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Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review

Purpose of Review: The Southern African Development Community (SADC) faces high poverty and pollution levels, with nearly half of urban residents living in informal settlements. Research on air pollution's impact on COVID-19 in SADC is limited. This review explored how pollutants like fine particula...

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Main Author: Banwari, Aleya
Other Authors: Rother, Hanna-Andrea
Format: Thesis
Language:English
English
Published: Department of Public Health and Family Medicine 2025
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access_status_str Open Access
author Banwari, Aleya
author2 Rother, Hanna-Andrea
author_browse Banwari, Aleya
Rother, Hanna-Andrea
author_facet Rother, Hanna-Andrea
Banwari, Aleya
author_sort Banwari, Aleya
collection Thesis
description Purpose of Review: The Southern African Development Community (SADC) faces high poverty and pollution levels, with nearly half of urban residents living in informal settlements. Research on air pollution's impact on COVID-19 in SADC is limited. This review explored how pollutants like fine particulate matter (PM₂.₅), nitrogen dioxide (NO₂), and household air pollutants (HAP) affect COVID-19 severity. We examined outdoor and indoor exposures, noting that solid fuels and poor ventilation increase respiratory risks in low-income communities. We identified key pollutants, proposed mitigation strategies, highlighted knowledge gaps, and made recommendations for air quality management during and after pandemics. Recent Findings: Of 331 studies, 19 met eligibility criteria, with 11 from SADC countries like South Africa, Zimbabwe, and Zambia. Findings indicate that prolonged exposure to PM₂.₅ and NO₂ harms lung function, worsens asthma and chronic obstructive pulmonary disease (COPD), and increases COVID-19 hospitalisations and mortality. In many SADC informal settlements, poorly built structures limit ventilation, and burning biomass and paraffin indoors increases pollutant levels. Lockdowns may have reduced outdoor pollution, but indoor pollution increased, particularly harming vulnerable groups. Limited data from rural and low-income areas hinders thorough assessments of pollution-related health risks and the creation of effective, tailored policies. Summary: The interplay of air pollution, socio-economic inequalities, and constrained healthcare capacity intensifies COVID-19 outcomes in the SADC region. To address these intertwined challenges, urgent cleaner energy transitions, enhanced air quality monitoring, and strategies to reduce household pollution are needed. Stronger local research will support evidence-based policymaking, strengthening public health and pandemic resilience.
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institution University of Cape Town (South Africa)
language English
eng
last_indexed 2026-06-10T12:34:06.076Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2025
publishDateRange 2025
publishDateSort 2025
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spelling oai:open.uct.ac.za:11427/42176 Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review Banwari, Aleya Rother, Hanna-Andrea Jagarnath, Meryl Air Pollution COVID-19 Outcomes Household Air Pollution (HAP) PM2.5 SADC Air Pollution Interventions Environmental Health Disparities Purpose of Review: The Southern African Development Community (SADC) faces high poverty and pollution levels, with nearly half of urban residents living in informal settlements. Research on air pollution's impact on COVID-19 in SADC is limited. This review explored how pollutants like fine particulate matter (PM₂.₅), nitrogen dioxide (NO₂), and household air pollutants (HAP) affect COVID-19 severity. We examined outdoor and indoor exposures, noting that solid fuels and poor ventilation increase respiratory risks in low-income communities. We identified key pollutants, proposed mitigation strategies, highlighted knowledge gaps, and made recommendations for air quality management during and after pandemics. Recent Findings: Of 331 studies, 19 met eligibility criteria, with 11 from SADC countries like South Africa, Zimbabwe, and Zambia. Findings indicate that prolonged exposure to PM₂.₅ and NO₂ harms lung function, worsens asthma and chronic obstructive pulmonary disease (COPD), and increases COVID-19 hospitalisations and mortality. In many SADC informal settlements, poorly built structures limit ventilation, and burning biomass and paraffin indoors increases pollutant levels. Lockdowns may have reduced outdoor pollution, but indoor pollution increased, particularly harming vulnerable groups. Limited data from rural and low-income areas hinders thorough assessments of pollution-related health risks and the creation of effective, tailored policies. Summary: The interplay of air pollution, socio-economic inequalities, and constrained healthcare capacity intensifies COVID-19 outcomes in the SADC region. To address these intertwined challenges, urgent cleaner energy transitions, enhanced air quality monitoring, and strategies to reduce household pollution are needed. Stronger local research will support evidence-based policymaking, strengthening public health and pandemic resilience. 2025-11-11T09:41:57Z 2025-11-11T09:41:57Z 2025 2025-11-11T09:31:47Z Thesis / Dissertation Masters MPH http://hdl.handle.net/11427/42176 en eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Air Pollution
COVID-19 Outcomes
Household Air Pollution (HAP)
PM2.5
SADC Air Pollution Interventions
Environmental Health Disparities
Banwari, Aleya
Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review
thesis_degree_str Master's
title Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review
title_full Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review
title_fullStr Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review
title_full_unstemmed Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review
title_short Impacts of outdoor and indoor air pollution on COVID-19 health outcomes and interventions in the Southern African development community region: a scoping review
title_sort impacts of outdoor and indoor air pollution on covid 19 health outcomes and interventions in the southern african development community region a scoping review
topic Air Pollution
COVID-19 Outcomes
Household Air Pollution (HAP)
PM2.5
SADC Air Pollution Interventions
Environmental Health Disparities
url http://hdl.handle.net/11427/42176
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