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Ten Million Deaths a Year: David Wallace-Wells on Polluted Air

183 points| Glench | 4 years ago |lrb.co.uk | reply

107 comments

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[+] ankit219|4 years ago|reply
There is a recent article by Max Roser on air pollution, providing a much needed context on what is happening: https://ourworldindata.org/data-review-air-pollution-deaths

One key point:

> More recent studies tend to find a higher death toll than earlier studies. This is not because air pollution – at a global level – is worsening, but because the more recent scientific evidence suggests that the health impacts of exposure to pollution is larger than previously thought

Most studies est the death toll to be around 7M per year. In no way a low number. Problem is articles like these serve to create panic more than educate people. Maybe panic is the way forward, and it probably works, just that it is unsettling and manipulative when you can read the correct facts elsewhere. Indoor air pollution - caused by burning coal etc to cook food mostly in poor household - accounts for 40% of the deaths. We dont even seem to want to address that.

The mental image this headline creates is pollution by burning fossil fuels outdoor due to which air quality worsens. true to an extent, but there is indoor polluton, then natural causes like dust, fires, pollen, volcanic eruption, agriculture too.

I wish we trust people to behave as adults, or at least have faith, and move away from creating mass panic to solve such problems.

Edit: The number from natural sources is not insignificant. Out of 8.8M deaths, 5.5M were due to anthropogenic sources. Rest is natural causes of air pollution. And from anthropogenic sources, 2.2M came from indoor air pollution (by the same study I think)

[+] maybelsyrup|4 years ago|reply
> The mental image this headline creates is pollution by burning fossil fuels outdoor due to which air quality worsens.

Yes, that's the mental image. That's what they're going for. It's not terribly controversial, I don't think: fuels burn, bad stuff goes into air.

> true to an extent, but there is indoor polluton, then natural causes like dust, fires, pollen, volcanic eruption, agriculture too.

What's your point? The article's about air pollution, and the author wants to do something about that. That's what he cares about right now. Those other things? Very bad. But: this article's about this specific thing. There are always lots of things in the world, but we can train our attention on only so many at once.

> Problem is articles like these serve to create panic more than educate people.

Create panic in who, exactly? I'm trying to figure out how you can speak for other people on this. Personally, I'm not panicked by the headline or the article. More sad, maybe, and curious about how I might be able to affect the problem positively.

I'm not even sure what exactly it is about the article that's so manipulative to you. I read a lot of systematic reviews in my research, and the tone of this article is pretty similar to many of those. Just because the article's scary for you doesn't mean someone's out to manipulate you. Emotional responses between people "take two to tango": there's as much work being done by the reader as the writer, in this instance.

[+] gameswithgo|4 years ago|reply
I sometimes wonder if sensible people tend to lose the war in politics because we will lament if something is not quite level headed and fair enough, if it is a little bit too much like propaganda. Meanwhile industries wanting to pollute will happily spend millions to scream lies and propaganda with no shame, buy politicians, create news networks that never paywall you to repeat the lies, meanwhile we bicker about whether someone was perhaps 20% sensationalist about their death accounting.
[+] GordonS|4 years ago|reply
> I wish we trust people to behave as adults, or at least have faith, and move away from creating mass panic to solve such problems

The problem is that the adults in the room are unable to do anything about it - and certainly "having faith" isn't going to solve anything.

We live in a capitalist society, and part of that is a perverse incentive to make money in the short-medium term, even at the expense of people's lives and eventually destroying our planet.

[+] yosito|4 years ago|reply
I'm really confused about how air pollution can be measured in deaths. I get how air pollution can shorten lifespan, but how do you attribute a specific death, other than extreme cases, to air pollution? When someone claims that 10 million deaths a year should be attributed to air pollution, what exactly do they mean, in a nutshell?
[+] epistasis|4 years ago|reply
> And while none of these estimates is meant to suggest a single cause of mortality, such as a gunshot wound or a dose of poison in your morning tea, the calculus for air pollution is the same as for obesity or smoking: take the problem away, and the number of premature deaths will fall by many millions.

They mean that if air pollution was not there throughout our lifetimes up until now, we would have 10M fewer deaths per year. Longer lives translates into fewer deaths per year.

When diseases like COPD and lung cancer are extremely prevalent, we may not notice the deaths as caused by air pollution, but they are. Everybody should get rid of their gas stoves, but we instead have full on sale pr campaigns for them.

[+] zaptheimpaler|4 years ago|reply
Well that was a fun detour. The clincher is here, a Global Burden of Disease Study in 2010:

https://sci-hub.mksa.top/10.1016/S0140-6736(12)61766-8

That is where they draw a line from air pollution to risk, with lots of statistics to cancel out other factors. Its beyond my depth.

----

This page was useful:

ttps://www.who.int/data/gho/data/indicators/indicator-details/GHO/ambient-air-pollution-attributable-dalys-(per-100-000-population) -> Metadata

> Burden of disease is calculated by first combining information on the increased (or relative) risk of a disease resulting from exposure, with information on how widespread the exposure is in the population (in this case, the annual mean concentration of particulate matter to which the population is exposed). This allows calculation of the 'population attributable fraction' (PAF), which is the fraction of disease seen in a given population that can be attributed to the exposure, in this case the annual mean concentration of particulate matter. Applying this fraction to the total burden of disease (e.g. cardiopulmonary disease expressed as deaths or DALYs), gives the total number of deaths or DALYs that results from ambient air pollution.

----

And the overall methodology is something called DALYs - Disability Adjusted Life Years

https://www.who.int/data/gho/indicator-metadata-registry/imr...

https://www.who.int/healthinfo/statistics/GlobalDALYmethods_...

That second link was a good basic read on what DALY means - its deaths due to a cause, weighted by "lost years" (so if life expectancy is 92 and someone died at 30, that would be weighted higher than someone dying at 80 for the same cause) PLUS years of healthy life lost even if it does not result in death - which is sort of a weighting based on severity of disease, where like say a person living with a disease severity of 0.2 would mean each year counts as 4/5th a year of a healthy life.

[+] mikepurvis|4 years ago|reply
Not an expert in the area at all, but it seems to me that if a particular factor shortens 10 lives by 7 years apiece, and life expectancy is 70 years, then in a statistical sense it has "caused" one death, and that this is the case even if no one exactly died from it, in the acute sense that a car crash or firearm causes a death. I'm not sure if that's what's going on here, but even a slight harm multiplied across national or planetary population scales could easily get you to a number like 10M/year.
[+] colechristensen|4 years ago|reply
I think you’re right in that, especially for things that generally kill you towards the end of a normal life span, counting deaths by attributing the thing that wins the race to kill you doesn’t make much sense. If you’re murdered, eaten by a bear, or contact some rare infection and die early, it’s not like some other cause of death was just a few years off. It is however an easier to digest statistic than some of the others like DALY.

What you want is some statistic about how much life was lost in absolute terms of years and how much quality of life was lost due to air quality related diseases.

[+] throwaway0a5e|4 years ago|reply
It can't. Anyone credible is using an age adjusted metric of some sort. YPLL or something like that. Of course none of the activists, journalists or editors use those numbers because they are boring and don't grab headlines like "a bajillion deaths" does.
[+] tshaddox|4 years ago|reply
Here’s the 2017 study mentioned by name in the article: https://www.thelancet.com/journals/lancet/article/PIIS0140-6...

I don’t pretend to understand fully, but these seem to be some sentences explaining their methodology:

> Ambient PM2·5 was the fifth-ranking mortality risk factor in 2015. Exposure to PM2·5 caused 4·2 million (95% uncertainty interval [UI] 3·7 million to 4·8 million) deaths and 103·1 million (90·8 million 115·1 million) disability-adjusted life-years (DALYs) in 2015, representing 7·6% of total global deaths and 4·2% of global DALYs, 59% of these in east and south Asia.

> Attributing deaths and disability-adjusted life-years (DALYs) to ambient air pollution requires spatially and temporally resolved estimates of population-weighted exposure, specification of a theoretical minimum risk exposure level (TMREL), estimation of relative risks across the exposure distribution, and estimates of the deaths and DALYs for diseases linked causally to air pollution. We combined estimates of exposure and relative risk to estimate the population-attributable fraction (PAF), the proportion of deaths and DALYs attributable to exposure above the TMREL. The numbers of deaths and DALYs for specific diseases were multiplied by the PAF to estimate the burden attributable to exposure. A more general description of the methods used to estimate the PAF and attributable burdens in GBD 2015 has been reported previously;3 here, we present details specific to air pollution.

While I don’t know enough about this methodology to defend this study, I would just point out that no matter what you consider to be a cause of death, no matter how “direct” you think that cause is, is still “merely” a death of someone who would have died later anyway. This mode of argument gets used all the time to minimize deaths of e.g. COVID-19 (“most of the deaths are old people with multiple comorbidities”), but this is a weak mode of argument precisely because it could apply just as well to literally any situation. We generally wouldn’t apply this mode of argument to minimize, for example, a serial killer at a nursing home.

[+] godelski|4 years ago|reply
You can do comparisons. If you can make good comparisons between places and the only major factor between them is pollution you can just compare average death per 100k citizens and then draw conclusions from there. You can also do the same for places that did not have a coal power plant and then when they did. Or the reverse!

Note: this is vastly overly simplified and there are other ways to do this and you need to do major and complex error calculations, but this will give you the highly abstracted view.

[+] dsizzle|4 years ago|reply
What would really help is if they reported lost person-years. 90 year-olds dying vs 30 year olds would both be "premature deaths," but these are very different types of tragedy!
[+] bjt2n3904|4 years ago|reply
They're making it all up.

There are more tactful ways of saying this, but at the end of the day, it's functionally equivalent to pulling a number out of their hat.

[+] Glench|4 years ago|reply
This article is absolutely gutting, but makes an insightful point I haven't heard much before — polluted air from fossil fuels already causes millions of deaths a year even without all the other medical, economic, and cognitive impacts.
[+] pengaru|4 years ago|reply
I'm fairly certain after most the vehicles become electric we'll see a precipitous drop in all sorts of illnesses/mortalities.

Future generations knowing that factual history will look back on the people of the combustion engines era as ridiculous, willfully self-poisoning rubes, driving around in noisy, stinky, slow, expensive to own operate and maintain turds.

[+] jjtheblunt|4 years ago|reply
Or we will be able to see how much pollution asphalt rubbing against rubber tires contributes.

(disclaimer: driver of EV for many years, so i think of that because tires still wear out)

[+] sva_|4 years ago|reply
In some sense, you can already make this observation when looking at early industrialization, in which in particular coal smoke was a pollutant in places with factories. We look back at those times now, and think it to be ridiculous that people lived under such conditions, but surely (or rather, hopefully), people in the future will consider it ridiculous, that we lived our lives amidst combustion engines and their exhaust pollutants. In particular, I think people will find it absolutely ridiculous that we tolerated Diesel fumes in densely populated areas. So I agree with your point.
[+] sloreti|4 years ago|reply
Unfortunately, moving from ICE to EV isn't a silver bullet. Look up non-exhaust emissions (NEE). When car tires and brakes wear down, they spit out particulate matter pollution. The OECD estimates NEE will constitute the majority of road emissions by 2035 [1], and it already constitutes the majority of particulate matter emissions on the road today [2]. EVs even make the problem a bit harder to solve, by being heavier than similar sized ICE vehicles.

[1] https://www.oecd.org/environment/non-exhaust-particulate-emi...

[2] https://www.sciencedirect.com/science/article/abs/pii/S13522...

[+] _dain_|4 years ago|reply
Electric vehicles are not that much quieter than ICE vehicles. At high speeds, the dominant noise component is from the tires against the roads, not the engine. At low speeds, they are intrinsically quiet, but many (all?) jurisdictions legally mandate a noise-making device so that pedestrians can hear them coming. They are comparably expensive to own and operate as ICE vehicles. It is also a myth that they do not emit unhealthy pollutants, see this paper:

https://www.sciencedirect.com/science/article/abs/pii/S13522...

Then there's still the direct mortality from collisions with pedestrians and cyclists, and things like obesity from encouraging a sedentary lifestyle. I think future generations will look at car-dependency in general as ridiculous, whether ICE or electric.

[+] post_from_work|4 years ago|reply
You were doing fine until you said "slow". It's trivially easy to tune a decent ICE[1] for ridiculous power. The speed differential between ICE and EV is even more severe over longer performance-driving distances; no one is setting Cannonball Run[2] or Nürburgring[3] records in a Tesla, for example. EVs are good at high altitude though.[4]

[1]My personal favorites: turbocharged inline-6s ( BMW B58, Toyota 2JZ & 1JZ) and naturally aspirated V8s (GM aluminum small block family).

[2]currently ~25h36m for an Audi S6 vs 42h17m for a Tesla Model S

[3]currently 6m52s for a Lamborghini Huracan Performante vs 7m35s for a Tesla Model S Plaid

[4]A Volkswagen EV holds the Pike's Peak Hill Climb record, and it is unlikely to lose it to an ICE vehicle due to the power loss caused by the thinner air at altitude.

[+] jhgb|4 years ago|reply
> ridiculous, willfully self-poisoning rubes, driving around in noisy, stinky, slow, expensive to own operate and maintain turds

Maybe they'll look at similarly as we look at the people of the time of the Neolithic Revolution (and perhaps a long time afterwards), with their lifespans decreased due to poorer diets and zoonotic diseases from domesticated animals.

[+] megablast|4 years ago|reply
Cars will still kill 1 million people every year directly. Many more injured.
[+] aqme28|4 years ago|reply
Don't cars only account for like 10% of pollution?
[+] zapdrive|4 years ago|reply
The Indian prime minister, Modi, just gave into the farmers' demand and has legally allowed them to burn stubble. The air quality all over North India and especially Delhi is shit right now.
[+] curiousgeorgio|4 years ago|reply
To summarize: A lot of correlations between negative things happening and increased levels of air pollution, very little of which is rigorously causally linked. Case in point:

> Stock market returns are lower on days with higher air pollution

I can't take this kind of article seriously. It presents a completely one-sided argument, and it's worded carefully so as to avoid outright statements of causality, but imply it nevertheless by pointing to a large number of weak correlations that together sound convincing. The overall conclusion was decided first, and the so-called evidence cherry picked to try and support it.

[+] paulgb|4 years ago|reply
I think the study referred to is this one: https://www.mdpi.com/2071-1050/13/5/2931/pdf (there have been a few studies, but that's the only one that fit the “this year” criteria).

I'm generally skeptical of papers that involve correlations with equity returns (because there is a reverse publication bias -- if you find a true source of alpha, your incentive is to trade it rather than publish it). But besides my general a priori skepticism, I don't see any red flags at a glance.

[+] j7ake|4 years ago|reply
Although I agree that air pollution that is a hidden problem that needs to be addressed, I would push back on the argument that people should be comparing deaths from coronavirus with reduced life span from air pollution.

The first source of death grows exponentially, while the latter does not. Therefore, they should not induce the same types of immediate panic.

This means that if an event ever arrives that destroys half the human population over one year, the chances are much higher that the event was a pandemic rather than from air pollution.

[+] AtlasBarfed|4 years ago|reply
I cannot wait for EVs to hit the mainstream and see what happens to public health stats. I predict not just air pollution death improvements, but improvements in cancer rates, allergies, IQ, heart disease, headaches, etc.

I have no specific modalities or mechanisms, just that there are so many chemicals and pollutants even in modern unleaded gasoline between the combustion, refining, extraction, etc.

Too bad there's not much we can do about the inevitable temperature rise.

[+] skybrian|4 years ago|reply
Air pollution is a fairly local problem which means that each local government has incentives to do something about it. For example, in California, sales of two-stroke engines will be banned soon.

Indoor pollution in particular is something you can attack directly by buying an air purifier, which people with allergies have done for a long time, but with the pandemic and wildfires being more common in the Western US, it makes sense for more people to get one.

Globally there is a long way to go, but I was encouraged to read about BURN manufacturing, a company in Kenya that makes more-efficient cook stoves, and unlike many other attempts it seems pretty clear they work for the people who get them, based on a scientific study. [1]

From an effective altruism standpoint, reducing these very local sources of severe indoor pollution seems likely to have the biggest health impact of pollution reduction efforts, as well as being a way to reduce carbon emissions.

(BURN sells carbon offsets, though it's unclear how the money will be spent.)

[1] https://burnstoves.com/media/research

[+] thriftwy|4 years ago|reply
> In Los Angeles, after $700 air purifiers were installed in schools, student performance improved almost as much as it would if class sizes were reduced by a third.

This sounds like an impossible casuation. Either the class size reduction effect is tiny, or the claimed benefit of purifiers is not there.

[+] y4mi|4 years ago|reply
I disagree. It depends entirely on what the purifiers did and how the air quality was before/after.

The ability to concentrate really drops a lot once the CO2 content goes above 1k for example. I'd expect at least that kind of change if these managed to get the CO2 from 1.5k+ down to 500 ppa or other similar metrics.

[+] vlunkr|4 years ago|reply
Agreed. Maybe along with air purifiers they spent money on other new resources as well.
[+] pavelmark|4 years ago|reply
There is some small progress being made: https://ofr.report/pi/2021-26140/ but it's just not enough. I think people seriouslu under value clean air and clearly there are huge externalities to pollution. Many of these are localized so they are easy to ignore for the offending party, but it's time to start to make major corrections.
[+] godelski|4 years ago|reply
I think the article does a really good job at highlighting why solving challenges like these are so difficult. They are abstract. It drew a parallel to nuclear and we often have fights here about safety of it.

> More recent estimates run higher, with as many as 8.7 million deaths every year attributable just to the outdoor particulate matter produced from burning fossil fuels. Add on indoor pollution, and you get an annual toll of more than ten million. That’s more than four times the official worldwide death toll from Covid last year. It’s about twenty times as many as the current annual deaths from war, murder and terrorism combined. Put another way, air pollution kills twenty thousand on an average day, more than have died in the aftermath of all the meltdowns in the history of nuclear power: Chernobyl, Three Mile Island, Fukushima and all the others put together.

It is hard to see these deaths, but the numbers are undeniable. They also draw connections to covid, which are harder to see than nuclear disasters, but still can be seen. But I think one of the big differences is the coverage. When we talk climate change we only talk about things like forest fires or hurricanes, but not these things that affect people daily. Coal ash alone, in America, kills tens of thousands a year. But these people are impossible to see because it takes years for them to get to that point. This is a slow moving pandemic.

The article then shifts to economics and does a good job explaining it there.

> According to the National Resources Defence Council, the US Clean Air Act of 1970 is still saving 370,000 American lives every year – more than would have been saved last year had the pandemic never arrived. According to the NRDC, a single piece of legislation delivers annual economic benefits of more than $3 trillion, 32 times the cost of enacting it – benefits distributed disproportionately to the poor and marginalised.

Put in these terms it is impossible to argue against the Clean Air Act, but it is one politicians and certain organizations often argue about, ignoring these numbers and only looking at the costs (ignoring the benefits). They also talk about improvements in schooling (many many studies support this), but the coup d eta is this

> Last year, Drew Shindell of Duke University, an expert on pollution impact, appeared before the US House Committee on Oversight and Reform. By further cleaning up America’s air over the next fifty years, Shindell’s research shows, the country could prevent 4.5 million premature deaths, 1.4 million hospitalisations, 1.7 million cases of dementia and 300 million lost work days. The result, he calculated, would be $700 billion a year in net benefits, ‘far more than the cost of the energy transition’. In other words, a total decarbonisation of the US economy would pay for itself through public health gains alone. The American Environmental Protection Agency has an official measure for the value of a single human life: $7 million in 2006 dollars. If you take that number seriously, the annual value of saving the 350,000 lives a year lost to pollution would be $2.45 trillion.

These are incredible numbers! But they are so abstract it is still hard to understand with our meat computers. Our minds weren't designed for this, but we have these amazing tools to determine things like this. I guess the question really is how do you make stories like this convincing? They are wildly complex and so often people will think there's lying and deceitfulness going on. After all, charlatans often hide deceit in complexity (for clarity, I 100% believe in climate change and agree with the author, just recognizing human factors).

[+] x3iv130f|4 years ago|reply
It comes down to which content news and social media algorithms favor.

With the constancy and immediacy of news, it takes more willpower than most people have to reason against a tide of misinformation.

[+] StreamBright|4 years ago|reply
Sugar is another source of death that no government ever regulates.
[+] detaro|4 years ago|reply
Special taxes on sugary drinks etc are not exactly unheard of. But people love their sweet stuff, so it's not exactly popular.
[+] anonporridge|4 years ago|reply
This is patently false.

Seattle passed a sugar tax several years ago and has already measured a significant decline in sugary drink consumption in lower income demographics, https://sph.washington.edu/news-events/news/lower-income-sea...

Incidentally, the people who fight these kinds of regulations tend to be the same conservatives who also whine about how the CDC is telling people to mask up, socially distance, and get vaccinated rather than exercise more and eat healthier.

[+] RcouF1uZ4gsC|4 years ago|reply
> take the problem away, and the number of premature deaths will fall by many millions.

I think this is a naive way to look at it. The majority of air pollution comes from burning fossil fuels. However, people don’t burn fossil fuels just for the high(unlike cigarettes). Our world is built on fossil fuels. Without burning fossil fuels, likely billions would starve. There would also have been no way to transport the vaccines before they went bad. Fossil fuels and the economy of trade it created lifted billions out of poverty which has its own mortality.

Should we try to do better, of course, but first we have to take a realistic view of the situation. Otherwise we end up like Joe Biden who goes to a climate conference and talks about the need to cut fossil fuels and then comes home and opens up the Strategic Petroleum Reserve to help make sure gas prices do t go too high.