Air quality manifesto

Health and exposure to pollution

Air pollution affects everyone who lives and works in London. The most vulnerable groups like children, older people and those with heart and respiratory conditions are most affected. People living in deprived areas are also more affected by poor air quality, partly because these areas are often near busy roads.

Air pollution

Air pollution refers to substances in the air that harm human health, welfare, plant or animal life. Most pollution in London is caused by road transport and domestic and commercial heating systems.

The UK Air Quality Standards Regulations 2010 sets standards for a number of pollutants than can harm human health and the environment. These are based on EU limit values and include:

  • sulphur dioxide (SO2)
  • nitrogen dioxide (NO2)
  • nitrogen oxides (NOX)
  • particulate matter (PM10 and PM2.5)
  • lead
  • benzene
  • carbon monoxide (CO)
  • benzo(a)pyrene
  • ozone (O3)

In London, most of these pollutants are not at levels that affect human health. You can read more about air quality and health at World Health Organisation (WHO) and Committee on the Medical Effects of Air Pollutants.

The two pollutants of most concern in London are:

Particulate matter (PM)

Particulate pollution can harm our heart and lungs - it is linked to asthma and death. Research shows that particles with a diameter of ten microns and smaller (PM10) can be inhaled deep into the lungs as smaller particles can penetrate deeper. PM2.5 can have a particularly bad impact on health.

Nitrogen dioxide (NO2)

At high concentrations, NO2 can inflame the airways and long-term exposure can affect lung function and breathing - it can also worsen asthma.

Health impacts of air pollution

In 2008, we estimated that 4,300 deaths in London were due to long-term exposure to small particles.

In 2015 we published an updated study by King’s College London which included the health impacts associated with the air pollutant nitrogen dioxide (NO2) in London for the first time.

This new study shows that in 2010 there was the equivalent of up to 5,900 deaths across London associated with NO2 long term exposure.

At the same time the deaths associated with long-term exposure to PM2.5 were recalculated. The equivalent number of PM2.5 deaths has decreased from 4,300 (in 2008 based on 2006 concentrations) to 3,500 (in 2010).

The PM2.5 and NO2 figures can be combined to create a total figure of up to 9,400 equivalent deaths in 2010.

In using the 9,400 figure it is important to note that the numbers of equivalent deaths have not increased; we have just never calculated NO2 health impacts before. In fact, PM2.5 figures have decreased compared with the previous report published in 2010. The NO2 health effects have also been calculated using new methods which mean they are subject to greater uncertainty than the PM2.5health effects.

Other key findings from the study include:

  • in 2010 nearly half the health effects of long term exposure to air pollution were caused by pollution from outside London, as well as 75% of cardiovascular hospital admissions associated with PM2.5
  • reductions in pollutant levels between 2010 and 2020 will result in nearly 4 million life years being saved. This excludes the expected impact of the Ultra Low Emission Zone, which will lead to significant reduction in the number of people living in areas of poor air quality (where levels of NO2 exceed legal limits) – by 72 per cent in central London and 54 per cent London wide
  • there have also been average reductions in NO2 levels at roadside sites of more than 12 per cent (with weather effects removed)
  • the report also includes a 2010 borough breakdown highlighting the estimated number of attributable deaths associated with air pollution in each area based on the number of the local population.

Updated Analysis of Air Pollution Exposure in London

The Updated Analysis of Air Pollution Exposure in London research provides an update to similar analysis undertaken in 2013 (which looked at pollution exposure in 2010), published recently by City Hall.

Air quality in London has improved in recent years as a result of policies to reduce emissions, primarily from road transport. However, recently updated maps of pollution concentrations for 2013 still show significant areas of exceedances of the annual mean NO2 EU Limit Values. Improvements are planned to address these, as recently announced in the Mayor’s package of air quality measures.

The updated report examines pollution exposure in London in 2013 and considers how exposure varies by indicators of age, relative deprivation and ethnic groups in London. It also looks at total exposure (broken down by borough) and exposure at schools.

Through the research described in this report, City Hall is seeking to understand the inequalities in accessing clean air in London and considering how this will be improved by planned air pollution policies.

Air quality guidance for public health professionals

Following the Health and Social Care Act, Health and Wellbeing Boards have been set up in each London borough. These boards publish a Health and Wellbeing Strategy, based on the health priorities identified in the borough’s Joint Strategic Needs Assessment.

We have produced guidance for public health professionals in every London borough on concentrations of air pollutants and how these affect health.

Select the relevent group below to view the Air Quality Report for your area.