# Environmental Health

2022
Shaodan Huang, Shaojie Song, Chris P. Nielsen, Yuqiang Zhang, Jianyin Xiong, Louise B. Weschler, Shaodong Xie, and Jing Li. 2022. “Residential building materials: An important source of ambient formaldehyde in mainland China.” Environment International, 158, January, Pp. 106909. Publisher's VersionAbstract
This study investigates the contribution of formaldehyde from residential building materials to ambient air in mainland China. Based on 265 indoor field tests in 9 provinces, we estimate that indoor residential sources are responsible for 6.66% of the total anthropogenic formaldehyde in China’s ambient air (range for 31 provinces: 1.88–18.79%). Residential building materials rank 6th among 81 anthropogenic sources (range: 2nd–10th for 31 provinces). Emission intensities show large spatial variability between and within regions due to different residential densities, emission characteristics of building materials, and indoor thermal conditions. Our findings indicate that formaldehyde from the indoor environment is a significant source of ambient formaldehyde, especially in urban areas. This study will help to more accurately evaluate exposure to ambient formaldehyde and its related pollutants, and will assist in formulating policies to protect air quality and public health.
2021
Yan Zhang, Yu Zhao, Meng Gao, Xin Bo, and Chris P. Nielsen. 2021. “Air quality and health benefits from ultra-low emission control policy indicated by continuous emission monitoring: a case study in the Yangtze River Delta region, China.” Atmospheric Chemistry and Physics, 21, Pp. 6411–6430. Publisher's VersionAbstract
To evaluate the improved emission estimates from online monitoring, we applied the Models-3/CMAQ (Community Multiscale Air Quality) system to simulate the air quality of the Yangtze River Delta (YRD) region using two emission inventories with and without incorporated data from continuous emission monitoring systems (CEMSs) at coal-fired power plants (cases 1 and 2, respectively). The normalized mean biases (NMBs) between the observed and simulated hourly concentrations of SO2, NO2, O3, and PM2.5 in case 2 were −3.1 %, 56.3 %, −19.5 %, and −1.4 %, all smaller in absolute value than those in case 1 at 8.2 %, 68.9 %, −24.6 %, and 7.6 %, respectively. The results indicate that incorporation of CEMS data in the emission inventory reduced the biases between simulation and observation and could better reflect the actual sources of regional air pollution. Based on the CEMS data, the air quality changes and corresponding health impacts were quantified for different implementation levels of China's recent “ultra-low” emission policy. If the coal-fired power sector met the requirement alone (case 3), the differences in the simulated monthly SO2, NO2, O3, and PM2.5 concentrations compared to those of case 2, our base case for policy comparisons, would be less than 7 % for all pollutants. The result implies a minor benefit of ultra-low emission control if implemented in the power sector alone, which is attributed to its limited contribution to the total emissions in the YRD after years of pollution control (11 %, 7 %, and 2 % of SO2, NOX, and primary particle matter (PM) in case 2, respectively). If the ultra-low emission policy was enacted at both power plants and selected industrial sources including boilers, cement, and iron and steel factories (case 4), the simulated SO2, NO2, and PM2.5concentrations compared to the base case would be 33 %–64 %, 16 %–23 %, and 6 %–22 % lower, respectively, depending on the month (January, April, July, and October 2015). Combining CMAQ and the Integrated Exposure Response (IER) model, we further estimated that 305 deaths and 8744 years of life loss (YLL) attributable to PM2.5 exposure could be avoided with the implementation of the ultra-low emission policy in the power sector in the YRD region. The analogous values would be much higher, at 10 651 deaths and 316 562 YLL avoided, if both power and industrial sectors met the ultra-low emission limits. In order to improve regional air quality and to reduce human health risk effectively, coordinated control of multiple sources should be implemented, and the ultra-low emission policy should be substantially expanded to major emission sources in industries other than the power industry.
Yingying Lyu, Ann Forsyth, and Steven Worthington. 2021. “Built environment and self-rated health: comparing young, middle-aged, and older people in Chengdu, China.” Health Environments Research & Design Journal, 144, 3, Pp. 229-246. Publisher's VersionAbstract

Objectives: This paper explores how the building-scale built environment is associated with self-rated health, examining differences in this association among younger, middle-aged, and older age groups. Features examined included building type, building condition, and sidewalk presence in front of dwellings.
Background: Understanding how the relationships between built environments and health vary across age groups helps to build a healthy environment for all. However, most studies have concentrated on the neighborhood or indoor environment, rather than whole buildings, and few have compared age groups.
Methods: This study analyzed survey data from 1,019 adults living in 40 neighborhoods in Chengdu, China, recruited through a clustered random sampling approach. It used a Bayesian logistic mixed effects model with interaction terms between age group indicators and other variables.
Results: Significant differences exist in the relationships of self-rated health with some environmental and other indicators among age groups. For older people, living in multi-floor buildings, having a household smoker, and undertaking fewer hours of weekly exercise were associated with lower odds of reporting good, very good, or excellent health. These relationships were not identified among middle-aged and younger people. More education was associated with higher odds of reporting better health among older and middle-aged groups.
Conclusions: Older people experience more health-related challenges compared to middle-aged and younger people. However, among the examined built environmental factors, building type was the only significant factor related to self-rated health among older people. To promote health among older people, this study recommends adding elevators in the multi-floor buildings.

Jinzhao Yang, Yu Zhao, Jing Cao, and Chris P. Nielsen. 2021. “Co-benefits of carbon and pollution control policies on air quality and health till 2030 in China.” Environment International, 152, July, Pp. 106482. Publisher's VersionAbstract
Facing the dual challenges of climate change and air pollution, China has made great efforts to explore the co-control strategies for the both. We assessed the benefits of carbon and pollution control policies on air quality and human health, with an integrated framework combining an energy-economic model, an air quality model and a concentration–response model. With a base year 2015, seven combined scenarios were developed for 2030 based on three energy scenarios and three end-of-pipe control ones. Policy-specific benefits were then evaluated, indicated by the reduced emissions, surface concentrations of major pollutants, and premature deaths between scenarios. Compared to the 2030 baseline scenario, the nationwide PM2.5- and O3-related mortality was expected to decline 23% or 289 (95% confidence interval: 220–360) thousand in the most stringent scenario, and three quarters of the avoided deaths were attributed to the end-of-pipe control measures. Provinces in heavily polluted and densely populated regions would benefit more from carbon and pollution control strategies. The population fractions with PM2.5 exposure under the national air quality standard (35 μg/m3) and WHO guideline (10 μg/m3) would be doubled from 2015 to 2030 (the most stringent scenario), while still very few people would live in areas with the WHO guideline achieved for O3 (100 μg/m3). Increased health impact of O3 suggested a great significance of joint control of PM2.5 and O3 in future policy-making.
2020
Haikun Wang, Xiaojing He, Xinyu Liang, Ernani F. Choma, Yifan Liu, Li Shan, Haotian Zheng, Shaojun Zhang, Chris Nielsen, Shuxiao Wang, Ye Wu, and John Evans. 2020. “Health benefits of on-road transportation pollution control programs in China.” Proceedings of the National Academy of Sciences, 117, 41, Pp. 25370-25377. Publisher's VersionAbstract
China started to implement comprehensive measures to mitigate traffic pollution at the end of 1990s, but the comprehensive effects, especially on ambient air quality and public health, have not yet been systematically evaluated. In this study, we analyze the effects of vehicle emission control measures on ambient air pollution and associated deaths attributable to long-term exposures of fine particulate matter (PM2.5) and O3 based on an integrated research framework that combines scenario analysis, air quality modeling, and population health risk assessment. We find that the total impact of these control measures was substantial. Vehicular emissions during 1998–2015 would have been 2–3 times as large as they actually were, had those measures not been implemented. The national population-weighted annual average concentrations of PM2.5 and O3 in 2015 would have been higher by 11.7 μg/m3 and 8.3 parts per billion, respectively, and the number of deaths attributable to 2015 air pollution would have been higher by 510 thousand (95% confidence interval: 360 thousand to 730 thousand) without these controls. Our analysis shows a concentration of mortality impacts in densely populated urban areas, motivating local policymakers to design stringent vehicle emission control policies. The results imply that vehicle emission control will require policy designs that are more multifaceted than traditional controls, primarily represented by the strict emission standards, with careful consideration of the challenges in coordinated mitigation of both PM2.5 and O3 in different regions, to sustain improvement in air quality and public health given continuing swift growth in China’s vehicle population.
2019
James K. Hammitt, Fangli Geng, Xiaoqi Guo, and Chris P. Nielsen. 2019. “Valuing mortality risk in China: Comparing stated-preference estimates from 2005 and 2016.” Journal of Risk & Uncertainty, 58, 2-3, Pp. 167–186. Publisher's VersionAbstract
We estimate the marginal rate of substitution of income for reduction in current annual mortality risk (the “value per statistical life” or VSL) using stated-preference surveys administered to independent samples of the general population of Chengdu, China in 2005 and 2016. We evaluate the quality of estimates by the theoretical criteria that willingness to pay (WTP) for risk reduction should be strictly positive and nearly proportional to the magnitude of the risk reduction (evaluated by comparing answers between respondents) and test the effect of excluding respondents whose answers violate these criteria. For subsamples of respondents that satisfy the criteria, point estimates of the sensitivity of WTP to risk reduction are consistent with theory and yield estimates of VSL that are two to three times larger than estimated using the full samples. Between 2005 and 2016, estimated VSL increased sharply, from about 22,000 USD in 2005 to 550,000 USD in 2016. Income also increased substantially over this period. Attributing the change in VSL solely to the change in real income implies an income elasticity of about 3.0. Our results suggest that estimates of VSL from stated-preference studies in which WTP is not close to proportionate to the stated risk reduction may be biased downward by a factor of two or more, and that VSL is likely to grow rapidly in a population with strong economic growth, which implies that environmental-health, safety, and other policies should become increasingly protective.
2018
Meng Gao, Gufran Beig, Shaojie Song, Hongliang Zhang, Jianlin Hu, Qi Ying, Fengchao Liang, Yang Liu, Haikun Wang, Xiao Lu, Tong Zhu, Gregory Carmichael, Chris P. Nielsen, and Michael B. McElroy. 2018. “The impact of power generation emissions on ambient PM2.5 pollution and human health in China and India.” Environment International, 121, Part 1, Pp. 250-259. Publisher's VersionAbstract

Emissions from power plants in China and India contain a myriad of fine particulate matter (PM2.5, PM≤2.5 micrometers in diameter) precursors, posing significant health risks among large, densely settled populations. Studies isolating the contributions of various source classes and geographic regions are limited in China and India, but such information could be helpful for policy makers attempting to identify efficient mitigation strategies. We quantified the impact of power generation emissions on annual mean PM2.5 concentrations using the state-of-the-art atmospheric chemistry model WRF-Chem (Weather Research Forecasting model coupled with Chemistry) in China and India. Evaluations using nationwide surface measurements show the model performs reasonably well. We calculated province-specific annual changes in mortality and life expectancy due to power generation emissions generated PM2.5 using the Integrated Exposure Response (IER) model, recently updated IER parameters from Global Burden of Disease (GBD) 2015, population data, and the World Health Organization (WHO) life tables for China and India. We estimate that 15 million (95% Confidence Interval (CI): 10 to 21 million) years of life lost can be avoided in China each year and 11 million (95% CI: 7 to 15 million) in India by eliminating power generation emissions. Priorities in upgrading existing power generating technologies should be given to Shandong, Henan, and Sichuan provinces in China, and Uttar Pradesh state in India due to their dominant contributions to the current health risks.

2017
Haikun Wang, Yanxu Zhang, Xi Lu, Weimo Zhu, Chris P. Nielsen, Jun Bi, and Michael B. McElroy. 2017. “Trade‐driven relocation of air pollution and health impacts in China.” Nature Communications, 8, 738. Publisher's VersionAbstract
Recent studies show that international trade affects global distributions of air pollution andpublic health. Domestic interprovincial trade has similar effects within countries, but has notbeen comprehensively investigated previously. Here we link four models to evaluate theeffects of both international exports and interprovincial trade on PM2.5pollution and publichealth across China. We show that 50–60% of China’s air pollutant emissions in 2007 wereassociated with goods and services consumed outside of the provinces where they wereproduced. Of an estimated 1.10 million premature deaths caused by PM2.5pollutionthroughout China, nearly 19% (208,500 deaths) are attributable to international exports. Incontrast, interprovincial trade leads to improved air quality in developed coastal provinceswith a net effect of 78,500 avoided deaths nationwide. However, both international exportand interprovincial trade exacerbate the health burdens of air pollution in China’s lessdeveloped interior provinces. Our results reveal trade to be a critical but largely overlookedconsideration in effective regional air quality planning for China.
Nan Zhong, Jing Cao, and Yuzhu Wang. 2017. “Traffic congestion, ambient air pollution and health: Evidence from driving restrictions in Beijing.” Journal of the Association of Environmental and Resource Economists, 4, 3, Pp. 821–856. Publisher's VersionAbstract

Vehicles have recently overtaken coal to become the largest source of air pollution in urban China. Research on mobile sources of pollution has foundered due both to inaccessibility of Chinese data on health outcomes and strong identifying assumptions. To address these, we collect daily ambulance call data from the Beijing Emergency Medical Center and combine them with an idiosyncratic feature of a driving restriction policy in Beijing that references the last digit of vehicles’ license plate numbers. Because the number 4 is considered unlucky by many in China, it tends to be avoided on license plates. As a result, days on which the policy restricts license plates ending in 4 unintentionally allow more vehicles in Beijing. Leveraging this variation, we find that traffic congestion is indeed 22% higher on days banning 4 and that 24-hour average concentration of NO2 is 12% higher. Correspondingly, these short term increases in pollution increase ambulance calls by 12% and 3% for fever and heart related symptoms, while no effects are found for injuries. These findings suggest that traffic congestion has substantial health externalities in China but that they are also responsive to policy.

2016
Rong Xie, Clive E. Sabel, Xi Lu, Weimo Zhu, Haidong Kan, Chris P. Nielsen, and Haikun Wang. 2016. “Long-term trend and spatial pattern of PM2.5-induced premature mortality in China.” Environment International, 97, Pp. 180-186. Publisher's VersionAbstract

With rapid economic growth, China has witnessed increasingly frequent and severe haze and smog episodes over the past decade, posing serious health impacts to the Chinese population, especially those in densely populated city clusters. Quantification of the spatial and temporal variation of health impacts attributable to ambient fine particulate matter (PM2.5) has important implications for China's policies on air pollution control. In this study, we evaluated the spatial distribution of premature deaths in China between 2000 and 2010 attributable to ambient PM2.5 in accord with the Global Burden of Disease based on a high resolution population density map of China, satellite retrieved PM2.5 concentrations, and provincial health data. Our results suggest that China's anthropogenic ambient PM2.5 led to 1,255,400 premature deaths in 2010, 42% higher than the level in 2000. Besides increased PM2.5 concentration, rapid urbanization has attracted large population migration into the more developed eastern coastal urban areas, intensifying the overall health impact. In addition, our analysis implies that health burdens were exacerbated in some developing inner provinces with high population density (e.g. Henan, Anhui, Sichuan) because of the relocation of more polluting and resource-intensive industries into these regions. In order to avoid such national level environmental inequities, China's regulations on PM2.5 should not be loosened in inner provinces. Furthermore policies should create incentive mechanisms that can promote transfer of advanced production and emissions control technologies from the coastal regions to the interior regions.

2013
Chris P Nielsen and Mun S Ho. 2013. “Atmospheric Environment in China: Introduction and Research Review.” In Clearer Skies Over China: Reconciling Air Quality, Climate, and Economic Goals, Pp. 3-58. Cambridge, MA: MIT Press. Publisher's VersionAbstract

A groundbreaking U.S.–Chinese inquiry into the effects of recent air pollution controls and prospective carbon taxes on China's economy and environment.

China's carbon dioxide emissions now outstrip those of other countries and its domestic air quality is severely degraded, especially in urban areas. Its sheer size and its growing, fossil-fuel-powered economy mean that China's economic and environmental policy choices will have an outsized effect on the global environmental future. Over the last decade, China has pursued policies that target both fossil fuel use and atmospheric emissions, but these efforts have been substantially overwhelmed by the country's increasing energy demands. With a billion citizens still living on less than $4,000 per year, China's energy and environmental policies must be reconciled with the goals of maintaining economic growth and raising living standards. This book, a U.S.–Chinese collaboration of experts from Harvard and Tsinghua University, offers a groundbreaking integrated analysis of China's economy, emissions, air quality, public health, and agriculture. It first offers essential scientific context and accessible summaries of the book's policy findings; it then provides the underlying scientific and economic research. These studies suggest that China's recent sulfur controls achieved enormous environmental health benefits at unexpectedly low costs. They also indicate that judicious implementation of carbon taxes could reduce not only China's carbon emissions but also its air pollution more comprehensively than current single-pollutant policies, all at little cost to economic growth. Yu Lei. 2013. “Benefits to Human Health and Agricultural Productivity of Reduced Air Pollution.” In Clearer Skies Over China: Reconciling Air Quality, Climate, and Economic Goals, Pp. 291-328. Cambridge, MA: MIT Press. Publisher's VersionAbstract A groundbreaking U.S.–Chinese inquiry into the effects of recent air pollution controls and prospective carbon taxes on China's economy and environment. China's carbon dioxide emissions now outstrip those of other countries and its domestic air quality is severely degraded, especially in urban areas. Its sheer size and its growing, fossil-fuel-powered economy mean that China's economic and environmental policy choices will have an outsized effect on the global environmental future. Over the last decade, China has pursued policies that target both fossil fuel use and atmospheric emissions, but these efforts have been substantially overwhelmed by the country's increasing energy demands. With a billion citizens still living on less than$4,000 per year, China's energy and environmental policies must be reconciled with the goals of maintaining economic growth and raising living standards.

This book, a U.S.–Chinese collaboration of experts from Harvard and Tsinghua University, offers a groundbreaking integrated analysis of China's economy, emissions, air quality, public health, and agriculture. It first offers essential scientific context and accessible summaries of the book's policy findings; it then provides the underlying scientific and economic research. These studies suggest that China's recent sulfur controls achieved enormous environmental health benefits at unexpectedly low costs. They also indicate that judicious implementation of carbon taxes could reduce not only China's carbon emissions but also its air pollution more comprehensively than current single-pollutant policies, all at little cost to economic growth.

2013. Clearer Skies Over China: Reconciling Air Pollution, Climate, and Economic Goals. Cambridge, MA: MIT Press. Publisher's VersionAbstract

A groundbreaking U.S.–Chinese inquiry into the effects of recent air pollution controls and prospective carbon taxes on China's economy and environment.

China's carbon dioxide emissions now outstrip those of other countries and its domestic air quality is severely degraded, especially in urban areas. Its sheer size and its growing, fossil-fuel-powered economy mean that China's economic and environmental policy choices will have an outsized effect on the global environmental future. Over the last decade, China has pursued policies that target both fossil fuel use and atmospheric emissions, but these efforts have been substantially overwhelmed by the country's increasing energy demands. With a billion citizens still living on less than $4,000 per year, China's energy and environmental policies must be reconciled with the goals of maintaining economic growth and raising living standards. This book, a U.S.–Chinese collaboration of experts from Harvard and Tsinghua University, offers a groundbreaking integrated analysis of China's economy, emissions, air quality, public health, and agriculture. It first offers essential scientific context and accessible summaries of the book's policy findings; it then provides the underlying scientific and economic research. These studies suggest that China's recent sulfur controls achieved enormous environmental health benefits at unexpectedly low costs. They also indicate that judicious implementation of carbon taxes could reduce not only China's carbon emissions but also its air pollution more comprehensively than current single-pollutant policies, all at little cost to economic growth. Chris P Nielsen, Mun S Ho, Jing Cao, Yu Lei, Yuxuan Wang, and Yu Zhao. 2013. “Summary: Carbon Taxes for 2013-2020.” In Clearer Skies Over China: Reconciling Air Quality, Climate, and Economic Goals, Pp. 103-157. Cambridge, MA: MIT Press. Publisher's VersionAbstract A groundbreaking U.S.–Chinese inquiry into the effects of recent air pollution controls and prospective carbon taxes on China's economy and environment. China's carbon dioxide emissions now outstrip those of other countries and its domestic air quality is severely degraded, especially in urban areas. Its sheer size and its growing, fossil-fuel-powered economy mean that China's economic and environmental policy choices will have an outsized effect on the global environmental future. Over the last decade, China has pursued policies that target both fossil fuel use and atmospheric emissions, but these efforts have been substantially overwhelmed by the country's increasing energy demands. With a billion citizens still living on less than$4,000 per year, China's energy and environmental policies must be reconciled with the goals of maintaining economic growth and raising living standards.

This book, a U.S.–Chinese collaboration of experts from Harvard and Tsinghua University, offers a groundbreaking integrated analysis of China's economy, emissions, air quality, public health, and agriculture. It first offers essential scientific context and accessible summaries of the book's policy findings; it then provides the underlying scientific and economic research. These studies suggest that China's recent sulfur controls achieved enormous environmental health benefits at unexpectedly low costs. They also indicate that judicious implementation of carbon taxes could reduce not only China's carbon emissions but also its air pollution more comprehensively than current single-pollutant policies, all at little cost to economic growth.

Chris P Nielsen, Mun S Ho, Yu Zhao, Yuxuan Wang, Yu Lei, and Jing Cao. 2013. “Summary: Sulfur Mandates and Carbon Taxes for 2006-2010.” In Clearer Skies Over China: Reconciling Air Quality, Climate, and Economic Goals, Pp. 59-102. Cambridge, MA: MIT Press. Publisher's VersionAbstract

A groundbreaking U.S.–Chinese inquiry into the effects of recent air pollution controls and prospective carbon taxes on China's economy and environment.

China's carbon dioxide emissions now outstrip those of other countries and its domestic air quality is severely degraded, especially in urban areas. Its sheer size and its growing, fossil-fuel-powered economy mean that China's economic and environmental policy choices will have an outsized effect on the global environmental future. Over the last decade, China has pursued policies that target both fossil fuel use and atmospheric emissions, but these efforts have been substantially overwhelmed by the country's increasing energy demands. With a billion citizens still living on less than $4,000 per year, China's energy and environmental policies must be reconciled with the goals of maintaining economic growth and raising living standards. This book, a U.S.–Chinese collaboration of experts from Harvard and Tsinghua University, offers a groundbreaking integrated analysis of China's economy, emissions, air quality, public health, and agriculture. It first offers essential scientific context and accessible summaries of the book's policy findings; it then provides the underlying scientific and economic research. These studies suggest that China's recent sulfur controls achieved enormous environmental health benefits at unexpectedly low costs. They also indicate that judicious implementation of carbon taxes could reduce not only China's carbon emissions but also its air pollution more comprehensively than current single-pollutant policies, all at little cost to economic growth. 2011 Yu Zhao, Michael B. McElroy, Jia Xing, Lei Duan, Chris P Nielsen, Yu Lei, and Jiming Hao. 2011. “Multiple effects and uncertainties of emission control policies in China: Public health, soil acidification, and global temperature.” Science of the Total Environment , 409, 24, Pp. 5177-5187. Publisher's VersionAbstract Policies to control emissions of criteria pollutants in China may have conflicting impacts on public health, soil acidification, and climate. Two scenarios for 2020, a base case without anticipated control measures and a more realistic case including such controls, are evaluated to quantify the effects of the policies on emissions and resulting environmental outcomes. Large benefits to public health can be expected from the controls, attributed mainly to reduced emissions of primary PM and gaseous PM precursors, and thus lower ambient concentrations of PM2.5. Approximately 4% of all-cause mortality in the country can be avoided (95% confidence interval: 1–7%), particularly in eastern and north-central China, regions with large population densities and high levels of PM2.5. Surface ozone levels, however, are estimated to increase in parts of those regions, despite NOX reductions. This implies VOC-limited conditions. Even with significant reduction of SO2 and NOX emissions, the controls will not significantly mitigate risks of soil acidification, judged by the exceedance levels of critical load (CL). This is due to the decrease in primary PM emissions, with the consequent reduction in deposition of alkaline base cations. Compared to 2005, even larger CL exceedances are found for both scenarios in 2020, implying that PM control may negate any recovery from soil acidification due to SO2 reductions. Noting large uncertainties, current polices to control emissions of criteria pollutants in China will not reduce climate warming, since controlling SO2 emissions also reduces reflective secondary aerosols. Black carbon emission is an important source of uncertainty concerning the effects of Chinese control policies on global temperature change. Given these conflicts, greater consideration should be paid to reconciling varied environmental objectives, and emission control strategies should target not only criteria pollutants but also species such as VOCs and CO2. 2009 Xiaoqi Guo and James K Hammitt. 2009. “Compensating wage differentials with unemployment: Evidence from China.” Environmental and Resource Economics, 42, 2, Pp. 187-209. Publisher's VersionAbstract We estimate the economic value of mortality risk in China using the compensating-wage-differential method. We find a positive and statistically significant correlation between wages and occupational fatality risk. The estimated effect is largest for unskilled workers. Unemployment reduces compensation for risk, which suggests that some of the assumptions under which compensating wage differentials can be interpreted as measures of workers’ preferences for risk and income are invalid when unemployment is high. Workers may be unwilling to quit high-risk jobs when alternative employment is difficult to obtain, violating the assumption of perfect mobility, or some workers (e.g., new migrants) may be poorly informed about between-job differences in risk, violating the assumption of perfect information. These factors suggest our estimates of the value per statistical life (VSL) in China, which range from approximately US$30,000 to US$100,000, may be biased downward. Alternative estimates adjust for heterogeneity of risk within industry by assuming that risk is concentrated among low-skill workers. These estimates, which are likely to be biased downward, range from US$7,000 to US\$20,000.

This study developed a new approach to the valuation of health risk in China, for monetizing health damages of environmental degradation.

Jing Cao, Mun S Ho, and Dale W Jorgenson. 2009. “The local and global benefits of green tax policies in China.” Review of Environmental Economics and Policy, 3, 2, Pp. 231-250. Publisher's VersionAbstract
This article describes a multidisciplinary study of market-based policies for controlling air pollution in China. While previous studies have examined the costs and benefits of pollution control separately, this approach determines them together using an economy–environment model for China. We employ air dispersion simulations and population maps to calculate health damages due to air pollution. This provides estimates of incremental damages for industry output and fuel use. Based on these marginal damages, we simulate the effect of “green taxes” on the economy and show that the environmental benefits exceed the aggregate costs, ignoring adjustment costs for individual sectors.
2007
Chris P Nielsen and Mun S Ho. 2007. “Air pollution and health damages in China: An introduction and review.” In Clearing the air: The health and economic damages of air pollution in China, edited by Chris P Nielsen and Mun S Ho. Cambridge, MA: MIT Press. Publisher's VersionAbstract

An interdisciplinary, quantitative assessment of the health and economic costs of air pollution in China, and of market-based policies to build environmental protection into economic development.

China's historic economic expansion is driven by fossil fuels, which increase its emissions of both local air pollutants and greenhouse gases dramatically. Clearing the Air is an innovative, quantitative examination of the national damage caused by China's degraded air quality, conducted in a pathbreaking, interdisciplinary U.S.-China collaboration. Its damage estimates are allocated by sector, making it possible for the first time to judge whether, for instance, power generation, transportation, or an unexpected source such as cement production causes the greatest environmental harm. Such objective analyses can reset policy priorities.

Clearing the Air uses this information to show how appropriate "green" taxes might not only reduce emissions and health damages but even enhance China's economic growth. It also shows to what extent these same policies could limit greenhouse gases, suggesting that wealthier nations have a responsibility to help China build environmental protection into its growth.

Clearing the Air is written for diverse readers, providing a bridge from underlying research to policy implications, with easily accessible overviews of issues and summaries of the findings for nonspecialists and policymakers followed by more specialized, interlinked studies of primary interest to scholars. Taken together, these analyses offer a uniquely integrated assessment that supports the book's economic and policy recommendations.

2007. Clearing the air: The health and economic damages of air pollution in China. Cambridge, MA: MIT Press. Publisher's VersionAbstract

An interdisciplinary, quantitative assessment of the health and economic costs of air pollution in China, and of market-based policies to build environmental protection into economic development.

China's historic economic expansion is driven by fossil fuels, which increase its emissions of both local air pollutants and greenhouse gases dramatically. Clearing the Air is an innovative, quantitative examination of the national damage caused by China's degraded air quality, conducted in a pathbreaking, interdisciplinary U.S.-China collaboration. Its damage estimates are allocated by sector, making it possible for the first time to judge whether, for instance, power generation, transportation, or an unexpected source such as cement production causes the greatest environmental harm. Such objective analyses can reset policy priorities.

Clearing the Air uses this information to show how appropriate "green" taxes might not only reduce emissions and health damages but even enhance China's economic growth. It also shows to what extent these same policies could limit greenhouse gases, suggesting that wealthier nations have a responsibility to help China build environmental protection into its growth.

Clearing the Air is written for diverse readers, providing a bridge from underlying research to policy implications, with easily accessible overviews of issues and summaries of the findings for nonspecialists and policymakers followed by more specialized, interlinked studies of primary interest to scholars. Taken together, these analyses offer a uniquely integrated assessment that supports the book's economic and policy recommendations.