Mineral dust aerosols exert a significant effect on both solar and terrestrial radiation. By absorbing and scattering, the solar radiation aerosols reduce the amount of energy reaching the surface. In addition, aerosols enhance the greenhouse effect by absorbing and emitting outgoing longwave radiation. Desert dust forcing exhibits large regional and temporal variability due to its short lifetime and diverse optical properties, further complicating the quantification of the direct radiative effect (DRE). The complexity of the links and feedbacks of dust on radiative transfer indicate the need for an integrated approach in order to examine these impacts. In order to examine these feedbacks, the SKIRON limited area model has been upgraded to include the RRTMG (Rapid Radiative Transfer Model – GCM) radiative transfer model that takes into consideration the aerosol radiative effects. It was run for a 6 year period. Two sets of simulations were performed, one without the effects of dust and the other including the radiative feedback. The results were first evaluated using aerosol optical depth data to examine the capabilities of the system in describing the desert dust cycle. Then the aerosol feedback on radiative transfer was quantified and the links between dust and radiation were studied. The study has revealed a strong interaction between dust particles and solar and terrestrial radiation, with several implications on the energy budget of the atmosphere. A profound effect is the increased absorption (in the shortwave and longwave) in the lower troposphere and the induced modification of the atmospheric temperature profile. These feedbacks depend strongly on the spatial distribution of dust and have more profound effects where the number of particles is greater, such as near their source.

Urban areas in Europe are facing a range of environmental public health challenges, such as air pollution, traffic noise and road injuries. The identification and quantification of the public health risks associated with exposure to environmental conditions is important for prioritising policies and interventions that aim to diminish the risks and improve the health of the population. With this purpose in mind, the EURO-HEALTHY project used a consistent approach to assess the impact of key environmental risk factors and urban environmental determinants on public health in European metropolitan areas. A number of environmental public health indicators, which are closely tied to the physical and built environment, were identified through stakeholder consultation; data were collected from six European metropolitan areas (Athens, Barcelona, Lisbon, London, Stockholm and Turin) covering the period 2000-2014, and a health impact assessment framework enabled the quantification of health effects (attributable deaths) associated with these indicators. The key environmental public health indicators were related to air pollution and certain urban environmental conditions (urban green spaces, road safety). The air pollution was generally the highest environmental public health risk; the associated number of deaths in Athens, Barcelona and London ranged between 800 and 2300 attributable deaths per year. The number of victims of road traffic accidents and the associated deaths were lowest in the most recent year compared with previous years. We also examined the positive impacts on health associated with urban green spaces by calculating reduced mortality impacts for populations residing in areas with greater green space coverage; results in Athens showed reductions of all-cause mortality of 26 per 100,000 inhabitants for populations with benefits of local greenspace. Based on our analysis, we discuss recommendations of potential interventions that could be implemented to reduce the environmental public health risks in the European metropolitan areas covered by this study.

The different geographical contexts seen in European metropolitan areas are reflected in the uneven distribution of health risk factors for the population. Accumulating evidence on multiple health determinants point to the importance of individual, social, economic, physical and built environment features, which can be shaped by the local authorities. The complexity of measuring health, which at the same time underscores the level of intra-urban inequalities, calls for integrated and multidimensional approaches. The aim of this study is to analyse inequalities in health determinants and health outcomes across and within nine metropolitan areas: Athens, Barcelona, Berlin-Brandenburg, Brussels, Lisbon, London, Prague, Stockholm and Turin. We use the EURO-HEALTHY Population Health Index (PHI), a tool that measures health in two components: Health Determinants and Health Outcomes. The application of this tool revealed important inequalities between metropolitan areas: Better scores were found in Northern cities when compared with their Southern and Eastern counterparts in both components. The analysis of geographical patterns within metropolitan areas showed that there are intra-urban inequalities, and, in most cities, they appear to form spatial clusters. Identifying which urban areas are measurably worse off, in either Health Determinants or Health Outcomes, or both, provides a basis for redirecting local action and for ongoing comparisons with other metropolitan areas.