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Distance to a Drying Saline Lake and Lung Function Development in a Rural Border Cohort of Children
Fangqi Guo1, Elizabeth M Kamai2, Sandrah P Eckel1
1Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles.
JAMA Network Open
|April 3, 2026
Summary
Children living near the Salton Sea showed reduced lung function growth, specifically in forced vital capacity (FVC). Increased exposure to dust events further impacted lung function, highlighting the need for environmental action.
Area of Science:
- Environmental Health
- Pediatric Respiratory Medicine
- Epidemiology
Background:
- The Salton Sea is a significant source of wind-blown dust, posing potential risks to regional air quality.
- The long-term effects of this dust exposure on children's lung development are not well understood.
Purpose of the Study:
- To investigate the association between proximity to the Salton Sea and dust exposure with lung function growth trajectories in children.
- To assess the impact of environmental degradation on pediatric respiratory health in the Imperial Valley.
Main Methods:
- A longitudinal cohort study was conducted in Imperial Valley, California, involving elementary school children.
- Lung function was assessed using spirometry (FEV1 and FVC), with exposure defined by home proximity to the Salton Sea and monitored dust event hours.
- Community-engaged research methods were employed in partnership with local organizations.
Main Results:
- Living within 11 km of the Salton Sea was associated with significantly lower forced vital capacity (FVC) growth.
- Increased hours of exposure to dust events correlated with reduced FVC and forced expiratory volume in 1 second (FEV1) growth.
- A stronger negative association between dust events and FVC growth was observed in children residing closer to the Salton Sea.
Conclusions:
- Closer residential proximity to the Salton Sea is linked to diminished lung function growth in school-aged children.
- These findings emphasize the critical need for environmental remediation efforts to safeguard children's respiratory health in the affected region.

