Amy M. Lavery | Geology Reports

USGS2026

Cyanobacterial bloom occurrence and emergency department visits for asthma or wheeze, Wisconsin, 2017–2019

Background: Cyanobacterial harmful algal blooms (cyanoHABs) pose risks to human and animal health. Methods: We investigated the relationship between cyanoHABs and asthma or wheeze-related emergency department (ED) visits near three Wisconsin cities (Green Bay, Madison, and Oshkosh) during 2017–2019. CyanoHAB exposure was approximated using the Cyanobacterial Assessment Network remotely sensed satellite indicator of cyanobacterial biomass, a chlorophyl algorithm (Chl BS ) aggregated by water-adjacent ZIP Code Tabulation Areas (ZCTA), and distance weighted from the nearest waterbody. Weekly counts of ED visits for asthma or wheeze were aggregated by ZCTA. Poisson generalized linear models estimated the association between the weekly number of ED visits and weekly Chl BS, adjusting for maximum temperature, dewpoint, fine particulate matter (PM 2.5 ), month, and correlation within ZCTA. Results: During 2017–2019, 7,057 ED visits for asthma or wheeze occurred in the study area (42 ZCTAs). Peaks in Chl BS occurred between June and October, with higher values in Lake Winnebago and Lake Mendota compared to Green Bay. Chl BS was not associated with ED visits for asthma or wheeze (adjusted rate ratio = 1.00, 95% confidence interval = 0.99, 1.00), and the presence of onshore winds did not change this result. Monthly aggregations of ED visits and Chl BS showed a monotonic trend between increasing Chl BS and ED visits during July–September. Conclusion: This study demonstrates the utility of remote sensing data in environmental health research. Future studies could explore individual-level exposure and outcomes to refine health risks associated with cyanoHABs.

Wisconsin↗

USGS2024

Assessing the relationship between cyanobacteria blooms and respiratory-related hospital visits: Green Bay, Wisconsin 2017–2019

Potential acute and chronic human health effects associated with exposure to cyanobacteria and cyanotoxins, including respiratory symptoms, are an understudied public health concern. We examined the relationship between estimated cyanobacteria biomass and the frequency of respiratory-related hospital visits for residents living near Green Bay, Lake Michigan, Wisconsin during 2017–2019. Remote sensing data from the Cyanobacteria Assessment Network was used to approximate cyanobacteria exposure through creation of a metric for cyanobacteria chlorophyll-a (Chl BS ). We obtained counts of hospital visits for asthma, wheezing, and allergic rhinitis from the Wisconsin Hospital Association for ZIP codes within a 3-mile radius of Green Bay. We analyzed weekly counts of hospital visits versus cyanobacteria, which was modelled as a continuous measure (Chl BS ) or categorized according to World Health Organization's (WHO) alert levels using Poisson generalized linear models. Our data included 2743 individual hospital visits and 114 weeks of satellite derived cyanobacteria biomass indicator data. Peak values of Chl BS were observed between the months of June and October. Using the WHO alert levels, 60% of weeks were categorized as no risk, 19% as Vigilance Level, 15% as Alert Level 1, and 6% as Alert Level 2. In Poisson regression models adjusted for temperature, dewpoint, season, and year, there was no association between Chl BS and hospital visits (rate ratio [RR] [95% Confidence Interval (CI)] = 0.98 [0.77, 1.24]). There was also no consistent association between WHO alert level and hospital visits when adjusting for covariates (Vigilance Level: RR [95% CI] 0.88 [0.74, 1.05], Alert Level 1: 0.82 [0.67, 0.99], Alert Level 2: 0.98 [0.77, 1.24], compared to the reference no risk category). Our methodology and model provide a template for future studies that assess the association between cyanobacterial blooms and respiratory health.

Wisconsin↗