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Local action on outdoor air pollution to improve public health

  • Review
  • Published:
International Journal of Public Health

Abstract

Objectives

The National Institute for Health and Care Excellence, jointly with Public Health England, have developed a guideline on outdoor air pollution and its links to health. The guideline makes recommendations on local interventions that can help improve air quality and prevent a range of adverse health outcomes associated with road-traffic-related air pollution.

Methods

The guideline was based on a rigorous assessment of the scientific evidence by an independent advisory committee, with input from public health professionals and other professional groups. The process included systematics reviews of the literature, expert testimonies and stakeholder consultation.

Results

The guideline includes recommendations for local planning, clean air zones, measures to reduce emissions from public sector transport services, smooth driving and speed reduction, active travel, and awareness raising.

Conclusions

The guideline recommends taking a number of actions in combination, because multiple interventions, each producing a small benefit, are likely to act cumulatively to produce significant change. These actions are likely to bring multiple public health benefits, in addition to air quality improvements.

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Acknowledgements

We would like to thank all members of the National Institute for Health and Care Excellence Public Health Advisory Committee (PHAC) on Outdoor Air Pollution. We gratefully acknowledge the technical and secretariat support provided to the PHAC by the National Institute for Health and Care Excellence (NICE) and Public Health England (PHE) for the development of this guideline. The authors would like to acknowledge that the original systematic reviews on which this article and the guideline recommendations are based were developed by a NICE Public Health technical team comprising of Hugo Crombie, Diana O’Rourke and Stephen Robinson (the full narrative systematic reviews and detailed appendices can be found at: https://www.nice.org.uk/guidance/ng70/evidence). We are also grateful to Naima Bradley, Karen Exley and Bilaal Adam (PHE), and to all expert witnesses and external reviewers of the guideline.

Author information

Authors and Affiliations

  1. Institute of Occupational Medicine, Research Avenue North, Riccarton, Edinburgh, Scotland, EH14 4AP, UK

    Sotiris Vardoulakis

  2. National Institute for Health and Care Excellence, Manchester, UK

    Rachel Kettle

  3. Public Health England, London, UK

    Paul Cosford

  4. UK Health Forum, London, UK

    Paul Lincoln

  5. Faculty of Medicine, Southampton General Hospital, Southampton, UK

    Stephen Holgate

  6. Centre for Child Health, Blizard Institute, Queen Mary University of London, London, UK

    Jonathan Grigg

  7. NIHR Health Protection Research Unit in Health Impact of Environmental Hazards, King College University of London, London, UK

    Frank Kelly

  8. Sustainable Development Unit for NHS England and Public Health England, Cambridge, UK

    David Pencheon

Authors
  1. Sotiris Vardoulakis
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  2. Rachel Kettle
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  4. Paul Lincoln
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  5. Stephen Holgate
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  7. Frank Kelly
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  8. David Pencheon
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Correspondence to Sotiris Vardoulakis.

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The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

This review did not involve human participants and/or animals.

Additional information

This Review is part of the section “Knowledge Synthesis, Translation and Exchange”.

SV was Topic Expert Member, RK Public Health Technical Adviser, and PL Chair of the NICE Public Health Advisory Committee on Outdoor Air Pollution; PC is Medical Director of Public Health England, an Executive Agency of the Department of Health; SH was Chair and JG vice-Chair of the working party on air pollution of the Royal College of Physicians and the Royal College of Paediatrics and Child Health; FK is Chair and JG a Member of the Committee on the Medical Effects of Air Pollutants; SV, SH and FK are Members of a Dyson advisory board; SV is co-Chair of Healthy-Polis (International Consortium for Urban Environmental Health and Sustainability) and has honorary academic appointments with Exeter University Medical School and the London School of Hygiene and Tropical Medicine.

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Vardoulakis, S., Kettle, R., Cosford, P. et al. Local action on outdoor air pollution to improve public health. Int J Public Health 63, 557–565 (2018). https://doi.org/10.1007/s00038-018-1104-8

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