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Anwar 2021
Anwar 2021
A R T I C L E I N F O A B S T R A C T
Editor: Dr. Rinklebe Jörg This study examines point and non-point sources of air pollution and particulate matter and their associated
socioeconomic and health impacts in South Asian countries, primarily India, China, and Pakistan. The legislative
Keywords: frameworks, policy gaps, and targeted solutions are also scrutinized. The major cities in these countries have
Air Pollutants surpassed the permissible limits defined by WHO for sulfur dioxide, carbon monoxide, particulate matter, and
Climate Change
nitrogen dioxide. As a result, they are facing widespread health problems, disabilities, and causalities at extreme
Waste to Energy
events. Populations in these countries are comparatively more prone to air pollution effects because they spend
Public Health
Vehicular Pollution, Desulfurization more time in the open air, increasing their likelihood of exposure to air pollutants. The elevated level of air
pollutants and their long-term exposure increases the susceptibility to several chronic/acute diseases, i.e.,
obstructive pulmonary diseases, acute respiratory distress, chronic bronchitis, and emphysema. More in-depth
spatial-temporal air pollution monitoring studies in China, India, and Pakistan are recommended. The study
findings suggest that policymakers at the local, national, and regional levels should devise targeted policies by
considering all the relevant parameters, including the country’s economic status, local meteorological condi
tions, industrial interests, public lifestyle, and national literacy rate. This approach will also help design and
implement more efficient policies which are less likely to fail when brought into practice.
* Corresponding author.
E-mail addresses: naveedanwarenv@gmail.com (M.N. Anwar), asnizami@gcu.edu.pk (A.-S. Nizami).
https://doi.org/10.1016/j.jhazmat.2021.125851
Received 4 August 2020; Received in revised form 11 March 2021; Accepted 6 April 2021
Available online 9 April 2021
0304-3894/© 2021 Elsevier B.V. All rights reserved.
M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
Hence, even individuals living healthy lifestyles are still prone to chronic population has also been increasing exponentially. This has been re
and life-threatening diseases caused by polluted air. As estimated, flected in the UN estimation that by 2050 the urban population will rise
12.7% of the worldwide deaths could be prevented by improving air to 9.3 billion (Poot and Pawar, 2013). Hence, further development of
quality and by reductions in the yearly mean ambient concentration of civil facilities and infrastructure, and as a result, additional pressure on
air pollutants, specifically PM2.5 from 35 µg/m3 to 10 µg/m3, and PM10 human health and the environment should be expected (Gurjar et al.,
from 70 µg/m3 to 20 µg/m3 (WHO, 2018). 2016).
The magnitude of the impacts related to air pollution and resultant Different air pollutants such as gaseous and particulate matter are
health challenges are more extensive in the developing world (Smith, released into the environment by various sources. Among these, carbon
2002). More specifically, low and middle-income countries experience a dioxide (CO2) is a major greenhouse gas (GHG) associated with adverse
premature death toll of about 3.8 million annually because of indoor air environmental challenges, i.e., global warming and climate change. As
pollution (WHO, 2018). Out of the total deaths associated with indoor shown in Fig. 1, the CO2eq emissions for Pakistan, India, and China
air pollution, 2/3rd occur in Asia and Africa alone due to biomass-based stand at 304.85, 2432, and 9679 m3, respectively.
fuels’ combustion (Yamamoto et al., 2014). Fig. 2 highlights the mean annual exposure to fine particulate matter
The world’s worst air pollution levels have been reported in the (PM2.5) over an 8 year period (2010–2017) in Pakistan, India, and China
South Asian region. In India alone, about six hundred thousand people (The World Bank, 2019). Based on these statistics, it could be inferred
succumb to premature deaths annually because of outdoor air pollution that among these three neighboring countries, the highest exposure
(Kanawade et al., 2020). Nearly all children less than five years of age in levels were recorded in India in the entire time span. Moreover, unlike
the developing world are exposed to high particulate matter levels ≤ 2.5 India, China, followed by Pakistan, experienced a decreasing trend in
micrometers (PM2.5) (Wang et al., 2019a, 2019b). China alone wit exposure to PM2.5.
nessed 25 million disability-adjusted life years (DALY) and an approxi The relative SO2 and NO2 concentrations in µg/m3 are given in Fig. 3.
mated financial cost of $1.4 trillion due to air pollution (Yang et al., It is quite clear that unlike other gaseous emissions, Pakistan has higher
2013). Henceforth, it could be concluded that air pollution is a deadly concentrations of both these air pollutants than India. The country-
cause of major health-related, social, and economic issues in developing specific insight shows that NO2 concentrations in both countries are
nations (Huang et al., 2019). higher than SO2 concentrations. It is important to note that both gaseous
In addition to public health issues, air pollutants are also the major pollutants are key determinants of the air pollution level in any region.
contributors to winter smog, haze formation, and visibility impairment
in South Asia (Cohen et al., 2017; Wang et al., 2019a, 2019b). These 2.1. Vehicular air pollution
emissions also decrease the glaciers’ albedo and accelerate glacier
meltdown in this region (Li et al., 2019). It should be noted that the Vehicular emissions are the primary human-driven sources of air
South Asian countries rely heavily on the river systems, fed by glacial pollution in cities worldwide (Fenger, 1999). Among the continents and
water, for agriculture and electricity production (Hadley and Kirch over the past decade, Asia experienced the most rapid increase in
stetter, 2012). vehicular intensity, primarily because of the saturation in the Organi
In light of the above, the present work looks into air pollution and zation for Economic Cooperation and Development (OECD) markets and
PM, their sources, and the associated health impacts in South Asian income growth (Ilyas, 2007). The two frequently used fuels, petrol and
countries, mainly India, China, and Pakistan. The policy and legislative diesel fuels, are responsible for releasing multiple air pollutants. Petrol
gaps for mitigating air pollution and PM are also highlighted. Potential combustion in vehicle engines emits volatile organic compounds
solutions to overcome the challenges faced in this region are also pre (VOCs), CO, heavy metals, and ammonia (NH3). At the same time, diesel
sented in different categories, i.e., air-quality reporting system, legisla combustion leads to the emission of PM2.5 and nitrogen oxide (NOx)
tions, tree-planting, waste-to-energy (WtE), fuel quality, and (Khalife et al., 2017)). Diesel particulate matter (DPM) composition
alternatives to stubble burning. could be complex, comprising elemental carbon surrounded by organic
compounds such as nitro polycyclic aromatic hydrocarbons (nitro-
2. Sources of air pollution in China, India, and Pakistan PAHs) with small amounts of metals and nitrate sulfate (Forehead and
Huynh, 2018). The composition of emitted gases and particles de
Rapid urbanization and industrialization have inevitably resulted in termines the emissions’ toxicity level (Rückerl et al., 2011). It should
higher air pollution magnitudes in developing countries than their also be noted that the post-emission from the exhaust pipe, the mixture
developed counterparts (Wang et al., 2019a, 2019b). It is worth high of gases and particles could undergo various compositional changes.
lighting that the challenge is even more severe in urban environments Local conditions such as temperature, sunlight, pollutants concentra
where economic and industrial activities and, consequently, high energy tion, turbulence, and humidity are among the major factors affecting the
consumption occur. It is needless to stress that the urban regions’ final composition and properties of the pollutant mixture (Ryu et al.,
2
M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
12000
10000
8000
6000
4000
2000
0
Pakistan India China
Mt CO-eq Emissions 304.85 2432 9679
Fig. 1. Comparison of carbon dioxide (CO2) emissions of Pakistan, India, and China (Abas et al., 2017).
2017
2016
China 2015
2014
2013
2012
India 2011
2010
Pakistan
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100105
PM2.5 Air Pollution: Mean Annual Exposure (µg/m3)
Fig. 2. Mean annual exposure to fine particulate matter (PM2.5) in China, India, and Pakistan from 2010 to 2017 (Source: World Bank 2019).
Fig. 3. Relative concentration of sulfur dioxide (SO2) and nitrogen dioxide 2.1.2. Vehicular emissions in India
(NO2) in micrograms per cubic meter in neighboring countries, India, and Like China, India is also struggling with urban air pollution, with the
Pakistan (Abas et al., 2017). transportation sector considered as the main culprit. A decade ago, a
study found only five megacities having acceptable air quality out of the
2013). eighteen Indian metropolitans surveyed (Gurjar et al., 2008). The situ
ation further deteriorated ever since, and India now witnesses recurrent
2.1.1. Vehicular emissions in China winter smog episodes in major cities like Delhi. In addition to Delhi, 32
With China becoming the leading market in automobile production other Indian cities are among the top 100 world’s worst pollution-a
and sales worldwide, the number of vehicles rose from 49 to 220 million ffected cities. Air pollution’s health cost constituted 23% of India’s GDP
in just fourteen years, from 1999 to 2013 (Wang and Chen, 2013). As a value in 2010. A rapid increase in vehicle number from 0.3 to 159.5
result, many cities and in particular Shanghai, Guangzhou, and Beijing million was recorded from 1951 to 2012, respectively (Gurjar et al.,
have experienced haze and winter smog episodes. Three-quarters of 2016), with metropolitan cities accommodating almost 32%. Ram
China’s urban population breathe unhealthy air based on China’s Na achandra (2009) estimated that trucks and lorries contributed the
tional Ambient Air Quality Standards (Shao et al., 2006). In Beijing, highest proportion of vehicular emissions in India. This estimation was
vehicles are responsible for approximately 11%, 35%, 57%, and 64.1% in line with the findings of other studies on the emission inventories for
of precursor organic compounds, black carbon, non-methane VOCs, and different Indian cities, suggesting that diesel operated heavy and
NOx, respectively (Cheng et al., 2013; Song et al., 2007). Using positive light-duty vehicles had the highest contribution to the overall vehicular
matrix factorization (PMF) in megacities, a study conducted in China emissions (Guttikunda and Kopakka, 2014; Guttikunda and Mohan,
found vehicles a crucial VOCs source (Cai et al., 2010). Wang and Yang 2014).
(2018) stressed that the transportation sector is the major contributor to From 1901–2001, the Indian urban population increased from 10%
recurrent haze formation in winters in China by producing secondary to 28%, leading to increased use of vehicles, and consequently, more
organic aerosols. The increase in vehicle intensity has also resulted in traffic congestions. However, these developments were not accompa
higher emissions of GHGs (Zheng et al., 2015). nied by sufficient road infrastructure growth (Mishra and Goyal, 2014).
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M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
In Kolkata, for instance, the primary sources of PM10 are road dust (61%) from the transboundary air pollutants in winters caused by secondary
and vehicles (21%) (Gurjar et al., 2016). Road dust could be attributed aerosol formation. The presence of sulfate particles and the existing
to urban construction activities or dusty weather/climate. meteorological conditions, such as cool and calm winds and high hu
midity, give rise to the formation of smog/haze causing respiratory
2.1.3. Vehicular emissions in Pakistan diseases and reduced visibility (Sanchez-Triana et al., 2014). The smog
Pakistan is also faced with a growing concern regarding air pollution of these pollutants are originated from the Indian coal power plants and
attributed to urban vehicular emissions (Ali et al., 2021); the existing are transported to Pakistan from east to west through flowing trade
emission inventories need further in-depth investigations (Anjum et al., winds and summer monsoons (Abas et al., 2019; Syed et al., 2013). As a
2021). Lower quality of the lubricating oils and fuel used in the trans result, the aerosol concentration increases from March to August,
portation sector on one hand and transportation system mismanage causing aerosols’ settlement at ground level in winters downwind
ment, inadequate traffic control, and road infrastructure, on the other (Ramachandran and Kedia, 2013).
hand, are regarded as the main causes (Ilyas, 2007; Smit et al., 2008).
2.2.1. Transboundary air pollution from India
In India, fossil fuel combustion in megacities is one of the major
2.2. Transboundary air pollution causes of pollutant emission and air quality degradation (Ravindra et al.,
2016). These pollutants, because of their extended lifetime travel
There are no geographical boundaries for air pollution, making its regionally and between continents, triggering political and socioeco
control an even more difficult job. Table 1 presents a comparison of the nomic challenges (Ravindra et al., 2016). India is among the world’s
studies conducted on air pollution in Asia. Air pollutants emitted by one industrialized nations harboring seventeen different categories of
city or country can be easily moved by the airflow and traced in the polluting industries as identified by the Central Pollution Control Board
neighboring cities and countries, respectively (Abas et al., 2019). So, (CPCB), India. These industries include oil refineries, alumi
coordinated response at both inter-city and inter-region levels would be num/copper/zinc smelters, thermal power plants, fertilizer, cement,
required to curb air pollution, and isolated efforts would not yield any pesticides, and petrochemical units (Gurjar et al., 2016). Through coal
promising outcomes (Sanchez-Triana et al., 2014). For instance, India’s combustion as a fuel source, energy generated from thermal power
and China’s coal-fired power plants have negatively affected air quality plants meets the increasing demands for electricity in India, with a total
in these countries and the region. Transfer of pollutants from upper contribution of 74% to the country’s energy mix. From 1973–1997,
industrialized countries to lower riparian countries occurs through the thermal power plants and the petroleum sector contributed over 25%
natural flow of winds and waters. Transboundary pollutants originating and 40% of the total emissions, respectively (TERI, 2001). Given the
from industrialized countries put additional pressures on enormous magnitude of these emissions, effective policies would be
under-developed nations in terms of health and agricultural productivity required to ensure that the transboundary transfer of air pollution will
(Abbas et al., 2019). be mitigated.
One such example of transboundary emission migration is winter
smog episodes of Lahore, Pakistan’s metropolitan city. Lahore suffers
Table 1
Comparison of the studies conducted on air pollution in Asia.
Authors Title Methodology Results
Sarigiannis et al., Monitoring of air pollution levels related to Sampling campaigns were carried out over a In the warm season, sulfates, traffic emissions, mineral
2017 Charilaos Trikoupis Bridge period of 3 years using Low flow air samplers dust increased, while biomass burning was prevalent in
the cold season
Wang et al., Fault Tree Analysis of the Causes of Urban Smog Fault tree analysis (FTA) was used to study the Vehicles abundance, congestion, and use of low-quality
2019a, 2019b Events Associated With Vehicle Smog Emissions: contribution of vehicles in the formation of oil was directly associated with higher emissions and,
A Case Study in Jinan China smog consequently, the formation of smog
Serbula et al., Extreme Air Pollution with Contaminants Monitoring of SO2 levels was performed for the Annual levels of SO2 were higher than the proposed
2017 Originating from the Mine-Metallurgical time period 2010–2015 Limit value (LV), with an incidence of SO2 187 times
Operations higher than the proposed limit value by WHO
Pimonsree and Impact of Biomass Burning and its Control on Control of biomass burning emissions was The average value of daily PM2.5 decreased by 1.05% in
Vongruang, Particulate Matter over a City in Mainland assessed using Weather Research and response to each percent decrease in biomass burning
2018 Southeast Asia during a Smog Episode Forecasting (WRF) and Community-Multi Scale
Air Quality (CMAQ)
Gurjar et al., Air Pollution Trends Over Indian Mega-cities Emissions and concentration trends were A decreasing trend was observed in the emissions of SO2
2016 and their Local to Global Implications examined and analyzed in three cities of India because of less coal consumption, and an increasing
trend was recorded in the emissions of NOx due to the
higher number of vehicles
Phosri et al., Effects of Ambient Air Pollution on Daily Daily data of hospital admissions and air An increase of 10 µg/m3 in PM10, SO2, NO2, O3 was
2019 Hospital Admissions for Respiratory and pollution concentration was analyzed using a attributed to 1.04%, 8.42%, 1.28%, and 0.14% increase
Cardiovascular Diseases in Bangkok, Thailand linear model in respiratory and cardiovascular diseases
Ali and Rahut, Forest-based livelihoods, Income, and Poverty: A dataset from 500 farmers assessed their Results revealed that families with lower poverty levels
2018 Empirical Evidence from the Himalayan Region dependence on forest resources and higher income levels heavily depend on forest
resources and consume forest-based products
Cuaresma and Deforestation and Economic Development: Subnational Dataset of 14 countries was Low-income countries and Sub-Saharan Africa have a
Heger, 2019 Evidence from National Borders acquired and employed quasi-experimental higher rate of deforestation
method
Shi et al., 2020 Characteristics and Meteorological Mechanisms Daily PM2.5 levels were obtained along with Levels of PM2.5 increased due to the change in wind
of Transboundary Air Pollution in a Persistent atmospheric modeling direction and several other factors, including
Heavy PM2.5 Pollution Episode in Central-East- temperature inversion, large scale subsidence, warm/
China cold advection, and radiative cooling
Ashraf et al., Smog analysis and its effect on reported ocular Monitoring of air pollutants (CO, SO2 NOx, O3, In 2015 and 2016, 200 and 500 patients were reported
2019 surface diseases: a case study of 2016 smog VOCs, PM10, PM2.5) was carried out, and data of with eye diseases, and a 60% higher number of ocular
event of Lahore ocular surface disease was obtained disease patients were observed in the period of smog in
contrast to normal conditions
4
M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
2.2.2. Transboundary air pollution from China 10% in the forest cover (Yao et al., 2019). It is worth quoting that from
In recent decades, China has experienced rapid growth in population 1950 to 2010, plantation forests sequestered 1.7 Pg of carbon and are
and urbanization. The industrial expansion resulted in industries mov expected to increase carbon sequestration by 10.4 Pg by the year 2050
ing from core areas of the cities to the neighboring regions. For 2002 and (Yao et al., 2019).
2010, SO2 and NOx emissions exhibited dramatic increases of 5.30 and
16.14 million tons (Mt), respectively. The economic growth contributed 2.3.2. Deforestation in India
to the rise of 11.49, 26.24, and 33.12 Mt of PM2.5, NOx, and SO2. China’s In India, about 14,000 km2 of the forest areas have been cleared over
Environmental Statistical Yearbook stated that out of the 18.587 Mt of the past three decades because of economic activities such as hydro
SO2 emissions, 15.566 Mt were emitted by the industrial sector. The electricity production, defense, and mining. The mining sector is
North China Plain is the most industrialized area in China, and air responsible for the deforestation of 5000 km2 area alone (Ranjan, 2019).
pollution goes to the extreme in winter (Yan et al., 2018). However, the A study conducted from 2001 to 2014 reported about 2000, 40, and
regional transport of air pollutants by southerly winds could also be 145 km2 loss of forest areas in Chhattisgarh, Jharkhand, and Madhya
regarded as a reason for the higher level of pollution in the North China Pradesh states, respectively, while some states recorded no change in
Plain (Jin et al., 2020). their forest areas and some states registered improvements (Ranjan,
2019). Overall, India stands at the 8th position among the top ten
countries with the highest annual forest area retrieval rates. The in
2.3. Air Pollution caused by deforestation crease in forest area is achieved through afforestation activities, man
agement practices, and local people’s participation.
The uncontrolled population growth has increased the demands for
wood and other forest products, accelerating deforestation (Kumari 2.3.3. Deforestation in Pakistan
et al., 2019). Deforestation through changing the mass balance and In Pakistan, the total forest cover is 3.59 million ha, corresponding to
increasing the concentration of CO2 results in climatic change both 4.1% of the total land area (Owais and Siddiqui, 2019). Khyber Pak
locally and globally (Longobardi et al., 2012). Moreover, the consequent htunkhwa and Gilgit-Baltistan provinces constitute about 40% and 15%
land-use change could affect the hydro-meteorological cycle adversely of the country’s forests, respectively. Pakistan has a high deforestation
(Pinker, 1980) and result in alteration of regional radiation flux as bare rate of 4.6% annually (Ahmad et al., 2012). It is noteworthy that forests
soil reflects more solar radiation, increasing albedo. The synergistic ef in the Himalayas, including Pakistan, play a crucial role in local people’s
fect of increased albedo and CO2 concentration and reduced evapo livelihood (Kala, 2005). A variety of forest products such as fruits,
transpiration leads to warmer and drier weather globally (Kumari et al., vegetables, fodder, fuelwood, timber for construction, and medicinal
2019). The variations in forest cover (%) in Pakistan, India, and China plants are regarded as income sources (Poffenberger, 2012). Rapid ur
(2001–2016) are presented in Table 2. China and India have increased banization in many Pakistan cities is considered as the leading cause of
their forest cover through plantations, while Pakistan has the lowest deforestation. In this context, between 1992 and 2000, Islamabad lost
forest cover and experiences a declining trend as well. 22% of its vegetation cover because of urbanization (Waseem and
Khayyam, 2019). Ahmad and co-workers studied deforestation in the
2.3.1. Deforestation in China temperate region of Pakistan. From 1994–2016, an estimated 626 ha of
From 1949–1979, Northeast China experienced a sharp decline in its forests were lost, which resulted in 4948 ha of degraded dense forest
forest cover for timber production. The over-exploitation of resources area. The total removal was 680.88 km3, with an annual rate of
resulted in a subsequent decrease in timber production from 4 to 1.4 30.94 km3 for fuelwood, construction, and agricultural purposes
billion m3 after this period. A study revealed that forests in the Hei (Ahmad et al., 2018).
longjiang Province witnessed increased deforestation from the period
1896–2000, resulting in the degradation of forests (Gao and Liu, 2012).
Recent efforts put into combating forest loss and climate change in China 2.4. Air pollution from coal-based power plants in South Asia
through afforestation campaigns across various states, such as China’s
Returning Farmland to Forest Program (REFP), have led to positive In Asia, thermal energy is the primary energy source. As the two
outcomes in terms of development indicators and forest cover largest Asian countries China and India produced 941,531 MW of en
enhancement (Chen et al., 2020). Afforestation campaigns have been ergy from coal-based power plants combined. Reports indicate that the
implemented in urban environments, with Beijing having 50 million southeastern part of Asia, particularly India, China, and Pakistan, show
trees planted between 2012 and 2015, resulting in an overall increase of increased reliance on coal-fired power plants for energy production.
Coal-based energy production is primarily associated with air pollution
Table 2 (such as SO2, NOx, O3, PM2.5, PM10, and VOCs) and several health
Variations in forest cover in Pakistan, China, and India (2001–2016). problems (Maamoun et al., 2020), undermining action plans devised to
Year Pakistan (%) China (%) India (%) achieve the United Nations’ sustainable development goals (SDGs) with
2001 2.745 19.195 22.149
respect to energy and the environment (Rafaj et al., 2018). Different
2002 2.689 19.537 22.305 organic compounds, such as PAHs, n-alkanes, aromatic acid, and
2003 2.634 19.879 22.461 aliphatic acids, have also been identified in coal combustion emissions
2004 2.523 20.221 22.617 (Shon et al., 2020) A study on 88 internationally-financed coal power
2005 2.467 20.562 22.773
plants concluded that these operations were linked to 6000–10,700
2006 2.412 20.724 22.913
2007 2.356 20.885 23.053 deaths annually, mainly due to respiratory diseases, ischemic heart
2008 2.3 21.046 23.193 disease, upper pulmonary infection, and lung cancer. Around 30% of
2009 2.244 21.027 23.33 these 88 coal power plants belonged to lower-middle-income countries
2010 2.188 21.368 23.473 (Penney et al., 2009). According to a study carried out in India,
2011 2.133 21.533 23.53
2012 2.077 21.697 23.593
coal-fired power plants consume 503 Mt of coal, resulting in the emis
2013 2.021 21.861 23.653 sion of around 580 Kt of PM2.5, 2100 Kt of SO2, 1100 Kt of CO, 665 Mt of
2014 1.965 22.025 23.713 CO2, and 100 Kt of VOCs annually. The authors estimated that such large
2015 1.91 22.19 23.773 quantities of pollutants emission could be attributed to 80,000 to 115,
2016 1.854 22.354 23.833
000 premature deaths and about 20 million asthma cases during
(Source: World Bank data, 2016). 2010–11 (Guttikunda and Jawahar, 2014).
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M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
2.5. Coal-based brick kilns contribution to air pollution in 2015 compared to 82,300 deaths in 1995, an overall increase of 64%.
India reported 48% more deaths (1090,400) in 2015 than 1995
The brick manufacturing industries have also grown in number to (737,400). China also reported an increase in deaths from 945,300 in
fulfil the increasing demands of the construction industry. Various Asian 1990 up to 1140,100 in 2005, but then experienced a downfall in
countries, such as India, Pakistan, and China, are among the world’s mortality rate in 2010. However, this favorable trend did not remain
biggest brick manufacturers. Brick Kilns in India form the second-largest consistent and ascended again to a total death toll of 1108,100 in 2015.
brick manufacturing industry in the world and consume 35 Mt of coal
annually (ICIMOD, 2019). Incomplete combustion of coal, using 3.1. Air pollution and health impacts
low-quality fuels such as rubber tires and wood during bricks manu
facture causes environmental pollutions (Skinder et al., 2014). It should Air quality is consistently degrading in the major cities of Pakistan. In
be noted that brick manufacturing could also lead to soil and water October 2019, Lahore was ranked as the second most polluted city in
pollution and, thus, negatively impact human and environmental health Pakistan, with an Air Quality Index (AQI) of 188. Karachi, Faisalabad,
(Achakzai et al., 2017). In addition to the above, the particulate matter Gujranwala, Rawalpindi, and Quetta are also densely polluted cities of
released from brick kilns contains heavy metals, which could cause Pakistan. The middle-class population has more intensely suffered from
different types of cancer, e.g., lung and bladder, and other health dis respiratory disorders in Quetta. India is ranked as the second most
orders (Martin et al., 2014). A study conducted in rural districts near polluted country in the region, and ambient air pollutants are higher in
brick kilns in Pakistan recorded a higher frequency of respiratory dis Punjab, Utter Pradesh, Bihar, and the National Territory of Delhi. Par
eases, including chronic phlegm, chronic bronchitis, chronic cough, and ticulate matter emission level in China is higher than in developed na
asthma, in the exposed individuals (Shaikh et al., 2012). tions (Zeng et al., 2019). Air quality is very poor in Northern China, and
studies show that life expectancy is 5.5 years lower because of the high
3. Impacts of air pollution in Pakistan, India, and China probability of cardiorespiratory-caused mortality (Chen et al., 2013).
Women and children living in poor and intensely urbanized areas are
Air pollution and its impacts are growing worse all over the world. It more vulnerable to short and long-term health impacts of air pollution
is comparatively more feasible for the developed countries to reduce the (Chuwah et al., 2017).
health risks associated with air pollution owing to substantially higher Emissions of metals like lead from coal and fossil fuel burning could
economic growth and access to more advanced health care facilities adversely affect brain development in children leading to mild mental
(Kanawade et al., 2020). But the impact of air pollution is more severe retardation, which could, in turn, impair their quality of life and lessen
and destructive in developing countries, leading to a wide range of their productivity (Lopes, 2017; Snow et al., 2018). It should also be
health problems, causalities, and disabilities for millions of people highlighted that indoor air pollution caused by burning solid biofuels
(Cohen et al., 2017). could also affect fetus development negatively through maternal expo
Exposure to fine particulate matter (PM2.5) is a leading cause of sure. Stillbirths, growth restrictions, and low birth weight incidents
mortalities worldwide, and the trend shown in Fig. 4 draws a clear could be attributed to such exposures. The risk rate of stillbirth and low
picture of the fact. PM2.5 inflicted about 4.2 million deaths annually in birth weight in the developing nations in 2013, owing to indoor air
2015 worldwide, with most of these occurring in Asian countries, pollution, was estimated at 21% and 25%, respectively (Bruce et al.,
especially in Pakistan, India, and China. Statistics reveal that besides a 2013).
global increase of 764,400 deaths over 25 years due to particulate
matter, there has been a continuous increase in the number of deaths in
Pakistan and India from 1990 to 2015. Pakistan reported 135,100 deaths
11,00,000 42,00,000
39,00,000
10,00,000
36,00,000
9,00,000 33,00,000
Number of deaths
8,00,000 30,00,000
7,00,000 27,00,000
24,00,000
6,00,000
21,00,000
5,00,000 18,00,000
4,00,000 15,00,000
3,00,000 12,00,000
9,00,000
2,00,000
6,00,000
1,00,000 3,00,000
0 0
1990 1995 2000 2005 2010 2015
Years
Fig. 4. Number of deaths due to PM2.5 exposure globally and in the investigated Asian countries; Pakistan, India, and China over the past 25 years (Source: State of
Global Air Report 2019).
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M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
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M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
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M.N. Anwar et al. Journal of Hazardous Materials 416 (2021) 125851
mass by up to 70%, reduce GHGs emissions, and reduce landfilling. It The conversion of rice straw into bioethanol could be regarded as
should be noted that landfills, especially open landfill sites, are sources alternatives to burning (Zahed et al., 2016); this rice straw management
of air, soil, and water pollution (Ouda et al., 2016). On the other hand, technique could be costly, though. Soil fertility can be increased through
during the incineration process, the municipal waste’s organic content is in situ utilization of stubble. It is a good source of sulfur and potassium
combusted under controlled conditions, producing renewable energy and contains nitrogen and phosphorus as well. The stubble
that could be substitute fossil fuels. However, inevitable byproducts are co-composting with the poultry manure has also been reported in recent
also formed during the process, such as hazardous gases, pollutant years (Borah et al., 2016).
particles, and fly ash (Johnson, 2016). Therefore, it is essential to ensure
that state-of-the-art technologies will be utilized to minimize in 5. Conclusions
cineration’s negative impacts on the environment.
Anaerobic digestion of organic waste for biogas production (Taba Air pollution is undoubtedly a significant risk to human health and a
tabaei et al., 2020a, 2020b) is another major WtE approach that could primary culprit behind the deterioration of the environment and the
lead to the generation of biomethane as a replacement for natural gas. degradation of the natural ecosystems in the surveyed countries, i.e.,
Conversion of waste oils of plant and animal origin into biodiesel to Pakistan, India, and China. Hence, reducing overwhelming anthropo
partially replace diesel consumption would be another WtE solution to genic activities is imperative to lessen air pollution and the associated
be implemented (Aghbashlo et al., 2017, 2018a, 2018b, 2019a, 2019b). adverse consequences. The detailed review presented herein also
The application of waste-derived fuel additives is also regarded as an showed that ambient air pollution contributed significantly to the
effective strategy to reduce air pollution caused by the widespread burden of diseases in South Asia over the past few decades. The number
combustion of fossil-oriented energy carriers in the transportation sector of deaths correlated with air pollutants in Pakistan, India, and China has
(Hosseinzadeh-Bandbafha et al., 2018, 2019; Amid et al., 2020). Efforts also continuously increased over the past 25 years. Any multidisci
should also be put into maximizing the integration of various WtE plinary approaches aimed at reducing air pollution in these countries
technologies in various industries (Aghbashlo et al., 2018a, 2018b; have to include the limitation on coal-burning. Other solutions,
Rajaeifar et al., 2019). Despite the advantageous features of WtE sys including a smooth transition from fossil fuels to renewable energy
tems, it is still critical to look into their sustainability features using carriers to power the transportation sector and, particularly, renewable
advanced sustainability assessment tools (Aghbashlo et al., 2018a, energies generated from waste, should also be considered. Moreover,
2018b, 2019a, 2019b; Tabatabaei et al., 2020). emission policies that assist with air pollution reduction systematically
should also be put in place effectively to offer incentives and, where
4.5. Promoting low-sulfur fuel needed, penalize polluting systems. It should be highlighted that given
the transboundary nature of the air pollution challenge, coordination by
The effect that SO2 itself has on lung function at a standard con the surveyed countries at sub-national, national, and regional levels is
centration usually recorded in the ambient air is not very harmful to vital should the objectives mentioned above are to be achieved.
health. However, a mixture of SO2 and other particles present in the
ambient air could have a more significant toxic effect. Toxicity varies CRediT authorship contribution statement
with particles’ size and nature, SO2 concentration, relative humidity,
and resultant products formed after combination. These transformed MNA: Writing - original draft preparation. MS: Writing - reviewing &
particles have an irritating effect on the lining membrane of the respi editing. ET: Methodology. MI: Conceptualization. HS: Investigation. AT:
ratory canal. This irritant effect reduces mucus flow speed and narrows Formal analysis. MAM: Methodology, Investigation. MFK: Visualization.
down airways because of inflammation of membranes (Rall, 1974). MR: Data curation. MA: Formal analysis. MT Ali: Resources. ASN:
These health impacts and other environmental constraints have led to Supervision.
limitations on the sulfur level present in crude oil-derived products
globally, necessitating desulfurization. During the recent three decades,
numerous desulfurization techniques have been introduced, including Declaration of Competing Interest
oxidation-extraction desulfurization, bio-desulfurization, adsorptive
desulfurization, oxidative desulfurization, and hydrodesulfurization. The authors declare that they have no known competing financial
(Saleh, 2020). Hydrodesulfurization is the most common method interests or personal relationships that could have appeared to influence
employed in refineries (Babich and Moulijn, 2003). the work reported in this paper.
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