# Environmental Health

Mun S Ho, Dale W Jorgenson, and Wenhua Di. 2002. “Pollution taxes and public health.” In Economics of the Environment in China, edited by Jeremy J. Warford and Yi Ning Li. Bethesda, MD: Aileen International Press.
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.

Ying Zhou, Jonathan I Levy, James K Hammitt, and John S Evans. 2007. “Population exposure to pollutants from the electric power sector using CALPUFF.” 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.

Y. Zhou, Jonathan I Levy, James K Hammitt, and John S Evans. 2003. “Estimating population exposure to power plant emissions using CALPUFF: A case study in Beijing, China.” Atmospheric Environment, 37, 6, Pp. 815-826. Publisher's VersionAbstract
Epidemiological studies have shown a significant association between ambient particulate matter (PM) exposures and increased mortality and morbidity risk. Power plants are significant emitters of precursor gases of fine particulate matter. To evaluate the public health risk posed by power plants, it is necessary to evaluate population exposure to different pollutants. The concept of intake fraction (the fraction of a pollutant emitted that is eventually inhaled or ingested by a population) has been proposed to provide a simple summary measure of the relationship between emissions and exposure. Currently available intake fraction estimates from developing countries used models that look only at the near field impacts, which may not capture the full impact of a pollution source. This case study demonstrated how the intake fraction of power plant emissions in China can be calculated using a detailed long-range atmospheric dispersion model—CALPUFF. We found that the intake fraction of primary fine particles is roughly on the order of 10−5, while the intake fractions of sulfur dioxide, sulfate and nitrate are on the order of 10−6. These estimates are an order of magnitude higher than the US estimates. We also tested how sensitive the results were to key assumptions within the model. The size distribution of primary particles has a large impact on the intake fraction for primary particles while the background ammonia concentration is an important factor influencing the intake fraction of nitrate. The background ozone concentration has a moderate impact on the intake fraction of sulfate and nitrate. Our analysis shows that this approach is applicable to a developing country and it provides reasonable population exposure estimates.
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.

1998. Energizing China: Reconciling Environmental Protection and Economic Growth. 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.

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. Bingjiang Liu and Jiming Hao. 2007. “Local population exposure to pollutants from the electric power sector.” 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. Scott A. Venners, Binyan Wang, Jiatong Ni, Yongtang Jin, Jianhua Yang, Zhian Fang, and Xiping Xu. 2001. “Indoor air pollution and respiratory health in urban and rural China.” International Journal of Occupational and Environmental Health , 7, 3, Pp. 173-181. Publisher's VersionAbstract During the summer of 1999, information about respiratory health outcomes and relevant covariates was collected from 3,709 Chinese adults in Beijing, Anqing City, and rural communities in Anqing Prefecture. Indoor PM10 and SO2 were measured in a random sample of selected households. Using logistic regression and controlling for important covariates (excluding PM10 and SO2) and familial intraclass correlation, highly significant differences were found between study areas in the prevalences of chronic cough, chronic phlegm, wheeze, and shortness of breath, but not physician-diagnosed asthma. Generally, the lowest prevalence of respiratory symptoms was observed in Anqing City, a higher prevalence in rural Anqing, and the highest prevalence in Beijing. Median indoor concentrations of PM10 were similar in Anqing City (239 microg/m3) and rural Anqing (248 microg/m3), but much higher in Beijing (557 microg/m3). Median indoor concentrations of SO2 were similar in all three areas (Beijing: 14 microg/m3, Anqing City: 25 microg/m3, rural Anqing: 20 microg/m3). Hong Wang and John Mullahy. 2006. “Willingness to pay for reducing fatal risk by improving air quality: A contingent valuation study in Chongqing, China.” Science of the Total Environment, 367, Pp. 50-57. Publisher's VersionAbstract In China, 76% of all energy comes from coal consumption, which is the major cause of air pollution. One of the major barriers to developing sound policies for controlling air pollution is the lack of information related to the value of the health consequences of air pollution. We conducted a willingness-to-pay (WTP) study using contingent valuation (CV) methods in Chongqing, China to estimate the economic value of saving one statistical life through improving air quality. A sample of 500 residents was chosen based on multistage sampling methods. A face-to-face household interview was conducted using a series of hypothetical, open-ended scenarios followed by bidding game questions designed to elicit the respondents' WTP for air pollution reduction. The Two-Part Model was used for estimations. The results show that 96% of respondents were able to express their WTP. Their mean annual income is$490. Their WTP to save one statistical life is $34,458. Marginal increases for saving one statistical life is$240 with 1 year age increase, $14,434 with 100 yuan monthly income increase, and$1590 with 1 year education increase. Unlike developed country, clean air may still be considered as a “luxury” good in China based on the estimation of income elasticity.

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.

2016 Dec 07

# Long-Term Trend and Spatial Pattern of PM2.5-Induced Premature Mortality in China

3:30pm to 4:45pm

## Location:

Pierce Hall 100F, 29 Oxford St., Cambridge, MA

# Shuxiao Wang

Professor, School of Environment, Tsinghua University
Alumna (Postdoctoral Fellow and Visiting Scholar) and Collaborator, Harvard-China Project

# Haikun Wang

Professor, School of Atmospheric Sciences, Nanjing University
Alumnus (Visiting Scholar) and Collaborator, Harvard-China Project