UK environmental inequalities refers to the way in which the quality of the environment differs between different communities in the UK. These differences are felt across a number of aspects of the environment, including air pollution, access to green space and exposure to flood risk.
The concept of 'Environmental Inequality'
The Environment Agency, a British non-departmental public body of the Department for Environment, Food and Rural Affairs (DEFRA), defines 'environmental inequality' as follows: 'To observe or claim an environmental inequality is to point out that an aspect of the environment is distributed unevenly amongst different social groups (differentiated by social class, ethnicity, gender, age, location, etc.)'
The Sustainable Development Research Network (SDRN) define environmental inequality as follows: 'Environmental inequality refers to the unequal distribution of environmental risks and hazards and access to environmental goods and services.'
Gordon Walker (Department of Geography, Lancaster Environment Centre, Lancaster University and Malcolm Eames (University of Cardiff) define 'environmental inequality' as 'covering a wide range of questions of difference or unevenness, including:
• Who has good quality and safe environment to live in, who experiences pollution, hazards and risks and who is distanced or protected from such impacts?
• Who accesses and consumes environmental resources and who is unable to do so, or limited in their degree of access and consumption?
• Who is able to shape environmental decision-making and who is not? Who is included who is excluded?' 
Sociologist Liam Downey (2005) has distinguished five different ways of defining environmental inequality:
i) Intentional racism definitions: According to this definition, environmental inequalities arise when environmental hazards are intentionally placed in minority neighbourhoods by private companies.
ii) Disparate exposure definitions: According to this definition, environmental inequalities arise 'when members of a specific social group are more highly exposed to some set of environmental pollutants than we would expect if group members were randomly distributed across residential space'.
iii) Disparate health impact definitions: According to this definition, environmental inequalities arise 'when the negative health effects of residential proximity or exposure to environmental hazards are distributed unequally across social groups.'
iv) Disparate social impacts definitions: According to this definition, environmental inequalities arise 'when members of a specific social group are more likely to live in environmentally hazardous neighborhoods than we would expect if group members were randomly distributed across residential space.'
v) Relative distribution of burdens versus benefits definitions: According to this definition, environmental inequalities arise when groups that receive greater benefits from capitalist social relations (according to proponents of this definition, this means whites and the middle and upper classes) are less burdened by industrial pollution than groups that receive fewer benefits from capitalist social relations (according to proponents of this definition, this means people of colour, the poor and the working classes).
The concept of environmental inequality emerged in the context of the movement for Environmental Justice. The Environmental Justice movement originated in the USA in the 1980s in response to concerns about communities from poor, black and minority ethnic environments being disproportionately affected by environmental issues and excluded from environmental decision-making.
Much initial progress on promoting an Environmental Justice agenda in the UK was made in Scotland, beginning with a speech made by Jack McConnell, First Minister of the Scottish Executive in 2002. McConnell said: '… the reality is that the people who have the most urgent environmental concerns in Scotland are those who daily cope with the consequences of a poor quality of life, and live in a rotten environment - close to industrial pollution, plagued by vehicle emissions, streets filled by litter and walls covered in graffiti. This is true for Scotland and also true elsewhere in the world. These are circumstances which would not be acceptable to better off communities in our society, and those who have to endure such environments in which to bring up a family, or grow old themselves are being denied environmental justice.'
Following this speech, and in light of Environmental Justice campaigning by Friends of the Earth Scotland, references to Environmental Justice have been made in several Scottish policy documents ( e.g. Scottish Executive 2002c, 2003, 2003a (the Partnership Agreement); Scottish Executive Development Department, 2001, 2003, 2004, and 2005). The Scottish Executive, in 2005, commissioned research into ways of making environmental information more accessible to the public, and has also recently commissioned a study that investigates the social impacts of flooding.
An Environmental Justice agenda has also been emerging in England since the late 1990s. In 1999, Environment Minister Michael Meacher wrote, in a foreword to 'Equality and the Environment' by Brenda Boardman: 'environmental problems are serious and impact most heavily on the most vulnerable members of society: the old, the very young and the poor.' In a 2001 speech, Prime Minister Tony Blair spoke about the need to address environmental issues such as access to green space and air quality in deprived urban areas  and in a speech given to the UN in New York, 2007, Prime Minister Gordon Brown said that 'the consequences of climate change will be disproportionately felt by the poorest who are least responsible for it - making the issue of climate change one of justice as much as economic development...economic progress social justice and environmental care now go together.'
The presence of this agenda became clear at a policy level in England, in DEFRA's 1999 Sustainable Development Strategy 'A Better Life', in which there was a focus on access to environmental information, decision making and justice. The Environmental Justice theme was evident again in the 2004 Sustainable Development Strategy, which commissioned a public consultation on issues around environmental justice and equality. Further, in 2003, the government’s Social Exclusion Unit published a report that examined issues around inequalities in transport and pollution. One governmental actor involved in pushing forward the Environmental Justice agenda was The Office of the Deputy Prime Minister. In 2004, it included environmental factors in its indices of deprivation  and, in 2005, it commissioned research into the links between social and economic conditions and environmental quality. The UK Environmental Justice agenda was also taken on by the government’s Sustainable Development Commission (SDC). In their November 2001 review of the UK’s Sustainable Development Strategy, SDC approached issues of regeneration, poverty and the environment with an environmental justice perspective, and in their 2002 report ‘Vision for Sustainable Regeneration, Environment and Poverty’, SDC stressed the need for a new approach to sustainable regeneration that acknowledges the importance of environmental inequalities and the links between poverty and the environment.
The discourse around environmental justice in the UK is often framed in terms of 'environmental equality', following DEFRA's decision to use environmental equality as one of its sustainable development indicators.
Who is affected by UK environmental inequalities?
The Environment Agency states that 'People who are socially and economically disadvantaged often live in the worst environments. For example, those living in the most deprived parts of England experience the worst air quality and have less access to green space and adequate housing. These problems can affect people's health and well being and can add to the burden of social and economic deprivation. They can also limit the opportunities available for people to improve their lives and undermine attempts to renew local neighbourhoods. Those affected tend to be the most vulnerable and excluded in society.'
There is also evidence that people from BME (black and minority ethnic) backgrounds suffer the worst environmental conditions, and are excluded from environmental decision-making. UK NGO and think-tank Capacity Global, in 'BMEs – Tackling Social and Environmental Justice', argue that several barriers exist, which hinder BAME communities’ action on tackling environmental problems.
Examples of environmental inequalities in the UK
Access to parks, green spaces and the natural environment
The most affluent 20 per cent of council wards have five times the amount of parks or general green space (excluding gardens) per person than the most deprived 10 per cent of wards. Wards with a population with fewer than 2% black and minority ethnic residents have six times as many parks and eleven times more public green space as wards where more than 40 per cent of the population are people from black and minority ethnic groups.
According to a 2011 DEFRA White Paper on the Natural Environment, people in deprived areas are nearly six times less likely than those in affluent ones to describe their area as ‘green’, and 'those living in deprived areas, minority ethnic communities, elderly people and those with disabilities have less access to green spaces or tend to use them less.' This paper also noted that the frequency of exposure to the natural environment (incorporating a broad array of living things including wildlife, forests, rivers, strems, lakes, seas, countryside, farmed land and urban green space) is 'significantly lower' amongst those aged above 65, BME populations and those on low incomes (members of DE socioeconomic groups).
According to the government's Forestry Commission, several factors interact to prevent black and minority ethnic groups from having the same access to woodland as other groups. These are: economic factors; lack of awareness, familiarity, knowledge, confidence or interest; cultural attitudes and preferences; feeling unwelcome and out of place.
Exposure to flood risk
Deprived communities are more exposed to flood risk, with eight times more people in the most deprived 10% of the population living in tidal floodplains than the least deprived 10%. People in deciles 1 and 2 (decile 1 being the most deprived 10% of the population and decile 2 the second most deprived 10%) are 47 per cent more likely to be living at risk of flooding than the rest of the population for zone 2 floodrisk areas, and 62% more likely for zone 3.
The worst levels of air pollution are experienced by people in the most deprived 10% areas in England. These people are also subject to 41% higher concentrations of nitrogen dioxide from transport and industry than the average. The average black or black-British African in the UK person is exposed to 27.25 micrograms per cubic metre of harmful pollutant PM10. This is over 28% higher than the average urban white person.
Exposure to harmful chemicals
A 1999 Friends of the Earth report found that 82% of all carcinogenic chemical emissions were released by factories in the most deprived 20% wards. Further, the report suggested that because 70% of all people from ethnic minorities in the UK live in the 88 most deprived wards, this exposure to harmful chemicals disproportionately affects these people.
Over a quarter of child pedestrian casualties happen in the most deprived 10% of wards. In Wales, children and people aged over 65 are twice as likely to be injured by motor vehicles in deprived areas than in more advantaged areas.
Proximity to waste and landfill sites
An investigation by the Environment Agency into Environmental Justice in South Yorkshire revealed that in South Yorkshire, people in decile 1 are twice as likely to be living next to a recycling site, a waste transfer site or a landfill site as the rest of the population and three times more likely to be living near to an amenity site. In the UK as a whole, deprived communities are more likely to live near waste sites except landfill sites, where it is the least deprived populations that are located nearby.
As for the causes of environmental inequalities in the UK, the Environment Agency writes: 'The causes of these inequalities are often complex and long-standing. Some problems are due to the historical location of industry and communities; others are the result of the impacts of new developments such as traffic. Often these environmental problems are caused by the actions of others who do not live in the affected community. Often those most affected have not been involved in the decisions that affect the quality of their environment.' Environmental equity advocates often argue that environmental inequalities are entrenched due to the fact that the vulnerable communities exposed to environmental burdens lack the means necessary to change their situation due to factors such as limited economic means, exclusion from decision-making processes and institutionalised racism.
Work being done on UK environmental inequalities
The UK government has included environmental equality as one of its sustainable development indicators since the establishment of these indicators in 1992. Further, DEFRA have incorporated an environmental inequalities analysis into its work, and the Environment Agency have published several reports on environmental inequality.
In Wales, action around environmental inequalities has primarily been coordinated through the Welsh Assembly's Community First initiative, which has attempted to enable deprived communities to take action themselves on sustainable development issues, with a particular focus on health inequalities and the health benefits of access to environmental goods. The Welsh Assembly have recognised the environmental aspects of deprivation, incorporating this into its 2008 index of multiple deprivation.
Several UK academics have published widely around environmental inequalities. Academics working on environmental inequalities include Gordon Walker of Lancaster University and Professor Malcolm Eames of Cardiff University. In 2006, Brunel University and Lancaster University organised a series of seminars on environmental inequalities. This was supported by the Economic & Social Research Council, the Natural Environment Research Council, the Sustainable Development Research Council, the Environment Agency and DEFRA.
The following UK NGOs work on issues around environmental inequalities:
- Friends of the Earth do some work on issues around environmental justice and inequalities. In 2001, they published a briefing on Environmental Justice with the ESRC and they have also published a report on social exclusion and transport in Bradford.
- Friends of the Earth Scotland have a particularly strong focus on environmental justice  and have conducted research into and campaigned on inequalities in exposure to air pollution.
- Capacity Global are an NGO and think-tank that work on issues around environmental justice and environmental inequality.
- The London Sustainability Exchange have worked on environmental inequalities in London.
- Groundwork UK, in a report called ‘Fair and Green’, examine the relationship between environmental problems, deprivation and social justice and focus on the issue of environmental inequalities.
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"Bad air quality" and "Air quality" redirect here. For the obsolete medical theory, see Bad air. For the measure of how polluted the air is, see Air quality index. For the properties of air, see Qualities of air.
Air pollution occurs when harmful or excessive quantities of substances including gases, particulates, and biological molecules are introduced into Earth's atmosphere. It may cause diseases, allergies and also death of humans; it may also cause harm to other living organisms such as animals and food crops, and may damage the natural or built environment. Human activity and natural processes can both generate air pollution.
Indoor air pollution and poor urban air quality are listed as two of the world's worst toxic pollution problems in the 2008 Blacksmith Institute World's Worst Polluted Places report. According to the 2014 World Health Organization report, air pollution in 2012 caused the deaths of around 7 million people worldwide, an estimate roughly echoed by one from the International Energy Agency.
Main articles: Pollutant and Greenhouse gas
An air pollutant is a substance in the air that can have adverse effects on humans and the ecosystem. The substance can be solid particles, liquid droplets, or gases. A pollutant can be of natural origin or man-made. Pollutants are classified as primary or secondary. Primary pollutants are usually produced from a process, such as ash from a volcanic eruption. Other examples include carbon monoxide gas from motor vehicle exhaust, or the sulfur dioxide released from factories. Secondary pollutants are not emitted directly. Rather, they form in the air when primary pollutants react or interact. Ground level ozone is a prominent example of a secondary pollutant. Some pollutants may be both primary and secondary: they are both emitted directly and formed from other primary pollutants.
Substances emitted into the atmosphere by human activity include:
- Carbon dioxide (CO2) - Because of its role as a greenhouse gas it has been described as "the leading pollutant" and "the worst climate pollution". Carbon dioxide is a natural component of the atmosphere, essential for plant life and given off by the human respiratory system. This question of terminology has practical effects, for example as determining whether the U.S. Clean Air Act is deemed to regulate CO2 emissions. CO2 currently forms about 405 parts per million (ppm) of earth's atmosphere, compared to about 280 ppm in pre-industrial times, and billions of metric tons of CO2 are emitted annually by burning of fossil fuels. CO2 increase in earth's atmosphere has been accelerating.
- Sulfur oxides (SOx) - particularly sulfur dioxide, a chemical compound with the formula SO2. SO2 is produced by volcanoes and in various industrial processes. Coal and petroleum often contain sulfur compounds, and their combustion generates sulfur dioxide. Further oxidation of SO2, usually in the presence of a catalyst such as NO2, forms H2SO4, and thus acid rain. This is one of the causes for concern over the environmental impact of the use of these fuels as power sources.
- Nitrogen oxides (NOx) - Nitrogen oxides, particularly nitrogen dioxide, are expelled from high temperature combustion, and are also produced during thunderstorms by electric discharge. They can be seen as a brown haze dome above or a plume downwind of cities. Nitrogen dioxide is a chemical compound with the formula NO2. It is one of several nitrogen oxides. One of the most prominent air pollutants, this reddish-brown toxic gas has a characteristic sharp, biting odor.
- Carbon monoxide (CO) - CO is a colorless, odorless, toxic yet non-irritating gas. It is a product of combustion of fuel such as natural gas, coal or wood. Vehicular exhaust contributes to the majority of carbon monoxide let into our atmosphere. It creates a smog type formation in the air that has been linked to many lung diseases and disruptions to the natural environment and animals. In 2013, more than half of the carbon monoxide emitted into our atmosphere was from vehicle traffic and burning one gallon of gas will often emit over 20 pounds of carbon monoxide into the air.
- Volatile organic compounds (VOC) - VOCs are a well-known outdoor air pollutant. They are categorized as either methane (CH4) or non-methane (NMVOCs). Methane is an extremely efficient greenhouse gas which contributes to enhanced global warming. Other hydrocarbon VOCs are also significant greenhouse gases because of their role in creating ozone and prolonging the life of methane in the atmosphere. This effect varies depending on local air quality. The aromatic NMVOCs benzene, toluene and xylene are suspected carcinogens and may lead to leukemia with prolonged exposure. 1,3-butadiene is another dangerous compound often associated with industrial use.
- Particulates, alternatively referred to as particulate matter (PM), atmospheric particulate matter, or fine particles, are tiny particles of solid or liquid suspended in a gas. In contrast, aerosol refers to combined particles and gas. Some particulates occur naturally, originating from volcanoes, dust storms, forest and grassland fires, living vegetation, and sea spray. Human activities, such as the burning of fossil fuels in vehicles, power plants and various industrial processes also generate significant amounts of aerosols. Averaged worldwide, anthropogenic aerosols—those made by human activities—currently account for approximately 10 percent of our atmosphere. Increased levels of fine particles in the air are linked to health hazards such as heart disease, altered lung function and lung cancer. Particulates are related to respiratory infections and can be particularly harmful to those already suffering from conditions like asthma.
- Persistent free radicals connected to airborne fine particles are linked to cardiopulmonary disease.
- Toxic metals, such as lead and mercury, especially their compounds.
- Chlorofluorocarbons (CFCs) - harmful to the ozone layer; emitted from products are currently banned from use. These are gases which are released from air conditioners, refrigerators, aerosol sprays, etc. On release into the air, CFCs rise to the stratosphere. Here they come in contact with other gases and damage the ozone layer. This allows harmful ultraviolet rays to reach the earth's surface. This can lead to skin cancer, eye disease and can even cause damage to plants.
- Ammonia (NH3) - emitted from agricultural processes. Ammonia is a compound with the formula NH3. It is normally encountered as a gas with a characteristic pungent odor. Ammonia contributes significantly to the nutritional needs of terrestrial organisms by serving as a precursor to foodstuffs and fertilizers. Ammonia, either directly or indirectly, is also a building block for the synthesis of many pharmaceuticals. Although in wide use, ammonia is both caustic and hazardous. In the atmosphere, ammonia reacts with oxides of nitrogen and sulfur to form secondary particles.
- Odours — such as from garbage, sewage, and industrial processes
- Radioactive pollutants - produced by nuclear explosions, nuclear events, war explosives, and natural processes such as the radioactive decay of radon.
Secondary pollutants include:
- Particulates created from gaseous primary pollutants and compounds in photochemical smog. Smog is a kind of air pollution. Classic smog results from large amounts of coal burning in an area caused by a mixture of smoke and sulfur dioxide. Modern smog does not usually come from coal but from vehicular and industrial emissions that are acted on in the atmosphere by ultraviolet light from the sun to form secondary pollutants that also combine with the primary emissions to form photochemical smog.
- Ground level ozone (O3) formed from NOx and VOCs. Ozone (O3) is a key constituent of the troposphere. It is also an important constituent of certain regions of the stratosphere commonly known as the Ozone layer. Photochemical and chemical reactions involving it drive many of the chemical processes that occur in the atmosphere by day and by night. At abnormally high concentrations brought about by human activities (largely the combustion of fossil fuel), it is a pollutant, and a constituent of smog.
- Peroxyacetyl nitrate (C2H3NO5) - similarly formed from NOx and VOCs.
Minor air pollutants include:
Persistent organic pollutants (POPs) are organic compounds that are resistant to environmental degradation through chemical, biological, and photolytic processes. Because of this, they have been observed to persist in the environment, to be capable of long-range transport, bioaccumulate in human and animal tissue, biomagnify in food chains, and to have potentially significant impacts on human health and the environment.
There are various locations, activities or factors which are responsible for releasing pollutants into the atmosphere. These sources can be classified into two major categories.
Anthropogenic (man-made) sources
These are mostly related to the burning of multiple types of fuel.
- Stationary sources include smoke stacks of fossil fuel power stations (see for example environmental impact of the coal industry), manufacturing facilities (factories) and waste incinerators, as well as furnaces and other types of fuel-burning heating devices. In developing and poor countries, traditional biomass burning is the major source of air pollutants; traditional biomass includes wood, crop waste and dung.
- Mobile sources include motor vehicles, marine vessels, and aircraft.
- Controlled burn practices in agriculture and forest management. Controlled or prescribed burning is a technique sometimes used in forest management, farming, prairie restoration or greenhouse gas abatement. Fire is a natural part of both forest and grassland ecology and controlled fire can be a tool for foresters. Controlled burning stimulates the germination of some desirable forest trees, thus renewing the forest.
- Fumes from paint, hair spray, varnish, aerosol sprays and other solvents
- Waste deposition in landfills, which generate methane. Methane is highly flammable and may form explosive mixtures with air. Methane is also an asphyxiant and may displace oxygen in an enclosed space. Asphyxia or suffocation may result if the oxygen concentration is reduced to below 19.5% by displacement.
- Military resources, such as nuclear weapons, toxic gases, germ warfare and rocketry.
- Fertilized farmland may be a major source of nitrogen oxides.
- Dust from natural sources, usually large areas of land with little or no vegetation
- Methane, emitted by the digestion of food by animals, for example cattle
- Radon gas from radioactive decay within the Earth's crust. Radon is a colorless, odorless, naturally occurring, radioactive noble gas that is formed from the decay of radium. It is considered to be a health hazard. Radon gas from natural sources can accumulate in buildings, especially in confined areas such as the basement and it is the second most frequent cause of lung cancer, after cigarette smoking.
- Smoke and carbon monoxide from wildfires
- Vegetation, in some regions, emits environmentally significant amounts of Volatile organic compounds (VOCs) on warmer days. These VOCs react with primary anthropogenic pollutants—specifically, NOx, SO2, and anthropogenic organic carbon compounds — to produce a seasonal haze of secondary pollutants. Black gum, poplar, oak and willow are some examples of vegetation that can produce abundant VOCs. The VOC production from these species result in ozone levels up to eight times higher than the low-impact tree species.
- Volcanic activity, which produces sulfur, chlorine, and ash particulates
Main article: AP 42 Compilation of Air Pollutant Emission Factors
Air pollutant emission factors are reported representative values that attempt to relate the quantity of a pollutant released to the ambient air with an activity associated with the release of that pollutant. These factors are usually expressed as the weight of pollutant divided by a unit weight, volume, distance, or duration of the activity emitting the pollutant (e.g., kilograms of particulate emitted per tonne of coal burned). Such factors facilitate estimation of emissions from various sources of air pollution. In most cases, these factors are simply averages of all available data of acceptable quality, and are generally assumed to be representative of long-term averages.
There are 12 compounds in the list of persistent organic pollutants. Dioxins and furans are two of them and intentionally created by combustion of organics, like open burning of plastics. These compounds are also endocrine disruptors and can mutate the human genes.
The United States Environmental Protection Agency has published a compilation of air pollutant emission factors for a wide range of industrial sources. The United Kingdom, Australia, Canada and many other countries have published similar compilations, as well as the European Environment Agency.
Air pollution risk is a function of the hazard of the pollutant and the exposure to that pollutant. Air pollution exposure can be expressed for an individual, for certain groups (e.g. neighborhoods or children living in a country), or for entire populations. For example, one may want to calculate the exposure to a hazardous air pollutant for a geographic area, which includes the various microenvironments and age groups. This can be calculated as an inhalation exposure. This would account for daily exposure in various settings (e.g. different indoor micro-environments and outdoor locations). The exposure needs to include different age and other demographic groups, especially infants, children, pregnant women and other sensitive subpopulations. The exposure to an air pollutant must integrate the concentrations of the air pollutant with respect to the time spent in each setting and the respective inhalation rates for each subgroup for each specific time that the subgroup is in the setting and engaged in particular activities (playing, cooking, reading, working, etc.). For example, a small child's inhalation rate will be less than that of an adult. A child engaged in vigorous exercise will have a higher respiration rate than the same child in a sedentary activity. The daily exposure, then, needs to reflect the time spent in each micro-environmental setting and the type of activities in these settings. The air pollutant concentration in each microactivity/microenvironmental setting is summed to indicate the exposure.
Indoor air quality (IAQ)
Main article: Indoor air quality
A lack of ventilation indoors concentrates air pollution where people often spend the majority of their time. Radon (Rn) gas, a carcinogen, is exuded from the Earth in certain locations and trapped inside houses. Building materials including carpeting and plywood emit formaldehyde (H2CO) gas. Paint and solvents give off volatile organic compounds (VOCs) as they dry. Lead paint can degenerate into dust and be inhaled. Intentional air pollution is introduced with the use of air fresheners, incense, and other scented items. Controlled wood fires in stoves and fireplaces can add significant amounts of smoke particulates into the air, inside and out. Indoor pollution fatalities may be caused by using pesticides and other chemical sprays indoors without proper ventilation.
Carbon monoxide poisoning and fatalities are often caused by faulty vents and chimneys, or by the burning of charcoal indoors or in a confined space, such as a tent. Chronic carbon monoxide poisoning can result even from poorly-adjusted pilot lights. Traps are built into all domestic plumbing to keep sewer gas and hydrogen sulfide, out of interiors. Clothing emits tetrachloroethylene, or other dry cleaning fluids, for days after dry cleaning.
Though its use has now been banned in many countries, the extensive use of asbestos in industrial and domestic environments in the past has left a potentially very dangerous material in many localities. Asbestosis is a chronic inflammatory medical condition affecting the tissue of the lungs. It occurs after long-term, heavy exposure to asbestos from asbestos-containing materials in structures. Sufferers have severe dyspnea (shortness of breath) and are at an increased risk regarding several different types of lung cancer. As clear explanations are not always stressed in non-technical literature, care should be taken to distinguish between several forms of relevant diseases. According to the World Health Organisation (WHO), these may defined as; asbestosis, lung cancer, and Peritoneal Mesothelioma (generally a very rare form of cancer, when more widespread it is almost always associated with prolonged exposure to asbestos).
Biological sources of air pollution are also found indoors, as gases and airborne particulates. Pets produce dander, people produce dust from minute skin flakes and decomposed hair, dust mites in bedding, carpeting and furniture produce enzymes and micrometre-sized fecal droppings, inhabitants emit methane, mold forms on walls and generates mycotoxins and spores, air conditioning systems can incubate Legionnaires' disease and mold, and houseplants, soil and surrounding gardens can produce pollen, dust, and mold. Indoors, the lack of air circulation allows these airborne pollutants to accumulate more than they would otherwise occur in nature.
See also: Neuroplastic effects of pollution
Air pollution is a significant risk factor for a number of pollution-related diseases and health conditions including respiratory infections, heart disease, COPD, stroke and lung cancer. The health effects caused by air pollution may include difficulty in breathing, wheezing, coughing, asthma and worsening of existing respiratory and cardiac conditions. These effects can result in increased medication use, increased doctor or emergency room visits, more hospital admissions and premature death. The human health effects of poor air quality are far reaching, but principally affect the body's respiratory system and the cardiovascular system. Individual reactions to air pollutants depend on the type of pollutant a person is exposed to, the degree of exposure, and the individual's health status and genetics. The most common sources of air pollution include particulates, ozone, nitrogen dioxide, and sulfur dioxide. Children aged less than five years that live in developing countries are the most vulnerable population in terms of total deaths attributable to indoor and outdoor air pollution.
The World Health Organization estimated in 2014 that every year air pollution causes the premature death of some 7 million people worldwide. India has the highest death rate due to air pollution. India also has more deaths from asthma than any other nation according to the World Health Organization. In December 2013 air pollution was estimated to kill 500,000 people in China each year. There is a positive correlation between pneumonia-related deaths and air pollution from motor vehicle emissions.
Annual premature European deaths caused by air pollution are estimated at 430,000. An important cause of these deaths is nitrogen dioxide and other nitrogen oxides (NOx) emitted by road vehicles. In a 2015 consultation document the UK government disclosed that nitrogen dioxide is responsible for 23,500 premature UK deaths per annum. Across the European Union, air pollution is estimated to reduce life expectancy by almost nine months. Causes of deaths include strokes, heart disease, COPD, lung cancer, and lung infections.
Urban outdoor air pollution is estimated to cause 1.3 million deaths worldwide per year. Children are particularly at risk due to the immaturity of their respiratory organ systems.
The US EPA estimated in 2004 that a proposed set of changes in diesel engine technology (Tier 2) could result in 12,000 fewer premature mortalities, 15,000 fewer heart attacks, 6,000 fewer emergency room visits by children with asthma, and 8,900 fewer respiratory-related hospital admissions each year in the United States.
The US EPA has estimated that limiting ground-level ozone concentration to 65 parts per billion, would avert 1,700 to 5,100 premature deaths nationwide in 2020 compared with the 75-ppb standard. The agency projected the more protective standard would also prevent an additional 26,000 cases of aggravated asthma, and more than a million cases of missed work or school. Following this assessment, the EPA acted to protect public health by lowering the National Ambient Air Quality Standards (NAAQS) for ground-level ozone to 70 parts per billion (ppb).
A new economic study of the health impacts and associated costs of air pollution in the Los Angeles Basin and San Joaquin Valley of Southern California shows that more than 3,800 people die prematurely (approximately 14 years earlier than normal) each year because air pollution levels violate federal standards. The number of annual premature deaths is considerably higher than the fatalities related to auto collisions in the same area, which average fewer than 2,000 per year.
Diesel exhaust (DE) is a major contributor to combustion-derived particulate matter air pollution. In several human experimental studies, using a well-validated exposure chamber setup, DE has been linked to acute vascular dysfunction and increased thrombus formation.
The mechanisms linking air pollution to increased cardiovascular mortality are uncertain, but probably include pulmonary and systemic inflammation.
A 2007 review of evidence found ambient air pollution exposure is a risk factor correlating with increased total mortality from cardiovascular events (range: 12% to 14% per 10 microg/m3 increase).
Air pollution is also emerging as a risk factor for stroke, particularly in developing countries where pollutant levels are highest. A 2007 study found that in women, air pollution is not associated with hemorrhagic but with ischemic stroke. Air pollution was also found to be associated with increased incidence and mortality from coronary stroke in a cohort study in 2011. Associations are believed to be causal and effects may be mediated by vasoconstriction, low-grade inflammation and atherosclerosis Other mechanisms such as autonomic nervous system imbalance have also been suggested.
Research has demonstrated increased risk of developing asthma and COPD from increased exposure to traffic-related air pollution. Additionally, air pollution has been associated with increased hospitalization and mortality from asthma and COPD.Chronic obstructive pulmonary disease (COPD) includes diseases such as chronic bronchitis and emphysema.
A study conducted in 1960-1961 in the wake of the Great Smog of 1952 compared 293 London residents with 477 residents of Gloucester, Peterborough, and Norwich, three towns with low reported death rates from chronic bronchitis. All subjects were male postal truck drivers aged 40 to 59. Compared to the subjects from the outlying towns, the London subjects exhibited more severe respiratory symptoms (including cough, phlegm, and dyspnea), reduced lung function (FEV1 and peak flow rate), and increased sputum production and purulence. The differences were more pronounced for subjects aged 50 to 59. The study controlled for age and smoking habits, so concluded that air pollution was the most likely cause of the observed differences. More recent studies have shown that air pollution exposure from traffic reduces lung function development in children  and lung function may be compromised by air pollution even at low concentrations. Air pollution exposure also cause lung cancer in non smokers.
It is believed that much like cystic fibrosis, by living in a more urban environment serious health hazards become more apparent. Studies have shown that in urban areas patients suffer mucus hypersecretion, lower levels of lung function, and more self-diagnosis of chronic bronchitis and emphysema.
A review of evidence regarding whether ambient air pollution exposure is a risk factor for cancer in 2007 found solid data to conclude that long-term exposure to PM2.5 (fine particulates) increases the overall risk of non-accidental mortality by 6% per a 10 microg/m3 increase. Exposure to PM2.5 was also associated with an increased risk of mortality from lung cancer (range: 15% to 21% per 10 microg/m3 increase) and total cardiovascular mortality (range: 12% to 14% per a 10 microg/m3 increase). The review further noted that living close to busy traffic appears to be associated with elevated risks of these three outcomes --- increase in lung cancer deaths, cardiovascular deaths, and overall non-accidental deaths. The reviewers also found suggestive evidence that exposure to PM2.5 is positively associated with mortality from coronary heart diseases and exposure to SO2 increases mortality from lung cancer, but the data was insufficient to provide solid conclusions. Another investigation showed that higher activity level increases deposition fraction of aerosol particles in human lung and recommended avoiding heavy activities like running in outdoor space at polluted areas.
In 2011, a large Danish epidemiological study found an increased risk of lung cancer for patients who lived in areas with high nitrogen oxide concentrations. In this study, the association was higher for non-smokers than smokers. An additional Danish study, also in 2011, likewise noted evidence of possible associations between air pollution and other forms of cancer, including cervical cancer and brain cancer.
In December 2015, medical scientists reported that cancer is overwhelmingly a result of environmental factors, and not largely down to bad luck. Maintaining a healthy weight, eating a healthy diet, minimizing alcohol and eliminating smoking reduces the risk of developing the disease, according to the researchers.
In the United States, despite the passage of the Clean Air Act in 1970, in 2002 at least 146 million Americans were living in non-attainment areas—regions in which the concentration of certain air pollutants exceeded federal standards. These dangerous pollutants are known as the criteria pollutants, and include ozone, particulate matter, sulfur dioxide, nitrogen dioxide, carbon monoxide, and lead. Protective measures to ensure children's health are being taken in cities such as New Delhi, India where buses now use compressed natural gas to help eliminate the "pea-soup" smog. A recent study in Europe has found that exposure to ultrafine particles can increase blood pressure in children.
Ambient levels of air pollution have been associated with preterm birth and low birth weight. A 2014 WHO worldwide survey on maternal and perinatal health found a statistically significant association between low birth weights (LBW) and increased levels of exposure to PM2.5. Women in regions with greater than average PM2.5 levels had statistically significant higher odds of pregnancy resulting in a low-birth weight infant even when adjusted for country-related variables. The effect is thought to be from stimulating inflammation and increasing oxidative stress.
A study by the University of York found that in 2010 exposure to PM2.5 was strongly associated with 18% of preterm births globally, which was approximately 2.7 million premature births. The countries with the highest air pollution associated preterm births were in South and East Asia, the Middle East, North Africa, and West sub-Saharan Africa.
The source of PM 2.5 differs greatly by region. In South and East Asia, pregnant women are frequently exposed to indoor air pollution because of the wood and other biomass fuels used for cooking which are responsible for more than 80% of regional pollution. In the Middle East, North Africa and West sub-Saharan Africa, fine PM comes from natural sources, such as dust storms. The United States had an estimated 50,000 preterm births associated with exposure to PM2.5 in 2010.
A study performed by Wang, et al. between the years of 1988 and 1991 has found a correlation between Sulfur Dioxide (SO2) and total suspended particulates (TSP) and preterm births and low birth weights in Beijing. A group of 74,671 pregnant women, in four separate regions of Beijing, were monitored from early pregnancy to delivery along with daily air pollution levels of Sulfur Dioxide and TSP (along with other particulates). The estimated reduction in birth weight was 7.3 g for every 100 µg/m3 increase in SO2 and 6.9g for each 100 µg/m3 increase in TSP. These associations were statistically significant in both summer and winter, although, summer was greater. The proportion of low birth weight attributable to air pollution, was 13%. This is the largest attributable risk ever reported for the known risk factors of low birth weight. Coal stoves, which are in 97% of homes, are a major source of air pollution in this area.
Brauer et al. studied the relationship between air pollution and proximity to a highway with pregnancy outcomes in a Vancouver cohort of pregnant woman using addresses to estimate exposure during pregnancy. Exposure to NO, NO2, CO PM10 and PM2.5 were associated with infants born small for gestational age (SGA). Women living <50meters away from an expressway or highway were 26% more likely to give birth to a SGA infant.
Even in the areas with relatively low levels of air pollution, public health effects can be significant and costly, since a large number of people breathe in such pollutants. A 2005 scientific study for the British Columbia Lung Association showed that a small improvement in air quality (1% reduction of ambient PM2.5 and ozone concentrations) would produce $29 million in annual savings in the Metro Vancouver region in 2010. This finding is based on health valuation of lethal (death) and sub-lethal (illness) affects.
Central nervous system
Data is accumulating that air pollution exposure also affects the central nervous system.
In a June 2014 study conducted by researchers at the University of Rochester Medical Center, published in the journal Environmental Health Perspectives, it was discovered that early exposure to air pollution causes the same damaging changes in the brain as autism and schizophrenia. The study also shows that air pollution also affected short-term memory, learning ability, and impulsivity. Lead researcher Professor Deborah Cory-Slechta said that "When we looked closely at the ventricles, we could see that the white matter that normally surrounds them hadn't fully developed. It appears that inflammation had damaged those brain cells and prevented that region of the brain from developing, and the ventricles simply expanded to fill the space. Our findings add to the growing body of evidence that air pollution may play a role in autism, as well as in other neurodevelopmental disorders." Air pollution has a more significant negative effect on males than on females.
In 2015, experimental studies reported the detection of significant episodic (situational) cognitive impairment from impurities in indoor air breathed by test subjects who were not informed about changes in the air quality. Researchers at the Harvard University and SUNY Upstate Medical University and Syracuse University measured the cognitive performance of 24 participants in three different controlled laboratory atmospheres that simulated those found in "conventional" and "green" buildings, as well as green buildings with enhanced ventilation. Performance was evaluated objectively using the widely used Strategic Management Simulation software simulation tool, which is a well-validated assessment test for executive decision-making in an unconstrained situation allowing initiative and improvisation. Significant deficits were observed in the performance scores achieved in increasing concentrations of either volatile organic compounds (VOCs) or carbon dioxide, while keeping other factors constant. The highest impurity levels reached are not uncommon in some classroom or office environments.
In India in 2014, it was reported that air pollution by black carbon and ground level ozone had cut crop yields in the most affected areas by almost half in 2011 when compared to 1980 levels.
Air pollution costs the world economy $5 trillion per year as a result of productivity losses and degraded quality of life, according to a joint study by the World Bank and the Institute for Health Metrics and Evaluation (IHME) at the University of Washington. These productivity losses are caused by deaths due to diseases caused by air pollution. One out of ten deaths in 2013 was caused by diseases associated with air pollution and the problem is getting worse. The problem is even more acute in the developing world. "Children under age 5 in lower-income countries are more than 60 times as likely to die from exposure to air pollution as children in high-income countries." The report states that additional economic losses caused by air pollution, including health costs and the adverse effect on agricultural and other productivity were not calculated in the report, and thus the actual costs to the world economy are far higher than $5 trillion.
The world's worst short-term civilian pollution crisis was the 1984 Bhopal Disaster in India. Leaked industrial vapours from the Union Carbide factory, belonging to Union Carbide, Inc., U.S.A. (later bought by Dow Chemical Company), killed at least 3787 people and injured from 150,000 to 600,000. The United Kingdom suffered its worst air pollution event when the December 4 Great Smog of 1952 formed over London. In six days more than 4,000 died and more recent estimates put the figure at nearer 12,000. An accidental leak of anthrax spores from a biological warfare laboratory in the former USSR in 1979 near Sverdlovsk is believed to have caused at least 64 deaths. The worst single incident of air pollution to occur in the US occurred in Donora, Pennsylvania in late October, 1948, when 20 people died and over 7,000 were injured.
Alternatives to pollution
There are now practical alternatives to the principal causes of air pollution:
- Areas downwind (over 20 miles) of major airports more than double total particulate emissions in air, even when factoring in areas with frequent ship calls, and heavy freeway and city traffic like Los Angeles.Aviation biofuel mixed in with jetfuel at a 50/50 ratio can reduce jet derived cruise altitude particulate emissions by 50-70%, according to a NASA led 2017 study (however, this should imply ground level benefits to urban air pollution as well).
- Ship propulsion and idling can be switched to much cleaner fuels like natural gas. (Ideally a renewable source but not practical yet)
- Combustion of fossil fuels for space heating can be replaced by using ground source heat pumps and seasonal thermal energy storage.
- Electric power generation from burning fossil fuels can be replaced by power generation from nuclear and renewables. For poor nations, heating and home stoves that contribute much to regional air pollution can be replaced by a much cleaner fossil fuel like natural gas, or ideally, renewables.
- Motor vehicles driven by fossil fuels, a key factor in urban air pollution, can be replaced by electric vehicles. Though lithium supply and cost is a limitation, there are alternatives. Herding more people into clean public transit such as electric trains can also help. Nevertheless, even in emission-free electric vehicles, rubber tires produce significant amounts of air pollution themselves, ranking as 13th worst pollutant in Los Angeles.
- Biodigesters can be utilized in poor nations where slash and burn is prevalent, turning a useless commodity into a source of income. The plants can be gathered and sold to a central authority that will break it down in a large modern biodigester, producing much needed energy to use.
- Induced humidity and ventilation both can greatly dampen air pollution in enclosed spaces, which was found to be relatively high inside subway lines due to braking and friction and relatively less ironically inside transit buses than lower sitting passenger automobiles or subways.
There are various air pollution control technologies and strategies available to reduce air pollution. At its most basic level, land-use planning is likely to involve zoning and transport infrastructure planning. In most developed countries, land-use planning is an important part of social policy, ensuring that land is used efficiently for the benefit of the wider economy and population, as well as to protect the environment.
Because a large share of air pollution is caused by combustion of fossil fuels such as coal and oil, the reduction of these fuels can reduce air pollution drastically. Most effective is the switch to clean power sources such as wind power, solar power, hydro power which don't cause air pollution. Efforts to reduce pollution from mobile sources includes primary regulation (many developing countries have permissive regulations), expanding regulation to new sources (such as cruise and transport ships, farm equipment, and small gas-powered equipment such as string trimmers, chainsaws, and snowmobiles), increased fuel efficiency (such as through the use of hybrid vehicles), conversion to cleaner fuels or conversion to electric vehicles.
Titanium dioxide has been researched for its ability to reduce air pollution. Ultraviolet light will release free electrons from material, thereby creating free radicals, which break up VOCs and NOx gases. One form is superhydrophilic.
In 2014, Prof. Tony Ryan and Prof. Simon Armitage of University of Sheffield prepared a 10 meter by 20 meter-sized poster coated with microscopic, pollution-eating nanoparticles of titanium dioxide. Placed on a building, this giant poster can absorb the toxic emission from around 20 cars each day.
A very effective means to reduce air pollution is the transition to renewable energy. According to a study published in Energy and Environmental Science in 2015 the switch to 100% renewable energy in the United States would eliminate about 62,000 premature mortalities per year and about 42,000 in 2050, if no biomass were used. This would save about $600 billion in health costs a year due to reduced air pollution in 2050, or about 3.6% of the 2014 U.S. gross domestic product.
The following items are commonly used as pollution control devices in industry and transportation. They can either destroy contaminants or remove them from an exhaust stream before it is emitted into the atmosphere.