Health Co-benefits Research Articles

Is health being considered by funding towards climate adaptation and mitigation?

Abstract Introduction Funding is essential to build climate resilience in public health and healthcare systems and enable populations to adapt to the increasing impacts on climate change on health across the globe. This study aimed to investigate how health has been considered by the projects supported by the Green Climate Fund (GCF), created by the Paris Agreement to support climate adaptation and mitigation. Methods Adaptation, mitigation, and cross-cutting projects funded by the GCF between 2021 and 2023 were included. Information was collected for the percentage of funding allocated to health adaptation by cross-cutting and adaptation projects. For mitigation projects, information was extracted on the extent to which health co-benefits were considered. Results The 69 adaptation and cross-cutting projects funded by the GCF in 2021-2023 contributed $226 million towards adaptation, of which $59 (26%) million were for health adaptation. There was an increase in the funding provided by the GCF to adaptation from $1 million in 2021 to $156 million in 2023. Funding for health adaptation increased from $178,000 in 2021 to $42 million in 2023. Of the co-funding provided by beneficiaries, $637 million contributed to adaptation and $165 (26%) million to health adaptation. There was an increase in co-funding for adaptation provided by beneficiaries from $131 million in 2022 to $506 million in 2023, with funding for health adaptation increasing from $23 (18%) million to $142 (28%) million. Among the 48 mitigation and cross-cutting projects, 15 did not mention health, 13 mentioned did not correctly articulate health co-benefits, 11 identified specific health co-benefits, and 9 correctly labelled and measured health co-benefits. The main co-benefits derived from reducing air pollution. Conclusions Among the projects funded by the GCF, funding for health adaptation remains a small proportion of the adaptation funding and health co-benefits are rarely considered by mitigation projects. Key messages • The proportion of adaptation funding provided for the health sector remains low. • Health co-benefits are seldom considered and measured by climate mitigation projects.

Guidance on health promoting and climate-friendly hospitals and health services

Abstract The negative impacts of climate change on health and the healthcare system are becoming increasingly evident. The healthcare sector, which accounts for nearly seven percent of Austria’s CO2 emissions, contributes to the exacerbation of climate change on one hand, but is also affected by its consequences on the other. To meet these challenges, it is necessary for healthcare facilities to both adopt climate-protective measures and adapt to the changed conditions. A project launched in 2023, supported by the Austrian Health Promotion Agenda and in cooperation with the Austrian Network of Health Promoting Hospitals and Health Services, has shown that there is a need for support in implementing climate protection measures in healthcare facilities. In response, the WHO Collaborating Centre for Health Promotion in Hospitals and Healthcare, located at the Competence Centre for Health Promotion and Healthcare at the Austrian National Public Health Institute, will work on the development of standards based on international models to support healthcare facilities in the introduction of climate-friendly practices until 2026. The methodology of the project includes the analysis of existing quality criteria and instruments, as well as a modified Delphi process with two rounds of online questionnaires directed at an international panel of experts. After each round, exchange meetings with a smaller group from the panel take place to achieve consensus. Based on the research findings and the Delphi consultations, a draft of standards and an implementation manual will be created. These drafts will be piloted in various healthcare facilities in Austria and other countries to assess their practicability and effectiveness. Following the pilot tests, the standards and the manual will be revised to integrate the practical insights gained. At the time of the conference, the initial results of the Delphi process will be presented, providing insights for the further development of the standards. Key messages • Integrating climate-friendly practices into all aspects of healthcare can reduce its environmental impact, improve health outcomes, and contribute to the broader sustainable development goals. • Climate-friendly approaches yield significant health, economic, and social co-benefits.

The Promises and Potential Pitfalls of Highway Reclamation for Population Health: A Research Framework.

Highway reclamation (i.e., the removal of highways or placing existing highways underground to create mixed-use urban areas) is being implemented around the United States, often touting co-benefits for population health. As part of the Bipartisan Infrastructure Law and the Inflation Reduction Act, the Reconnecting Communities and Neighborhoods grant program is a first-of-its-kind investment in launching even more highway reclamation projects. Depending on how the projects are implemented, these projects may create gentrification (i.e., the displacement of poor long-time residents by wealthier new people), thereby displacing the populations these projects are designed to protect. However, little work has systematically examined the extent to which highway reclamation projects provide the promised benefits for neighborhood environments (e.g., reduced air pollution), minimize gentrification, and improve health outcomes. This commentary proposes a framework by which the multidimensional impacts of highway reclamation can be evaluated, unlocking potential new structural pathways toward urban health equity.

Interventions to reduce low-value care in intensive care settings: a scoping review of impacts on health, resource use, costs, and the environment.

Low-value care is common in intensive care units (ICUs), unnecessarilyexposing patients to risks and harms, incuring costs to the patient and healthcare system, and contributing to healthcare's carbon footprint. We aimed to identify, collate, and summarise published evidence on the impact of interventions to reduce low-value care in ICUs. We searched MEDLINE, Embase, and Cochrane CENTRAL from inception to 22 September 2023 for evaluations of interventions aiming to reduce low-value care, supplemented by reference lists and recently published articles. We recorded impacts on the low-value target,health outcomes, resource use, cost, and the environment. From 1155 studies screened, 32 eligible studies were identified evaluating interventions toreduce: routine blood testing (n = 13), routine chest X-rays (n = 10), and other types (or multiple types) of low-value care (n = 9). All but 3 of the interventions found reductions in the immediate low-value care target (usually the primary outcome). Although the small sample size ofmost included studies, limited their ability to detect impactson other outcomes, manyinterventions were alsoassociated with improved health outcomes and financial savings. The only study that reported environmental impacts found the intervention was associated with reduced carbon dioxide equivalent (CO2-e) emissions. Interventions to reduce low-value care in ICUs may have important health, financial, and environmental co-benefits. Further research may inform wider scale-up and sustainability of successful strategies to decrease low-value healthcare. More empirical evidence on potential environmental benefits may inform policies to lower healthcare's carbon footprint.

The United European Gastroenterology green paper-climate change and gastroenterology.

Climate change, described by the World Health Organization (WHO) in 2021 as 'the single biggest health threat facing humanity', causes extreme weather, disrupts food supplies, and increases the prevalence of diseases, thereby affecting human health, medical practice, and healthcare stability. Greener Gastroenterology is an important movement that has the potential to make a real difference in reducing the impact of the delivery of healthcare, on the environment. The WHO defines an environmentally sustainable health system as one which would improve, maintain or restore health while minimizing negative environmental impacts. Gastroenterologists encounter the impacts of climate change in daily patient care. Alterations in the gut microbiome and dietary habits, air pollution, heat waves, and the distribution of infectious diseases result in changed disease patterns affecting gastrointestinal and hepatic health, with particularly severe impacts on vulnerable groups such as children, adolescents, and the elderly. Additionally, women are disproportionally affected, since climate change can exacerbate gender inequalities. Paradoxically, while healthcare aims to improve health, the sector is responsible for 4.4% of global carbon emissions. Endoscopy is a significant waste producer in healthcare, being the third highest generator with 3.09kg of waste per day per bed, contributing to the carbon footprint of the GI sector. Solutions to the climate crisis can offer significant health co-benefits. Steps to reduce our carbon footprint include fostering a Planetary Health Diet and implementing measures for greener healthcare, such as telemedicine, digitalization, education, and research on sustainable healthcare practices. Adhering to the principles of 'reduce, reuse, recycle' is crucial. Reducing unnecessary procedures, which constitute a significant portion of endoscopies, can significantly decrease the carbon footprint and enhance sustainability. This position paper by the United European Gastroenterology aims to raise awareness and outline key principles that the GI workforce can adopt to tackle the climate crisis together.

Choice architecture promotes sustainable choices in online food-delivery apps.

Greenhouse gas emissions from the food system constitute about one-third of the global total, hence mitigation in this sphere of human activity is a vital goal for research and policy. This study empirically tests the effectiveness of different interventions to reduce the carbon footprint of food choices made on food-delivery apps, using an incentive-compatible online randomized controlled trial with 4,008 participants. The experiment utilized an interactive web platform that mimics popular online food-delivery platforms (such as Just Eat) and included three treatment conditions: a sign-posted meat tax, a carbon-footprint label, and a choice-architecture intervention that changed the order of the menu so that the lowest carbon-impact restaurants and dishes were presented first. Results show that only the choice-architecture nudge significantly reduced the average meal carbon footprint-by 0.3 kg/CO2e per order (12%), driven by a 5.6 percentage point (13%) reduction in high-carbon meal choices. Moreover, we find evidence of significant health and well-being co-benefits. Menu repositioning resulted in the average meal order having greater nutritional value and fewer calories, whilst significantly increasing self-reported satisfaction with the meal choice. Simple back-of-the-envelope calculations suggest that menu repositioning would be a highly cost-effective policy instrument if implemented at scale, with the return on investment expected to be in the range of £1.28 to £3.85 per metric ton of avoided CO2 emissions, depending on implementation costs.

Volatile organic compounds in typical coal chemical industrial park in China and their environmental and health impacts

The coal chemical industry produces a large amount of volatile organic compounds (VOCs), and the emission characteristics and associated impact on the environment and health of the residents are still unclear. This study determined the VOC concentrations and compositions in the Jinjie Coal Chemical Industry Park which is located in northern China. The average concentrations of total measured VOCs (TVOCs) in the industrial areas in summer and winter were 231.5 and 103.2 μg/m3, which were higher than those in the residential areas (123.7 and 70.3 μg/m3), respectively. Aromatics, Oxygenated volatile organic compounds (OVOCs), and alkanes were the dominant VOC classes in the industrial areas, while halocarbons, OVOCs, and alkenes had higher compositions in the residential areas where were not only affected by industrial emissions and also other anthropogenic sources. OVOCs contributed over 43% of ozone formation potential (OFP), while aromatics contributed over 61% of secondary organic aerosol (SOA) formation in the Park in both seasons. Using the source apportionment method, biogenic emission and anthropogenic source (gasoline production, coking emission, fuel combustion, solvent coating, and vehicle exhaust) were major contributors to VOCs in residential areas. The industrial-related emissions were the main components of anthropogenic source, accounting for 53.5%–58.7% of the overall VOCs. With reliable estimations of the health aspects, exposures to acrolein (HQ: 7.4–126.6) and formaldehyde (ILCR: 5.5 × 10−3-5.7 × 10−2) posed the highest non-carcinogenic and carcinogenic risks, accounting for 94.3%–98.6% and 55.8%–93.8% of the total HQ and ILCR, respectively. The results demonstrated that substantial environmental and health co-benefits to the residents could be achieved by reducing the industrial emissions from gasoline production, coking process, and diesel-fueled vehicles in the Jinjie Coal Chemical Industry Park. Prioritizing the establishment of efficient air pollution measures and tightening industrial emission standards, especially for hazardous VOCs, are recommended according to the findings of the valuable work.

Mobilizing carbon offsetting to reduce energy cost burdens: a new approach for calculating and monetizing the offset value of energy efficiency upgrades to low-income housing

Energy-inefficient buildings are a major driver of climate change. The aging, energy inefficient housing occupied by low-income households in the US and other high-income countries is a driver of notable environmental and health disparities as well. Public policies for alleviating the financial and health burdens of energy inefficient housing have existed for decades, but fallen short of reaching most households in need. This paper proposes a promising new approach to filling gaps left by public programs — one that relies on mobilizing the tools of private governance, carbon offsetting and the voluntary carbon market (VCM) to finance energy upgrades for low-income households. We develop a new and readily applicable methodology for calculating energy and carbon savings from efficiency upgrades based on readily accessible publicly available data. Tailored to the needs of estimating energy and carbon savings from efficiency upgrades to low-income units, rentals in particular, this methodology can be fruitfully deployed in monetizing the carbon savings from efficiency driven reductions in household energy use. Specifically, we propose packaging the emission reductions generated through energy savings as carbon offsets, then selling these offsets on the voluntary carbon market to generate financing for energy upgrades to low-income homes not served by public energy efficiency programs. Given the multiple economic and health co-benefits from low-income energy upgrades, we expect that carbon offsets generated through such upgrades will be attractive to many corporate and institutional offset buyers, particularly those who seek to fulfill climate commitments while also advancing economic and human development in their host communities.

Perspectives on healthcare decarbonization through plant-rich dietary shifts: cases from the US, Austria and Taiwan

The reduction of meat consumption in health systems is a high-impact pathway for healthcare decarbonization. Effects including changes in greenhouse gas emissions are rarely calculated following interventions, such as the implementation of plant-forward menus in hospitals, and the results of these changes are rarely published in peer-reviewed literature. In this perspective, we discuss the decarbonization outcomes of plant-rich dietary shifts across five health systems worldwide, gathered from peer-reviewed and gray literature. In each case, the implementation of a plant-rich approach reduced food-related greenhouse gas emissions. Health co-benefits are also commonly reported. The measurement of greenhouse gas emissions of plant-rich dietary shifts in future health system interventions is encouraged, with the results published in peer-reviewed journals.

Adaptive Strategies for Mitigating Climate-Related Health Risks in Urban Environments

The potential for selecting and implementing climate response solutions across several sectors to realize synergies and prevent conflicts with other elements of sustainable development is becoming more clear. Mental and physical wellbeing are both impacted by climate change. Health may be affected in other ways by climate change adaptation and mitigation strategies, some of which may not be intended. The health impacts of climate mitigation and adaptation policies are outlined in this scoping review. We searched PubMed, Scopus, and Web of Science for relevant articles without time constraints. All studies that reported measurable health consequences associated with certain adaptation and mitigation approaches for climate change were included. Only a select few factors and outcomes related to health were taken into account among the 89 studies examined. Air temperature and air pollution were the primary foci of publications exploring adaptation and mitigation strategies, respectively. Mental health, diet and nutrition difficulties, and communicable illnesses were not investigated nearly as often as non-communicable diseases despite their importance. Inadequate attention of health equity components is shown by the paucity of research examining social health factors and offering stratified health effects among disadvantaged population groups in evaluations. There seems to be a need for greater work to be done to both measure health consequences and uncover underlying susceptibility characteristics among various demographic groups. Better evidence for addressing health inequities, reducing negative health consequences, and maximizing health co-benefits of climate change adaptation and mitigation might be provided by this data.

Health Co-benefits of Climate Change Mitigation Action

Health Co-benefits of Climate Change Mitigation Action

Building blocks of change: The energy, health, and climate co-benefits of more efficient brickmaking in Bangladesh

The brick manufacturing industry in Bangladesh is characterized by informal inefficient coal-burning kilns that emit substantial greenhouse gases and air pollution. Despite decades of regulatory measures and the promotion of advanced kiln technologies, informal kilns persist. We employed a multiphase, interdisciplinary, mixed-methods approach to identify solutions. In this paper, we first summarize past approaches and discuss the key barriers we identified to improving the industry, then we present the design, and results of a randomized pilot energy efficiency intervention designed to overcome barriers to improved kiln operation. Our approach emphasized collaborating with informal zigzag kiln owners, who constitute the majority of brick producers, and carefully considering their incentives for changing a profitable business model. The intervention achieved high (60 %), including from non-study kilns, highlighting its appeal. Our findings provide insights into key elements for a successful intervention strategy that can be applied in larger-scale studies, not only for brick manufacturing but also for addressing broader environmental and health challenges.

Sustainability transitions in the agri-food system: Evaluating mitigation potentials, economy-wide effects, co-benefits and trade-offs for the case of Austria

As a major source of greenhouse gas (GHG) emissions and with a substantial potential of carbon storage, agriculture and food (agri-food) systems play a two-fold role in achieving the Paris goal of well below 2 °C of global warming. Against this background, this paper assesses the mitigation potentials, economic effects, co-benefits and trade-offs of biophysically feasible transitions of the Austrian agri-food system. By combining biophysical accounting with a comparative-static multi-sectoral computable general equilibrium model, we assess both supply- and demand-side driven transition scenarios. These scenarios entail substantial changes in the Austrian agri-food system, mitigating between 70 and 110% of GHG emissions relative to the reference pathway in 2050, with lower emission intensities from agricultural practices and enhanced sinks through afforestation. Two out of three scenarios lead to economy-wide costs of up to 1% of gross domestic product. Despite these small changes at the macroeconomic scale, output effects within the Austrian agri-food sectors are substantial, with primary production and manufacturing of plant-based products emerging as winners in terms of sectoral revenue, while animal-based primary production and manufacturing lose. The agri-food system transitions considered create health co-benefits, but reveal trade-offs between mitigation potentials, biodiversity conservation and economic effects.

Health co-benefits of post-COVID-19 low-carbon recovery in Chinese cities

Health co-benefits of post-COVID-19 low-carbon recovery in Chinese cities

Extreme temperatures, PM2.5 and trajectories of impaired thyroid hormone sensitivity: A longitudinal study of patients with schizophrenia

BackgroundThe climate change scenario has witnessed an increase in extreme temperature events (ETEs), including heat waves and cold spells, and a heightened occurrence of compounding with fine particulate matter (PM2.5). However, the impact of this phenomenon on the sensitivity to thyroid hormones (THs) in humans is unclear, especially in a group as specific as schizophrenia. MethodsA longitudinal study was constructed using longitudinal measurements of thyroid function in schizophrenia in the Anhui Mental Health Center. The latent growth mixture model was applied to assess the optimal trajectory of change in impaired THs sensitivity. We then used logistic regression to explore associations between heat waves, cold spells, and PM2.5 with impaired THs sensitivity trajectories in the total population and different gender and age subgroups. Furthermore, the effect of the frequency, intensity, and duration of ETEs in the above associations was explored, as well as an assessment of the interaction between ETEs and PM2.5. ResultsAmong 931 participants, we identified two classifications of trajectories of impaired THs sensitivity: “Low-stable” (n = 836, 89.80 %) and “Rise-slight down” (n = 95, 10.20 %). Logistic regression showed significant associations between each additional day of heat waves (≥3 days with temperature thresholds above the 95th percentile) and cold spells (≥3 days with temperature thresholds below the 5th percentile) and “Rise-slight down” trajectory, with odds ratios (95 % confidence intervals) of 1.06 (1.02, 1.10) and 1.19 (1.14, 1.24), respectively, and the strength of this association increased with the intensity and duration of ETEs. Subgroup analyses indicated that the association was more pronounced in males and the age group above 40 years. Furthermore, PM2.5 was found to interact with heat waves, with high concentrations exacerbating the effects of heat waves. ConclusionsOur findings suggest that mitigating both ETEs and PM2.5 exposures may bring health co-benefits in preventing thyroid impairment in schizophrenia.

Social and environmental outcomes of urban street tree bed stewardship

Abstract As projections of exponential urbanization persist, promoting the health of urban populations is one of the most urgent and challenging issues of the 21st century. By taking a planetary health approach and considering the reciprocal relationship between human health and the health of ecosystems, the integration of nature-based solutions into cities can address multiple urban challenges at once. Citizen stewardship of street trees and street tree beds is one such nature-based solution that challenges rapid urbanization while offering a healthier and greener future. Not only does citizen stewardship of street trees play a significant role in tree longevity, but our research suggests that the process of stewardship itself also positively impacts the health and wellbeing of stewards themselves. In this study, we sought to assess the motivations of street tree citizen stewards and the perceived social, environmental, and health effects of stewarding street tree beds in Freiburg, Germany. Based on a questionnaire-based survey and semi-structured interviews with tree stewards, we found that the most common motivations of citizen stewards were modeling positive environmental behavior as well as a desire to help the environment and one’s community. The perceived outcomes included a strong sense of place, a meaningful connection to nature, and the belief that stewarding a street tree bed is good for one’s mental health as well as the environment. Participants also considered street tree beds to be their personal gardens, suggesting that street tree beds may serve as restorative spaces that strengthen public health and social capital while sustaining urban greening. This case study supports and expands the scientific discourse of urban gardening while suggesting that citizen stewardship of street trees and tree beds offers myriad co-benefits for urban ecosystems and public health.

Food biodiversity and gastrointestinal cancer risk in nine European countries: Analysis within a prospective cohort study

BackgroundFood biodiversity in human diets has potential co-benefits for both public health and sustainable food systems. However, current evidence on the potential relationship between food biodiversity and cancer risk, and particularly gastrointestinal cancers typically related to diet, remains limited. This study evaluated how dietary species richness (DSR) was associated with gastrointestinal cancer risk in a pan-European population. MethodsAssociations between DSR and subsequent gastrointestinal cancer risk were examined among 450,111 adults enrolled in the European Prospective Investigation into Cancer and Nutrition cohort (EPIC, initiated in 1992), free of cancer at baseline. Usual dietary intakes were assessed at recruitment with country-specific dietary questionnaires. DSR of an individual’s yearly diet was calculated based on the absolute number of unique biological species in each food and drink item. Associations between DSR and cancer risk were assessed by multivariable Cox proportional hazards regression models. FindingsDuring a median follow-up time of 14.1 years (SD=3.9), 10,705 participants were diagnosed with gastrointestinal cancer. Hazard ratios (HRs) and 95 % confidence intervals (CIs) comparing overall gastrointestinal cancer risk in the highest versus lowest quintiles of DSR indicated inverse associations in multivariable-adjusted models [HR (95 % CI): 0.77 (0.69–0.87); P-value < 0·0001] (Table 2). Specifically, inverse associations were observed between DSR and oesophageal squamous cell carcinoma, proximal colon, colorectal, and liver cancer risk (p-trend<0.05 for all cancer types). InterpretationGreater food biodiversity in the diet may lower the risk of certain gastrointestinal cancers. Further research is needed to replicate these novel findings and to understand potential mechanisms.

Choosing Wisely in Physical Medicine and Rehabilitation: Developing Canadian Recommendations for Resource Stewardship

ABSTRACT Choosing Wisely Canada (CWC) aims to reduce potentially harmful or unnecessary diagnostic investigations and practices in health care delivery. A committee of the Canadian Association of Physical Medicine &amp; Rehabilitation (PM&amp;R) surveyed the general membership seeking suggestions on new or revised PM&amp;R CWC recommendations. Draft recommendations were revised and refined with an emphasis on resource stewardship and alignment with the CWC mission. The updated 2023 CWC recommendations for PM&amp;R are to avoid: (1) investigating and treating asymptomatic bacteriuria in patients with neurogenic bladder; (2) recommending more than a brief period of physical and cognitive rest after mild traumatic brain injury; (3) starting opioid treatment for chronic noncancer pain without exhausting other approaches; (4) ordering diagnostic imaging for low back pain in the absence of red flags; (5) repeating injections without evaluating patients’ responses to them; and, (6) recommending carpal tunnel release without first confirming nerve entrapment with electrodiagnostic studies or ultrasonography. We present unique implementation tools to equip practitioners with quality improvement strategies to adopt these recommendations into their practices. Future work will include developing recommendations that consider planetary health co-benefits, creating knowledge translation tools, and assessing the impact of recommendation adoption into clinical practice.

Climate, weather, and child health: quantifying health co-benefits

Climate change affects human health negatively in a number of complex ways, and children are particularly vulnerable. Quantifying the negative impacts of climate change on health, and identifying locations where children are at greater risk, can aid evidence-based policy making. We combine high-resolution climatic data with a dataset on infant and child mortality, wasting, and stunting, from more than a hundred countries, to estimate the effects of both gradual and acute climate change, focusing on drought and heatwaves, to plausibly attribute changing child health outcomes to historical climate change. Our results suggest a non-linear relationship between temperature and children’s health, adverse effects of increases in acute events, and a strong regional heterogeneity in these impacts. Our findings also highlight the importance of poverty reduction. Greater wealth is associated with better child health outcomes, and partially mitigates the negative impacts of climate change on child health. Finally, using updated warming scenarios, our projections show that there are substantial health co-benefits from achieving low emissions scenarios.

Optimizing air quality and health Co-benefits of mitigation technologies in China: An integrated assessment

Carbon mitigation technologies lead to air quality improvement and health co-benefits, while the practical effects of the technologies are dependent on the energy composition, technological advancements, and economic development. In China, mitigation technologies such as end-of-pipe treatment, renewable energy adoption, carbon capture and storage (CCS), and sector electrification demonstrate significant promise in meeting carbon reduction targets. However, the optimization of these technologies for maximum co-benefits remains unclear. Here, we employ an integrated assessment model (AIM/enduse, CAM-chem, IMED|HEL) to analyze air quality shifts and their corresponding health and economic impacts at the provincial level in China within the two-degree target. Our findings reveal that a combination of end-of-pipe technology, renewable energy utilization, and electrification yields the most promising results in air quality improvement, with a reduction of fine particulate matter (PM2.5) by −34.6 μg m−3 and ozone by −18.3 ppb in 2050 compared to the reference scenario. In contrast, CCS technology demonstrates comparatively modest improvements in air quality (−9.4 μg m−3 for PM2.5 and −2.4 ppb for ozone) and cumulative premature deaths reduction (−3.4 million from 2010 to 2050) compared to the end-of-pipe scenario. Notably, densely populated regions such as Henan, Hebei, Shandong, and Sichuan experience the most health and economic benefits. This study aims to project effective future mitigation technologies and climate policies on air quality improvement and carbon mitigation. Furthermore, it seeks to delineate detailed provincial-level air pollution control strategies, offering valuable guidance for policymakers and stakeholders in pursuing sustainable and health-conscious environmental management.