US Climate and Health Alliance

Public health benefits of strategies to reduce greenhouse-gas emissions: household energy

Abstract

Energy used in dwellings is an important target for actions to avert climate change. Properly designed and implemented, such actions could have major co-benefits for public health. To investigate, we examined the effect of hypothetical strategies to improve energy efficiency in UK housing stock and to introduce 150 million low-emission household cookstoves in India. Methods similar to those of WHO’s Comparative Risk Assessment exercise were applied to assess the effect on health that changes in the indoor environment could have. For UK housing, the magnitude and even direction of the changes in health depended on details of the intervention, but interventions were generally beneficial for health. For a strategy of combined fabric, ventilation, fuel switching, and behavioural changes, we estimated 850 fewer disability-adjusted life-years (DALYs), and a saving of 0·6 megatonnes of carbon dioxide (CO2), per million population in 1 year (on the basis of calculations comparing the health of the 2010 population with and without the specified outcome measures). The cookstove programme in India showed substantial benefits for acute lower respiratory infection in children, chronic obstructive pulmonary disease, and ischaemic heart disease. Calculated on a similar basis to the UK case study, the avoided burden of these outcomes was estimated to be 12 500 fewer DALYs and a saving of 0·1–0·2 megatonnes CO2-equivalent per million population in 1 year, mostly in short-lived greenhouse pollutants. Household energy interventions have potential for important co-benefits in pursuit of health and climate goals.

Resource Type
Peer-reviewed article
Authors
Paul Wilkinson Krik R Smith Michael Davies Heather Adair Ben G Armstrong Mark Barrett Nigel Bruce Andy Haines Ian Hamilton Tadj Oreszczyn Ian Ridley Cathryn Tonne Zaid Chalabi
Resource URL
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61713-X/abstract
Publication
The Lancet
Volume
374
Issue
9705
Pages
1917-1929
Date
Nov 25, 2009
DOI
http://dx.doi.org/10.1016/S0140-6736(09)61713-X
Organization Type
Academic
Health and Human Impact
Overview/general
Climate and Environmental Impact
Air pollution
Solutions
Behavior change Renewable/clean energy
Region
International
Other
Co-benefits/co-harms Health surveillance

Resources main page