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What Should Health Departments Do with HIV Sequence Data?

Many countries and US states have mandatory statues that require reporting of HIV clinical data including genetic sequencing results to the public health departments. Because genetic sequencing is a part of routine care for HIV infected persons, health departments have extensive sequence collections spanning years and even decades of the HIV epidemic. How should these data be used (or not) in public health practice? This is a complex, multi-faceted question that weighs personal risks against public health benefit. The answer is neither straightforward nor universal. However, to make that judgement—of how genetic sequence data should be used in describing and combating the HIV epidemic—we need a clear image of what a phylogenetically enhanced HIV surveillance system can do and what benefit it might provide. In this paper, we present a positive case for how up-to-date analysis of HIV sequence databases managed by health departments can provide unique and actionable information of how HIV is spreading in local communities. We discuss this question broadly, with examples from the US, as it is globally relevant for all health authorities that collect HIV genetic data.

60 APPLIED LIFE SCIENCES↗

DEVELOP Poster: Louisville Urban Development

Greenness and land surface temperature (LST) have been extensively correlated to urban public health. Chronic diseases such as diabetes, asthma, and cardiovascular illnesses have been linked to regions of high LST and areas lacking urban green spaces. One of our partners, the University of Louisville Envirome Institute, champions the importance of urban green spaces. Their research has pioneered efforts in increasing the area and accessibility of urban parks and greenspaces as a way to improve public health and combat environmental inequality. Louisville, Kentucky, is currently working to plant and manage urban trees. Our team used NASA Landsat 8 Operational Land Imager (OLI) and Thermal Infrared Sensor (TIRS) imagery to calculate the Normalized Difference Vegetation Index (NDVI) in Louisville at the census tract level and automated the process for use in other cities. The New York University School of Medicine’s City Health Dashboard displays public health metrics across 500 US cities and will use our methods to complete the NDVI analysis for all of these locations plus an additional 293 cities they are adding to their dashboard in the near future. Our NDVI and LST calculations will allow cites across the US to make informed decisions about reducing environmental inequality by focusing on areas with low NDVI and high LST.

Urban Development↗

Fungal Spore Seasons Advanced Across the US Over Two Decades of Climate Change

Abstract Phenological shifts due to climate change have been extensively studied in plants and animals. Yet, the responses of fungal spores—organisms important to ecosystems and major airborne allergens—remain understudied. This knowledge gap limits our understanding of their ecological and public health implications. To address this, we analyzed a long‐term (2003–2022), large‐scale (the continental US) data set of airborne fungal spores collected by the US National Allergy Bureau. We first pre‐processed the spore data by gap‐filling and smoothing. Afterward, we extracted 10 metrics describing the phenology (e.g., start and end of season) and intensity (e.g., peak concentration and integral) of fungal spore seasons. These metrics were derived using two complementary but not mutually exclusive approaches—ecological and public health approaches, defined as percentiles of total spore concentration and allergenic thresholds of spore concentration, respectively. Using linear mixed‐effects models, we quantified annual shifts in these metrics across the continental US. We revealed a significant advancement in the onset of the spore seasons defined in both ecological (11 days, 95% confidence interval: 0.4–23 days) and public health (22 days, 6–38 days) approaches over two decades. Meanwhile, total spore concentrations in an annual cycle and in a spore allergy season tended to decrease over time. The earlier start of the spore season was significantly correlated with climatic variables, such as warmer temperatures and altered precipitations. Overall, our findings suggest possible climate‐driven advanced fungal spore seasons, highlighting the importance of climate change mitigation and adaptation in public health decision‐making.

Environmental Sciences & Ecology↗

The Safe Urban Harvests Study: A Community-Driven Cross-Sectional Assessment of Metals in Soil, Irrigation Water, and Produce from Urban Farms and Gardens in Baltimore, Maryland

BACKGROUND: Emerging evidence suggests social, health, environmental, and economic benefits of urban agriculture (UA). However, limited work has characterized the risks from metal contaminant exposures faced by urban growers and consumers of urban-grown produce. OBJECTIVES: We aimed to answer community-driven questions about the safety of UA and the consumption of urban-grown produce by measuring concentrations of nine metals in the soil, irrigation water, and urban-grown produce across urban farms and gardens in Baltimore, Maryland. METHODS: We measured concentrations of 6 nonessential [arsenic (As), barium (Ba), cadmium (Cd), chromium (Cr), lead (Pb), nickel (Ni)] and three essential [copper (Cu), manganese (Mn), zinc (Zn)] metals in soil, irrigation water, and 13 types of urban-grown produce collected from 104 UA sites. We compared measured concentrations to existing public health guidelines and analyzed relationships between urban soil and produce concentrations. In the absence of guidelines for metals in produce, we compared metals concentrations in urban-grown produce with those in produce purchased from farmers markets and grocery stores (both conventionally grown and U.S. Department of Agriculture–certified organic). RESULTS: Mean concentrations of all measured metals in irrigation water were below public health guidelines. Mean concentrations of nonessential metals in growing area soils were below public health guidelines for Ba, Cd, Pb, and Ni and at or below background for As and Cr. Though we observed a few statistically significant differences in concentrations between urban and nonurban produce items for some combinations, no consistent or discernable patterns emerged. DISCUSSION: Screening soils for heavy metals is a critical best practice for urban growers. Given limitations in existing public health guidelines for metals in soil, irrigation water, and produce, additional exposure assessment is necessary to quantify potential human health risks associated with exposure to nonessential metals when engaging in UA and consuming urban-grown produce. Conversely, the potential health benefits of consuming essential metals in urban-grown produce also merit further research. https://doi.org/10.1289/EHP9431

54 ENVIRONMENTAL SCIENCES↗

Remote sensing utility in a disaster struck urban environment

Standard operating procedures, utilizing remote sensing, are outlined for public health assistance during natural disaster relief operations. A manual to aid decision making for public health authorities is included. Flow charts which show the procedures that need to be implemented during a natural disaster are also included. Emphasis is placed on a preventive approach to the effects of disasters, and specifically to post-disaster problems that relate to public health concerns during the emergency phase of relief.

Rush, M.↗

Improving Decision-Making Activities for Meningitis and Malaria

Public health professionals are increasingly concerned about the potential impact that climate variability and change can have on infectious disease. The International Research Institute for Climate and Society (IRI) is developing new products to increase the public health community's capacity to understand, use and demand the appropriate climate data and climate information to mitigate the public health impacts of climate on infectious disease, in particular meningitis and malaria. In this paper, we present the new and improved products that have been developed for: (i) estimating dust aerosol for forecasting risks of meningitis and (ii) for monitoring temperature and rainfall and integrating them into a vectorial capacity model for forecasting risks of malaria epidemics. We also present how the products have been integrated into a knowledge system (IRI Data Library Map Room, SERVIR) to support the use of climate and environmental information in climate-sensitive health decision-making.

parasitic diseases↗

Limited Role of Absolute Humidity in Intraurban Heat Variability

Abstract Monitoring and understanding the variability of heat within cities is important for urban planning and public health, and the number of studies measuring intraurban temperature variability is growing. Recognizing that the physiological effects of heat depend on humidity as well as temperature, measurement campaigns have included measurements of relative humidity alongside temperature. However, the role the spatial structure in humidity, independent from temperature, plays in intraurban heat variability is unknown. Here we use summer temperature and humidity from networks of stationary sensors in multiple cities in the United States to show spatial variations in the absolute humidity within these cities are weak. This variability in absolute humidity plays an insignificant role in the spatial variability of the heat index and humidity index (humidex), and the spatial variability of the heat metrics is dominated by temperature variability. Thus, results from previous studies that considered only intraurban variability in temperature will carry over to intraurban heat variability. Also, this suggests increases in humidity from green infrastructure interventions designed to reduce temperature will be minimal. In addition, a network of sensors that only measures temperature is sufficient to quantify the spatial variability of heat across these cities when combined with humidity measured at a single location, allowing for lower-cost heat monitoring networks. Significance Statement Monitoring the variability of heat within cities is important for urban planning and public health. While the physiological effects of heat depend on temperature and humidity, it is shown that there are only weak spatial variations in the absolute humidity within nine U.S. cities, and the spatial variability of heat metrics is dominated by temperature variability. This suggests increases in humidity will be minimal resulting from green infrastructure interventions designed to reduce temperature. It also means a network of sensors that only measure temperature is sufficient to quantify the spatial variability of heat across these cities when combined with humidity measured at a single location.

Meteorology & Atmospheric Sciences↗

Quantifying air quality co-benefits to industrial decarbonization: the local Air Emissions Tracking Atlas

Many decarbonization technologies have the added co-benefit of reducing short-lived climate pollutants, such as particulate matter (PM), nitrogen oxides (NO x ), and sulfur dioxide (SO 2 ), creating a unique opportunity for identifying strategies that promote both climate change solutions and opportunities for air quality improvement. However, stakeholders and decision-makers may struggle to quantify how these co-benefits will impact public health for the communities most affected by industrial air pollution. To address this problem, the LOCal Air Emissions Tracking Atlas (LOCAETA) fills a data availability and analysis gap by providing estimated air quality benefits from industrial decarbonization options, such as carbon capture and storage (CCS). These co-benefits are calculated using an algorithm that connects disparate datasets that separately report greenhouse gas emissions and other pollutants at U.S. industrial facilities. Version 1.0 of LOCAETA displays the estimated primary PM 2.5 emission reduction co-benefits from additional pretreatment equipment for CCS on industrial and power facilities across the state of Louisiana, as well as the potential for VOC and NH 3 generation. The emission reductions are presented in the tool alongside facility pollutant emissions information and relevant air quality, environmental, demographic, and public health datasets, such as air toxics cancer risk, satellite and in situ pollutant measurements, and population vulnerability metrics. LOCAETA enables regulators, policymakers, environmental justice communities, and industrial and commercial users to compare and contrast quantifiable public health benefits due to air quality impacts from various climate change mitigation strategies using a free and publicly-available tool. Additional pollutant reductions can be calculated using the same methodology and will be available in future versions of the tool.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Integrating air quality and health considerations into power sector decarbonization strategies

Climate change and public health are two interconnected societal challenges. Curbing fossil-based electricity generation reduces the emissions of both CO 2 and air pollutants, which brings tangible health benefits from improved air quality. The potential health benefits from decarbonizing the grid are enormous, immediate, and widespread. From renewable portfolio standards to carbon market, the health co-benefits from clean electricity policies often outweigh their policy costs. As climate action goes local, framing decarbonization around health benefits also makes it more personally relevant and economically attractive. Yet, to date, the health impacts have largely been viewed as ancillary benefits from decarbonization, rather than as a core consideration when energy strategies are formed, assessed and implemented. When strategic choices are made about retiring old infrastructure and building new ones, bringing public health to the center of the discussion can generate greater health benefits with more equitable distribution. Here we identify concrete ways to incorporate air quality and health considerations into power sector decarbonization strategies. We draw insights mainly from empirical and modeling evidence for the United States. These insights are generally applicable and could guide health-oriented decarbonization efforts in other countries as well.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Use of MODIS Satellite Images and an Atmospheric Dust Transport Model to Evaluate Juniperus spp. Pollen Phenology and Transport

Pollen can be transported great distances. Van de Water et al., 2003 reported Juniperus spp. pollen, a significant aeroallergen was transported 200-600 km. Hence local observations of plant phenology may not be consistent with the timing and source of pollen collected by pollen sampling instruments. Direct detection of pollen via satellite is not practical. A practical alternative combines modeling and phenological observations using ground based sampling and satellite data. The DREAM (Dust REgional Atmospheric Model) is a verified model for atmospheric dust transport modeling using MODIS data products to identify source regions and quantities of dust (Nickovic et al. 2001). The use of satellite data products for studying phenology is well documented (White and Nemani 2006). In the current project MODIS data will provide critical input to the PREAM model providing pollen source location, timing of pollen release, and vegetation type. We are modifying the DREAM model (PREAM - Pollen REgional Atmospheric Model) to incorporate pollen transport. The linkages already exist with DREAM through PHAiRS (Public Health Applications in Remote Sensing) to the public health community. This linkage has the potential to fill this data gap so that the potential association of health effects of pollen can better be tracked for possible linkage with health outcome data which may be associated with asthma, respiratory effects, myocardial infarction, and lost workdays. Juniperus spp. pollen phenology may respond to a wide range of environmental factors such as day length, growing degree-days, precipitation patterns and soil moisture. Species differences are also important. These environmental factors vary over both time and spatial scales. Ground based networks such as the USA National Phenology Network have been established to provide national wide observations of vegetation phenology. However, the density of observers is not adequate to sufficiently document the phenology variability over large regions. Hence the use of satellite data is critical to observe Juniperus spp. pollen phenology. MODIS data was used to observe Juniperus spp. pollen phenology. The MODIS surface reflectance product(MOD09) provided information on the Juniper spp. cone formation and cone density (Fig 1). Ground based observational records of pollen release timing and quantities were used as verification. Techniques developed using MOD09 surface reflectance products will be directly applicable to the next generation sensors such as VIIRS.

Luvall, J. C.↗

Explaining Health Risk Behaviors in the U.S. with Social Deprivation at Local and Regional Levels

Health risk behaviors are precursors to many chronic health outcomes, and hence, they pose a challenge to public health. Social deprivation undoubtedly creates circumstances that limit access to healthy habits. Moreover, broad regional effects (weather patterns, political ideology, social norms), and local characteristics (cultural notions and barriers, urban places) also influence lifestyle choices and must be accounted for to truly understand the impact of social deprivation on risky behaviors. This research fills the knowledge gap in epidemiological modeling of health risk behaviors by leveraging machine learning to find associations between social deprivation and health risk behaviors, when adjusted by regional and local effects. Four health risk behaviors, namely, binge drinking, smoking, lack of sleep, and lack of physical activity from the CDC PLACES project are considered in a single framework to understand and compare the interplay between local/regional characteristics and seven measures of social deprivation. Our results indicate that local and/or regional factors rise to the top for three out of four risk behaviors (binge drinking, smoking and lack of sleep) out-competing social deprivation measures. Un-entangling the geographical effects reveals that poverty, educational attainment and non-employment are the three deprivation measures most significantly associated with all four health risk factors. The research thus indicates that public health policies to promote healthy lifestyle behaviors must seek to remedy social deprivation, but using socially and culturally sensitive interventions.

Gokhale, Swapna↗

Impact of Canadian Wildfires on Mid Atlantic’s Region Air Quality: An Analysis Using ASDC Data

Wildfires pose a growing concern in North America due to their harmful impacts on air quality and public health, with increased wildfire activity in recent years leading to widespread smoke plumes that can transcend borders. The exposure of New York City (NYC), the most populous city in North America, to Canadian wildfire smoke highlights the substantial implications for public health and urban environments. To better understand the impact of Canadian wildfires on air quality in NYC, satellite data from the NASA Atmospheric Science Data Center (ASDC) at Langley Research Center, along with ground-based measurements and atmospheric modeling results, are analyzed. We examine concentrations of atmospheric aerosols—particularly PM2.5 particulate matter originating from Canadian wildfires—their dispersion patterns, and the duration and intensity of smoke events impacting NYC. Data from multiple satellites, such as those from the Earth Polychromatic Imaging Camera (EPIC), are synergistically used to identify regions affected by wildfires and estimate aerosol loading. Ground-based measurements, including data from air quality monitoring stations, provide localized information for validation and calibration purposes. The findings of this study contribute to our understanding of the impact of Canadian wildfires on NYC's air quality and emphasize the importance of monitoring and prediction of transboundary smoke events using data synthesized from multiple sources, such as those provided by the ASDC. This information is crucial for policymakers, public health officials, and residents in affected areas to develop effective strategies for mitigating the health risks associated with wildfire smoke and improving air quality during wildfire seasons. The utilization of ASDC data in this research highlights the critical role of atmospheric remote sensing in addressing the challenges posed by wildfires and their consequences on regional scales.

Ingrid Garcia-Solera↗

Analyzing the Impact of Canadian Wildfires on Air Quality in the U.S. Mid-Atlantic: with Data and Tools from NASA’s Atmospheric Sciences Data Center

Wildfires pose a growing concern in North America due to their harmful impacts on air quality and public health, with increased wildfire activity in recent years leading to widespread smoke plumes that can transcend borders. The exposure of New York City (NYC), the most populous city in North America, to Canadian wildfire smoke highlights the substantial implications for public health and urban environments. To better understand the impact of Canadian wildfires on air quality in NYC, satellite data from the NASA Atmospheric Science Data Center (ASDC) at Langley Research Center, along with ground-based measurements and atmospheric modeling results, are analyzed. We examine concentrations of atmospheric aerosols—particularly PM2.5 particulate matter originating from Canadian wildfires—their dispersion patterns, and the duration and intensity of smoke events impacting NYC. Data from multiple satellites, such as those from the Earth Polychromatic Imaging Camera (EPIC), are synergistically used to identify regions affected by wildfires and estimate aerosol loading. Ground-based measurements, including data from air quality monitoring stations, provide localized information for validation and calibration purposes. The findings of this study contribute to our understanding of the impact of Canadian wildfires on NYC's air quality and emphasize the importance of monitoring and prediction of transboundary smoke events using data synthesized from multiple sources, such as those provided by the ASDC. This information is crucial for policymakers, public health officials, and residents in affected areas to develop effective strategies for mitigating the health risks associated with wildfire smoke and improving air quality during wildfire seasons. The utilization of ASDC data in this research highlights the critical role of atmospheric remote sensing in addressing the challenges posed by wildfires and their consequences on regional scales.

Ingrid Garcia-Solera↗

Applicability for MELCOR Accident Code System (MACCS) to Model the Atmospheric Transport of Biological Contaminants

Characterization of airborne transmission behavior for biological contaminants is a critical aspect in developing public health guidelines in the event of an outbreak. Guidelines such as safe separation distances and physical protections (mask and face-shields) are heavily influenced by the particular biological airborne transmission risk, which depends on a multitude of factors and is not easily or readily determined, therefore potentially lagging behind the time sensitive need to inform effective public health guidelines. Herein is proposed a means to leverage the substantial investment over the last three decades of the Nuclear Regulatory Commission in the MACCS code suite developed at Sandia National Laboratories. This work includes augmenting the MACCS code to represent biological rather than radioactive contaminants in the atmosphere, therefore characterizing the airborne transmission risk for such contaminants and helping to inform critical and time sensitive public health guidelines.

54 ENVIRONMENTAL SCIENCES↗

Use of Remote Sensing and Dust Modelling to Evaluate Ecosystem Phenology and Pollen Dispersal

The impact of pollen release and downwind concentrations can be evaluated utilizing remote sensing. Previous NASA studies have addressed airborne dust prediction systems PHAiRS (Public Health Applications in Remote Sensing) which have determined that pollen forecasts and simulations are possible. By adapting the deterministic dust model (as an in-line system with the National Weather Service operational forecast model) used in PHAiRS to simulate downwind dispersal of pollen, initializing the model with pollen source regions from MODIS, assessing the results a rapid prototype concept can be produced. We will present the results of our effort to develop a deterministic model for predicting and simulating pollen emission and downwind concentration to study details or phenology and meteorology and their dependencies, and the promise of a credible real time forecast system to support public health and agricultural science and service. Previous studies have been done with PHAiRS research, the use of NASA data, the dust model and the PHAiRS potential to improve public health and environmental services long into the future.

Luvall, Jeffrey C.↗

Hilo Bay Water Resources: Monitoring Water Quality in Hilo Bay, Hawaii to Support Future Community Planning

Designated as an impaired body of water by both state and federal water quality standards, Hilo Bay, Hawaiʻi is highly susceptible to brown water, a condition where the water becomes murky and is associated with excess levels of bacteria, contaminants, and nutrients. A breakwater in Hilo Bay, which was established to protect Hilo town from tsunamis, interferes with water circulation and prolongs the presence of brown water in the bay. The State of Hawaiʻi issues brown water advisories (BWAs) following flash flood warnings, sewage spills, and other events to indicate a public health concern for those who use Hilo Bay for recreation, cultural purposes, and fishing. Due to the elevated public health risk and ecosystem disturbance that brown water poses to Hilo Bay, we partnered with the Hawaiʻi County Office of Sustainability, Climate, Equity, and Resilience (OSCER) to examine the feasibility of using Earth observations (EO) to monitor water quality in the Hilo Bay region. We leveraged data from Sentinel-2 Multispectral Instrument (MSI), Landsat 8 Operational Land Imager (OLI), Landsat 9 OLI-2, and Aqua and Terra Moderate Resolution Imagine Spectroradiometer (MODIS) instruments to identify and assess spatial and temporal patterns of two main water quality parameters, turbidity and chlorophyll-a, during BWAs. We used the Optical Reef and Coastal Area Assessment (ORCAA) tool in Google Earth Engine to process EO data and generate water quality maps and time series. Our study found that increased turbidity levels can be identified by EO data during BWAs. In addition, our map products indicated the presence of several turbidity plumes along the coast, with the highest concentration of turbidity found within Hilo Bay. While chlorophyll-a levels were relatively flat within our study region during BWAs, we found that regional chlorophyll-a patterns could be derived from MODIS chlorophyll-a data in NASA Worldview. Our study’s multi-sensor approach provided valuable insights for how water quality in the Hilo Bay region can be monitored in the future.

remote sensing↗

Role of climate goals and clean-air policies on reducing future air pollution deaths in China: a modelling study

Over 3 million people still die every year from diseases caused by exposure to outdoor PM 2.5 air pollution, and more than a quarter of these premature deaths occur in China. In addition to clean air policies that target pollution emissions, climate policies aimed at reducing fossil-fuel CO 2 emissions (e.g., to avoid 1.5°C of warming) may also dramatically improve air quality and public health. Yet there has been no comprehensive accounting of public health outcomes under different energy pathways and local clean air management decisions in China. In particular, further research is needed to understand the relationships among climate and clean air polices and future health burdens in China, where an aging population will further exacerbate the impacts of air pollution. Using a China-focused integrated assessment model (GCAM-China) and a dynamic emission projection model (DPEC), we project future Chinese air quality in scenarios spanning a range of global climate targets (i.e. 1.5°0C, 2°C, NDC, unambitious, baseline, and 4.5°C) as well as national clean air actions (i.e. 2015-pollution, current-pollution, and ambitious-pollution). We then evaluate the health impacts of PM2·5 air pollution of scenario matrix using the chemical transport model WRF-CMAQ and the latest epidemiological concentration–response (C-R) functions (i.e. GBD2019). We find that, without ambitious climate mitigation (e.g., under current NDC pledges), Chinese deaths related the PM2.5 air pollution do not substantially decrease—and often grow—by mid-century, regardless of clean air policies and air quality improvements. For example, in scenarios that track China’s current NDC pledge and deploy best-available pollution control technologies, PM 2.5 -related deaths in China decrease slightly by 2030 (to 1.2 million per year) but no further by mid-century (Ambitious-pollution-NDC-goals; 1.2 million deaths in 2050) despite substantial and continuous improvements in population-weighted air quality (27.2 to 16.0 µg/m 3 from 2030 to 2050). The contrary trends of improving air quality and increasing PM 2·5 -related deaths in many of our scenarios reveals the extent to which extra efforts are needed to compensate for the established fact of increasing age of China’s population in future. Substantial decreases in China’s PM 2.5 -related deaths and age-standardized death rates (e.g., decreasing by 0.3–0.5 million deaths and 10.2–14.2 per 100,000 population age-standardized death rates per year) thus require the sort of large-scale transition in energy sources entailed by scenarios that meet international climate goals to avoid 1.5°C and 2°C of warming (Ambitious-pollution-2°C- and 1.5°C-goals).

58 GEOSCIENCES↗

Using GES DISC Data to Study Kilauea Volcano of 2018

Kilauea volcano in Hawaii which erupted in early May 2018 injected massive amount of SO2 and ash into the atmosphere. The lava flow during the eruption destroyed many home and neighborhoods. The SO2 plume during the eruption of Kilauea volcano is analyzed from May to August 2018 using multiple satellite products such as Level 2 TROPspheric Monitoring Instrument (TROPOMI) and Level 3 Ozone Monitoring Instrument (OMI) from the NASA Goddard Earth Sciences Data and Information Services Center (GES DISC). GES DISC hosts multi-disciplinary Earth science data sets that can be used to analyze natural disasters, such as the Kilauea volcano. Additionally, GES DISC's Giovanni tool can be used to visualize these data. We acquired OMI through the subsetting function, which is processed by the GES DISC in-house developed backend software Level3/4 Regrider and Subsetter (L34RS) and TROPOMI using OPeNDAP.Data from the OMI OMSO2e product showed elevated levels of SO2 amounts during the eruption between May to August 2018. Similarly, ground-based stations at Hawaii Volcanoes National Park recorded higher SO2 concentrations during the same time period. This study uses wind direction from Modern-Era Retrospective analysis for Research and Applications, version 2 (MERRA-2) to analyze the transport and dispersion of SO2 plume and map lava flows from the volcano using thermal images from Visible Infrared Imaging Radiometer Suite (VIIRS). Furthermore, satellite observations combined with socioeconomic and public health data are used to analyze its impact in public health.

KC, Binita↗