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This study examines the association between air pollution exposure and health using a representative survey sample from Siddharthanagar municipality of Nepal. Our data on household characteristics, spatial locations and individual lung function allow us to understand heterogeneity in exposure and respiratory health. We examine exposure differential through three potential mechanisms – occupation, residence and exposure avoidance. We employ a simultaneous equations model to account for the endogenous choice of avoidance and spatial error models to control for the spatial spillover of health outcomes. We find that outdoor workers and those residing near brick kilns have lower lung function. Exposure avoidance positively correlates with lung function. Exposure avoidance, however, is low among marginalized outdoor workers and individuals residing in polluted areas, further exacerbating the exposure gap among socioeconomic subgroups. The study advances the case of environmental inequity through the ‘triple jeopardy’ of low socioeconomic status, exposure differences and poor health.
As a major metropolitan city, London faces persistent road congestion and severe air pollution. To address these issues, static electronic road pricing (ERP) models have been implemented. While effective, these are inherently limited in flexibility. This paper explores dynamic ERP models to improve upon static pricing by minimizing air pollution and traffic congestion within the Congestion Charge Zone. The problem is formulated as a multi-stakeholder multi-objective optimization problem, incorporating the perspectives of three stakeholders—the government, vehicle owners, and environmental organizations—and three objectives: air pollution, traffic congestion, and price. The NSGA-II optimization algorithm was applied on a representative day and demonstrated substantial improvements. The concentration of PM$ {}_{2.5} $—the more harmful pollutant—was reduced by up to 23%, while NO2 levels fell by 2–3%. Traffic flow, used as a proxy for congestion, decreased by approximately 3–4% during peak hours. These improvements were achieved with only a modest increase in the mean price to £12.51 (from a baseline of £11.50), with a standard deviation of £1.59 and a variance of £2.43 across hourly prices. These results suggest that targeted dynamic pricing—when aligned with environmental and behavioural incentives—can deliver measurable gains in urban air quality and congestion without imposing a significant cost burden on drivers. A core novelty of this work lies in its practical, stakeholder-inclusive problem formulation. While the approach assumes infrastructure for automated price deduction and routing, this limitation can be addressed in future work through advances in vehicle–infrastructure communication systems.
We estimate the causal effects of local officials’ growth preferences on air pollution. Leveraging the unprecedented and uneven economic shocks caused by COVID-19, which resulted in substantial changes in gross domestic product growth rankings, we analyse variations in growth preferences. Our findings reveal that a 10-unit change in growth rankings leads to significant increases in Air Quality Index and ambient pollutant concentrations. Key predictors of this increased pollution include factors sensitive to governmental influence, such as fixed investments, industrial activities and registration requirements for polluting companies. Finally, we characterize the cautious behaviours of local officials in balancing economic and environmental objectives within China's context of multiple, yet unequally weighted, tasks. Our study illuminates how growth preferences contribute to environmental consequences and underscores the strategic responses with political motivations to meet dual conflicting targets set by higher authorities.
Using the synthetic difference-in-differences method, this study evaluates the comprehensive effects of the ‘coal-to-gas’ policy in China following its complete implementation in 2017. We propose four channels through which the policy could affect the air quality in untreated cities. The findings reveal a significant decrease in air pollution levels, as measured by PM10, in both the treated and untreated areas. However, the net spillover effect in the treated and untreated areas exhibits heterogeneous spatial distribution patterns due to different mechanisms. These differences could be related to the political economy and natural geography of China.
As environmental devastation in the Mono Basin gathered speed, local resistance gathered force. Scientists who studied the unique geologic and biological resources in the area raised the alarm of impending ecologic collapse. Residents feared for their health and their livelihoods, as water exports eroded the lake at the center of their public lands tourism economy. Gradually, a coalition of locals, students, scientists, birders, fishers, hunters, lawyers, politicians, and government agency staff coalesced around the idea that something had to be done. This chapter explores how that unlikely coalition joined together to mobilize political support for the lake’s preservation, reviewing the origins of the Mono Lake advocacy movement and the strategic legal and political choices they made in laying foundation for the eventual litigation.Volunteers launched a state-wide campaign to “Save Mono Lake,” raising awareness while cultivating relationships with the Angelenos who relied on exported Mono Basin water. The campaign eventually drew inspiration from a good idea, published by a legal scholar and championed by a student who read it in college: the common law public trust doctrine.
Climate change is increasingly recognized as a public health challenge, with emerging evidence linking climate-related factors to suicidality. A search was conducted in PubMed, Scopus, PsycINFO, Web of Science and Google Scholar following the PRISMA guidelines. The studies that assessed the association between climate indicators and suicidality were included, and risk of bias was assessed using MMAT and ROBINS-E. A total of 43 studies met the inclusion criteria, covering various geographic regions and populations. Rising ambient temperatures were the climate variable most frequently studied, with multiple studies showing a significant increase in suicide rates linked to higher temperatures, particularly during the summer months, especially among females. Seasonal variations, including heatwaves and extreme cold, were associated with increased suicidality. Additionally, extreme weather events such as floods, droughts and storms correlated with higher suicide risks, particularly in vulnerable populations, including older adults and individuals with pre-existing mental health conditions. Air pollution, particularly exposure to PM2.5, NO2 and SO2, was also found to contribute to suicidality. Most of the studies originated in high-income countries, highlighting a gap in research from low- and middle-income countries (LAMICs), where the impacts of climate change may be more severe but remain understudied. Although two studies examined suicidal ideation, the overwhelming majority of the evidence focused on suicide mortality, underscoring the marked under-representation of non-fatal suicidality outcomes in the existing literature. The findings suggest that climate change plays an important role in suicidality, with increasing temperatures, extreme weather and air pollution acting as key risk factors. As climate stressors grow, it is crucial to integrate them into mental health and suicide-prevention policies. More research, especially in underrepresented regions, is needed to guide effective interventions.
Extensive evidence links air pollution exposure to cognitive decline; however, it remains unclear whether cognitive reserve and brain reserve modify this association. We examined the moderating roles of cognitive reserve contributors and brain reserve in the association between air pollution and cognitive function in dementia-free adults.
Methods
Cross-sectional data were obtained from 650 participants who underwent 3T brain magnetic resonance imaging and completed the Montreal Cognitive Assessment (MoCA). Cognitive reserve contributors were assessed based on education, occupation, and social engagement. Brain reserve was quantified using the ventricle-to-brain ratio derived from brain scans. Five-year average concentrations of particulate matter with diameters ≤10 and ≤2.5 μm and nitrogen dioxide were estimated based on residential addresses. Partial least squares structural equation modeling was applied to construct latent variables representing the air pollution mixture and composite cognitive reserve (contributors). Analyses examined whether cognitive reserve contributors and brain reserve modified associations of air pollution with MoCA scores and suspected mild cognitive impairment.
Results
In individuals with an average level of cognitive reserve, a 1–standard deviation increase in air pollution mixture was associated with a 0.24-point decrease in MoCA scores (95% confidence interval [CI]: −0.31 to −0.16). This association was attenuated in individuals with higher cognitive reserve (β = −0.12; 95% CI: −0.25 to 0.02) and intensified in those with lower cognitive reserve (β = −0.36; 95% CI: −0.37 to −0.35). The moderating effect of brain reserve was not significant.
Conclusions
Higher cognitive reserve may mitigate the effects of air pollution on cognitive function.
Why do we want to transition all of our energy to clean, renewable energy? Why don’t we just continue burning fossil fuels until they run out, which may be in 50 to 150 years? For three major reasons. Namely, fossil fuels today cause massive air-pollution health damage, climate damage, and risks to the world’s energy security. These three problems, which have the same root cause, require immediate and drastic solutions. The longer we wait to solve these problems, the more the accumulated damage. This chapter examines each problem, in turn.
Poor air quality has been affecting the Chinese people for many years due to the country’s speedy industrialization and urbanization. However, very few initiatives had been taken by civil society until 2011. The air pollution campaign between October 2011 and March 2012 initiated on a Chinese microblogging website, mobilized millions of citizens and effected policy change. It is often seen as a milestone in the chronology of public participation in China. Using process tracing, participant observations, framing analysis and in-depth interviews, the article analyses this campaign by revealing its major actors and frames mobilizing issue entrepreneurs and environmental publics. Our analysis generates two findings: first, microblogging platforms can greatly expand the networks of Chinese environmental activists by involving public figures and governmental agencies; second, the frame which links air pollution to health and appreciates governmental efforts is critical to the success of civic participation in China’s environmental governance.
Air pollution remains a major challenge, especially in developing countries, requiring joint efforts from governments and society. This study examines how mass media, through its emotional tone, functions as an informal regulator of air pollution in China’s “war on air pollution”. Using daily data on media sentiment, air quality and related variables across Chinese cities, we find that negative emotional tones in environmental news are significantly associated with lower pollution levels. We identify mechanisms through which media influence public awareness, trigger government responses and pressure firms to reduce emissions. Our findings highlight the media’s role beyond information dissemination to shape agendas and social norms, even in contexts with restricted press freedom. This study offers new insights into how emotional framing in mass media contributes to environmental governance in developing countries.
Building collapses, debris removal, new construction, and increased stove use for heating have elevated air pollution in regions affected by the February 6, 2023, Kahramanmaraş earthquake. This study examines the relationship between carbon monoxide (CO) poisoning and air pollution in these areas 1 year after the disaster.
Methods
A retrospective analysis of 151 patients from 10 hospitals in 8 cities was conducted, including data on demographics, clinical symptoms, sources of CO exposure, vital signs, laboratory findings, air pollution levels, and outcomes.
Results
Indoor stove use was the primary source of CO exposure. The average Air Quality Index (AQI) was 55 (IQR 44-56), and particulate matter (PM2.5) levels averaged 17.5 μg/m3 (IQR 10-27), exceeding EPA (Environmental Protection Agency) thresholds. AQI levels post-earthquake were significantly higher than pre-earthquake in Kahramanmaraş (AQI1 = 48.5 [IQR 48-55], AQI2 = 55 [IQR 55-80]; P = 0.007), Hatay (AQI1 = 40.5 ± 13.7, AQI2 = 56 [IQR 51-60.5]; P <0.001), and Gaziantep (AQI1 = 44 [IQR 41-56], AQI2 = 55 [IQR 54-55.5]; P = 0.014). Leukocytosis (P = 0.004) and myocardial injury (P <0.001) in CO poisoning cases varied significantly across provinces.
Conclusions
In conclusion, elevated AQI and PM2.5 levels likely worsened myocardial injury in CO poisoning cases due to combined outdoor and indoor pollution effects. These findings emphasize the need for air quality monitoring and mitigation in disaster regions.
New York City’s policy efforts in the first two decades of the twenty-first century emphasize the potential for local governments to materially improve their local environments. During the mayoralty of Michael Bloomberg (2002-2013), the city government sought from the top to remake the city’s physical environment to appeal to postindustrial elites to promote local economic development. Under Mayor Bill de Blasio (2014-2021), the administration explicitly prioritized equity alongside economic growth and this commitment was reflected in environmental policy in a focus on investing in community parks. Under both mayors, environmental policy came from community groups, as well as city leaders. For example, across the two administrations, prominent environmental justice advocates prompted the city to adopt measures to address longstanding inequities in the allocation of responsibility for solid waste management, although the injustices persisted at the end of the de Blasio administration. Overall, the history of New York City’s efforts to address problems such as lack of greenspace, contaminated lands, and solid waste management underscores that change can come from the top and the bottom, but that there are legal, fiscal and other constraints on the ability of cities to address even paradigmatically local environmental problems.
Despite the substantial evidence linking particulate matter exposure to adverse health outcomes, a large portion of the global population, particularly in low-income countries, continues to rely on highly polluting fuels, such as wood, for cooking and heating. This study evaluates the immediate effects of wood-burning restrictions, which are triggered by air quality warnings, on levels of fine (PM2.5) and coarse (PM10) particulate matter in southern Chile. Using a difference-in-differences design that incorporates pre-policy data, we provide plausible causal estimates indicating that wood-burning restrictions lead to significant reductions in hourly PM10 and PM2.5 concentrations during the most severe air quality warning. Additional analyses, including a regression discontinuity design, further support these findings. While our analysis suggests that wood-burning restrictions are effective, they may not be sufficient to reduce air pollution concentrations to levels that are considered safe for public health.
The death of Ella Kissi-Debrah in 2013 will be forever notable as the first instance in the United Kingdom of air pollution being recorded as contributing to the death of an individual. Whilst in itself a monumental shift in consideration of air pollution and the impact on human health, the recording by the coroner of Ella’s death as having been contributed to by air pollution has significant human rights implications. This piece considers the circumstances surrounding both Ella’s death and the report of the coroner and connects these to decisions of the European Court of Human Rights. It presents the argument that the failure to address a known risk to life presented by air pollution could constitute a breach of the right to life protected by Article 2 of the Convention for the Protection of Human Rights and Fundamental Freedoms (ECHR). Cases in which environmental conditions are found by the Court to have breached Article 2 are rare, but this paper contends that the formal acknowledgement of the threat of air pollution as a result of Ella’s death means that failure to address it meets this threshold.
Urbanization and the concentration of population and activity traditionally have brought cities an array of environmental quality and pollution issues. The process through which cities have responded to their air pollution problems are equally varied. This application chapter focuses on the narratives of three cities and an urbanized region: London, UK; Los Angeles, US; Rhine-Ruhr River Valley, Germany; and Tokyo, Japan. In all cases, worsening air pollution began to have clear and often immediate economic consequences and human health impacts. While different, several important similarities were present among the crisis-to-transformation processes for each city. These include an extended history of ever-worsening air quality conditions, often punctuated or accelerated through large-scale social or environmental trauma, the emergence and rapid application of new science and technology, and the concomitant innovation in public policy and governance capacity to address the problem of urban air pollution. The desire to address urban air pollution became both an economic imperative and an ambition to protect the well-being of the cities’ residents and to restore the sentiment that the communities were pleasant and healthy places in which to live.
Recording the epiphytic lichen flora in Amsterdam on 576 trees distributed over eight common lane tree species shows that the urban epiphytic diversity alone is considerable, representing 15.2%, or 100 species, of the total lichen diversity in the Netherlands. The species recorded include many rarities and some that can be viewed as urban opportunists. Trees bear 15 lichen species on average but are greatly influenced by local factors. Species-specific bark qualities such as water-holding capacity, texture and bark-shedding, influence species richness greatly but are often overshadowed by dominant environmental factors. Tree species with a higher water-holding capacity and texture generally bear the highest species richness. Bark qualities are more indicative of species richness than tree species, showing few significant differences between species richness linked to tree species. Platanus × hispanica is the only observed species whose frequent bark shedding causes it to consistently have the lowest lichen species richness, regardless of environmental factors. In general, bark desiccation and eutrophication are the most dominant factors in influencing urban epiphytic lichen diversity, resulting in xerophytic and nitrophytic lichen species being the most common. Pollution is no longer observed to be the main limiting factor for urban lichen diversity as it was in the past. Instead, bark desiccation associated with the Urban Heat Island (UHI) and low air humidity (drought) is the most damaging factor in contemporary urban conditions in Amsterdam, but it rarely reduces species richness to zero or near zero levels. Areas in which eutrophication and desiccation are much less dominant were repeatedly observed. Such areas sometimes showed local dominance of acidophytes or other distinctive communities. In line with long-term improvements to Dutch air quality, the city now offers a niche to a wider range of species. Three ecological groups (acidophytic, lithophytic-minerotrophic, xerophytic-nitrophytic) are described in this context to characterize reoccurring lichen communities in the city that are indicative of contemporary urban conditions. The term ‘lithification’ is proposed in an ecological context to describe the frequently observed urban phenomenon of tree bark taking on the properties of rock and consequently bearing lithophytic communities. Additionally, we show the potential use of lichen species and ecological groups to monitor urban climate factors such as the UHI on a very local and accurate scale.
Edited by
Richard Pinder, Imperial College of Science, Technology and Medicine, London,Christopher-James Harvey, Imperial College of Science, Technology and Medicine, London,Ellen Fallows, British Society of Lifestyle Medicine
Urbanisation has significant health implications, both positive and negative. Cities offer opportunities for public health improvement, but also pose challenges. Climate change and air pollution are major risks to global health, disproportionately affecting vulnerable populations. Integrating green and blue spaces into urban environments can enhance mental and physical health. Inclusive urban design encourages outdoor activities and reduces environmental pollutants. Promoting active travel and reducing reliance on motor vehicles improves public health. The concept of planetary health emphasises the interconnectedness of human health and the Earth’s natural systems. Social inequalities contribute to uneven health risks, particularly in deprived communities. Rural areas face unique health challenges. A well-designed built environment uplifts spirits and promotes healthy living. Addressing health impacts requires a systems-based approach and long-term resilience planning.
Air pollution exposure and its health effects are a central concern of environmental epigenetic research with birth cohorts. This article explores why researchers have turned to the placenta as a research object to study the dynamic interactions between in utero exposure to air pollution and future child health. Drawing on Science and Technology Studies, particularly the bio-object concept, this article analyses the transformation of the placenta into a technologically manipulated postgenomic bio-object through scientific discourse and practice. Building on ethnographic fieldwork conducted at an institute of epidemiology and public health in Spain, we analyse how researchers deal with the tension between the placenta’s promises for epigenetic research and the practical research realities in postgenomic sciences. First, researchers discursively call upon the placenta as a suitable research object that embodies air pollution exposure and becomes entangled with and responds to this exposure via epigenetic changes. Studying the placenta promises to elucidate the temporally dynamic and environmentally embedded process of disease development as one of postgenomics’ core epistemic concerns. Second, in practice, however, accessing and preparing the postpartum placenta for epigenetic analysis defies its promise as a postgenomic bio-object. The constraints of research with birth cohorts, such as only having access to the postpartum placenta at birth, limit what researchers can know about the dynamic process of disease development. Third, we show how researchers deal with these limitations by assembling additional data in and around this organ to recontextualise the epigenetic analysis performed in the postpartum placenta and revive its postgenomic character. We conclude by discussing how ethnographies of epistemic practices provide entry points to collaboratively reflect upon the theoretical and methodological opportunities and challenges in birth cohort research to study biosocial dynamics. We suggest avenues for using qualitative social science perspectives for future biosocial research and collaboration between the social and life sciences.