SESSION 6_Mike Holland_Health Impact of air pollution- CIRCLE workshop Oct. 2014

1. Calculating indicators for health impacts of air pollution for ENV-Linkages
Mike Holland mike.holland@emrc.co.uk
September 2014
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2. Tasks
•Calculate mortality and morbidity indicators for SO2, NOx, PM2.5 emissions
•Quantify economic costs
–Health expenditure
–Labour productivity
–Non-market damage (pain, suffering, premature mortality)
•Assess feasibility of extending quantitative assessment to non-health pollution impacts
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3. Starting point for analysis
•Pollutant concentrations (PM2.5, others?)
•Previous studies
–Global burden of disease, USEPA, European Commission, UN/ECE LRTAP Convention, Chinese work
•Data on GDP, population, population structure from OECD
•OECD recommendations on VSL
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4. Same approach everywhere?
•Possible standard approach
–GBD for all, using cause specific mortality functions
–10% added for morbidity
•HRAPIE
–All cause mortality more reliable for Europe (and USA)
–Detailed analysis of morbidity already undertaken
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5. Defining health endpoints
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•Morbidity, Europe and USA, €2012

6. Quantifying outside Europe, USA
•Quantification at higher concentrations?
•Incidence, prevalence data?
•Valuation data?
•Treatment options?
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Concentration
Response

7. Air pollution and healthcare
•EU, French, US studies
•Completeness? CV morbidity
•High costs associated with mortality in US and French studies
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8. Valuation of healthcare costs
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9. Air pollution and productivity
•Functions for work loss days
–Limited, aged research
–How complete?
–‘Presenteeism’?
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10. Summary
•Quantification at global scale is possible
•Key decisions
–Treatment of morbidity
–Use of common
–Interpretation of effects
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