Indoor Air

Wildfire smoke (WFS) events are an important public health concern for communities in the Pacific Northwest of the United States. Previous studies of portable air cleaners, including high efficiency particulate air (HEPA) filtration and do-it-yourself (DIY) box fan filters built with MERV 13-rated filters, have indicated that their use in residential settings may be an effective way to reduce indoor exposures to fine particulate matter during WFS episodes. The lower-cost, easy to build instructions and availability of materials of DIY box fan filters have made their distribution by both public health agencies and community groups an attractive approach to improve community preparedness. Here, we describe a low-cost, easy-to-assemble, portable exposure chamber system that can be used to support a variety of community-engaged demonstrations of WFS removal efficiency as well as provide a mechanism to estimate the efficiency of filtration systems in a controlled environment. We conducted experiments using the portable chamber to assess the clean air delivery rate (CADR) of a MERV 13-rated DIY box fan filter, which was found to be 92.2 and 145.2 cfm at low and high fan speeds, respectively. In addition to using the chamber system to evaluate the CADR of DIY box fan filters, we also provide a case-study example, working with a tribal community in Central Washington, who used the tent system for a live demonstration of a DIY box fan filter experiment during their community gathering to promote WFS and air quality intervention knowledge and distribution of box fan filters.

Military aviation training noise remains understudied despite its widespread impacts across urban, rural, and wilderness areas. The predominance of low-frequency noise and repetitive training can create pervasive noise pollution, yet past research often fails to capture the full range of health and quality-of-life effects. This study analyzed two complaint datasets related to Whidbey Island Naval Air Station noise: U.S. Navy records (2017-2020) and Quiet Skies Over San Juan County data (2021-2023). We analyzed and mapped sentiment intensity from noise complaints relative to modeled annual noise exposure, developed a typology to classify impacts, and modeled the environmental and operational factors influencing complaints. Findings revealed widespread negative sentiment and anger, often beyond the bounds of estimated noise contours, suggesting that annual cumulative noise models inadequately estimate community impacts. Complaints consistently highlighted sleep disturbance, hearing and health concerns, and compromised home environments due to shaking, vibration, and disruption of daily life. Residents also reported significant social, recreational, and work disruptions, along with feelings of fear, helplessness, and concern for childrens well-being. The number of complaints were strongly associated with training schedules, with late-night sessions being the strongest predictor. A delayed response pattern suggests residents reach a frustration threshold before filing complaints. Overall, our findings demonstrate persistent negative sentiment and diverse impacts from military aviation noise. Results highlight the need for improved noise metrics, modeling and operational adjustments to mitigate the most disruptive effects.

Introduction Air pollution is the largest environmental risk to human health. Children are disproportionately affected by air pollution and their exposure is amplified during physical activity. Observed concentrations of nitrogen dioxide in 1 in 4 London school playground exceeds the European limit, but the health impacts of air pollution exposure in London school playgrounds remain unexplored. Our study aims to assess and compare the acute changes in lung function and airway inflammation of primary school-aged children exercising in school playgrounds. Methods and analysis 330 children aged 8 to 11 years from ten London schools will be recruited to complete 90 minutes of physical activity and 90 minutes of rest in their school playground in a randomised crossover design. Pre-, post-, and 24-hour post-exposure oscillometry measurements will be performed with airway resistance at 5 Hz (R5) the primary physiological outcome. Nasal lavage samples will be collected pre-exposure and 24-hour post-exposure for analysis of inflammatory, oxidative, and vascular biomarkers, with IL-6 as the primary biological outcome. Mixed-effects regression models will examine associations between estimated pollutant exposures, exercise and physiological responses.

Space-based platforms currently represent the most accurate means to experimentally assess the influence of the space environment on biological systems. However, performing such experiments remains technically challenging and requires highly specialized instrumentation. This study describes the current development and hardware qualification of ExocubeBio, a miniaturized experimental platform for in-situ biological space exposure. This experiment is scheduled for installation on the exterior of the International Space Station in 2027, as part of Exobio, the European Space Agencys new generation exobiology exposure facility. ExocubeBio will expose live microbial samples to the low Earth orbit environment, and combine autonomous in-situ optical density and fluorescence measurements, with the capacity to return preserved samples to Earth. Achieving these experimental goals requires a specialized, robust and reliable hardware system. The ExocubeBio hardware testing described here includes assessment of material biocompatibility and durability, functional validation of the miniaturized fluidic system, and optimization of the integrated optical subsystem for optical density and fluorescence measurements. These results demonstrate that the ExocubeBio experimental hardware components can each execute their core functional and operational requirements; subsystems allow for sample exposure, in-situ measurements of microbial cultures, and the chemical preservation of samples for post-flight analysis. As ExocubeBio transitions from hardware development to mission readiness, the results presented here validate the overall design and engineering approaches utilized. By combining the strengths of in-situ monitoring and sample return, ExocubeBio represents a significant advancement in space-based experimentation, and will provide new insights into microbial responses to the space environment.

Urbanization-driven environmental change has significant implications for human health and well-being. However, studies have found differing patterns in microbial diversity along urbanization gradients; and it remains unknown whether this reflects methodological limitations or genuine ecological complexities. Resolving these inconsistencies requires innovative, reproducible methods that accurately reflect human contact with environmental microbiota. In this study, we have validated a new method for assessing environmental microbial exposure by measuring microbiota from particulate matter collected from shoe soles and studied the influence of vegetation at different proximities. Through repeated walks on routes along an urbanization gradient in Finland, we show that left and right shoe sole dust from the same walk and same route represent more similar microbial communities compared to different walks and routes. We found that bacterial biomass and diversity were best predicted by Normalized Difference Vegetation Index (NDVI, as a measure of greenness) immediately surrounding the walking path, whereas fungal communities responded to broader landscape-scale greenness (100m-1km), suggesting that bacteria and fungi are governed by different dispersal processes. Importantly, NDVI explained these differences in diversity more effectively than simple classifications of the path based on its substrate and whether it was in a rural or urban setting. Shoe sole dust sampling offers a simple, effective, and reliable approach for evaluating microbial exposures, capturing scale-dependent microbial responses to vegetation, and enabling more robust epidemiological studies on the health effects of greenness and environmental biodiversity.

Microbially induced concrete corrosion (MICC) is a significant issue that reduces the service life of sewer systems. Bacteriostatic agent in concrete can inhibit microbial activity and the process of MICC to some extent. However, a systematic comparison of the inhibition effects of various bacteriostatic agents on MICC remains lacking. In this study, three bacteriostatic agents (copper oxide, nickel, and sodium tungstate) were investigated for their inhibitory effects on MICC. For each inhibitor, the cement mortar coupons with 0.05 wt%, 0.1 wt%, and 0.2 wt% of the inhibitor were prepared. The coupons were partially submerged in sewage of a controlled laboratory corrosion chamber (20 {+/-} 5 ppm H2S) to simulate the tidal region of gravity sewer. During the 56 days of exposure, the intensification of pores, cracks, surface erosion, and spalling was observed on all coupons. After 56 days of exposure, the sulfate concentration and adenosine triphosphate (ATP) content of coupons without inhibitor were 10.65 mg/cm2 and 30.17 {+/-} 3.87 mol/cm2, respectively. They were higher than those of coupons containing 0.05 wt%, 0.1 wt%, and 0.2 wt% of copper oxide and 0.05wt% of nickel. The temporal profiles of ATP of coupons without inhibitor was similar to those of coupons containing sodium tungstate. After exposure for 28 days, the surface pH of coupons without inhibitor was 7.45, meanwhile of those coupons containing 0.2 wt% of copper oxide and 0.05 wt% of nickel were 9.42 and 9.93, respectively. Those results indicated that the bacteriostatic effect of copper oxide and nickel (0.05 wt %) was found to be the most prominent. The findings indicate that a single bacteriostatic agent is only effective during specific corrosion stages, suggesting that a combination of multiple agents may be a promising strategy to combat the multi-stage MICC process over the long term. This study provides a theoretical basis for the selection and development of protective materials against concrete corrosion in sewer networks.

IntroductionParticulate Matter (PM2.5) exposure contributes to the global disease burden, yet its monitoring remains sparse and uneven and is limited in many limited ground monitoring network settings. Road-traffic proxy indicators can provide indirect estimates of PM2.5 where measurements are limited but require context-specific validation. We evaluated three PM2.5 road-traffic related proxies:(I) population-Weighted Road Network Density (WRND), (ii) Euclidean (straight line) distance from highways (EH), and (iii) Euclidean distance from main roads (EM). MethodsWe validated proxies using high-resolution outdoor filtered PM2.5 personal exposure measurements collected over 1 year from 343 postpartum participants in The Gambia, Kenya, and Mozambique. Village-level spatial patterns for the PM2.5-proxy relationship were mapped using 5 km hexagonal aggregated tessellations. Proxy-PM2.5 associations were assessed using Spearman correlation, and predictive utility was tested using country-specific and global Random Forest (RF) models (3-fold cross-validation), reporting R2, RMSE, and feature importance ResultsSpatial mapping showed heterogeneous proxy-PM2.5 relationships across and within sites, with elevated PM2.5 occurring in both low- and high-proxy contests. WRND-PM2.5 correlations were weak overall and statistically significant only in Mozambique (r = 0.351; p = 0.005), with non-significant associations in Kenya (r = -0.041; p = 0.673) and The Gambia (r = -0.020; p = 0.909). EH-PM2.5 correlations were positive in The Gambia (r = 0.335; p = 0.053) and Mozambique (r = 0.292; p = 0.020) but negative and significant in Kenya (r = -0.224; p = 0.018).Single-variable RF models performed poorly across all countries (R2 < 0.45) and the Global model (R2=0.42). Combining proxies improved performance in Kenya (R2=0.52; RMSE=31.7{micro}g/m3) and Mozambique (R2=0.60; RMSE=8.9 {micro}g/m3), Global R2=0.46; RMSE=29.1 {micro}g/m3), although in The Gambia, the combined model (R2=0.53; RMSE=37.6 {micro}g/m3) did not exceed the best single-proxy model. ConclusionRoad-network proxies provide context-dependent signals of personal PM2.5 exposure, and predictive performance is strengthened when proxies are combined in a hybrid model.

Conventional air filtration relies on passive mechanical capture without pathogen inactivation, where viral reduction must be balanced with airflow and energy performance. We developed an Ablative Polymer Coated (APC) filtration system that converts passive filters into active pathogen-reducing surfaces while maintaining low airflow resistance. Unlike conventional approaches requiring denser, higher-resistance media, this strategy enhances biological performance at the filter surface without equivalent aerodynamic penalties. The coating incorporates benzalkonium chloride within a polyvinyl acetate/acrylate matrix for controlled ablative exposure. Performance was evaluated using transmission electron microscopy (TEM), aerosol challenge testing, and HVAC-scale filtration. Ablative exposure caused progressive structural disruption of MS2 bacteriophage, the SARS-CoV-2 simulant. In aerosol challenge testing, coated media achieved up to 99.997% viral filtration efficiency under respiratory airflow conditions. In HVAC (Heating, Ventilation, and Air Conditioning)-scale testing, coated filters achieved >85% viral filtration efficiency with minimal pressure-drop increase. Computational fluid dynamics modeling confirmed uniform airflow distribution without significant turbulence generation. Energy analysis suggested coated filters may reduce energy demand relative to conventional higher-resistance configurations while improving biological performance. These findings support ablative polymer-coated media as a strategy for reducing airborne viral burden without aerodynamic penalties of higher-efficiency passive filtration, suggesting an approach that complements rather than depends solely on tighter filter design.

A compact, in-house developed ultraviolet germicidal irradiation (UVGI) system adaptable to static, mobile, or robotic platforms was developed for the effective sterilization of bacteria and fungi using a wireless mode of operation. Under controlled laboratory conditions, its efficacy was evaluated against three representative biofilm-forming pathogens: Bacillus subtilis (Gram-positive, spore-forming, motile bacterium), Escherichia coli K12 (Gram-negative, non-spore-forming, non-motile bacterium), and Candida albicans M-207 (multi-drug-resistant, clinical yeast isolate). Microbial viability following UVGI exposure was assessed using colony-forming unit (CFU) and MTT assays, and morphological alterations were characterized by scanning electron microscopy (SEM). Cultures were exposed to UV-C radiation at distances of 1-5 m for 15-90 min. CFU assay demonstrated 100% kill of all tested organisms at 1 m and 15 min, corresponding to doses of 600.3, 576 & 697.5 mJ/cm{superscript 2}. Although MTT assays indicated residual metabolic activity under the same conditions, CFU results confirmed that surviving cells were unable to proliferate, highlighting the robustness of UV treatment for long-term inactivation. SEM confirmed distinct morphological alterations such as complete destruction of extracellular matrix & reduction in number of cells indicating cell death with increase in UV dose as compared to controls. A dose & time-dependent inactivation of biofilm-forming bacteria & fungi was observed on exposure to UVGI. Therefore, this pilot study validates the effectiveness of the newly developed UVGI surface sterilizer against biofilm-forming bacterial and fungal pathogens. Overall, the system demonstrates proof-of-concept efficacy under laboratory conditions and holds strong potential for future development and validation in hospitals and other contaminated public spaces. Graphical Abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=91 SRC="FIGDIR/small/715580v1_ufig1.gif" ALT="Figure 1"> View larger version (30K): org.highwire.dtl.DTLVardef@150cefcorg.highwire.dtl.DTLVardef@450831org.highwire.dtl.DTLVardef@1cfd6borg.highwire.dtl.DTLVardef@1419ba8_HPS_FORMAT_FIGEXP M_FIG C_FIG IMPORTANCEMicroorganisms that form biofilms on surfaces are difficult to eliminate and contribute to the spread of infections in healthcare and indoor environments. There is a need for practical, easy-to-use disinfection technologies that can effectively reduce such contamination. In this study, we developed a compact, in-house, wireless UV-C disinfection system designed for flexible operation across different surface types. The system was evaluated under controlled laboratory conditions using representative biofilm-forming bacterial and fungal pathogens. Our findings show that the system can effectively reduce microbial contamination, demonstrating proof-of-concept efficacy. This work highlights the potential of accessible, non-chemical UV-based technologies and supports their further validation for applications in real-world disinfection settings.

Background Ambient air pollution is a leading global health risk and disproportionately affects populations of Low- and Middle-Income Countries (LMICs). In 2021, WHO revised its Air Quality Guidelines (AQG), lowering recommended annual limits for Particulate Matter 2.5 (PM2.5) and Nitrogen Dioxide (NO2). We estimated the potential health and economic impacts of achieving WHO Interim Target 3 (IT3) and AQG concentrations across LMICs. Methods We conducted a health impact assessment across 136 LMICs to quantify one-year changes in all-cause and cause-specific mortality (chronic obstructive pulmonary disease [COPD], ischaemic heart disease [IHD], and stroke) and disease incidence (COPD, dementia, IHD, and stroke) under WHO IT3 and AQG counterfactual scenarios for PM2.5 and NO2. Concentration-response functions were applied at 1km x 1km resolution. Economic welfare impacts of mortality risk reductions were estimated using country-adjusted values of a statistical life (VSL, Int$ PPP-adjusted 2021). Direct medical and productivity-related costs associated with incident cases were estimated using a cost-of-illness (COI) framework. Uncertainty intervals (UI) reflect uncertainty in concentration-response functions. Results Attainment of WHO IT3 and AQG concentrations for PM2.5 was associated with an estimated 16.04% reduction (6.58million, UI: 6.10-7.07million) and 22.97% reduction (9.43million, UI: 8.75-10.11million) in annual deaths, respectively. Corresponding VSL-based estimates of deaths averted were Int$5.5 trillion (7.0% of aggregate LMIC GDP) and Int$8.4 trillion (10.6% of GDP), respectively. For NO2, IT3 and AQG scenarios were associated with estimated reductions of approximately 1.06% (approximately 435,000 deaths, UI: 388,000-483,000) and 2.79% (435,000 deaths; UI: 388,000-483,000), yielding gains of Int$0.6 trillion (0.7% of GDP) and Int$1.5 trillion (1.9% of GDP). Disease-specific mortality reductions were most prominent for IHD and stroke in Asia and Africa. Under the PM2.5 AQG scenario, an estimated 2.82million (1.67-2.97) COPD, 1.10million (0.83-1.37) dementia, 7.3million (6.41-8.19) IHD, and 2.3million (2.19-2.41) stroke cases could be delayed or averted in one year. Associated reductions in direct medical and productivity-related costs were greatest for IHD, COPD, and stroke. NO2-related morbidity reductions were smaller across all outcomes. All estimates represent one-year changes in risk relative to counterfactual exposure and may reflect delayed rather than permanently avoided events. Discussion Achieving both WHO IT3 and AQG values in LMICs could yield substantial reductions in premature mortality and disease incidence, particularly for cardiovascular and respiratory conditions, alongside large, monetised welfare gains from reduced mortality risk. These findings underscore the considerable societal value of air quality improvements and support accelerated action toward meeting WHO guideline levels in regions bearing the highest pollution burden.

Benzalkonium chloride (BAC) is widely used as a disinfectant in cleaning products and is frequently detected in indoor dust. In this study, we assessed dust samples, along with information on cleaning product use, from 24 pregnant participants. Dust samples were analyzed for BAC concentration and microbial tolerance. Different chain lengths of BAC (C12, C14, and C16) were quantified using LC-MS/MS, and bacterial isolates were tested for BAC tolerance using minimum inhibitory concentration (MIC) assays. BAC was ubiquitously detected, with C12 and C14 being dominant. Higher BAC concentrations were associated with reported disinfectant use and increased microbial tolerance. These findings suggest that indoor antimicrobial use may promote microbial resistance, highlighting potential exposure risks in indoor environments and the need for further investigation into health and ecological impacts.

Open air burn pits were used extensively during military operations in Iraq and Afghanistan, potentially exposing millions of US Veterans to toxic airborne hazards. Many of the airborne toxins released have been shown to induce lung inflammation and lung injury and are mutagenic. This is the first large-scale study of associations between self-reported burn pit exposures and the development of cancer. Using data from the Airborne Hazards and Open Burn Pit Registry, we found that Veterans reporting burn pit exposures are associated with a higher odds of developing cancer. However, investigations into the development of specific type of cancer and into a burn pit exposure dose-response effect were inconclusive.

Microbial colonization is a major cause of deterioration in paintings, leading to discoloration, pigment degradation, and loss of structural integrity. While biodeterioration of artworks has been studied in temperate climates, tropical environments remain underexplored despite their high humidity and temperature, which promote microbial growth. This study assessed the microbiological deterioration of two eighteenth-century oil paintings, La Muerte de San Jose and Virgen de Guadalupe, located in Orosis Colonial Church and Religious Art Museum, Costa Rica. Microorganisms were isolated and identified using VITEK(R) 2, microscopy, and MALDI-ToF analysis, and their biofilm-forming capacity was evaluated. Additionally, the antimicrobial activity of six essential oil components was tested using direct and indirect contact assays. Twenty-three bacterial species and fifteen fungal genera were identified, with Bacillus, Staphylococcus, Cladosporium, and Aspergillus among the most common. Notably, La Virgen de Guadalupe displayed the highest microbial diversity, reflected in a high Shannon index, indicative of a more complex microbial community. Several isolates displayed strong biofilm formation, particularly Bacillus subtilis/amyloliquefaciens/vallismortis and Staphylococcus saprophyticus. Linalool exhibited the strongest inhibitory activity, achieving complete bacterial growth inhibition in non-contact assays. Environmental monitoring revealed persistently elevated relative humidity and CO2 levels during the study period. Together, these results reveal the complex microbial ecology of tropical heritage paintings and demonstrate that volatile essential oil components can serve as candidates for low-impact antimicrobial strategies in preventive conservation. ImportanceUnderstanding the microbiological deterioration of cultural heritage in tropical environments is crucial for designing sustainable conservation strategies. While microbial colonization of artworks has been widely studied in temperate regions, data from tropical climates remain limited despite inherently favorable conditions for microbial proliferation. This study integrates microbiological, environmental, and physicochemical analyses to characterize microbial communities colonizing eighteenth-century oil paintings in Orosi, Costa Rica. By combining microbial identification, biofilm quantification, and essential oil biocide testing, it bridges applied microbiology and cultural heritage conservation. The finding that volatile components such as linalool inhibit biofilm-forming bacteria without direct contact highlights their potential as eco-friendly, noninvasive antimicrobial alternatives to conventional biocides. These results expand the understanding of biodeterioration dynamics under tropical conditions and offer a practical framework for developing sustainable, evidence-based conservation protocols that protect both heritage materials and the environment. Graphical abstract O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=171 SRC="FIGDIR/small/723565v1_ufig1.gif" ALT="Figure 1"> View larger version (98K): org.highwire.dtl.DTLVardef@16cd608org.highwire.dtl.DTLVardef@57aa00org.highwire.dtl.DTLVardef@159fcbeorg.highwire.dtl.DTLVardef@e0363b_HPS_FORMAT_FIGEXP M_FIG O_FLOATNOFigure 0.C_FLOATNO Artistic visualization of the geographical context of the studied artworks and the multidisciplinary analytical approaches applied, highlighting the diversity of microorganisms identified (illustration by Keylin Urena-Alvarado). C_FIG

Background: Climate mitigation policies can lower air pollutant concentrations and deliver substantial health co-benefits. The French Ecological Transition Agency (ADEME) proposed four contrasting Transitions 2050 net-zero scenarios. We quantified mortality, morbidity, and health-economic co-benefits from projected PM2.5 and NO2 reductions across all four scenarios in continental France. Methods: Emission projections were input to the CHIMERE chemistry-transport model to estimate PM2.5 and NO2 concentrations for 2030 and 2050. Health impacts were assessed using disease-specific cessation-lag assumptions relative to 2019, covering premature mortality, morbidity, DALYs, and economic benefits across nine outcomes (hypertension, lung cancer, ischaemic heart disease, stroke, COPD, type-2 diabetes, acute lower respiratory infections, and asthma in children and adults). Findings: Population exposure is projected to decline by about 40% for PM2.5 and 70% for NO2 by 2050, with health gains remaining substantial and broadly equivalent across all four scenarios and modest differences between sufficiency-oriented and technology-driven pathways. Under delayed-impact assumptions, avoided premature deaths ranged from 21,300 to 22,100 for PM2.5 and 24,500 to 26,200 for NO2. Morbidity and disability-adjusted life year (DALY) reductions, as well as economic savings, spanned similarly; total avoided morbidity cases were 84,000-88,000, direct medical cost reductions were e1.0-1.1 billion/year, and intangible cost savings of e41-43 billion and e36-39 billion, respectively. Interpretation: Health co-benefits are substantial, consistent across contrasting scenarios, and increase markedly from 2030 to 2050. Explicitly incorporating these co-benefits into climate policy appraisals may strengthen the case for ambitious mitigation and improve decision-maker acceptability.

This protocol is reported in accordance with the SPIRIT 2025 guidelines for clinical trial protocols. IntroductionYoung children, from birth to age 5 y are particularly vulnerable to indoor air pollutants and respiratory pathogens. Portable air purifiers (or filtration) and upper-room ultraviolet germicidal irradiation (UVGI) are two widely used interventions with the potential to improve indoor air quality (IAQ) and reduce sick-related absences. However, a review of the literature revealed no real-world randomised studies evaluating their effectiveness in reducing young childrens sick-related absences in early care and education (ECE) classrooms. Methods and AnalysisThe OK-AIR study is a longitudinal, cluster-randomised 2x2 factorial trial conducted in Head Start centers using two implementation cohorts: Cohort 1 (five Head Start centers and 20 classrooms from 2023 to 2024) and Cohort 2 (11 centers and 59 classrooms from 2025 to 2026), with expanded inclusion of rural areas. Cohort 1 enrolled 204 children, 48 teachers and 5 site directors, and Cohort 2 enrolled 462 children, 97 teachers and 11 site directors. Within each center, four classrooms are randomised to: (1) control; (2) portable filtration; (3) upper-room ultraviolet germicidal irradiation (UVGI); or (4) both interventions. Cohort 2 was initially planned as a second factorial trial but was amended to a purifier-only design due to funding changes; details are provided in the protocol amendments section. We collect continuous IAQ data, including particulate matter (PM) with aerodynamic diameters [&le;]1 {micro}m (PM1), [&le;]2.5 {micro}m (PM2.5), [&le;]4 {micro}m (PM4), and [&le;]10 {micro}m (PM10); total volatile organic compounds (TVOCs) index; nitrogen oxides (NOx) index; carbon monoxide (CO), noise; temperature; and relative humidity, alongside daily child absences. Seasonal environmental surface swabs (dining tables and toilet flooring) are tested by Reverse-Transcriptase quantitative Polymerase Chain Reaction (RT-qPCR) for Influenza A/B, Respiratory Syncytial Virus (RSV), Human Parainfluenza Virus Type 3 (HPIV3), Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), and Norovirus. IAQ monitoring is structured across Winter, Spring, Summer, and Fall, including designated baseline/off-period weeks to characterize temporal and seasonal variability in environmental measures across classrooms and centers. Multi-informant surveys (Director, Teacher, Parent) capture contextual factors, and childrens social-emotional development is assessed using teacher ratings on the Devereux Early Childhood Assessment (DECA). The primary outcome is the sick-related absence rate, analyzed as cumulative absences over the attendance year while accounting for clustering by school and classroom using generalized mixed-effects models. Secondary outcomes include childrens social-emotional ratings, IAQ metrics and pathogen detection rates; analyses of IAQ incorporate time/seasonal structure, and season-stratified absenteeism analyses will be treated as secondary/exploratory refinements. An economic evaluation will estimate incremental intervention costs and cost-effectiveness/cost-benefit (such as cost per sick-related absence day averted). Ethics and DisseminationThis study was approved by the Institutional Review Board (IRB) at the University of Oklahoma. Findings will be shared through peer-reviewed publications; presentations at local, state, and national conferences; research briefs developed for lay and policy audiences; and community briefings prioritizing the participating early childhood programs and communities. DisclaimerThe views expressed are those of the authors and do not reflect the official views of the Uniformed Services University or the United States Department of War. Strengths and Limitations of This StudyO_LIReal-world longitudinal cluster RCT: The study uses a rigorous longitudinal cluster-randomised 2x2 factorial design in real-world ECE settings. C_LIO_LICombined interventions: Interventions target both air filtration and disinfection, allowing for combined and comparative evaluation. C_LIO_LIObjective air-quality monitoring: Continuous monitoring of IAQ metrics provides objective and reliable data on environmental change. C_LIO_LIEnvironmental pathogen surveillance: qPCR on surface swabs yields an objective biological outcome to triangulate with IAQ and absences. C_LIO_LIComprehensive context and child measures: Multi-method and multi-reporter data collection includes Head Start attendance records, continuous air monitoring, pathogen detection, contextual surveys completed by center directors, teachers, and parents, and standardized social-emotional assessments (DECA) completed by classroom teachers. Head Start program records providing childrens longer-term health data available through Health Insurance Portability and Accountability Act (HIPAA) authorization. C_LIO_LIClustered/temporal complexity: Seasonal design accounts for variation over time but may introduce complexity in modeling temporal effects. C_LIO_LIPractical Implications: Study findings will have practical implications for Head Start and other ECE programs striving to maximize child attendance with cost effective strategies. C_LI

Airborne transmission of respiratory pathogens depends on their ability to remain viable in drying respiratory droplets, yet the physicochemical drivers of bacterial inactivation during droplet evaporation remain poorly quantified. This study combines controlled droplet experiments with physicochemical modeling to investigate how osmotic pressure dynamics influence bacterial survival. Using Escherichia coli and Staphylococcus epidermidis as Gram-negative and Gram-positive surrogates, respectively, we measured viability loss in artificial saliva droplets dried at multiple relative humidities and reconstructed the time-resolved osmotic pressure using the Respiratory Aerosol Model (ResAM). Both organisms remained stable while droplets were liquid but lost viability following efflorescence, when rapid solute concentration changes produced sharp osmotic pressure increases. The extent of inactivation scales log-linearly with the rate of osmotic pressure change around efflorescence: E. coli decays faster than S. epidermidis, and relationships derived in artificial saliva predict survival in independent phosphate-buffered saline experiments. A more rapid drop in humidity led to more severe osmotic shocks and greater inactivation. These results identify the rate of osmotic pressure change during efflorescence as a quantitative, medium-independent predictor of bacterial survival in drying respiratory droplets. ImportanceAirborne infection risk depends on how long microorganisms remain viable in respiratory particles after exhalation, yet the physical mechanisms controlling bacterial survival during droplet drying are not well defined. Evaporation of respiratory droplets concentrates salts and can impose sudden and extreme osmotic stress on microbes, but this process has been difficult to quantify because osmotic pressure cannot be measured directly inside microscopic droplets. Integration of droplet experiments with a physicochemical aerosol model shows that bacterial inactivation is governed primarily by the rate of osmotic pressure increase during droplet efflorescence rather than by static values of humidity or solute concentration alone. This mechanism explains why rapid drying may produce strong inactivation.

Railway catenary sparking generates airborne ultrafine particles (UFPs) that may pose health risks due to their metallic composition and ability to penetrate deep into the alveolar region of the lungs. Copper, widely used in wires and pantographs, is a major component of these emissions, making copper-rich particles common in railway environments such as subways. However, exposure levels and health impacts remain poorly characterized, and localized hotspots may represent an underrecognized risk in densely populated areas. This study investigated the toxicity of copper UFPs under realistic dosimetry and deposition conditions. Copper UFPs were generated using a spark discharge generator and applied to two in vitro lung models: a 3D co-culture of Calu-3 epithelial cells, THP-1-derived macrophages, and EA.hy926 endothelial cells, and a monoculture of A549 alveolar epithelial cells. Cells were exposed at the air-liquid interface (ALI) using an automated platform to mimic inhalation exposure and UFPs deposition. Copper deposition ranged from 6.5 to 41 ng/cm2, within occupationally relevant levels. A549 cells showed cytotoxic responses consistent with previous studies, whereas the 3D co-culture model revealed broader adverse effects, including inflammation, impaired epithelial barrier integrity, oxidative stress, and early DNA damage. Inflammatory activation also differed between models: A549 cells mainly exhibited transcriptional responses, while the 3D model showed significant secretion of IL-6 and IL-8, associated with interferon signaling. These findings highlight the potential health risks of copper UFPs from railway systems and emphasize the need for improved characterization of UFP exposure in environmental and occupational railway settings.

As climate change intensifies, health risks from extreme heat are rising. Accurate assessment of heat vulnerability at high spatial resolution is crucial for developing effective adaptation strategies, particularly in socioeconomically heterogeneous urban settings. However, the identification of key indicators underlying heat vulnerability remains challenging. Using Chicago, Illinois (USA) as a case study, we systematically compare different variable selection strategies in community-level heat vulnerability assessments. We take the conventional unsupervised principal component analysis (PCA)-based Heat Vulnerability Index (HVI) as a baseline, and compare it with supervised approaches that incorporate variable selection, including machine learning algorithms (Lasso regression, Random Forest, and XGBoost) as well as traditional statistical methods (simple linear regression and polynomial regression). Using the vulnerability indicator subsets identified by each variable selection method, we construct multiple HVIs and evaluate their performance against heat-related excess mortality. Our work indicates that supervised variable selection improves the performance of HVIs in capturing heat-related health risks. Among all methods, the Random Forest-based variable selection algorithm achieves the best overall results, highlighting the potential of machine learning to enhance heat vulnerability assessment tools. Our results demonstrate that poverty rate, lack of air conditioning, and proportion of residents aged 65 and above are robust determinants of heat vulnerability in Chicago.

As human space exploration expands to the Moon, Mars, and beyond, there is a growing need to study the effects of altered gravity on the microbial systems that we will bring with us for life support. Because spaceflight experiment opportunities are rare and resource-intensive, most space biology experiments are conducted using ground-based simulators. The most common microgravity simulator for microbial experiments, the rotating wall vessel, can approximate the low-shear and low-turbulence conditions that characterize microgravity. However, current designs do not allow for real-time measurement of growth or metabolic activity during rotation: experiments require destructive sampling or disruption of the microgravity simulation conditions. Here, we describe the development of an in situ spectroscopy system compatible with the Cell Spinpod rotating wall vessel, which enables measurement of both optical absorbance and fluorescence with high temporal resolution, producing growth curves similar to those from an off-the-shelf plate reader. These results are validated using two common microbial hosts: Escherichia coli and Saccharomyces cerevisiae. The Spinpod Optical System has the potential to diversify the types of microbiology experiments possible in simulated microgravity, allowing the measurement of not only growth curve parameters but also metabolic activity, gene expression, or community dynamics. It thus has the potential to improve the quality of experiments seeking to characterize microbial responses to spaceflight conditions.

Hospital-acquired infections driven by ESKAPEE pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, Enterobacter spp., and Escherichia coli) are highly prevalent. Premise plumbing, sinks and drains, seeds these organisms into patient environments via aerosolization and subsequent surface contamination. We measured viable ESKAPEE pathogens and overall microbial communities in and around sinks in two high-burden hospitals in La Paz, Bolivia, using culture and 16S rDNA sequencing. In a prospective observational study (May-August 2025), we collected 233 surface swabs and 39 air samples across four sink-related surface categories and in room air. Samples were plated on selective media for ESKAPEE identification and quantified as colony-forming units (CFU) normalized to 100 cm2 or 6000 L. DNA was extracted, and the full 16S rDNA gene was sequenced on PacBio Revio, analyzed via DADA2/QIIME2 and R. We detected viable presumptive ESKAPEE pathogens in 74.7% surface swabs and 74.4% air samples. Sink basins were most contaminated (mean 31CFU/100 cm2, 95 % CI16-46); concentrations declined with distance from the drain. Klebsiella/Enterobacter spp. showed the highest mean concentration across samples; S. aureus was most frequently detected (54.4% of samples). Hospital-specific differences were evident in culture positivity (Hospital A 85% vs. Hospital B 66.9%) and community composition (PERMANOVA P = 0.001; sample location explained 21.9% vs. 11.7% of variation). 16S profiling confirmed elevated relative abundances of Klebsiella, Enterococcus, and Enterobacter in basins relative to distant surfaces and air. The hospitals studied had high levels of ESKAPEE pathogens, underscoring the need for control measures.