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At least 91 records · Page 5

Peanut allergy burden survey: Factors associated with health‐related quality of life in adolescents

Abstract Background Patients with peanut allergy (PA) experience significant burden of illness, which impacts health‐related quality of life (HRQoL), particularly in adolescence. There is a paucity of research evaluating drivers of HRQoL scores. Methods A prospective, online survey of adolescents with self‐reported, provider‐diagnosed PA completed from November 2018 to January 2019 was used to explore drivers of the real‐world impact of PA on HRQoL using the Pediatric Quality of Life Inventory 4.0 (PedsQL) and other measures. Univariate and multivariate analyses were used to identify potential factors associated with PedsQL scores and to understand the level of association. Results A total of 102 adolescents were included. The final model included 10 variables: race, reported strict peanut avoidance, satisfaction with prophylaxis, moderate‐to‐severe reaction within the past 12 months, touching peanut as cause of most severe reaction, fear of reaction, age, gender, comorbidities, and daily life limitations. In total, three items were shown to be strong predictors of the PedsQL total score including cause of severe reaction was touching peanut (yes), level of agreement with avoiding peanut (completely agree), and satisfaction with prophylaxis (not very much/not at all). Conclusions There is substantial heterogeneity in the impact of the burden of PA on PedsQL scores across patients. This indicates the importance of shared and individualized decision making for PA management to optimize outcomes and improve HRQoL.

McCann, William A.↗

Combined effects of space flight factors and radiation on humans

The probability that a dose of ionizing radiation kills a cell is about 10,000 times the probability that the cell will be transformed to malignancy. On the other hand, the number of cells killed required to significantly impact health is about 10,000 times the number that must be transformed to cause a late malignancy. If these two risks, cell killing and malignant transformation, are about equal, then the risk that occurs during a mission is more significant than the risk that occurs after a mission. The latent period for acute irradiation effects (cell killing) is about 2-4 weeks; the latent period for malignancy is 10-20 years. If these statements are approximately true, then the impact of cell killing on health in the low-gravity environment of space flight should be examined to establish an estimate of risk. The objective of this study is to synthesize data and conclusions from three areas of space biology and environmental health to arrive at rational risk assessment for radiations received by spacecraft crews: (1) the increased physiological demands of the space flight environment; (2) the effects of the space flight environment on physiological systems; and (3) the effects of radiation on physiological systems. One physiological system has been chosen: the immune response and its components, consisting of myeloid and lymphoid proliferative cell compartments. Best-case and worst-case scenarios are considered. In the worst case, a doubling of immune-function demand, accompanied by a halving of immune capacity, would reduce the endangering dose to a crew member to around 1 Gy.

Non-NASA Center↗

Extreme Smog Challenge of India Intensified by Increasing Lower Tropospheric Stability

Extreme smog in India widely impacts air quality in late autumn and winter months. While the links between emissions, air quality and health impacts are well-recognized, the association of smog and its intensification with climatic trends in the lower troposphere, where aerosol pollution and its radiative effects manifest, are not understood well. Here we use long-term satellite data to show a significant increase in aerosol exceedances over northern India, resulting in sustained atmospheric warming and surface cooling trends over the last two decades. We find several lines of evidence suggesting these aerosol radiative effects have induced a multidecadal (1980–2019) strengthening of lower tropospheric stability and increase in relative humidity, leading to over fivefold increase in poor visibility days. Given this crucial aerosol-radiation-meteorological feedback driving the smog intensification, results from this study would help inform mitigation strategies supporting stronger region-wide measures, which are critical for solving the smog challenge in India.

Smog, Lower tropospheric stability, India↗

Cost effectiveness of preemptive school closures to mitigate pandemic influenza outbreaks of differing severity in the United States

Background: Nonpharmaceutical interventions (NPIs) may be considered as part of national pandemic preparedness as a first line defense against influenza pandemics. Preemptive school closures (PSCs) are an NPI reserved for severe pandemics and are highly effective in slowing influenza spread but have unintended consequences. Methods: We used results of simulated PSC impacts for a 1957-like pandemic (i.e., an influenza pandemic with a high case fatality rate) to estimate population health impacts and quantify PSC costs at the national level using three geographical scales, four closure durations, and three dismissal decision criteria (i.e., the number of cases detected to trigger closures). At the Chicago regional level, we also used results from simulated 1957-like, 1968-like, and 2009-like pandemics. Our net estimated economic impacts resulted from educational productivity costs plus loss of income associated with providing childcare during closures after netting out productivity gains from averted influenza illness based on the number of cases and deaths for each mitigation strategy. Results: For the 1957-like, national-level model, estimated net PSC costs and averted cases ranged from $\$7.5$ billion (2016 USD) averting 14.5 million cases for two-week, community-level closures to $\$97$ billion averting 47 million cases for 12-week, county-level closures. We found that 2-week school-by-school PSCs had the lowest cost per discounted life-year gained compared to county-wide or school district–wide closures for both the national and Chicago regional-level analyses of all pandemics. The feasibility of spatiotemporally precise triggering is questionable for most locales. Theoretically, this would be an attractive early option to allow more time to assess transmissibility and severity of a novel influenza virus. However, we also found that county-wide PSCs of longer durations (8 to 12 weeks) could avert the most cases (31–47 million) and deaths (105,000–156,000); however, the net cost would be considerably greater ($\$88$-$\$103$ billion net of averted illness costs) for the national-level, 1957-like analysis. Conclusions: We found that the net costs per death averted ($\$180,000$-$\$4.2$ million) for the national-level, 1957-like scenarios were generally less than the range of values recommended for regulatory impact analyses ($\$4.6$ to 15.0 million). This suggests that the economic benefits of national-level PSC strategies could exceed the costs of these interventions during future pandemics with highly transmissible strains with high case fatality rates. In contrast, the PSC outcomes for regional models of the 1968-like and 2009-like pandemics were less likely to be cost effective; more targeted and shorter duration closures would be recommended for these pandemics.

60 APPLIED LIFE SCIENCES↗

Modeling the impact of smoke from prescribed fire on road visibility

Prescribed fires are planned to achieve conservation and fuel reduction objectives while minimizing smoke ground concentration to limit health impacts and road visibility impairment. Prescribed burns cannot indeed be conducted if those hazards are not within predefined limits. This paper proposes a new framework to evaluate road visibility that overcomes the limitation of the state of the art model, VSMOKE. The framework leverages the fast-running framework QUIC-Fire/QUIC-SMOKE to capture fire and smoke dynamics, and the timing and duration of hazardous conditions on the road network close to the burn unit (within 50–100 km). The paper presents parametric study using a real burn plot at Fort Stewart (GA, USA), under hypothetical wind conditions to understand the interplay between buoyancy and smoke dilution. Here, results showed that faster winds caused fire escape while slower winds did not achieve a complete burn. Furthermore, faster winds featured brief road visibility reduction below braking distance.

54 ENVIRONMENTAL SCIENCES↗

Power System Operational Impacts of Electric Vehicle Dynamic Wireless Charging

The electrification of the transportation sector poses an opportunity for reducing greenhouse gas (GHG) emissions from passenger vehicles. Electric vehicle (EV) charging through dynamic wireless power transfer (DWPT), known as roadway electrification, could shift EV demand profiles to better coincide with renewable electricity generation. However, this would be a very large new load and few studies evaluate the regional impacts of DWPT charging in a power transmission system. This paper defines methods that address dataset generation for passenger vehicle trips and models to evaluate regional impacts for this emerging technology. Household vehicle miles traveled (VMT) data form localized EV demand profiles through discrete-event simulation. This data serves as exogenous inputs for a Production Cost Model (PCM) of a synthetic transmission system based on the Electric Reliability Council of Texas's (ERCOT) network. EV charging methods are compared for both a 2018 baseline generation mixture and a high-renewable generation case incorporating 20 GW of installed solar photovoltaic (PV) capacity. The PCM employs unit commitment and economic dispatch (UC&ED) models to compare financial, environmental, and grid reliability impacts from EV charging across passenger EV adoption levels. In-transit charging could reduce grid operational costs by as much as 1.49%, with up to $13.7B saved in annual vehicle operational costs for consumers compared to gas-powered vehicles. Health impacts analysis from power plant and vehicle tailpipe emissions from this study show net health benefits increase by 40% for in-transit charging coupled with high renewable generation. Renewable resources provide an avenue for cost-effective in-transit charging with reduced emissions. The combination of dataset generation and open-source power system modeling establish a foundation for the holistic evaluation of regional DWPT impacts.

dynamic wireless power transfer↗

SPARTAN and IMPROVE Comparison Experiment (SPICE) Interim Campaign Report

SPICE (the SPARTAN and IMPROVE Comparison Experiment) aims to obtain and quantify comparisons between aerosol PM 2.5 mass concentration measurements from the University of Oklahoma (OU) Surface Particulate Matter Network (SPARTAN) station and the U.S. Environmental Protection Agency (EPA) Interagency Monitoring of Protected Visual Environments (IMPROVE) station hosted by the U.S. Department of Energy Atmospheric Radiation Measurement (ARM) User Facility at ARM’s Southern Great Plains (SGP) observatory in Oklahoma. Aerosols—both natural and anthropogenic—affect human populations in multiple ways. Much of ARM’s research focuses on how aerosols influence weather and climate through their optical and radiative effects, as well as their impacts on clouds and precipitation. However, aerosols also pose direct risks to humans and other organisms through inhalation, with the severity of health impacts depending on particle size, chemical composition, and duration of exposure. The IMPROVE network was established by the U.S. EPA to monitor air quality, including visible clarity as well as total and chemically speciated aerosol mass concentrations. The ARM SGP site hosts the IMPROVE SOGP station. Separately, the SPARTAN network operates a globally distributed set of stations similar to IMPROVE but with an emphasis on remote deployment and semi-autonomous operation for use beyond the borders of the United States (IMPROVE only operates within the U.S.). The University of Oklahoma operates a SPARTAN station. To establish confidence in the OU SPARTAN instrumentation and measurement protocol relative to the EPA-certified IMPROVE station, the OU SPARTAN station is currently deployed at SGP in close proximity to the IMPROVE SOGP station. The SPICE campaign was envisioned as a contiguous calendar-year effort for 2025 to capture seasonal variation in mass loading as well as composition. However, independent of the SPICE campaign, the SPARTAN network adopted a new filter construction part-way through the year, interrupting our contiguous data set. Thus, to obtain a contiguous data set with a uniform consistent configuration, SPICE desires an extension through 2026.

54 ENVIRONMENTAL SCIENCES↗

The Impacts of Cabin Atmosphere Quality Standards and Control Loads on Atmosphere Revitalization Process Design

Maintaining the cabin atmosphere’s pressure, composition, and quality within specified parameters is a necessity for successful crewed space exploration missions. A properly maintained environment minimizes health impacts on the occupants and maximizes their comfort. The challenge is to accomplish this outcome economically. The insight gained during the International Space Station’s (ISS) operational lifetime is driving toward more challenging cabin atmospheric quality standards for future exploration missions. At the same time, the metabolic loads are increasing to accommodate a broader crew body size range and more rigorous exercise protocols to mitigate health effects associated with long duration microgravity exposure. Compounding this situation is new process equipment for handling trash and waste that may vent contaminants into the cabin. The limits placed on the cabin atmospheric quality parameters combined with the contaminant load define the design space for the atmosphere revitalization (AR) subsystem technologies to be deployed aboard the spacecraft. The impacts of changes to cabin atmospheric quality standards and contamination loads are evaluated and implications to future crewed exploration missions are explored.

Perry, Jay L.↗

Quantifying the reductions in mortality from air-pollution by cancelling new coal power plants

Deep decarbonization paths to the 1.5°C or 2°C temperature stabilization futures require a rapid reduction in conventional coal-fired power plants, but countries are currently building 223 GW of new coal power capacity and plan to build 377 GW more in the next decade. Coal-fired plants are also a major contributor to air pollution related health impacts. Here, we couple an integrated human-earth system model (GCAM) with an air quality model (TM5-FASST) to examine regional health co-benefits from cancelling new coal-fired plants worldwide. Additionally, we find that cancelling all new proposed projects would decrease air pollution related premature mortality between 101,388 - 213,205 deaths (2-5%) in 2030, and 213,414 - 373,054 (5-8%) in 2050, globally, but heavily concentrated in developing Asia. Furthermore, we estimate that strengthening the climate target from 2°C to 1.5°C would avoid 326,351 additional mortalities in 2030, of which 251,011 (75%) are attributable to the incremental coal plant shutdown.

63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTAN↗

Oxidative Stress and the Neuroconsequences of Spaceflight Environment - Immune Dysregulation and Antioxidant Dietary Countermeasure Efficacy

In this project, we will test the hypothesis that Ionizing Radiation (IR), microgravity and social isolation combine synergistically to trigger an oxidative stress response that alters immune homeostasis, brain structure and function, and neurobehavioral and cognitive performance. Specific Aims for this project are: (1) Determine dose-response curves for acute ‘Five-Ion GCR Simulation’ exposure for immune, brain and performance responses in crew age-matched adult male and female mice; (2) Determine effects of acute ‘Five-Ion GCR Simulation’ exposure singly and in combination with simulated microgravity and social isolation, on immune, brain and performance responses in crew age-matched male and female mice mimicking deep space missions; and (3) Determine efficacy of the dietary antioxidant, Nicotinamide Mononucleotide (NMN), a key intermediate in nicotinamide adenine dinucleotide (NAD+) biosynthesis. The project relies on established and highly translatable ground-based mouse models and assays with IR exposures to be performed at the NASA Space Radiation Laboratory (NSRL). The experimental approach will provide definitive data on the timing and mechanisms involved in the oxidative stress response, immune and brain changes, and ensuing functional (behavioral/cognitive) impairments expected during human transit to Mars. This project will identify potential biomarkers for, and mechanisms underlying, structural and functional changes in the immune and nervous systems leading to behavioral/cognitive performance deficits, and its potential application to develop effective countermeasures to mitigate negative health effects of long duration space habitation. The project will address NASA’s efforts to rapidly advance the characterization of risks and identify appropriate countermeasures in anticipation of future deep space missions. Ensuring crew health and performance during extended transits necessitates that sensorimotor and cognitive abilities remain strong to avoid potentially catastrophic health and safety outcomes. Further, despite historically low numbers of female astronauts, the two most recent NASA Astronaut Corps class selections, comprised of ~50% women as compared to men, signal the need to understand how sex differences affect physiological adaptation and health in the space environment. Here, we will determine how key features of the deep space environment may interact to increase risk to crewmembers by negatively impacting health and performance, and identify and develop strategies to characterize and mitigate the potential risks via countermeasures. Supported by the NASA Human Research Program (HRP) Human Factors Behavioral Performance Element Grant 18-18FLAG_2-0028.

radiation↗

Life-cycle environmental impacts of single-junction and tandem perovskite PVs: a critical review and future perspectives

For new technologies, such as perovskite solar cells (PSC), life cycle analysis (LCA) offers a fundamental framework for examining potential environmental, energy and health impacts and mitigation options before large-scale commercialization and for guiding improvements in development and production that further reduce their environmental footprint. However, credible LCA studies require actual process-based material, energy and emissions data, which may not exist before the technologies are commercially produced. Thus, the perovskite LCA literature is based on linear extrapolations of laboratory data. In this paper we critically reviewed the PSC LCA literature, explain the reasoning for a wide divergence of results, and determined which data apply to scalable industrial production, materials and processes. Our investigation probed into the formulation of each layer of a PSC device, and its potential for industrial scale fabrication. We found that electricity use is the main contributor to reported LCA results, explaining the large difference, ranging from 7.78 kWh to 1,460 kWh/m –2 , among various studies. Subsequently, we identified and discuss methodological errors in some of these estimates. In terms of life-cycle toxicity most of the reviewed LCA studies do not attribute any major overall toxicity impact to the presence of lead in the PSC devices. We also reviewed and critiqued studies describing “worst-case” scenarios of accidental release of lead into the environment, and, in spite of statements in those studies, we found them to be inconclusive. Lastly, we discussed end-of-life (EoL) management options for resource recovery and for minimizing environmental impacts.

14 SOLAR ENERGY↗

The Effect of Future Ambient Air Pollution on Human Premature Mortality to 2100 Using Output from the ACCMIP Model Ensemble

Ambient air pollution from ground-level ozone and fine particulate matter (PM(sub 2.5)) is associated with premature mortality. Future concentrations of these air pollutants will be driven by natural and anthropogenic emissions and by climate change. Using anthropogenic and biomass burning emissions projected in the four Representative Concentration Pathway scenarios (RCPs), the ACCMIP ensemble of chemistry climate models simulated future concentrations of ozone and PM(sub 2.5) at selected decades between 2000 and 2100. We use output from the ACCMIP ensemble, together with projections of future population and baseline mortality rates, to quantify the human premature mortality impacts of future ambient air pollution. Future air-pollution-related premature mortality in 2030, 2050 and 2100 is estimated for each scenario and for each model using a health impact function based on changes in concentrations of ozone and PM(sub 2.5) relative to 2000 and projected future population and baseline mortality rates. Additionally, the global mortality burden of ozone and PM(sub 2.5) in 2000 and each future period is estimated relative to 1850 concentrations, using present-day and future population and baseline mortality rates. The change in future ozone concentrations relative to 2000 is associated with excess global premature mortality in some scenarios/periods, particularly in RCP8.5 in 2100 (316 thousand deaths per year), likely driven by the large increase in methane emissions and by the net effect of climate change projected in this scenario, but it leads to considerable avoided premature mortality for the three other RCPs. However, the global mortality burden of ozone markedly increases from 382000 (121000 to 728000) deaths per year in 2000 to between 1.09 and 2.36 million deaths per year in 2100, across RCPs, mostly due to the effect of increases in population and baseline mortality rates. PM(sub 2.5) concentrations decrease relative to 2000 in all scenarios, due to projected reductions in emissions, and are associated with avoided premature mortality, particularly in 2100: between 2.39 and 1.31 million deaths per year for the four RCPs. The global mortality burden of PM(sub 2.5) is estimated to decrease from 1.70 (1.30 to 2.10) million deaths per year in 2000 to between 0.95 and 1.55 million deaths per year in 2100 for the four RCPs due to the combined effect of decreases in PM(sub 2.5) concentrations and changes in population and baseline mortality rates. Trends in future air-pollution-related mortality vary regionally across scenarios, reflecting assumptions for economic growth and air pollution control specific to each RCP and region. Mortality estimates differ among chemistry climate models due to differences in simulated pollutant concentrations, which is the greatest contributor to overall mortality uncertainty for most cases assessed here, supporting the use of model ensembles to characterize uncertainty. Increases in exposed population and baseline mortality rates of respiratory diseases magnify the impact on premature mortality of changes in future air pollutant concentrations and explain why the future global mortality burden of air pollution can exceed the current burden, even where air pollutant concentrations decrease.

Silva, Raquel A.↗

The Health and Climate Benefits of Economic Dispatch in China’s Power System

China’s power system is highly regulated and uses an “equal-share” dispatch approach. However, market mechanisms are being introduced to reduce generation costs and improve system reliability. Here, we quantify the climate and human health impacts brought about by this transition, modeling China’s power system operations under economic dispatch. We find that significant reductions in mortality related to air pollution (11%) and CO 2 emissions (3%) from the power sector can be attained by economic dispatch, relative to the equal-share approach, through more efficient coal-powered generation. Additional health and climate benefits can be achieved by incorporating emission externalities in electricity generation costs. However, the benefits of the transition to economic dispatch will be unevenly distributed across China and may lead to increased health damage in some regions. Our results show the potential of dispatch decision-making in electricity generation to mitigate the negative impacts of power plant emissions with existing facilities in China.

29 ENERGY PLANNING, POLICY, AND ECONOMY↗

Site 300 (Facility ID N-472) Toxic Emissions Inventory Plan

The Air Toxics "Hot Spots" Information and Assessment Act (AB 2588 or the “Act”) was enacted in September 1987. Under the Act, stationary sources are required to report the types and quantities of certain toxic substances their facilities routinely release into the air. AB 2588 is designed to provide information to state and local agencies and to the general public on the extent of airborne emissions from stationary sources and the potential public health impacts of those emissions. The San Joaquin Valley Air Pollution Control District (the District) is mandated by the State to implement AB 2588. On March 6, 2015, The State Office of Environmental Health Hazard Assessment (OEHHA) adopted changes to the Air Toxics Hot Spots Program Guidance Manual for the Preparation of Health Risk Assessments. These revisions were designed to incorporate three technical support documents and to provide enhanced protection of children as required under state law (SB 25, Escutia, 1999). Due to these recent changes, and the corresponding potential increases in calculated health risk, the District notified LAWRENCE LIVERMORE NATL SECURITY, LLC that we must be re-evaluated under AB 2588. Pursuant to the Air Toxics "Hot Spots" Information and Assessment Act of 1987, we have prepared a comprehensive, site-specific Toxics Emissions Inventory Plan. The plan specifies in detail how LAWRENCE LIVERMORE NATL SECURITY, LLC will inventory our facility's emissions of all toxic substances on the list of substances subject to the Act. The plan provides a comprehensive and detailed description of the methods that will be used to quantify air releases or potential air releases of listed substances from all points of release. The plan also includes quantification methods which result in accurate and comprehensive characterization of releases and comply with all applicable requirements of the “Hot Spots” regulation.

54 ENVIRONMENTAL SCIENCES↗

Lawrence Livermore National Security, LLCSite 300: Toxic Emissions Inventory Plan for ABA 2588 California Air Toxics "Hot Spots" Information and Assessment Act of 1987 (Revision 3.0)

The Air Toxics "Hot Spots" Information and Assessment Act (AB 2588 or the “Act”) was enacted in September 1987. Under the Act, stationary sources are required to report the types and quantities of certain toxic substances their facilities routinely release into the air. AB 2588 is designed to provide information to state and local agencies and to the general public on the extent of airborne emissions from stationary sources and the potential public health impacts of those emissions. The San Joaquin Valley Air Pollution Control District (the District) is mandated by the State to implement AB 2588. On March 6, 2015, The State Office of Environmental Health Hazard Assessment (OEHHA) adopted changes to the Air Toxics Hot Spots Program Guidance Manual for the Preparation of Health Risk Assessments. These revisions were designed to incorporate three technical support documents and to provide enhanced protection of children as required under state law (SB 25, Escutia, 1999). Due to these recent changes, and the corresponding potential increases in calculated health risk, the District notified LAWRENCE LIVERMORE NATIONAL SECURITY, LLC that we must be re-evaluated under AB 2588. Pursuant to the Air Toxics "Hot Spots" Information and Assessment Act of 1987, we have prepared a comprehensive, site-specific Toxics Emissions Inventory Plan. The plan specifies in detail how LAWRENCE LIVERMORE NATIONAL SECURITY, LLC will inventory our facility's emissions of all toxic substances on the list of substances subject to the Act. The plan provides a comprehensive and detailed description of the methods that will be used to quantify air releases or potential air releases of listed substances from all points of release. The plan also includes quantification methods which result in accurate and comprehensive characterization of releases and comply with all applicable requirements of the “Hot Spots” regulation.

54 ENVIRONMENTAL SCIENCES↗

Assessment of the Impact of Discontinuity in Satellite Instruments and Retrievals on Global PM2.5

Exposure to fine particulate matter (PM2.5) is the leading environmental risk factor for mortality globally. Satellite-derived estimates of surface PM2.5 developed from a combination of satellites, simulations, and ground monitor data are relied upon for health impact studies. The ability to develop satellite-derived PM2.5 estimates requires the continued availability of aerosol optical depth (AOD) sources. This work examines the impact of the addition or loss of satellite AOD data sources on global PM2.5 estimation and the impact of continuing the longterm record with AOD from the Visible Infrared Imaging Radiometer Suite (VIIRS) on the Suomi-National Polar orbiting Partnership (S-NPP) satellite after the loss of the MODIS (MODerate resolution Imaging Spectroradiometer) and MISR (Multi-angle Imaging Spectroradiometer) instruments on board the Terra and Aqua satellites. We find that the addition of VIIRS S-NPP AOD products to geophysical PM2.5 estimates from satellites and simulations causes regional differences that correspond to differences in the VIIRS and MODIS Deep Blue AOD algorithms and sampling. Changes in long-term trends and timeseries due to the addition or loss of AOD data sources are generally within their uncertainties. Statistical fusion with ground monitor data partially corrects for changes due to sampling differences when introducing the VIIRS AOD products, but uncertainty remains over desert regions where ground monitor coverage is sparse. This work provides promise for the sustained development of global satellite-derived PM2.5 estimates, despite discontinuities in instruments and retrieval methods.

Remote sensing↗

Integrating air quality and health considerations into power sector decarbonization strategies

Climate change and public health are two interconnected societal challenges. Curbing fossil-based electricity generation reduces the emissions of both CO 2 and air pollutants, which brings tangible health benefits from improved air quality. The potential health benefits from decarbonizing the grid are enormous, immediate, and widespread. From renewable portfolio standards to carbon market, the health co-benefits from clean electricity policies often outweigh their policy costs. As climate action goes local, framing decarbonization around health benefits also makes it more personally relevant and economically attractive. Yet, to date, the health impacts have largely been viewed as ancillary benefits from decarbonization, rather than as a core consideration when energy strategies are formed, assessed and implemented. When strategic choices are made about retiring old infrastructure and building new ones, bringing public health to the center of the discussion can generate greater health benefits with more equitable distribution. Here we identify concrete ways to incorporate air quality and health considerations into power sector decarbonization strategies. We draw insights mainly from empirical and modeling evidence for the United States. These insights are generally applicable and could guide health-oriented decarbonization efforts in other countries as well.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗

Integrating Health and Energy Efficiency in Multi-Family Buildings

The intersection between health and the built environment has long been known. Since the 18 th century, public health officials have been targeting building issues, such as crowding, poor sanitation, and inadequate ventilation in efforts to reduce infectious diseases and fire hazards. More recently, federal agencies, such as the U.S. Environmental Protection Agency (EPA), the Centers for Disease Control and Prevention, HUD, and the DOE have been working to reduce or eliminate indoor building factors that are known to have adverse health impacts on Americans, including reducing lead in housing and indoor air pollution that causes respiratory disease, and ensuring access to adequate heating, cooling, and moisture control. PNNL, in support of FEMP’s HBI, undertook a review of literature and existing best practices to identify current activities and research on the intersection between traditional energy-efficiency measures and occupant health within multi-family buildings. While the HBI methodology has focused on traditional office building spaces, it is now expanding into additional building use types. This overview explores some of the most impactful resources to help property owners and managers understand more about multi-family residential buildings that are both healthy and energy efficient. The federal government provides direct oversight and operation across several types of multi-family residential housing, including dormitories, barracks, and senior community living centers.

32 ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATI↗