Abstract

Emissions from the household sector are the most significant source of air pollution in Poland, one of the most polluted countries in the EU. Estimated health impacts of the reduction of these emissions under three scenarios are presented. The EMEP4PL model and base year emission inventory were used to estimate average annual PM10 and PM2.5 concentrations with spatial resolution of 4 km × 4 km. The change in emissions under each of the scenarios was based on data from a survey on household boilers and insulation. Scenario 1 included replacement of all poor-quality coal-fired boilers with gas boilers; Scenario 2 included replacement of all poor-quality coal-fired boilers with low-emission boilers but still using solid fuels; and Scenario 3 included the thermal refurbishment of houses with the worst insulation. Impacts on the following health parameters were estimated: premature deaths (PD), Chronic Bronchitis (CB), Bronchitis in Children (BiC) and Work Days Lost (WDL). The concentration–response functions recommended by the WHO HRAPIE project were used. The analysis was conducted for two regions: Lower Silesia and Lodzkie province. The largest reduction of health impact was observed for Scenario 1. For Lower Silesia, the annual PD decreased by 1122 (34.3%), CB by 1516 (26.6%), BiC by 9602 (27.7%) and WDL by 481k (34.7%). For Lodzkie province, the largest impacts were estimated as decreases in PD by 1438 (29.9%), CB by 1502 (25.3%), BiC by 9880 (26.8%) and WDL by 669k (30.4%).

Highlights

  • Ambient air pollution is the world’s most significant environmental health risk factor, contributing to 4.2 million deaths per year [1]

  • Air pollution reduction was calculated for each municipality as the difference between a particular scenario and the baseline concentration

  • The results with the population data were recalculated as PM10 and PM2.5 annual concentration weighted with a population

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Summary

Introduction

Ambient air pollution is the world’s most significant environmental health risk factor, contributing to 4.2 million deaths per year [1]. This equals on average approximately 55 deaths annually per 100,000 population (per 100k a.). PMx has been associated with many adverse health outcomes, for example chronic cardiovascular and respiratory disease, decreased lung function leading to increased risks of hospitalizations and premature death [4,5,6]. According to the latest research, air pollution reduces life expectancy in Poland by 2.8 years, compared to 2.2 years in the whole of Europe [8]

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