PM pollution in Texas: a geospatial analysis of health impact functions.

Background: Air pollution is the greatest environmental threat to human health in the world today and is responsible for an estimated 7-9 million deaths annually. One of the most damaging air pollutants is PM pollution, fine airborne particulate matter under 2.5 microns in diameter. Exposure to PM pollution can cause premature death, heart disease, lung cancer, stroke, diabetes, asthma, low birthweight, and IQ loss. To avoid these adverse health effects, the WHO recommends that PM levels not exceed 5 μg/m.

Methods: This study estimates the negative health impacts of PM pollution in Texas in 2016. Local exposure estimates were calculated at the census tract level using the EPA's BenMAP-CE software. In BenMAP, a variety of exposure-response functions combine air pollution exposure data with population data and county-level disease and death data to estimate the number of health effects attributable to PM pollution for each census tract. The health effects investigated were mortality, low birthweight, stroke, new onset asthma, new onset Alzheimer's, and non-fatal lung cancer.

Findings: This study found that approximately 26.7 million (98.9%) of the 27.0 million people living in Texas in 2016 resided in areas where PM concentrations were above the WHO recommendation of 5 μg/m, and that 2.6 million people (9.8%) lived in areas where the average PM concentration exceeded 10 μg/m. This study estimates that there were 8,405 (confidence interval [CI], 5,674-11,033) premature deaths due to PM pollution in Texas in 2016, comprising 4.3% of all deaths. Statewide increases in air-pollution-related morbidity and mortality were seen for stroke (2,209 - CI: [576, 3,776]), low birthweight (2,841 - CI: [1,696, 3,925]), non-fatal lung cancers (636 - CI: [219, 980]), new onset Alzheimer's disease (24,575 - CI: [20,800, 27,540]), and new onset asthma (7,823 - CI: [7,557, 8,079]).

Conclusion: This study found that air pollution poses significant risks to the health of Texans, despite the fact that pollution levels across most of the state comply with the EPA standard for PM pollution of 12 μg/m. Improving air quality in Texas could save thousands of lives from disease, disability, and premature death.