空气污染、空间外溢与公共健康——以中国珠江三角洲9个城市为例

空气污染对居民公共健康的影响,引起了人们高度的关注。但大多数学者研究从样本的独立性出发且不考虑内生性问题,忽视区域之间空间相关性,所得结论和政策建议需谨慎对待。为了弥补上述不足,本文基于Grossman中国宏观健康生产函数,选取2001—2014年中国广东省珠江三角洲9个城市作为样本,选择以PM_(10)和PM_(2.5)作为空气污染的代理指标,在充分考虑空间效应和严格假设检验的基础上选择合适的空间计量经济学模型,对此进行实证研究。主要研究结果显示:空气污染对居民的公共健康带来了负面影响,即PM_(10)和PM_(2.5)每增加1%,导致哮喘疾病和内科门诊等疾病人数不断上升,且影响都比较大,尤其是对哮喘疾病的影响分别为0.2236%和0.2272%。经济增长对公共健康均有显著的促进作用,影响最大;其它财政医疗支出、卫生技术人员和人口密度等要素对居民公共健康的影响较小。由于空气污染的负外部性,研究还发现,区域之间空气污染的"溢出效应"对领域居民公共健康存在显著的影响,说明忽视空间自相关性的存在,会使得空气污染对公众健康的估计产生偏差。从长期看,空气污染对本地居民公共健康的直接效应都显著为正,PM_(2.5)间接效应显著为负,但PM_(10)间接效应并不显著。因此,各级政府除了在源头上治理污染物的排放,提高公共健康水平外,还应该打破各自为阵的行政垄断,应该作为一个整体,实现跨区域环保合作,共同治理和制定公共卫生政策等。这对区域之间协同减排和保护居民公共健康具有重要的理论和现实意义。     

Development of an aggregate Air Quality Index for an urban Mediterranean agglomeration: relation to potential health effects

It is very useful for the authorities and the people to have daily easy understandable information about the levels of air pollution and the proper measures to be taken for the protection of human health. In this paper we develop an aggregate Air Quality Index (AQI) based on the combined effects of five criteria pollutants (CO, SO2, NO2, O3 and PM10) taking into account the European standards. We evaluate it for each monitoring station and for the whole area of Athens, Greece, an area with serious air pollution problems. A comparison was made with a modified version of Environmental Protection Agency/USA (USEPA) maximum value AQI model adjusted for European conditions. Hourly data of air pollutants from 4 monitoring stations, available during 1983-1999, were analysed for the development of the proposed index. The analysis reveals the Athenian population exposure reaches high levels and during last years a gradual increase of days with unhealthy conditions was detected. The proposed aggregate model estimates more effectively the exposure of citizens comparing with the modified USEPA maximum value model, because counts the impact of all the pollutants measured. Towards the informing and protection of the citizens in an urban agglomeration this model advantages as a political and administrative tool for the design of abatement strategies and effective measures of intervention.     

Residents'''' Willingness to Pay for Improving Air Quality in Jinan, China

Along with the progress of urbanization and environmental deterioration, residents' desire for improved air quality is increasing. In order to quantify an individual's willingness-to-pay (WTP) for improved air quality in Jinan of eastern China, a contingent valuation method (CVM) was employed. A sample of 1,500 residents was chosen on the basis of multistage sampling methods with face-to-face interviews by using a series of hypothetical, open-ended scenario questions which were designed to elicit the respondents' WTP. Results showed that 59.7% of respondents were able to express their WTP and the mean WTP is 100 Chinese Yuan (CNY) per person per year. A probit model on the probability of a positive WTP and a regression model were developed to find the relationship between endogenous variables and WTP. Most parameters in the econometric analysis had the expected sign. Annual household income and expenditure on treating respiratory diseases significantly influence WTP. The rates of positive WTP and the monetary amount are larger for men than for women. Results also showed that people who lived in more polluted areas were willing to pay more for clean air. Unlike developed countries, clean air may only be considered as a public good in China in that more than 40% of respondents had no incentive to bear the costs of attempting to achieve better air quality, which indicates the relatively low environmental consciousness.     

Residents' Willingness to Pay for Improving Air Quality in Jinan,China

Abstract

Along with the progress of urbanization and environmental deterioration, residents' desire for improved air quality is increasing. In order to quantify an individual's willingness-to-pay (WTP) for improved air quality in Jinan of eastern China, a contingent valuation method (CVM) was employed. A sample of 1,500 residents was chosen on the basis of multistage sampling methods with face-to-face interviews by using a series of hypothetical, open-ended scenario questions which were designed to elicit the respondents' WTP. Results showed that 59.7% of respondents were able to express their WTP and the mean WTP is 100 Chinese Yuan (CNY) per person per year. A probit model on the probability of a positive WTP and a regression model were developed to find the relationship between endogenous variables and WTP. Most parameters in the econometric analysis had the expected sign. Annual household income and expenditure on treating respiratory diseases significantly influence WTP. The rates of positive WTP and the monetary amount are larger for men than for women. Results also showed that people who lived in more polluted areas were willing to pay more for clean air. Unlike developed countries, clean air may only be considered as a public good in China in that more than 40% of respondents had no incentive to bear the costs of attempting to achieve better air quality, which indicates the relatively low environmental consciousness.     

Using the Community Multiscale Air Quality (CMAQ) model to estimate public health impacts of PM2.5 from individual power plants

We estimated PM_2.5-related public health impacts/ton emitted of primary PM_2.5, SO₂, and NO_x for a set of power plants in the Mid-Atlantic and Lower Great Lakes regions of the United States, selected to include varying emission profiles and broad geographic representation. We then developed a regression model explaining variability in impacts per ton emitted using the population distributions around each plant. We linked outputs from the Community Multiscale Air Quality (CMAQ) model v 4.7.1 with census data and concentration–response functions for PM_2.5-related mortality, and monetized health estimates using the value-of-statistical-life. The median impacts for the final set of plants were $130,000/ton for primary PM_2.5 (range: $22,000–230,000), $28,000/ton for SO₂ (range: $19,000–33,000), and $16,000/ton for NOx (range: $7100–26,000). Impacts of NO_x were a median of 34% (range: 20%–75%) from ammonium nitrate and 66% (range: 25%–79%) from ammonium sulfate. The latter pathway is likely from NO_x enhancing atmospheric oxidative capacity and amplifying sulfate formation, and is often excluded. Our regression models explained most of the variation in impact/ton estimates using basic population covariates, and can aid in estimating impacts averted from interventions such as pollution controls, alternative energy installations, or demand-side management.     

Route-specific daily uptake of organochlorine pesticides in food,dust, and air by Shanghai residents,China

Dichlorodiphenyltrichloroethane (DDT) and hexachlorocyclohexanes (HCHs) are widely detected in the environment, although they have been banned in China since 1980s. To better understand the route-specific daily uptake of the pesticides by humans, a total of 322 food, dust, and air samples were collected in Shanghai, China, during 2008–2011. The median concentrations were 0.2–126.6 and 0.03–1.6 ng/g wet weight for DDTs (DDT and its metabolites) and HCHs, respectively, in different types of foods. The values in dust (indoors and outdoors) were 5.7–29.8 and 1.3–5.4 ng/g, and 13.9 × 10^− 3 and 2.6 × 10^− 3 ng/m³ in air (gas + particle) for DDTs and HCHs, respectively. The daily uptake of a pesticide by humans was calculated via the pesticide intake multiplied by its uptake efficiency. The uptake efficiencies of DDTs and HCHs in food through human intestines were estimated using bioaccessibility measured via an in vitro method simulating the human gastrointestinal digestion process. The total daily uptakes of DDTs and HCHs through three routes (i.e., ingestion, inhalation, and dermal contact) were 79.4 and 4.9 ng/day, respectively, for children, and 131.1 and 8.0 ng/day, respectively, for adults. Ingestion via food and dust was the main route of human exposure to the pesticides, and the daily uptake of the pesticides via food consumption accounted for 95.0–99.2% of the total.     

Associations of gestational and early life exposures to ambient air pollution with childhood respiratory diseases in Shanghai,China: A retrospective cohort study

BackgroundAssociations of ambient air pollutants with respiratory health are inconsistent.ObjectivesWe analyzed the associations of gestational and early life exposures to air pollutants with doctor-diagnosed asthma, allergic rhinitis, and pneumonia in children.MethodsWe selected 3358 preschool children who did not alter residences after birth from a cross-sectional study in 2011–2012 in Shanghai, China. Parents reported children's respiratory health history, home environment, and family lifestyle behaviors. We collected daily concentrations of sulphur dioxide (SO₂), nitrogen dioxide (NO₂), and particulate matter with an aerodynamic diameter ≤ 10 μm (PM₁₀) during the child's total lifetime (2006–2012) for each district where the children lived. We analyzed the associations using logistic regression models.ResultsAfter adjusting for covariates and the other studied pollutants, we found that exposure to NO₂ (increment of 20 μg/m³) during the first year of life was significantly associated with asthma [odds ratio (OR) = 1.77; 95% confidence interval (CI): 1.29–2.43] and allergic rhinitis (OR = 1.67; 95% CI: 1.07–2.61). Exposure to NO₂ during gestation, the first two and three years, and over total lifetimewas all consistently associated with increased odds of allergic rhinitis. Quartiles of NO₂ concentration during different exposure periods showed a slight dose–response relationship with the studied diseases. These diseases had significant associations with pollutant mixtures that included NO₂, but had no significant association with exposures to SO₂ and PM₁₀ individually or in mixtures.ConclusionsGestational and early life exposures to ambient NO₂ are risk factors for childhood respiratory diseases.     

Communicating in the public sphere: effects of patriarchy on knowledge sharing among community-based organizations leaders in Botswana

Knowledge and knowledge sharing are widely regarded as important assets for the overall performance and competiveness of organizations. This study explored the effect of gender on selected predictors of knowledge sharing behaviors among community-based organizations leaders in the Okavango Delta, Botswana. The study, guided by the patriarchy theory, employed a quasi-experimental research approach, using a counterbalanced design. A sample of 120 subjects, drawn from a cluster sample of 13 villages’ Board of Trustees participating in community-based conservation projects, was used. Data were collected using a retrospective pretest instrument and analyzed using one-way mixed between-within doubly repeated measures ANCOVA. The results revealed that only behavioral intention showed significant effects, F(1, 107) = 6.60, p = .01, suggesting differential effects of gender on intention to share knowledge. The study concluded that females are less likely to share information acquired as part of their portfolio responsibility in the public sphere when compared to their male counterpart.     

Industrialization,Environment and Health: the Impacts of Industrial SO2 Emission on Public Health in China

Abstract

In this paper, we construct a model in which the impact of pollution on health is exerted through both direct and indirect channels. The indirect channel is captured by a production function in which the principal health-improving factor, income growth, can be realized only in the cost of pollution increase. This model is then tested by the aggregated chronicle disease data in over 78 Chinese counties. Our results show, after attaining the threshold of 8 μg/m², continuous increase in industrial SO₂ emission density will lead the ratio of population suffering chronicle diseases, among which respiratory diseases occupy a significant proportion, to rise. However, owing to technological progress in pollution control activities, the needed SO₂ emission to produce one unit of GDP diminishes with time. Therefore, the negative effect from pollution augmentation on public health seems to be recompensed more and more by the positive effect of economic growth.     

Industrialization, Environment and Health： the Impacts of Industrial SO2 Emission on Public Health in China

In this paper, we construct a model in which the impact of pollution on health is exerted through both direct and indirect channels. The indirect channel is captured by a production function in which the principal health-improving factor, income growth, can be realized only in the cost of pollution increase. This model is then tested by the aggregated chronicle disease data in over 78 Chinese counties. Our results show, after attaining the threshold of 8 μ g/m^2, continuous increase in industrial SO2 emission density will lead the ratio of population suffering chronicle diseases, among which respiratory diseases occupy a significant proportion, to rise. However, owing to technological progress in pollution control activities, the needed SO2 emission to produce one unit of GDP diminishes with time. Therefore, the negative effect from pollution augmentation on public health seems to be recompensed more and more by the positive effect of economic growth.     

Environmental aspects and health risks of leather tanning industry:a study in the Hazaribag area

The tannery industry in Hazaribag,which is one of the most polluted areas in Dhaka City,produces a huge quantity of wastes every day.Without treatment,these are discharged into the Buriganga River and pollute the surrounding environment.This article examines the impacts of tannery wastes on workers’health and the environment in that particular area.As part of the methodology,a semi-structured interview was conducted in order to obtain quantitative data and 112 respondents were interviewed using purposive sampling.The findings of the study indicate that tannery wastes affect the environment severely,causing ecological imbalance and the spreading of different kinds of fatal and contagious disease among the tannery workers and other individuals.Moreover,the current waste management system of the Hazaribag tannery industries is very suspect due to outdated technology,defective drainage systems,lack of financial input,and the exploitative attitude of their owners.The findings also indicate that tannery workers are unaware of the effects of tannery waste as they choose not to wear personal protective equipment in the workplace.This empirical study helps policy makers implement appropriate measures to raise awareness,among both owners and workers,that can influence changes in the public’s attitude and reduce environmental pollution to a great extent.Although considerable research has been undertaken focusing on tannery waste impact assessment,less attention has been paid to the issue of workers’health.Therefore,both governments and policy makers can benefit from the findings of this study.     

Environmental aspects and health risks of leather tanning industry: a study in the Hazaribag area

The tannery industry in Hazaribag, which is one of the most polluted areas in Dhaka City, produces a huge quantity of wastes every day. Without treatment, these are discharged into the Buriganga River and pollute the surrounding environment. This article examines the impacts of tannery wastes on workers’ health and the environment in that particular area. As part of the methodology, a semi-structured interview was conducted in order to obtain quantitative data and 112 respondents were interviewed using purposive sampling. The findings of the study indicate that tannery wastes affect the environment severely, causing ecological imbalance and the spreading of different kinds of fatal and contagious disease among the tannery workers and other individuals. Moreover, the current waste management system of the Hazaribag tannery industries is very suspect due to outdated technology, defective drainage systems, lack of financial input, and the exploitative attitude of their owners. The findings also indicate that tannery workers are unaware of the effects of tannery waste as they choose not to wear personal protective equipment in the workplace. This empirical study helps policy makers implement appropriate measures to raise awareness, among both owners and workers, that can influence changes in the public’s attitude and reduce environmental pollution to a great extent. Although considerable research has been undertaken focusing on tannery waste impact assessment, less attention has been paid to the issue of workers’ health. Therefore, both governments and policy makers can benefit from the findings of this study.     

Using Multi-destination ZTCM to Evaluate the Recreational Values of Cultural Sights: An Application to Jiayuguan,China

Abstract

This study explained the importance of environmental protection in tourism development and illustrated the relationship between recreational resource valuation and environmental consideration. We compare different models of travel cost method and reiterates long-time existing problems of multi-destination and treats of time opportunity cost (TOC). Taking Jiayuguan’s cultural sights as an example, we establish an updated method called multidestination zonal tourism cost method to evaluate the recreational values (RVs) of selected three cultural sights. We divide trip packages of Jiayuguan’s tourists into 11 portfolios. Each portfolio can be seen as a separate commodity, and each commodity has its own demand curve. According to demand curves we can calculate consumer surplus (CS) of different portfolios of tourist destinations and later we sum up the total travel costs (including travel expenditure and TOC) and CS to come to the RVs of each portfolio. We then apply suitable proportions to calculate the RVs between different destinations in the portfolio. In the end, we add up all the RVs calculated for the objective destination. Using this method, we draw conclusions that Jiayuguan’s RV in 2006 includes national and international values, summing up to 738.4762 million yuan. The tourist expenditure, CS and TOC of Jiayuguan is proportionating 62.96, 32.28 and 4.76%, respectively. This study is also an example of non-market valuation of cultural tourism resources.     

Health risks caused by short term exposure to ultrafine particles generated by residential wood combustion: A case study of Temuco,Chile

Temuco is one of the most highly wood smoke polluted cities in Chile; however, there is scarce evidence of respiratory morbidity due to fine particulate matter. We aimed to estimate the relationship between daily concentration of ultrafine particles (UFP), with an aerodynamic diameter ≤ 0.1 μm, and outpatient visits for respiratory illness at medical care centers of Temuco, Chile, from August the 20th, 2009 to June the 30th, 2011. The Air Pollution Health Effects European Approach (APHEA2) protocol was followed, and a multivariate semi-parametric Poisson regression model was fitted with GAM techniques using R-Project statistical package; controlling for trend, seasonality, and confounders. The daily UFP were measured by a MOUDI NR-110 sampler. We found that results of the statistical analyses show significant associations between UFP and respiratory outpatient visits, with the elderly (population ≥ 65 years), being the group that presented the greatest risk. An interquartile increase of 4.73 μg/m³ in UFP (lag 5 days) was associated with respiratory outpatient visits with a relative risk (RR) of 1.1458 [95% CI (1.0497–1.2507)] for the elderly. These results show novel findings regarding the relevance of daily UFP concentrations and health risk, especially for susceptible population in a wood smoke polluted city.     

Contamination of drinking water resources in the Mekong delta floodplains: arsenic and other trace metals pose serious health risks to population

This study presents a transnational groundwater survey of the 62,000 km(2) Mekong delta floodplain (Southern Vietnam and bordering Cambodia) and assesses human health risks associated with elevated concentrations of dissolved toxic elements. The lower Mekong delta generally features saline groundwater. However, where groundwater salinity is <1 g L(-)(1) Total Dissolved Solids (TDS), the rural population started exploiting shallow groundwater as drinking water in replacement of microbially contaminated surface water. In groundwater used as drinking water, arsenic concentrations ranged from 0.1-1340 microg L(-)(1), with 37% of the studied wells exceeding the WHO guidelines of 10 microg L(-)(1) arsenic. In addition, 50% exceeded the manganese WHO guideline of 0.4 mg L(-)(1), with concentrations being particularly high in Vietnam (range 1.0-34 mg L(-)(1)). Other elements of (minor) concern are Ba, Cd, Ni, Se, Pb and U. Our measurements imply that groundwater contamination is of geogenic origin and caused by natural anoxic conditions in the aquifers. Chronic arsenic poisoning is the most serious health risk for the ~2 million people drinking this groundwater without treatment, followed by malfunction in children's development through excessive manganese uptake. Government agencies, water specialists and scientists must get aware of the serious situation. Mitigation measures are urgently needed to protect the unaware people from such health problems.     

Associations between short-term exposure to nitrogen dioxide and mortality in 17 Chinese cities: The China Air Pollution and Health Effects Study (CAPES)

Few multi-city studies in Asian developing countries have examined the acute health effects of ambient nitrogen dioxide (NO₂). In the China Air Pollution and Health Effects Study (CAPES), we investigated the short-term association between NO₂ and mortality in 17 Chinese cities. We applied two-stage Bayesian hierarchical models to obtain city-specific and national average estimates for NO₂. In each city, we used Poisson regression models incorporating natural spline smoothing functions to adjust for long-term and seasonal trend of mortality, as well as other time-varying covariates. We examined the associations by age, gender and education status. We combined the individual-city estimates of the concentration–response curves to get an overall NO₂–mortality association in China. The averaged daily concentrations of NO₂ in the 17 Chinese cities ranged from 26 μg/m³ to 67 μg/m³. In the combined analysis, a 10-μg/m³ increase in two-day moving averaged NO₂ was associated with a 1.63% [95% posterior interval (PI), 1.09 to 2.17], 1.80% (95% PI, 1.00 to 2.59) and 2.52% (95% PI, 1.44 to 3.59) increase of total, cardiovascular, and respiratory mortality, respectively. These associations remained significant after adjustment for ambient particles or sulfur dioxide (SO₂). Older people appeared to be more vulnerable to NO₂ exposure. The combined concentration–response curves indicated a linear association. Conclusively, this largest epidemiologic study of NO₂ in Asian developing countries to date suggests that short-term exposure to NO₂ is associated with increased mortality risk.     

Putting vulnerability to climate change on the map: a review of approaches, benefits, and risks

There is growing demand among stakeholders across public and private institutions for spatially-explicit information regarding vulnerability to climate change at the local scale. However, the challenges associated with mapping the geography of climate change vulnerability are non-trivial, both conceptually and technically, suggesting the need for more critical evaluation of this practice. Here, we review climate change vulnerability mapping in the context of four key questions that are fundamental to assessment design. First, what are the goals of the assessment? A review of published assessments yields a range of objective statements that emphasize problem orientation or decision-making about adaptation actions. Second, how is the assessment of vulnerability framed? Assessments vary with respect to what values are assessed (vulnerability of what) and the underlying determinants of vulnerability that are considered (vulnerability to what). The selected frame ultimately influences perceptions of the primary driving forces of vulnerability as well as preferences regarding management alternatives. Third, what are the technical methods by which an assessment is conducted? The integration of vulnerability determinants into a common map remains an emergent and subjective practice associated with a number of methodological challenges. Fourth, who participates in the assessment and how will it be used to facilitate change? Assessments are often conducted under the auspices of benefiting stakeholders, yet many lack direct engagement with stakeholders. Each of these questions is reviewed in turn by drawing on an illustrative set of 45 vulnerability mapping studies appearing in the literature. A number of pathways for placing vulnerability mapping on a more robust footing are also identified.     

淀山湖底栖动物群落结构及其与沉积物碳氮磷的关系

2009~2010年对淀山湖底栖动物和沉积物碳氮磷含量进行了季度调查,探讨了它们之间的关系,并对水环境质量进行了评价。共鉴定底栖动物3门5纲17种,优势种为背蚓虫、寡鳃齿吻沙蚕和河蚬,群落密度以前两者为主(占81.2%),生物量以后两者贡献较大(75.0%)。沉积物有机碳(TOC)、总氮(TN)和总磷(TP)分别为7.91、1.02和0.79 mg/g,两两间均无相关性。多变量分析显示,淀山湖底栖动物群落物种组成无显著空间差异;多配对非参数检验表明,现存量(密度和生物量)、多样性指数(香浓指数H’、辛普森指数D、丰富度指数d、均匀度指数J)和沉积物碳氮磷中,仅总氮含量存在显著空间差异。相关分析显示,现存量与TN显著正相关,多样性与TP显著负相关,且均不与TOC相关。使用底栖动物Carlander、H’和d指数、ABC曲线及沉积物氮磷相关的指标,评价了淀山湖表层底质的环境质量,总体表明该湖处于中度—严重污染程度或中营养—富营养状态。淀山湖底栖动物总密度及寡毛类密度低、多毛类和河蚬占优的结构特征与该湖为近距离经江通海湖泊及其底泥为有机质含量低的粉砂质粘土有关。     

Differentiating the effects of fine and coarse particles on daily mortality in Shanghai, China

The findings on health effects of ambient fine particles (PM2.5) and coarse particles (PM10-2.5) remain inconsistent. In China, PM2.5 and PM10-2.5 are not the criteria air pollutants, and their monitoring data are scarce. There have been no epidemiological studies of health effects of PM2.5 and PM10-2.5 simultaneously in China. We conducted a time series study to examine the acute effects of PM2.5 and PM10-2.5 on daily mortality in Shanghai, China from Mar. 4, 2004 to Dec. 31, 2005. We used the generalized additive model (GAM) with penalized splines to analyze the mortality, air pollution and covariate data. The average concentrations of PM2.5 and PM10-2.5 were 56.4 microg/m3 and 52.3 microg/m3 in our study period, and PM2.5 constituted around 53.0% of the PM10 mass. Compared with the Global Air Quality Guidelines set by World Health Organization (10 microg/m3 for annual mean) and U.S. National Ambient Air Quality Standards (15 microg/m3 for annual mean), the PM2.5 level in Shanghai was much higher. We found that PM2.5 was associated with the death rates from all causes and from cardiorespiratory diseases in Shanghai. We did not find a significant effect of PM10-2.5 on mortality outcomes. A10 microg/m3 increase in the 2-day moving average (lag01) concentration of PM2.5 corresponded to 0.36% (95% CI 0.11%, 0.61%), 0.41% (95% CI 0.01%, 0.82%) and 0.95% (95% CI 0.16%, 1.73%) increase of total, cardiovascular and respiratory mortality. For PM10-2.5, the effects were attenuated and less precise. Our analyses provide the first statistically significant evidence in China that PM2.5 has an adverse effect on population health and strengthen the rationale for further limiting levels of PM2.5 in outdoor air in Shanghai.