Connect
MJA
MJA

Principles for setting air quality guidelines to protect human health in Australia

Graeme R Zosky, Stephen Vander Hoorn, Michael J Abramson, Sophie Dwyer, Donna Green, Jane Heyworth, Bin B Jalaludin, Jennifer McCrindle-Fuchs, Rachel Tham and Guy B Marks
Med J Aust 2021; 214 (6): . || doi: 10.5694/mja2.50964
Published online: 8 March 2021

The current mechanism for setting air quality thresholds in Australia does not adequately protect community health

The current air quality framework to mitigate against the health effects of exposure to air pollution within Australia relies on national environmental protection standards — set out under the National Environmental Protection (Ambient Air Quality) Measure (the ambient air quality NEPM) — and the jurisdictional requirements for monitoring and reporting exceedances.1,2 The ambient air quality NEPM sets reportable limits for key criteria air pollutants.1 Criteria air pollutants are those that are legislated internationally as measures of air quality and include particulate matter (PM), nitrogen dioxide (NO2), carbon monoxide, ozone, sulfur dioxide (SO2) and lead1 (Box). Air toxics are non‐criteria air pollutants that are considered to pose a hazard to human health.7 Air toxics are legislated under a separate NEPM which has the goal of generating baseline data for later development of standards for five compounds: benzene, benzo(a)pyrene, formaldehyde, toluene and xylenes.7 The air toxics standards, based on the gathered baseline data, were due to be set in 20127 but are yet to be reviewed.


  • 1 Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS
  • 2 University of Tasmania, Hobart, TAS
  • 3 University of Western Australia, Perth, WA
  • 4 Monash University, Melbourne, VIC
  • 5 Queensland Health, Brisbane, QLD
  • 6 Climate Change Research Centre, University of New South Wales, Sydney, NSW
  • 7 Digital Grid Futures Institute, University of New South Wales, Sydney, NSW
  • 8 Ingham Institute for Applied Medical Research, Sydney, NSW
  • 9 Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC
  • 10 University of New South Wales, Sydney, NSW
  • 11 Woolcock Institute of Medical Research, University of Sydney, Sydney, NSW


Correspondence: Graeme.Zosky@utas.edu.au

Acknowledgements: 

This work was submitted on behalf of the Centre for Air Pollution, Energy and Health Research, a Centre of Research Excellence funded by the National Health and Medical Research Council of Australia. The funding source had no role in the study.

Competing interests:

No relevant disclosures.

  • 1. Australian Government Federal Register of Legislation. National Environment Protection (Ambient Air Quality) Measure. https://www.legislation.gov.au/Details/F2016C00215 (viewed Mar 2020).
  • 2. Hanigan IC, Rolfe MI, Knibbs LD, et al. All-cause mortality and long-term exposure to low level air pollution in the ‘45 and up study’ cohort, Sydney, Australia, 2006–2015. Environ Int 2019; 126: 762–770.
  • 3. Kan H, Wong CM, Vichit-Vadakan N, et al. Short-term association between sulfur dioxide and daily mortality: the Public Health and Air Pollution in Asia (PAPA) study. Environ Res 2010; 110: 258–264.
  • 4. Landrigan PJ, Fuller R, Acosta NJR, et al. The Lancet Commission on pollution and health. Lancet 2018; 391: 461–512.
  • 5. Liu C, Chen R, Sera F, et al. Ambient particulate air pollution and daily mortality in 652 cities. N Engl J Med 2019; 381: 705–715.
  • 6. Stafoggia M, Samoli E, Alessandrini E, et al. Short-term associations between fine and coarse particulate matter and hospitalizations in Southern Europe: results from the MED-PARTICLES project. Environ Health Perspect 2013; 121: 1026–1033.
  • 7. Australian Government Federal Register of Legislation. National Environment Protection (Air Toxics) Measure. https://www.legislation.gov.au/Details/F2011C00855 (viewed Aug 2020).
  • 8. National Environment Protection Council. Methodology for setting air quality standards in Australia Part A. Canberra: Commonwealth of Australia, 2011. http://www.nepc.gov.au/system/files/resources/458719dc-73eb-4cfd-a688-a36b32e80f6c/files/methodology-air-quality-standards-australia-parta.pdf (viewed Mar 2020).
  • 9. National Environment Protection Council. Draft variation to the National Environment Protection (Ambient Air Quality) Measure: impact statement. Canberra: Commonwealth of Australia, 2014. http://nepc.gov.au/system/files/pages/18ae5913-2e17-4746-a5d6-ffa972cf4fdb/files/aaq-nepm-draft-variation-impact-statement.pdf (viewed Aug 2020).
  • 10. Department of the Environment and Energy. Notice of intention to vary the National Environment Protection (Ambient Air Quality) Measure. 18 Jan 2019. https://www.legislation.gov.au/Details/C2019G00039 (viewed Aug 2020).
  • 11. Requia WJ, Adams MD, Arain A, et al. Global association of air pollution and cardiorespiratroy diseases: a sytematic review, meta-analysis, and investigation of modifier variables. Am J Public Health 2018; 108: S123–S130.
  • 12. Hamanaka RB, Mutlu GM. Partiulate matter air pollution: effects on the cardiovascular system. Front Endocrinol 2018; 9: 680.
  • 13. Stanaway JD, Afshin A, Gakidou E, et al. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study. Lancet 2018; 392: 1923–1994.
  • 14. Pappin AJ, Christidis T, Pinault LL, et al. Examining the shape of the association between low levels of fine particulate matter and mortality across three cycles of the Canadian Consensus and Health cohort. Environ Health Perspect 2019; 127: 107008.
  • 15. MacIntyre EA, Gehring U, Molter A, et al. Air pollution and respiratory infection during early childhood: an analysis of 10 European birth cohorts within the ESCAPE project. Environ Health Perspect 2014; 122: 107–113.
  • 16. Doiron D, de Hoogh K, Probst-Hensch N, et al. Air pollution, lung function and COPD: results from the population-based UK Biobank study. Eur Respir J 2019; 54: 1802140.
  • 17. Sangkharat K, Fisher P, Thomas GN, et al. The impact of air pollutants on ambulance dispatches: a systematic review and meta-analysis of acute effects. Environ Pollut 2019; 254: 112768.
  • 18. Collart P, Dramaix M, Leveque A, et al. Concentration-response curve and cumulative effects between ozone and daily mortality: an analysis in Wallonia, Belgium. Int J Environ Health Res 2018; 28: 147–158.
  • 19. Shaddick G, Thomas ML, Mudu P, et al. Half the world’s population are exposed to increasing air pollution. NPJ Clim Atmos Sci 2020; 3: 23.
  • 20. Bawden K, Aust N, Moorcroft S, et al. Evaluating options for an exposure reduction framework. Canberra: National Environment Protection Council, 2012. http://nepc.gov.au/system/files/pages/18ae5913-2e17-4746-a5d6-ffa972cf4fdb/files/exposure-reduction-framework.pdf (viewed Aug 2020).
  • 21. European Commission. Air quality standards. https://ec.europa.eu/environment/air/quality/standards.htm (viewed Aug 2020).
  • 22. Morgan G, Broome R, Jalaludin B. Summary for policy makers of the health risk assessment on air pollution in Australia. Canberra: National Environment Protection Council, 2013. http://nepc.gov.au/system/files/pages/18ae5913-2e17-4746-a5d6-ffa972cf4fdb/files/summary-policy-makers-hra-air-pollution-australia.pdf (viewed Aug 2020).
  • 23. National Environment Protection Council. Proposed variation to the National Environment Protection (Ambient Air Quality) Measure in relation to the standards for particles. http://nepc.gov.au/nepms/ambient-air-quality/proposed-variation/consultation (viewed Aug 2020).
  • 24. National Environment Protection Council. Draft variation to the National Environment Protection (Ambient Air Quality) Measure for sulfur dioxide, nitrogen dioxide and ozone: impact statement. Canberra: NEPC, 2019. http://nepc.gov.au/system/files/consultations/8710bdfb-ed01-4df9-8697-bc75956991a1/files/aaq-nepm-draft-variation-impact-statement-o3-no2-so2.pdf (viewed Aug 2020).
  • 25. Department of the Environment and Energy. Draft varied National Environment Protection (Ambient Air Quality) measures for O3, NO2 and SO2, 2019. http://nepc.gov.au/system/files/consultations/8710bdfb-ed01-4df9-8697-bc75956991a1/files/aaq-nepm-draft-varied-2019.pdf (viewed Aug 2020).

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.