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1. The 2024 report of the Lancet Countdown on health and climate change: facing record-breaking threats from delayed action

Author

Romanello, Marina, Walawender, Maria, Hsu, Shih-Che, Moskeland, Annalyse, Palmeiro-Silva, Yasna, Scamman, Daniel, Ali, Zakari, Ameli, Nadia, Angelova, Denitsa, Ayeb-Karlsson, Sonja, Basart, Sara, Beagley, Jessica, Beggs, Paul J, Blanco-Villafuerte, Luciana, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan D, Chicmana-Zapata, Victoria, Chu, Lingzhi, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dubrow, Robert, Eckelman, Matthew J, Ford, James D, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Grubb, Michael, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Jamart, Louis, Jankin, Slava, Jatkar, Harshavardhan, Jay, Ollie, Kelman, Ilan, Kennard, Harry, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Lampard, Pete, Lee, Jason K W, Lemke, Bruno, Li, Bo, Liu, Yang, Liu, Zhao, Llabrés-Brustenga, Alba, Lott, Melissa, Lowe, Rachel, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrisey, Karyn, Munzert, Simon, Murray, Kris A, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia L, Pega, Frank, Perishing, Andrew J, Pinho-Gomes, Ana-Catarina, Ponmattam, Jamie, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth, Rocklöv, Joacim, Rojas-Rueda, David, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Singh, Pratik, Sjödin, Henrik, Slater, Jessica, Sofiev, Mikhail, Sorensen, Cecilia, Springmann, Marco, Stalhandske, Zélie, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Tong, Daniel, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Uppstu, Andreas, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Xian, Peng, Zavaleta-Cortijo, Carol, Zhang, Chi, Zhang, Ran, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2024
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3. Impacts of Fine Particulate Matter From Wildfire Smoke on Respiratory and Cardiovascular Health in California

Author

Heaney, Alexandra, Stowell, Jennifer D, Liu, Jia Coco, Basu, Rupa, Marlier, Miriam, and Kinney, Patrick

Subjects
Epidemiology, Environmental Sciences, Health Sciences, Heart Disease, Lung, Cardiovascular, Prevention, Aetiology, 2.2 Factors relating to the physical environment, Respiratory, Good Health and Well Being, impacts of climate change: human health, pollution: urban and regional, public health, Climate change science, Environmental management, Public health
Abstract

Increases in wildfire activity across the Western US pose a significant public health threat. While there is evidence that wildfire smoke is detrimental for respiratory health, the impacts on cardiovascular health remain unclear. This study evaluates the association between fine particulate matter (PM2.5) from wildfire smoke and unscheduled cardiorespiratory hospital visits in California during the 2004-2009 wildfire seasons. We estimate daily mean wildfire-specific PM2.5 with Goddard Earth Observing System-Chem, a global three-dimensional model of atmospheric chemistry, with wildfire emissions estimates from the Global Fire Emissions Database. We defined a "smoke event day" as cumulative 0-1-day lag wildfire-specific PM2.5 ≥ 98th percentile of cumulative 0-1 lag day wildfire PM2.5. Associations between exposure and outcomes are estimated using negative binomial regression. Results indicate that smoke event days are associated with a 3.3% (95% CI: [0.4%, 6.3%]) increase in visits for all respiratory diseases and a 10.3% (95% CI: [2.3%, 19.0%]) increase for asthma specifically. Stratifying by age, we found the largest effect for asthma among children ages 0-5 years. We observed no significant association between exposure and overall cardiovascular disease, but stratified analyses revealed increases in visits for all cardiovascular, ischemic heart disease, and heart failure among non-Hispanic white individuals and those older than 65 years. Further, we found a significant interaction between smoke event days and daily average temperature for all cardiovascular disease visits, suggesting that days with high wildfire PM2.5 concentrations and high temperatures may pose greater risk for cardiovascular disease. These results suggest substantial increases in adverse outcomes from wildfire smoke exposure and indicate the need for improved prevention strategies and adaptations to protect vulnerable populations.

Published
2022

4. The 2023 report of the Lancet Countdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms

Author

Romanello, Marina, Napoli, Claudia di, Green, Carole, Kennard, Harry, Lampard, Pete, Scamman, Daniel, Walawender, Maria, Ali, Zakari, Ameli, Nadia, Ayeb-Karlsson, Sonja, Beggs, Paul J, Belesova, Kristine, Berrang Ford, Lea, Bowen, Kathryn, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dominguez-Salas, Paula, Dubrow, Robert, Ebi, Kristie L, Eckelman, Matthew, Ekins, Paul, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Graham, Hilary, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Hsu, Shih-Che, Jamart, Louis, Jankin, Slava, Jay, Ollie, Kelman, Ilan, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Larosa, Francesca, Lee, Jason K W, Lemke, Bruno, Liu, Yang, Liu, Zhao, Lott, Melissa, Lotto Batista, Martín, Lowe, Rachel, Odhiambo Sewe, Maquins, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan C, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrissey, Karyn, Munzert, Simon, Murray, Kris A, Neville, Tara, Nilsson, Maria, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia, Pega, Frank, Pershing, Andrew, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth J Z, Rocklöv, Joacim, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Silbert, Grant, Sofiev, Mikhail, Springmann, Marco, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Thompson, Ross, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Winning, Matthew, Wyns, Arthur, Yglesias-González, Marisol, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2023
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5. The 2024 report of the LancetCountdown on health and climate change: facing record-breaking threats from delayed action

Author

Romanello, Marina, Walawender, Maria, Hsu, Shih-Che, Moskeland, Annalyse, Palmeiro-Silva, Yasna, Scamman, Daniel, Ali, Zakari, Ameli, Nadia, Angelova, Denitsa, Ayeb-Karlsson, Sonja, Basart, Sara, Beagley, Jessica, Beggs, Paul J, Blanco-Villafuerte, Luciana, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan D, Chicmana-Zapata, Victoria, Chu, Lingzhi, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dubrow, Robert, Eckelman, Matthew J, Ford, James D, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Grubb, Michael, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Jamart, Louis, Jankin, Slava, Jatkar, Harshavardhan, Jay, Ollie, Kelman, Ilan, Kennard, Harry, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Lampard, Pete, Lee, Jason K W, Lemke, Bruno, Li, Bo, Liu, Yang, Liu, Zhao, Llabrés-Brustenga, Alba, Lott, Melissa, Lowe, Rachel, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrisey, Karyn, Munzert, Simon, Murray, Kris A, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia L, Pega, Frank, Perishing, Andrew J, Pinho-Gomes, Ana-Catarina, Ponmattam, Jamie, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth, Rocklöv, Joacim, Rojas-Rueda, David, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Singh, Pratik, Sjödin, Henrik, Slater, Jessica, Sofiev, Mikhail, Sorensen, Cecilia, Springmann, Marco, Stalhandske, Zélie, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Tong, Daniel, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Uppstu, Andreas, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Xian, Peng, Zavaleta-Cortijo, Carol, Zhang, Chi, Zhang, Ran, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2024
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15. The 2023 report of the LancetCountdown on health and climate change: the imperative for a health-centred response in a world facing irreversible harms

Author

Romanello, Marina, Napoli, Claudia di, Green, Carole, Kennard, Harry, Lampard, Pete, Scamman, Daniel, Walawender, Maria, Ali, Zakari, Ameli, Nadia, Ayeb-Karlsson, Sonja, Beggs, Paul J, Belesova, Kristine, Berrang Ford, Lea, Bowen, Kathryn, Cai, Wenjia, Callaghan, Max, Campbell-Lendrum, Diarmid, Chambers, Jonathan, Cross, Troy J, van Daalen, Kim R, Dalin, Carole, Dasandi, Niheer, Dasgupta, Shouro, Davies, Michael, Dominguez-Salas, Paula, Dubrow, Robert, Ebi, Kristie L, Eckelman, Matthew, Ekins, Paul, Freyberg, Chris, Gasparyan, Olga, Gordon-Strachan, Georgiana, Graham, Hilary, Gunther, Samuel H, Hamilton, Ian, Hang, Yun, Hänninen, Risto, Hartinger, Stella, He, Kehan, Heidecke, Julian, Hess, Jeremy J, Hsu, Shih-Che, Jamart, Louis, Jankin, Slava, Jay, Ollie, Kelman, Ilan, Kiesewetter, Gregor, Kinney, Patrick, Kniveton, Dominic, Kouznetsov, Rostislav, Larosa, Francesca, Lee, Jason K W, Lemke, Bruno, Liu, Yang, Liu, Zhao, Lott, Melissa, Lotto Batista, Martín, Lowe, Rachel, Odhiambo Sewe, Maquins, Martinez-Urtaza, Jaime, Maslin, Mark, McAllister, Lucy, McMichael, Celia, Mi, Zhifu, Milner, James, Minor, Kelton, Minx, Jan C, Mohajeri, Nahid, Momen, Natalie C, Moradi-Lakeh, Maziar, Morrissey, Karyn, Munzert, Simon, Murray, Kris A, Neville, Tara, Nilsson, Maria, Obradovich, Nick, O'Hare, Megan B, Oliveira, Camile, Oreszczyn, Tadj, Otto, Matthias, Owfi, Fereidoon, Pearman, Olivia, Pega, Frank, Pershing, Andrew, Rabbaniha, Mahnaz, Rickman, Jamie, Robinson, Elizabeth J Z, Rocklöv, Joacim, Salas, Renee N, Semenza, Jan C, Sherman, Jodi D, Shumake-Guillemot, Joy, Silbert, Grant, Sofiev, Mikhail, Springmann, Marco, Stowell, Jennifer D, Tabatabaei, Meisam, Taylor, Jonathon, Thompson, Ross, Tonne, Cathryn, Treskova, Marina, Trinanes, Joaquin A, Wagner, Fabian, Warnecke, Laura, Whitcombe, Hannah, Winning, Matthew, Wyns, Arthur, Yglesias-González, Marisol, Zhang, Shihui, Zhang, Ying, Zhu, Qiao, Gong, Peng, Montgomery, Hugh, and Costello, Anthony

Published
2023
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23. Congenital cytomegalovirus: an update

Author

Stowell, Jennifer D., Forlin-Passoni, Daniela, and Cannon, Michael J.

Subjects
Cytomegalovirus infections -- Diagnosis, Cytomegalovirus infections -- Care and treatment, Cytomegalovirus infections -- Demographic aspects, Cytomegalovirus infections -- Prevention, Perinatal infection -- Risk factors, Perinatal infection -- Prevention, Prenatal diagnosis -- Standards
Published
2010

24. Groundwater Chemistry and Blood Pressure: A Cross-Sectional Study in Bangladesh

Author

Naser, Abu Mohd, primary, Clasen, Thomas F., additional, Luby, Stephen P., additional, Rahman, Mahbubur, additional, Unicomb, Leanne, additional, Ahmed, Kazi M., additional, Doza, Solaiman, additional, Ourshalimian, Shadassa, additional, Chang, Howard H., additional, Stowell, Jennifer D., additional, Narayan, K. M. Venkat, additional, Shamsudduha, Mohammad, additional, Patel, Shivani A., additional, O’Shea, Bethany, additional, and Gribble, Matthew O., additional

Published
2019
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25. Using theory-based messages to motivate U.S. pregnant women to prevent cytomegalovirus infection: results from formative research

Author

Levis, Denise M., primary, Hillard, Christina L., additional, Price, Simani M., additional, Reed-Gross, Erika, additional, Bonilla, Erika, additional, Amin, Minal, additional, Stowell, Jennifer D., additional, Clark, Rebekah, additional, Johnson, Delaney, additional, Mask, Karen, additional, Carpentieri, Cynthia, additional, and Cannon, Michael J., additional

Published
2017
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26. Repeated measures study of weekly and daily cytomegalovirus shedding patterns in saliva and urine of healthy cytomegalovirus-seropositive children

Author

Cannon, Michael J, primary, Stowell, Jennifer D, additional, Clark, Rebekah, additional, Dollard, Philip R, additional, Johnson, Delaney, additional, Mask, Karen, additional, Stover, Cynthia, additional, Wu, Karen, additional, Amin, Minal, additional, Hendley, Will, additional, Guo, Jing, additional, Schmid, D Scott, additional, and Dollard, Sheila C, additional

Published
2014
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30. Emergency department visits in California associated with wildfire PM 2.5 : differing risk across individuals and communities.

Author

Stowell JD, Sue Wing I, Romitti Y, Kinney PL, and Wellenius GA

Abstract

The threats to human health from wildfires and wildfire smoke (WFS) in the United States (US) are increasing due to continued climate change. A growing body of literature has documented important adverse health effects of WFS exposure, but there is insufficient evidence regarding how risk related to WFS exposure varies across individual or community level characteristics. To address this evidence gap, we utilized a large nationwide database of healthcare utilization claims for emergency department (ED) visits in California across multiple wildfire seasons (May through November, 2012-2019) and quantified the health impacts of fine particulate matter <2.5 μ m (PM 2.5 ) air pollution attributable to WFS, overall and among subgroups of the population. We aggregated daily counts of ED visits to the level of the Zip Code Tabulation Area (ZCTA) and used a time-stratified case-crossover design and distributed lag non-linear models to estimate the association between WFS and relative risk of ED visits. We further assessed how the association with WFS varied across subgroups defined by age, race, social vulnerability, and residential air conditioning (AC) prevalence. Over a 7 day period, PM 2.5 from WFS was associated with elevated risk of ED visits for all causes (1.04% (0.32%, 1.71%)), non-accidental causes (2.93% (2.16%, 3.70%)), and respiratory disease (15.17% (12.86%, 17.52%)), but not with ED visits for cardiovascular diseases (1.06% (-1.88%, 4.08%)). Analysis across subgroups revealed potential differences in susceptibility by age, race, and AC prevalence, but not across subgroups defined by ZCTA-level Social Vulnerability Index scores. These results suggest that PM 2.5 from WFS is associated with higher rates of all cause, non-accidental, and respiratory ED visits with important heterogeneity across certain subgroups. Notably, lower availability of residential AC was associated with higher health risks related to wildfire activity., Competing Interests: Dr Wellenius serves as a consultant for the Health Effects Institute (Boston, MA) and Google, LLC (Mountain View, CA). Dr Sue Wing serves as a consultant for Lawrence Berkeley Laboratory (Berkeley, CA) and the European Commission Joint Research Centre (Seville, Spain). Drs. Romitti, Kinney, and Stowell have nothing to disclose., (© 2024 The Author(s). Published by IOP Publishing Ltd.)

Published
2025
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31. Warm-season temperatures and emergency department visits among children with health insurance.

Author

Stowell JD, Sun Y, Spangler KR, Milando CW, Bernstein A, Weinberger KR, Sun S, and Wellenius GA

Abstract

High ambient temperatures have become more likely due to climate change and are linked to higher rates of heat-related illness, respiratory and cardiovascular diseases, mental health disorders, and other diseases. To date, far fewer studies have examined the effects of high temperatures on children versus adults, and studies including children have seldom been conducted on a national scale. Compared to adults, children have behavioral and physiological differences that may give them differential heat vulnerability. We acquired medical claims data from a large database of commercially insured US children aged 0-17 from May to September (warm-season) 2016-2019. Daily maximum ambient temperature and daily mean relative humidity estimates were aggregated to the county level using the Parameter-elevation Relationships on Independent Slopes dataset, and extreme heat was defined as the 95th percentile of the county-specific daily maximum temperature distribution. Using a case-crossover design and temperature lags 0-5 days, we estimated the associations between extreme heat and cause-specific emergency department visits (ED) in children aged <18 years, using the median county-specific daily maximum temperature distribution as the reference. Approximately 1.2 million ED visits in children from 2489 US counties were available during the study period. The 95th percentile of warm-season temperatures ranged from 71 °F to 112 °F (21.7 °C to 44.4 °C). Comparing 95th to the 50th percentile, extreme heat was associated with higher rates of ED visits for heat-related illness; endocrine, nutritional and metabolic diseases; and otitis media and externa, but not for all-cause admissions. Subgroup analyses suggested differences by age, with extreme heat positively associated with heat-related illness for both the 6-12 year (odds ratio [OR]: 1.34, 95% confidence interval [CI]: 1.16, 1.56) and 13-17 year age groups (OR: 1.55, 95% CI: 1.37, 1.76). Among children with health insurance across the US, days of extreme heat were associated with higher rates of healthcare utilization. These results highlight the importance of individual and population-level actions to protect children and adolescents from extreme heat, particularly in the context of continued climate change., (© 2022 The Author(s). Published by IOP Publishing Ltd.)

Published
2023
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