447,000 premature deaths/year in EU due to bad air quality
Photo: Joe Pomerening CC BY-NC-SA
Elevated levels of air pollutants, primarily fine particulate matter and ground-level ozone, are the top environmental cause of premature death in Europe.
In 2012, about 92 per cent of the EU urban population was exposed to levels of fine particulate matter (PM2.5) exceeding the air quality guidelines established by the World Health Organization to protect people’s health. And about 98 per cent of EU urban citizens were exposed to ozone levels exceeding the WHO’s guideline value.
In its annual air quality report, the European Environment Agency (EEA) presents new estimates of the health impacts of air pollution based on 2011 data on concentrations and exposure. Long-term exposure to PM2.5 was responsible for about 458,000 premature deaths in 40 European countries, of which 431,000 in the EU, while short-term exposure to ground-level ozone (O3) lead to about 17,400 premature deaths, as a total for the same 40 countries, and about 16,200 in the EU.
The table shows the best estimate figures for total mortality due to exposure to PM2.5 and O3 per country, for all the European countries included in the analysis.
Germany, the country with the largest population in the list, shows the highest number of premature deaths due to PM2.5 pollution, with nearly 70,000 per year. It is followed by Italy and Poland, with almost 65,000 and 42,400 premature deaths per year, respectively.
Twelve countries with average annual PM2.5 concentrations above 20 μg/m3, mostly in eastern Europe, account for 28 per cent of the total mortality in Europe due to PM2.5 exposure, even though their populations make up only 20 per cent of the European population. These countries are Albania, Bosnia and Herzegovina, Bulgaria, Cyprus, the Czech Republic, Macedonia, Greece, Hungary, Montenegro, Poland, Serbia, and Slovakia.
When calculating the health impacts attributable to ozone exposure, a cut-off concentration of 35 ppb (70 μg/m3) was applied.
Italy, with the fourth-largest population of the countries studied, has the highest estimate of premature deaths due to O3 pollution, in total almost 3400 per year. It is followed by Germany, France and Spain, with over 2300, 1800 and 1700 premature deaths per year, respectively. Poland, Greece, the United Kingdom, Romania and Hungary all have more than 500 premature deaths a year due to O3 exposure.
In view of the uncertainty regarding the presence of a ‘no-effect threshold’ for ozone impacts on health, an alternative estimate using a cut-off concentration of 10 ppb (20 μg/m3) was also made, and according to this estimate the number of premature deaths due to O3 pollution would amount to 73,700, i.e. more than four times higher.
The choice of cut-off concentration has the highest impacts for countries in the north-western part of Europe (Belgium, Ireland, the Netherlands, the Scandinavian countries and United Kingdom), where the use of a lower cut-off concentration results in 5-10 times higher impacts. In the Mediterranean countries, on the other hand, the difference is lower, about a factor of three, when changing the cut-off from 35 to 10 ppb.
The report: Air quality in Europe — 2014 report (November 2014). EEA Report No 5/2014. By the European Environment Agency. Available at: www.eea.europa.eu
Table: Best estimates of premature deaths attributable to exposure to PM2.5 and O3 in 40 European countries.Country PM2.5 O3 Austria 6,768 309 Belgium 10,304 220 Bulgaria 10,806 425 Cyprus 710 41 Czech Republic 10,872 376 Germany 69,762 2,342 Denmark 3,979 117 Estonia 647 27 Spain 25,046 1,772 Finland 2,046 74 Greece 10,700 796 Croatia 5,437 246 Hungary 15,952 556 Ireland 1,229 28 Italy 64,544 3,377 Lithuania 2,556 85 Luxembourg 284 10 Latvia 1,789 58 Malta 247 15 Netherlands 12,634 229 Poland 42,412 1100 Portugal 5,707 330 Romania 28,582 633 Sweden 4,221 181 Slovenia 1,938 97 Slovakia 6,300 243 United Kingdom 39,450 634 Andorra 51 4 Bosnia & Herzegovina 3,412 154 Switzerland 4,394 256 Iceland 54 2 Liechtenstein 16 1 Monaco 29 2 Montenegro 482 31 Former Yugoslav Rep. of Macedonia 1,763 108 Norway 1,473 74 Serbia 13,063 495 San Marino 25 - All 458,065 17,407 EU-28 431,261 16,160