Abstract

Indian cities struggle with some of the highest ambient air pollution levels in the world. While national efforts are building momentum towards concerted action to reduce air pollution, individual cities are taking action on this challenge to protect communities from the many health problems caused by this harmful environmental exposure. In 2017, the city of Ahmedabad launched a regional air pollution monitoring and risk communication project, the Air Information and Response (AIR) Plan. The centerpiece of the plan is an air quality index developed by the Indian Institute of Tropical Meteorology’s System for Air Quality and Weather Forecasting and Research program that summarizes information from 10 new continuous air pollution monitoring stations in the region, each reporting data that can help people avoid harmful exposures and inform policy strategies to achieve cleaner air. This paper focuses on the motivation, development, and implementation of Ahmedabad’s AIR Plan. The project is discussed in terms of its collaborative roots, public health purpose in addressing the grave threat of air pollution (particularly to vulnerable groups), technical aspects in deploying air monitoring technology, and broader goals for the dissemination of an air quality index linked to specific health messages and suggested actions to reduce harmful exposures. The city of Ahmedabad is among the first cities in India where city leaders, state government, and civil society are proactively working together to address the country’s air pollution challenge with a focus on public health. The lessons learned from the development of the AIR Plan serve as a template for other cities aiming to address the heavy burden of air pollution on public health. Effective working relationships are vital since they form the foundation for long-term success and useful knowledge sharing beyond a single city.

Highlights

  • Air Information and Response (AIR) Plan. The goals of this project were to: (1) Assess the current state of the regional air pollution and health evidence base and the need for an air quality index (AQI); (2) improve public awareness of the air pollution problem as it relates to health; (3) identify and protect especially vulnerable groups from the health threats posed by air pollution; (4) build capacity in the medical and public health sectors for promoting health-protective strategies on air pollution; and (5) identify the future mitigation and exposure control and reduction measures with key partners from leading local institutes

  • The Ahmedabad AIR Plan builds on the effective heat action plan that the city and partnering institutions, led by the Indian Institute of Public Health-Gandhinagar (IIPH-G) and the Natural

  • Based on the background literature review, roundtable discussions, and a participatory workshop documented in the issue brief, the conceptual model is premised on several factors: Air pollution poses a significant public health risk [50]; this risk is under-recognized by the public; air pollution is inadequately monitored and managed [65]; and documenting air quality through an AQI and communicating specific exposure mitigation strategies can improve public health and facilitate long-term improvement of air quality [25,51,66]

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Summary

Introduction

4.1 million premature deaths each year, largely due to the impacts of small particles on the progression of cardiovascular disease [1]. Of this total, two-thirds of the burden falls in Asia, where ambient concentrations of fine particulate matter (PM2.5 , particles of aerodynamic diameter ≤ 2.5 microns) are highest [2,3,4,5,6,7]. In India, exposure to PM2.5 causes more than half a million premature deaths each year [2,7], and a study of 2016 data found that 14 Indian cities ranked in the top 20 globally for the worst pollution levels [8]. Chronic exposure to PM2.5 is associated with increased risk of premature mortality, stroke, heart disease, lung cancer, asthma, and other respiratory diseases [6,11,14,15,16,17,18]

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