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- Influence of outdoor air pollution on cardiovascular diseases in Madeira (Portugal)Publication . Camacho, Irene; Camacho, Jaime; Camacho, Roberto; Góis, André; Nóbrega, VítorPrevious studies suggest that human exposure to atmospheric pollution can trigger cardiovascular diseases (CVDs). This study aimed at assessing the influence of short-term exposure to atmospheric pollution in the occurrence of CVD and mortality in Madeira. A single-centre retrospective study was conducted during 2005–2011. Air pollutant data and meteorological parameters were gathered. Daily admissions at the emergency service due to CVD and markers levels for cardiac function were obtained from a public hospital. Exploratory and correlation analysis of all variables were performed, and the CVD relative risk (RR) of hospital admissions and mortality was calculated. During the study, mean annual concentrations of the air pollutants varied greatly, with NOx and O3 showing the highest annual average concentrations. Two hundred ten thousand five hundred forty patients were admitted at the emergency service, 74% of them due to cardiovascular causes. Hospital admissions were positively correlated with PM2.5, and SO2. A positive and significant association between PM2.5 with creatine kinase myocardial band and B-type natriuretic peptides markers was found, whilst SO2 was positively associated with Creatine kinase myocardial band. The RR seemed to increased with PM2.5 and NOx exposure. Traffic-related pollutants were weakly but statistically associated to hospital admissions due to CVD and mortality. PM2.5 and SO2 were related with higher hospital admissions which in turn seemed to increase the serum markers. The risk of mortality was mainly associated with O3 and average air temperature. Adults and elders seem to be more susceptible to atmospheric pollutants, particularly in the winter.
- Occurrence of Puccinia spp. spores in Madeira Island and their phytopathological importancePublication . Camacho, Irene; Leça, Rubina; Sardinha, Duarte; Camacho, Roberto; Sadyś, MagdalenaThe genus Puccinia represents rust infections, which are responsible for great productivity losses in crops of commercial and ornamental plants worldwide. This work is aimed at determining the occurrence of Puccinia spp. spores in Madeira Island in order to infer the exposure risks from a phytopathological point of view. A phytopathological analysis was performed in 203 local plant samples between January 2003 and December 2012. During the same period the airborne concentrations of rust spores were monitored following well-established guidelines. Aerobiological data was compared with meteorological records. Based on macro and microscopic analyses, five species of rusts were identified: P. horiana, P. buxi, P. porri, P. pelargoniizonalis, and P. sorghi, and they were found mostly in spring and summer. A total of 20 samples out of 203 analysed plants (9.8%), were infected with Puccinia spores, i.e., P. horiana (5.9%), P. buxi (1.47%), P. porri and P. pelargonii-zonalis (0.98%), and P. sorghi (0.5%). During the studied period Puccinia spores attained an annual average concentration of 126 spores m−3 and most of them were recorded between March and October. Meteorological factors were determinant in fluctuations in spore concentration. Relative humidity was the parameter that favoured the biggest release and dispersal of the rust spores, whereas rainfall revealed a significant negative effect. Rusts do not represent an important plant pathogen in Madeira Island, as shown by the low infection frequencies and levels of airborne spore concentrations.
- Main features of Poaceae pollen season in Madeira region (Portugal)Publication . Camacho, Irene Câmara; Câmara, Rita; Camacho, RobertoThe pollinic spectrum of the Madeira region is dominated by grass pollen, which also represents an important aeroallergen in Europe. The present work aims to analyze the main features of the Poaceae pollen season in the Madeira region to determine the allergic risk. The study took place in Funchal city, the capital of Madeira Island, over a period of 10 years (2003–2012). The airborne pollen monitoring was carried out with a Hirst type volumetric trap, following well-established guidelines. In the atmosphere of Funchal, the mean annual Poaceae pollen index was 229. The mean Poaceae pollen season lasts 275 days, with an onset date in January/March and an end date in November/December. Poaceae counts showed a seasonal variation with 2 distinct peaks: a higher peak between March and June, and the second one in autumn. The peak values occurred mainly between April and June, and the highest peak was 93 grains/m3 , detected on the 27th May of 2010. The Poaceae pollen remaining at low levels during the whole growing season, presenting a nil to low allergenic risk during most of the study period. Higher critical levels of allergens have been revealed after 2006. In general, the pollen risk from Poaceae lasted only a few days per year, despite the very long pollen season and the abundance of grasses in the landscape of Madeira Island.
- Madeira-a tourist destination for asthma sufferersPublication . Camacho, Irene; Grinn-Gofroń, Agnieszka; Camacho, Roberto; Berenguer, Pedro; Sadyś, MagdalenaMadeira Island is a famous tourist destination due to its natural and climatic values. Taking into account optimal weather conditions, flora richness and access to various substrates facilitating fungal growth, we hypothesised a very high risk of elevated fungal spore and pollen grain concentrations in the air of Funchal, the capital of Madeira. Concentration levels of the most allergenic taxa were measured from 2003 to 2009, using a 7-day volumetric air sampler, followed by microscopy analysis. Dependence of bioaerosols on the weather conditions and land use were assessed using spatial and statistical tools. Obtained results were re-visited by a comparison with hospital admission data recorded at the Dr. Nélio Mendonça Hospital in Funchal. Our results showed that despite propitious climatic conditions, overall pollen grain and fungal spore concentrations in the air were very low and did not exceed any clinically established threshold values. Pollen and spore peak concentrations also did not match with asthma outbreaks in the winter. Identification of places that are "free" from biological air pollution over the summer, such as Madeira Island, is very important from the allergic point of view.
- The impact of urban and forest fires on the airborne fungal spore aerobiologyPublication . Camacho, Irene; Góis, André; Camacho, Roberto; Nóbrega, Vítor; FernandezThe occurrence of airborne fungal spores is driven by several biogeographic and climatic factors. In addition, the occurrence of fires near fungal ecosystems seems to play an important role on the aerobiology of fungal spores. Wildfires are prevalent throughout the world and particularly so in several South European countries with Mediterranean climate. The present survey aimed at analysing the impact of urban and forest fires on the airborne fungal spore content of Madeira Island. Data suggest that after a fire occurrence, the concentration of fungal spores tends to increase in the air, peaking on the 10th day after a fire event. It is likely that fire-induced convections promote release of fungal spores from their natural habitat and that the soil heating conditions could trigger the germination of fungi colonizing post-fire plant residues and soil. It is also possible that the registered low precipitation and wind intensity could help increase the concentration of fungal spores in the atmosphere during 1–2 weeks. These findings need further research, not only at a regional but also at a larger scale, in order to clarify the specific impact of fires on such biological particles and the possible consequences on public health.
- Monitoring of anamorphic fungal spores in Madeira region (Portugal), 2003–2008Publication . Sousa, Lisandra; Camacho, Irene Câmara; Grinn-Gofroń, Agnieszka; Camacho, RobertoSeven years of aeromycological study was performed in the city of Funchal with the purpose to determine the anamorphic spore content of this region and its relationship to meteorological factors. The sampling was carried out with a Hirst-type volumetric spore trap following well-established guidelines. A total of 17,586 anamorphic fungal spores were recorded during the studied period, attaining an annual average concentration of 2931 spores m-3 . Anamorphic fungal spores were observed throughout the year, although the major peaks were registered during spring (April–June) and autumn period (September– November). The lowest spore levels were recorded between December and February months. Over 14 taxa of anamorphic fungal spores were observed with Cladosporium being the most prevalent fungal type accounting for 78 % of the total conidiospores. The next in importance was Alternaria (5.4 %), Fusarium (4.7 %), Torula (3.9 %) and Botrytis (1.9 %). Temperature was the meteorological parameter that favoured the most release and dispersal of the conidiospores, whereas rainfall revealed a negative effect. Despite the low concentration levels found in our region, the majority of the fungal types identified are described as potential aeroallergens. This study provides the seasonal variation of the conidiospores and the periods when the highest counts may be expected, representing a preventive tool in the allergic sensitization of the population.
- Detecção de bactérias no ar em ambiente hospitalar com recurso a técnicas molecularesPublication . Camacho, Roberto Alexandre Pisa; Khadem, MahnazA Qualidade do Ar Interior (QAI) revela-se de grande importância no ambiente hospitalar devido à disseminação aérea de bactérias potenciar as infecções nosocomiais. Os estudos nesta temática são raros em Portugal e inexistentes na Madeira. Este trabalho tem como objectivos identificar com elevada precisão a flora bacteriana aerosolizada no Hospital Dr. João de Almada (HJA) utilizando técnicas moleculares, determinar a sua origem, disseminação e especificidades e analisar globalmente a QAI. O ar exterior e de 15 locais no interior do HJA foi amostrado em Abril de 2009. Foram medidas a temperatura, humidade e concentração de CO2 e NO2 e quantificadas as bactérias e fungos no ar. Utilizaram-se testes bioquímicos e técnicas moleculares para caracterização e identificação de bactérias e foram comparadas comunidades bacterianas. A biodiversidade bacteriana no ar interior do HJA é dominada pelo género Staphylococcus (68%), sendo as espécies mais frequentes S. cohnii urealyticus, S. haemolyticus, S. capitis ou S. caprae e Micrococcus luteus. A maioria das espécies encontradas é comum em ambiente hospitalar e na flora comensal humana. As Staphylococcus spp. detectadas são consideradas patogénicas oportunistas envolvidas em infecções nosocomiais. A QAI é conforme com a legislação na maioria dos locais, havendo microorganismos em excesso em 12 das 72 amostras. O excesso de fungos relacionou-se com eventos de bruma no exterior e o excesso de bactérias correlacionou-se com a actividade humana e foi potenciado pela fraca ventilação e a presença ou manipulação de materiais contaminados. O ar exterior tem boa qualidade para ventilação do HJA, excepto durante eventos de bruma. As comunidades bacterianas aerosolizadas têm maior similaridade entre locais do mesmo tipo, sendo os ocupantes o principal foco de contaminação. São propostas medidas correctivas como o aumento da ventilação dos locais com elevada actividade humana e cuidados na manipulação de roupa suja e resíduos.
- Spatial and temporal variations in the Annual Pollen Index recorded by sites belonging to the Portuguese Aerobiology NetworkPublication . Camacho, Irene Câmara; Caeiro, Elsa; Ferro, Raquel; Camacho, Roberto; Câmara, Rita; Grinn-Gofroń, Agnieszka; Smith, Matt; Strzelczak, Agnieszka; Nunes, Carlos; Morais-Almeida, MárioThis study presents the findings of a 10-year survey carried out by the Portuguese Aerobiology Network (RPA) at seven pollen-monitoring stations: five mainland stations (Oporto, Coimbra, Lisbon, E´ vora and Portima˜o) and two insular stations [Funchal (Madeira archipelago) and Ponta Delgada (Azores archipelago)]. The main aim of the study was to examine spatial and temporal variations in the Annual Pollen Index (API) with particular focus on the most frequently recorded pollen types. Pollen monitoring (2003–2012) was carried out using Hirst-type volumetric spore traps, following the minimum recommendations proposed by the European Aerobiology Society Working Group on Quality Control. Daily pollen data were examined for similarities using the Kruskal–Wallis nonparametric test and multivariate regression trees. Simple linear regression analysis was used to describe trends in API. The airborne pollen spectrum at RPA stations is dominated by important allergenic pollen types such as Poaceae, Olea and Urticaceae. Statistically significant differences were witnessed in the API recorded at the seven stations. Mean API is higher in the southern mainland cities, e.g. E´ vora, Lisbon and Portima˜o, and lower in insular and littoral cities. There were also a number of significant trends in API during the 10-year study. This report identifies spatial and temporal variations in the amount of airborne pollen recorded annually in the Portuguese territory. There were also a number of significant changes in API, but no general increases in the amount of airborne pollen.
- Guia ilustrado dos pólenes da Região da Madeira (Portugal). Tipos polínicos com interesse alergológicoPublication . Camacho, Irene Câmara; Camacho, Roberto Alexandre Pisa