{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T01:27:15Z","timestamp":1786584435850,"version":"build-2736575974"},"posted":{"date-parts":[[2026,8,5]]},"group-title":"Epidemiology","reference-count":51,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"award":["4986-RFA20-1A\/21-9"],"award-info":[{"award-number":["4986-RFA20-1A\/21-9"]}],"id":[{"id":"https:\/\/ror.org\/000a1tn51","id-type":"ROR","asserted-by":"publisher"}]},{"award":["R01ES027892"],"award-info":[{"award-number":["R01ES027892"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"publisher"}]},{"award":["R01ES034175"],"award-info":[{"award-number":["R01ES034175"]}],"id":[{"id":"https:\/\/ror.org\/01cwqze88","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004862","name":"New York State Energy Research and Development Authority","doi-asserted-by":"crossref","award":["156226"],"award-info":[{"award-number":["156226"]}],"id":[{"id":"10.13039\/100004862","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100004862","name":"New York State Energy Research and Development Authority","doi-asserted-by":"crossref","award":["125993"],"award-info":[{"award-number":["125993"]}],"id":[{"id":"10.13039\/100004862","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,8,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Over the past decades, US policies intended to reduce air pollution emissions from electric generating units (EGUs), mobile sources (e.g., cars and trucks), and port activities have been implemented to improve air quality. This study aimed to estimate and compare counterfactual air pollution concentrations (i.e., concentrations that would have occurred without these policies) to observed concentrations, and then evaluate the health impacts of such policies in New York City, Los Angeles, and Atlanta from 2005 to 2019.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>\n                    We obtained data on respiratory emergency department (ED) visits and cardiovascular disease ED visits that result in hospitalizations for the three cities from 2005-2019. Daily concentrations of fine particulate matter (PM\n                    <jats:sub>2.5<\/jats:sub>\n                    ), criteria gases [carbon monoxide (CO), nitrogen dioxide (NO\n                    <jats:sub>2<\/jats:sub>\n                    ), sulfur dioxide (SO\n                    <jats:sub>2<\/jats:sub>\n                    ), and ozone (O\n                    <jats:sub>3<\/jats:sub>\n                    )], and 1-in-3-day measured concentrations of PM\n                    <jats:sub>2.5<\/jats:sub>\n                    components and PM sources estimated using positive matrix factorization were acquired from six monitoring sites in the three cities. To estimate health impacts of selected EGU, mobile, and port policies we estimated: 1) counterfactual daily pollutant concentrations at each of the 6 city-sites; 2) associations between daily pollutant concentrations and rates of cardiorespiratory visits using city-site specific multi-pollutant Poisson models; and 3) the percent of cardiorespiratory visits prevented by the implementation of the selected policies, through applying observed and counterfactual concentrations to the fitted health models.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>\n                    Air quality policies were estimated to reduce ambient pollutant concentrations across the three cities, with median PM\n                    <jats:sub>2.5<\/jats:sub>\n                    reductions of 27%-62% due to all policies combined during 2005-2019. Changes in criteria-pollutant concentrations associated with the selected policies were estimated to avert 7.1% (95% UI: 5.4%, 8.9%) of respiratory visits in New York City, 2.4% (95% UI: 1.4%, 3.4%) in Los Angeles, and 4.5% (95% UI: 0.8%, 8.2%) in Atlanta. In addition, 2.6% (95% UI: 0.9%, 4.2%) and 1.2% (95% UI: 0.3%, 2.1%) of cardiovascular visits were averted in New York City and Los Angeles, while the estimate in Atlanta did not indicate cardiovascular visits averted.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The selected EGU, mobile-source, and port policies evaluated during 2005-2019 were estimated to reduce ambient pollutant concentrations and avert respiratory visits in all three cities and cardiovascular visits in New York City and Los Angeles.<\/jats:p>\n                <\/jats:sec>","DOI":"10.64898\/2026.08.04.26359640","type":"posted-content","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T18:05:17Z","timestamp":1785953117000},"source":"Crossref","is-referenced-by-count":0,"title":["Health impacts of national and local air pollution control policies targeting electric generating units, mobile sources, and port activities in three US cities"],"prefix":"10.64898","author":[{"given":"Haisu","family":"Zhang","sequence":"first","affiliation":[{"name":"Gangarosa Department of Environmental Health, Emory University, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard H.","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics, Emory University, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziqi","family":"Gao","sequence":"additional","affiliation":[{"name":"Civil and Environmental Engineering, Georgia Institute of Technology, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohan R.","family":"D\u2019Souza","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics, Emory University, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noah","family":"Scovronick","sequence":"additional","affiliation":[{"name":"Gangarosa Department of Environmental Health, Emory University, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip K.","family":"Hopke","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine and Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Q.","family":"Rich","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine and Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armistead G.","family":"Russell","sequence":"additional","affiliation":[{"name":"Civil and Environmental Engineering, Georgia Institute of Technology, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Ebelt","sequence":"additional","affiliation":[{"name":"Gangarosa Department of Environmental Health, Emory University, Atlanta, GA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"54368","reference":[{"key":"2026081217401795000_2026.08.04.26359640v2.1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(20)30752-2"},{"issue":"6","key":"2026081217401795000_2026.08.04.26359640v2.2","doi-asserted-by":"crossref","first-page":"e535","DOI":"10.1016\/S2542-5196(22)00090-0","article-title":"Pollution and health: a progress update","volume":"6","year":"2022","journal-title":"The Lancet Planetary Health"},{"key":"2026081217401795000_2026.08.04.26359640v2.3","unstructured":"World Health Organization. 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Costs of Treat-and-Release Emergency Department Visits in the United States, 2021. HCUP Statistical Brief #311. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. https:\/\/hcup-us.ahrq.gov\/reports\/statbriefs\/sb311-ED-visit-costs-2021.pdf. 2024."},{"key":"2026081217401795000_2026.08.04.26359640v2.41","unstructured":"Moore B , Levit K , Elixhauser A . Moore B (Truven Health Analytics), Levit K (Truven Health Analytics), Elixhauser A (AHRQ). Costs for Hospital Stays in the United States, 2012. HCUP Statistical Brief #181. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb181-Hospital-Costs-United-States-2012.pdf. 2014."},{"key":"2026081217401795000_2026.08.04.26359640v2.42","doi-asserted-by":"crossref","first-page":"169792","DOI":"10.1016\/j.scitotenv.2023.169792","article-title":"Maternal health outcomes associated with ambient air pollution: an umbrella review of systematic reviews and meta-analyses","volume":"914","year":"2024","journal-title":"Science of The Total Environment"},{"key":"2026081217401795000_2026.08.04.26359640v2.43","doi-asserted-by":"crossref","unstructured":"Vieira SE . The health burden of pollution: the impact of prenatal exposure to air pollutants. 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