Environmental Science and Pollution Research

, Volume 25, Issue 30, pp 30009–30020 | Cite as

A systematic review of financial implications of air pollution on health in Asia

  • Hafiz Jaafar
  • Nurain Amirah Razi
  • Amirah Azzeri
  • Marzuki Isahak
  • Maznah DahluiEmail author
Review Article


Economic losses due to health-related implications of air pollution were huge and incurred significant burdens towards healthcare providers. The objective of this study is to systematically review published literature on the financial implications of air pollution on health in Asia. Four databases: PubMed, Scopus, NHS Economic Evaluation Database (NHS EED), and Web of Science (WoS) were used to identify all the relevant articles. It was limited to all articles that had been published in the respected databases from January 2007 until March 2017. Twenty-four articles were included in this review. Five of the 24 studies (20.8%) reported financial implications of air pollution-related disease through value of statistical life (VOSL) which ranged from USD180 million to USD2.2 billion, six (25%) studies used cost of illness (COI) to evaluate air pollution-related morbidity and found that the cost ranged from USD5.4 million to USD9.1 billion. Another six studies (25%) used a combination of VOSL and COI for both mortality and morbidity valuation and found that the financial implications ranging from USD253 million to USD2.9 billion. Thirteen (54.2%) studies reported healthcare cost associated with both hospital admission and outpatient visit, five (20.1%) on hospital admission only, and one (4.2%) on outpatient visit only. Economic impacts of air pollution can be huge with significant deterioration of health among the Asians.


Air pollution Haze Economic burden Financial implications Healthcare utilization Asia 


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Hafiz Jaafar
    • 1
    • 2
  • Nurain Amirah Razi
    • 1
  • Amirah Azzeri
    • 2
  • Marzuki Isahak
    • 2
  • Maznah Dahlui
    • 2
    • 3
    Email author
  1. 1.Department of Primary Care, Faculty of Medicine and Health SciencesUniversiti Sains Islam MalaysiaKuala LumpurMalaysia
  2. 2.Department of Social and Preventive Medicine, Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia
  3. 3.Faculty of Public HealthUniversity AirlanggaSurabayaIndonesia

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