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How to save ourselves from the invisible gas choking us to death

Cities are battling to meet legal standards for air pollution, but even that isn't enough to make air safe, says Michael Le Page
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Commuter health hazard
Charles Platiau / Reuters

WHEN you hear “air pollution”, you probably think of the brown pall of soot that hangs over so many Asian cities. But if you travel on, work or live near a busy road in Europe, you’re also breathing in a hidden killer, even when the sky is a brilliant blue.

We now know that the invisible gas nitrogen dioxide can seriously damage our health – and cities in Europe and the US have some of the .

The good news is that these levels are declining. The bad news is that in many cities they are not declining fast enough to meet legal standards any time soon.

Worse still, even if air does meet those legal limits, it still won’t be safe to breathe. Nearly half a million people in Europe die from air pollution every year – and most of those deaths are being caused by breathing air that is supposedly “safe”. It kills more people than obesity or alcohol – only smoking is more dangerous.

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If we want to live longer, healthier lives, we need to go way beyond the current standards. That means changing our transport systems: ditching diesel cars for hydrogen or electric ones, and cycling or walking more.

Diesel vehicles are the biggest source of NO2, and Europe’s roads are now full of diesel cars thanks to low-carbon policies that encouraged people to buy them.

It used to be debated whether NO2 was harmful itself, or merely appeared to be because high levels of it usually coincide with high levels of particulate pollutants. Now there is strong evidence that NO2 on its own has a wide range of harmful effects.

It lowers birthweight, stunts lung growth in children and increases the risk of respiratory infections and cardiovascular disease. Particulate pollutants like soot cause a wider range of problems, including lung cancer.

While air pollution doesn’t kill directly, statisticians express its life-shortening effects in terms of deaths per year. A concluded that particulate pollution causes the equivalent of 30,000 deaths in the UK every year, while NO2 kills 10,000. These figures suggest air pollution is second only to smoking in terms of the harm it does.

“Air pollution kills more people than obesity or alcohol – only smoking is more dangerous“

And this is just what we have good evidence for. Air pollution is also suspected to increase the risk of conditions including diabetes, dementia and . Earlier this year, a study found millions of tiny iron particles in brain tissues, probably from exhaust fumes.

The bottom line is clear. “Reducing pollution levels in cities is likely to have massive health benefits,” says at the Queensland University of Technology in Australia.

According to European Union regulations that came into force in 2010, NO2 should average no more than 40 micrograms per cubic metre over a year (the US standard is less strict: 100 ÎĽg/m3 over a year), and should not exceed an average 200 ÎĽg/m3 over an hour more than 18 times in a year. These limits are still breached in half of EU countries.

Take London: the city centre exceeds the 40 ÎĽg/m3 annual average limit, and in some parts the hourly maximum limit was breached in the very first week of January this year.

Off road solution

There is no doubt about the main cause of the problem: road traffic – mostly diesel vehicles – produces about half of the air pollution in our cities. In theory, cleaner exhaust systems should have reduced NO2 pollution despite the rising numbers of diesel cars, but as the Volkswagen scandal made clear, newer vehicles are not as clean as they are supposed to be.

So in simple terms, lowering air pollution boils down to getting the most-polluting diesel vehicles off busy city roads. Some nations are taking this seriously: many German cities already have clean air zones, for instance. The UK government, however, has done so little that it is being taken to court for a second time by environmental campaign group ClientEarth over its failure to act – having already lost the first case.

The mayor of London, Sadiq Khan, this year announced plans to tackle air pollution in the city. But more needs to be done if London is to meet the legal limits within a decade, says Richard Howard from the think tank in London.

For instance, one plan is for owners of diesel cars made before 2005 to pay a “toxicity charge” from 2017 if they enter central London. But this will make little difference: while diesel cars made between 2005 and 2014 do better in lab tests, they produce just as much NO2 in real-world driving as older models, Howard says.

Some clean air campaigners want to see diesel vehicles phased out entirely. “In the longer term, we need to be looking beyond diesel,” says Alan Andrews of ClientEarth. “The days of diesel cars are numbered.”

But getting them off our roads is a huge challenge. While opinion polls suggest strong support for cutting air pollution, there could be a big backlash when millions of drivers realise they will be hit by an “ultra low emissions zone” planned for London in 2019. Paris has already seen protests against its air pollution efforts. “I’d be amazed if Sadiq manages to push the policy through,” says Howard.

For this reason, many campaigners are calling for a national scrappage scheme to help people cover the cost of replacing diesel cars with hybrid or electric ones. It will be money well spent, they argue, given the price of inaction on air pollution.

Indeed, a estimated that dirty air costs the UK some ÂŁ5 billion a year in terms of lost working days, admissions to hospitals and so on. When a , based on what people say they are prepared to pay to reduce their risk of dying early, the figure soars to up to ÂŁ50 billion a year.

Cash-strapped governments aren’t keen on scrappage schemes, yet without central government support, big cities like London will struggle to meet the legal limits for air pollution. And here’s the real shocker: even meeting these limits won’t solve the air pollution problem.

“If we are serious about improving health, meeting current legal limits should just be the start“

Remember those 30,000 deaths per year from particulate pollution? Almost all are due to . “The particulate matter limit is not currently protecting health,” says of King’s College London.

The EU limit for particulates smaller than 10 micrometres in diameter (PM10s) is twice that recommended by the World Health Organization, says Kelly. All of central London exceeds this stricter limit, which some say still isn’t enough. “There’s no safe level of air pollution,” says Barnett.

So if we are serious about improving health, meeting the current legal limits should just be the start. The next stage is to get air pollution down to negligible levels, says at the Institute for Public Policy Research in London. “It’s a much deeper and longer battle.”

The implications are enormous. Not all air pollution from road traffic comes from exhaust fumes. In cities, about . Another quarter comes from traffic stirring up dirt on roads.

So even switching to electric vehicles won’t solve the problem. One 2016 study (Energies, ) estimated that electric cars still produce an eighth of the PM10s that new diesels do and half as much as petrol cars do.

This leads to a conclusion that many won’t like: if we want to cut air pollution in big cities to low levels, we need to cut traffic. Looking on the bright side, tackling air pollution the right way could be a win-win situation. Switching to electric vehicles will slash CO2 emissions, and encouraging more people to walk and cycle has health benefits.

“We are not in a situation where there are no alternative options to dirty cars,” says Laybourn-Langton. “There are more alternative options than ever before.”

How to protect yourself from air pollution

Properly combating air pollution will require government action (see main story), but here’s what you can do to avoid the worst of its effects

Avoid busy roads

Road traffic is the main source of outdoor air pollution. If you can’t avoid busy roads, try to travel outside the rush hour

Walk or cycle

Counter-intuitively, getting out of the car will reduce exposure, but it is still best to pick quieter routes

Don’t smoke

In case it’s not obvious, smoking is by far the worst form of air pollution

Get some exercise

While exertion increases your exposure to air pollution as you breathe more, benefits outweigh the risks

Avoid candles and wood fires

Burning anything in your home produces harmful pollutants

Open windows when cooking

Gas cookers produce lots of harmful nitrogen dioxide

Don’t buy a diesel car

If you’re replacing your ride, don’t buy diesel. Choose an electric, hybrid or petrol vehicle instead

Buy a houseplant

They look good and help mop up dangerous chemicals released by household products

This article appeared in print under the headline “Invisible killer”

Topics: Cars / Diseases / Energy and fuels / Pollution / Transport