# Environmental Health

Jonathan I Levy, Scott K. Wolff, and John S Evans. 2002. “A regression-based approach for estimating primary and secondary particulate matter intake fractions.” Risk Analysis, 22, 5, Pp. 893-901. Publisher's VersionAbstract
One of the common challenges for life cycle impact assessment and risk assessment is the need to estimate the population exposures associated with emissions. The concept of intake fraction (a unitless term representing the fraction of material or its precursor released from a source that is eventually inhaled or ingested) can be used when limited site data are available or the number of sources to model is large. Although studies have estimated intake fractions for some pollutant‐source combinations, there is a need to quickly and accurately estimate intake fractions for sources and settings not previously evaluated. It would be expected that limited source or site information could be used to yield intake fraction estimates with reasonable accuracy. To test this theory, we developed regression models to predict intake fractions previously estimated for primary fine particles (PM2.5) and secondary sulfate and nitrate particles from power plants and mobile sources in the United States. Our regression models were able to predict pollutant‐specific intake fractions with R2 between 0.53 and 0.86 and equations that reflected expected relationships (e.g., intake fraction increased with population density, stack height influenced the intake fraction of primary but not secondary particles). Further analysis would be needed to generalize beyond this case study and construct models applicable across source categories and settings, but our analysis demonstrates that inclusion of a limited number of parameters can significantly reduce the uncertainty in population‐average exposure estimates.
Ying Zhou and James K Hammitt. 2007. “The economic value of air-pollution-related health risks in China: A contingent valuation study.” In Clearing the air: The health and economic damages of air pollution in China, edited by Mun S Ho and Chris P Nielsen. 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.

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. R.C. Peng, L.H. Wang, H. Wang, K.B. He, and X.P. Xu. 1998. “Indoor air pollution from residential energy use in China.” In Energizing China: Reconciling Environmental Protection and Economic Growth, edited by M.B. McElroy, C.P. Nielsen, P. Lydon, and eds.. Cambridge, MA: HUCE/Harvard University Press. Publisher's VersionAbstract As China develops its booming, fossil fuel-powered economy, is it taking lessons from the history of Western industrialization and the unforeseen environmental harms that accompanied it? Given the risks of climate change, is there an imperative, shared responsibility to help China respond to the environmental effects of its coal dependence? By linking global hazards to local air pollution concerns—from indoor stove smoke to burgeoning ground-level ozone—this volume of eighteen studies seeks integrated strategies to address simultaneously a range of harmful emissions. Counterbalancing the scientific inquiry are key chapters on China’s unique legal, institutional, political, and cultural factors in effective pollution control. Energizing China, the stage-setting publication of an ongoing program of Harvard–China research collaboration, is distinguished by its conceptual breadth and spirit of exchange. Its contributors include twenty-two Western and seventeen Chinese scholars with a disciplinary reach that includes science, public health, engineering, economics, public policy, law, business, and China studies. James K Hammitt and Ying Zhou. 2006. “The economic value of air-pollution-related health risks in China: A contingent valuation study.” Environmental Resource Economics, 33, 3, Pp. 399-423. Publisher's VersionAbstract The economic value of preventing adverse health effects related to air pollution is estimated using contingent valuation in three diverse locations in China. Values are estimated for three health endpoints: cold, chronic bronchitis, and fatality. Alternative statistical models are tested to study their impact on estimated willingness to pay (WTP) and on the relationship between WTP and respondent characteristics. Using the official exchange rate, the sample-average median WTP to prevent an episode of cold ranges between US$3 and US$6, the WTP to prevent a statistical case of chronic bronchitis ranges between US$500 and US$1,000, and the value per statistical life ranges between US$4,000 and US$17,000. Estimated mean values are between two and thirteen times larger. Our estimates are between about 10 and 1,000 times smaller than estimates for the US and Taiwan using official exchange rates. Indoor air quality, measured for a subset of respondents, shows no consistent relationship with WTP. 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 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.

Scott A. Venners, B.Y. Wang, Z.G. Peng, Y. Xu, L.H. Wang, and X.P. Xu. 2003. “Particulate matter, sulfur dioxide, and daily mortality in Chongqing, China.” Environmental Health Perspectives, 111, 4, Pp. 562-567. Publisher's VersionAbstract
In 1995, daily mortality in a district of Chongqing, China, was analyzed from January through
December for associations with daily ambient sulfur dioxide and fine particles (airborne particles
with diameters ≤ 2.5 μm; PM2.5). The mean concentration of PM2.5 was 147 μg/m3 (maximum,
666 μg/m3), and that of SO2 was 213 μg/m3 (maximum, 571 μg/m3). On average, 9.6 persons
died each day. We used a generalized additive model using robust Poisson regression to estimate
the associations of mean daily SO2 and PM2.5 with daily mortality (on the same day and at lags up
to 5 days) adjusted for trend, season, temperature, humidity, and day of the week. The relative
risk of mortality associated with a 100 μg/m3 increase in mean daily SO2 was highest on the second
lag day [1.04; 95% confidence interval (CI), 1.00–1.09] and the third lag day (1.04; 95% CI,
0.99–1.08). The associations between daily mortality and mean daily PM2.5 were negative and statistically
insignificant on all days. The relative risk of respiratory mortality on the second day after
a 100 μg/m3 increase in mean daily SO2 was 1.11 (95% CI, 1.02–1.22), and that for cardiovascular
mortality was 1.10 (95% CI, 1.02–1.20). The relative risk of cardiovascular mortality on the
third day after a 100 μg/m3 increase in mean daily SO2 was 1.20 (95% CI, 1.11–1.30). The relative
risks of mortality due to cancer and other causes were insignificant on both days. The estimated
effects of mean daily SO2 on cardiovascular and respiratory mortality risk remained after controlling for PM2.5.
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.

Shuxiao Wang, Jiming Hao, Mun S Ho, Ji Li, and Yongqi Lu. 2006. “Intake fractions of industrial air pollutants in China: Estimation and application.” Science of the Total Environment, 354, Pp. 127-141. Publisher's VersionAbstract
Intake fractions, an emissions-intake relationship for primary pollutants, are defined and are estimated in order to make simple estimates of health damages from air pollution. The sulfur dioxide (SO2) and total suspended particles (TSP) intake fractions for five cities of China are estimated for the four main polluting industries—electric power generation, mineral (mostly cement) products industry, chemical process industry and metallurgical industry (mainly iron and steel smelting). The Industrial Source Complex Long Term (ISTLT3) model is used to simulate the spatial distribution of incremental ambient concentrations due to emissions from a large sample of site-specific sources. Detailed population distribution information is used for each city. The average intake fractions within 50 km of these sources are 4.4 × 10- 6 for TSP, and 4.2 × 10- 6 for SO2, with standard deviations of 8.15 × 10- 6 and 9.16 × 10- 6, respectively. They vary over a wide range, from 10- 7 to 10- 5. Although the electric power generation has been the focus of much of the air pollution research in China, our results show that it has the lowest average intake fraction for a local range among the four industries, which highlights the importance of pollutant emissions from other industrial sources. Sensitivity analyses show how the intake fractions are affected by the source and pollutant characteristics, the most important parameter being the size of the domain. However, the intake fraction estimates are robust enough to be useful for evaluating the local impacts on human health of primary SO2 and TSP emissions. An application of intake fractions is given to demonstrate how this approach provides a rapid population risk estimate if the dose-response function is linear without threshold, and hence can help in prioritizing pollution control efforts.
Chris P Nielsen and Mun S Ho. 2007. “Summary for research.” In Clearing the air: The health and economic damages of air pollution in China, edited by Mun S Ho and Chris P Nielsen. 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.

X.P. Xu. 1998. “Air pollution and its health effects in urban China.” In Energizing China: Reconciling Environmental Protection and Economic Growth, edited by M.B. McElroy, C.P. Nielsen, P. Lydon, and eds.. Cambridge, MA: HUCE/Harvard University Press. Publisher's VersionAbstract

As China develops its booming, fossil fuel-powered economy, is it taking lessons from the history of Western industrialization and the unforeseen environmental harms that accompanied it? Given the risks of climate change, is there an imperative, shared responsibility to help China respond to the environmental effects of its coal dependence? By linking global hazards to local air pollution concerns—from indoor stove smoke to burgeoning ground-level ozone—this volume of eighteen studies seeks integrated strategies to address simultaneously a range of harmful emissions. Counterbalancing the scientific inquiry are key chapters on China’s unique legal, institutional, political, and cultural factors in effective pollution control.

Energizing China, the stage-setting publication of an ongoing program of Harvard–China research collaboration, is distinguished by its conceptual breadth and spirit of exchange. Its contributors include twenty-two Western and seventeen Chinese scholars with a disciplinary reach that includes science, public health, engineering, economics, public policy, law, business, and China studies.

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.