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Evidence on the impact of sustained exposure to air pollution on life expectancy from China’s Huai River policy

Yuyu Chen, Avraham Ebenstein, Michael Greenstone, and Hongbin Li
PNAS published ahead of print July 8, 2013 https://doi.org/10.1073/pnas.1300018110
Yuyu Chen
aApplied Economics Department, Guanghua School of Management, Peking University, Beijing 100871, China;
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Avraham Ebenstein
bDepartment of Economics, Hebrew University of Jerusalem, Mount Scopus 91905, Israel;
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Michael Greenstone
cDepartment of Economics, Massachusetts Institute of Technology, Cambridge, MA 02142;dNational Bureau of Economic Research, Cambridge, MA 02138; and
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  • For correspondence: mgreenst@mit.edu
Hongbin Li
eChina Data Center and Department of Economics, School of Economics and Management, Tsinghua University, Beijing 100084, China
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  1. Edited by William C. Clark, Harvard University, Cambridge, MA, and approved May 28, 2013 (received for review January 2, 2013)

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Abstract

This paper's findings suggest that an arbitrary Chinese policy that greatly increases total suspended particulates (TSPs) air pollution is causing the 500 million residents of Northern China to lose more than 2.5 billion life years of life expectancy. The quasi-experimental empirical approach is based on China’s Huai River policy, which provided free winter heating via the provision of coal for boilers in cities north of the Huai River but denied heat to the south. Using a regression discontinuity design based on distance from the Huai River, we find that ambient concentrations of TSPs are about 184 μg/m3 [95% confidence interval (CI): 61, 307] or 55% higher in the north. Further, the results indicate that life expectancies are about 5.5 y (95% CI: 0.8, 10.2) lower in the north owing to an increased incidence of cardiorespiratory mortality. More generally, the analysis suggests that long-term exposure to an additional 100 μg/m3 of TSPs is associated with a reduction in life expectancy at birth of about 3.0 y (95% CI: 0.4, 5.6).

  • airborne particulate matter
  • unintended consequences of policy
  • premature mortality
  • health costs of coal combustion
  • Chinese environmental quality

Footnotes

  • ↵1Y.C., A.E., M.G., and H.L. contributed equally to this work.

  • ↵2To whom correspondence should be addressed. E-mail: mgreenst{at}mit.edu.
  • Author contributions: Y.C., A.E., M.G., and H.L. designed research, performed research, analyzed data, and wrote the paper.

  • The authors declare no conflict of interest.

  • This article is a PNAS Direct Submission.

  • This article contains supporting information online at www.pnas.org/lookup/suppl/doi:10.1073/pnas.1300018110/-/DCSupplemental.

Freely available online through the PNAS open access option.

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Life expectancy and air pollution in China
Yuyu Chen, Avraham Ebenstein, Michael Greenstone, Hongbin Li
Proceedings of the National Academy of Sciences Jul 2013, 201300018; DOI: 10.1073/pnas.1300018110

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Life expectancy and air pollution in China
Yuyu Chen, Avraham Ebenstein, Michael Greenstone, Hongbin Li
Proceedings of the National Academy of Sciences Jul 2013, 201300018; DOI: 10.1073/pnas.1300018110
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