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: climate change mitigation potential and global health impacts Marco Springmann a, Daniel Mason-D Croz b, Sherman Robinson b, Keith Wiebe b, Charles Godfray a, Mike Rayner a, Peter Scarborough a a Oxford Martin Programme on the Future of Food, University of Oxford b International Food Policy Research Institute, Washington DC

Background Rise in food-related GHG emissions could seriously impede efforts to limit global warming: Food system responsible for > 25% of all GHG emissions, most of which related to livestock (Vermeulen et al, 2012; Steinfeld et al, 2006; Tubiello et al, 2014). Food-related emissions projected to increase by up to 80% by mid-century due to population growth and dietary changes (Popp et al, 2010; Hedenus et al, 2014; Tilman and Clark, 2014; Bajzelj et al, 2014;, 2014). In 2050, food-related GHG emissions could take up half of emissions budget allowed to keep global warming below 2 C, and exceed it by 2070 (Hedenus et al, 2014;, 2016). Reducing food-related GHG emissions will be critical for climate change mitigation.

Background Difficulties of regulating emissions from food and agriculture: Ag emissions are variable (non-point) and hard (and costly) to monitor at source (Lassey, 2007; Bouwman et al, 2002; Snyder et al, 2009). Most Ag emissions are intrinsic to the system (methane from ruminants, nitrous oxide from fertilizers) difficult to address without affecting output and food availability (Smith et al, 2007, 2008). Potential impacts on food security (Golub et al, 2013; Havlik et al, 2014). Food and agriculture largely spared from climate policies.

Background This study: Global analysis of emissions and health impacts of levying GHG taxes on food commodities (at point of purchase). Addresses difficulties: Demand-side policies (in theory) preferable when monitoring costs high, high substitutability, and limited mitigation options apart from output reduction (Schmutzler and Goulder, 1997; Wirsenius et al, 2010). Health impacts depend on both food availability and food composition, e.g., dietary changes away from emissions-intensive animal-based foods associated with better health (Tilman and Clark, 2014;, 2016).

Research approach Methods: coupled modelling framework Agricultural analysis: Use of IMPACT model to project future food consumption Environmental analysis: Commodity and region-specific GHG emissions factors from FAO and Tilman and Clark (2014) Economic analysis: Social cost of carbon estimates from model comparison of integrated assessment models (for US Gov) Consumer responses to price changes with international data on prices and elasticities (IMPACT), Health analysis: Use of global comparative risk assessment framework developed at Oxford

IMPACT description International Model for Policy Analysis of Agricultural Commodities and Trade (IMPACT): Partial equilibrium approach: World food prices are determined annually at levels that clear international commodity markets Food production depends on crop and input prices, productivity growth, area expansion, irrigation and water availability Food demand depends on commodity prices, income, and population growth

IMPACT description High spatial resolution:

Global health model Comparative risk framework: 6 risk factors: fruits&veg and red meat (2/3 of dietary risks), weight classes (5 of following 10 risk factors) 5 causes of death: CHD, stroke, T2DM, and cancer (60% of NCD deaths), aggregate of other causes Changes in mortality by calculating population attributable fractions (PAFs) to risk exposures

Research approach Scenario assumptions: GHG taxes on food commodities at point of purchase; Taxes are implemented independently in each country as coordinated implementation unlikely (focus on demand response, no international feedbacks); Emissions and health impacts for the year 2020 (when new global climate agreement is to be implemented); Health impacts for adults (aged 20 or older), but sensitivity analysis of health impacts on children. GHG price of 52 USD/tCO 2 -eq associated with discounting future climate damages with a discount rate of 3%.

Research approach Model scenarios: TAX : GHG taxes on all food commodities TAXadj: Tax exemptions for health-critical food groups in dev countries (fruits&veg and staples) TAXani: GHG taxes only on animal products (meat, dairy, eggs) TAXrem: GHG taxes only on red meat (beef, lamb, pork) TAXbef : GHG taxes only on beef Income-compensated variants ( r ) Variants in which three quarters of tax revenues are used to subsidize fruits&veg ( s )

Results: GHG taxes on all food commodities GHG taxes highest for animal-sourced foods.

Results: GHG taxes on all food commodities Regional differences due to different production systems (e.g. grass-fed beef in AMR vs intensive grain-fed beef in USA vs mixed beef and dairy systems in EUR).

Results: GHG taxes on all food commodities High price and consumption changes for ruminant-based foods and vegetable oils (det by GHG taxes and baseline prices).

Results: GHG taxes on all food commodities High meat impacts in AMR due to high emissions intensities; low meat impacts in HIC, EUR, and EMR due to low emissions intensities (HIC, EUR) and high prices (EUR, EMR).

Results: GHG taxes on all food commodities High emissions reductions ( 1 GtCO 2 ); two thirds from less red meat, a quarter from less milk; three quarters from MICs.

Results: GHG taxes on all food commodities Health benefits due to red meat, overweight, obesity; Health losses due to fruit&veg, underweight. Global benefits, but net losses in AFR and SEA.

Results: GHG taxes on all food commodities Net losses in 35 countries; Greatest losses in India, Bangladesh, Ethopia; Greatest benefits in China, Brazil, USA, Mexico, Russia.

Alternative model scenarios Model scenarios: TAX : GHG taxes on all food commodities TAXadj: Tax exemptions for health-critical food groups in dev countries (fruits&veg and staples) TAXani: GHG taxes only on animal products (meat, dairy, eggs) TAXrem: GHG taxes only on red meat (beef, lamb, pork) TAXbef : GHG taxes only on beef Income-compensated variants ( r ) Variants in which half of tax revenues are used to subsidize fruits&veg ( s ) 15 different tax scenarios

Results: alternative tax scenarios TAX TAXani: fruits&veg, food availability; (TAX,TAXadj,TAXani) (TAX r,taxadj r,taxani r ) TAX s,taxadj s,taxani s ): fruits&veg.

Results: alternative tax scenarios Find health-maximising tax scenario for each region: Optimization across all 15 tax scenarios:

Results: optimal tax scenario No negative net health impacts in TAXopt scenario.

Results: optimal tax scenario Global health benefits increases fivefold in TAXopt.

Results: optimal tax scenario Mitigation potential similar in TAXopt as in TAX.

Results: optimal tax scenario From naive tax scenario...

Results: optimal tax scenario To health-sensitive taxing schemes:

Sensitivity analysis Direction of results not affected by: Potential impacts on undernourishment and stunting amongst children: 3% change in TAX, <0.4% change in TAXopt Greater number of years lost early in life (YLS), disability associated with ill-health (DALY): negative impacts in up to 8 very low-income countries Different GHG prices (14, 52, 78, 156 USD/tCO 2 -eq): 150,000-1,300,000 avoided deaths; 0.3-1.9 GtCO 2 -eq emissions reduced.

Discussion We find: GHG taxes on food commodities could, if appropriately designed, be a health-promoting climate change policy in HICs and most LMICs; Increased food prices and reductions in food availability not necessarily negative: obesity > underweight benefits from red meat > losses from other food groups. Special policy attention needed in LICs and other vulnerable countries (and populations) to avoid health losses: excluding fruits&veg and other critical food groups from taxation; compensating income losses; using tax revenues for health promotion, e.g. subsidies for fruits&veg.

Discussion Results in context: GHG mitigation potential ( 1 GtCO 2 ): More than current GHG emissions of global aviation; 10% of emissions gap for 2020; > supply-side measures, such as rice, livestock, and manure management (each below 250 MtCO 2 -eq; Smith et al, 2014); Similar to global mitigation target for agriculture in 2030 (Wollenberg et al, 2016). Health benefits ( 100,000-500,000 avoided deaths) Comparable to health benefits of reduced air pollution from coal-fired power plants (West et al, 2013); Small when compared to potential health benefits of global dietary change towards more plant-based diets ( 5-8 million avoided deaths in 2050;, 2016) Additional policy measures needed for more health benefits from dietary change.

Discussion Caveats: Health analysis based on food groups: strong epidemiological evidence no account of changes in nutritional quality of diets (fatty acid composition, sodium content, micronutrients). Comparative static framework: no account of time lags between introduction of GHG taxes and changes in food consumption and health outcomes. Comparative regional analysis: coordinated implementation seems unlikely at present; no account of feedbacks between countries; no account of supply side.

Contact Thank you for your attention. Comments and suggestions: marco.springmann@dph.ox.ac.uk Co-authors: University of Oxford: Peter Scarborough, Mike Rayner, Charles Godfray International Food Policy Research Institute: Daniel Mason-D Croz, Sherman Robinson, Keith Wiebe

Panel discussion Jerry Nelson: Biological research on effects of higher CO 2 and temperature on micronutrient availability, especially vitamins; Restructure ag research priorities to increase availability of micro nutrients (e.g. fruits and veggies rather than staples). Keith Wiebe: Need improved modeling of fruits, vegetables, and animal-source foods - in terms of livelihoods, nutrition, and the environment; Need improved modeling of the impacts of climate variability and extreme events. Marco Springmann: Increase detail of economic analysis of dietary and food-system changes; Align resolution of health and agricultural analysis, and introduce more food groups into analysis.