GeoHealth is a transdisciplinary, open access journal publishing high-quality original research articles and commentaries across the intersections of the Earth and environmental sciences and health sciences.

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Open access

Racial and Ethnic Inequities to Cumulative Environmental and Occupational Impacts in Michigan

  •  20 June 2025

Key Points

  • Previous research has understudied the joint contributions of occupational and environmental exposures together

  • Racial and ethnic minority communities in Michigan are burdened by cumulatively high occupational and environmental exposures

  • Not incorporating occupational exposures may be making current efforts to address environmental injustices ineffective

Open access

Time of Emergence and Future Projections of Extremes of Malaria Infections in Africa

  •  19 June 2025

Key Points

  • Anthropogenic causes have already increased the malaria burden and will increase it further in the next few decades

  • Extremes of entomological inoculation rate are projected to increase, making infectious outbreaks more likely in the future

  • Both climate and population density play important roles

Open access

Evaluation of the Performance and Utility of Global Gridded Precipitation Products for Health Applications and Impact Assessments in South America

  •  18 June 2025

Key Points

  • Global gridded precipitation products vary in performance, affecting their utility for decision- and health-relevant climate services

  • Uncertainties in the spatially resolved products translate into aggregated area-level precipitation estimates across heterogeneous regions

  • Careful product selection can be crucial for accurate assessments of climate impacts on health, especially in data-scarce areas

Open access

How Systemic Barriers Can Impact Health Inequities When Facing Climate Change Stressors: A Scoping Review of Global Differences

  •  18 June 2025

Key Points

  • A successful and sustainable climate mitigation effort needs to address health inequities when facing climate stressors

  • The reduction of healthcare inequities is dependent on examining country-specific healthcare barriers that impact vulnerable populations

  • A recommendation is made to explore global healthcare barriers of vulnerable populations to ensure effective climate mitigation strategies

Open access

Global Pattern and Disease Heterogeneity Drivers in Aging Populations

  •  16 June 2025

Key Points

  • Disease heterogeneity in aging populations shows significant geographic and temporal disparities

  • High-income countries exhibit higher disease heterogeneity, while low-income regions concentrate on dominant diseases

  • Disease heterogeneity in women showed greater sensitivity to environmental and socioeconomic factors than that in men

Open access

Ecological and Health Risks of Polycyclic Aromatic Hydrocarbons in Particulate Matter in Chinese Cities

  •  6 June 2025

Key Points

  • The content of polycyclic aromatic hydrocarbons (PAHs) in particulate matter (PM) was highest in North China (NC) and lowest in South China (SC)

  • The ecological risks of PAHs in urban PM in NC, Central China and SC were moderate or higher in most cities (>50%)

  • Hazard index and lifetime incremental cancer risk values for urban residents were high in more than 73% and 3.4% of Chinese cities, respectively

Open access

Joint Effects of Wildfire Smoke and Extreme Heat on Hospitalizations in California, 2011–2020

  •  6 June 2025

Key Points

  • Compound wildfire smoke and extreme heat is associated with synergistic impacts on morbidity in California from 2011 to 2019

  • Effects were more pronounced within population subgroups characterized by individual and community level sociodemographic factors

  • Synergistic effects were observed for exposures to co-occurring days and short-term windows (4 days) of wildfire smoke and extreme heat

Open access

Cell Death and Proliferation Variability Caused by Different Dust Clay Minerals Using the Single‐Cell Method

  •  5 June 2025

Key Points

  • Different clay minerals have different impacts on cell death and cell division

  • Both Ca-rich Montmorillonite and Kaolinite clay minerals showed an increase in necrosis as particle concentrations increased

  • Elemental composition and the presence of heavy metals in clay minerals are linked to cell death

Open access

Impacts of Breaching Planetary Boundaries on Human Health: Current and Future Threats

  •  31 May 2025

Key Points

  • Rising temperatures increase heat stress, respiratory diseases, and spread of vector-borne illnesses like malaria

  • Urban heat islands and pollution heighten respiratory issues, heat-related illnesses, and environmental health risks

  • Water shortages and pollution cause diseases like diarrhea and malnutrition, worsening health in vulnerable populations

Open access

Hypereutrophication, Hydrogen Sulfide, and Environmental Injustices: Mechanisms and Knowledge Gaps at the Salton Sea

  •  31 May 2025

Key Points

  • The Salton Sea is a major source of elevated hydrogen sulfide emissions, with concentrations likely underestimated due to limited monitoring

  • Sensor placement and wind direction are crucial in H2S monitoring, highlighting the distinction between measuring and detecting emissions

  • Environmental justice concerns arise as vulnerable communities are chronically exposed to harmful H2S levels

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Open access

Expansion of Coccidioidomycosis Endemic Regions in the United States in Response to Climate Change

  • GeoHealth
  •  308-327
  •  30 August 2019

Key Points

  • We created a niche model to estimate climate limits on the spatial extent of Valley fever endemicity in the United States
  • For a high warming scenario, the area of climate-limited endemicity will more than double by 2100, expanding northward into dry western states
  • Our predictive model of Valley fever endemic regions may help mitigate disease impacts as the disease spreads into new regions

Open access

Future Fire Impacts on Smoke Concentrations, Visibility, and Health in the Contiguous United States

  • GeoHealth
  •  229-247
  •  6 July 2018

Key Points

  • We provide the first estimates of future smoke health and visibility impacts in the contiguous United States using a prognostic land-fire model
  • Average visibility will improve across the contiguous United States, but fire PM will reduce visibility on the worst days in western and southeastern U.S. regions
  • The number of deaths attributable to total PM2.5 will decrease, but the number attributable to fire-related PM2.5 will double by late 21st century

Open access

Comparison of wildfire smoke estimation methods and associations with cardiopulmonary‐related hospital admissions

  • GeoHealth
  •  122-136
  •  17 May 2017

Key Points

  • Geographically weighted regression combines measures of wildfire smoke from many sources that can be used in epidemiologic studies
  • Wildfire smoke estimated using geographically weighted regression was associated with increased risk for respiratory outcomes
  • Geographically weighted regression is a useful approach that can reduce exposure misclassification in epidemiologic studies

Open access

Impact of California Fires on Local and Regional Air Quality: The Role of a Low‐Cost Sensor Network and Satellite Observations

  • GeoHealth
  •  172-181
  •  23 May 2018

Key Points

  • Low-cost air quality monitors and satellite observations respond to smoke from fires in California
  • Low-cost air quality monitors demonstrate bias against federal equivalent monitors but can be very useful in places with no standard measurements
  • Both low-cost air quality monitors and satellite provide unique and useful information on air quality

Open access

Supply Considerations for Scaling Up Clean Cooking Fuels for Household Energy in Low‐ and Middle‐Income Countries

  • GeoHealth
  •  370-390
  •  1 November 2019

Key Points

  • Designing effective energy policies that support and accelerate transitions to clean cooking fuels is a top global priority
  • Countries depend on a portfolio of fuels for cooking and should plan an optimal mix of clean fuels, both in the medium and long-term
  • Risk and sustainability of cookfuel supply chains depend on multiple factors that ultimately influence long-term viability and scale

Open access

Fossil Fuel Combustion Is Driving Indoor CO2 Toward Levels Harmful to Human Cognition

Key Points

  • Atmospheric carbon dioxide concentrations are reaching levels never experienced by Homo sapiens
  • Recent experiments have linked high indoor carbon dioxide concentrations to reduced cognitive function
  • Our models predict that future carbon emissions will increase indoor concentrations to levels harmful to human cognition

Open access

A Review of the Scope of Artisanal and Small‐Scale Mining Worldwide, Poverty, and the Associated Health Impacts

Key Points

  • Artisanal and small-scale mining (ASM) is primitive with health problems determined by occupational, environmental, and social settings
  • ASM involves 80 + countries and valuable resources, like gold, diamonds, precious stones, tantalum, tin, tungsten, and commodities
  • Grueling work, poverty, illegalities, and worksites located in remote and medically underserved areas contribute to poor health

Open access

Climate Change and Women's Health: Impacts and Opportunities in India

  • GeoHealth
  •  283-297
  •  24 September 2018

Key Points

  • Climate change impacts on health affect men and women differently due to underlying socioeconomic, cultural, and physiologic factors
  • Climate change threatens to widen existing gender-based health disparities, especially in India and other low- and middle-income countries
  • Integration of a gendered perspective into existing climate, development, and disaster-risk reduction policy frameworks can decrease negative health outcomes

Open access

Impact of Deadly Dust Storms (May 2018) on Air Quality, Meteorological, and Atmospheric Parameters Over the Northern Parts of India

  • GeoHealth
  •  67-80
  •  24 February 2019

Key Points

  • Intense uplift phases were observed associated with displacement of trace and greenhouse gasses
  • Increased aerosol loading was associated with changes in aerosol volume size distributions
  • Increased surface ozone was observed in areas under the direct influence of dust

Open access

The Effects of Heat Exposure on Human Mortality Throughout the United States

Key Points

  • We develop a generalized risk function from U.S. epidemiological data to quantify nationwide heat-related premature deaths
  • We find ~12,000 premature deaths annually in the contiguous United States during the 2010s
  • Projected deaths rise to ~110,000 and ~50,000 year−1 under high- and moderate-warming scenarios, respectively, including population growth

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Open access

Climate Change and Women's Health: Impacts and Opportunities in India

  • GeoHealth
  •  283-297
  •  24 September 2018

Key Points

  • Climate change impacts on health affect men and women differently due to underlying socioeconomic, cultural, and physiologic factors
  • Climate change threatens to widen existing gender-based health disparities, especially in India and other low- and middle-income countries
  • Integration of a gendered perspective into existing climate, development, and disaster-risk reduction policy frameworks can decrease negative health outcomes

Open access

A Review of the Scope of Artisanal and Small‐Scale Mining Worldwide, Poverty, and the Associated Health Impacts

Key Points

  • Artisanal and small-scale mining (ASM) is primitive with health problems determined by occupational, environmental, and social settings
  • ASM involves 80 + countries and valuable resources, like gold, diamonds, precious stones, tantalum, tin, tungsten, and commodities
  • Grueling work, poverty, illegalities, and worksites located in remote and medically underserved areas contribute to poor health

Plain Language Summary

Many of the world's most valuable commodities, for example, gold, diamonds, and strategic metals, and less valuable resources, for example, sand, clay, and coal, are the products of artisanal and small-scale mining (ASM). The miners are commonly poor people with rudimentary tools, like shovels, buckets, and pans subsisting by working shallow ore deposits. Although an inefficient mining method, the large numbers of people can contribute substantially to a country's total production. Much of this mining occurs in distant, lawless areas like the Amazon River basin or the outback in the Democratic Republic of Congo. The work is grueling and dangerous because of violence and unregulated work sites. Miners suffer from the expected collection of occupational health risks, due to, for example, accidents, chemical exposures, dust inhalation, and lifting and lugging of heavy loads. Mining communities are at risk from incidental exposures to mercury, mosquito-borne diseases, poor sanitation, and more. Human and social problems also impact health. Our paper emphasizes poverty as a risk factor for disease, as miners are caught in poverty traps—unable to leave. Injuries and disease often must remain untreated because of costs and absent clinics.

Open access

One in Four US Households Likely Exceed New Soil Lead Guidance Levels

Key Points

  • The US Environmental Protection Agency recently reduced its soil lead screening recommendations

  • We find that nearly one in four households may now contain a soil lead hazard based on the new recommendations

  • This finding challenges the current expensive approach, sometimes termed "dig and dump," to mitigation at this scale

Plain Language Summary

The US Environmental Protection Agency recently lowered the recommended screening levels for soil lead, dropping it by one half to 200 parts per million. Based on a wide network of citizen-science collected household soil samples, we find that nearly one in four households may now contain a soil lead hazard based on this new, more protective standard. This finding challenges the current expensive approach, sometimes termed “dig and dump” to mitigation.

Open access

Potential Health Impacts, Treatments, and Countermeasures of Martian Dust on Future Human Space Exploration

Key Points

  • From microgravity to harmful radiation, human space exploration causes physiological changes, and a journey to Mars introduces novel issues

  • The small size, oxidative properties, and chemical composition of Martian dust may cause disease in astronauts, particularly in the lungs

  • Dust filtration, cabin cleaning, and disease treatments need to be considered to ensure astronaut health and mission success on Mars

Plain Language Summary

While human exploration of Mars has become increasingly likely in the near future, the health impacts of such a voyage have not yet been well characterized. This study examines potential health hazards associated with exposure to Martian dust, drawing on geological findings from Martian rovers, orbital data from probes, astronaut experiences during lunar missions, and relevant medical literature. When astronauts first landed on the Moon, lunar dust proved to be a much greater concern than previously expected. Similarly, Mars has a vastly different geological makeup and atmosphere compared to Earth. Although both Martian and lunar dust pose various health risks, the greatest concern is respiratory complications caused by inhalation. Martian dust is known to contain various carcinogens, such as silica and numerous heavy metals. The potential illnesses caused by inhalation will depend on its components and the level of exposure. While medical interventions may help reduce the disease burden, the limitations of treatment options off-planet underscore the importance of preventive measures.

Open access

Impact of the 2019/2020 Australian Megafires on Air Quality and Health

Key Points

  • The fires led to widespread exposure to “Poor” or worse Air Quality Index levels across eastern-Australia

  • The highest all-cause, all-age mortality from short-term exposure to bushfire particulate matter with a diameter less than 2.5 μm (PM2.5) was seen in the states of New South Wales, Queensland, and Victoria

  • All-cause, all-age mortality from short-term exposure to bushfire PM2.5 was highest in the cities of Sydney, Melbourne, and Canberra

Plain Language Summary

The Australian 2019/2020 bushfires were unprecedented in their size and intensity, resulting in a catastrophic loss of habitat and human and animal life across eastern-Australia. We use an air pollution model (WRF-Chem) to quantify the impact of the bushfires on particulate matter with a diameter less than 2.5 μm (PM2.5) concentrations. We run the model with and without emissions from the fires so their impact on PM2.5 can be isolated. We find that between September and February an additional ∼437,000 people were exposed to “Poor” or worse air quality index levels due to the fires across eastern-Australia. Short-term exposure to high PM2.5 concentrations has been linked to negative health impacts. Therefore, we estimate the health impact of population exposure to bushfire PM2.5 across eastern-Australia, regionally and at city level. Our estimate indicates that between October and February 171 deaths were brought forward due to exposure to PM2.5 from the fires. Regionally, most deaths were brought forward in New South Wales (109 deaths brought forward), Queensland (15), and Victoria (35). Within these regions, the most deaths were brought forward in Sydney (65), Melbourne (23), and Canberra-Queanbeyan (9) as large populations were exposed to high PM2.5 concentrations due to the bushfires.

Open access

Mortality Attributable to Ambient Air Pollution: A Review of Global Estimates

Key Points

  • Large differences are present in the published estimates of excess mortality attributable to outdoor air pollution at the global scale

  • The differences are mostly due to the exposure response functions as well as the number of health outcomes included in the calculations

  • Although the accuracy of the global estimates has improved, their precision has not increased in the last decades

Plain Language Summary

In this work we review the estimates of excess mortality attributable to outdoor air pollution at the global scale, by comparing studies available in the literature. We find large differences between the estimates, mainly caused by mathematical function used to describe the pollution-health link, as well as the number of health outcomes included in the calculations. We showed that, despite the considerable advancements in our understanding of health impacts of air pollution, the precision of the estimates has not increased in the last decades. We offer recommendations for future measurements and research directions, which will help to improve our understanding and quantification of air pollution-health relationships.

Open access

A Heat Emergency: Urban Heat Exposure and Access to Refuge in Richmond, VA

Key Points

  • Heat-related health emergencies are inequitably distributed in Richmond, Virginia across demographics

  • Remotely-sensed surface temperature, community science-derived air temperature metrics are strong predictors of heat-related health impacts

  • Built refuge is essential for extreme heat management, inequitable access persists for low mobility and vulnerable residents

Plain Language Summary

In a process called the urban heat island effect, urban areas experience higher average temperatures compared to nearby rural areas, largely due to the lack of cooling provided by trees and the heat-trapping ability of buildings and paved surfaces. While human-caused climate change is driving average global temperatures to rise, some communities and neighborhoods in Richmond, Virginia experience hotter temperatures than others. This is largely due to a historical lack of government investment in Black and low-income neighborhoods. Hotter, less resourced neighborhoods experience more heat-related health emergencies like heat stroke and heat exhaustion. This study found significant relationships between the location of heat-related illness Emergency Medical Services data from Richmond, Virginia and areas which are measurably hotter. We also found that Richmond has insufficient publicly accessible places for people with limited mobility to escape the heat, including bus stop shelters, libraries, and government cooling centers. Richmonders bear the brunt of heat emergencies unequally, with a higher proportion of heat emergencies among residents identified as Male, Black or African American, 50+ years old, and experiencing mental health, intoxication, and/or homelessness. Impacted community members should be prioritized as cities like Richmond addresses the everyday impacts of climate change and urban heat.

Open access

Wet Bulb Globe Temperature: Indicating Extreme Heat Risk on a Global Grid

Key Points

  • We create an accurate method for calculating Wet Bulb Globe Temperature (WBGT) using Mean Radiant Temperature termed WBGTBrimicombe

  • It is found that WBGTamsc87 also known as WBGTsimple is not an accurate approximation of WBGT

  • WBGTBrimicombe can assist with robust heat stress standards across sectors including in public and occupational health

Plain Language Summary

The Wet Bulb Globe Temperature (WBGT) is an international standard for how we measure the effect of heat on the human body. It is used across sectors in health, industry, sports, and climate to calculate how we feel and how our body responds during heat extremes. Its calculation has historically relied on globe thermometer and wet bulb temperature observations, which are however not widely available. This has made WBGT difficult to calculate and meant approximations have been created. Here we formulate a new WBGT method that can be used with global gridded data that are freely available and we compare it against other methods in common use. We find that our method is accurate when compared to the existing gold standard WBGT method.

Open access

Expansion of Coccidioidomycosis Endemic Regions in the United States in Response to Climate Change

  • GeoHealth
  •  308-327
  •  30 August 2019

Key Points

  • We created a niche model to estimate climate limits on the spatial extent of Valley fever endemicity in the United States
  • For a high warming scenario, the area of climate-limited endemicity will more than double by 2100, expanding northward into dry western states
  • Our predictive model of Valley fever endemic regions may help mitigate disease impacts as the disease spreads into new regions

Plain Language Summary

Valley fever is a fungal disease most common in the southwestern United States. Generally, the disease is limited to areas that are hot and dry. Climate change will cause the western United States to become hotter and may change the location, timing, and amount of rain. This is likely to change which counties are affected by Valley fever. We used climate observations to estimate which counties in the United States have a higher risk for Valley fever. Then, we used predictions of future climate to map which counties may become affected by Valley fever during the remainder of the 21st century. By 2100, our model predicts that the area affected by Valley fever will more than double and the number of people who become sick will increase by 50%. The area affected by Valley fever will expand north into drier states in the western US, including Idaho, Wyoming, Montana, Nebraska, South Dakota, and North Dakota. Our estimate may help public health officials develop more effective plans so less people suffer from this disease.

Open access

Climate Change and Women's Health: A Scoping Review

Key Points

  • Women's health is at higher risks due to the vulnerability to climate change, especially in low- and middle-income countries (LMICs)

  • The societal, cultural, and economic factors contribute to the vulnerability. It is beneficial to have a gender aspect in responses

  • Mixed methods incorporating quantitative and qualitative assessments are needed

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