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			 The study, published in Nature, is the first to calculate how 
			pollution crossing state lines impacts early deaths in each state, 
			said coauthor Steven Barrett, an associate professor of aeronautics 
			and astronautics at Massachusetts Institute of Technology in 
			Cambridge. 
			 
			Globally, an estimated 4.2 million premature deaths are linked to 
			outdoor air pollution, mainly from heart disease, stroke, lung 
			disease, and acute respiratory infections in children, according to 
			the World Health Organization. 
			 
			Efforts to address outdoor air pollution have largely focused on 
			relationships between local sources of pollution and local air 
			quality. What Barrett and colleagues found is that cross-state 
			pollution accounts for about half of all premature, 
			pollution-related deaths. 
			 
			"Pollution is even less local than we thought," Barrett said in 
			comments emailed to Reuters Health. 
			
			  
			 
			 
			The computer model his team developed for the study took weather 
			patterns and atmospheric chemistry processes into account and tied 
			those to data on human exposures and health risks. They used this to 
			track how each state in the contiguous U.S. affects pollution and 
			health outcomes in every other state. 
			 
			The model included data from 2005, 2011 and 2018 on different 
			sources and types of pollutants, such as sulfur dioxide, ozone and 
			fine particulates, from seven emissions sectors, including electric 
			power generation, road transportation, marine, rail, aviation, and 
			commercial and residential sources. 
			 
			The team found that electric power plants - which emit sulfur 
			dioxide from smokestacks - were the biggest contributor to deaths 
			related to pollution from other states. In 2005, sulfur dioxide from 
			power plants was involved in 75% of cases of premature deaths from 
			out-of-state pollutants. 
			 
			One bright note is that regulatory changes to curb emissions since 
			2005 have reduced the number of early deaths related to air 
			pollution by 30%. 
			 
			The team also found the proportion of premature deaths from 
			out-of-state emissions is dropping - falling from 53% in 2005 to 41% 
			in 2018. 
			
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			Not all states contribute to the problem equally, the study showed. 
			Many states in the northern midwest, such as Wyoming and North 
			Dakota, are "net exporters" of pollution-related health impacts, in 
			part because of their low populations relative to the amount of 
			emissions they generate. 
			 
			States on the east coast, where winds sweep emissions eastward, are 
			"net importers" of air pollution. New York is hit especially hard, 
			with 60% of early deaths related to air pollution arising from 
			out-of-state emissions. 
			 
			Dr. Peter Muennig, who studies health effects of air pollution at 
			Columbia University's Mailman School of Public Health in New York 
			City, applauded the work. 
			 
			"This is a great study," Muennig, who was not involved in the 
			research, said in an email. 
			 
			"Because this study looks at changes over time and geographic 
			region, it goes far beyond simple correlation," he said. 
			 
			A key limitation, he said, is that the data are based on models, 
			which can be complex and prone to error. 
			 
			Barrett said the researchers tried to quantify areas of uncertainty 
			in the models. 
			 
			"Like with climate change, not knowing the exact number doesn't mean 
			you don't take action, because uncertainty cuts both ways and 
			reality could be worse than our central estimates, as well as 
			better," he said. 
			  
			 
			 
			Barrett said the team has a big archive of data that policymakers 
			could use to curb some of these deaths. 
			 
			SOURCE: https://go.nature.com/3buFgKK Nature, February 12, 2020. 
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