Toxic Smog Puts Cancer as Leading Cause of Death in China
Beijing's 21-million residents live in a toxic fog of particulate matter, ozone, sulphur dioxide, mercury, cadmium, lead and other contaminants, mainly caused by factories and coal burning. Schools and workplaces regularly shut down when pollution exceeds hazardous levels. People have exchanged paper and cotton masks for more elaborate, filtered respirators. Cancer has become the leading cause of death in the city and throughout the country.
Beijing's 21-million residents live in a toxic fog of particulate matter, ozone, sulphur dioxide, mercury, cadmium, lead and other contaminants, mainly caused by factories and coal burning.Shutterstock
Chinese authorities, often reluctant to admit to the extent of any problem, can no longer deny the catastrophic consequences of rampant industrial activity and inadequate regulations. According to Bloomberg News, Beijing's Centre for Disease Control and Prevention says that, although life expectancy doubled from 1949 to 2011, “the average 18-year-old Beijinger today should prepare to spend as much as 40 percent of those remaining, long years in less than full health, suffering from cancer, cardiovascular disease and arthritis, among other ailments."
China's government also estimates that air pollution prematurely kills from 350,000 to 500,000 residents every year. Water and soil pollution are also severe throughout China. The documentary film Under the Dome, by Chinese journalist Chai Jing, shows the extent of the air problem. The film was viewed by more than 150 million Chinese in its first few days, apparently with government approval. Later it was censored, showing how conflicted authorities are over the problem and its possible solutions. The pollution problem also demonstrates the ongoing global conflict between economic priorities and human and environmental health.
Rather than seeing China's situation as a warning, many people in Canada and the U.S.—including in government—refuse to believe we could end up in a similar situation here. And so U.S. politicians fight to block pollution-control regulations and even to remove the power of the U.S. Environmental Protection Agency, or shut it down altogether! In Canada, politicians and pundits argue that environmental protection is too costly and that the economy takes precedence.
Some people even point to China as a reason for Canada not to do anything, arguing that what we do or don't do to confront climate change and pollution will make little difference because our contributions pale in comparison to countries like China and India. But while Canada's air quality is better than many places, half of us live in areas where we are exposed to unsafe levels of air pollution. According to the Heart and Stroke Foundation, “Short and long term exposure to air pollution are estimated to result in 21,000 premature deaths in Canada in 2008 as well as 620,000 doctor visits, 92,000 emergency department visits, 11,000 hospital admissions and an annual economic impact of over $8 billion."
And, as we know, air doesn't stay within national boundaries. The global atmosphere is being loaded with the sum of all nations' activities.
As for greenhouse gas emissions, Canada may contribute less than two percent of overall global emissions, but we have the highest emissions per capita—more than the U.S. and Russia and close to three times the global average. Even with a small population compared to many countries, we're in the top 10 for overall emissions. Don't we have a moral responsibility to reduce our share?
We can and should do more to curb pollution and greenhouse gas emissions, especially as demands from industry and a growing population continue to increase. That means making homes and workplaces more energy-efficient and driving less. Transportation is a major contributor to air pollution and greenhouse gas emissions. But, despite the fact that a large percentage of the emissions and pollution come from SUVs, trucks and vans, sales of those vehicles are rising while car sales are decreasing.
As individuals, we can take action to reduce pollution and emissions, but greater gains should be made at the policy level. Creating good transit and transportation infrastructure that gets people out of their cars is a huge step, as is offering incentives to improve energy efficiency in homes and buildings. Regulations to limit industrial pollution are also necessary.
We may never experience the kind of deadly pollution China is struggling with, but we can do a lot to make sure our air, water and soil are as clean as possible, now and into the future. We must do our part.
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By Kristen Fischer
It's going to be back-to-school time soon, but will children go into the classrooms?
The American Academy of Pediatrics (AAP) thinks so, but only as long as safety measures are in place.
Keeping Schools Safe<p>What will safer schools look like?</p><p>In a <a href="https://jamanetwork.com/journals/jama/fullarticle/2766822" target="_blank">JAMA article</a> published last month, <a href="https://www.jhsph.edu/faculty/directory/profile/1781/joshua-m-sharfstein" target="_blank">Dr. Joshua Sharfstein</a>, a pediatrician and professor at the Johns Hopkins Bloomberg School of Public Health, outlined suggestions — many of which are similar to AAP's.</p><p>Remote learning protocols must stay in place, especially as some schools stagger home and in-building learning. If another shutdown needs to occur, children will rely on distance learning completely, so it must be easy to switch to, he said.</p><p>He suggested giving parents a daily checklist to document their child's health. Kids should be screened quickly on arrival and be given hygiene supplies. Maintenance staff should use appropriate PPE and have regular cleaning schedules. A notification system should be in place if a case is identified, Sharfstein recommended.</p><p><a href="https://www.albany.edu/rockefeller/faculty/erika-martin" target="_blank">Erika Martin</a>, PhD, an associate professor of public administration and policy at University at Albany, said nutrition assistance and health services should be included. She called for tutoring programs with virtual options as well as technology access.</p>
Supporting Staff<p>Teachers and staff will be affected by safeguarding measures, noted <a href="https://directory.sph.umn.edu/bio/sph-a-z/rachel-widome" target="_blank">Rachel Widome</a>, PhD, an associate professor of epidemiology and community health at University of Minnesota.</p><p>"In order for all of the in-school precautions to work well, we'll be asking a lot of teachers and staff," Widome told Healthline. In addition to their usual workload, they'll now be asked to monitor mask-wearing, ensure children are keeping distance, and be aware of any symptoms.</p><p>Along with Sharfstein, Widome called for an increase in financial support. More employees will likely be required so teachers and staff members can keep up with the added demands.</p>
Should Kids Go Back?<p>While these guidelines may help get some schools to reopen, many people don't think children should go back to school over fears they could contract the disease and spread it to other vulnerable family members like grandparents, infant siblings, or their parents.</p><p>In a <a href="https://pediatrics.aappublications.org/content/early/2020/07/08/peds.2020-004879" target="_blank">Pediatrics</a> commentary, <a href="https://www.md.com/doctor/william-raszka-md" target="_blank">Dr. William V. Raszka, Jr.</a>, an infectious disease specialist at The University of Vermont Medical Center, argued that schools should open because school-aged children are far less important drivers of COVID-19 than adults.</p><p>But he says the risk and benefit is not equal among all students ages 5 to 18.</p><p>"Elementary schools are arguably higher priority for face-to-face schooling, since younger children are at lower risk for infection and transmission, and since parental supervision of younger children's distance learning may be particularly challenging," added Sorensen, who penned a <a href="https://jamanetwork.com/channels/health-forum/fullarticle/2767411" target="_blank">June article in JAMA</a> with reopening tips. "That means middle and high schools are more likely to emphasize distance learning."</p><p>Specific student populations, such as special education students and students with disabilities, would also benefit greatly from more time spent in face-to-face environments, Sorensen said.</p>
What Parents Can Do<p>Parents should ask for and receive frequent updates from schools about plans for the fall. They should also be informed about plans if and when COVID infections are identified, Sharfstein said.</p><p>"I'd like to see parents investing now, during the summer, in doing things that can slow and stop the spread of the virus in their communities," Widome said.</p><p>"Now is a good time for kids to practice wearing masks and get used to them as they may be wearing them for longer stretches if school starts up in person," Widome suggested.</p><p>She recommends parents try different mask designs and materials to see what children are more comfortable wearing.</p><p>"If you are using cloth face coverings, it's good to have extras on hand," Widome added.</p><p>Parents should model healthy behavior at home and while out in public — another thing that could affect how well children adapt to reopening practices, Sorensen said.</p><p>"Children may want to know more about face coverings," added <a href="https://www.linkedin.com/in/leescott/" target="_blank">Lee Scott</a>, chairwoman of the Educational Advisory Board at <a href="https://www.goddardschool.com/" target="_blank">The Goddard School</a>. "Dramatic play, such as creating or wearing a face covering, may help some children adjust to this concept." Schools can also show children photos of what faculty members look like in their masks so the students are familiar with that appearance.</p><p>Johns Hopkins University recently released its eSchool+ Initiative, a slew of resources surrounding education during the pandemic. These include a <a href="https://equityschoolplus.jhu.edu/reopening-checklist/" target="_blank">checklist for administrators</a>, report on <a href="https://equityschoolplus.jhu.edu/ethics-of-reopening/" target="_blank">ethical considerations</a>, and a tracker of <a href="https://equityschoolplus.jhu.edu/reopening-policy-tracker/" target="_blank">state and local reopening plans</a>.</p>
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<div id="fea63" class="rm-shortcode" data-rm-shortcode-id="9a6f211c2bc5aedd34837944cb8eeedf"><blockquote class="twitter-tweet twitter-custom-tweet" data-twitter-tweet-id="1281000111481294849" data-partner="rebelmouse"><div style="margin:1em 0">Water in Illinois is overwhelmingly public. Why is Tammy Duckworth sponsoring a bill that aims to change that? https://t.co/1V36Kkd99s</div> — The American Prospect (@The American Prospect)<a href="https://twitter.com/TheProspect/statuses/1281000111481294849">1594249201.0</a></blockquote></div>
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