Health impacts of an extreme dust event: a case and risk assessment study on airborne bacteria in Beijing, China

Dust events are concerning due to their potential to cause environmental pollution and health issues by carrying numerous particles from various regions. However, the risks of airborne bacteria from dust have not yet been thoroughly investigated. This study aimed to reveal the particle size distribution, antibiotic resistance, microbial community structure, and diversity of airborne bacteria by using culture methods, and assess the potential health risks by calculating the dose expectation (d), daily short-term intake (STI), and Hazard Index (HI) during an extreme dust event in urban Beijing (China). Airborne bacteria were sampled before, during, and the day after a severe dust event in March 2021 in Beijing using the six-stage impactor. The major findings were as follows: (1) airborne bacterial concentration increased during the dust event, and inhalable bacteria account for 67.93%. The Hazard Index (HI) of cultivable and inhalable airborne bacteria in men, women, and children exposed to dust events was up to 1.42 and 1.54 times higher than that in individuals who were not exposed, respectively. HI was 1.52 times higher in children than in men when exposed to the dust event. (2) The percentage of Gram-positive bacteria (GPB) resistant to different antibiotics was altered. The abundance of ciprofloxacin-resistant bacteria increased by 24.51%, while that of clindamycin-resistant bacteria decreased by 34.64%. The d, STI, and HI of antibiotic-resistant bacteria per breath for men, women, and children after the dust event were 14 times greater than those before the dust event. (3) The diversity of airborne bacteria increased throughout the dust event. Opportunistic bacteria were found after the dust event. From a health perspective, airborne bacteria during extreme dust events should be further studied for their sources, changes, human exposure, and so forth. Government-scale measures are necessary to control dust dissemination.