HEI Global Health Program
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1 HEI Global Health Program Past, Present and Future Katherine Walker, Principal Scientist Health Effects Institute Boston, MA Chicago, Illinois May 1, 2018
2 Past: Public Health and Air Pollution in Asia (PAPA), ESCALA Special report Health Effects of Outdoor Air Pollution in Developing Countries of Asia: A literature review First set of coordinated time-series studies in major cities in Asia with local investigators HEI Research Report 154: 2010 Bangkok, Shanghai, Hong Kong, Wuhan HEI Research Report 157: 2011 Delhi, Chennai HEI Research Report 169: 2012 Ho Chi Minh city, Vietnam Special Report Outdoor Air Pollution and Health in the Developing Countries of Asia: A Comprehensive Review HEI Research Report Romieu et al., Multicity Study of Air Pollution and Mortality in Latin America (the ESCALA Study).
3 Building a global program Targeted research opportunities Communication Strategic Partnerships Foundation funding
4 Present: Global Burden of Disease Major Air Pollution Sources Begun in 2013 Focus: China and India Scientific expertise: The GBD MAPS Working Group High level oversight: The GBD MAPS International Steering Committee External Peer Review
5 An international collaboration: The GBD MAPS Working Group INDIA US/CANADA Michael Brauer/ UBC (co-chair) Aaron Cohen/ HEI (co-chair) Randall Martin/ Dalhousie Univ. Aaron van Donkelaar /Dalhousie Univ. Richard Burnett/ Health Canada Mohammad Forouzanfar/ IHME Joseph Frostad / IHME Wang Yuxuan/ University of Texas Kalpana Balakrishnan/Sri Ramanachandra MCRI Chandra Venkataraman/ IIT Bombay Pankaj Sadavarte/ IIT Bombay Sarath Guttikunda/ IIT Bombay Alok Jhaldiyal/ IIT Bombay CHINA Wang Shuxiao/ Tsinghua University Zhang Qiang / Tsinghua University Ma Qiao / Tsinghua University Zhou Maigeng / China CDC Yin Peng / China CDC Kan Haidong/ Fudan University
6 GBD MAPS Approach Future inventories based on alternative energy and control policies
7 Scientific and Policy Questions What are the major sources of air pollution in India? How do they contribute to population exposures to air pollution? What are their relative contributions to adverse effects on human health? PM 2.5 What kinds of actions would it take to achieve substantial improvements in air quality and public health?
8 Baseline contributions 2015 Source/Sectors Residential burning of biomass for cooking and heating contributed ~24% of ambient PM 2.5 and of mortality burden See Poster # 3. Mike Brauer et al. for more details
9 Communication: Released at workshop in Delhi, January 2018 Lalit Dandona/ PHFI Kalpana Balakrishnan Mike Brauer Chandra Venkataraman
10 Ongoing: Household Air Pollution and Non-Communicable Disease HAP-related deaths 23% 6% 24% Lower respiratory infections Cardiovascular diseases 47% Chronic respiratory diseases Neoplasms ~75% attributable to non-communicable disease Data source: IHME, GBD 2016
11 Ongoing: Household Air Pollution and Non-Communicable Diseases Objectives Updated review of literature on non-communicable diseases associated with HAP; including intervention literature Focused analysis of GBD MAPS India provincial level data on HAP contributions to ambient air and burden Partnerships Susan Anenberg, GW School of Public Health Darby Jack, Columbia University Ajay Pillarisetti, UC Berkeley Consulting A Cohen, M Brauer. Will be published as an HEI Communication this summer
12 Ongoing: Air quality and health impacts of shipping on Shanghai/Yangtze River Delta Case study: Shanghai Yangtze River Delta Ocean going vessels, river ships, land transport Evaluation of baseline and Domestic Emissions Control Areas and other policies Collaborators: Prof. Zhang Yan; Kan Haidong/Fudan University, Prof Wang Shuxiao/ Tsinghua Univ. Shanghai Environmental Monitoring Center; Shanghai Academy of Environmental Sciences Advisors: Neal Fann/US EPA; Noelle Selin/MIT
13 Percentage Contribution of Ships within 200 nautical miles to Air Pollutant Concentrations in YRD Region (C ships /C all sources ) PM 2.5 SO 2 NO x % in coastal regions % along Yangtze River % along Yangtze River YRD = Yangtze River Delta 13
14 Distribution of Port-Related PM 2.5 Emissions by Shipping-Related Sources in Shanghai Coastal ships* Inland ships Container-Cargo trucks and in-port machinery * Considers all ships in the water area administrated by Shanghai Maritime Safety Administration (SHMSA) 14
15 Communication: State of Global Air
16 State of Global Air: What s new? PM 2.5 Ozone PM 2.5 Ozone Household Air Pollution Total Air Pollution
17 Year 1: State of Global Air Activity
18 Year 2: Using the data around the world
19 Year 2: Using the data around the world
20 Year 2: Using the data around the world
21 Year 2: Using the data around the world
22 Year 2: Using the data around the world
23 Building a global program Targeted research opportunities GBD MAPS New policies in China? Other key regions? Global? Reviews of the literature Leverage funding of research to support core and global programs Strategic Partnerships Build on existing Seek out new ones New international oversight/advisory committee New staffing Communication Augment State of Global Air Expand HEI project communication Foundation funding
24 Collaboration and Support HEI Staff International Collaborations Foundation Sponsors Annemoon van Erp, Managing Scientist Hilary Selby Polk, Managing Editor Hewlett Foundation Oak Foundation Allison Patton, Staff Scientist Kathryn Liziewski, Research Assistant Aaron Cohen, Consulting Scientist Devashri Salvi, Research Intern Mary Brennan, Consulting Editor Fred Howe, Consulting Proofreader Ruth Shaw, Consulting Compositor
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