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Health and Economic Damages of Air Pollution in China

Jonathan I Levy and Susan Greco. 2007. “Estimating health effects of air pollution in China: An introduction to intake fraction and the epidemiology.” 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.
James K Hammitt and Ying Zhou. 2006. “The economic value of air-pollution-related health risks in China: A contingent valuation study.” Environmental Resource Economics, 33, 3, Pp. 399-423. Publisher's VersionAbstract
The economic value of preventing adverse health effects related to air pollution is estimated using contingent valuation in three diverse locations in China. Values are estimated for three health endpoints: cold, chronic bronchitis, and fatality. Alternative statistical models are tested to study their impact on estimated willingness to pay (WTP) and on the relationship between WTP and respondent characteristics. Using the official exchange rate, the sample-average median WTP to prevent an episode of cold ranges between US$3 and US$6, the WTP to prevent a statistical case of chronic bronchitis ranges between US$500 and US$1,000, and the value per statistical life ranges between US$4,000 and US$17,000. Estimated mean values are between two and thirteen times larger. Our estimates are between about 10 and 1,000 times smaller than estimates for the US and Taiwan using official exchange rates. Indoor air quality, measured for a subset of respondents, shows no consistent relationship with WTP.
Chris P Nielsen and Mun S Ho. 2007. “Air pollution and health damages in China: An introduction and review.” In Clearing the air: The health and economic damages of air pollution in China, edited by Chris P Nielsen and Mun S Ho. 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.
Shuxiao Wang, Jiming Hao, Mun S Ho, Ji Li, and Yongqi Lu. 2006. “Intake fractions of industrial air pollutants in China: Estimation and application.” Science of the Total Environment, 354, Pp. 127-141. Publisher's VersionAbstract
Intake fractions, an emissions-intake relationship for primary pollutants, are defined and are estimated in order to make simple estimates of health damages from air pollution. The sulfur dioxide (SO2) and total suspended particles (TSP) intake fractions for five cities of China are estimated for the four main polluting industries—electric power generation, mineral (mostly cement) products industry, chemical process industry and metallurgical industry (mainly iron and steel smelting). The Industrial Source Complex Long Term (ISTLT3) model is used to simulate the spatial distribution of incremental ambient concentrations due to emissions from a large sample of site-specific sources. Detailed population distribution information is used for each city. The average intake fractions within 50 km of these sources are 4.4 × 10- 6 for TSP, and 4.2 × 10- 6 for SO2, with standard deviations of 8.15 × 10- 6 and 9.16 × 10- 6, respectively. They vary over a wide range, from 10- 7 to 10- 5. Although the electric power generation has been the focus of much of the air pollution research in China, our results show that it has the lowest average intake fraction for a local range among the four industries, which highlights the importance of pollutant emissions from other industrial sources. Sensitivity analyses show how the intake fractions are affected by the source and pollutant characteristics, the most important parameter being the size of the domain. However, the intake fraction estimates are robust enough to be useful for evaluating the local impacts on human health of primary SO2 and TSP emissions. An application of intake fractions is given to demonstrate how this approach provides a rapid population risk estimate if the dose-response function is linear without threshold, and hence can help in prioritizing pollution control efforts.
Chris P Nielsen and Mun S Ho. 2007. “Summary for research.” 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.
Mun S Ho and Dale W Jorgenson. 2007. “Sector allocation of emissions and damage.” 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.
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.
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.
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.

Chris P Nielsen and Mun S Ho. 2007. “Summary for policy.” 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.
Ying Zhou, Jonathan I Levy, John S Evans, and James K Hammitt. 2006. “The influence of geographic location on population exposure to emissions from power plants throughout China.” Environment International, 32, 3, Pp. 365-373. Publisher's VersionAbstract
This analysis seeks to evaluate the influence of emission source location on population exposure in China to fine particles and sulfur dioxide. We use the concept of intake fraction, defined as the fraction of material or its precursor released from a source that is eventually inhaled or ingested by a population. We select 29 power-plant sites throughout China and estimate annual average intake fractions at each site, using identical source characteristics to isolate the influence of geographic location. In addition, we develop regression models to interpret the intake fraction values and allow for extrapolation to other sites. To model the concentration increase due to emissions from selected power plants, we used a detailed long-range atmospheric dispersion model, CALPUFF. Primary fine particles have the highest average intake fraction (1 × 10− 5), followed by sulfur dioxide (5 × 10− 6), sulfate from sulfur dioxide (4 × 10− 6), and nitrate from nitrogen oxides (4 × 10− 6). For all pollutants, the intake fractions span approximately an order of magnitude across sites. In the regression analysis, the independent variables are meteorological proxies (such as climate region and precipitation) and population at various distances from the source. We find that population terms can explain a substantial percentage of variability in the intake fraction for all pollutants (R2 between 0.86 and 0.95 across pollutants), with a significant modifying influence of meteorological regime. Near-source population is more important for primary coarse particles while population at medium to long distance is more important for primary fine particles and secondary particles. A significant portion of intake fraction (especially for secondary particles and primary fine particles) occurs beyond 500 km of the source, emphasizing the need for detailed long-range dispersion modeling. These findings demonstrate that intake fractions for power plants in China can be estimated with reasonable precision and summarized using simple regression models. The results should be useful for informing future decisions about power-plant locations and controls.
Scott A. Venners, B.Y. Wang, Z.G. Peng, Y. Xu, L.H. Wang, and X.P. Xu. 2003. “Particulate matter, sulfur dioxide, and daily mortality in Chongqing, China.” Environmental Health Perspectives, 111, 4, Pp. 562-567. Publisher's VersionAbstract
In 1995, daily mortality in a district of Chongqing, China, was analyzed from January through
December for associations with daily ambient sulfur dioxide and fine particles (airborne particles
with diameters ≤ 2.5 μm; PM2.5). The mean concentration of PM2.5 was 147 μg/m3 (maximum,
666 μg/m3), and that of SO2 was 213 μg/m3 (maximum, 571 μg/m3). On average, 9.6 persons
died each day. We used a generalized additive model using robust Poisson regression to estimate
the associations of mean daily SO2 and PM2.5 with daily mortality (on the same day and at lags up
to 5 days) adjusted for trend, season, temperature, humidity, and day of the week. The relative
risk of mortality associated with a 100 μg/m3 increase in mean daily SO2 was highest on the second
lag day [1.04; 95% confidence interval (CI), 1.00–1.09] and the third lag day (1.04; 95% CI,
0.99–1.08). The associations between daily mortality and mean daily PM2.5 were negative and statistically
insignificant on all days. The relative risk of respiratory mortality on the second day after
a 100 μg/m3 increase in mean daily SO2 was 1.11 (95% CI, 1.02–1.22), and that for cardiovascular
mortality was 1.10 (95% CI, 1.02–1.20). The relative risk of cardiovascular mortality on the
third day after a 100 μg/m3 increase in mean daily SO2 was 1.20 (95% CI, 1.11–1.30). The relative
risks of mortality due to cancer and other causes were insignificant on both days. The estimated
effects of mean daily SO2 on cardiovascular and respiratory mortality risk remained after
controlling for PM2.5.

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