In short
London air pollution and the health effects of the Ultra Low Emission Zone (ULEZ), including how it works, what pollutants it changes (NO2 vs particles), how air is measured, and why the policy debate persists.
Guest backgrounds
Dr. Gary Fuller, air pollution scientist at Imperial College London; 30+ years measuring urban air pollution in London; focuses on how pollution changes and affects health.
Key claims
London air quality improved dramatically since the 1950s, but stalled in the 2010s until vehicle-restriction policies. ULEZ (introduced in 2019 for central London, expanded to cover all London by 2024) rapidly reduced traffic-related nitrogen dioxide (about 39% in central London). It has smaller effects on particle pollution because particle filters were already common, while particles increasingly come from tyre/brake/road wear and from sources like wood burning and ammonia from agriculture. Health impacts are large: air pollution affects outcomes from pre-birth to old age; studies link it to smaller lung growth in children, heart disease/stroke, and dementia risk.
Notable examples
2010–2016 study predicting London would take 193 years to meet legal limits; A&E admissions study showing ~3% overall and ~8–9% reductions for respiratory/cardiac admissions after ULEZ; “Born in Bradford” reporting ~25% fewer GP consultations for respiratory/cardiac issues after a similar scheme; US coking plant closure linked to ~40% fewer emergency heart admissions.
Written by AI. May contain mistakes. Listen to the episode to check what was said.
Chapters
Tap a time to open that second in VOInterview with Dr. Gary Fuller
1:05 to 1:45
Dr. Fuller discusses air quality improvements and ULES effects.
“Wayfair's Black Friday in July sale is coming to the Wayfair store.”
Interview with Dr. Gary Fuller
2:04 to 3:21
Dr. Fuller discusses air quality improvements and ULES effects.
“Gary Fuller, who is an air pollution scientist at Imperial College London.”
Dr. Fuller's Journey into Air Science
3:21 to 3:56
Dr. Fuller shares his career path and insights into air pollution.
“and actually left me feeling quite optimistic about the future for things like EULAs and air pollution.”
Air Pollution Trends in London
3:56 to 4:46
Discussion on historical air pollution trends and recent improvements.
“Gary, hello and thank you for joining us on the Everything Electric podcast.”
Sources of Air Pollution
4:46 to 6:16
Dr. Fuller outlines the various sources of air pollution in urban areas.
“And then 33 odd years later, I've managed to get a PhD, you know, an academic position.”
The Impact of ULES on Air Quality
6:16 to 8:04
Exploration of ULES's effectiveness in reducing air pollution in London.
“We don't get these pea super smogs where people can't see their feet anymore.”
Measuring Air Pollution
8:04 to 10:59
In-depth look at methods and challenges in measuring air quality.
“And then along came new initiatives such as the T-Charge and then the ULES and London has transformed.”
Technological Innovations in Air Monitoring
10:59 to 14:00
Discussion of new technologies used for monitoring air pollution.
“And a lot of them come from outside the city.”
Measuring Air Pollution: The Challenges
14:00 to 16:45
Discover the complexities of measuring air pollution and the technology involved.
“you could stack them up and sort of drop them down.”
Understanding ULEZ and Its Regulations
16:45 to 20:42
Learn about the rules and implications of the Ultra Low Emission Zone (ULEZ) in London.
“So they're turning over the vehicle fleet faster than it would turn over anyway.”
Show all 23 chapters
Impact of ULEZ on Air Quality
20:42 to 22:04
Uncover the significant effects of ULEZ on air quality and pollution levels in London.
“What does the science say about the difference that ULES has made in London?”
Differential Impact on Pollutants
22:04 to 26:32
Examine how ULEZ affects nitrogen dioxide and particulate pollution differently.
“And in that time, the nitrogen dioxide, and we can talk about why it was good for one pollutant and not for others.”
Sources of Particulate Pollution
26:32 to 28:01
Explore the main sources of particulate pollution and their implications for air quality standards.
“But there's an interesting thing with particles, which I'm sure I've interviewed people about before.”
The Complexity of Air Pollution Sources
28:01 to 30:25
Learn about the various sources and types of air pollution and their management history.
“they have to go somewhere that's not you know we we have conservation of mass in the world they They don't just vanish.”
The Complexity of Air Pollution Sources
30:28 to 30:59
Learn about the various sources and types of air pollution and their management history.
“The Hongkuk Ion tyre is built exclusively for electric vehicles.”
Addressing Air Pollution Challenges
30:59 to 34:38
Explore potential rules and measures to improve air quality and their implications.
“Certainly we should be paying a lot more attention to sources of ammonia.”
Health Impacts of Air Pollution
34:38 to 38:48
Understand the significant health risks associated with air pollution over time.
“And that was the first case in UK legal history where air pollution had been declared as the specified, you know, as contributing to the death.”
Evaluating the ULEZ Impact
38:48 to 42:04
Discuss the health impacts and effectiveness of the ULEZ initiative in London.
“us in almost every disease category that you can think of.”
Health Impact Analysis of ULEZ
42:04 to 43:20
Learn about the health benefits seen in Central London after ULEZ implementation.
“The reason for that is that a lot of children get sent to hospital for, you know, for admitted through A &E with asthma.”
Bradford's Health Improvements Post Policy
43:21 to 45:26
Discover how Bradford experienced significant health improvements after a similar policy was enacted.
“Well, this is one of the things, it follows the introduction of the zone.”
Debating Air Pollution and Public Health
45:27 to 47:26
Explore the contentious debate surrounding air pollution and its public health implications.
“Not all of them will have said it's bad, but there's a very large evidence base.”
The Importance of Scientific Evidence
47:27 to 50:08
Understand the significance of using updated scientific evidence in addressing air pollution.
“So we're, as I said before, we're very much trying to manage the problem that we have in the 21st century using what we knew in the 20th century and not the new knowledge that we've accumulated.”
Potential for Political Action on Air Quality
50:09 to 52:08
Consider how politicians could leverage air quality data for public health benefits.
“And we have evidence from quite a few studies where if you take the air pollution away for whatever reason, you know, a factory closes or deliberate policy comes along, then the health of the population improves.”
Transcript
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1:45Hello and welcome to the Everything Electric podcast. I'm Helen Cheresky and this week our podcast is all about EULAs, air pollution, what's in the air we breathe, especially, I mean, I'm a Londoner, I walk around, cycle around the city, I'm breathing air in all the time and I do think it's getting better. There's a good news story to be told. So this week I've been talking to Dr. Gary Fuller, who is an air pollution scientist at Imperial College London. He's done lots of other jobs in UK air quality stuff, and he's been monitoring London's air for a long time now. And so he can see the stuff that the rest of us can't really see.
2:24You know, if it's really filthy, we can probably tell. but actually there's a lot of techniques now which allow really fine detail on exactly what pollution is where and what it's doing and where it's coming from and of course this feeds into things like the ULES the ultra low emissions zone which has been controversial even though I kind of think clean air shouldn't be controversial but anyway so we've had a really interesting discussion about air pollution about ULES about London how air pollution works in big cities and what matters and the health impacts of ULES, which are really impressive.
2:59I mean, I'd heard a few of the numbers before, but the things Gary had to say about how much difference ULES and other schemes make are just, they're colossal. I mean, as he pointed out, if you had a medicine that reduced hospital admissions by that much, everybody would be crawling over themselves to get it. The impacts really are dramatic. So yes, so we had a great conversation and actually left me feeling quite optimistic about the future for things like EULAs and air pollution. So, yes, great podcast to look forward to. And before we get into it, here's a quick ad. Our three free YouTube channels on EVs and clean energy tech are funded by our fun-packed, test-drive-tastic events in the UK and Australia.
3:46Next up, Everything Electric Greater London and then Sydney. All events include a B2B EV day and commercial vehicles too. Gary, hello and thank you for joining us on the Everything Electric podcast. So I've met you quite a lot over the years in lots of different contexts, but just for the listeners and watchers who may not have met you before, just give us a little overview of what it is that you do. Yeah, hi Helen, thanks for asking me along. It's great to be back on the programme, having been on one of your predecessor ones. I'm an air pollution scientist at Imperial College London. I've spent over 30 years measuring air pollution, urban air pollution, mostly in London.
4:30And I would say my research interests are on urban air pollution, how it's changing and then how it affects our health. And how do you get into that? Because it does sound a little bit, it sort of sounds a bit depressing to work on. It's obviously really important. But how do you get started in all of that? um a long time ago uh it's it's it's really weird i've got a job that's lasted 33 years and originally i was taken on in a two-week position um there was uh an opportunity well there was a need for someone to help to compile a database when the london air quality network was first being built and uh someone said to me you know look you're between jobs do you want to come and do this.
5:12So I went along for two weeks. And then 33 odd years later, I've managed to get a PhD, you know, an academic position. So it's worked wonderfully. Very good. So I live in London. And so I do think quite a lot about the air I'm breathing as I'm cycling and walking around. And what's interesting to me over time, and we'll get into the details of this is that I hear people say now, in fact, Robert Wellen has said it to me. He said, you know, you used to go into London and, you know, you would feel, you would come out and you would feel dirty basically. And now you turn up in London and you kind of go, oh, you know, I, you know, it's a normal place.
5:57I don't come away feeling like I've been sullied by the filthy capital. Just on a big, in a big headline picture, has, is it true that air pollution's got better? And if So how much by? Yeah, I mean, air pollution in London's improved a great deal. Of course, you know, it's the 70th anniversary of the Clean Air Act. If you would go back to the 1950s and the smogs we had then, then clearly London is far, far better than that. We don't get these pea super smogs where people can't see their feet anymore. And, you know, several thousand people die because of each of these during the 1950s and 1960s.
6:34even if you were to go back when I was a kid going into London in you know the 1970s 1980s I agree with Robert's point I used to come out feeling you know as though I was kind of like sticky if you've been into central London you blow your nose and sounds a bit yuck I know but quite obviously you would see you know black soot from just the density of really poorly controlled diesel vehicles that were in the centre of the capital. More recently, there's been, I suppose, London's air pollution has, well, it hit a period in the 2010s when we really weren't making any progress at all. There've been a lot of changes in the early part of the century.
7:19Power stations in and around the capital that were burning coal had largely been closed, the ones down along the Thames. That led to some improvements. But what we experienced was a worsening in traffic pollution. And we hit a point in the 2010s when really nothing was happening. It wasn't getting any better at all. With my colleague Anna Font, I did a study between London and Paris that looked at 2010 to 2016. And we looked at the rate of progress at that time. And we concluded that it was going to take 193 years for London to meet the legal limits that it should have met by 2010. So we were in a pretty bad place.
8:04And then along came new initiatives such as the T-Charge and then the ULES and London has transformed. It honestly has. We will get onto the ULES. I mean, that's the bit of this that hits the headlines, isn't it? So we'll come on to that in a little bit. But just, you know, we all think of, let's just do a little bit of what the pollution is. Because the thing about pollution, I find, is that it's one of those things that it's sometimes really hard to talk about, especially on TV, because it's kind of invisible, you know, like, unless you are snotting it out of your nose in some disgusting way.
8:44it's very like if you just walk out you can't see what it is right it's invisible so just give us a quick rundown of the types of pollution that matter in a big city like London and then we'll get on to how you detect them but tell us what's there first. Yeah so if you step out into London you'll be breathing air pollution from a whole variety of sources and I think if you go and talk to the you know the average person in the street and you talk to them about air pollution it's going to take them about 30 seconds before they point to the nearest busy main road and then their point to diesel traffic and that's been the story of I suppose the last 15 to 20 years has been this real emphasis on air pollution from the exhaust pipes of vehicles and mainly from the exhaust pipes of diesel vehicles but our cities are changing a lot and these vehicles are changing a lot as well.
9:40So now we're finding ourselves worried about air pollution sources that we've kind of overlooked for quite a long time. There's been quite a return to solid fuel burning in our urban areas, not just in London and the UK, but across Europe. And that is one of the major sources of particle pollution that is produced inside London. So that's wood-burning stoves, is it? um well it's it's not just stoves um but there's quite a lot of people there in london especially uh that are burning wood are doing so on open fires and they're much more polluting than stoves stoves are polluting as well we have to emphasize that um it is wood but also there's a certain amount of smokeless fuel being burnt as well because there's only a certain amount of wood to go around you know it's it's hard to get it um and that's leading to really quite substantial amounts you know perhaps as much as a fifth at some times of the air pollution of the particle pollution that's being produced uh in london other sources within the city include stuff like uh combustion uh sorry construction but a lot of our pollution uh at least in terms of particle pollution so we're talking really tiny particles you might have heard about pm 2.5 so these are things smaller than about 2.5 microns that can penetrate quite deeply in your lungs and further in the body.
11:05And a lot of them come from outside the city. And some of the biggest sources for that is the countryside. And we think about the countryside as being a place that's clean and fresh and really positive. But a lot of ammonia is produced by agriculture. And so if you look at the particle pollution that you were to measure in London they say averaged over a year and if you were to weigh it somewhere in the region of about 40 percent of that would be ammonia and around half of that would be other chemicals that can tell particles that contain ammonia it's a really big source and I think it's overlooked it's really worth emphasizing that bit about the size isn't it because there was always you know we're just dwelling perhaps too much on the disgusting blackness you used to get in your nose.
11:59But the point is that the big bits of pollution, the really big bits, could get caught by things like the hairs in your nose, but the smaller things are, the further in they get. So the more insidious it is. That's kind of the game. So you get rid of the visible big stuff, but actually then once you start worrying about the tiny stuff, it often sounds quite a lot more concerning, I think, because it's burrowing its way in. If you think about tiny particles, they can actually go beyond the lungs and translocate into other parts of the body. So that's an additional concern once they get small. Also, our pollution is less black.
12:34So it used to be diesel soot. It used to be coal soot. You'd blow your nose and see it. Nowadays, our pollution is less black. So what colour is it now? A lot of it, if you think about what comes out from wood burning, for instance, is brown. uh okay if you take a filter you know we sample air pollution in london you suck air through onto a filter and you know then you can weigh or analyze it but the filters that we have during uh the winter time and weekends and winter time they're not black they're generally brown and that comes a lot from woodland amazing okay well let's come on to the measurement because i I have visited, there's a couple of states, well, yeah, I know the Air Quality Network measured across London, but there's one particular place I've visited at least twice, which is on Marley Boat, is it on Euston Road?
13:33That's right, opposite Madame Tissot's. And it's this thing, and it's really clever because I swear 99 % of everybody who walks down that street doesn't see it's there. And yet when you actually look at it, it's the size of a shipping container parked on the pavement. and it's got all these measurements inside it. And so I have to say my favorite one is the one that you just mentioned, which was like a little, there were these old school record turnstiles that used to be able to drop a record down. Like there was a little, you could stack them up and sort of drop them down. And there was a little thing that dropped filters.
14:04So, you know, it sucks air through the filter and then it was automated. So every 12 hours it, it would sort of change the filter, but it changed it like one of those old school LP players, which I, I loved, but just talk to us about how hard it is. Because, I mean, people think, you know, pollution is tiny. Why do you need a great big thing the size of a shipping container almost to measure air pollution? Like how hard is it to know, to find things out about air pollution? Yeah, it's actually the size of two shipping containers. It's amazing how many people we meet there and say it's opposite Madame Tussauds.
14:37That's the best way to describe it. And you see people wandering up and down the pavement, just almost unable to spot it. So it is pretty big. It's so big because there's so much equipment in it, not just equipment to measure air pollution. But, you know, we look at the traffic, we measure properties of the atmosphere as well that help us understand how the air pollution is moving around. It is hard to measure because the amounts of the, say, the contaminant that we have are actually quite small. We're talking about micrograms per cubic metre in terms of, you know, the mass concentration of particles.
15:19So that's quite difficult. Some of the particles that we try to measure as well are quite sneaky as well. And they partition between particle and vapour. So there are times when you can suck them into your machine. And because your machine tends to be a bit warmer than the outside world, the material that you've sampled can just volatilise away and you can lose it. So it evaporates, basically. Yeah, I suppose it more sublimes rather than evaporates, you know, it sublimates. But yeah, it can go from being particles into being a gas and you can lose it. And it's really tricky to be able to measure these things well.
16:06So, all right. So there's these specific sites. There's this air quality network across London, which is measuring perhaps in less. There isn't a shipping container on every corner. There are some smaller devices in lots of places. Let's come at this from the policies that have made a difference. So we mentioned U-Lez before, which is the thing that gets all the press and generates a lot of opinions. So could you, so just remind us all what the rules, like how the process of, what the rules were as, as, cause there's a, there's a low, so L-E-Z is a low emission zone and U-Lez is ultra low emission zone.
16:44and so just tell us a little bit about what the rules are for the people who don't live in London and then you've been measuring what difference have they made yeah maybe we should step back a little bit further and think about what these things are doing in principle so what they're trying to do is to deter or ban and they take different forms in different cities older and the most older and more polluting vehicles from an area and favour newer and less polluting vehicles. So they're almost like a time machine. So they're turning over the vehicle fleet faster than it would turn over anyway. So you have a newer vehicle fleet that is hopefully less polluting.
17:31So if you've been in London and seen the politics around ULES and the mayoral election, you would think it was a new idea and you would think that London was the only place that it's been tried but there's over 300 of these operating throughout Europe not many in the UK we're actually a bit behind the curve on these they've been going now for around 20 years I mean the first ones were in Sweden there was some zones tried in tunnels under the Alps where they just banned the really oldest and most polluting vehicles from using those tunnels. In London, the first zone was rolled out in 2008, and that only applied to big vehicles.
18:17So it applied to things that you probably have to have a special license to drive. Yeah. So lorries, buses, really big sort of coaches, things like that. And what that did was that did the same. It banned the, well, it made a charge if you bought an older, more polluting vehicle in. Then it's moved forward that that's tightened over time. The U-Lez came in and for the first time it expanded this from heavy vehicles into affecting cars. It had already done taxes before. And so that kind of hit the headlines a lot more because it wasn't just the people that were operating these large vehicle fleets or companies that own delivery vehicles that were having to make changes.
19:05It was actually affecting individual drivers as they came into the city centre. So and then so when was the last ULES change made? when was the most because it's been it's sort of tightened up over the years right and the area that it applies to has expanded so now I think there's two zones there's a sort of inner zone and an outer zone is that right uh not really it's just one zone that covers the whole of London uh now I might be mixing it up with the congestion charge yeah the congestion charge only covers the central area. So when the ULES, so since 2008, we'd had schemes that restricted, if you like, the older heavy polluting vehicles.
19:50And then the ULES, well, originally it's predecessor, the T-Charge, but the ULES came along in 2019. And that applied to the rest of the vehicle fleet as well, including things like motorbikes, cars, and so forth. So originally when the ULES was brought in, it applied to just central London. And then progressively, it's been moved out in stages so that from 2024, it covered the whole of London. So that makes it a far more simple structure. Okay, so the policy has gone in, there's a huge amount of debate about what people think about the direct, you know, the car drivers care about how it impacts them.
20:36But obviously, what it's harder for us to actually see is how it's impacted the pollution itself. So what's the evidence? What does the science say about the difference that ULES has made in London? Yeah, yeah. Well, I've been measuring air pollution in London for 30 years, and I really struggle to think of something else that caused a bigger and faster change than the central London ULES. It was really dramatic. As I said, we had many years through the 20-teens, if I can describe them as that where air pollution in London really wasn't going anywhere and in some cases the air pollution from traffic was actually getting worse in a few places and we used to have this sort of quality check with our instruments when we looked at the data at the end of the year and we decided you know is other any faults with the instrument can we trust it so we have various algorithms and one of them was how similar was this year compared to the year before because air pollution was pretty static it wasn't making any progress so we were getting loads of alarms coming from our instrument from the our data systems that were saying this is just too low something's changed uh you know has the instrument go wrong gone wrong go out and check it when actual fact it was just the changes that were being brought about by ULIS so ULIS was brought in just before uh COVID so it ran for the central London ran one for around for about a year before COVID came along and changed the whole world.
22:05And in that time, the nitrogen dioxide, and we can talk about why it was good for one pollutant and not for others. But anyway, nitrogen dioxide from traffic in central London reduced by I think it's about 39%. And I honestly can't think of something else that produced such a dramatic change. I mean, in the middle of the 20 teens, we had limit values that we had to meet by 2010. And there were places in London that weren't even close. And they were around two to three times the legal limit. And now we're in a position where, give or take a few digits, London is actually meeting those limits. And that's come in through the progressive rollout of the ULES.
22:51So that's nitrogen dioxide. How about things like particulates and the various different sizes of particles? How was all of that affected? From the current rollout of ULES, it's had little impact in that. But what we're seeing, it's part of a picture that's driving these concentrations downwards. I think it's worth thinking about how these schemes work in order to understand that. So when the first low emission zone was rolled out in 2008, it had a dramatic change on particle pollution on PM2.5, not on NO2. The U-Lays, when it rolled out, was the other way around. It made dramatic improvements to NO2, but not really so much change in the particle pollution.
23:36So just to clarify things, one of these is we're talking about NO2 is the nitrogen dioxide, which is a gas. And the other ones are the particles. So one of these policies affected the particles, but not the gas. And the other one affected the gas, but not the particles. Yep, exactly right. And you've got to think, why is this? And all of these schemes are very specific to the location they're setting out and also to the changes in technology and our fleet. So it's the differential between the dirty vehicles that you exclude and the newer, cleaner ones you bring in. At the time that the first zone that came out was implemented in 2008, there were some real exciting technologies coming into diesel vehicles to clean up their particles.
24:23So there was a big difference between the particle exhaust in the new vehicles versus the old ones. We had things like diesel particle filters, if you come across there, were just being introduced really and rolled out into heavy vehicles. So that was the dramatic change that happened. And it's interesting where that happened to a large degree. When we looked to try and assess the change, we found actually little change in central London, but we found quite a big change in outer London from the first zone. The reason being that most of the vehicles that were already running in central London had been upgraded before the scheme.
25:03So a lot of the buses have been upgraded. then when we wind forward to the recent you les um you'll all know and everyone that listens to this podcast will remember dieselgate and the you know the the huge problems and legal issues that's scandal it was a scandal okay it was it was uh that surrounded vw and then has gone on to people have gone on critically to look at other vehicle manufacturers as well. And that involves nitrogen dioxide. And the bottom line there was the vehicles, when they're driven on the road, produced a lot more nitrogen oxide, such a whole family of pollutants, on the road than they did in the laboratory tests when they were approved.
25:56But that is where there's been a lot of improvements. Things like Euro 6 and the different iterations of that come along have really brought that down. So now we're in a position where if you implement a low emission zone, the delta, if you like, between the clean vehicles and the dirty ones, the big change is that in nitrogen dioxide. So that's why the current ULES was really effective for nitrogen dioxide because it was excluding vehicles that emitted a lot of it. but was less effective for particles because particle filters were already pretty standard. But there's an interesting thing with particles, which I'm sure I've interviewed people about before.
26:37It might have been you. I don't remember. Which is that the sources, you know, we think of particulate pollution because of soots and chimneys and things like that. We think of it as something that comes out of chimneys and exhaust pipes. But actually, that is not the only source of particulate pollution. And I think I remember there are studies suggesting that the particles from tyres, so tyre wear and brake wear and all those tiny things that kind of get rubbed off as cars accelerate and decelerate, that that pollution is sort of becoming as significant as what comes out of the tailpipe. Is that right?
27:11Yeah, it's even more than you describe. So these wear processes, I like your analogy of things that get rubbed off, but these wear processes, so brake wear, tyre wear and road wear as well is really important, now produce more particles than the exhausts of the vehicles. So if you think about a vehicle driving around, its main source of particle pollution is coming from these wear processes and not from the exhaust part. I always think that's one of these things that um it gets so there's so much about how we think about the world in that because because when I think it's the same with the word efficiency actually but we sort of talk about things wearing out but we never ask where all the bits went you know it's just assumed that things wear out that they somehow get thinner in the case of tires or you know they get holes in the bits but nobody ever says where did those bits go and of course they have to go somewhere that's not you know we we have conservation of mass in the world they They don't just vanish.
28:11So they disappear into the environment. But I think, you know, the worrying thing about the tire particulates, I guess, is that they get, it's not just that they fall off and sit on the road. It's that as a car swooshes past, they get lifted up again into the air. There's this kind of resuspension thing, right? Where if you have, you know, the busy traffic or wind then lifts them up and then they're once again at a height that we can breathe in. So do you know what people are doing about pollution standards for tyre wear? I guess because that's really hard to measure, isn't it? Yeah, we're kind of, we're into new territory.
28:46I think if you stand back, almost the whole history of the way in which we've managed air pollution is very much a whack-a-mole approach. So we've just focused on one pollutant. It's captured the public's attention. It's captured the attention of politicians as well. And action has been taken. So if you go back, you know, Clean Air Act 70 odd years ago, what it focused on was smoke and not sulfur. And by focusing on smoke and ignoring sulfur, we brought about the problems from acid rain over Scandinavia and northern Europe from our coal and oil burning. That was really, you know, really damaging for the ecosystems in those areas of the 70s, 80s, 90s.
29:31It hasn't entirely gone away. So then we focused on industrial air pollution. And if you look at these times, you can see papers written by people saying, oh, look, traffic is a real problem. But it was completely ignored. Then we move on to traffic and exhaust pipes. And although people have been talking about tyre wear, brake wear, wood burning, ammonia from agriculture for a long time, still the focus of policy is focused on the exhaust pipes of vehicles. I often say I think we're trying to manage the air pollution problems we have today in the 21st century using the science that we had in the 20th.
Read the full transcript
30:12You know, the whole policy process is a good 25 years behind what we know about the problem.
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30:58so what would you do then if you were if gary got to rule london for a day or a week so what would you what would you what sort of rules would you if you would do just to improve air pollution as a whole like so we've made big improvements we don't have smog that's all great yeah we still clearly have an air pollution problem i guess what would what what things would would actually what what what remains to be fixed I guess that's what I'm getting at what is it that what if you were going to look ahead rather than just play whack-a-mole what are the things you would be putting in place now that would prevent problems in the future yeah I think really there's we have to have a focus on all of the pollutants at the same time otherwise you end up you know just diverting attention between this yeah this whack-a-mole approach.
31:48Certainly we should be paying a lot more attention to sources of ammonia. We should be paying a lot more attention to really, really tiny particles that are in our air. And some of these come from the exhaustive vehicles and can leak out through the particle traps. But there are other sources which are largely unregulated. For instance, Heathrow Airport, if you want to focus on London, Heathrow Airport is sitting there just within London's perimeter and is a massive source of really tiny particles we can measure the impacts of Heathrow in central London in terms of the really smallest particles.
32:24Just because the particles are traveling all the way from Heathrow into central London? And because aircraft are such a massive source of them so we've done a lot to control the quality of fuels that are used on the road particularly their sulfur content and that hasn't happened with aviation so their fuels really you know they contain all the sulfur that was in there when the crude oil was pulled out in the first place. That leads to a lot of really tiny particle pollution. I had just assumed that aircraft fuel would have some rules on it. Does it not then? There's no sort of equivalent for unleaded petrol or whatever.
33:00There's none of that for aircraft? There is lead actually in the petrol that's used in light aircraft and it's still used because the engines haven't really been adapted to run without leaded petrol. So So leady petrol, as you used to know from the 1990s, is still used in light aircraft. But the main problem is the sulfur. And it's just expensive to remove. And also, there's a lot of questions that if you were to remove the sulfur from fuel, it contains certain, it helps with certain properties of aviation fuel. Specifically, it's a lovely word, lubricity. so kind of how how slippy uh the fuel is as it runs through the system and how much it lubricates the engine so it's not entirely straightforward but it's a problem we've ignored for a long time the other one will be going back to wood burning as well there's a huge amount of that going on in our urban uh areas and it's interesting from the work that's been done by people at ucl uh the greatest problems with wood burning are not likely to be in london you know this we often view air pollution through a London lens in the UK.
34:12But the worst problems with wood burning are likely to be in smaller towns throughout the UK that have easier access to, you know, woodland. Wood, yeah. It's where the trees are. Yeah, exactly. No one's going around central London chopping down trees to fuel their, to cook their dinner. Yeah, you're, you know, 30 kilometres away in central London from any substantial countryside. whereas if you live I live on the south coast in Brighton you know I can walk into the countryside so so there's this there's this picture then of things kind of improving the more could be done but what about the health thing especially when it comes to you Les because I think this is I mean you know there's this big political kerfuffle and it's all about the input problem it's all about the upstream problem what what's the what's the pain at the point where you're doing it someone wants to do it we heard a lot less i think about the downstream outcome which is obviously you know you're doing this for a reason and that reason isn't just so there aren't particles in the air for the sake of particles in the air it's because they have health impacts so just talk to us a little bit about what health impacts are i mean there was that very famous case uh more than 10 years ago now where um i can't remember the name of the the girl who died that's right but it was Her mum was very committed to the cause of going back and made sure the coroner put that air pollution was the cause of death.
35:41And that was the first case in UK legal history where air pollution had been declared as the specified, you know, as contributing to the death. So that is, you know, and she had asthma, I think, and the asthma was made worse by the really busy roads that she lived next to. so that that's clearly extremely serious um health a health impact but how about like how about the rest of us more generally you know i i i live in london i cycle through central london every day what is all of this doing to me yeah um i think if you were to go back i often say that we're we're managing this problem based on what we knew in the 20th century and not in the 21st And now we know that air pollution is affecting so much of our health.
36:28If you went back to the last century, we knew that people died earlier in more polluted places. And we knew to some extent some of the diseases that they died earlier from. And there was more cases of things like asthma. Now we're learning that air pollution is affecting us from pre-birth all the way through to the end of our lives. We have studies from London with looking at birth weight for gestational age, so the weight of babies compared to how long they've been in pregnancy. And we find that they're smaller in more polluted places. We have children that are growing up and we know that air pollution increases these risks of cancer.
37:14We have a study in East London where we measured, well actually mainly my colleagues, I had a small walk-in role, measured the lung function of children living in East London. And we found that those living in more polluted places were growing smaller lungs. and the average child living in East London this was done about just over 10 years ago the average nine-year-old living in East London was growing lungs that were about 100 millilitres smaller than they should be so if you think of a hen's egg that's about 50 millilitres and imagine a nine-year-old in your mind so you can think of two hen's eggs within the nine-year-old's chest and that's the lung growth they're missing out on if you run through into adulthood we know that it's a factor in everything from lung cancer in non-smokers through to heart disease and stroke and most worryingly and most and quite really quite recently we're finding links between brain health and air pollution so there's been strong associations between for instance air pollution and dementia and if you think about the way that dementia affects families and you think about the huge costs that it imposes on our society and the way yeah that affects families I mean it's just a huge impact if you've ever had a relative and that this is being caused by air pollution or that some of this is then that that's a really substantial change so if you like air pollution is affecting us in almost every disease category that you can think of.
39:01But yet the actions that we're taking are very much lagging behind. And so when it comes to something like the ULAS, where you know, you said there was a big sort of clear, you know, clear before and afterwards thing. Has anyone been able to quantify the health impacts of ULAS? I mean, can we say fewer people, do we know reasonably fewer people died fewer people got dementia is it's a really hard thing to quantify because of course you don't have the counterfactual where you didn't do it and you follow all the same people ah it's interesting you mentioned the counterfactual so at the time that ules was being pulled out we didn't really have these studies um they have been emerging over the last uh few years so there was a systematic review done that found about eight studies across ULES type things, so low emission zones across Europe.
39:53And I think five out of eight of those found reductions in heart disease, so cases, people being admitted to hospital for heart disease. You've got to say that's quite small, but one of these looked at 69 German cities. So overall, we've got evidence from about 70 cities. So with ULES in place, it gave researchers as an opportunity to see was this happening in London. Just over a month ago, a study was published by Rosemary Chamberlain, who's a researcher at Imperial, and she and team looked at people being admitted to hospital via A &E. So not for accidents, not for light road accidents, but for all of the other reasons.
40:39and they looked at before the ULES and the year afterwards to COVID come along, looking at the central London zone. They found that after ULES came along, so beforehand there was an upward trend in the number of people being admitted to hospital for all of these things through A &E. They found that this trend reduced overall by about 3 % once ULES was in place and for respiratory disease and cardiac disease there was changes somewhere around about eight or nine percent which is pretty dramatic it takes something that's an upward trend to bringing it to being flat or maybe even a hint of actually going down and the effect seems to be getting greater the longer time ULES was in there but you mentioned the counterfactual and that's really really important so with when we're assessing the ULES one of the things I was very keen as a reviewer and I had input I didn't do the assessments I had I was an external on them was that we had a counterfactual so what would have happened if you less weren't in place and so all the figures from TFL are done with that counterfactual removed so what would have happened with natural fleet turnover for the health studies so for central London they looked at what happened and that stands on its own without a counterfactual this before and after change stands on its own and that's as I've described they then did two counterfactuals so they looked to the population in outer London that was less affected by the central London ULIS and they tried really hard to find another population in the UK but there's not much that's like central London in terms of the people that live there there's not so many children in central London there's not so many old people and there's tremendous ethnic diversity in central London you don't find in other places they did found bristol uh was a close comparator um so they also put that in there and then they reran their analysis and they found that these changes were still robust with the counterfactual with one caveat that the change in the spiritory people being admitted to hospital for respiratory needs kind of didn't quite meet uh the uncertainty thresholds but the effect was almost certainly still there.
42:59The reason for that is that a lot of children get sent to hospital for, you know, for admitted through A &E with asthma. And we don't see that so much in central London because there's not many children there. So that's really good. So we're talking seven, eight percent reduction in people being admitted to hospital for cardiac and respiratory reasons in central London. Then comes along the Bradford scheme. So we don't talk about ULEZs outside Bradford but Bradford has the second largest scheme in the UK when that was brought in place the researchers there's a fantastic thing called Born in Bradford that follows in great detail all of the hospital records that are generated from GPs and all medical contacts in and around and they were able to detect a 25 % reduction in people going to their GPs for respiratory and cardiac consultations.
43:57Just as a consequence? Well, this is one of the things, it follows the introduction of the zone. And you can see if you look at their data, you can see upward trends before and then downward trends afterwards. So they haven't got another Bradford as a counterfactual. So what they tried to do was, you know, it's difficult to get, or it has been difficult to get a GP appointment. So how much of that is a factor? So they looked at other types of GP consultations that they didn't think would have anything to do with air pollution. And was there the same pattern in those? and that they found that there wasn't.
44:40That's an astonishing reduction, though. I mean, 25 % is absolutely astonishing just for a single policy that isn't actually that world-changing. I mean, you know, on the scale of all the things you could shift around in life, people driving less in the centre of a city and driving polluting cars less in the centre of a city is not, you know, it's not the biggest change you could make, but that is a colossal reduction. I'm really surprised and happy that the number is so large. Yeah, I think everybody was really surprised that the number was so large. The London figures, of course, are looking just at A &E admissions.
45:16And if you think about this health pyramid, you know, a lot more people, a lot more people get ill and consult their GP and it's only the most ill people that then go to hospital. So the London people are looking at, you know, the much more severe cases and the Bradford people are looking at cases that are less severe. so this is very real i mean that's the point isn't it that the the these are these health impacts are very very real and apparent and yet we still have this debate i mean it sort of seems to have subsided a little bit in in london just at the moment maybe because no particular changes have been proposed in the near future but but but what is the like what's your perception of the political i mean this because this is it always surprised me that the climate change debate you know emissions wasn't more about air pollution because whatever you think of carbon dioxide you definitely do not want to be bringing you know breathing in some black horrible stuff from the back of a car always astonished me that that didn't wasn't a thing earlier but um what so like how why why is it that the health argument doesn't win right why is it that all of us want to be healthy nobody wants children to be you know getting asthma because of horrible pollution why is it that we have an argument about this like why is it so contentious yeah yeah i mean the evidence that we have on air pollution and health is simply huge these days you can go on to uh one of these uh academic search engines go into pubmed and ask about studies on air pollution uh air quality because both of us use synonymously and health and you'll find somewhere in the region of about 70 or 80 ,000 publications.
47:03Not all of them will have said it's bad, but there's a very large evidence base. Over 60 % of that evidence base has been created in the last century. So, you know, there is a tremendous amount of new things that we know about this that really just haven't been absorbed. You mean this century and the 21st century? Yeah, yeah, sorry. Since 2000, yeah. Yeah, yeah, yeah. So we're, as I said before, we're very much trying to manage the problem that we have in the 21st century using what we knew in the 20th century and not the new knowledge that we've accumulated. So it's a real problem. We're very much lagging behind the science.
47:45And within the UK, now that we've left the EU, we're lagging behind the best environmental standards that are out there as well. You know, the EU has reviewed all of its evidence, tried to reflect what we've learned in the last couple of decades and changed its limits. It's changed the way it's managing air pollution in the UK. We haven't done that. But there's potential. I mean, I'm sort of encouraged by the fact that I'm always encouraged, you know, science, having the science is always the first step. right and then you obviously you have to actually use it but but and the science doesn't tell a it I mean it tells a slightly depressing picture I guess but in principle that gives you steps you can take to improve things and things have got better I guess that's the big point about the EULAs is that now you know hopefully no one is going to take it away partly because those standards will just become normal you know the future is cleaner anyway so let's get to the future more quickly some politicians are campaigning for its removal well let's let's let's present them with the evidence we we have not got time to get into the full cultural no no i'm not going there but it's just a statement of fact that some people are trying to campaign for its removal um i i think i think we need to change the narrative air pollution is normally viewed uh as a problem that is really difficult to solve it's also invisible going back to what you said at the start so people don't always see it around them we're normalizing a certain level of illness we're normalizing a certain level of asthma we're normalizing a certain level of lung cancer heart disease and some of that is coming from air pollution but we just don't see it because you know people get ill for many many reasons but we need to change the narrative we have a lot being talked about by government about prevention in terms of health you know we've got an aging population it's going to be increasingly difficult for our for the NHS as an ill if it just operates as an ill health service whereas if it operates as something that becomes preventative then it can do a lot more societal good so there is a opportunity here for politicians to come along and actually say, yes, I can make my mark.
50:07Yes, I can make my legacy. A lot of them worry about their legacy a great deal by doing something for public health. And it's there. And we have evidence from quite a few studies where if you take the air pollution away for whatever reason, you know, a factory closes or deliberate policy comes along, then the health of the population improves. there's a brilliant study that's come out um from the us and you know we're starting to move away from steel production uh away from burning lots of coal into uh electrical methods these arc furnaces so we need a lot less coke so uh there was a massive coking plant uh that was closed in a small city in the us and it was incredibly polluting if you see the accounts of people living in these places you know whether they can have their windows open at night depending on which direction the wind was blowing their washing would be covered in dust and their children would be obviously getting variable amounts of asthma when they closed the coking works in the three months that followed admissions to their A &E or sort of emergency room for heart problems reduced by around 40 percent and it's just dramatic if you think you could come up with a drug or you know a pharmaceutical intervention that said you know i could be reducing gp consultations in the bradford case by a quarter in the london case i could be reducing heart and lung admissions to a and e by somewhere in the region of about seven eight nine percent then um you know the services that pay for medicine and the medical community would bite your hand off.
51:55But we have this at our fingertips. And it's a big prize for a politician to come along and seize. Convincing them is harder. Well, that is a great place to finish. We are out of time. Something for us all to think about there. I really like the analogy with the drug. If a drug could do that, we'd all be scrambling all over ourselves to get it. But it's much easier than that. We potentially, I guess, if we just think about the world a bit differently. OK, we are out of time. Gary, thank you so much for joining us on the Everything Electric podcast. Thanks for having me along.
52:36Well, that was Dr. Gary Fuller, an air pollution scientist at Imperial College London. And I think I am feeling optimistic after that. I mean, hearing about air pollution is never fun, to be honest. But those health stats at the end, that's just amazing. The fact that a single policy can make that much of a difference to lots of people's health, not just some subset of the population, but basically everyone who lives in the city. The fact that that's even possible is just amazing. And it's really great to hear about the effort that is going into monitoring air pollution. I'm glad someone's keeping an eye on all of this.
53:17so that is it for this week that's all we've got time for and if you have been thank you for listening
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From the publisher
Air pollution in London has changed dramatically over the past few decades — but how much of that is down to policies like ULEZ, and what's still being missed?
This week Helen Czerski is joined by Dr. Gary Fuller, an air pollution scientist at Imperial College London who has spent over 30 years measuring air quality in the capital. They cover what's actually in the air we breathe, how ULEZ and other low-emission schemes have changed it, and the surprisingly large health benefits that are now being measured — plus the pollution sources still flying under the radar.
Catch us live at Everything Electric Greater London (Twickenham, 11-12 Sept) and Sydney (18-20 Sept).
00:00 Intro – ULEZ and London's air today
02:21 Meet Dr. Gary Fuller
03:50 Has London's air pollution actually improved?
07:25 What's in the air
11:45 How air pollution is measured
16:34 A short history of LEZ and ULEZ
19:13 The evidence
25:37 Tyre and brake wear – the overlooked pollution source
29:24 What Gary would fix next: Heathrow, aviation fuel, wood burning
33:46 Health impacts – the Ella Kissi-Debrah case
37:32 Quantifying ULEZ's health benefits
44:23 Why doesn't the health argument win politically?
48:59 US case study: 40% drop in admissions after a plant closed
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