Header menu link for other important links
X
PM 2.5 -related health and economic loss assessment for 338 Chinese cities
Published in Elsevier Ltd
2018
PMID: 30245362
Volume: 121
   
Pages: 392 - 403
Abstract
China is in a critical stage of ambient air quality management after global attention on pollution in its cities. Industrial development and urbanization have led to alarming levels of air pollution with serious health hazards in densely populated cities. The quantification of cause-specific PM 2.5 -related health impacts and corresponding economic loss estimation is crucial for control policies on ambient PM 2.5 levels. Based on ground-level direct measurements of PM 2.5 concentrations in 338 Chinese cities for the year 2016, this study estimates cause-specific mortality using integrated exposure-response (IER) model, non-linear power law (NLP) model and log-linear (LL) model followed by morbidity assessment using log-linear model. The willingness to pay (WTP) and cost of illness (COI) methods have been used for PM 2.5 -attributed economic loss assessment. In 2016 in China, the annual PM 2.5 concentration ranged between 10 and 157 μg/m 3 and 78.79% of the total population was exposed to >35 μg/m 3 PM 2.5 concentration. Subsequently, the national PM 2.5 -attributable mortality was 0.964 (95% CI: 0.447, 1.355) million (LL: 1.258 million and NPL: 0.770 million), about 9.98% of total reported deaths in China. Additionally, the total respiratory disease and cardiovascular disease-specific hospital admission morbidity were 0.605 million and 0.364 million. Estimated chronic bronchitis, asthma and emergency hospital admission morbidity were 0.986, 1.0 and 0.117 million respectively. Simultaneously, the PM 2.5 exposure caused the economic loss of 101.39 billion US$ which is 0.91% of the national GDP in 2016. This study, for the first time, highlights the discrepancies associated with the three commonly used methodologies applied for cause-specific mortality assessment. Mortality and morbidity results of this study would provide a measurable assessment of 338 cities to the provincial and national policymakers of China for intensifying their efforts on air quality improvement. © 2018 Elsevier Ltd
About the journal
JournalData powered by TypesetEnvironment International
PublisherData powered by TypesetElsevier Ltd
ISSN01604120
Open AccessYes
Concepts (54)
  •  related image
    Air quality
  •  related image
    Health hazards
  •  related image
    Hospitals
  •  related image
    Losses
  •  related image
    Quality management
  •  related image
    Regression analysis
  •  related image
    AIR QUALITY IMPROVEMENT
  •  related image
    CARDIO-VASCULAR DISEASE
  •  related image
    China
  •  related image
    Economic loss
  •  related image
    INDUSTRIAL DEVELOPMENT
  •  related image
    Long-term mortality
  •  related image
    Morbidity
  •  related image
    NON-LINEAR POWER LAW
  •  related image
    Diseases
  •  related image
    Concentration (composition)
  •  related image
    Economic impact
  •  related image
    Mortality
  •  related image
    Particulate matter
  •  related image
    Risk assessment
  •  related image
    Spatial distribution
  •  related image
    Urban area
  •  related image
    Air pollution
  •  related image
    AIR QUALITY STANDARD
  •  related image
    Ambient air
  •  related image
    Article
  •  related image
    Asthma
  •  related image
    CARDIOVASCULAR DISEASE
  •  related image
    Chronic bronchitis
  •  related image
    Concentration (parameters)
  •  related image
    Cost of illness
  •  related image
    Environmental economics
  •  related image
    Environmental monitoring
  •  related image
    Health hazard
  •  related image
    Health impact assessment
  •  related image
    HOSPITAL ADMISSION
  •  related image
    Human
  •  related image
    Incidence
  •  related image
    POPULATION EXPOSURE
  •  related image
    RESPIRATORY TRACT DISEASE
  •  related image
    Urbanization
  •  related image
    Air pollutant
  •  related image
    Analysis
  •  related image
    CARDIOVASCULAR DISEASE
  •  related image
    City
  •  related image
    Cost benefit analysis
  •  related image
    Economics
  •  related image
    Epidemiology
  •  related image
    RESPIRATORY TRACT DISEASE
  •  related image
    Air pollutants
  •  related image
    Cardiovascular diseases
  •  related image
    Cities
  •  related image
    COST-BENEFIT ANALYSIS
  •  related image
    RESPIRATORY TRACT DISEASES