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FOCUS<br />

Outdoor air pollution, which kills an estimated 3<br />

million people every year, has grown by 8% a year<br />

globally. Unless nations take action, the global<br />

death toll is expected to double by 2050 as urban<br />

populations increase and car numbers grow – yet the topic<br />

rarely makes the mainstream media headlines.<br />

Of all the world’s regions, Asia is uniquely exposed.<br />

According to the World Health Organization (WHO),<br />

98% of urban areas in low- and middle-income countries<br />

with populations of more than 100,000 do not meet its air<br />

quality standards. Fast-growing cities in Southeast Asia,<br />

the Western Pacific and the Middle East are the worst<br />

affected, with many showing pollution levels at up to 10<br />

times WHO limits.<br />

Rapid urbanization as well as population and economic<br />

growth across the region is creating pollution from oilfueled<br />

traffic congestion, coal burning for heat and power,<br />

smoke from solid fuel cookers, and a range of pollutants<br />

from inefficient agricultural processes. A changing climate<br />

threatens to make matters worse still.<br />

Hotter towns and cities will generate more<br />

ozone-related pollution from traffic and other<br />

fossil fuel emissions sources. When it’s hotter,<br />

rainfall and wind patterns can also change,<br />

causing particulates to stay suspended in the<br />

air longer.<br />

DEADLY SMOG<br />

Then there’s the vicious circle in which hotter<br />

conditions cause those with access to air<br />

conditioning to use it more, pushing more<br />

pollutants into the air from coal-fired power plants. A<br />

hotter climate could also spark more forest fires,<br />

contributing to region-wide, health-threatening smogs,<br />

such as the 2015 Southeast Asian haze caused by illegal<br />

slash-and-burn practices that affected eight countries.<br />

A hotter climate in Asia will have impact beyond poorer<br />

air quality. As temperatures rise, so do hospital admissions<br />

for respiratory and cardiovascular illnesses. This is an<br />

experience all too familiar lately in Southeast Asia and the<br />

Indian subcontinent, where heatwaves have killed<br />

thousands and put severe pressure on health services.<br />

There are also economic impacts to hotter conditions.<br />

The region’s extensive manufacturing and agriculture<br />

sectors mean its workers face exposure not just to polluted<br />

air but also to the physiological effects of heat.<br />

“There is a lot of evidence to suggest that temperature<br />

extremes impact productivity,” says Joshua Graff Zivin<br />

at the University of California in San Diego’s Global<br />

Health Institute. “There are negative impacts for people<br />

who work in exposed sectors like manufacturing,<br />

» THERE NEEDS TO<br />

BE A TRANSITION<br />

AWAY FROM<br />

BURNING LOW<br />

QUALITY FUELS,<br />

AND MOVING UP<br />

THE ENERGY<br />

LADDER TO<br />

NATURAL GAS «<br />

agriculture and construction. People lose a couple of hours<br />

out of a workweek. Most people don’t realize that the vast<br />

majority of manufacturing is taking place in cheap tin<br />

construction sheds with process heat, lots of activity,<br />

very little cooling and exposure to the outside air from<br />

giant open truck bays.”<br />

MANAGING RISKS<br />

Success in tackling these issues has been hitherto<br />

disappointingly limited and patchy in Asia. It might be<br />

expected, for example, that as the region industrialized<br />

and became wealthier, air pollution would reverse, with<br />

stronger measures put into place to limit the worst effects.<br />

Yet this has been far from the case. Although China has<br />

until recently been the most striking example, where more<br />

than 350 cities do not meet WHO’s air quality standards,<br />

India might now lay claim to the dubious reputation of<br />

being the worst nation for air quality: four Indian cities<br />

occupy the global top 10 for sub-PM2.5 pollution. Other<br />

countries in the region, including Pakistan<br />

and Indonesia, are struggling to tackle the<br />

issue.<br />

There are signs of progress, however. In<br />

April, health, climate and weather experts<br />

from across the region gathered in Colombo,<br />

Sri Lanka, for the first Climate Services Forum<br />

for Health, to help better understand and<br />

manage the risks from heatwaves.<br />

Meanwhile, China has begun to make<br />

significant progress in cleaning up its air, and<br />

more measures are in the pipeline, says Junjie<br />

Zhang, from the University of California in San Diego’s<br />

School of Global Policy and Strategy, who has worked on a<br />

range of climate and air quality related research projects.<br />

“For China, the situation is getting better overall.”<br />

STRONGER ENFORCEMENT<br />

Slower economic growth and a move to a less resourceintensive<br />

economy is part of the reason for improving<br />

trends in China. But policy is also having an impact.<br />

The central government is taking the issue seriously;<br />

it has begun enforcing existing rules more strongly<br />

and will be adding more. Modest air pollution fees are<br />

already in force and new environmental taxes look likely,<br />

says Zhang.<br />

“China’s new minister of environmental protection is<br />

focused on enforcement and this is the key for China, where<br />

there has been poor enforcement at a local level. If a city<br />

does not comply with environmental standards, leaders of<br />

the local government would be called to the ministry and<br />

reprimanded. Local governments are under pressure.<br />

Allianz • 29

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