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Little is known about the main sources of ambient particulate matter (PM) in the 22 Eastern Mediterranean Region (EMR) countries. We designed this study to systematically review all published and unpublished source apportionment (SA), identification and characterization studies as well as emission inventories in the EMR. Of 440 articles identified, 82 (11 emission inventory ones) met our inclusion criteria for final analyses. Of 22 EMR countries, Iran with 30 articles had the highest number of studies on source specific PM followed by Pakistan (n = 15 articles) and Saudi Arabia (n = 8 papers). By contrast, there were no studies in Afghanistan, Bahrain, Djibouti, Libya, Somalia, Sudan, Syria, Tunisia, United Arab Emirates and Yemen. Approximately 72% of studies (51) were published within a span of 2015-2021.48 studies identified the sources of PM and its constituents. Positive matrix factorization (PMF), principal component analysis (PCA) and chemical mass balance (CMB) were the most common approaches to identify the source contributions of ambient PM. Both secondary aerosols and dust, with 12-51% and 8-80% (33% and 30% for all EMR countries, on average) had the greatest contributions in ambient PM. The remaining sources for ambient PM, including mixed sources (traffic, industry and residential (TIR)), traffic, industries, biomass burning, and sea salt were in the range of approximately 4-69%, 4-49%, 1-53%, 7-25% and 3-29%, respectively. For PM, the most dominant source was dust with 7-95% (49% for all EMR countries, on average). The limited number of SA studies in the EMR countries (one study per approximately 9.6 million people) in comparison to Europe and North America (1 study per 4.3 and 2.1 million people respectively) can be augmented by future studies that will provide a better understanding of emission sources in the urban environment.
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http://dx.doi.org/10.1016/j.envpol.2022.119889 | DOI Listing |
Cureus
August 2025
Medical Oncology, The Gujarat Cancer and Research Institute, Ahmedabad, IND.
Introduction Chronic myelogenous leukemia (CML) in pediatric and adolescent populations is relatively rare. The present study provides an integrated approach to evaluate the impact of molecular and cytogenetic response on long-term outcomes in these populations by incorporating demographic factors and hematological parameters, and to explore their clinical relevance in resource-limited settings. Material and methods A retrospective analysis was conducted on patients <18 years with newly diagnosed CML from January 2014 to December 2023 at the Gujarat Cancer and Research Institute in India.
View Article and Find Full Text PDFBMC Public Health
September 2025
Research Institute for Sustainable Development (IRD) EMR 271, University of Bordeaux, National Institute for Health and Medical Research (INSERM), UMR 1219, Bordeaux Population Health Research Centre, Bordeaux, France.
Background: Malaria remains a major health challenge in sub-Saharan Africa, especially for children under five. The World Health Organization (WHO) recommends perennial malaria chemoprevention (PMC) to children in areas of medium to high perennial transmission. In Togo, since 2022, a pilot project has leveraged the Expanded Program on Immunization (EPI) to deliver PMC to children under two years; however, the extent to which PMC achieves its desired outcome may depend on EPI performance.
View Article and Find Full Text PDFEast Mediterr Health J
August 2025
World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Background: Diabetes poses an increasing public health and economic challenge in the Eastern Mediterranean Region (EMR), yet its full financial impact across the region remains poorly quantified.
Aim: To estimate the economic burden of diabetes, including direct and indirect costs, in the 22 EMR countries and territories.
Methods: A prevalence-based approach was used to estimate the annual direct and indirect costs of diabetes in the EMR from 2023 to 2050.
East Mediterr Health J
August 2025
Regional Director, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Cholera, an age-old disease driven by poverty, poor sanitation and insufficient access to clean water, remains a major public health concern in the WHO Eastern Mediterranean Region (EMR). In January 2023, WHO declared cholera a Grade 3 global public health emergency, requiring organization-wide support and response. In 2024, 8 EMR countries reported 597 026 cholera cases and 2403 deaths, including acute watery diarrhoea (AWD) cases reported in Afghanistan, contributing to almost 74% of the global cholera burden.
View Article and Find Full Text PDFF1000Res
August 2025
Department of Computer Science, College of Sciences and Humanities, Prince Sattam bin Abdulaziz University, Al Kharj, Riyadh Province, 16700, Saudi Arabia.
Objectives: This study aimed to examine health security (HeS) patterns across European Union (EU) member states to address intra-regional disparities in health security, align with EU-wide policy objectives, and propose evidence-based recommendations for harmonizing preparedness measures while respecting national sovereignty.
Methods: This research employed a hybrid multi-criteria decision-making framework, combining the Entropy Weight Method and Combined Compromise Solution (CoCoSo), to assess and rank EU countries, drawing on six Global Health Security Index indicators. K-means clustering classified countries into three performance tiers: High, Intermediate, and Dangerous.