European COPD Coalition

Air pollution LondonAir pollution has emerged as the deadliest form of pollution and the fourth leading risk factor for premature deaths worldwide. Those deaths cost the global economy about US$225 billion in lost labour income in 2013, a new study finds, pointing toward the economic burden of air pollution.

[photo: David Holt, FlickR]

The Cost of Air Pollution: Strengthening the economic case for action, a joint study of the World Bank and the Institute for Health Metrics and Evaluation (IHME), seeks to estimate the costs of premature deaths related to air pollution, to strengthen the case for action and facilitate decision making in the context of scarce resources. An estimated 5.5 million lives were lost in 2013 to diseases associated with outdoor and household air pollution, causing human suffering and reducing economic development.

While pollution-related deaths strike mainly young children and the elderly, premature deaths also result in lost labour income for working-age men and women. The report finds that annual labor income losses cost the equivalent of almost 1 percent – 0.83 percent — of Gross Domestic Product (GDP) in South Asia. In East Asia and the Pacific, where the population is ageing, labor income losses represent 0.25 percent of GDP, while in Sub-Saharan Africa, where air pollution impairs the earning potential of younger populations, annual labor income losses represent the equivalent of 0.61 percent of GDP.

When looking at fatalities across all age groups through the lens of “welfare losses”, an approach commonly used to evaluate the costs and benefits of environmental regulations in a given country context, the aggregate cost of premature deaths was more than US$5 trillion worldwide in 2013. In East and South Asia, welfare losses related to air pollution were the equivalent of about 7.5 percent of GDP.
“Air pollution is a challenge that threatens basic human welfare, damages natural and physical capital, and constrains economic growth. We hope this study will translate the cost of premature deaths into an economic language that resonates with policy makers so that more resources will be devoted to improving air quality. By supporting healthier cities and investments in cleaner sources of energy, we can reduce dangerous emissions, slow climate change, and most importantly save lives,” said Laura Tuck, Vice President for Sustainable Development at the World Bank.

Deaths related to ambient air pollution have risen in heavily populated, fast-urbanizing regions, while deaths related to cooking and heating homes with solid fuels have remained constant despite development gains and improvements in health services. Diseases attributed to both types of air pollution caused 1 in 10 deaths in 2013, or more than six times the number of deaths caused by malaria.

“This report and the burden of disease associated with air pollution are an urgent call to action,” said Dr. Chris Murray, Director of IHME. “Of all the different risk factors for premature deaths, this is one area, the air we breathe, over which individuals have little control. Policy makers in health and environment agencies, as well as leaders in various industries, are facing growing demands – and expectations – to address this problem.”

About 90 percent of the population in low and middle income countries are exposed to dangerous levels of ambient air pollution.

To help addressing this issue, in relation with COPD and asthma, ECC is part of an international consortium working on the FRESH AIR project, funded by the European Commission Research programme, Horizon 2020. The overall aim of the FRESH AIR project is to improve health outcomes for people at risk of, or suffering from, chronic respiratory diseases in low-resource settings, where the greatest burden of is experienced, by developing capacity for implementation of evidence-based interventions for prevention, diagnosis and treatment in these contexts. The project consists of inter-related studies that will be carried out in four countries: Uganda, the Kyrgyz Republic, Vietnam and Greece. Each of these is a low-resource setting with high levels of tobacco consumption and population groups exposed to household air pollution.


On 8th of July 2016, the European Chronic Disease Alliance (ECDA) of which ECC is a member, sent the following letter to the attention of the European Commission’s Vice President, Mr. Timmerman, and two other Commissioners:

The letter (in PDF)

Open letter to Timmermans 1

















30 June 2016: Members of the European Parliament (MEPs) and Member States (Council) come to an agreement on the final text of the new NEC (National Emissions Ceilings) Directive, also called the EU air quality Directive. The European Commission had put forward in 2013 a rather comprehensive “Clean Air package” including a new NEC Directive, with stricter national emission ceilings for six main pollutants, and provisions for black carbon (BC), which also help to mitigate climate change.

[photo: Catherine Hartmann]

Had it been agreed and fully implemented by 2030 and compared to business as usual (i.e. implementation of current legislation), the new Clean Air Policy Package was estimated to prevent 58 000 premature deaths and produce health savings of between EUR 40 billion and 140 billion.

AlecALEC is a new EU-funded Horizon 2020 project which will improve our understanding of the reasons for low lung function, respiratory disability and the development of COPD in older adults.

Through a collaboration of epidemiologists, clinicians, statisticians and geneticists we will conduct our research within large established child and adult cohorts that include over 25,000 research participants.

  • Identifying which behavioural, environmental, occupational, nutritional and other modifiable lifestyle factors, and genes, affect poor lung growth and lung function decline
  • Collecting new data on how parents and grandparents health and lifestyles influence lung health in later generations
  • Identifying genetic markers for development of poor lung function and exposure to disease risk factors
  • Generating a predictive risk score to identify people who are at risk of COPD
  • Making recommendations on COPD research priorities – including the need to establish new cohorts

The ALEC Study is funded by the European Union’s Horizon 2020 Research and Innovation programme

More information


ipcrg_world_conference_25-26-27-28-may-201628 May 2016, Sian Williams presents on behalf of ECC the COPD standards of Care project, during the abstract session of the IPCRG (International Primary Care Respiratory Group) conference, in Amsterdam, the Netherlands.

The project consisted in a literature review which concluded on 12 recommendations to be part of ECC’s advocacy work towards better care for people living with COPD and prevention of the onset of the disease. The recommendations were submitted to a panel of 1000 people in five European Union countries via YouGov and overwhelming amount of people supported the recommendations.