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Quantifying the impact of air pollution on the public's health has become an increasingly critical component in policy discussion. Recent data indicate that more than 70% of the world population lives in cities. Several studies reported that current levels of air pollutants in urban areas are associated with adverse health risks, namely, cardiovascular diseases and lung cancer. IARC recently classified outdoor air pollution and related particulate matter (PM) as carcinogenic to humans. Despite the air quality improvements observed over the last few years, there is still continued widespread exceedance within Europe, particularly regarding PM and nitrogen oxides (NOx). The European Air Quality Directive 2008/50/EC requires Member States to design appropriate air quality plans for zones where air quality does not comply with established limit values. However, in most cases, air quality is only quantified using a combination of monitored and modeled data and no health impact assessment is carried out. An integrated approach combining the effects of several emission abatement measures on air quality, impacts on human health, and associated implementation costs enables an effective cost-benefit analysis and an added value to the decision-making process. Hence, this review describes the basic steps and tools for integrating health into air quality assessment (health indicators, exposure-response functions). In addition, consideration is given to two major outdoor pollutants: PM and NO2. A summary of the health metrics used to assess the health impact of PM and NO2 and recent epidemiologic data are also described.

There is a growing concern that increased nutrient and sediment runoff from river catchments are a potential source of coral reef degradation. Degradation of reefs may affect the number of tourists visiting the reef and, consequently, the economic sectors that rely on healthy reefs for their income generation. This study uses a contingent behaviour approach to estimate the effect of reef degradation on demand for recreational dive and snorkel trips, for a case study of the Great Barrier Reef in Australia. Results from a negative binomial random effects panel model show that the consumer surplus current reef visitors derive from a diving or snorkelling trip is approximately A$185 per trip. Furthermore, results indicate that reef trips by divers and snorkellers could go down by as much as 80 per cent given a hypothetical decrease in coral and fish biodiversity. This corresponds to a decrease in tourism expenditure by divers and snorkellers on full-day reef trips in the Cairns management area of the Great Barrier Reef Marine Park of about A$103 million per year.

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