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AIR quality and COVID-19 adverse outcomes: Divergent views and experimental findings

Becchetti, L; Beccari, G; Conzo, G; Conzo, P; De Santis, D; Salustri, F; (2021) AIR quality and COVID-19 adverse outcomes: Divergent views and experimental findings. Environmental Research , 193 , Article 110556. 10.1016/j.envres.2020.110556. Green open access

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Abstract

Background: The questioned link between air pollution and coronavirus disease 2019 (COVID-19) spreading or related mortality represents a hot topic that has immediately been regarded in the light of divergent views. A first “school of thought” advocates that what matters are only standard epidemiological variables (i.e. frequency of interactions in proportion of the viral charge). A second school of thought argues that co-factors such as quality of air play an important role too. Methods: We analyzed available literature concerning the link between air quality, as measured by different pollutants and a number of COVID-19 outcomes, such as number of positive cases, deaths, and excess mortality rates. We reviewed several studies conducted worldwide and discussing many different methodological approaches aimed at investigating causality associations. Results: Our paper reviewed the most recent empirical researches documenting the existence of a huge evidence produced worldwide concerning the role played by air pollution on health in general and on COVID-19 outcomes in particular. These results support both research hypotheses, i.e. long-term exposure effects and short-term consequences (including the hypothesis of particulate matter acting as viral “carrier”) according to the two schools of thought, respectively. Conclusions: The link between air pollution and COVID-19 outcomes is strong and robust as resulting from many different research methodologies. Policy implications should be drawn from a “rational” assessment of these findings as “not taking any action” represents an action itself.

Type: Article
Title: AIR quality and COVID-19 adverse outcomes: Divergent views and experimental findings
Location: Netherlands
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.envres.2020.110556
Publisher version: https://doi.org/10.1016/j.envres.2020.110556
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Air Pollution, COVID-19, Environment, Mortality
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10116940
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