Abstract
As the largest developing country in the world, China is now facing one of the severest air pollution problems. The objective of this section is to evaluate the disease burden and corresponding economic loss attributable to ambient air pollution in China. We reviewed a series of studies by Chinese or foreign investigators focusing on the disease burden and economic loss in China. These studies showed both the general air pollution and haze episodes have resulted in substantial disease burden in terms of excess number of premature deaths, disability-adjusted life-year loss, and years of life lost. The corresponding economic loss has accounted for an appreciable proportion of China’s national economy. Overall, the disease burden and health economic loss due to ambient air pollution in China is greater than in the remaining parts of the world, for one of the highest levels of air pollution and the largest size of exposed population. Consideration of both health and economic impacts of air pollution can facilitate the Chinese government to develop environmental policies to reduce the emissions of various air pollutants and protect the public health.
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References
Chen R, Chen B, Kan H. Application of disability adjusted life years in evaluating health effects due to particulate air pollution in Chinese cities (in Chinese). Chin J Prev Med. 2010a;44(2):140–3.
Chen R, Chen B, Kan H. A health-based economic assessment of particulate air pollution in 113 Chinese cities (in Chinese). China Environ Sci. 2010b;30(3):410–5.
GBD 2015 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1659–724.
GBD 2013 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(10010):2287–323.
Gao M, Guttikunda SK, Carmichael GR, Wang Y, Liu Z, Stanier CO, Saide PE, Yu M. Health impacts and economic losses assessment of the 2013 severe haze event in Beijing area. Sci Total Environ. 2015;511:553–61.
GBD MAPS Working Group. Burden of disease attributable to coal-burning and other major sources of air pollution in China, Special Report 20. Boston: Health Effects Institute; 2016.
Guo Y, Li S, Tian Z, Pan X, Zhang J, Williams G. The burden of air pollution on years of life lost in Beijing, China, 2004–08: retrospective regression analysis of daily deaths. BMJ. 2013;347:f7139.
He T, Yang Z, Liu T, Shen Y, Fu X, Qian X, Zhang Y, Wang Y, Xu Z, Zhu S, Mao C, Xu G, Tang J. Ambient air pollution and years of life lost in Ningbo, China. Sci Rep. 2016;6:22485.
Hou Q, An X, Tao Y, Sun Z. Assessment of resident’s exposure level and health economic costs of PM10 in Beijing from 2008 to 2012. Sci Total Environ. 2016;563–564:557–65.
Jo C. Cost-of-illness studies: concepts, scopes, and methods. Clin Mol Hepatol. 2014;20(4):327–37.
Kan H, Chen B. Particulate air pollution in urban areas of Shanghai, China: health-based economic assessment. Sci Total Environ. 2004;322(1–3):71–9.
Lelieveld J, Evans JS, Fnais M, Giannadaki D, Pozzer A. The contribution of outdoor air pollution sources to premature mortality on a global scale. Nature. 2015;525(7569):367–71.
Li L, Lei Y, Pan D, Yu C, Si C. Economic evaluation of the air pollution effect on public health in China’s 74 cities. Springerplus. 2016;5:402.
Liu J, Han Y, Tang X, Zhu J, Zhu T. Estimating adult mortality attributable to PM2.5 exposure in China with assimilated PM2.5 concentrations based on a ground monitoring network. Sci Total Environ. 2016;568:1253–62.
Liu M, Huang Y, Ma Z, Jin Z, Liu X, Wang H, Liu Y, Wang J, Jantunen M, Bi J, Kinney PL. Spatial and temporal trends in the mortality burden of air pollution in China: 2004–2012. Environ Int. 2017;98:75–81.
Liu S, Zhou M, Wang L, Li Y, Liu Y, Liu J, You J, Yin P. Burden of disease attributable to ambient particulate matter pollution in 1990 and 2010 in China (in Chinese). Chin J Prev Med 2015;(4):327–33.
Lu X, Lin C, Li Y, Yao T, Fung JC, Lau AK. Assessment of health burden caused by particulate matter in southern China using high-resolution satellite observation. Environ Int. 2017;98:160–70.
Quah E, Boon TL. The economic cost of particulate air pollution on health in Singapore. J Asian Econ. 2003;14(1):73–90.
Song C, He J, Wu L, Jin T, Chen X, Li R, Ren P, Zhang L, Mao H. Health burden attributable to ambient PM2.5 in China. Environ Pollut. 2017;223:575–86.
Svensson M. The value of a statistical life in Sweden: estimates from two studies using the “certainty approach” calibration. Accid Anal Prev. 2009;41(3):430–7.
Wang G, Gu S, Chen J, Wu X, Yu J. Assessment of health and economic effects by PM2.5 pollution in Beijing: a combined exposure-response and computable general equilibrium analysis. Environ Technol. 2016;37(24):3131–8.
Wang Y, Ying Q, Hu J, Zhang H. Spatial and temporal variations of six criteria air pollutants in 31 provincial capital cities in China during 2013-2014. Environ Int. 2014;73:413–22.
World Bank and State Environmental Protection Administration, P. R. China. Cost of pollution in China: economic estimates of physical damages. Washington, DC. 2007.
World Bank. The cost of air pollution: strengthening the economic case for action. Washington, DC. 2016.
Xu X, Chen R, Kan H, Ying X. Meta-analysis of contingent valuation studies on air pollution-related value of statistical life in China (in Chinese). Chin Health Resour. 2013;16(1):64–7.
Yang J, Zhou M, Yin P, Li M, Ou CQ, Gu S, Liu Q. Mortality as a function of dust-haze in China: a multi-city time-series study. Lancet. 2016;388(Suppl 1):S19.
Zhang M, Song Y, Cai X, Zhou J. Economic assessment of the health effects related to particulate matter pollution in 111 Chinese cities by using economic burden of disease analysis. J Environ Manag. 2008;88(4):947–54.
Zhang Y, Ma G, Yu W, Cao D. Health damage assessment due to PM2.5 exposure during haze pollution events in Beijing-Tianjin-Hebei region in January 2013 (in Chinese). Nat Med J China. 2013;93(34):2707–10.
Zhao W. Health risks and economic loss on urban citizens caused by air pollution. Shanghai: Shanghai Jiao Tong University; 2012.
Zheng S, Pozzer A, Cao C, Lelieveld J. Long-term (2001–2012) concentrations of fine particulate matter (PM2.5) and the impact on human health in Beijing, China. Atmos Chem Phys. 2015;15:5715–25.
Acknowledgment
This chapter was supported by Grants from Public Welfare Research Program of National Health and Family Planning Commission of China (201502003), National Natural Science Foundation of China (91643205), China Medical Board Collaborating Program (13-152), and Cyrus Tang Foundation (CTF-FD2014001).
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Niu, Y., Chen, R., Kan, H. (2017). Air Pollution, Disease Burden, and Health Economic Loss in China. In: Dong, GH. (eds) Ambient Air Pollution and Health Impact in China. Advances in Experimental Medicine and Biology, vol 1017. Springer, Singapore. https://doi.org/10.1007/978-981-10-5657-4_10
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