{"title":"Air quality, health, and economic effects of land use and land cover changes in southeast Asia in the 21st century: a modelling study","authors":"Yefu Gu PhD , Tingting Fang PhD , Yanbin Xu PhD , Xialei Duan PhD , Janice Ser Huay Lee PhD , Wenjun Zhu PhD , Yiwen Zeng PhD , Prof Steve Hung Lam Yim PhD","doi":"10.1016/j.lanplh.2026.101457","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Southeast Asia has had substantial land use and land cover changes (LULCCs) in recent decades, affecting air quality, human health, and economic development through biogeophysical and biogeochemical cycles. However, little research has examined the combined effects of different LULCC types and impact pathways comprehensively. We aimed to provide a holistic understanding of how LULCCs across southeast Asia in the 21st century have led to changes in air quality and the consequential effects on human health and the economy.</div></div><div><h3>Methods</h3><div>In this modelling study, we used a regional meteorology–air quality coupled model (WRF–CMAQ) to assess LULCC effects from 2001 to 2018 on the concentrations of surface PM<sub>2·5</sub> and O<sub>3</sub> through biogeophysical and biogeochemical pathways. The model was configured at a 30 × 30 km grid size throughout southeast Asia. We used a series of concentration–response models to estimate excess deaths associated with the changes in air pollution concentration caused by LULCCs. The economic implications of these health effects were quantified with age-specific value-of-statistical-life and cost-of-illness approaches.</div></div><div><h3>Findings</h3><div>LULCCs in southeast Asia were associated with 13 000 excess deaths (95% CI 11 000–14 000) in 2018 alone, resulting in US$7·79 billion losses (6·24–9·69). Forest degradation and deforestation was the primary driver, accounting for 29·7% of the burden. Furthermore, more than 60·0% of effects occurred through the biogeophysical pathway.</div></div><div><h3>Interpretation</h3><div>LULCCs in southeast Asia are degrading air quality, causing thousands of excess deaths and billions of dollars in economic losses, with forest degradation and deforestation being the primary driver. The findings emphasise the need for strategic land management to improve environmental conditions and public health, and support sustainable economic development in the area, particularly in the countries most affected, such as Indonesia, Viet Nam, and Thailand.</div></div><div><h3>Funding</h3><div>Ministry of Education Singapore and Tsao Family Foundation.</div></div>","PeriodicalId":48548,"journal":{"name":"Lancet Planetary Health","volume":"10 4","pages":"Article 101457"},"PeriodicalIF":20.5000,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Lancet Planetary Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2542519626000306","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/5/25 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Southeast Asia has had substantial land use and land cover changes (LULCCs) in recent decades, affecting air quality, human health, and economic development through biogeophysical and biogeochemical cycles. However, little research has examined the combined effects of different LULCC types and impact pathways comprehensively. We aimed to provide a holistic understanding of how LULCCs across southeast Asia in the 21st century have led to changes in air quality and the consequential effects on human health and the economy.
Methods
In this modelling study, we used a regional meteorology–air quality coupled model (WRF–CMAQ) to assess LULCC effects from 2001 to 2018 on the concentrations of surface PM2·5 and O3 through biogeophysical and biogeochemical pathways. The model was configured at a 30 × 30 km grid size throughout southeast Asia. We used a series of concentration–response models to estimate excess deaths associated with the changes in air pollution concentration caused by LULCCs. The economic implications of these health effects were quantified with age-specific value-of-statistical-life and cost-of-illness approaches.
Findings
LULCCs in southeast Asia were associated with 13 000 excess deaths (95% CI 11 000–14 000) in 2018 alone, resulting in US$7·79 billion losses (6·24–9·69). Forest degradation and deforestation was the primary driver, accounting for 29·7% of the burden. Furthermore, more than 60·0% of effects occurred through the biogeophysical pathway.
Interpretation
LULCCs in southeast Asia are degrading air quality, causing thousands of excess deaths and billions of dollars in economic losses, with forest degradation and deforestation being the primary driver. The findings emphasise the need for strategic land management to improve environmental conditions and public health, and support sustainable economic development in the area, particularly in the countries most affected, such as Indonesia, Viet Nam, and Thailand.
Funding
Ministry of Education Singapore and Tsao Family Foundation.
期刊介绍:
The Lancet Planetary Health is a gold Open Access journal dedicated to investigating and addressing the multifaceted determinants of healthy human civilizations and their impact on natural systems. Positioned as a key player in sustainable development, the journal covers a broad, interdisciplinary scope, encompassing areas such as poverty, nutrition, gender equity, water and sanitation, energy, economic growth, industrialization, inequality, urbanization, human consumption and production, climate change, ocean health, land use, peace, and justice.
With a commitment to publishing high-quality research, comment, and correspondence, it aims to be the leading journal for sustainable development in the face of unprecedented dangers and threats.