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RESEARCH ARTICLE - OPEN ACCESS
International Journal Of Medicine And Healthcare Reports
International Journal Of Medicine And
Healthcare Reports
Contents lists available at bostonsciencepublishing.us
1
*	 Corresponding author.
Luisetto M, IMA academy Marijnskaya Natural Science
Branch Italy 29121
E-mail address: maurolu65@gmail.com
1. Introduction
Related actual spread of so called BRASILIAN VARIANT COVID-19 in
region of MANAUS and to its specific mortality rate and velocity in diffu-
sion it is interesting to observe the impact of some phenomena like air
pollution due by also deforestation and fraudulent fire. Researchers find
very high rates of COVID-19 in the Brazilian Amazon ( dec 2020):univer-
sity of Oxford news. “By testing approximately 1,000 blood donation
samples each month in in the Brazilian -cities of São Paulo and Manaus,
an international team of researchers have shown that, while both cities
have experienced large epidemics of COVID-19 with high -mortality, as
much as three-quarters of the population in Manaus was infected be-
tween March - October, and a third of the population in São Paulo.
According Healthcare & Pharma, May 8, 2020. As deaths mount in
Deforestation, Air Pollution And Brasiliant Covid-19 Variant
Luisetto M *1
, Naseer Almukthar 2
, Khaled Edbey 3
, Fiazza C 4
, Ahmed Yesvi Rafa 5
,
Ghulam Rasool Mashori 6
, Latishev O. Yurevich 7
1
IMA academy Marijnskaya Natural Science Branch Italy-29121
2
Professor, Department of Physiology /College of Medicine, University of Babylon, Iraq
3
Professor University of Benghazi Dep. of Chemistry
4
Medical pharmacologist, Independent Researcher PC, Italy
5
Founder and President, Yugen Research Organization; Undergraduate Student, Western Michigan University, MI, USA-49008
6
Department of Medical & Health Sciences for Woman, Peoples University of Medical and Health Sciences for Women, Pakistan
7
IMA Academy President, RU
Brazil’s Amazon, official COVID-19 toll under scrutinyBy Jake Spring,
Eduardo Simões, Bruno Kelly: The largest of 9 states in Brazil’s Amazon
rainforest, Amazonas has registered nearly 19.4 coronavirus- deaths per
100,000 residents, compared to 4.4 for all of Brazil, according to a Reu-
ters-calculation based on the death toll released by the federal Health-
Ministry on Thursday. The corona virus COVID-19 killed 422 people in
Amazonas in April, according to the ministry. Yet death registry data
from public -notaries indicates the ministry’s statistics may far underes-
timate the actual toll.”
The Guardian, Jan 2021:
Covid-19 eruption in Brazil’s largest state leaves health work-
ers begging for help. Amazonas, and particularly its riverside- capital
Manaus, were pummeled by the epidemic’s first- wave last April, when
authorities were forced to dig mass graves for victims” And from: Mon-
itoring air pollution from fires 09/09/2019
ESA / Applications / Observing the Earth / Copernicus / Sentinel-5P
The wildfires that have been devastating the Amazon- rainforest
Article history:
Received 15 January 2021
Accepted 10 Febraury 2021
Revised 17 Febraury 2021
Available online 22 February 2021
© 2021, . Luisetto M. This is an open-access article distributed under the terms of the Creative Commons
Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any
medium, provided the original author and source are credited
A R T I C L E I N F O
Keywords:
Environmental toxicology
Air pollution
Deforestation
Atmospheric Chemistry
Climate condition
COVID-19
Corona Virus
Brasilian Variant
mortality rate
Velocity of diffusion
Immune system evasion
A B S T R A C T
Aim of this work is to submit to the researcher the relationship whit climate condition, air pollution
and deforestation in MANAUS zone in BRAZIL and the rapid spread of so called BRASILIAN COVID-19
VARIANT. Also other situation area analized like south Africa variant. This topics of research make
possible to better study the phenomena of new Covid-19 VARIANT explosion And related effect on
increase velocity in spread and in increased mortality rate in some region of the world. The ability of
this variant to elude immune system need to seek also in environmental toxicology some Response.
2
RESEARCH ARTICLE - OPEN ACCESS
Luisetto M et al. / International Journal Of Medicine And Healthcare Reports
Luisetto
M,
Naseer
Almukthar,
Khaled
Edbey,
Fiazza
C,
Ahmed
Yesvi
Rafa,
Ghulam
Rasool
Mashori,
Latishev
O.
Yurevich
(2021)
Deforestation,
Air
Pollution
And
Brasiliant
Covid-19
Variant.
Int
J
Med
Healthcare
Rep,
1(1);
1-7
have been international headline news over the last weeks. These fires
are not only an environmental tragedy in terms of lost forest and biodi-
versity, but they are also leaving their mark on the atmosphere, affect-
ing air- quality and, potentially, the global- climate.
The satellite -carries the state-of-the-art Tropomi instrument to map
a multitude of trace gases such as nitrogen dioxide, ozone, formalde-
hyde, sulphur dioxide, methane, carbon- monoxide and aerosols – all of
which affect the air we breathe.
It is really interesting that in this region it is observed a great and
rapid diffusion of covid-19 NEW VARIANT Whit great influence in public
heath of population.
Form website :https://www.attoproject.org/about-atto/location/
ATTO - Amazon Tall Tower Observatory
Earth system research in the Amazon rainforest
“In this part of the world, the predominant wind- direction is North-
East, due to trade winds blowing from the Atlantic Ocean. This puts
ATTO upwind from Manaus and its air- pollution. Air masses reaching
the site from to the North-East are near-pristine, mainly unaffected by
human activities. The closest cities in that direction are Santarém and
Belém, at distances of 500 and 900 km away. The rest of the area is cov-
ered in rainforest. But this is only true during the wet- season.
During the dry- season, the wind direction shifts more often to East
and South-East. Air masses from this direction pass over agricultural
-areas and regions more affected by deforestation. Additionally, this is
the time of year when the frequency of natural and man-caused fires
increases. Thus, the wind brings more pollutants to ATTO.
These contrasting regimes allow us to compare a near-pristine at-
mosphere to one notably influenced by human- activity.”
According article: Air Pollution (S Wu, Section Editor) 24 May 2015
Fire Influences on Atmospheric Composition, Air Quality and Climate.
Apostolos Voulgarakis & Robert D. Field Current Pollution Reports.
Fires can have wide-ranging effects on surface ai-r quality, both in
the tropics and extra-tropics (see earlier section). In general, health ef-
fects of key anthropogenic pollutants such as particulate- matter (i.e.
aerosols) and ozone have been investigated extensively, with some
studies even documenting global- effects.
There are both gaseous and aerosol- emissions from fires and asso-
ciated biomass burning. Carbon- dioxide (CO2
), carbon monoxide (CO),
nitrogen oxides (NOx
) and non-methane volatile organic compounds
(NMVOCs
) are the most important emitted- gases, while black carbon
(BC) and organic carbon (OC) are the most important aerosol- species.
CO2
emissions can have important implications for CO2
concentrations
and understanding the carbon- cycle but do not directly affect atmo-
spheric chemistry or contribute to air quality degradation. Other car-
bonaceous- emissions (BC, OC, CO, NMVOCs
and methane (CH4
), for
which biomass burning is only a minor source) and NOx
can be import-
ant for both air pollution/chemistry and climate. NOx
, NMVOCs
, CO and
methane are important precursors of tropospheric -ozone, which is a
secondary- pollutant and is not directly emitted by fires. For the Bra-
Figure 1: Brazil Situation
Figure 2: Fire in Amazon Forest From NASA
3
RESEARCH ARTICLE - OPEN ACCESS
Luisetto M et al. / International Journal Of Medicine And Healthcare Reports
Luisetto
M,
Naseer
Almukthar,
Khaled
Edbey,
Fiazza
C,
Ahmed
Yesvi
Rafa,
Ghulam
Rasool
Mashori,
Latishev
O.
Yurevich
(2021)
Deforestation,
Air
Pollution
And
Brasiliant
Covid-19
Variant.
Int
J
Med
Healthcare
Rep,
1(1);
1-7
Figure 3: Amazon Deforestation
Figure 4: Deforestation south America
Figure 5: Amazon Forest Fire
Figure 6: Amazon Fire
Figure 7: Amazon Forest Fire
Figure 8: MANAUS pollution system This phenomenon affects cloud
production and rainfall, with consequences for the local and global-
climate, which researchers have warned about in the study published
in Nature- Communications (image: Nature Communications)
zilian Amazon, using surface in situ measurements, it was found that
concentrations of submicron aerosols reached 100 μg m−3 during bio-
mass burning events in September/October 2012, with organic -aerosols
largely dominating the aerosol mass.
2. Material and Methods
With an observational and visual methods some maps and figure
are submitted to the researcher in order to show relationship if present
between some air pollution condition , deforestation of amazon and the
rapid spread of BRASILIAN COVID-19 NEW VARIANT. A scientific litera-
ture search is performed to list article of interest for the scope of this
work. All publications comes from scientific database or other relevant
publishers. It is also submitted an RESEARCH PROJECT as instrument
to verify the hypotesys under investigation and relationship. After this
phases a global conclusion is produced.
4
RESEARCH ARTICLE - OPEN ACCESS
Luisetto M et al. / International Journal Of Medicine And Healthcare Reports
Luisetto
M,
Naseer
Almukthar,
Khaled
Edbey,
Fiazza
C,
Ahmed
Yesvi
Rafa,
Ghulam
Rasool
Mashori,
Latishev
O.
Yurevich
(2021)
Deforestation,
Air
Pollution
And
Brasiliant
Covid-19
Variant.
Int
J
Med
Healthcare
Rep,
1(1);
1-7
3. Results
From literature:
According to an article on the study published in Nature -Commu-
nications, urban -pollution results in an average increase of 200% in the
formation of secondary organic- aerosols, with spikes of up to 400%.
FAPESP supported the study as part of the Green- Ocean Amazon Ex-
periment (GOAmazon) and a Thematic Project linked to the Research
Program on Global Climate Change (RPGCC). Pollution from Manaus in-
creases the formation of aerosols via the forest itself. NOx emitted from
Manaus increases the levels of OH and ozone (brown- arrows), which
accelerates the oxidation of carbon naturally- emitted by the forest in
the forms of isoprene and terpene (green- arrows). In the absence of
urban pollution, soil emissions of NOx (purple arrows) also drive the
oxidation cycle but at far lower levels. [1].
Manish Shrivastava, et al., One of the least understood aspects in at-
mospheric -chemistry is how urban- emissions influence the formation
of natural organic- aerosols, which affect Earth’s energy budget. The
Amazon rainforest, during its wet season, is one of the few remaining
places on Earth where atmospheric- chemistry transitions between pre-
industrial and urban-influenced conditions. Here, we integrate insights
from several laboratory measurements and simulate the formation of
secondary -organic aerosols (SOA) in the Amazon using a high-reso-
lution chemical transport model. Simulations show that emissions of
nitrogen-oxides from Manaus, a city of ~2 million people, greatly en-
hance production of biogenic SOA by 60–200% on average with peak-
enhancements of 400%, through the increased oxidation of gas-phase
organic carbon- emitted by the forests. Simulated enhancements agree
with aircraft measurements, and are much larger than those reported
over other locations. The implication is that increasing anthropogenic-
emissions in the future might substantially enhance biogenic- SOA in
pristine locations like the Amazon [2].
Researchers from Imperial’s COVID-19 Response Team, and a team
of international collaborators found that: 76% population in Manaus be-
came infected with SARS-CoV-2 between March and October- 2020. In
contrast, they find that 29% became infected in São- Paulo, the first city
detecting SARS-CoV-2 circulation in Latin-America [3].
This variant, known as P.1 or VOC202101/02 in the UK, was first
detected in travellers from Brazil who arrived in Japan in January 2021.
It involves 17 unique amino acid changes, three deletions, four synon-
ymous -mutations, and one 4nt insertion. It has several mutations that
are known to be biologically- important, including E484K and N501Y.
The N501Y- mutation, which is also a feature of the English- variant,
has been linked to increased infectivity and virulence in mouse mod-
els. Mean while, the E484K mutation is thought to be associated with
escape from the neutralizing- antibodies produced by the body against
SARS-CoV-2.3 This mutation is present in the South- African variant as
well [4].
Since the emergence of the coronavirus disease 2019 (COVID-19), a
few cases of reinfection with phylogenetically distinct variants of SARS-
CoV-2 have been reported . These re-infection cases might be the conse-
quence of a limited and transitory protective immunity induced by the
primo-infection or might reflect the reinfecting virus’s ability to evade
the previous immune- responses. The rapid -spread in the United King-
dom and South Africa of emerging SARS-CoV-2 variants carrying several
mutations in the receptor-binding domain (RBD) of the spike (S) protein
(2,3) granting them the title of Variants of Concern (VOC). Among these
mutations, E484K and N501Y are of particular concern since they po-
tentially- reduce antibody neutralization and increase affinity for ACE2
receptor (4-10). Of note, the first official record of a reinfection case
with the emerging VOC B.1.1.7 circulating in the UK was recently pub-
lished [5].
The P.1 variant has so far only been identified in Brazil, and in trav-
ellers from Brazil (mostly from the Amazonas- State) reported in Japan
and South- Korea. The capital of Amazonas, Manaus, is currently expe-
riencing an upsurge in COVID-19 cases, putting significant pressure on
the healthcare- system.
ECDC assesses the probability of the introduction and community-
spread of variants of concern in the EU/EEA as very high due to their
increased- transmissibility. Such an increased transmissibility is likely
to lead to an increased number of infections. This, in turn, is likely to
lead to higher hospitalisation and death rates across all age-groups, but
particularly for those in older- age groups or with co-morbidities. Con-
sequently, stricter NPIs are needed to reduce transmission and relieve
the pressure on healthcare -systems. Therefore, the impact of introduc-
tion and community spread is considered to be high. The overall risk
associated with the introduction and community- spread of variants of
concern is therefore assessed as being high/very high [6].
Fire incidence increased by 36% during the 2015 drought compared
to the preceding 12 years. The 2015 drought had the largest ever- ratio
of active fire counts to de-forestation, with active fires occurring over
an area of 799,293 km2
[7].
Oliveira, et al. (2020) and Rocha and Sant’Anna (2020) argue that
the fires from the increasing deforestation, combined with the drought
and wild-fires, worsens respiratory-health risks, including the COVID-19
cases, increasing the demand for health-services and the locomotion
to cities [8].
Gabriel de Oliveira, a post-doctoral researcher with Professor Jing-
Chen in the department of geography and planning in the University
of Toronto’s Faculty of Arts & Science, says breathing- difficulties and
respiratory challenges brought on by the coronavirus are being exacer-
bated by the ecological crisis that had been developing in the Amazon
over several- years [9].
Figure 9: COVID. CASES BRAZIL sept 2020
Figure 10: Deforestation and Covid-19 cases Amazon
5
RESEARCH ARTICLE - OPEN ACCESS
Luisetto M et al. / International Journal Of Medicine And Healthcare Reports
Luisetto
M,
Naseer
Almukthar,
Khaled
Edbey,
Fiazza
C,
Ahmed
Yesvi
Rafa,
Ghulam
Rasool
Mashori,
Latishev
O.
Yurevich
(2021)
Deforestation,
Air
Pollution
And
Brasiliant
Covid-19
Variant.
Int
J
Med
Healthcare
Rep,
1(1);
1-7
Deforestation is a powerful and consistent variable in explaining the
transmission of COVID-19coronavirus to Indigenous populations [10].
- the megacity and the Highveld hotspot - and compared them with
the satellite-based NO2
observations. Results show that the Highveld
hotspot is accompanied by a second- hotspot over the megacity, which
is of significance for the more than 10 million people living in this me-
ga-city [14].
The paper was recently published in Atmospheric Chemistry and
Physics and is available Open Access: 10.5194/acp-19-7973-2019.
Black -carbon is an air pollutant that is harmful to human- health
and also contributes to global- warming. It is emitted in combustion
processes, for example in industry, power- plants and diesel engines,
through the burning of wood and waste, and in wildfires in forest and
grassland areas. In southern- Africa, the Johannesburg/Pretoria Metro-
politan -Area is particularly affected by air pollution. The main pollution
sources there are coal-fired power plants, open fires and savanna fires
[12].
Fast-Spreading Lineage
Much of the concern centres around a variant that researchers iden-
tified in South -Africa in late 2020. A team led by Tulio de Oliveira, a
bio-informatician at the University of KwaZulu-Natal in Durban, South-
Africa, linked the variant — called 501Y.V2 — to a fast-growing epidem-
ic in Eastern Cape province that has since spread across South- Africa
and into other countries. The lineage carries many mutations in the
SARS-CoV-2 spike protein — the immune- system’s prime target, which
allows the virus to identify and infect host cells — including some
changes linked to weakened antibody -activity against the virus [13].
Globally, numerous pollution- hotspots have been identified using
satellite-based instruments. One of these hot-spots is the prominent
NO2
hotspot over the South- African Highveld. The tropospheric NO2
column density of this area is comparable to that observed for cen-
tral and northern- Europe, eastern North America and south-east Asia.
The most well-known pollution source in this area is a large array of
coal-fired power stations. Upon closer inspection, long-term means of
satellite observations also show a smaller -area, approximately 100 km
west of the Highveld hotspot, with a seemingly less substantial NO2
col-
umn density. This area correlates with the geographical location of the
Johannesburg-Pretoria conurbation or megacity, one of the 40 largest
metropolitan- areas in the world. Ground-based measurements indicate
that NO2
concentrations in the megacity have diurnal- peaks in the early
morning and late afternoon, which coincide with peak traffic hours and
domestic combustion. During these times, NO2
concentrations in the
megacity are higher than those in the Highveld -hotspot. These diurnal
NO2
peaks in the megacity have generally been overlooked by satellite
observations because the satellites have fixed local overpass times that
do not coincide with these peak- periods. Consequently, the importance
of NO2
over the megacity has been underestimated. We examined the
diurnal cycles of NO2
ground-based measurements for the two areas
Figure 11: In the Amazon region, particles from biomass burning and
urban -pollution account for ca. 30 % of all particulate matter, while
the rest comes from biogenic- sources. The team also found a much
higher overall concentration of particulate- matter PM during the dry
season. This is in part because of the increase in particles from anthro-
pogenic- sources. But the amount of particles from biogenic -sources
also increases during that time. But even though the anthropogenic
fraction of particulate matter is relatively low, they absorb much more
light than biogenic- particles do. This, in short, makes the air warmer.
Biogenic particles reflect more light, counteracting the greenhouse ef-
fect to some degree.
Figure 12
Figure 13: UK Air Pollution
Figure 14: UK New Covid -19 Variant Dec. 2020
6
RESEARCH ARTICLE - OPEN ACCESS
Luisetto M et al. / International Journal Of Medicine And Healthcare Reports
Luisetto
M,
Naseer
Almukthar,
Khaled
Edbey,
Fiazza
C,
Ahmed
Yesvi
Rafa,
Ghulam
Rasool
Mashori,
Latishev
O.
Yurevich
(2021)
Deforestation,
Air
Pollution
And
Brasiliant
Covid-19
Variant.
Int
J
Med
Healthcare
Rep,
1(1);
1-7
Form ECDC: “Viruses constantly change through mutation, and so
the emergence of new- variants is an expected occurrence and not in
itself a cause for concern; SARS-CoV-2 is no exception. A diversification
of SARS-CoV-2 due to evolution and adaptation- processes has been ob-
served globally. While most emerging mutations will not have a signifi-
cant- impact on the spread of the virus, some mutationsor combinations
of mutations may provide the virus with a selective -advantage, such as
increasedtransmissibility or the ability to evade the host immune re-
sponse. In such cases, these variants could increasethe risk to human-
health and are considered to be variants of concern.
New- variants of current concernThe United Kingdom has faced a
rapid increase in COVID-19 case rates in the South-East, the East andthe
London- area, which is associated with the emergence of a new SARS-
CoV-2 variant, VOC 202012/01. As of 26 December 2020, more than 3
000 cases of this new- variant, confirmed by genome sequencing, have
beenreported from the UK. An increasing proportion of cases in the
South East, the East and the London- area aredue to this variant, but
cases have also been identified in other parts of the UK. Although it was
first reportedin early December, the initial cases were retrospectively
identified as having emerged in late -September.
Preliminary analyses indicate that the new- variant has increased
transmissibility compared to previously Circulating- variants, but no in-
crease in infection -severity has so far been identified. Since 26 Decem-
ber, a fewVOC 202012/01 cases have also been reported in other EU/
EEA countries (Belgium, Denmark, Finland, France, Germany, Iceland,
Ireland, Italy, the Netherlands, Norway, Portugal, Spain and Sweden)
and globally(Australia, Canada, Hong Kong SAR, India, Israel, Japan, Jor-
dan, Lebanon, South Korea, Switzerland, Singapore). In addition to VOC
202012/01, South Africa has reported another SARS-CoV-2 variant, des-
ignated as 501.V2, which is also of potential concern. This variant was
first observed in samples from October, and since then more than 300
cases with the 501.V2 variant have been confirmed by whole- genome
sequencing (WGS) in South Africa, where it is now the dominant- form
of the virus. Preliminary results indicate that this variant may have an
increased transmissibility. like the VOC 202012/01, at this stage there is
no evidence that 501.V2 is associated with higher- severity of infection.
On 22 December 2020, two geographically separate cases of this new
variant 501.V2 were detected in the UK. Both are contacts of symptom-
atic individuals returning from travel to South -Africa. On 28 December
2020, one additional case of this new variant was detected in Finland in
a returning traveller from South –Africa [15].
According Preprint: Allison J., et al., The evolution of SARS-CoV-2
could impair recognition of the virus by human antibody-mediated
immunity. To facilitate prospective -surveillance for such evolution, we
map how convalescent serum antibodies are impacted by all mutations
to the spike’s receptor-binding domain (RBD), the main target of serum
neutralizing- activity. Binding by polyclonal serum antibodies is affected
by mutations in three main- epitopes in the RBD, but there is substantial
variation in the impact of mutations both among individuals and within
the same individual over time. Despite this inter- and intra-person het-
erogeneity, the mutations that most reduce antibody- binding usually
occur at just a few sites in the RBD’s -receptor binding motif. The most
important site is E484, where neutralization by some sera is reduced
>10-fold by several mutations, including one in emerging viral- lineages
in South Africa and Brazil. Going forward, these serum escape maps can
inform surveillance of SARS-CoV-2 evolution [16].
Experimental Project Hypothesis
In order to verify association between air pollution level and new
covid-19 variant it is crucial to collect epidemiological data related this
virus spread , mortality rate , cases and the data related air pollution.
Period of observation
2020-2021 (first wave, second wave).
Variant to be observed
significant variant responsible of increased spread and mortality
rate (about more then 20- 30%) .
After this epidemiological and environmental toxicology data col-
lection is possible to verify if there is or not a significant correlation.
Another data to be collect is related human factor artificial air pollution
production ( yes or not) in order to verify antropogenic effect.
CHI-Square Statistic Test
Clarification
In this scheme some definition are used: (arbitrary choose by au-
thors)
High air pollution
30, normal level 1
Presence of variant
2, absence: 1
Region High Air Pollution New-COVID Variant
Wuhan yes
North Italy yes
UK South yes Yes
Manaus- Brasil yes Yes
South Africa yes Yes
Table 1
Results
 
South
UK
Manaus
South
Africa
Madagascar
Italy
Great
Isle
Row
Totals
High air
pollution
30
(29.44)
[0.01]
30
(29.44)
[0.01]
30
(29.44)
[0.01]
1 (1.84)
[0.38]
1
(1.84)
[0.38]
92
variant
2
(2.56)
[0.12]
2 (2.56)
[0.12]
2
(2.56)
[0.12]
1 (0.16)
[4.41]
1
(0.16)
[4.41]
8
Column
Totals
32 32 32 2 2
100
(Grand
Total)
The chi-square statistic is 9.9864. The p-value is .040657. The result is
significant at p < .05.
Discussion
From literature it is clear the impact of air pollution in the spread
of COVID-19 especially due by carriers like PM 2,5, PM 10 but also due
by the pro inflammatory effect of some pollutant s in respiratory tract
(NO2
, ozone and other ).
It is also clear that fire and burn in some amazon forest produce an
increase of air pollutants and also CO2 production.
Observing the images related amazon fire and burns, air pollution
in zone like MANAUS and the prevalence of a new variant of COVID -19
need some consideration.
It is possible that some aggravating environmental factors increase
the probability of selection of new covid-19 variant?
To give response in this question it is interesting to observe the new
VARIANT OF covid-19 , the country and region of origin and related air
pollution level ( UK VARIANT, SOUTH AFRICA VARIANT ) .
Conclusion
The high mortality rate in some Brazilian region , the rapid spread
of new dangerous covid-19 variant Must to be studied considering also
the air pollution as modified in last year. Fire that seem artificially pro-
duced. It is possible that great foci of covid -19 spread comes from
great polluted region ? (WU-HAN, North Italy , south Africa and so on).
Observing the maps of air pollution in some region and the related mor-
tality rate make possible to verify if a relationship can be Considered to
explain such epidemiological phenomena.
It interesting to observe the high level of air pollution in region high
affected by new variant ( MANAUS region, UK variant, South AFRICA
variant). Air pollution is recognized as a worsening environmental toxi-
cological factor that affect spread and mortality rate but it is interesting
verify also if it can be a kind of pressure in selecting new variant.
7
RESEARCH ARTICLE - OPEN ACCESS
Luisetto M et al. / International Journal Of Medicine And Healthcare Reports
Luisetto
M,
Naseer
Almukthar,
Khaled
Edbey,
Fiazza
C,
Ahmed
Yesvi
Rafa,
Ghulam
Rasool
Mashori,
Latishev
O.
Yurevich
(2021)
Deforestation,
Air
Pollution
And
Brasiliant
Covid-19
Variant.
Int
J
Med
Healthcare
Rep,
1(1);
1-7
Clarification
This work is produced without any therapeutic or diagnostic intent
only to submit to the researcher hew hypotesys of work
Conflict of Interests
None
Ethical Consideration
This work is produced under all international rules of ethical con-
sideration
References
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2.	 Manish Shrivastava, Meinrat O. Andreae, Chun Zhao. Urban pollu-
tion greatly enhances formation of natural aerosols over the Ama-
zon rainforest. Nature Comm. 2019;10,
3.	 Three quarters of Brazilian Amazon have been infected with
COVID-19 since March by Stephen Johns 08 December 2020 imperi-
al college London.
4.	 News Covid-19: What new variants are emerging and how are they
being investigated? BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.
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ant of Concern (VOC) P.1 in Amazonas, Brazil.
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and Control An agency of the European Union jan 2021.
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estation carbon emissions. Nat Commun. 2018;9:536.
8.	 Laudares H. Covid Economics Vetted and Real-Time Papers.
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of T researcher University of Toronto Jan 2021.
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to the Indigenous peoples 03 November 2020 Vox EU.
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no-Jost, Douglas A, et al. Day. Contributions of biomass-burning,
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Black Carbon Emissions IASS 2015.
13.	News 21 January 2021. Fast-spreading COVID variant can elude im-
mune responses South African Journal of Science.
14.	Highveld Alexandra S.M. Lourens, Timothy M. Butler, Johan P. Beu-
kes, Pieter G. van Zyl, Steffen Beirle, Thomas K. Wagner, Klaus-Peter
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Re-evaluating the NO2 hotspot over the South African. S Afr J Sci.
2012;108:11-12.
15.	Risk related to spread of new SARSCoV-2 variants of concern in the
EU/EEA 29 December 2020 ECDC European Centre for Disease Pre-
vention and Control.
16.	 Allison J. Greaney, Andrea N. Loes, Katharine H.D. Crawford, Tyler N.
Starr, Keara D. Malone, Helen Y. Chu, Jesse D. Bloom. Comprehensive
mapping of mutations to the SARS-CoV-2 receptor-binding domain
that affect ecognition by polyclonal human serum antibodies. Pre-
print BiorXiv. 2021 doi: https://doi.org/10.1101/2020.12.31.425021.
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Research article deforestation air pollution and brasiliant covid 19 variant luisetto m et al 2021

  • 1. RESEARCH ARTICLE - OPEN ACCESS International Journal Of Medicine And Healthcare Reports International Journal Of Medicine And Healthcare Reports Contents lists available at bostonsciencepublishing.us 1 * Corresponding author. Luisetto M, IMA academy Marijnskaya Natural Science Branch Italy 29121 E-mail address: maurolu65@gmail.com 1. Introduction Related actual spread of so called BRASILIAN VARIANT COVID-19 in region of MANAUS and to its specific mortality rate and velocity in diffu- sion it is interesting to observe the impact of some phenomena like air pollution due by also deforestation and fraudulent fire. Researchers find very high rates of COVID-19 in the Brazilian Amazon ( dec 2020):univer- sity of Oxford news. “By testing approximately 1,000 blood donation samples each month in in the Brazilian -cities of São Paulo and Manaus, an international team of researchers have shown that, while both cities have experienced large epidemics of COVID-19 with high -mortality, as much as three-quarters of the population in Manaus was infected be- tween March - October, and a third of the population in São Paulo. According Healthcare & Pharma, May 8, 2020. As deaths mount in Deforestation, Air Pollution And Brasiliant Covid-19 Variant Luisetto M *1 , Naseer Almukthar 2 , Khaled Edbey 3 , Fiazza C 4 , Ahmed Yesvi Rafa 5 , Ghulam Rasool Mashori 6 , Latishev O. Yurevich 7 1 IMA academy Marijnskaya Natural Science Branch Italy-29121 2 Professor, Department of Physiology /College of Medicine, University of Babylon, Iraq 3 Professor University of Benghazi Dep. of Chemistry 4 Medical pharmacologist, Independent Researcher PC, Italy 5 Founder and President, Yugen Research Organization; Undergraduate Student, Western Michigan University, MI, USA-49008 6 Department of Medical & Health Sciences for Woman, Peoples University of Medical and Health Sciences for Women, Pakistan 7 IMA Academy President, RU Brazil’s Amazon, official COVID-19 toll under scrutinyBy Jake Spring, Eduardo Simões, Bruno Kelly: The largest of 9 states in Brazil’s Amazon rainforest, Amazonas has registered nearly 19.4 coronavirus- deaths per 100,000 residents, compared to 4.4 for all of Brazil, according to a Reu- ters-calculation based on the death toll released by the federal Health- Ministry on Thursday. The corona virus COVID-19 killed 422 people in Amazonas in April, according to the ministry. Yet death registry data from public -notaries indicates the ministry’s statistics may far underes- timate the actual toll.” The Guardian, Jan 2021: Covid-19 eruption in Brazil’s largest state leaves health work- ers begging for help. Amazonas, and particularly its riverside- capital Manaus, were pummeled by the epidemic’s first- wave last April, when authorities were forced to dig mass graves for victims” And from: Mon- itoring air pollution from fires 09/09/2019 ESA / Applications / Observing the Earth / Copernicus / Sentinel-5P The wildfires that have been devastating the Amazon- rainforest Article history: Received 15 January 2021 Accepted 10 Febraury 2021 Revised 17 Febraury 2021 Available online 22 February 2021 © 2021, . Luisetto M. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited A R T I C L E I N F O Keywords: Environmental toxicology Air pollution Deforestation Atmospheric Chemistry Climate condition COVID-19 Corona Virus Brasilian Variant mortality rate Velocity of diffusion Immune system evasion A B S T R A C T Aim of this work is to submit to the researcher the relationship whit climate condition, air pollution and deforestation in MANAUS zone in BRAZIL and the rapid spread of so called BRASILIAN COVID-19 VARIANT. Also other situation area analized like south Africa variant. This topics of research make possible to better study the phenomena of new Covid-19 VARIANT explosion And related effect on increase velocity in spread and in increased mortality rate in some region of the world. The ability of this variant to elude immune system need to seek also in environmental toxicology some Response.
  • 2. 2 RESEARCH ARTICLE - OPEN ACCESS Luisetto M et al. / International Journal Of Medicine And Healthcare Reports Luisetto M, Naseer Almukthar, Khaled Edbey, Fiazza C, Ahmed Yesvi Rafa, Ghulam Rasool Mashori, Latishev O. Yurevich (2021) Deforestation, Air Pollution And Brasiliant Covid-19 Variant. Int J Med Healthcare Rep, 1(1); 1-7 have been international headline news over the last weeks. These fires are not only an environmental tragedy in terms of lost forest and biodi- versity, but they are also leaving their mark on the atmosphere, affect- ing air- quality and, potentially, the global- climate. The satellite -carries the state-of-the-art Tropomi instrument to map a multitude of trace gases such as nitrogen dioxide, ozone, formalde- hyde, sulphur dioxide, methane, carbon- monoxide and aerosols – all of which affect the air we breathe. It is really interesting that in this region it is observed a great and rapid diffusion of covid-19 NEW VARIANT Whit great influence in public heath of population. Form website :https://www.attoproject.org/about-atto/location/ ATTO - Amazon Tall Tower Observatory Earth system research in the Amazon rainforest “In this part of the world, the predominant wind- direction is North- East, due to trade winds blowing from the Atlantic Ocean. This puts ATTO upwind from Manaus and its air- pollution. Air masses reaching the site from to the North-East are near-pristine, mainly unaffected by human activities. The closest cities in that direction are Santarém and Belém, at distances of 500 and 900 km away. The rest of the area is cov- ered in rainforest. But this is only true during the wet- season. During the dry- season, the wind direction shifts more often to East and South-East. Air masses from this direction pass over agricultural -areas and regions more affected by deforestation. Additionally, this is the time of year when the frequency of natural and man-caused fires increases. Thus, the wind brings more pollutants to ATTO. These contrasting regimes allow us to compare a near-pristine at- mosphere to one notably influenced by human- activity.” According article: Air Pollution (S Wu, Section Editor) 24 May 2015 Fire Influences on Atmospheric Composition, Air Quality and Climate. Apostolos Voulgarakis & Robert D. Field Current Pollution Reports. Fires can have wide-ranging effects on surface ai-r quality, both in the tropics and extra-tropics (see earlier section). In general, health ef- fects of key anthropogenic pollutants such as particulate- matter (i.e. aerosols) and ozone have been investigated extensively, with some studies even documenting global- effects. There are both gaseous and aerosol- emissions from fires and asso- ciated biomass burning. Carbon- dioxide (CO2 ), carbon monoxide (CO), nitrogen oxides (NOx ) and non-methane volatile organic compounds (NMVOCs ) are the most important emitted- gases, while black carbon (BC) and organic carbon (OC) are the most important aerosol- species. CO2 emissions can have important implications for CO2 concentrations and understanding the carbon- cycle but do not directly affect atmo- spheric chemistry or contribute to air quality degradation. Other car- bonaceous- emissions (BC, OC, CO, NMVOCs and methane (CH4 ), for which biomass burning is only a minor source) and NOx can be import- ant for both air pollution/chemistry and climate. NOx , NMVOCs , CO and methane are important precursors of tropospheric -ozone, which is a secondary- pollutant and is not directly emitted by fires. For the Bra- Figure 1: Brazil Situation Figure 2: Fire in Amazon Forest From NASA
  • 3. 3 RESEARCH ARTICLE - OPEN ACCESS Luisetto M et al. / International Journal Of Medicine And Healthcare Reports Luisetto M, Naseer Almukthar, Khaled Edbey, Fiazza C, Ahmed Yesvi Rafa, Ghulam Rasool Mashori, Latishev O. Yurevich (2021) Deforestation, Air Pollution And Brasiliant Covid-19 Variant. Int J Med Healthcare Rep, 1(1); 1-7 Figure 3: Amazon Deforestation Figure 4: Deforestation south America Figure 5: Amazon Forest Fire Figure 6: Amazon Fire Figure 7: Amazon Forest Fire Figure 8: MANAUS pollution system This phenomenon affects cloud production and rainfall, with consequences for the local and global- climate, which researchers have warned about in the study published in Nature- Communications (image: Nature Communications) zilian Amazon, using surface in situ measurements, it was found that concentrations of submicron aerosols reached 100 μg m−3 during bio- mass burning events in September/October 2012, with organic -aerosols largely dominating the aerosol mass. 2. Material and Methods With an observational and visual methods some maps and figure are submitted to the researcher in order to show relationship if present between some air pollution condition , deforestation of amazon and the rapid spread of BRASILIAN COVID-19 NEW VARIANT. A scientific litera- ture search is performed to list article of interest for the scope of this work. All publications comes from scientific database or other relevant publishers. It is also submitted an RESEARCH PROJECT as instrument to verify the hypotesys under investigation and relationship. After this phases a global conclusion is produced.
  • 4. 4 RESEARCH ARTICLE - OPEN ACCESS Luisetto M et al. / International Journal Of Medicine And Healthcare Reports Luisetto M, Naseer Almukthar, Khaled Edbey, Fiazza C, Ahmed Yesvi Rafa, Ghulam Rasool Mashori, Latishev O. Yurevich (2021) Deforestation, Air Pollution And Brasiliant Covid-19 Variant. Int J Med Healthcare Rep, 1(1); 1-7 3. Results From literature: According to an article on the study published in Nature -Commu- nications, urban -pollution results in an average increase of 200% in the formation of secondary organic- aerosols, with spikes of up to 400%. FAPESP supported the study as part of the Green- Ocean Amazon Ex- periment (GOAmazon) and a Thematic Project linked to the Research Program on Global Climate Change (RPGCC). Pollution from Manaus in- creases the formation of aerosols via the forest itself. NOx emitted from Manaus increases the levels of OH and ozone (brown- arrows), which accelerates the oxidation of carbon naturally- emitted by the forest in the forms of isoprene and terpene (green- arrows). In the absence of urban pollution, soil emissions of NOx (purple arrows) also drive the oxidation cycle but at far lower levels. [1]. Manish Shrivastava, et al., One of the least understood aspects in at- mospheric -chemistry is how urban- emissions influence the formation of natural organic- aerosols, which affect Earth’s energy budget. The Amazon rainforest, during its wet season, is one of the few remaining places on Earth where atmospheric- chemistry transitions between pre- industrial and urban-influenced conditions. Here, we integrate insights from several laboratory measurements and simulate the formation of secondary -organic aerosols (SOA) in the Amazon using a high-reso- lution chemical transport model. Simulations show that emissions of nitrogen-oxides from Manaus, a city of ~2 million people, greatly en- hance production of biogenic SOA by 60–200% on average with peak- enhancements of 400%, through the increased oxidation of gas-phase organic carbon- emitted by the forests. Simulated enhancements agree with aircraft measurements, and are much larger than those reported over other locations. The implication is that increasing anthropogenic- emissions in the future might substantially enhance biogenic- SOA in pristine locations like the Amazon [2]. Researchers from Imperial’s COVID-19 Response Team, and a team of international collaborators found that: 76% population in Manaus be- came infected with SARS-CoV-2 between March and October- 2020. In contrast, they find that 29% became infected in São- Paulo, the first city detecting SARS-CoV-2 circulation in Latin-America [3]. This variant, known as P.1 or VOC202101/02 in the UK, was first detected in travellers from Brazil who arrived in Japan in January 2021. It involves 17 unique amino acid changes, three deletions, four synon- ymous -mutations, and one 4nt insertion. It has several mutations that are known to be biologically- important, including E484K and N501Y. The N501Y- mutation, which is also a feature of the English- variant, has been linked to increased infectivity and virulence in mouse mod- els. Mean while, the E484K mutation is thought to be associated with escape from the neutralizing- antibodies produced by the body against SARS-CoV-2.3 This mutation is present in the South- African variant as well [4]. Since the emergence of the coronavirus disease 2019 (COVID-19), a few cases of reinfection with phylogenetically distinct variants of SARS- CoV-2 have been reported . These re-infection cases might be the conse- quence of a limited and transitory protective immunity induced by the primo-infection or might reflect the reinfecting virus’s ability to evade the previous immune- responses. The rapid -spread in the United King- dom and South Africa of emerging SARS-CoV-2 variants carrying several mutations in the receptor-binding domain (RBD) of the spike (S) protein (2,3) granting them the title of Variants of Concern (VOC). Among these mutations, E484K and N501Y are of particular concern since they po- tentially- reduce antibody neutralization and increase affinity for ACE2 receptor (4-10). Of note, the first official record of a reinfection case with the emerging VOC B.1.1.7 circulating in the UK was recently pub- lished [5]. The P.1 variant has so far only been identified in Brazil, and in trav- ellers from Brazil (mostly from the Amazonas- State) reported in Japan and South- Korea. The capital of Amazonas, Manaus, is currently expe- riencing an upsurge in COVID-19 cases, putting significant pressure on the healthcare- system. ECDC assesses the probability of the introduction and community- spread of variants of concern in the EU/EEA as very high due to their increased- transmissibility. Such an increased transmissibility is likely to lead to an increased number of infections. This, in turn, is likely to lead to higher hospitalisation and death rates across all age-groups, but particularly for those in older- age groups or with co-morbidities. Con- sequently, stricter NPIs are needed to reduce transmission and relieve the pressure on healthcare -systems. Therefore, the impact of introduc- tion and community spread is considered to be high. The overall risk associated with the introduction and community- spread of variants of concern is therefore assessed as being high/very high [6]. Fire incidence increased by 36% during the 2015 drought compared to the preceding 12 years. The 2015 drought had the largest ever- ratio of active fire counts to de-forestation, with active fires occurring over an area of 799,293 km2 [7]. Oliveira, et al. (2020) and Rocha and Sant’Anna (2020) argue that the fires from the increasing deforestation, combined with the drought and wild-fires, worsens respiratory-health risks, including the COVID-19 cases, increasing the demand for health-services and the locomotion to cities [8]. Gabriel de Oliveira, a post-doctoral researcher with Professor Jing- Chen in the department of geography and planning in the University of Toronto’s Faculty of Arts & Science, says breathing- difficulties and respiratory challenges brought on by the coronavirus are being exacer- bated by the ecological crisis that had been developing in the Amazon over several- years [9]. Figure 9: COVID. CASES BRAZIL sept 2020 Figure 10: Deforestation and Covid-19 cases Amazon
  • 5. 5 RESEARCH ARTICLE - OPEN ACCESS Luisetto M et al. / International Journal Of Medicine And Healthcare Reports Luisetto M, Naseer Almukthar, Khaled Edbey, Fiazza C, Ahmed Yesvi Rafa, Ghulam Rasool Mashori, Latishev O. Yurevich (2021) Deforestation, Air Pollution And Brasiliant Covid-19 Variant. Int J Med Healthcare Rep, 1(1); 1-7 Deforestation is a powerful and consistent variable in explaining the transmission of COVID-19coronavirus to Indigenous populations [10]. - the megacity and the Highveld hotspot - and compared them with the satellite-based NO2 observations. Results show that the Highveld hotspot is accompanied by a second- hotspot over the megacity, which is of significance for the more than 10 million people living in this me- ga-city [14]. The paper was recently published in Atmospheric Chemistry and Physics and is available Open Access: 10.5194/acp-19-7973-2019. Black -carbon is an air pollutant that is harmful to human- health and also contributes to global- warming. It is emitted in combustion processes, for example in industry, power- plants and diesel engines, through the burning of wood and waste, and in wildfires in forest and grassland areas. In southern- Africa, the Johannesburg/Pretoria Metro- politan -Area is particularly affected by air pollution. The main pollution sources there are coal-fired power plants, open fires and savanna fires [12]. Fast-Spreading Lineage Much of the concern centres around a variant that researchers iden- tified in South -Africa in late 2020. A team led by Tulio de Oliveira, a bio-informatician at the University of KwaZulu-Natal in Durban, South- Africa, linked the variant — called 501Y.V2 — to a fast-growing epidem- ic in Eastern Cape province that has since spread across South- Africa and into other countries. The lineage carries many mutations in the SARS-CoV-2 spike protein — the immune- system’s prime target, which allows the virus to identify and infect host cells — including some changes linked to weakened antibody -activity against the virus [13]. Globally, numerous pollution- hotspots have been identified using satellite-based instruments. One of these hot-spots is the prominent NO2 hotspot over the South- African Highveld. The tropospheric NO2 column density of this area is comparable to that observed for cen- tral and northern- Europe, eastern North America and south-east Asia. The most well-known pollution source in this area is a large array of coal-fired power stations. Upon closer inspection, long-term means of satellite observations also show a smaller -area, approximately 100 km west of the Highveld hotspot, with a seemingly less substantial NO2 col- umn density. This area correlates with the geographical location of the Johannesburg-Pretoria conurbation or megacity, one of the 40 largest metropolitan- areas in the world. Ground-based measurements indicate that NO2 concentrations in the megacity have diurnal- peaks in the early morning and late afternoon, which coincide with peak traffic hours and domestic combustion. During these times, NO2 concentrations in the megacity are higher than those in the Highveld -hotspot. These diurnal NO2 peaks in the megacity have generally been overlooked by satellite observations because the satellites have fixed local overpass times that do not coincide with these peak- periods. Consequently, the importance of NO2 over the megacity has been underestimated. We examined the diurnal cycles of NO2 ground-based measurements for the two areas Figure 11: In the Amazon region, particles from biomass burning and urban -pollution account for ca. 30 % of all particulate matter, while the rest comes from biogenic- sources. The team also found a much higher overall concentration of particulate- matter PM during the dry season. This is in part because of the increase in particles from anthro- pogenic- sources. But the amount of particles from biogenic -sources also increases during that time. But even though the anthropogenic fraction of particulate matter is relatively low, they absorb much more light than biogenic- particles do. This, in short, makes the air warmer. Biogenic particles reflect more light, counteracting the greenhouse ef- fect to some degree. Figure 12 Figure 13: UK Air Pollution Figure 14: UK New Covid -19 Variant Dec. 2020
  • 6. 6 RESEARCH ARTICLE - OPEN ACCESS Luisetto M et al. / International Journal Of Medicine And Healthcare Reports Luisetto M, Naseer Almukthar, Khaled Edbey, Fiazza C, Ahmed Yesvi Rafa, Ghulam Rasool Mashori, Latishev O. Yurevich (2021) Deforestation, Air Pollution And Brasiliant Covid-19 Variant. Int J Med Healthcare Rep, 1(1); 1-7 Form ECDC: “Viruses constantly change through mutation, and so the emergence of new- variants is an expected occurrence and not in itself a cause for concern; SARS-CoV-2 is no exception. A diversification of SARS-CoV-2 due to evolution and adaptation- processes has been ob- served globally. While most emerging mutations will not have a signifi- cant- impact on the spread of the virus, some mutationsor combinations of mutations may provide the virus with a selective -advantage, such as increasedtransmissibility or the ability to evade the host immune re- sponse. In such cases, these variants could increasethe risk to human- health and are considered to be variants of concern. New- variants of current concernThe United Kingdom has faced a rapid increase in COVID-19 case rates in the South-East, the East andthe London- area, which is associated with the emergence of a new SARS- CoV-2 variant, VOC 202012/01. As of 26 December 2020, more than 3 000 cases of this new- variant, confirmed by genome sequencing, have beenreported from the UK. An increasing proportion of cases in the South East, the East and the London- area aredue to this variant, but cases have also been identified in other parts of the UK. Although it was first reportedin early December, the initial cases were retrospectively identified as having emerged in late -September. Preliminary analyses indicate that the new- variant has increased transmissibility compared to previously Circulating- variants, but no in- crease in infection -severity has so far been identified. Since 26 Decem- ber, a fewVOC 202012/01 cases have also been reported in other EU/ EEA countries (Belgium, Denmark, Finland, France, Germany, Iceland, Ireland, Italy, the Netherlands, Norway, Portugal, Spain and Sweden) and globally(Australia, Canada, Hong Kong SAR, India, Israel, Japan, Jor- dan, Lebanon, South Korea, Switzerland, Singapore). In addition to VOC 202012/01, South Africa has reported another SARS-CoV-2 variant, des- ignated as 501.V2, which is also of potential concern. This variant was first observed in samples from October, and since then more than 300 cases with the 501.V2 variant have been confirmed by whole- genome sequencing (WGS) in South Africa, where it is now the dominant- form of the virus. Preliminary results indicate that this variant may have an increased transmissibility. like the VOC 202012/01, at this stage there is no evidence that 501.V2 is associated with higher- severity of infection. On 22 December 2020, two geographically separate cases of this new variant 501.V2 were detected in the UK. Both are contacts of symptom- atic individuals returning from travel to South -Africa. On 28 December 2020, one additional case of this new variant was detected in Finland in a returning traveller from South –Africa [15]. According Preprint: Allison J., et al., The evolution of SARS-CoV-2 could impair recognition of the virus by human antibody-mediated immunity. To facilitate prospective -surveillance for such evolution, we map how convalescent serum antibodies are impacted by all mutations to the spike’s receptor-binding domain (RBD), the main target of serum neutralizing- activity. Binding by polyclonal serum antibodies is affected by mutations in three main- epitopes in the RBD, but there is substantial variation in the impact of mutations both among individuals and within the same individual over time. Despite this inter- and intra-person het- erogeneity, the mutations that most reduce antibody- binding usually occur at just a few sites in the RBD’s -receptor binding motif. The most important site is E484, where neutralization by some sera is reduced >10-fold by several mutations, including one in emerging viral- lineages in South Africa and Brazil. Going forward, these serum escape maps can inform surveillance of SARS-CoV-2 evolution [16]. Experimental Project Hypothesis In order to verify association between air pollution level and new covid-19 variant it is crucial to collect epidemiological data related this virus spread , mortality rate , cases and the data related air pollution. Period of observation 2020-2021 (first wave, second wave). Variant to be observed significant variant responsible of increased spread and mortality rate (about more then 20- 30%) . After this epidemiological and environmental toxicology data col- lection is possible to verify if there is or not a significant correlation. Another data to be collect is related human factor artificial air pollution production ( yes or not) in order to verify antropogenic effect. CHI-Square Statistic Test Clarification In this scheme some definition are used: (arbitrary choose by au- thors) High air pollution 30, normal level 1 Presence of variant 2, absence: 1 Region High Air Pollution New-COVID Variant Wuhan yes North Italy yes UK South yes Yes Manaus- Brasil yes Yes South Africa yes Yes Table 1 Results   South UK Manaus South Africa Madagascar Italy Great Isle Row Totals High air pollution 30 (29.44) [0.01] 30 (29.44) [0.01] 30 (29.44) [0.01] 1 (1.84) [0.38] 1 (1.84) [0.38] 92 variant 2 (2.56) [0.12] 2 (2.56) [0.12] 2 (2.56) [0.12] 1 (0.16) [4.41] 1 (0.16) [4.41] 8 Column Totals 32 32 32 2 2 100 (Grand Total) The chi-square statistic is 9.9864. The p-value is .040657. The result is significant at p < .05. Discussion From literature it is clear the impact of air pollution in the spread of COVID-19 especially due by carriers like PM 2,5, PM 10 but also due by the pro inflammatory effect of some pollutant s in respiratory tract (NO2 , ozone and other ). It is also clear that fire and burn in some amazon forest produce an increase of air pollutants and also CO2 production. Observing the images related amazon fire and burns, air pollution in zone like MANAUS and the prevalence of a new variant of COVID -19 need some consideration. It is possible that some aggravating environmental factors increase the probability of selection of new covid-19 variant? To give response in this question it is interesting to observe the new VARIANT OF covid-19 , the country and region of origin and related air pollution level ( UK VARIANT, SOUTH AFRICA VARIANT ) . Conclusion The high mortality rate in some Brazilian region , the rapid spread of new dangerous covid-19 variant Must to be studied considering also the air pollution as modified in last year. Fire that seem artificially pro- duced. It is possible that great foci of covid -19 spread comes from great polluted region ? (WU-HAN, North Italy , south Africa and so on). Observing the maps of air pollution in some region and the related mor- tality rate make possible to verify if a relationship can be Considered to explain such epidemiological phenomena. It interesting to observe the high level of air pollution in region high affected by new variant ( MANAUS region, UK variant, South AFRICA variant). Air pollution is recognized as a worsening environmental toxi- cological factor that affect spread and mortality rate but it is interesting verify also if it can be a kind of pressure in selecting new variant.
  • 7. 7 RESEARCH ARTICLE - OPEN ACCESS Luisetto M et al. / International Journal Of Medicine And Healthcare Reports Luisetto M, Naseer Almukthar, Khaled Edbey, Fiazza C, Ahmed Yesvi Rafa, Ghulam Rasool Mashori, Latishev O. Yurevich (2021) Deforestation, Air Pollution And Brasiliant Covid-19 Variant. Int J Med Healthcare Rep, 1(1); 1-7 Clarification This work is produced without any therapeutic or diagnostic intent only to submit to the researcher hew hypotesys of work Conflict of Interests None Ethical Consideration This work is produced under all international rules of ethical con- sideration References 1. Maria Fernanda Ziegler . Pollution from Manaus results in up to 400% higher aerosol formation due to the Amazon Rainforest |Agência FAPESP – May 2019. 2. Manish Shrivastava, Meinrat O. Andreae, Chun Zhao. Urban pollu- tion greatly enhances formation of natural aerosols over the Ama- zon rainforest. Nature Comm. 2019;10, 3. Three quarters of Brazilian Amazon have been infected with COVID-19 since March by Stephen Johns 08 December 2020 imperi- al college London. 4. News Covid-19: What new variants are emerging and how are they being investigated? BMJ 2021; 372 doi: https://doi.org/10.1136/bmj. n158 (Published 18 January 2021) Cite this as: BMJ 2021;372:n158. 5. Brazil Felipe Naveca, Cristiano da Costa, Valdinete Nascimento, Vic- tor Souza, André Corado. SARS-CoV-2 re-infection by the new Vari- ant of Concern (VOC) P.1 in Amazonas, Brazil. 6. Risk related to the spread of new SARS-CoV-2 variants of concern in the EU/EEA – first update European Centre for Disease Prevention and Control An agency of the European Union jan 2021. 7. Luiz EOC. Aragão, Liana O. Anderson, Marisa G. Fonseca, et al. Cen- tury drought-related fires counteract the decline of Amazon defor- estation carbon emissions. Nat Commun. 2018;9:536. 8. Laudares H. Covid Economics Vetted and Real-Time Papers. 2020;53:23. 9. Drought. deforestation in Amazon exacerbate COVID-19 impact: U of T researcher University of Toronto Jan 2021. 10. Humberto Laudares. Deforestation in Brazil is spreading COVID-19 to the Indigenous peoples 03 November 2020 Vox EU. 11. Suzane S. de Sá, Luciana V. Rizzo, Brett B. Palm, Pedro Campuza- no-Jost, Douglas A, et al. Day. Contributions of biomass-burning, urban, and biogenic emissions to the concentrations and light-ab- sorbing properties of particulate matter in central Amazonia during the dry season. Chem Phys. 2019;19:7973-8001, https://doi. org/10.5194/acp-19-7973-2019. 12. Air Quality in Southern Africa: New Study Investigates Impact of Black Carbon Emissions IASS 2015. 13. News 21 January 2021. Fast-spreading COVID variant can elude im- mune responses South African Journal of Science. 14. Highveld Alexandra S.M. Lourens, Timothy M. Butler, Johan P. Beu- kes, Pieter G. van Zyl, Steffen Beirle, Thomas K. Wagner, Klaus-Peter Heue, Jacobus J. Pienaar, Gerhardus D. Fourie, Mark G. Lawrence, Re-evaluating the NO2 hotspot over the South African. S Afr J Sci. 2012;108:11-12. 15. Risk related to spread of new SARSCoV-2 variants of concern in the EU/EEA 29 December 2020 ECDC European Centre for Disease Pre- vention and Control. 16. Allison J. Greaney, Andrea N. Loes, Katharine H.D. Crawford, Tyler N. Starr, Keara D. Malone, Helen Y. Chu, Jesse D. Bloom. Comprehensive mapping of mutations to the SARS-CoV-2 receptor-binding domain that affect ecognition by polyclonal human serum antibodies. Pre- print BiorXiv. 2021 doi: https://doi.org/10.1101/2020.12.31.425021. Submit your manuscript to Boston science publishing journal and benifit from: 佀 佀 Convenient online submission 佀 佀 Rigorous peer review 佀 佀 Immediate publication on acceptance 佀 佀 Open access: articles freely available online 佀 佀 High visibility within the field 佀 佀 Retaining the copyright to your article Submit your manuscript at ‡ bostonsciencepublishing.us ‡