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The economic costs of pollution are large, but uncertain. This book, from some of the leading analysts in the field, provides a much-needed accessible description of the methods for calculating externalities, the results and their policy implications. The authors clearly address the relevant uncertainties and ethical underpinnings, bringing a balanced approach to complex issues that are so often distorted by vested interests.-- Source other than Library of Congress.

Local air quality co-benefits can provide complementary support for ambitious climate action and can enable progress on related Sustainable Development Goals. Here we show that the transformation of the energy system implied by the emission reduction pledges brought forward in the context of the Paris Agreement on climate change (Nationally Determined Contributions or NDCs) substantially reduces local air pollution across the globe. The NDCs could avoid between 71 and 99 thousand premature deaths annually in 2030 compared to a reference case, depending on the stringency of direct air pollution controls. A more ambitious 2 °C-compatible pathway raises the number of avoided premature deaths from air pollution to 178–346 thousand annually in 2030, and up to 0.7–1.5 million in the year 2050. Air quality co-benefits on morbidity, mortality, and agriculture could globally offset the costs of climate policy. An integrated policy perspective is needed to maximise benefits for climate and health. Local air quality co-benefits can provide convincing support for climate action. Here the authors revisited air quality co-benefits of climate action in the context of NDCs and found that 71–99 thousand premature deaths can be avoided each year by 2030, offsetting the climate mitigation costs on a global level.

Ambient fine particulate matter (PM 2.5 ) is the world’s leading environmental health risk factor. Reducing the PM 2.5 disease burden requires specific strategies that target dominant sources across multiple spatial scales. We provide a contemporary and comprehensive evaluation of sector- and fuel-specific contributions to this disease burden across 21 regions, 204 countries, and 200 sub-national areas by integrating 24 global atmospheric chemistry-transport model sensitivity simulations, high-resolution satellite-derived PM 2.5 exposure estimates, and disease-specific concentration response relationships. Globally, 1.05 (95% Confidence Interval: 0.74–1.36) million deaths were avoidable in 2017 by eliminating fossil-fuel combustion (27.3% of the total PM 2.5 burden), with coal contributing to over half. Other dominant global sources included residential (0.74 [0.52–0.95] million deaths; 19.2%), industrial (0.45 [0.32–0.58] million deaths; 11.7%), and energy (0.39 [0.28–0.51] million deaths; 10.2%) sectors. Our results show that regions with large anthropogenic contributions generally had the highest attributable deaths, suggesting substantial health benefits from replacing traditional energy sources. Ambient fine particulate matter (PM 2.5 ) is one of the most important environmental health risk factors in many regions. Here, the authors present an assessment of PM 2.5 emission sources and the related health impacts across global to sub-national scales and find that over 1 million deaths were avoidable in 2017 by eliminating PM 2.5 mass associated with fossil fuel combustion emissions.

Ambient fine particulate matter (PM 2.5 ) is the world’s leading environmental health risk factor. Quantification is needed of regional contributions to changes in global PM 2.5 exposure. Here we interpret satellite-derived PM 2.5 estimates over 1998-2019 and find a reversal of previous growth in global PM 2.5 air pollution, which is quantitatively attributed to contributions from 13 regions. Global population-weighted (PW) PM 2.5 exposure, related to both pollution levels and population size, increased from 1998 (28.3 μg/m 3 ) to a peak in 2011 (38.9 μg/m 3 ) and decreased steadily afterwards (34.7 μg/m 3 in 2019). Post-2011 change was related to exposure reduction in China and slowed exposure growth in other regions (especially South Asia, the Middle East and Africa). The post-2011 exposure reduction contributes to stagnation of growth in global PM 2.5 -attributable mortality and increasing health benefits per µg/m 3 marginal reduction in exposure, implying increasing urgency and benefits of PM 2.5 mitigation with aging population and cleaner air. Global fine particulate matter air pollution recently pivots from increase to decrease as inferred from satellite observations, driven by unprecedented exposure reduction in China and slowed exposure growth in South Asia, the Middle East and Africa.

Background Indonesian peatlands have been drained for agricultural development for several decades. This development has made a major contribution to economic development. At the same time, peatland drainage is causing significant air pollution resulting from peatland fires. Peatland fires occur every year, even though their extent is much larger in dry (El Niño) years. We examine the health effects of long-term exposure to fine particles (PM 2.5 ) from all types of peatland fires (including the burning of above and below ground biomass) in Sumatra and Kalimantan, where most peatland fires in Indonesia take place. Methods We derive PM 2.5 concentrations from satellite imagery calibrated and validated with Indonesian Government data on air pollution, and link increases in these concentrations to peatland fires, as observed in satellite imagery. Subsequently, we apply available epidemiological studies to relate PM 2.5 exposure to a range of health outcomes. The model utilizes the age distribution and disease prevalence of the impacted population. Results We find that PM 2.5 air pollution from peatland fires, causes, on average, around 33,100 adults and 2900 infants to die prematurely each year from air pollution. In addition, peatland fires cause on average around 4390 additional hospitalizations related to respiratory diseases, 635,000 severe cases of asthma in children, and 8.9 million lost workdays. The majority of these impacts occur in Sumatra because of its much higher population density compared to Kalimantan. A main source of uncertainty is in the Concentration Response Functions (CRFs) that we use, with different CRFs leading to annual premature adult mortality ranging from 19,900 to 64,800 deaths. Currently, the population of both regions is relatively young. With aging of the population over time, vulnerabilities to air pollution and health effects from peatland fires will increase. Conclusions Peatland fire health impacts provide a further argument to combat fires in peatlands, and gradually transition to peatland management models that do not require drainage and are therefore not prone to fire risks.

Epidemiologic research and quantitative risk assessment play a crucial role in transferring fundamental scientific knowledge to policymakers so they can take action to reduce the burden of ambient air pollution. This commentary addresses several challenges in quantitative risk assessment of air pollution that require close attention. The background to this discussion provides a summary of and conclusions from the epidemiological evidence on ambient air pollution and health outcomes accumulated since the 1990s. We focus on identifying relevant exposure-health outcome pairs, the associated concentration-response functions to be applied in a risk assessment, and several caveats in their application. We propose a structured and comprehensive framework for assessing the evidence levels associated with each exposure-health outcome pair within a health impact assessment context. Specific issues regarding the use of global or regional concentration-response functions, their shape, and the range of applicability are discussed.

Background: Urban outdoor air pollution, especially particulate matter, remains a major environmental health problem in Skopje, the capital of the former Yugoslav Republic of Macedonia. Despite the documented high levels of pollution in the city, the published evidence on its health impacts is as yet scarce. Methods: we obtained, cleaned, and validated Particulate Matter (PM) concentration data from five air quality monitoring stations in the Skopje metropolitan area, applied relevant concentration-response functions, and evaluated health impacts against two theoretical policy scenarios. We then calculated the burden of disease attributable to PM and calculated the societal cost due to attributable mortality. Results: In 2012, long-term exposure to PM2.5 (49.2 μg/m3) caused an estimated 1199 premature deaths (CI95% 821–1519). The social cost of the predicted premature mortality in 2012 due to air pollution was estimated at between 570 and 1470 million euros. Moreover, PM2.5 was also estimated to be responsible for 547 hospital admissions (CI95% 104–977) from cardiovascular diseases, and 937 admissions (CI95% 937–1869) for respiratory disease that year. Reducing PM2.5 levels to the EU limit (25 μg/m3) could have averted an estimated 45% of PM-attributable mortality, while achieving the WHO Air Quality Guidelines (10 μg/m3) could have averted an estimated 77% of PM-attributable mortality. Both scenarios would also attain significant reductions in attributable respiratory and cardiovascular hospital admissions. Conclusions: Besides its health impacts in terms of increased premature mortality and hospitalizations, air pollution entails significant economic costs to the population of Skopje. Reductions in PM2.5 concentrations could provide substantial health and economic gains to the city.

The study aims to explore the main drivers influencing the economic appraisal of heat warning systems by integrating epidemiological modelling and benefit-cost analysis. To shed insights on heat wave mortality valuation, we consider three valuation schemes: (i) a traditional one, where the value of a statistical life (VSL) is applied to both displaced and premature mortality; (ii) an intermediate one, with VSL applied for premature mortality and value of a life year (VOLY) for displaced mortality; and (iii) a conservative one, where both premature and displaced mortality are quantified in terms of loss of life expectancy, and then valued using the VOLY approach. When applying these three schemes to Madrid (Spain), we obtain a benefit-cost ratio varying from 12 to 3700. We find that the choice of the valuation scheme has the largest influence, whereas other parameters such as attributable risk, displaced mortality ratio, or the comprehensiveness and effectiveness of the heat warning system are less influential. The results raise the question of which is the most appropriate approach to value mortality in the context of heat waves, given that the lower bound estimate for the benefit-cost ratio (option iii using VOLY) is up to two orders of magnitude lower than the value based on the traditional VSL approach (option i). The choice of the valuation methodology has significant implications for public health authorities at the local and regional scale, which becomes highly relevant for locations where the application of the VOLY approach could lead to benefit-cost ratios significantly lower than 1. We propose that specific metrics for premature and displaced VOLYs should be developed for the context of heat waves. Until such values are available, we suggest testing the economic viability of heat warning systems under the three proposed valuation schemes (i–iii) and using values for VOLY commonly applied in air pollution as the health end points are similar. Lastly, periodical reassessment of heat alert plans should be performed by public health authorities to monitor their long-term viability and cost-effectiveness.

Purpose Fine particulate matter (PM 2.5 ) is considered to be one of the most important environmental factors contributing to the global human disease burden. However, due to the lack of broad consensus and harmonization in the life cycle assessment (LCA) community, there is no clear guidance on how to consistently include health effects from PM 2.5 exposure in LCA practice. As a consequence, different models are currently used to assess life cycle impacts for PM 2.5 , sometimes leading to inconsistent results. In a global effort initiated by the United Nations Environment Programme (UNEP)/Society for Environmental Toxicology and Chemistry (SETAC) Life Cycle Initiative, respiratory inorganics’ impacts expressed as health effects from PM 2.5 exposure were selected as one of the initial impact categories to undergo review with the goal of providing global guidance for implementation in life cycle impact assessment (LCIA). The goal of this paper is to summarize the current knowledge and practice for assessing health effects from PM 2.5 exposure and to provide recommendations for their consistent integration into LCIA. Methods A task force on human health impacts was convened to build the framework for consistently quantifying health effects from PM 2.5 exposure and for recommending PM 2.5 characterization factors. In an initial Guidance Workshop, existing literature was reviewed and input from a broad range of internationally recognized experts was obtained and discussed. Workshop objectives were to identify the main scientific questions and challenges for quantifying health effects from PM 2.5 exposure and to provide initial guidance to the impact quantification process. Results and discussion A set of 10 recommendations was developed addressing (a) the general framework for assessing PM 2.5 -related health effects, (b) approaches and data to estimate human exposure to PM 2.5 using intake fractions, and (c) approaches and data to characterize exposure-response functions (ERFs) for PM 2.5 and to quantify severity of the diseases attributed to PM 2.5 exposure. Despite these advances, a number of complex issues, such as those related to nonlinearity of the ERF and the possible need to provide different ERFs for use in different geographical regions, require further analysis. Conclusions and outlook Questions of how to refine and improve the overall framework were analyzed. Data and models were proposed for harmonizing various elements of the health impact pathways for PM 2.5 . Within the next two years, our goal is to build a global guidance framework and to determine characterization factors that are more reliable for incorporating the health effects from exposure to PM 2.5 into LCIA. Ideally, this will allow quantification of the impacts of both indoor and outdoor exposures to PM 2.5 .