CLAIH assessment: Difference between revisions

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**Respiratory hospital admissions (PM10, short-term exposure)
**Respiratory hospital admissions (PM10, short-term exposure)
**Medication usage by people with asthma (PM10, short-term exposure)
**Medication usage by people with asthma (PM10, short-term exposure)
*Should secondary PM2.5 be included in the assessment
*Should secondary PM2.5 be included in the assessment?
**Possibilities for exposure modelling (intake fractions are only for primary PM2.5)
**Possibilities for exposure modelling (intake fractions are only for primary PM2.5)
*Should PM10 be included in the assesment  
*Should PM10 be included in the assesment?
**Possibilities for exposure modelling
**Possibilities for exposure modelling
*PM exposure will be assessed based on personal exposure approach.
*PM exposure will be assessed based on personal exposure approach.


'''''Heat'''''
'''''Heat'''''
*Heat exposure impact assessment is a separate assessment
*Heat exposure impact assessment is a separate assessment.
*Building stock development does affect heat exposure, but it would be very dificult to evaluate health impacts from this
*Building stock development does affect heat exposure, but it would be very dificult to evaluate health impacts from this.
*However, the effects of the building energy efficiency solutions on indoor temperatures can, perhaps, be analysed in some other qualitative or quantitative terms
*However, the effects of the building energy efficiency solutions on indoor temperatures can, perhaps, be analysed in some other qualitative or quantitative terms.


'''''General issues'''''
'''''General issues'''''

Revision as of 11:02, 11 February 2011


Climate change, air quality and housing – future challenges to public health (CLAIH)

 CLAIH analytica model

Scope

Purpose

The purpose of the assessment is to evaluate the health impacts and costs in Finland in the future if different housing policies are undertaken.

More specifically:

  • What would be the health impacts and costs in Finland in 2030 if the society preferred different residential building heating systems and building energy efficiency solutions and fuels and forms for district heat production?
  • What would be optimal combinations of residential building heating systems, building energy efficiency and fuels and forms of district heating?
  • What would be the amount of societal subsidies needed to ensure the transition to the preferred heating systems and energy efficiency in housing?

Preferences for different decisions on residential building heating and energy efficiency solutions are assessed from the perspective of a citizen. Total health impacts and all other societal costs (total costs to all citizens, costs from CO2emissions etc.) from different decision options are assessed from the perspective of the whole Finnish society, and the optimal distribution of societal subsidies for different heating system and energy efficiency solutions are evaluated based on the total costs.

Boundaries

  • Population: Finland
  • Assessment time frame: 2010-2030
  • Evaluated activity: heat production and consumption in residential building stock (detached houses, row houses, apartment buildings)
  • Evaluated exposures:
    • Fine particles (PM2.5)
      • Outdoor concentrations
      • Indoor concentrations from domestic wood combustion
      • Personal exposure
    • Indoor dampness and mold
    • Indoor Radon
    • Indoor air temperatures?
  • Evaluated health impacts:
    • Mortality and morbidity due to long term exposure to PM2.5
    • Asthma incidence due to long term exposure to PM2.5
    • Asthma due to indoor mold and dampness
    • Lung cancer due to indoor radon
  • Other evaluated emissions: CO2
  • Evaluated costs:
    • Costs fron health impacts
    • Costs from building stock heat production and consumption
    • Costs from building stock heating system/energy efficiency renovations
    • Costs from energy infrastructure changes (District heat production development)
    • Costs from CO2 emissions
  • Decisions to be evaluated relate to:
    • Fuel options for district heating (for both large existing CHP plants and small scale district heat production)
    • Form of district heat production (should there be more small scale district heat production?)
    • Household heating system options
    • Building energy efficiency improvement options
    • Building air filtering

Underlying scenarios

  • Climate change (temperature) scenarios based on IPCC
    • A2 (heterogeneous world, rising population, slow technological change)
    • A1B (rapid growth of world economy and population, advent new and more efficient technologies, balanced use of fossil and renewable energy sources)
    • B1 (rapid development towards environmentally friendly technologies)
  • Greenhouse gas emission reduction scenarios

Intended users

  • Ministry of Employment and the Economy
  • Ministry of Social Affairs and Health
  • Ministry of the Environment
  • Any interested party

Participants

  • FMI
  • University of Oulu
  • THL
  • Anyone interested

Definition

Figure: CLAIH assessment overview

Decisions to be evaluated

Society:

  • Fuel for district heat production (natural gas, coal, wood, peat, oil, geothermal heat)
  • Form of district heat production (should there be more small scale district heat production?)
  • Subsidies for household heating system/energy efficiency renovations
  • Demands/subsidies for new building stock heating systems/energy efficiency
  • Demands/subsidies for building air filters

Citizen:

  • Household heating system renovations
  • Building energy efficiency renovations


Building stock development

Figure: Building stock development modelling


Building heat consumption

Figure: Building heat consumption modelling


Emissions


Exposure and exposure-response functions

PM2.5

Figure: Modelling of indoor air PM2.5 concentrations from domestic wood combustion

Outdoor air concentration

Indoor air concentration

Personal exposure

ERFs


Indoor dampness and mold


Indoor radon

Heat


Health impacts

Figure: Health impact modelling

Health impact indicators

Calculated for all exposures:

  • Attributable mortality and morbidity
  • Loss of disability adjusted life years (DALY)
    • Years of life lost due to mortality (YLL)
    • Years of life lost due to morbidity (YLD)
  • Loss of life-expectancy


Background information needs


Costs

Citizen:

Society

  • Costs from CO2 emissions
  • Costs to citizens


Analyses

  • Cost-effictiveness analysis
  • Cost-benefit analysis
  • Value-of-information analysis

Result

Result

The objective of the preliminary assessment has been to find out the current level of health impacts related to residential heating and indoor air exposures. The future results (year 2030) have been calculated assuming that things in housing stay pretty much the same as they are now. However, population aging is taken into account.

The preliminary results are based on the following assumptions:

Building stock:

  • Annual building stock loss is 0.3%. Only buildings older than 50 years are pulled down.
  • Annual new building stock construction is determined based on the annual building stock loss (0.3%) and annual increase in the residential surface area per person (0.7%)
  • All new buildings are current standard in energy efficiency.
  • Fraction of heating systems in new buildings is the same as in the buildings constructed between 2000-2010.
  • No heating system/energy efficiency renovations are done in the current building stock.
  • Energy efficiency of buildings constructed at different decades is based on the building restrictions at the construction time.

Energy production/consumption:

  • District heat production:
    • 75% in large CHP plants, 25% in small scale heat production plants
    • Fraction of used fuels is based on the year 2008.
    • These are assumed to stay the same in the future.
  • Electricity production (fuel fractions) is based on the year 2008. This is assumed to stay the same in the future.
  • Only primary heating systems in the residential buildings are included in the assessment.
  • Fraction of the combustion techniques used in the domestic wood heating is based on fractions used for primary wood heating in KOPRA-project.
  • Temperature increase due to climate change is not taken into account.

PM2.5 exposure:

  • Only emissions to outdoor air are included in the assessment.
  • PM2.5 emission intake fraction for domestic combustion is based on the PILTTI-project.
  • PM2.5 emission intake fraction for large and small power plants are based on KOPRA-project.
  • Exposure-response function (RR) for PM2.5 exposure and natural mortality is based on the Tuomisto et al. 2008 expert eliciation study (0.97% (90% Cl 0.02-4.54) per 1 µg/m3 increase in PM2.5.
  • Exposure-response function (AR) for PM2.5 exposure and new cases of chronic bronchitis (age group >27) is 0.0000533 (95% Cl 0.0000017-0.000113) per 1 µg/m3
  • Exposure-response function (AR) for PM2.5 exposure and restricted activity days (RADs) (age group 15-64) is 0.902 (95% Cl 0.792, 1.013) per 10 µg/m3

Mold and dampness exposure:

  • Prevalence of mold and dampness exposure in Finnish residences is 15% This is assumed to stay the same in the future.
  • Exposure-response function for mold and dampness exposure and current asthma is all age groups is 1.56 (1.30–1.86) (Odds ratios for asthma in homes with vs. without visible dampness and/or mold or mold odor)
  • Asthma prevalence in Finnish population is 8% (assumed to be the same in all age groups)

Radon exposure:

  • Average radon concentration in Finnish residences is 120 Bq/m3. This is assumed to stay the same in the future.
  • Exposure-response function (RR) for radon exposure in home and lung cancer mortality is 1.16 (95 % CI 1.05 - 1.31) per 100 Bq/m3.

Population:

  • Assessment takes into account population aging
  • Baseline risk of natural mortality and lung cancer mortality is assumed to stay on the year 2008 level.


Results:

Total heat purchase of residential buildings by heating type, kWh/a

Heating type 2010 2030
District 1.84G 1.99G
Light oil 1.53G 1.38G
Wood 1.02G 1.03G
Electricity 1.83G 1.98G
Geothermal 0.35G 0.54G
Other 0.78G 0.92G


Total PM2.5 emission from residential building heat production, t/a

PM2.5 source 2010 2030
Domestic combustion 6000 5880
Small power plants (<50 MW) 290 310
Large power plant 820 890


Average population exposure to PM2.5 due to residential heat production, µg/m3

PM2.5 source 2010 2030
Domestic combustion 0.53 0.53
Small power plants (<50 MW) 0.005 0.005
Large power plant 0.01 0.01


Annual health impact of PM2.5 exposure from residential building heating. DALY: disability adjusted loss of life years.

Health endpoint 2010 2030
Attributable deaths (all natural) 283 373
DALY: mortality 3177 3583
Attributable new chronic bronchitis cases 107 101
DALY: new chronic bronchitis cases 129 121
Attributable restricted activity days (RAD) 166100 133500
DALY: RAD 45 36


Annual health impact of exposure to indoor mold and dampness. DALY: disability adjusted loss of life years.

Health endpoint 2010 2030
Attributable cases: asthma 28090 27260
DALY: asthma 1657 1608


Annual health impact of exposure to indoor radon. DALY: disability adjusted loss of life years.

Health endpoint 2010 2030
Attributable lung cancer deaths 381 440
DALY: lung cancer mortality 5782 5936


Things to discuss in the meeting:

Mold and dampness

  • Relevance of the asthma prevalence assumption
  • Relevance of the exposure-response function for mold and dampness exposure and asthma
  • Other possible health endpoints for mold and dampness exposure
  • Relevance of the used mold and dampness exposure indicator
  • Factors related to mold and dampness exposure and health effects
  • Important things to consider when modelling changes in building stock and the effect these changes have on the mold and dampness exposure and their health effects

PM

  • Health endpoints included. Options:
    • Natural mortality (PM2.5, long-term exposure)
    • Cardiovascular mortality (PM2.5, long-term exposure)
    • Lung cancer (PM2.5, long-term exposure)
    • New chronic bronchitis cases (PM2.5, long-term exposure)
    • Restricted activity days (PM2.5, short-term exposure)
    • Work loss days (PM2.5, short-term exposure)
    • Minor restricted activity days (PM2.5, short-term exposure)
    • Lower respiratory symptoms (PM10, short-term exposure)
    • Cardiovascular hospital admissions (PM10, short-term exposure)
    • Respiratory hospital admissions (PM10, short-term exposure)
    • Medication usage by people with asthma (PM10, short-term exposure)
  • Should secondary PM2.5 be included in the assessment?
    • Possibilities for exposure modelling (intake fractions are only for primary PM2.5)
  • Should PM10 be included in the assesment?
    • Possibilities for exposure modelling
  • PM exposure will be assessed based on personal exposure approach.

Heat

  • Heat exposure impact assessment is a separate assessment.
  • Building stock development does affect heat exposure, but it would be very dificult to evaluate health impacts from this.
  • However, the effects of the building energy efficiency solutions on indoor temperatures can, perhaps, be analysed in some other qualitative or quantitative terms.

General issues

  • Assessment focus, specific questions asked, issues included
  • As of now, possible decisions on the following issues are to be assessed:
    • Heating options for residential buildings
    • Energy efficiency renovations as part of general renovations in old building stock
      • Improved wall insulation
      • Heat recovery from air exchange
      • Improved window insulation
  • Form of district heat production (more small scale production?)
  • Fuel options for district heat production

Main objective is to answer: what would be to most cost-effective policy options for the society to reduce CO2 emissions from residential heating when the cost from indirect health impacts is taken into consideration

Conclusions

See also

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