Environmental Health

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, 2021. 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.
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. 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.


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, Sept 2020, 201921271. 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.