Impacts of Air Pollution on Health and Cost of Illness in Jakarta, Indonesia

(1) Background: This study aimed to quantify the health and economic impacts of air pollution in Jakarta Province, the capital of Indonesia. (2) Methods: We quantified the health and economic burden of fine particulate matter (PM2.5) and ground-level Ozone (O3), which exceeds the local and global ambient air quality standards. We selected health outcomes which include adverse health outcomes in children, all-cause mortality, and daily hospitalizations. We used comparative risk assessment methods to estimate health burdens attributable to PM2.5 and O3, linking the local population and selected health outcomes data with relative risks from the literature. The economic burdens were calculated using cost-of-illness and the value of the statistical life-year approach. (3) Results: Our results suggest over 7000 adverse health outcomes in children, over 10,000 deaths, and over 5000 hospitalizations that can be attributed to air pollution each year in Jakarta. The annual total cost of the health impact of air pollution reached approximately USD 2943.42 million. (4) Conclusions: By using local data to quantify and assess the health and economic impacts of air pollution in Jakarta, our study provides timely evidence needed to prioritize clean air actions to be taken to promote the public’s health.

[1]  S. Miraglia,et al.  Health impact assessment of air pollution in Lisbon, Portugal , 2022, Journal of the Air & Waste Management Association.

[2]  R. A. Wagan,et al.  Time Series Analysis and Forecasting of Air Pollutants Based on Prophet Forecasting Model in Jiangsu Province, China , 2022, Frontiers in Environmental Science.

[3]  I. Focus,et al.  The Global Health Cost of PM2.5 Air Pollution: A Case for Action Beyond 2021 , 2022 .

[4]  Xiangxue Zhang,et al.  A Health Impact and Economic Loss Assessment of O3 and PM2.5 Exposure in China From 2015 to 2020 , 2022, GeoHealth.

[5]  James A. Lewis,et al.  Government , 2009, Encyclopedia of Tourism Management and Marketing.

[6]  R. A. Wagan,et al.  Spatiotemporal Change of Air-Quality Patterns in Hubei Province—A Pre- to Post-COVID-19 Analysis Using Path Analysis and Regression , 2021, Atmosphere.

[7]  S. Vardoulakis,et al.  A health impact assessment of long-term exposure to particulate air pollution in Thailand , 2021, Environmental Research Letters.

[8]  D. Rojas-Rueda,et al.  Premature mortality due to air pollution in European cities: a health impact assessment. , 2021, The Lancet. Planetary health.

[9]  S. Mehta,et al.  Ambient and household air pollution on early-life determinants of stunting—a systematic review and meta-analysis , 2020, Environmental Science and Pollution Research.

[10]  Stephen S. Lim,et al.  Health and economic impact of air pollution in the states of India: the Global Burden of Disease Study 2019 , 2020, The Lancet. Planetary health.

[11]  R. Cavalcante,et al.  Health impact assessment of air pollution in the metropolitan region of Fortaleza, Ceará, Brazil , 2020 .

[12]  Dan J Stein,et al.  Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019 , 2020, Lancet.

[13]  J. Hammitt,et al.  Valuing Mortality Risk Reductions in Global Benefit-Cost Analysis , 2019, Journal of Benefit-Cost Analysis.

[14]  Y. Liu,et al.  The association between air pollution and preterm birth and low birth weight in Guangdong, China , 2019, BMC Public Health.

[15]  Sompal Singh,et al.  Statistical Terms , 2019, Biomedical Statistics.

[16]  M. Isahak,et al.  A systematic review of financial implications of air pollution on health in Asia , 2018, Environmental Science and Pollution Research.

[17]  Jennifer Burney,et al.  Robust relationship between air quality and infant mortality in Africa , 2018, Nature.

[18]  Rana Roy,et al.  The Rising Cost of Ambient Air Pollution thus far in the 21st Century: Results from the BRIICS and the OECD Countries , 2017 .

[19]  J. Rehm,et al.  The economic costs of mental disorders , 2016, EMBO reports.

[20]  J. Hoddinott,et al.  The Economic Rationale for Investing in Stunting Reduction , 2013, Maternal & child nutrition.

[21]  Patrick Webb,et al.  Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? , 2013, The Lancet.

[22]  A. Cohen,et al.  Exposure assessment for estimation of the global burden of disease attributable to outdoor air pollution. , 2012, Environmental science & technology.

[23]  M. Miller Agency , 2010 .

[24]  Gross Regional Domestic Product of Regencies/Municipalities in Indonesia 2009-2013 , 2008 .

[25]  Robert E Black,et al.  What works? Interventions for maternal and child undernutrition and survival , 2008, The Lancet.

[26]  S. Stojanovic Foreign Exchange Rates , 2007 .

[27]  M Joffe,et al.  HEALTH IMPACT ASSESSMENT , 2005, Occupational and Environmental Medicine.

[28]  Budy P. Resosudarmo,et al.  Health and Economic Impact of Air Pollution in Jakarta , 2004 .

[29]  F. E. Principles of Economics , 1890, Nature.