Geoinformation for Disaster and Risk Management - ISPRS
Geoinformation for Disaster and Risk Management - ISPRS
Geoinformation for Disaster and Risk Management - ISPRS
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Dust, smoke, <strong>and</strong> human health<br />
There is ample literature linking airborne<br />
contaminants to health outcomes. Individual health<br />
is influenced by interactions among genetic <strong>and</strong><br />
environmental factors. Many of the latter represent<br />
pathways <strong>for</strong> transmitting airborne infectious or<br />
contagious diseases across a population. Prolonged<br />
exposures to dust <strong>and</strong> smoke exacerbate chronic<br />
obstructive pulmonary diseases, allergic reactions,<br />
<strong>and</strong> a host of respiratory conditions affecting specific<br />
age groups. Moreover, there is evidence that the toll<br />
is rising because of climate variability, l<strong>and</strong>-use<br />
conversions, <strong>and</strong> global urbanization.<br />
Much of the world experiences weather-induced<br />
dust storms. These are visible from space, but<br />
operational weather <strong>for</strong>ecasts do not predict dust<br />
events or concentrations. To acquire this<br />
in<strong>for</strong>mation, a dust entrainment model must be<br />
embedded into a weather <strong>for</strong>ecast model to simulate<br />
dust dynamics at the breathing level. For health<br />
applications, the question is whether outputs can be<br />
delivered in a timely manner to issue alerts <strong>and</strong><br />
implement interventions? If so, can these <strong>for</strong>ecasts<br />
be linked to health tracking systems? To answer<br />
these questions, <strong>for</strong>ecasts must be available daily.<br />
They should also integrate satellite observations<br />
with geographic <strong>and</strong> demographic data into systems<br />
that can track immediate <strong>and</strong> long-term exposures.<br />
Only in this way will such <strong>for</strong>ecasts provide relevant<br />
in<strong>for</strong>mation <strong>for</strong> both patient-specific diagnoses <strong>and</strong><br />
group epidemiology.<br />
46<br />
Role <strong>for</strong> satellite observations of dust<br />
Satellite sensors measure global atmospheric data to<br />
<strong>for</strong>ecast broad area disasters such as hurricanes <strong>and</strong><br />
tsunamis. Public health infrastructures that link dayto-day<br />
environmental conditions to public health<br />
outcomes are just beginning to emerge. There is a<br />
growing need to collect, archive, <strong>and</strong> integrate<br />
environmental monitoring data with health services,<br />
<strong>and</strong> an equal need to verify <strong>and</strong> validate the medical<br />
value of these data in decision support tools that<br />
streamline disease surveillance. This paper suggests<br />
practices <strong>for</strong> linking ground <strong>and</strong> space-based air<br />
quality observations to respiratory health; provides<br />
examples of how satellite data can be used to<br />
improve health services; <strong>and</strong>, suggests ways <strong>for</strong> how<br />
these services can assist health care providers <strong>and</strong><br />
policy makers to develop better prevention <strong>and</strong><br />
mitigation measures.<br />
Figure 1: Particle sizes <strong>and</strong> their associated<br />
biophysical impacts (Kaiser, 2005).<br />
Satellite sensors provide routine, synoptic<br />
environmental data; but, their utility is enhanced<br />
when used in concert with health records <strong>and</strong><br />
socioeconomic data in an in<strong>for</strong>mation systems<br />
environment. Epidemiologists are interested in<br />
contextual relationships between dust events <strong>and</strong><br />
associated risk factors such as demographics, life<br />
style, access to health care, exposure rates, <strong>and</strong><br />
genetic heritage. Archived data about these<br />
attributes enable disease surveillance to be<br />
conducted via a <strong>for</strong>ecast, <strong>and</strong> via projections over<br />
longer periods to assess the causes <strong>and</strong> effects of<br />
dust on health. However, until satellite sensors began<br />
collecting synoptic environmental data, there were<br />
no long-term archives around which to design<br />
epidemiological studies. Health authorities have<br />
always been aware of environmental factors, but<br />
in<strong>for</strong>mation gathering <strong>for</strong> hospital admissions <strong>and</strong><br />
emergency room visits leave little time to address<br />
factors that trigger respiratory <strong>and</strong> cardiovascular<br />
reactions, let alone address possible airborne<br />
diseases leading to epidemics.