{"id":20049129,"date":"2020-10-12T12:30:50","date_gmt":"2020-10-12T07:00:50","guid":{"rendered":"https:\/\/www.thethirdpole.net\/?p=39384"},"modified":"2021-01-29T18:10:45","modified_gmt":"2021-01-29T12:40:45","slug":"air-pollution-could-worsen-covid-19-outbreak-in-south-asia","status":"publish","type":"post","link":"https:\/\/dialogue.earth\/en\/pollution\/air-pollution-could-worsen-covid-19-outbreak-in-south-asia\/","title":{"rendered":"Air pollution could worsen Covid-19 outbreak in South Asia"},"content":{"rendered":"<p>The <a href=\"https:\/\/dialogue.earth\/2020\/05\/26\/pandemic-south-asia\/\">dramatic drop<\/a> in air pollution after large swathes of South Asia shut down in response to Covid-19 was short-lived. Newly clean skies in cities from Peshawar to Guwahati stirred hope that action on South Asia\u2019s lethal air pollution was possible. But as lockdowns eased, pollution levels crept back up.<br \/>\nNow experts warn that bad air could worsen the spread and severity of the coronavirus pandemic this winter as South Asia descends into its annual smog season. Pollution levels peak every autumn and winter, when agricultural waste burning, industry, vehicle fumes and brick kilns combine to create a toxic soup.<br \/>\nBangladesh, India, Nepal and Pakistan have overtaken China and become home to the most polluted cities in the world. Millions of people die every year from breathing in poisonous air, with life expectancy cut by <a href=\"https:\/\/aqli.epic.uchicago.edu\/wp-content\/uploads\/2020\/07\/AQLI_2020_Report_FinalGlobal-1.pdf\">five years on average<\/a>. This rises to more than eight years in the most polluted areas of northern India.<br \/>\n<strong>See<\/strong>: <a href=\"https:\/\/dialogue.earth\/2019\/06\/05\/toxic-smog-the-new-normal-in-south-asia\/\">Toxic smog: the new normal in South Asia.<\/a><br \/>\nBut governments have failed to act. In India, activists have rejected the government\u2019s <a href=\"http:\/\/moef.gov.in\/wp-content\/uploads\/2019\/05\/NCAP_Report.pdf\">National Clean Air Programme<\/a> as insufficient. While some real-time data is available in India, cities in Bangladesh, Pakistan and Nepal still lack basic equipment for monitoring air pollution, let alone a robust strategy to address the sources.<br \/>\n<strong>Evidence of pollution and Covid-19 links<\/strong><br \/>\nEmerging studies, currently undergoing peer review, suggest that long-term exposure to air pollution before the pandemic is associated with severe symptoms from Covid-19 and a greater risk of death.<br \/>\n<a href=\"https:\/\/www.hsph.harvard.edu\/news\/hsph-in-the-news\/air-pollution-linked-with-higher-covid-19-death-rates\/\">Academics at Harvard University<\/a> looked at fatalities from the virus and historic levels of dangerous particulate matter, known as PM2.5, across the US. They found that high levels of particulate pollution in the years before the pandemic were associated with an 8% rise in Covid-19 death rates. Another study in the Netherlands found that a small increase in exposure to pollution raised the death rate by up to 21%, though the World Health Organization (WHO) said the methodology used and the results would need to be evaluated and overall, more data is needed to understand the way air pollution can affect the development of the disease.<br \/>\nWhile the evidence from South Asia is still scarce, public health experts in India are echoing the <a href=\"https:\/\/www.who.int\/news-room\/feature-stories\/detail\/who-manifesto-for-a-healthy-recovery-from-covid-19\">warning given by the WHO<\/a> and calling on the government to take immediate action.<br \/>\n\u201cOur worst fears are that as the winters arrive and air pollution rises this could compound the Covid-19 situation. Already our health infrastructure is under tremendous stress,\u201d said T.K. Joshi, health expert at India\u2019s Central Pollution Control Board and member of the prime minister\u2019s Covid-19 task force.<br \/>\nSpeaking about the connection between air pollution and the pandemic at a webinar organised by WWF India, Joshi said, \u201cThe quality of air has a bearing on a person\u2019s immunity. Air pollution is definitely going to make the situation worse.\u201d<br \/>\nIndia has been hit very hard by the pandemic, with the second-largest number of cases in the world after the US and its case load rising by around 70,000 a day at the beginning of October. After malnutrition, the WHO has identified air pollution as the country\u2019s most severe public health risk.<br \/>\n\u201cThe double whammy of poor air quality and exposure to the virus will certainly aggravate the existing public health crisis in India,\u201d said Poornima Prabhakaran, an epidemiologist and deputy director of the Centre for Environmental Health, Public Health Foundation of India (PHFI).<br \/>\n<iframe style=\"width: 100%; height: 500px;\" src=\"https:\/\/flo.uri.sh\/visualisation\/3954037\/embed\" frameborder=\"0\" scrolling=\"no\" aria-label=\"\">&lt;span data-mce-type=&#8221;bookmark&#8221; style=&#8221;display: inline-block; width: 0px; overflow: hidden; line-height: 0;&#8221; class=&#8221;mce_SELRES_start&#8221;&gt;\ufeff&lt;\/span&gt;&lt;span data-mce-type=&#8221;bookmark&#8221; style=&#8221;display: inline-block; width: 0px; overflow: hidden; line-height: 0;&#8221; class=&#8221;mce_SELRES_start&#8221;&gt;\ufeff&lt;\/span&gt;<\/iframe><br \/>\n\u201cThe health effects of poor air quality are well-known and are significantly worse in vulnerable populations including extremes of age, pregnant women and those with pre-existing comorbidities. Chronic exposure to deteriorating air quality every year results in compromised lung function in exposed populations. These individuals are therefore likely to be more vulnerable in a pandemic,\u201d she explained.<br \/>\nAmong the first patients hospitalised with Covid-19, pneumonia, sepsis, respiratory failure and acute respiratory distress syndrome were reported as the most <a href=\"https:\/\/indiaclimatedialogue.net\/2020\/06\/01\/keep-air-pollution-low-to-fight-coronavirus\/\">frequent complications<\/a>.<br \/>\nOther studies suggest high levels of particulate pollution in the air increases Covid-19 transmission. Arun Sharma, director of the University of Delhi\u2019s College of Medical Sciences, said, \u201cHigh concentration of PM2.5 and PM10 (particulate matter <a href=\"https:\/\/www.epa.gov\/air-trends\/particulate-matter-pm25-trends\">of 2.5 micrometres or less<\/a>, or 10 micrometres or less) provides more particle surfaces for the virus to stick to and get transported over greater distances.\u201d The virus can also potentially <a href=\"https:\/\/journals.physiology.org\/doi\/full\/10.1152\/ajplung.00244.2020\">survive longer<\/a> when attached to pollutants.<br \/>\nSharma said, \u201cIt is clear that while authorities are battling the pandemic, they cannot push tackling the air pollution crisis to a later day. The two are intricately related and impact public health at large.\u201d<br \/>\n<strong>What action? <\/strong><br \/>\nIn early October, <a href=\"https:\/\/www.hindustantimes.com\/cities\/air-quality-poor-may-deteriorate-further\/story-OphPqjF0bKtHgUuLI38lWM.html\">air quality in Delhi slipped to the \u2018poor\u2019 category<\/a> for the first time in three months. The government defines this as a level that \u201cmay cause breathing discomfort to people on prolonged exposure and discomfort to people with heart diseases with short exposure.\u201d<br \/>\nThe deterioration was partially due to farmers upwind setting rice and wheat straw on fire to clear their fields for the winter crop. In an average year, during the two to three autumn weeks when stubble burning is at its peak, it accounts for around <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32189491\/\">20%<\/a> of PM2.5 concentration in Delhi.&nbsp;It is a much-discussed problem. But in the absence of viable alternatives to get rid of the straw, farmers have little choice, as pointed out by Pallavi Pant,&nbsp;an air quality scientist at the US-based Health Effects Institute (HEI). Authorities responded by banning the use of diesel generators around India\u2019s capital and using water cannons to tamp down dust.<br \/>\n<iframe style=\"width: 100%; height: 600px;\" src=\"https:\/\/flo.uri.sh\/visualisation\/3964017\/embed\" frameborder=\"0\" scrolling=\"no\" aria-label=\"\"><\/iframe><br \/>\nPollution was just as bad over much of the Indo-Gangetic plains. But in the absence of an effective air quality monitoring network, most people are unaware of the risks.<br \/>\nTanushree Ganguly, air quality researcher at the Council on Energy, Environment and Water (CEEW), outlined the main steps authorities should take. These include developing inventories to identify pollution sources and design effective responses; expanding continuous air quality monitoring networks countrywide; encouraging public transport and <a href=\"https:\/\/www.ceew.in\/publications\/how-robust-are-urban-india%E2%80%99s-clean-air-plans\">adding teeth<\/a> to the existing clean air plans for cities by setting legally mandated timelines and emission-reduction targets.&nbsp;<a href=\"https:\/\/www.ceew.in\/publications\/jobs-growth-and-sustainability#:~:text=A%20CEEW%20study%20has%20found,to%20optimise%20for%20the%20grid.&amp;text=Small%2D%20and%20large%2Dscale%20micro,for%20skilled%20and%20unskilled%20activities.\">CEEW also calls for<\/a> old and inefficient coal-fired power plants to be decommissioned by 2024.<br \/>\n<strong>Rural women most vulnerable<\/strong><br \/>\nAs the pandemic spreads to rural areas, women may be particularly at risk. Studies have shown <a href=\"https:\/\/blogs.worldbank.org\/endpovertyinsouthasia\/air-pollution-aggravating-covid-19-south-asia\">women in rural areas<\/a> are vulnerable to air pollution because many still use biomass like fuelwood or animal dung for cooking. Recent research from the <a href=\"https:\/\/blogs.worldbank.org\/endpovertyinsouthasia\/air-pollution-aggravating-covid-19-south-asia\">World Bank<\/a> has found a positive link between Covid-19 fatality rates and exposure to household air pollution.<\/p>\n<p><figure id=\"attachment_14273\" aria-describedby=\"caption-attachment-14273\" style=\"width: 480px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-14273\" src=\"https:\/\/dialogue.earth\/content\/uploads\/2014\/07\/6840938168_71f39e5b98_b1-e1405524956341.jpg\" alt=\"\" width=\"480\" height=\"360\"><figcaption id=\"caption-attachment-14273\" class=\"wp-caption-text\">A traditional \u2018chulha\u2019 or cooking stove that releases toxic soot and fumes due to burning of biomass [Image by Shazoor Mirza]<\/figcaption><\/figure>\u201cExposure to indoor air pollution disproportionately affects women and children, who are more likely to spend longer indoors in rural areas,\u201d said Prabhakaran of PHFI. \u201cWith the spread of the pandemic in rural tracts of the country, we could expect to see a rise in the incidence of acute respiratory illnesses with consequent increased burden on health systems. The impending winter can also aggravate the situation with vulnerable individuals presenting with greater frequency of respiratory and cardiovascular symptoms. Health system preparedness is therefore key, along with sensitisation and awareness-building among communities on preventive strategies and access to appropriate healthcare.\u201d<br \/>\nPant, of HEI, similarly stressed the importance of mask wearing and social distancing, adding that \u201cIt\u2019s harder to control pollution in one season [than Covid-19 transmission].\u201d<br \/>\n<strong>Pakistan braces for second wave <\/strong><br \/>\nPakistan hasn\u2019t been <a href=\"https:\/\/www.economist.com\/asia\/2020\/09\/30\/is-pakistan-really-handling-the-pandemic-better-than-india\">hit as hard<\/a> by Covid-19 as India so far, but health officials warn that it could soon experience a second wave. The reproduction rate of the virus (R value) is now over one in cities like Lahore and Faisalabad and a staggering four in Quetta.<br \/>\nMost of Pakistan has the same air pollution problem as northern India, so runs the same risk.<\/p>\n<p><figure id=\"attachment_38793\" aria-describedby=\"caption-attachment-38793\" style=\"width: 2560px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-38793\" src=\"https:\/\/dialogue.earth\/content\/uploads\/2020\/06\/Lahore-Pakistan-scaled.jpg\" alt=\"Lahore, Pakistan. 29th Oct, 2017. A view of dense smog engulf the Provincial Capital Air pollution can lead to a number of skin and respiratory diseases which can play havoc on the public's health.A dense blanket of smog made the citizens of Lahore suffer\" width=\"2560\" height=\"1615\"><figcaption id=\"caption-attachment-38793\" class=\"wp-caption-text\">Dense smog engulfs Lahore in this photograph from 2017 [image by: Rana Sajid Hussain \/ Pacific Press \/ Alamy Live News]<\/figcaption><\/figure>Mohsen Gul, founder of Green Box, a youth-led think-tank researching a better response to Covid-19 and future pandemics, wants authorities to take immediate action. \u201cThe onset of winter leading to transboundary air pollution incidence in the region can have a domino effect on the vulnerability of already vulnerable population groups to higher risk of Covid-19\u2026 Although a World Bank study [looking at the links between air pollution and Covid-19 in South Asia] is at an initial stage, it implies that air pollution must be limited as much as possible to minimise the impact of a second or a third wave.\u201d<br \/>\nAir pollution is responsible for&nbsp;<a href=\"http:\/\/www.emro.who.int\/pak\/programmes\/environmental-health.html\">nearly 22% of premature deaths in the country<\/a> and air pollution-related illness costs about 2.5% of GDP a year, he said.<br \/>\nAhmad Rafay Alam, an environmental lawyer and activist, said, \u201cThe smog season will make Covid-19 symptoms and recovery much, much more severe.\u201d<br \/>\n<iframe style=\"width: 100%; height: 600px;\" src=\"https:\/\/flo.uri.sh\/visualisation\/3952008\/embed\" frameborder=\"0\" scrolling=\"no\" aria-label=\"\"><\/iframe><br \/>\nMany cities in Pakistan do not even collect or report air&nbsp;quality data.&nbsp;This is the first crucial step to tackling pollution.<br \/>\n<strong>See: <\/strong><a href=\"https:\/\/dialogue.earth\/2017\/10\/17\/frogs-in-smog-air-quality-in-lahore\/\">Frogs in smog: air quality in Lahore<\/a><br \/>\n\u201c[The government] should first make credible data available from all the provinces, major cities with source segregation. This means operational and functional equipment to measure pollutants and technically qualified staff to take and analyse readings,\u201d said Aisha Khan, head of Civil Society Coalition for Climate Change in Pakistan.<br \/>\nAlam called on the government to shift from fossil fuel energy to renewables, crack down on polluting industries such as cement and steel, improve fuel quality to minimum Euro IV and upgrade old vehicles. \u201cThe best thing to do in the short term is to invest in masks and distribute them,\u201d he said, while criticising the government\u2019s response to the pandemic.<br \/>\nThere is some hope in recent government pledges to seek a green recovery and stimulus programme post-Covid-19. \u201cInvesting more in renewable energy, electric vehicles and low-carbon technologies will not only fight climate change, but also help prepare countries to deal with such epidemics and pandemics in the future,\u201d said Gul of Green Box.<br \/>\n<strong>Nepal \u2013 no research, no plan <\/strong><br \/>\nNepal\u2019s capital Kathmandu is one of the most polluted cities in the world. Winters are particularly bad, as the surrounding mountains trap pollutants in the bowl-shaped Kathmandu valley.<br \/>\nThe initial lockdown in Kathmandu helped to clean the city\u2019s air. However, with the end of the monsoon, vehicles back on the roads and industries opening up, Kathmandu is a dust bowl again.<br \/>\nAir pollution experts worry the situation could become worse this winter. But indoor pollution is the big concern. \u201cWhat we can say is that cities like Kathmandu are congested with low ventilation, polluting fuels used in kitchens and lack of proper heating systems, which would make the situation worse in this winter amidst the pandemic,\u201d said Bhupesh Adhikary, senior air quality specialist at the International Centre for Integrated Mountain Development.<br \/>\nHe added that emissions from residences are the biggest source of pollution in the eight Hindu Kush Himalayan countries. \u201cWe have to tackle emissions from the residential sector if we really want to improve air pollution and its exposure in our region,\u201d he said.<br \/>\n<iframe style=\"width: 100%; height: 600px;\" src=\"https:\/\/flo.uri.sh\/visualisation\/3963658\/embed\" frameborder=\"0\" scrolling=\"no\" aria-label=\"\"><\/iframe><br \/>\nThe connection between air pollution and Covid-19 is not the radar of the Nepali authorities. \u201cWe have air pollution data, the ministry of health works on health-related data but there hasn\u2019t been any discussion of joint research activities yet,\u201d said Shanker Prasad Paudel, spokesperson at the Department of Environment.<br \/>\nBut experts say air pollution should be a priority. \u201cIncreasing air pollution in winter months and the ever-increasing cases of Covid-19 should be of bigger concern for Nepal,\u201d said Maheswar Rupakheti, research group leader at the Institute of Advanced Sustainability Studies in Germany, who works on air pollution in Nepal.<br \/>\n<strong>Lack of data raises risk<\/strong><br \/>\nAcross South Asia, the number of tests being conducted for Covid-19 is grossly inadequate, especially outside big cities. This comes on top of an equally inadequate air quality monitoring network. This absence of data in two crucial spheres may raise the pandemic risk in the region manifold.<\/p>\n<p><em>Reporting by Soumya Sarkar, Zofeen Ebrahim and Ramesh Bhushal&nbsp;<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>High levels of air pollution this winter could exacerbate the severity and spread of the coronavirus, warn health experts, as they call on governments to clean up their act<\/p>\n","protected":false},"author":20000243,"featured_media":20054386,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[760],"tags":[14274,20000838,551],"hashtags":[],"country":[20000116,20000111,20000113,20000112],"class_list":["post-20049129","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pollution","tag-air-pollution","tag-covid-19","tag-health","country-bangladesh","country-india","country-nepal","country-pakistan"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v26.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Air pollution could worsen Covid-19 outbreak in South Asia | Dialogue Earth<\/title>\n<meta name=\"description\" content=\"High levels of air pollution this winter could exacerbate the severity and spread of the coronavirus, warn health experts, as 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