due to their amenity and aesthetics, green spaces increase property value. To ensure multifunctional role of urban a green space is achieved, in particular the social and psychological role, certain standards of quantity, quality and distribution within the urban area should be adequately established. Green spaces need to be uniformly distributed throughout the city area, although each does not need to be extremely large but should be large enough to accommodate the city population.     

Physical development trend and green space destruction in developing cities: a GIS approach

Green spaces considered natural remnants in urban environments play a key role in promoting environmental quality and forming a sustainable city. Nowadays, development of urban spaces has taken a hasty growth. In the meanwhile, the natural green spaces are severely damaged. The current study aims at investigating the trend of changes in green space of Tabriz City, the second large industrial city in Iran, on the basis of landscape ecology principles. In order to prepare the land-cover maps, Landsat TM and IRS LISS-III of the years 1989 and 2006 were applied. Alongside, landscape percentage metrics, the largest patch index, number of patches, patch density, edge density, total edge, class area and landscape shape index were also used to analyse the changes. Metric analysis of the landscape within the studied years revealed that a large part of the region has enjoyed a rapid growth (equivalent to 64.5 %) in constructions. As the obtained results showed, the smallest landscape percentage (3.9 %) in the study area is belonged to the municipal green space, while the largest landscape percentage (66 %) is allocated to the barren land. This shows that the constructions have not balanced with creation of new green spaces, and the lack of green space per capita continues to be felt.     

Coastal climate is associated with elevated solar irradiance and higher 25(OH)D level

IntroductionThere is evidence that populations living close to the coast have improved health and wellbeing. Coastal environments are linked to promotion of physical activity through provision of safe, opportune, aesthetic and accessible spaces for recreation. Exposure to coastal environments may also reduce stress and induce positive mood. We hypothesised that coastal climate may influence the vitamin D status of residents and thus partly explain benefits to health.Materials and methodsEcological and cross-sectional analyses were designed to elucidate the connection between coastal residence and vitamin D status. We divided residential data, from developed land use areas and the Lower Super Output Areas or Data Zones (Scotland) of the 1958 Birth Cohort participants, into the following coastal bands: < 1 km, 1–5 km, 5–20 km, 20–50 km and over 50 km. In the ecological analysis we used a multiple regression model to describe the relationship between UV_vitd and coastal proximity adjusted for latitude. Subsequently, using the residential information of the participants of the 1958 Birth Cohort we developed a multiple regression model to understand the relationship between serum 25(OH)D (a marker of vitamin D status) and coastal proximity adjusted for several factors related to vitamin D status (e.g. diet, outdoor activity).ResultsWe found that coastal proximity was associated with solar irradiance; on average a 99.6 (96.1–103.3) J/m²/day regression coefficient was recorded for settlements < 1 km from the coast compared with those at > 50 km. This relationship was modified by latitude with settlements at a lower latitude exhibiting a greater effect. Individuals living closer to the coast in England had higher vitamin D levels than those inland, particularly in autumn.ConclusionGeographic location may influence biochemistry and health outcomes due to environmental factors. This can provide benefits in terms of vitamin D status but may also pose a risk due to higher skin cancer risk. We provide further evidence in support of the claim that coastal environments can provide opportunities for health and wellbeing.     

Sustainable Development and the Basic Value of Natural Environment

Abstract

Contrast with artificial environment, the multi-level self-organizational system of nature has great gain. Sustainable material environment should respect nature: non-rubbish and super-cycle quality of natural ecosystem offers the material source of human development, fractal structure of nature offers new field of space and information source to this high-density and information-based society, dissipative structure of nature links the new system of energy with whole ecosystem organically, and life-chain regulation is the base of sustainable life environment. Nature guarantees the physical healthy environment by its all-dimension healthy factor, constructs the mental healthy environment by its quality of co-ordinate and chaos, so that guarantees the whole emergence of sustainable development on the ‘super-science’ level. In the view of sustainable development, construction, green economy and human health are basic fields. With the concept of ecosystem regulation, we can relate these fields organically and fulfill the task of human health, welfare and sustainable development. Ecosystem regulation is the base of sustainable development’s new paradigm.     

A systematic review of the relationship between objective measurements of the urban environment and psychological distress

The urban environment has become the main place that people live and work. As a result it can have profound impacts on our health. While much of the literature has focused on physical health, less attention has been paid to the possible psychological impacts of the urban environment. In order to understand the potential relevance and importance of the urban environment to population mental health, we carried out a systematic review to examine the associations between objective measurements of the urban environment and psychological distress, independently of the individual's subjective perceptions of the urban environment.11 peer-reviewed papers published in English between January 2000 and February 2012 were identified. All studies were cross-sectional. Despite heterogeneity in study design, the overall findings suggested that the urban environment has measurable associations with psychological distress, including housing with deck access, neighbourhood quality, the amount of green space, land-use mix, industry activity and traffic volume. The evidence supports the need for development of interventions to improve mental health through changing the urban environment. We also conclude that new methods for measuring the urban environment objectively are needed which are meaningful to planners. In particular, future work should look at the spatial-temporal dynamic of the urban environment measured in Geographical Information System (GIS) in relation to psychological distress.     

Replacing car trips by increasing bike and public transport in the greater Barcelona metropolitan area: A health impact assessment study

ObjectiveEstimate the health risks and benefits of mode shifts from car to cycling and public transport in the metropolitan area of Barcelona, Spain.MethodsWe conducted a health impact assessment (HIA), creating 8 different scenarios on the replacement of short and long car trips, by public transport or/and bike. The primary outcome measure was all-cause mortality and change in life expectancy related to two different assessments: A) the exposure of travellers to physical activity, air pollution to particulate matter < 2.5 μm (PM2.5), and road traffic fatality; and B) the exposure of general population to PM2.5, modelling by Barcelona Air-Dispersion Model. The secondary outcome was a change in emissions of carbon dioxide.ResultsThe annual health impact of a shift of 40% of the car trips, starting and ending in Barcelona City, to cycling (n = 141,690) would be for the travellers who shift modes 1.15 additional deaths from air pollution, 0.17 additional deaths from road traffic fatality and 67.46 deaths avoided from physical activity resulting in a total of 66.12 deaths avoided. Fewer deaths would be avoided annually if half of the replaced trips were shifted to public transport (43.76 deaths). The annual health impact in the Barcelona City general population (n = 1,630,494) of the 40% reduction in car trips would be 10.03 deaths avoided due to the reduction of 0.64% in exposure to PM2.5. The deaths (including travellers and general population) avoided in Barcelona City therefore would be 76.15 annually. Further health benefits would be obtained with a shift of 40% of the car trips from the Greater Barcelona Metropolitan which either start or end in Barcelona City to public transport (40.15 deaths avoided) or public transport and cycling (98.50 deaths avoided).The carbon dioxide reduction for shifting from car to other modes of transport (bike and public transport) in Barcelona metropolitan area was estimated to be 203,251 t/CO₂ emissions per year.ConclusionsInterventions to reduce car use and increase cycling and the use of public transport in metropolitan areas, like Barcelona, can produce health benefits for travellers and for the general population of the city. Also these interventions help to reduce green house gas emissions.     

Benefits and Challenges of Urban Green Spaces

The aim of this paper is to illustrate the benefits,and challenges towards providing multifunctional urban green spaces.The results are based on critical analysis of study findings from different cities in Europe,America and to a lesser extent in Asia.Inner-city green spaces are especially important for improving air quality through uptake of pollutant gases and particulates which are responsible for respiratory infections.Due to their amenity and aesthetics,green spaces increase property value.To ensure multifunctional role of urban a green space is achieved,in particular the social and psychological role,certain standards of quantity,quality and distribution within the urban area should be adequately established.Green spaces need to be uniformly distributed throughout the city area,although each does not need to be extremely large but should be large enough to accommodate the city population.     

Car free cities: Pathway to healthy urban living

BackgroundMany cities across the world are beginning to shift their mobility solution away from the private cars and towards more environmentally friendly and citizen-focused means. Hamburg, Oslo, Helsinki, and Madrid have recently announced their plans to become (partly) private car free cities. Other cities like Paris, Milan, Chengdu, Masdar, Dublin, Brussels, Copenhagen, Bogota, and Hyderabad have measures that aim at reducing motorized traffic including implementing car free days, investing in cycling infrastructure and pedestrianization, restricting parking spaces and considerable increases in public transport provision. Such plans and measures are particularly implemented with the declared aim of reducing greenhouse gas emissions. These reductions are also likely to benefit public health.AimsWe aimed to describe the plans for private car free cities and its likely effects on public health.MethodsWe reviewed the grey and scientific literature on plans for private car free cities, restricted car use, related exposures and health.ResultsAn increasing number of cities are planning to become (partly) private car free. They mainly focus on the reduction of private car use in city centers. The likely effects of such policies are significant reductions in traffic-related air pollution, noise, and temperature in city centers. For example, up to a 40% reduction in NO₂ levels has been reported on car free days. These reductions are likely to lead to a reduction in premature mortality and morbidity. Furthermore the reduction in the number of cars, and therefore a reduction in the need for parking places and road space, provides opportunities to increase green space and green networks in cities, which in turn can lead to many beneficial health effects. All these measures are likely to lead to higher levels of active mobility and physical activity which may improve public health the most and also provide more opportunities for people to interact with each other in public space. Furthermore, such initiatives, if undertaken at a sufficiently large scale can result in positive distal effects and climate change mitigation through CO₂ reductions. The potential negative effects which may arise due to motorized traffic detouring around car free zone into their destinations also need further evaluation and the areas in which car free zones are introduced need to be given sufficient attention so as not to become an additional way to exacerbate socioeconomic divides. The extent and magnitude of all the above effects is still unclear and needs further research, including full chain health impact assessment modeling to quantify the potential health benefits of such schemes, and exposure and epidemiological studies to measure any changes when such interventions take place.ConclusionsThe introduction of private car free cities is likely to have direct and indirect health benefits, but the exact magnitude and potential conflicting effects are as yet unclear. This paper has overviewed the expected health impacts, which can be useful to underpin policies to reduce car use in cities.     

The role of urban green infrastructure in mitigating land surface temperature in Bobo-Dioulasso,Burkina Faso

Green infrastructure in developed countries has been used as a climate change adaptation strategy to lower increased temperatures in cities. But, the use of green infrastructure to provide ecosystem services and increase resilience is largely overlooked in climate change and urban policies in the developing world. This study analyzed the role of urbanization and green infrastructure on urban surface temperatures in Bobo-Dioulasso, Burkina Faso, in sub-Saharan Africa. We use available geospatial data and techniques to spatially and temporally explore urbanization and land surface temperatures (LSTs) over 20 years. The effect of specific green infrastructure areas in the city on LSTs was also analyzed. Results show increased urbanization rates and increased temperature trends across time and space. But, LST in green infrastructure areas was indeed lower than adjacent impervious, urbanized areas. Seasonal phenological differences due to rainfall patterns, available planting space, and site limitations should be accounted for to maximize temperature reduction benefits. We discuss an approach on how study findings and urban and peri-urban agriculture and forestry are being used for policy uptake and formulation in the field of climate change, food security, and urbanization by the municipal government in this city in Burkina Faso.     

Respiratory medication sales and urban air pollution in Brussels (2005 to 2011)

BackgroundWe investigated the associations between daily sales of respiratory medication and air pollutants in the Brussels-Capital Region between 2005 and 2011.MethodsWe used over-dispersed Poisson Generalized Linear Models to regress daily individual reimbursement data of prescribed asthma and COPD medication from the social security database against each subject's residential exposure to outdoor particulate matter (PM₁₀) or NO₂ estimated, by interpolation from monitoring stations. We calculated cumulative risk ratios (RR) and their 95% confidence intervals (CI) for interquartile ranges (IQR) of exposure for different windows of past exposure for the entire population and for seven age groups.ResultsMedian daily concentrations of PM₁₀ and NO₂ were 25 μg/m³ (IQR = 17.1) and 38 μg/m³ (IQR = 20.5), respectively. PM₁₀ was associated with daily medication sales among individuals aged 13 to 64 y. For NO₂, significant associations were observed among all age groups except > 84 y. The highest RR were observed for NO₂, among adolescents, including three weeks lags (RR = 1.187 95%CI: 1.097–1.285).ConclusionThe associations found between temporal changes in exposure to air pollutants and daily sales of respiratory medication in Brussels indicate that urban air pollution contributes to asthma and COPD morbidity in the general population.     

城市绿色规划分析与评述

全球城市化的无序扩展给城市生态系统平衡带来了极大的挑战,在这种背景下倡导绿色规划随之成为国际潮流,因为其可以促进城市生态平衡、提供市民休憩场所和产业支持等。本文首先就城市园林、城市森林公园、都市农业等3个方面介绍了国外城市的绿色规划发展概况,着重分析了绿色规划的作用与特点,并在此基础上,本文指出了国内城市绿色规划特点和不足之处。     

Methods for control of indoor air quality

This report presents results of a review of available methods for control of environmental hazards applied to indoor air pollutants. Indoor air pollution originates from transport of ambient outdoor air contaminants into occupied spaces by natural infiltration ventilation, or by mechanical ventilation using outdoor makeup air, plus contributions from indoor emission sources. When air exchange with the external ambient environment is reduced to conserve energy, contributions from indoor emission sources may dominate indoor air pollutant levels. This paper identifies alternative methods available to control indoor air pollutant exposures. The performance characteristics of ventilation systems and of air cleaning devices used in mixed modes for ventilation of occupied spaces are described. Models for predicting effectiveness of several alternative modes are reviewed, with field trial validation results cited where available. Results of previous confined-space studies are briefly reviewed as points of departure for consideration of necessary air quality, ventilation, and air cleaning. Understanding of indoor air contaminant generation and controls is aided by examination of earlier studies of indoor air quality, using modern perspectives on occupational environmental health and hygiene.     

Associations between ultrafine and fine particles and mortality in five central European cities — Results from the UFIREG study

BackgroundEvidence on health effects of ultrafine particles (UFP) is still limited as they are usually not monitored routinely. The few epidemiological studies on UFP and (cause-specific) mortality so far have reported inconsistent results.ObjectivesThe main objective of the UFIREG project was to investigate the short-term associations between UFP and fine particulate matter (PM) < 2.5 μm (PM_2.5) and daily (cause-specific) mortality in five European Cities. We also examined the effects of PM < 10 μm (PM₁₀) and coarse particles (PM_2.5–10).MethodsUFP (20–100 nm), PM and meteorological data were measured in Dresden and Augsburg (Germany), Prague (Czech Republic), Ljubljana (Slovenia) and Chernivtsi (Ukraine). Daily counts of natural and cardio-respiratory mortality were collected for all five cities. Depending on data availability, the following study periods were chosen: Augsburg and Dresden 2011–2012, Ljubljana and Prague 2012–2013, Chernivtsi 2013–March 2014. The associations between air pollutants and health outcomes were assessed using confounder-adjusted Poisson regression models examining single (lag 0–lag 5) and cumulative lags (lag 0–1, lag 2–5, and lag 0–5). City-specific estimates were pooled using meta-analyses methods.ResultsResults indicated a delayed and prolonged association between UFP and respiratory mortality (9.9% [95%-confidence interval: − 6.3%; 28.8%] increase in association with a 6-day average increase of 2750 particles/cm³ (average interquartile range across all cities)). Cardiovascular mortality increased by 3.0% [− 2.7%; 9.1%] and 4.1% [0.4%; 8.0%] in association with a 12.4 μg/m³ and 4.7 μg/m³ increase in the PM_2.5- and PM_2.5–10-averages of lag 2–5.ConclusionsWe observed positive but not statistically significant associations between prolonged exposures to UFP and respiratory mortality, which were independent of particle mass exposures. Further multi-centre studies are needed investigating several years to produce more precise estimates on health effects of UFP.     

Detection of fluorotelomer alcohols in indoor environments and their relevance for human exposure

Fluorotelomer alcohols (FTOH) are important precursors of perfluorinated carboxylic acids (PFCA). These neutral and volatile compounds are frequently found in indoor air and may contribute to the overall human exposure to per- and polyfluorinated alkyl substances (PFAS). In this study air samples of ten workplace environments and a car interior were analysed. In addition, extracts and emissions from selected outdoor textiles were analysed in order to establish their potential contribution to the indoor levels of the above-mentioned compounds.Concentrations of FTOHs measured in air ranged from 0.15 to 46.8, 0.25 to 286, and 0.11 to 57.5 ng/m³ for 6:2, 8:2 and 10:2 FTOHs, respectively. The highest concentrations in air were identified in shops selling outdoor clothing, indicating outdoor textiles to be a relevant source of FTOH in indoor workplace environments. Total amounts of FTOH in materials of outdoor textiles accounted for < 0.8–7.6, 12.1–180.9 and 4.65–105.7 μg/dm² for 6:2, 8:2 and 10:2 FTOHs, respectively. Emission from selected textiles revealed emission rates of up to 494 ng/h.The measured data show that a) FTOHs are present in indoor textiles (e.g. carpets), b) they are released at ambient temperatures and c) indoor air of shops selling outdoor textiles contains the highest levels of FTOH. Exposure of humans to perfluorooctanoic acid (PFOA) through absorption of FTOH and subsequent degradation is discussed on the basis of indoor air levels. Calculation of indoor air-related exposure using the median of the measured air levels revealed that exposure is on the same order of magnitude as the recently reported dietary intakes for a background-exposed population. On the basis of the 95th percentile, indoor air exposure to PFOA was estimated to exceed dietary exposure. However, indoor air-related intakes of FTOH are far below the tolerable daily intake (TDI) of PFOA, indicating that there is no risk to health, even when assuming an unrealistic complete degradation of FTOH into PFOA.     

Relative effects of educational level and occupational social class on body concentrations of persistent organic pollutants in a representative sample of the general population of Catalonia,Spain

Scant evidence is available worldwide on the relative influence of occupational social class and educational level on body concentrations of persistent organic pollutants (POPs) in the general population. The objective was to analyse such influence in a representative sample of the general population of Catalonia, Spain. Participants in the Catalan Health Interview Survey aged 18–74 were interviewed face-to-face, gave blood, and underwent a physical exam. The role of age, body mass index (BMI), and parity was analysed with General Linear Models, and adjusted geometric means (GMs) were obtained. Crude (unadjusted) concentrations were higher in women and men with lower education, and in women, but not men, in the less affluent social class. After adjusting for age, in women there were no associations between POP levels and social class or education. After adjusting for age and BMI, men in the less affluent class had higher p,p′-DDE concentrations than men in class I (p-value = 0.016), while men in class IV had lower HCB than men in the upper class (p-value < 0.03). Also in contrast with some expectations, positive associations between education and POP levels were observed after adjusting for age and BMI in men; e.g., men with university studies had higher HCB concentrations than men with first stage of primary schooling (adjusted GM 153.9 and 80.5 ng/g, respectively) (p-value < 0.001). When education and social class were co-adjusted for, some positive associations with education in men remained statistically significant, whereas class remained associated only with p,p′-DDE. Educational level influenced blood concentrations of POPs more than occupational social class, especially in men. In women, POP concentrations were mainly explained by age/birth cohort, parity and BMI. In men, while concentrations were also mainly explained by age/birth cohort and BMI, both social class and education showed positive associations. Important characteristics of socioeconomic groups as age and BMI may largely explain crude differences among such groups in internal contamination by POPs. The absence of clear patterns of relationships between blood concentrations of POPs and indicators of socioeconomic position may fundamentally be due to the widespread, lifelong, and generally invisible contamination of human food webs. Decreasing historical trends would also partly explain crude socioeconomic differences apparently due to birth cohort effects.     

Parameters of well-being and subjective health and their relationship with residential traffic noise exposure--a representative evaluation in Switzerland

In the present paper, the associations between residential traffic noise exposure from the noise sources--road, rail and aircraft--and self-reported indicators of health and well-being are investigated in a representative sample of the Swiss population. The study is based on record linkage of the Swiss GIS Noise Database (SonBase) and the Swiss Household Panel (SHP), a large panel survey with more than 10,000 respondents all over the country. A range of exposure-effect relationships of noise exposure and parameters of health and well-being such as self-reported health status, satisfaction with health, sleep disturbances, the intensity of the wish to move from the current residence as well as the awareness of "noise problems" at the place of living were investigated. Both unadjusted as well as models that controlled for age, sex, socioeconomic status, degree of urbanization at the place of residence, and personal living conditions were developed. A contribution of residential noise exposure as regards subjective estimates of health cannot been ruled out, but must be put into perspective as the effects of exposure measures were of rather small magnitude, especially compared to well-established determinants of health. Against the background of the explanatory power of classic health predictors, the present analyses allow one to gage the contribution of residential noise exposure on subjective health outcomes from a more general, integral point of view.     

城市绿化屋顶的微气候调节与径流削减效应研究

快速城市化与气候变化双重作用下,热岛效应与城市内涝成为最为突出的城市环境问题。绿化屋顶因能有效利用闲置屋面添緑、帮助城市缓解热岛和暴雨径流而受到关注。以往研究较多探讨单种气象条件下、单个小面积实验型绿化屋面的气候水文调节功能,本研究基于夏秋两季的微气候水文观测数据,定量分析不同气象条件下5种典型绿化屋顶的降温和径流削减效应。首先选择晴朗、多云、降雨3种典型夏日天气条件,分析草坪、裸土、菜地、小面积花园、大面积花园5种类型绿化屋顶与对照光屋顶之间的温度差日变化规律,探讨绿化屋顶热效应强度及时空特征;其次,选择暴雨、大雨、中雨及小雨4次典型降雨,分析大面积草坪与花园型绿化屋顶上的降雨-滞蓄过程及径流削减率。研究结果表明:绿化屋顶降温与升温效应并存,晴朗无风天气条件下,距离屋面10 cm和150 cm两个高度上,绿化屋顶最高可降低气温5.3℃和2.5℃,多云及降雨天气条件下降温强度下降,升温时段延长;白天草坪与裸土上的大气温度高于对照光屋顶,其它绿化屋顶的温度低于对照屋顶;夜间5个绿化屋顶的大气温度均低于对照屋顶,且降温效应按照大面积花园、草坪、小面积花园、裸土、菜地的顺序递减。绿化屋顶径流削减效益与绿化类型及降雨强度密切相关,花园型绿化对一次典型暴雨、大雨、中雨、小雨的径流削减率分别为50.8%、78%、100%、100%,简易型绿化的4次径流削减率分别为24.3%,58.6%,98.2%和100%。研究结果可为同气候区其他城市绿化屋顶环境设计及管理提供一定参考价值。     

Lower placental telomere length may be attributed to maternal residential traffic exposure; a twin study

BackgroundHigh variation in telomere length between individuals is already present before birth and is as wide among newborns as in adults. Environmental exposures likely have an impact on this observation, but remain largely unidentified. We hypothesize that placental telomere length in twins is associated with residential traffic exposure, an important environmental source of free radicals that might accelerate aging. Next, we intend to unravel the nature-nurture contribution to placental telomere length by estimating the heritability of placental telomere length.MethodsWe measured the telomere length in placental tissues of 211 twins in the East Flanders Prospective Twin Survey. Maternal traffic exposure was determined using a geographic information system. Additionally, we estimated the relative importance of genetic and environmental sources of variance.ResultsIn this twin study, a variation in telomere length in the placental tissue was mainly determined by the common environment. Maternal residential proximity to a major road was associated with placental telomere length: a doubling in the distance to the nearest major road was associated with a 5.32% (95% CI: 1.90 to 8.86%; p = 0.003) longer placental telomere length at birth. In addition, an interquartile increase (22%) in maternal residential surrounding greenness (5 km buffer) was associated with an increase of 3.62% (95% CI: 0.20 to 7.15%; p = 0.04) in placental telomere length.ConclusionsIn conclusion, we showed that maternal residential proximity to traffic and lower residential surrounding greenness is associated with shorter placental telomere length at birth. This may explain a significant proportion of air pollution-related adverse health outcomes starting from early life, since shortened telomeres accelerate the progression of many diseases.     

Global Major Progress and Trends in the Implementation of Agenda 21

This paper summarizes, from a global perspective, the major progress in the implementation of the Agenda 21 since the UN Conference on Environment and Development. The results show that global economy has achieved a substantial growth, and positive progress has been made in poverty eradication, urbanization, and conservation and intensive use of natural resources. However, relevant international conventions and commitments have not yet been completely fulfilled. The paper further analyzes the current major challenges and future trends of global sustainable development. It is argued that there are three major challenges:1) fatal global environmental issues posing an increasing threat to human survival; 2) more and more severe global competition for developing spaces; and 3) issues highlighting global people’s livelihood. There are four trends of global sustainable development:1) sustainable development will further turn from concept into global action; 2) green will be the main trend of global development; 3) emerging developing countries will become the main driving force of global sustainable development; and 4) international relations in the field of sustainable development will turn to competitive co-operation.