Climatic Change

, Volume 82, Issue 1–2, pp 61–76 | Cite as

Climate change, ambient ozone, and health in 50 US cities

  • Michelle L. BellEmail author
  • Richard Goldberg
  • Christian Hogrefe
  • Patrick L. Kinney
  • Kim Knowlton
  • Barry Lynn
  • Joyce Rosenthal
  • Cynthia Rosenzweig
  • Jonathan A. Patz


We investigated how climate change could affect ambient ozone concentrations and the subsequent human health impacts. Hourly concentrations were estimated for 50 eastern US cities for five representative summers each in the 1990s and 2050s, reflecting current and projected future climates, respectively. Estimates of future concentrations were based on the IPCC A2 scenario using global climate, regional climate, and regional air quality models. This work does not explore the effects of future changes in anthropogenic emissions, but isolates the impact of altered climate on ozone and health. The cities’ ozone levels are estimated to increase under predicted future climatic conditions, with the largest increases in cities with present-day high pollution. On average across the 50 cities, the summertime daily 1-h maximum increased 4.8 ppb, with the largest increase at 9.6 ppb. The average number of days/summer exceeding the 8-h regulatory standard increased 68%. Elevated ozone levels correspond to approximately a 0.11% to 0.27% increase in daily total mortality. While actual future ozone concentrations depend on climate and other influences such as changes in emissions of anthropogenic precursors, the results presented here indicate that with other factors constant, climate change could detrimentally affect air quality and thereby harm human health.


Ozone Ozone Concentration Ozone Level Projected Future Climate Sparse Matrix Operator Kernel Emission 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Anderson HR, Atkinson RW, Peacock JL, Marston L, Konstantinou K (2004) Meta-analysis of time-series studies and panel studies of particulate matter (PM) and ozone (O3). World Health Organization, Copenhagen, DenmarkGoogle Scholar
  2. Aw J, Kleeman MJ (2003) Evaluating the first-order effect of intraannual temperature variability on urban air pollution. J Geophys Res D – Atmospheres 108:4365CrossRefGoogle Scholar
  3. Beggs PJ (2004) Impacts of climate change on aeroallergens: past and future. Clin Exp Allergy 34:1507–1513CrossRefGoogle Scholar
  4. Bell M, Ellis H (2003) Comparison of the 1-hr and 8-hr National Ambient Air Quality Standards for ozone using Models-3. J Air Waste Manage Assoc 53:1531–1540Google Scholar
  5. Bell ML, McDermott A, Zeger SL, Samet JM, Dominici F (2004) Ozone and short-term mortality in 95 US urban communities, 1987–2000. J Am Med Assoc 292:2372–2378CrossRefGoogle Scholar
  6. Bell ML, Dominici F, Samet JM (2005) A meta-analysis of time-series studies of ozone and mortality with comparison to the National Morbidity, Mortality, and Air Pollution Study. Epidemiology 16:436–445CrossRefGoogle Scholar
  7. Bell ML, Davis DL, Gouveia N, Borja-Aburto VH, Cifuentes LA (2006) The avoidable health effects of air pollution in three Latin American cities: Santiago, São Paulo, and Mexico City. Environ Res 100:431–440CrossRefGoogle Scholar
  8. Bernard SM, Samet JM, Grambsch A, Ebi KL, Romieu I (2001) The potential impacts of climate variability and change on air pollution-related health effects in the United States. Environ Health Perspect 109:S199–S209CrossRefGoogle Scholar
  9. Byun DW, Ching JKS (eds) (1999) Science algorithms of the EPA Models-3 Community Multiscale Air Quality (CMAQ) modeling system. USEPA, Research Triangle Park, North Carolina, EPA/600/R-99/030Google Scholar
  10. Casman E, Fischhoff B, Small M, Dowlatabadi H, Rose J, Morgan MG (2001) Climate change and cryptosporidiosis: a qualitative analysis. Clim Change 50:219–249CrossRefGoogle Scholar
  11. Charron DF, Thomas MK, Waltner-Toews D, Aramini JJ, Edge T, Kent RA, Maarouf AR, Wilson J (2004) Vulnerability of waterborne diseases to climate change in Canada: a review. J Toxicol Environ Health, Part A 67:1667–1677CrossRefGoogle Scholar
  12. Cifuentes L, Borja-Aburto VH, Gouveia N, Thurston G, Davis DL (2001a) Hidden health benefits of greenhouse gas mitigation. Science 293:1257–1259CrossRefGoogle Scholar
  13. Cifuentes L, Borja-Aburto VH, Gouveia N, Thurston G, Davis DL (2001b) Assessing the health benefits of urban air pollution reductions associated with climate change mitigation (2000–2020): Santiago, São Paulo, México City, and New York City. Environ Health Perspect 109:S419–S425CrossRefGoogle Scholar
  14. Constable JVH, Guenther AB, Schimel DS, Monson RK (1999) Modelling changes in VOC emission in response to climate change in the continental United States. Glob Chang Biol 5:791–806CrossRefGoogle Scholar
  15. Dockery DW, Pope CA III (1994) Acute respiratory effects of particulate air pollution. Annu Rev Public Health 15:107–132CrossRefGoogle Scholar
  16. Epstein PR (2001) Climate change and emerging infectious diseases. Microbes Infect 3:747–754CrossRefGoogle Scholar
  17. Fuentes JD, Lerdau M, Atkinson R, Baldocchi D, Bottenheim JW, Ciccioli P, Lamb B, Geron C, Gu L, Guenther A, Sharkey TD, Stockwell W (2000) Biogenic hydrocarbons in the atmospheric boundary layer: a review. Bull Am Meteorol Soc 81:1537–1575CrossRefGoogle Scholar
  18. Gauderman WJ, Gilliland GF, Vora H, Avol E, Stram D, McConnell R, Thomas D, Lurmann F, Margolis HG, Rappaport EB, Berhane K, Peters JM (2002) Association between air pollution and lung function growth in southern California children: results from a second cohort. Am J Respir Crit Care Med 166:76–84CrossRefGoogle Scholar
  19. Grell GA, Dudhia J, Stauffer DR (1994) A description of the fifth-generation Penn State/NCAR Mesoscale Model (MM5). National Center for Atmospheric Research, Boulder, Colorado. NCAR Technical Note TN-398+STRGoogle Scholar
  20. Haines A, Patz JA (2004) Health effects of climate change. J Am Med Assoc 291:99–103CrossRefGoogle Scholar
  21. Hales S, de Wet N, Maindonald J, Woodward A (2002) Potential effect of population and climate changes on global distribution of dengue fever: an empirical model. Lancet 360:830–834CrossRefGoogle Scholar
  22. Hogrefe C, Lynn B, Civerolo K, Ku JY, Rosenthal J, Rosenzweig C, Goldberg R, Gaffin S, Knowlton K, Kinney PL (2004a) Simulating changes in regional air pollution over the eastern United States due to changes in global and regional climate and emissions. J Geophys Res D – Atmospheres 109:1–13Google Scholar
  23. Hogrefe C, Biswas J, Lynn B, Civerolo K, Ku JY, Rosenthal J, Rosenzweig C, Goldberg R, Kinney PL (2004b) Simulating regional-scale ozone climatology over the eastern United States: model evaluation results. Atmos Environ 38:2627–2638CrossRefGoogle Scholar
  24. Houyoux MR, Vukovich JM, Coats CJ Jr., Wheeler NJM, Kasibhatla PS (2000) Emission inventory development and processing for the Seasonal Model for Regional Air Quality (SMRAQ) project. J Geophys Res D – Atmospheres 105:9079–9090CrossRefGoogle Scholar
  25. Hunter PR (2003) Climate change and waterborne and vector-borne disease. J Appl Microbiol 94:37S–46SCrossRefGoogle Scholar
  26. Ikeda T, Yoshitani J, Terakawa A (2005) Flood management under climatic variability and its future perspective in Japan. Water Sci Technol 51:133–140Google Scholar
  27. Kinney PL, Knowlton K, Hogrefe C (2005) Ozone: Kinney et al. respond. Environ Health Perspect 113:A87Google Scholar
  28. Knowlton K, Rosenthal JE, Hogrefe C, Lynn B, Gaffin S, Goldberg R, Rosenzweig C, Civerolo K, Ku JY, Kinney PL (2004) Assessing ozone-related health impacts under a changing climate. Environ Health Perspect 112:1557–1563CrossRefGoogle Scholar
  29. Knutson TR, Tuleya RE, Kurihara Y (1998) Simulated increase of hurricane intensities in a CO2-warmed climate. Science 279:1018–1020CrossRefGoogle Scholar
  30. Levy JI, Carrothers TJ, Tuomisto JT, Hammitt JK, Evans JS (2001) Assessing the public health benefits of reduced ozone concentrations. Environ Health Perspect 109:1215–1226CrossRefGoogle Scholar
  31. Lippmann M (1989) Health effects of ozone: a critical review. J Air Pollut Control Assoc 39:672–695Google Scholar
  32. Lippmann M (1993) Health effects of tropospheric ozone: review of recent research findings and their implications to ambient air quality standards. J Expo Anal Environ Epidemiol 3:103–129Google Scholar
  33. Loevinsohn ME (1994) Climatic warming and increased malaria incidence in Rwanda. Lancet 343:714–718CrossRefGoogle Scholar
  34. Lynn BH, Druyan L, Hogrefe C, Dudhia J, Rosenzweig C, Goldberg R, Rind D, Healy R, Rosenthal J, Kinney P (2004) Sensitivity of present and future surface temperatures to precipitation characteristics. Clim Res 28:53–65Google Scholar
  35. Martens WJM (1998) Climate change, thermal stress and mortality changes. Soc Sci Med 46:331–344CrossRefGoogle Scholar
  36. McMichael A, Githeko A (2001) Human health. In: McCarthy JJ, Canziani OF, Leary NA, Dokken DJ, White KS (eds) Climate change 2001: impacts, adaptation, and vulnerability, a report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, UK, pp 451–485Google Scholar
  37. Medina-Ramón M, Zanobetti Z, Schwartz J (2006) The effect of ozone and PM10 on hospital admissions for pneumonia and chronic obstructive pulmonary disease: a national multicity study. Am J Epidemiol 163:579–588CrossRefGoogle Scholar
  38. Moolgavkar SH, Luebeck EG, Anderson EL (1997) Air pollution and hospital admissions for respiratory causes in Minneapolis – St. Paul and Birmingham. Epidemiology 8:364–370CrossRefGoogle Scholar
  39. Murazaki K, Hess P (2006) How does climate change contribute to surface ozone change over the United States? J Geophys Res D–Atmospheres 111:D05301CrossRefGoogle Scholar
  40. Nakicenovic N, Swart R (eds) (2000) Special report on emissions scenarios, a report of the Intergovernmental Panel on Climate Change. Cambridge University Press, Cambridge, UKGoogle Scholar
  41. Patz JA, Campbell-Lendrum D, Holloway T, Foley JA (2005) Impact of regional climate change on human health. Nature 438:310–317CrossRefGoogle Scholar
  42. Reiter P (1998) Global-warming and vector-borne disease in temperate regions and at high altitude. Lancet 351:839–840CrossRefGoogle Scholar
  43. Rosenzweig C, Iglesias A, Yang XB, Epstein PR, Chivian E (2001) Climate change and extreme weather events: implications for food production, plant diseases, and pests. Global Change and Human Health 2:90–104CrossRefGoogle Scholar
  44. Russell GL, Miller JR, Rind D (1995) A coupled atmosphere–ocean model for transient climate change studies. Atmos–Ocean 33:683–730Google Scholar
  45. Schwartz J (1994) Air pollution and hospital admissions for the elderly in Detroit, Michigan. Am J Respir Crit Care Med 150:648–655Google Scholar
  46. Schwartz J (1995) Short term fluctuations in air pollution and hospital admissions of the elderly for respiratory disease. Thorax 50:531–538CrossRefGoogle Scholar
  47. Schwartz J (2005) How sensitive is the association between ozone and daily deaths to control for temperature? Am J Respir Crit Care Med 171:627–631CrossRefGoogle Scholar
  48. Schwartz J, Michaels P, Davis RE (2005) Ozone: unrealistic scenarios. Environ Health Perspect 113:A86–A87CrossRefGoogle Scholar
  49. Seinfeld JH, Pandis SN (2006) Atmospheric chemistry and physics: from air pollution to climate change. Wiley, New York, New YorkGoogle Scholar
  50. Sheppard L (2003) Ambient air pollution and nonelderly asthma hospital admissions in Seattle, Washington, 1987–1994. In: Revised analyses of time-series studies of air pollution and health. Health Effects Institute, Cambridge, Massachusetts, pp 227–230Google Scholar
  51. Sillman S, Samson PJ (1995) Impact of temperature on oxidant photochemistry in urban, polluted rural and remote environments. J Geophys Res 100:11497–11508CrossRefGoogle Scholar
  52. Stieb DM, Judek S, Burnett RT (2002) Meta-analysis of time-series studies of air pollution and mortality: effects of gases and particles and the influence of cause of death, age, and season. J Air Waste Manage Assoc 52:470–484Google Scholar
  53. Stieb DM, Judek S, Burnett RT (2003) Meta-analysis of time-series studies of air pollution and mortality: update in relation to the use of generalized additive models. J Air Waste Manage Assoc 53:258–261Google Scholar
  54. Stocker TF (2001) Physical climate processes and feedbacks. In: Houghton JT, Ding Y, Griggs DJ, Noguer M, van der Linden PJ, Dai X, Maskell K, Johnson CA (eds) Climate change 2001: the scientific basis. Cambridge University Press, Cambridge, UK, pp 417–470Google Scholar
  55. Tanser FC, Sharp B, le Sueur D (2003) Potential effect of climate change on malaria transmission in Africa. Lancet 362:1792–1798CrossRefGoogle Scholar
  56. Thurston GD, Ito K (1999) Epidemiological studies of ozone exposure effects. In: Holgate ST, Samet JM, Koren HS, Maynard RL (eds) Air pollution and health. Academic, San Diego, California, pp 485–510Google Scholar
  57. Thurston GD, Ito K (2001) Epidemiological studies of acute ozone exposures and mortality. J Expo Anal Environ Epidemiol 11:286–294CrossRefGoogle Scholar
  58. USEPA (1997) National Ambient Air Quality Standards for ozone, final rule. Fed Regist 62:38855–38896Google Scholar
  59. USEPA (1999) The benefits and costs of the Clean Air Act 1990 to 2010. USEPA, Washington, District of Columbia, EPA-410-R-99-001Google Scholar
  60. USEPA (2003) Air Quality Index: a guide to air quality and your health. USEPA, Washington, District of Columbia, EPA-454/K-03-002Google Scholar
  61. USEPA (2004) The ozone report: measuring progress through 2003. USEPA, Research Triangle Park, North Carolina, EPA454/K-04-001Google Scholar
  62. USEPA (2006) Air quality criteria for ozone and related photochemical oxidants. USEPA, Washington, District of Columbia, EPA 600/R-05/004aF-cFGoogle Scholar
  63. USEPA (2006) Green book nonattainment areas for criteria pollutants.

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Michelle L. Bell
    • 1
    Email author
  • Richard Goldberg
    • 2
  • Christian Hogrefe
    • 3
  • Patrick L. Kinney
    • 4
  • Kim Knowlton
    • 4
  • Barry Lynn
    • 5
  • Joyce Rosenthal
    • 4
  • Cynthia Rosenzweig
    • 5
  • Jonathan A. Patz
    • 6
  1. 1.School of Forestry and Environmental StudiesYale UniversityNew HavenUSA
  2. 2.Center for Climate Systems ResearchColumbia UniversityNew YorkUSA
  3. 3.Atmospheric Sciences Research CenterState University of New York at AlbanyAlbanyUSA
  4. 4.Mailman School of Public HealthColumbia UniversityNew YorkUSA
  5. 5.National Aeronautic and Space Administration (NASA) Goddard Institute for Space StudiesNew YorkUSA
  6. 6.Nelson Institute for Environmental StudiesUniversity of Wisconsin at MadisonMadisonUSA

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