[HN Gopher] Ten Million Deaths a Year: David Wallace-Wells on Po...
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       Ten Million Deaths a Year: David Wallace-Wells on Polluted Air
        
       Author : Glench
       Score  : 152 points
       Date   : 2021-11-30 19:06 UTC (3 hours ago)
        
 (HTM) web link (lrb.co.uk)
 (TXT) w3m dump (lrb.co.uk)
        
       | NoblePublius wrote:
       | Here is an idea: stop all the kids from going to school, fire
       | half of the people of color from their jobs, and then add to
       | Amazon $1 trillion in market capitalization. This will reduce
       | pollution and save lives.
        
       | godelski wrote:
       | I think the article does a really good job at highlighting why
       | solving challenges like these are so difficult. They are
       | abstract. It drew a parallel to nuclear and we often have fights
       | here about safety of it.
       | 
       | > More recent estimates run higher, with as many as 8.7 million
       | deaths every year attributable just to the outdoor particulate
       | matter produced from burning fossil fuels. Add on indoor
       | pollution, and you get an annual toll of more than ten million.
       | That's more than four times the official worldwide death toll
       | from Covid last year. It's about twenty times as many as the
       | current annual deaths from war, murder and terrorism combined.
       | Put another way, air pollution kills twenty thousand on an
       | average day, more than have died in the aftermath of all the
       | meltdowns in the history of nuclear power: Chernobyl, Three Mile
       | Island, Fukushima and all the others put together.
       | 
       | It is hard to see these deaths, but the numbers are undeniable.
       | They also draw connections to covid, which are harder to see than
       | nuclear disasters, but still can be seen. But I think one of the
       | big differences is the coverage. When we talk climate change we
       | only talk about things like forest fires or hurricanes, but not
       | these things that affect people daily. Coal ash alone, in
       | America, kills tens of thousands a year. But these people are
       | impossible to see because it takes years for them to get to that
       | point. This is a slow moving pandemic.
       | 
       | The article then shifts to economics and does a good job
       | explaining it there.
       | 
       | > According to the National Resources Defence Council, the US
       | Clean Air Act of 1970 is still saving 370,000 American lives
       | every year - more than would have been saved last year had the
       | pandemic never arrived. According to the NRDC, a single piece of
       | legislation delivers annual economic benefits of more than $3
       | trillion, 32 times the cost of enacting it - benefits distributed
       | disproportionately to the poor and marginalised.
       | 
       | Put in these terms it is impossible to argue against the Clean
       | Air Act, but it is one politicians and certain organizations
       | often argue about, ignoring these numbers and only looking at the
       | costs (ignoring the benefits). They also talk about improvements
       | in schooling (many many studies support this), but the coup d eta
       | is this
       | 
       | > Last year, Drew Shindell of Duke University, an expert on
       | pollution impact, appeared before the US House Committee on
       | Oversight and Reform. By further cleaning up America's air over
       | the next fifty years, Shindell's research shows, the country
       | could prevent 4.5 million premature deaths, 1.4 million
       | hospitalisations, 1.7 million cases of dementia and 300 million
       | lost work days. The result, he calculated, would be $700 billion
       | a year in net benefits, 'far more than the cost of the energy
       | transition'. In other words, a total decarbonisation of the US
       | economy would pay for itself through public health gains alone.
       | The American Environmental Protection Agency has an official
       | measure for the value of a single human life: $7 million in 2006
       | dollars. If you take that number seriously, the annual value of
       | saving the 350,000 lives a year lost to pollution would be $2.45
       | trillion.
       | 
       | These are incredible numbers! But they are so abstract it is
       | still hard to understand with our meat computers. Our minds
       | weren't designed for this, but we have these amazing tools to
       | determine things like this. I guess the question really is how do
       | you make stories like this convincing? They are wildly complex
       | and so often people will think there's lying and deceitfulness
       | going on. After all, charlatans often hide deceit in complexity
       | (for clarity, I 100% believe in climate change and agree with the
       | author, just recognizing human factors).
        
         | x3iv130f wrote:
         | It comes down to which content news and social media algorithms
         | favor.
         | 
         | With the constancy and immediacy of news, it takes more
         | willpower than most people have to reason against a tide of
         | misinformation.
        
       | curiousgeorgio wrote:
       | To summarize: A lot of correlations between negative things
       | happening and increased levels of air pollution, very little of
       | which is rigorously causally linked. Case in point:
       | 
       | > Stock market returns are lower on days with higher air
       | pollution
       | 
       | I can't take this kind of article seriously. It presents a
       | completely one-sided argument, and it's worded carefully so as to
       | avoid outright statements of causality, but imply it nevertheless
       | by pointing to a large number of weak correlations that together
       | sound convincing. The overall conclusion was decided first, and
       | the so-called evidence cherry picked to try and support it.
        
         | paulgb wrote:
         | I think the study referred to is this one:
         | https://www.mdpi.com/2071-1050/13/5/2931/pdf (there have been a
         | few studies, but that's the only one that fit the "this year"
         | criteria).
         | 
         | I'm generally skeptical of papers that involve correlations
         | with equity returns (because there is a reverse publication
         | bias -- if you find a true source of alpha, your incentive is
         | to trade it rather than publish it). But besides my general a
         | priori skepticism, I don't see any red flags at a glance.
        
       | [deleted]
        
       | authed wrote:
       | https://archive.md/ArqSz
        
       | pengaru wrote:
       | I'm fairly certain after most the vehicles become electric we'll
       | see a precipitous drop in all sorts of illnesses/mortalities.
       | 
       | Future generations knowing that factual history will look back on
       | the people of the combustion engines era as ridiculous, willfully
       | self-poisoning rubes, driving around in noisy, stinky, slow,
       | expensive to own operate and maintain turds.
        
         | megablast wrote:
         | Cars will still kill 1 million people every year directly. Many
         | more injured.
        
         | sva_ wrote:
         | In some sense, you can already make this observation when
         | looking at early industrialization, in which in particular coal
         | smoke was a pollutant in places with factories. We look back at
         | those times now, and think it to be ridiculous that people
         | lived under such conditions, but surely (or rather, hopefully),
         | people in the future will consider it ridiculous, that we lived
         | our lives amidst combustion engines and their exhaust
         | pollutants. In particular, I think people will find it
         | absolutely ridiculous that we tolerated Diesel fumes in densely
         | populated areas. So I agree with your point.
        
           | AussieWog93 wrote:
           | >We look back at those times now, and think it to be
           | ridiculous that people lived under such conditions
           | 
           | Honestly, I don't. I'm glad I'm alive now and not then, but
           | it isn't too difficult to acknowledge that industrial
           | pollution in urban areas (which absolutely did kill people
           | both passively and during smogs) was a necessary evil for the
           | era and helped us get to where we are today.
           | 
           | I'm sure people will say the same thing about internal
           | combustion engines in 50 years' time.
        
             | sva_ wrote:
             | I would claim that thinking those conditions to be
             | ridiculous and considering them necessary are not mutually
             | exclusive.
        
               | lostmsu wrote:
               | It is neither funny, nor foolish or absurd.
        
               | sva_ wrote:
               | Something that might at some point be considered foolish
               | might later be considered absurd, by having new
               | information that informs it to be (very) hazardous.
        
         | sloreti wrote:
         | Unfortunately, moving from ICE to EV isn't a silver bullet.
         | Look up non-exhaust emissions (NEE). When car tires and brakes
         | wear down, they spit out particulate matter pollution. The OECD
         | estimates NEE will constitute the majority of road emissions by
         | 2035 [1], and it already constitutes the majority of
         | particulate matter emissions on the road today [2]. EVs even
         | make the problem a bit harder to solve, by being heavier than
         | similar sized ICE vehicles.
         | 
         | [1] https://www.oecd.org/environment/non-exhaust-particulate-
         | emi...
         | 
         | [2]
         | https://www.sciencedirect.com/science/article/abs/pii/S13522...
        
         | jhgb wrote:
         | > ridiculous, willfully self-poisoning rubes, driving around in
         | noisy, stinky, slow, expensive to own operate and maintain
         | turds
         | 
         | Maybe they'll look at similarly as we look at the people of the
         | time of the Neolithic Revolution (and perhaps a long time
         | afterwards), with their lifespans decreased due to poorer diets
         | and zoonotic diseases from domesticated animals.
        
           | jjtheblunt wrote:
           | Guns, Germs, and Steel
           | (https://en.wikipedia.org/wiki/Guns,_Germs,_and_Steel) argues
           | that proximity to domesticated animals is a win for all
           | species for immunological reasons.
           | 
           | The general idea is that similar virus strains exist across
           | species, but only a fraction identically spread across
           | species. So a human may be exposed to a similar but
           | noninfectious virus from (for example) a dog or a cat, and
           | will gain an immunological advantage compared to someone
           | living apart from other species, because the human immune
           | system will remember the foreign protein sequences to which
           | it can react when exposed again.
        
             | jhgb wrote:
             | That's an interesting argument but we know that the
             | transition to agriculture has been horrible to humans,
             | health-wise. Even if there are some minor immunological
             | upsides (which I'm not sure Diamond is the one to convince
             | me about), that's not the whole picture. Also the page you
             | linked says "immunity to diseases endemic in agricultural
             | animals", which sounds like this being a solution to a
             | self-inflicted problem.
        
               | jjtheblunt wrote:
               | I don't happen to know the reason transition to
               | agriculture has been horrible to humans, health-wise.
               | 
               | why is that said to be so?
        
               | jhgb wrote:
               | > why is that said to be so?
               | 
               | Uh...because that's what the archeological findings are?
               | For example, from https://digitalcommons.unl.edu/cgi/view
               | content.cgi?article=1... :
               | 
               | "Cities and other large settlements appeared for the
               | first time during the Neolithic. Pathogens require a
               | large host to thrive and these large, crowded populations
               | provided a human host population that had not previously
               | existed among hunter-gather societies (Armelagos et al.
               | 1991:15). Now able to spread easily from person to person
               | in the crowded conditions of cities, pathogens were able
               | to exploit entire groups and reach endemic levels
               | (Armelagos et al. 1991; Papathanasiou 2005).
               | 
               | "Crowded conditions paired with human settlements in
               | close proximity to animals also contributed to high rates
               | of infectious disease. In many early agricultural
               | communities, animals were kept both near to and inside of
               | houses. This proximity allowed some zoonotic diseases to
               | transfer from animals to humans (Armelagos et al. 1991;
               | Eshed et al. 2010). Contaminated water sources and close
               | contact with human waste also facilitated parasitic
               | infection in both animals and humans (Armelagos et al.
               | 1991; Larsen 2006; Papathanasiou 2005)."
               | 
               | "The increase of infectious disease associated with the
               | adoption of an agricultural lifestyle did not necessarily
               | increase mortality (Eshed et al. 2010). Those most likely
               | to suffer fatal infections would have been infants, young
               | children, and the elderly. Individuals who reached
               | reproductive age had likely developed a resistance to
               | such diseases (Armelagos et al. 1991). However, it must
               | be noted that nutritional deficiencies can reduce
               | resistance to infections which can further contribute to
               | nutritional deficiencies (Armelagos et al. 1991; Larsen
               | 2006). This interplay between nutrition and disease can
               | increase mortality in populations and inhibit an
               | individual's ability to work and/or reproduce (Goodman
               | 1993)."
               | 
               | Basically until we learned about the implications of
               | sedentary urban lifestyle with agriculture, and until we
               | learned how to do something about it, we'd been
               | unknowingly suffering from major quality of life issues.
        
               | jjtheblunt wrote:
               | thanks
        
         | jjtheblunt wrote:
         | Or we will be able to see how much pollution asphalt rubbing
         | against rubber tires contributes.
         | 
         | (disclaimer: driver of EV for many years, so i think of that
         | because tires still wear out)
        
         | _dain_ wrote:
         | Electric vehicles are not that much quieter than ICE vehicles.
         | At high speeds, the dominant noise component is from the tires
         | against the roads, not the engine. At low speeds, they are
         | intrinsically quiet, but many (all?) jurisdictions legally
         | mandate a noise-making device so that pedestrians can hear them
         | coming. They are comparably expensive to own and operate as ICE
         | vehicles. It is also a myth that they do not emit unhealthy
         | pollutants, see this paper:
         | 
         | https://www.sciencedirect.com/science/article/abs/pii/S13522...
         | 
         | Then there's still the direct mortality from collisions with
         | pedestrians and cyclists, and things like obesity from
         | encouraging a sedentary lifestyle. I think future generations
         | will look at car-dependency in general as ridiculous, whether
         | ICE or electric.
        
           | rcMgD2BwE72F wrote:
           | >I think future generations will look at car-dependency in
           | general as ridiculous, whether ICE or electric.
           | 
           | I hope future generations will be capable of nuances.
        
         | aqme28 wrote:
         | Don't cars only account for like 10% of pollution?
        
       | dsizzle wrote:
       | I had never heard of the quote attributed to Summers, which seems
       | really bad, to the point I questioned if it was real, but in fact
       | there's a Wikipedia entry just on the memo in question!
       | https://en.wikipedia.org/wiki/Summers_memo
        
       | j7ake wrote:
       | Although I agree that air pollution that is a hidden problem that
       | needs to be addressed, I would push back on the argument that
       | people should be comparing deaths from coronavirus with reduced
       | life span from air pollution.
       | 
       | The first source of death grows exponentially, while the latter
       | does not. Therefore, they should not induce the same types of
       | immediate panic.
       | 
       | This means that if an event ever arrives that destroys half the
       | human population over one year, the chances are much higher that
       | the event was a pandemic rather than from air pollution.
        
       | Glench wrote:
       | This article is absolutely gutting, but makes an insightful point
       | I haven't heard much before -- polluted air from fossil fuels
       | _already_ causes millions of deaths a year even without all the
       | other medical, economic, and cognitive impacts.
        
         | zajio1am wrote:
         | Not only from fossil fuels. Burning (renewable) wood is
         | significant source of particulate pollution, while burning
         | (fossil) natural gas is not.
        
           | mikepurvis wrote:
           | Fair, but hardly relevant in a western context-- the push is
           | to close coal-fired power plants in favour of gas and
           | nuclear/solar/wind. No one's talking about a wood-fired power
           | plant, much less pitching it as renewable.
           | 
           | In any case, Schellenberger makes this least-harm argument
           | vigorously in _Apocalypse Never_ , that communities in Africa
           | and India where people are currently burning wood, coal, or
           | even animal dung for heat and cooking must be upgraded as
           | quickly as possible to gas-based infrastructure, and NGOs and
           | celebrities wringing hands about "building new pipelines" to
           | facilitate that as a stepping stone is ridiculous and
           | counterproductive (and ultimately just leads to maintaining
           | the status quo).
        
             | trailbits wrote:
             | In many western cities, the air is heavily polluted with
             | wood smoke. Walking around suburbs of Seattle I see many of
             | the older homes emitting thick white woodsmoke from their
             | chimneys. This is very bad for everyone's health. If it's
             | not raining or windy, the air is bad most of the cooler
             | days during the year. It seems absurd to me living in the
             | very wet pacific northwest that more homes are not using
             | renewable hydro power to efficiently warm their homes with
             | heat pumps.
        
             | hollerith wrote:
             | >hardly relevant in a western context
             | 
             | Quite a few people burn wood for heat in the suburb of San
             | Francisco I live in.
             | 
             | I cannot prove the resulting smoke is harmful, but it sure
             | feels that way.
        
               | reducesuffering wrote:
               | This is something I'm having a hard time figuring out,
               | whether burning wood or natural gas for heat is net
               | worse. If people are burning nat. gas for heat instead,
               | that is still resulting in emissions around you, but can
               | anyone confirm wood emissions are worse healthwise? On
               | the other hand, won't burning natural gas greater
               | contribute to CO2, since it's taking long dormant
               | reserves and releasing them, rather than wood which is a
               | short term cycle? That wood will be decomposed/burned
               | sooner or later anyway, just maybe not in a populated
               | area.
        
               | mikepurvis wrote:
               | I think wood is considerably worse in the local area,
               | probably enough-worse that it's better not to do it at
               | all unless you're quite remote.
               | 
               | Honestly, this business about people in suburban
               | environments burning wood for heat is news to me-- are
               | there like actual high efficiency wood burning furnaces
               | [1] people are using for this? Or is it single-room
               | solutions like a Franklin stove or open fireplace? The
               | only time I've encountered an open indoor fire has been
               | at Christmas at Grandma's house, and that was always for
               | ambience more than heat-- most of the heat was going
               | straight up the chimney, and that was despite it making
               | the room smell like smoke for the next two days.
               | 
               | [1]: For example:
               | https://www.drolet.ca/en/products/furnaces/heat-
               | commander-wo...
        
       | yosito wrote:
       | I'm really confused about how air pollution can be measured in
       | deaths. I get how air pollution can shorten lifespan, but how do
       | you attribute a specific death, other than extreme cases, to air
       | pollution? When someone claims that 10 million deaths a year
       | should be attributed to air pollution, what exactly do they mean,
       | in a nutshell?
        
         | dsizzle wrote:
         | What would really help is if they reported lost person-years.
         | 90 year-olds dying vs 30 year olds would both be "premature
         | deaths," but these are very magnitudes of tragedy!
        
         | colechristensen wrote:
         | I think you're right in that, especially for things that
         | generally kill you towards the end of a normal life span,
         | counting deaths by attributing the thing that wins the race to
         | kill you doesn't make much sense. If you're murdered, eaten by
         | a bear, or contact some rare infection and die early, it's not
         | like some other cause of death was just a few years off. It is
         | however an easier to digest statistic than some of the others
         | like DALY.
         | 
         | What you want is some statistic about how much life was lost in
         | absolute terms of years and how much quality of life was lost
         | due to air quality related diseases.
        
         | sjg007 wrote:
         | Go forth and learn!
         | 
         | https://www.who.int/data/gho/data/indicators/indicator-detai...
        
         | mikepurvis wrote:
         | Not an expert in the area at all, but it seems to me that if a
         | particular factor shortens 10 lives by 7 years apiece, and life
         | expectancy is 70 years, then in a statistical sense it has
         | "caused" one death, and that this is the case even if no one
         | exactly died _from_ it, in the acute sense that a car crash or
         | firearm causes a death. I 'm not sure if that's what's going on
         | here, but even a slight harm multiplied across national or
         | planetary population scales could easily get you to a number
         | like 10M/year.
        
           | tshaddox wrote:
           | I don't think these studies are just taking the average life
           | expectancy (let's say 70 years) and considering each 70-year
           | reduction of life expectance to be 1 death. I think it's more
           | like each time a person dies in a given year where event A
           | occurs who would not have been expected to die in that year
           | if event A hadn't occurred, that counts as 1 death caused in
           | that year by event A.
        
             | mikepurvis wrote:
             | Isn't that just about the same, in aggregate? 60 years from
             | now, 7 people die at age 60 instead of 70, "caused" by air
             | pollution. Smoothing it out, that's one death per year from
             | now until then.
        
               | tshaddox wrote:
               | I suppose it works out to be the same if the cause of
               | death is distributed evenly among all ages, but I suspect
               | that's rarely the case. If something causes a lot of
               | people to die at 90% of average life expectancy you
               | wouldn't want each one to only count as one tenth of a
               | death.
        
         | bjt2n3904 wrote:
         | They're making it all up.
         | 
         | There are more tactful ways of saying this, but at the end of
         | the day, it's functionally equivalent to pulling a number out
         | of their hat.
        
         | epistasis wrote:
         | > And while none of these estimates is meant to suggest a
         | single cause of mortality, such as a gunshot wound or a dose of
         | poison in your morning tea, the calculus for air pollution is
         | the same as for obesity or smoking: take the problem away, and
         | the number of premature deaths will fall by many millions.
         | 
         | They mean that if air pollution was not there throughout our
         | lifetimes up until now, we would have 10M fewer deaths per
         | year. Longer lives translates into fewer deaths per year.
         | 
         | When diseases like COPD and lung cancer are extremely
         | prevalent, we may not notice the deaths as caused by air
         | pollution, but they are. Everybody should get rid of their gas
         | stoves, but we instead have full on sale pr campaigns for them.
        
           | IncRnd wrote:
           | > Longer lives translates into fewer deaths per year.
           | 
           | Of course that's not true. Everyone dies, regardless of
           | individual lifespans.
        
             | epistasis wrote:
             | We are not talking about steady state dynamics, we are
             | talking about specific numbers of births each year in the
             | past, and an intervention that would shift the distribution
             | of life spans.
        
               | IncRnd wrote:
               | The way it was stated in the article was correct.
        
               | epistasis wrote:
               | My paragraph of text was also correct, but your response
               | to me was incorrect.
        
           | curiousgeorgio wrote:
           | > Longer lives translates into fewer deaths per year.
           | 
           | Are you sure about that?
        
             | y4mi wrote:
             | I mean your technically right to question because the only
             | thing which can increase deaths are births ultimately as
             | everything else 'just' moves them forward, but I think it
             | was quiet clear what they meant.
        
               | yosito wrote:
               | Think of how many lives we could save if we could just
               | reduce births!
        
             | tshaddox wrote:
             | All else being equal, then very clearly yes. You could
             | perhaps try to incorporate predictions of more indirect
             | effects of longer lives (like increased reproduction rates
             | and population) to argue that it could somehow cancel out,
             | but that would take a lot of work to be convincing.
        
               | nojs wrote:
               | I think their point was that if everyone lives to 150,
               | the rate of deaths per year will eventually converge to
               | the same as if they live to 50. Lengthening the pipe
               | doesn't mean more water flows through it per minute.
        
               | AnimalMuppet wrote:
               | Not true.
               | 
               | If there are 9 billion people (just to keep the numbers
               | round), and they all live to 50, then every year 9
               | billion / 50 = 180 million people die (and the same
               | number are born). But if they all live to 150, then every
               | year 9 billion / 150 = 60 million people die (and the
               | same number are born).
        
               | nojs wrote:
               | Only if the birth rate proportionally drops, which seems
               | unlikely.
               | 
               | On the other hand, if the birth rate remains steady then
               | the _percentage_ of people alive that die in a given year
               | decreases, which is maybe the more relevant metric as it
               | seems like there's less death around.
        
               | AussieWog93 wrote:
               | >just to keep the numbers round
               | 
               | That's not "just keeping the numbers round", that's
               | putting a huge assumption on a complex system (births =
               | deaths, no change in overall population over time).
        
               | AnimalMuppet wrote:
               | The 9 billion was just to keep the numbers round. 8
               | billion would be a more accurate number, but it's not
               | divisible by 3, and therefore not divisible by 150.
               | 
               | What you seem to be quibbling with is the assumption that
               | the population was steady. That's an assumption that
               | could be argued with, but it's not the "keeping the
               | numbers round" part.
        
               | AussieWog93 wrote:
               | Fair enough
        
             | littlestymaar wrote:
             | When the population is growing, yes. A bit of hand-wavy
             | calculation to illustrate the phenomenon: if people die at
             | 80, then people dying today are those born in 1931, if they
             | died at 85 it would be people born in 1926, which were less
             | numerous => less death. (Of course, not every one die at
             | the same age and all, but you get the idea)
        
           | [deleted]
        
           | Karrot_Kream wrote:
           | > Everybody should get rid of their gas stoves, but we
           | instead have full on sale pr campaigns for them.
           | 
           | Huge +1 to this btw. If you are in the position of owning a
           | gas stove, make sure to always run the range hood vent
           | whenever using the stove.
        
         | tshaddox wrote:
         | Here's the 2017 study mentioned by name in the article:
         | https://www.thelancet.com/journals/lancet/article/PIIS0140-6...
         | 
         | I don't pretend to understand fully, but these seem to be some
         | sentences explaining their methodology:
         | 
         | > Ambient PM2*5 was the fifth-ranking mortality risk factor in
         | 2015. Exposure to PM2*5 caused 4*2 million (95% uncertainty
         | interval [UI] 3*7 million to 4*8 million) deaths and 103*1
         | million (90*8 million 115*1 million) disability-adjusted life-
         | years (DALYs) in 2015, representing 7*6% of total global deaths
         | and 4*2% of global DALYs, 59% of these in east and south Asia.
         | 
         | > Attributing deaths and disability-adjusted life-years (DALYs)
         | to ambient air pollution requires spatially and temporally
         | resolved estimates of population-weighted exposure,
         | specification of a theoretical minimum risk exposure level
         | (TMREL), estimation of relative risks across the exposure
         | distribution, and estimates of the deaths and DALYs for
         | diseases linked causally to air pollution. We combined
         | estimates of exposure and relative risk to estimate the
         | population-attributable fraction (PAF), the proportion of
         | deaths and DALYs attributable to exposure above the TMREL. The
         | numbers of deaths and DALYs for specific diseases were
         | multiplied by the PAF to estimate the burden attributable to
         | exposure. A more general description of the methods used to
         | estimate the PAF and attributable burdens in GBD 2015 has been
         | reported previously;3 here, we present details specific to air
         | pollution.
         | 
         | While I don't know enough about this methodology to defend this
         | study, I would just point out that no matter what you consider
         | to be a cause of death, no matter how "direct" you think that
         | cause is, is still "merely" a death of someone who would have
         | died later anyway. This mode of argument gets used all the time
         | to minimize deaths of e.g. COVID-19 ("most of the deaths are
         | old people with multiple comorbidities"), but this is a weak
         | mode of argument precisely because it could apply just as well
         | to literally any situation. We generally wouldn't apply this
         | mode of argument to minimize, for example, a serial killer at a
         | nursing home.
        
         | godelski wrote:
         | You can do comparisons. If you can make good comparisons
         | between places and the only major factor between them is
         | pollution you can just compare average death per 100k citizens
         | and then draw conclusions from there. You can also do the same
         | for places that did not have a coal power plant and then when
         | they did. Or the reverse!
         | 
         | Note: this is vastly overly simplified and there are other ways
         | to do this and you need to do major and complex error
         | calculations, but this will give you the highly abstracted
         | view.
        
         | nvader wrote:
         | One approach that comes to mind:
         | https://en.wikipedia.org/wiki/Micromort
        
         | zaptheimpaler wrote:
         | Well that was a fun detour. The clincher is here, a Global
         | Burden of Disease Study in 2010:
         | 
         | https://sci-hub.mksa.top/10.1016/S0140-6736(12)61766-8
         | 
         | That is where they draw a line from air pollution to risk, with
         | lots of statistics to cancel out other factors. Its beyond my
         | depth.
         | 
         | ----
         | 
         | This page was useful:
         | 
         | ttps://www.who.int/data/gho/data/indicators/indicator-
         | details/GHO/ambient-air-pollution-attributable-
         | dalys-(per-100-000-population) -> Metadata
         | 
         | > Burden of disease is calculated by first combining
         | information on the increased (or relative) risk of a disease
         | resulting from exposure, with information on how widespread the
         | exposure is in the population (in this case, the annual mean
         | concentration of particulate matter to which the population is
         | exposed). This allows calculation of the 'population
         | attributable fraction' (PAF), which is the fraction of disease
         | seen in a given population that can be attributed to the
         | exposure, in this case the annual mean concentration of
         | particulate matter. Applying this fraction to the total burden
         | of disease (e.g. cardiopulmonary disease expressed as deaths or
         | DALYs), gives the total number of deaths or DALYs that results
         | from ambient air pollution.
         | 
         | ----
         | 
         | And the overall methodology is something called DALYs -
         | Disability Adjusted Life Years
         | 
         | https://www.who.int/data/gho/indicator-metadata-registry/imr...
         | 
         | https://www.who.int/healthinfo/statistics/GlobalDALYmethods_...
         | 
         | That second link was a good basic read on what DALY means - its
         | deaths due to a cause, weighted by "lost years" (so if life
         | expectancy is 92 and someone died at 30, that would be weighted
         | higher than someone dying at 80 for the same cause) PLUS years
         | of healthy life lost even if it does not result in death -
         | which is sort of a weighting based on severity of disease,
         | where like say a person living with a disease severity of 0.2
         | would mean each year counts as 4/5th a year of a healthy life.
        
         | throwaway0a5e wrote:
         | It can't. Anyone credible is using an age adjusted metric of
         | some sort. YPLL or something like that. Of course none of the
         | activists, journalists or editors use those numbers because
         | they are boring and don't grab headlines like "a bajillion
         | deaths" does.
        
           | kbelder wrote:
           | Right. As a thought experiment, assuming a 75 year lifespan,
           | what if air pollution causes EVERYBODY to die one day earlier
           | than they would have otherwise?
           | 
           | Is the death rate 100%? Or is it .00365% (1 / (75 * 365))?
           | 
           | But an age-adjusted metric can give non-intuitive results.
           | Thanos' snap, randomly killing 50% of everybody, would have
           | had a 25% lives-lost-equivalent.
           | 
           | How you calculate death rate has real consequences in how you
           | evaluate something like Covid.
        
       | authed wrote:
       | The biggest problem with covid was the crazy restrictions that
       | some countries implemented... (they didn't have any effect).
       | 
       | Take for example Israel's Government spying:
       | https://www.reuters.com/world/middle-east/rights-groups-peti....
       | 
       | Or Quebec's quarantine.
        
       | ankit219 wrote:
       | There is a recent article by Max Roser on air pollution,
       | providing a much needed context on what is happening:
       | https://ourworldindata.org/data-review-air-pollution-deaths
       | 
       | One key point:
       | 
       | > More recent studies tend to find a higher death toll than
       | earlier studies. This is not because air pollution - at a global
       | level - is worsening, but because the more recent scientific
       | evidence suggests that the health impacts of exposure to
       | pollution is larger than previously thought
       | 
       | Most studies est the death toll to be around 7M per year. In no
       | way a low number. Problem is articles like these serve to create
       | panic more than educate people. Maybe panic _is_ the way forward,
       | and it probably works, just that it is unsettling and
       | manipulative when you can read the correct facts elsewhere.
       | Indoor air pollution - caused by burning coal etc to cook food
       | mostly in poor household - accounts for 40% of the deaths. We
       | dont even seem to want to address that.
       | 
       | The mental image this headline creates is pollution by burning
       | fossil fuels outdoor due to which air quality worsens. true to an
       | extent, but there is indoor polluton, then natural causes like
       | dust, fires, pollen, volcanic eruption, agriculture too.
       | 
       | I wish we trust people to behave as adults, or at least have
       | faith, and move away from creating mass panic to solve such
       | problems.
       | 
       | Edit: The number from natural sources is not insignificant. Out
       | of 8.8M deaths, 5.5M were due to anthropogenic sources. Rest is
       | natural causes of air pollution. And from anthropogenic sources,
       | 2.2M came from indoor air pollution (by the same study I think)
        
         | gameswithgo wrote:
         | I sometimes wonder if sensible people tend to lose the war in
         | politics because we will lament if something is not quite level
         | headed and fair enough, if it is a little bit too much like
         | propaganda. Meanwhile industries wanting to pollute will
         | happily spend millions to scream lies and propaganda with no
         | shame, buy politicians, create news networks that never paywall
         | you to repeat the lies, meanwhile we bicker about whether
         | someone was perhaps 20% sensationalist about their death
         | accounting.
        
           | zapataband1 wrote:
           | This is true because "novel" news spreads faster than facts.
           | So people will happily share doomsday predictions but not
           | levelheaded news.
        
             | notreallyserio wrote:
             | There's also the folks that want to look smarter than
             | scientists pointing out problems with the way we've done
             | things. Finally, they have an advantage because of their
             | secret or suppressed knowledge.
        
           | ankit219 wrote:
           | Partly agree with you. My issue is just that nothing good was
           | ever achieved by creating mass panic in uninformed public.
           | And, we have had more than a few cases like that with far too
           | many unintended consequences. In this case you may know what
           | is good and here propaganda is perhaps justified as you know
           | a lot about this topic, and the rest of the world is not
           | taking it as seriously as it should. Would that hold true in
           | cases where you dont have a deep understanding and instead of
           | giving you information, experts are hell bent on creating
           | mass panic?
           | 
           | It's a weird reinforcing loop. Institutions like WHO and
           | others would publish a study with good research but also
           | doomsday scenarios w low probabilities. Journalists and
           | publications (institutions of trust #2) pick it up, and in
           | order to simplify and get attention, focus more on doomsday
           | scenarios. The other institutions (eg: govt. or non profits
           | and advocacy groups) and fact checkers pick up same story
           | believing the doomsday scenario to be the most likely one.
           | They publish more opinions, studies, articles, reports etc.
           | and end up creating a situation where no one can get a good
           | understanding of the topic outside of her field. There is so
           | much information that it is hard to gain a handle on that,
           | and here is where I think even 20% propaganda may not be
           | justified.
        
           | UnFleshedOne wrote:
           | On the other hand, there is nothing good propaganda has that
           | could be reliably used to distinguish it from bad propaganda
           | (if you are not an expert in the field in question). So
           | unconditionally throwing out _all_ propaganda and discounting
           | credibility of its sources is the only workable choice we
           | have.
        
           | vkou wrote:
           | The first rule of political change is that if you want an
           | inch, you have to vehemently demand a mile, and then
           | compromise down to wherever you can get.
           | 
           | That's the playbook your opponents will use - and if you want
           | to get anything done, or prevent things from backsliding, you
           | have to follow suit.
           | 
           | Hate the game, not the player. People don't make decisions
           | based on rationality, they do it based on emotional appeals.
        
         | maybelsyrup wrote:
         | > The mental image this headline creates is pollution by
         | burning fossil fuels outdoor due to which air quality worsens.
         | 
         | Yes, that's the mental image. That's what they're going for.
         | It's not terribly controversial, I don't think: fuels burn, bad
         | stuff goes into air.
         | 
         | > true to an extent, but there is indoor polluton, then natural
         | causes like dust, fires, pollen, volcanic eruption, agriculture
         | too.
         | 
         | What's your point? The article's about air pollution, and the
         | author wants to do something about that. That's what he cares
         | about right now. Those other things? Very bad. But: this
         | article's about this specific thing. There are always lots of
         | things in the world, but we can train our attention on only so
         | many at once.
         | 
         | > Problem is articles like these serve to create panic more
         | than educate people.
         | 
         | Create panic in who, exactly? I'm trying to figure out how you
         | can speak for other people on this. Personally, I'm not
         | panicked by the headline or the article. More sad, maybe, and
         | curious about how I might be able to affect the problem
         | positively.
         | 
         | I'm not even sure what exactly it is about the article that's
         | so manipulative to you. I read a lot of systematic reviews in
         | my research, and the tone of this article is pretty similar to
         | many of those. Just because the article's scary for you doesn't
         | mean someone's out to manipulate you. Emotional responses
         | between people "take two to tango": there's as much work being
         | done by the reader as the writer, in this instance.
        
       | zapdrive wrote:
       | The Indian prime minister, Modi, just gave into the farmers'
       | demand and has legally allowed them to burn stubble. The air
       | quality all over North India and especially Delhi is shit right
       | now.
        
       | thriftwy wrote:
       | > In Los Angeles, after $700 air purifiers were installed in
       | schools, student performance improved almost as much as it would
       | if class sizes were reduced by a third.
       | 
       | This sounds like an impossible casuation. Either the class size
       | reduction effect is tiny, or the claimed benefit of purifiers is
       | not there.
        
         | vlunkr wrote:
         | Agreed. Maybe along with air purifiers they spent money on
         | other new resources as well.
        
         | y4mi wrote:
         | I disagree. It depends entirely on what the purifiers did and
         | how the air quality was before/after.
         | 
         | The ability to concentrate really drops a lot once the CO2
         | content goes above 1k for example. I'd expect at least that
         | kind of change if these managed to get the CO2 from 1.5k+ down
         | to 500 ppa or other similar metrics.
        
           | lostmsu wrote:
           | Can you link a study for CO2? I read previously that it does
           | affect cognition, but some notion of the size of the impact
           | would be useful.
        
             | y4mi wrote:
             | There are a lot around. One random example https://www.rese
             | archgate.net/publication/265948386_Impact_of...
        
       | StreamBright wrote:
       | Sugar is another source of death that no government ever
       | regulates.
        
         | sschueller wrote:
         | That's not true. The Swiss government sat down with its largest
         | food producers and signed an agreement to reduce the amount of
         | sugar used in products.
         | 
         | https://www.blv.admin.ch/blv/de/home/lebensmittel-und-ernaeh...
        
           | StreamBright wrote:
           | I see, this is really a big impact on the subject.
           | 
           | While in the EU:
           | 
           | https://corporateeurope.org/en/pressreleases/2016/07/food-
           | lo...
        
         | detaro wrote:
         | Special taxes on sugary drinks etc are not exactly unheard of.
         | But people love their sweet stuff, so it's not exactly popular.
        
         | anonporridge wrote:
         | This is patently false.
         | 
         | Seattle passed a sugar tax several years ago and has already
         | measured a significant decline in sugary drink consumption in
         | lower income demographics, https://sph.washington.edu/news-
         | events/news/lower-income-sea...
         | 
         | Incidentally, the people who fight these kinds of regulations
         | tend to be the same conservatives who also whine about how the
         | CDC is telling people to mask up, socially distance, and get
         | vaccinated rather than exercise more and eat healthier.
        
       | RcouF1uZ4gsC wrote:
       | > take the problem away, and the number of premature deaths will
       | fall by many millions.
       | 
       | I think this is a naive way to look at it. The majority of air
       | pollution comes from burning fossil fuels. However, people don't
       | burn fossil fuels just for the high(unlike cigarettes). Our world
       | is built on fossil fuels. Without burning fossil fuels, likely
       | billions would starve. There would also have been no way to
       | transport the vaccines before they went bad. Fossil fuels and the
       | economy of trade it created lifted billions out of poverty which
       | has its own mortality.
       | 
       | Should we try to do better, of course, but first we have to take
       | a realistic view of the situation. Otherwise we end up like Joe
       | Biden who goes to a climate conference and talks about the need
       | to cut fossil fuels and then comes home and opens up the
       | Strategic Petroleum Reserve to help make sure gas prices do t go
       | too high.
        
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