Air Pollution from Global Health to Individual Risk Factor—Is It Time for Enviropathies in Everyday Clinical Practice?

The exposome in respiratory diseases: multiple preventable risk factors from early life to adulthood

The increasing global burden of respiratory diseases over the last decades raises questions about the impact of environmental factors during industrialisation and urbanisation. Although the knowledge of environmental epidemiology is growing, it is still unclear what the most critical exposure windows are for respiratory health. In addition, the relationships between different environmental exposures can be complex. The exposome approach investigating all non-genetic factors on health has been developed in recent years but has been little applied in respiratory health to date. This journal club article reviews three recent publications investigating the effects of environmental exposures, considered separately or in an exposome approach with different exposure windows, on respiratory health outcomes. These three studies highlight targets for action in primary and secondary prevention. Two studies, using data from the INMA and RHINESSA cohorts, support the regulation and reduction of phthalates and air pollution, respectively. Moreover, the exposome approach conducted in the NutriNet-Santé cohort emphasises that risk reduction must involve a multi-interventional approach targeting both specific early-life risk factors and promotion of a healthy lifestyle in adulthood. These three articles also present research perspectives in environmental epidemiology.

Health Benefits Quantification for New-Energy Vehicles Promotion: A Case Study of Beijing

Considering that the promotion of new-energy vehicles (NEVs) is a potential measure to address urban air pollution, the Chinese government has launched subsidy schemes to improve its market penetration. The purpose of this study is to quantify the economic benefits of NEV promotion from 2016 to 2019 and compare them with the cost of government subsidies in Beijing, so the effectiveness of the NEV policies can be evaluated and valuable recommendations can be provided for decision-making. The exposure-response model and the cost of illness approach was applied to evaluate the health and economic benefits of NEV promotion. Our results are as follows: (1) promoting NEVs can reduce the PM_2.5 concentration significantly, the average annual concentration reduction was between 3.23 μg/m³ and 4.61 μg/m³; (2) at least 37,545 illnesses and deaths in Beijing could be reduced through NEV promotion annually, internal disease (15-64) was the most affected illness; (3) the economic benefits of NEV promotion were far more than the cost and the net benefits stock reached 33.71 billion CNY in 2019, accounting for 0.95% of Beijing's GDP in the same period. This study provides references in the perspective of environmental economics for the policy formulation of promoting NEVs.