Health and economic impact of air pollution in the states of India: the Global Burden of Disease Study 2019

被引：320

作者：

Pandey, Anamika ^{[2
]}

Brauer, Michael ^{[3
,4
]}

Cropper, Maureen L. ^{[5
]}

Balakrishnan, Kalpana ^{[6
]}

Mathur, Prashant ^{[7
]}

Dey, Sagnik ^{[8
]}

Turkgulu, Burak ^{[5
]}

Kumar, G. Anil ^{[2
]}

Khare, Mukesh ^{[9
]}

Beig, Gufran ^{[10
]}

Gupta, Tarun ^{[11
]}

Krishnankutty, Rinu P. ^{[2
]}

Causey, Kate ^{[3
]}

Cohen, Aaron J. ^{[12
]}

Bhargava, Stuti ^{[1
]}

Aggarwal, Ashutosh N. ^{[13
]}

Agrawal, Anurag ^{[16
]}

Awasthi, Shally ^{[17
]}

Bennitt, Fiona ^{[3
]}

Bhagwat, Sadhana ^{[19
]}

Bhanumati, P. ^{[20
]}

Burkart, Katrin ^{[3
]}

Chakma, Joy K. ^{[1
]}

Chiles, Thomas C. ^{[21
]}

Chowdhury, Sourangsu ^{[8
]}

Christopher, D. J. ^{[22
]}

Dey, Subhojit ^{[24
]}

Fisher, Samantha ^{[21
]}

Fraumeni, Barbara ^{[25
]}

Fuller, Richard ^{[26
]}

Ghoshal, Aloke G. ^{[27
]}

Golechha, Mahaveer J. ^{[28
]}

Gupta, Prakash C. ^{[29
]}

Gupta, Rachita ^{[19
]}

Gupta, Rajeev ^{[30
]}

Gupta, Shreekant ^{[31
]}

Guttikunda, Sarath ^{[32
]}

Hanrahan, David ^{[26
]}

Harikrishnan, Sivadasanpillai ^{[33
]}

Jeemon, Panniyammakal ^{[34
]}

Joshi, Tushar K. ^{[35
]}

Kant, Rajni ^{[1
]}

Kant, Surya ^{[18
]}

Kaur, Tanvir ^{[1
]}

Koul, Parvaiz A. ^{[36
]}

Kumar, Praveen ^{[21
]}

Kumar, Rakesh ^{[37
]}

Larson, Samantha L. ^{[3
]}

Lodha, Rakesh ^{[38
]}

Madhipatla, Kishore K. ^{[2
]}

机构：

[1] Indian Council Med Res, New Delhi 110029, India

[2] Publ Hlth Fdn India, Gurugram, India

[3] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA

[4] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC, Canada

[5] Univ Maryland, Dept Econ, College Pk, MD 20742 USA

[6] Sri Ramachandra Univ, Dept Environm Hlth Engn, Chennai, Tamil Nadu, India

[7] Indian Council Med Res, Natl Ctr Dis Informat & Res, Bengaluru, India

[8] Indian Inst Technol Delhi, Ctr Atmospher Sci, New Delhi, India

[9] Indian Inst Technol Delhi, Dept Civil Engn, New Delhi, India

[10] Govt India, Indian Inst Trop Meteorol, Minist Earth Sci, Pune, Maharashtra, India

[11] Indian Inst Technol Kanpur, Dept Civil Engn, Kanpur, Uttar Pradesh, India

[12] Hlth Effects Inst, Boston, MA USA

[13] Post Grad Inst Med Educ & Res, Dept Pulm Med, Chandigarh, India

[14] Post Grad Inst Med Educ & Res, Adv Pediat Ctr, Chandigarh, India

[15] Post Grad Inst Med Educ & Res, Sch Publ Hlth, Chandigarh, India

[16] CSIR Inst Genom & Integrat Biol, New Delhi, India

[17] King Georges Med Univ, Dept Paediat, Lucknow, Uttar Pradesh, India

[18] King Georges Med Univ, Dept Resp Med, Lucknow, Uttar Pradesh, India

[19] WHO India Country Off, New Delhi, India

[20] Govt India, Social Stat Div, Minist Stat & Programme Implementat, New Delhi, India

[21] Boston Coll, Chestnut Hill, MA 02167 USA

[22] Christian Med Coll & Hosp, Dept Pulm Med, Vellore, Tamil Nadu, India

[23] Christian Med Coll & Hosp, Dept Endocrinol Diabet & Metab, Vellore, Tamil Nadu, India

[24] Disha Fdn, Gurugram, India

[25] Univ Southern Maine, Muskie Sch Publ Serv, Portland, ME USA

[26] Pure Earth, New York, NY USA

[27] Natl Allergy Asthma Bronchitis Inst, Kolkata, India

[28] Indian Inst Publ Hlth Gandhinagar, Publ Hlth Fdn India, Gandhinagar, India

[29] Healis Sekhsaria Inst Publ Hlth, Mumbai, Maharashtra, India

[30] Eternal Heart Care Ctr & Res Inst, Jaipur, Rajasthan, India

[31] Delhi Sch Econ, New Delhi, India

[32] Urban Emiss, New Delhi, India

[33] Sree Chitra Tirunal Inst Med Sci & Technol, Dept Cardiol, Trivandrum, Kerala, India

[34] Sree Chitra Tirunal Inst Med Sci & Technol, Achutha Menon Ctr Hlth Sci Studies, Trivandrum, Kerala, India

[35] Govt India, Minist Hlth & Family Welf, New Delhi, India

[36] Sherikashmir Inst Med Sci, Dept Internal & Pulm Med, Srinagar, India

[37] CSIR Natl Environm Engn Res Inst, Nagpur, Maharashtra, India

[38] All India Inst Med Sci, Dept Paediat, New Delhi, India

[39] All India Inst Med Sci, Dept Cardiol, New Delhi, India

[40] All India Inst Med Sci, Radiat Oncol, New Delhi, India

[41] All India Inst Med Sci, Dept Endocrinol & Metab, New Delhi, India

[42] Jagadguru Sri Shivarathreeshwara Univ, Dept Resp Med, Jagadguru Sri Shivarathreeshwara Med Coll, Mysuru, India

[43] Kyushu Univ, Dept Urban & Environm Engn, Fukuoka, Japan

[44] Consortium Univ Global Hlth, Washington, DC USA

[45] Univ Liverpool Liverpool Sch Trop Med, Ctr Maternal & Newborn Hlth, Liverpool, Merseyside, England

[46] Narayan Hrudayalaya, Bengaluru, India

[47] Madras Diabet Res Fdn, Dept Diabetol, Chennai, Tamil Nadu, India

[48] Dr Mohans Diabet Special Ctr, Chennai, Tamil Nadu, India

[49] Inst Postgrad Med Educ & Res, Dept Endocrinol & Metab, Kolkata, India

[50] Med Coll, Dept Pulm Med, Trivandrum, Kerala, India

来源：

LANCET PLANETARY HEALTH | 2021年 / 5卷 / 01期

基金：

比尔及梅琳达.盖茨基金会;

关键词：

PARTICULATE MATTER; DAILY MORTALITY; EXPOSURE; COMBUSTION; COST;

D O I：

10.1016/S2542-5196(20)30298-9

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Background The association of air pollution with multiple adverse health outcomes is becoming well established, but its negative economic impact is less well appreciated. It is important to elucidate this impact for the states of India. Methods We estimated exposure to ambient particulate matter pollution, household air pollution, and ambient ozone pollution, and their attributable deaths and disability-adjusted life-years in every state of India as part of the Global Burden of Disease Study (GBD) 2019. We estimated the economic impact of air pollution as the cost of lost output due to premature deaths and morbidity attributable to air pollution for every state of India, using the cost-of-illness method. Findings 1.67 million (95% uncertainty interval 1.42-1.92) deaths were attributable to air pollution in India in 2019, accounting for 17.8% (15.8-19.5) of the total deaths in the country. The majority of these deaths were from ambient particulate matter pollution (0.98 million [0.77-1.19]) and household air pollution (0.61 million 10.39-0.861). The death rate due to household air pollution decreased by 64.2% (52.2-74.2) from 1990 to 2019, while that due to ambient particulate matter pollution increased by 115.3% (28.3-344.4) and that due to ambient ozone pollution increased by 139.2% (96.5-195.8). Lost output from premature deaths and morbidity attributable to air pollution accounted for economic losses of US$28.8 billion (21.4-37.4) and $8.0 billion (5.9-10.3), respectively, in India in 2019. This total loss of $36.8 billion (27.4-47.7) was 1.36% of India's gross domestic product (GDP). The economic loss as a proportion of the state GDP varied 3.2 times between the states, ranging from 0.67% (0.47-0.91) to 2.15% (1.60-2.77), and was highest in the low per-capita GDP states of Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, and Chhattisgarh. Delhi had the highest per-capita economic loss due to air pollution, followed by Haryana in 2019, with 5.4 times variation across all states. Interpretation The high burden of death and disease due to air pollution and its associated substantial adverse economic impact from loss of output could impede India's aspiration to be a $5 trillion economy by 2024. Successful reduction of air pollution in India through state-specific strategies would lead to substantial benefits for both the health of the population and the economy. Copyright (C) 2020 The Author(s). Published by Elsevier Ltd.

引用

页码：E25 / E38

页数：14

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