Cogeneration plant and environmental allergic diseases: is it really an eco-friendly energy source?

다국어 초록 (Multilingual Abstract)

Background: Combined heat and power generation (CHP generation, also called ‘cogeneration’) is attracting public attention for its high thermal efficiency, without considering possible adverse environmental health effects.This study investigated the potential role of cogeneration plants in inducing 3 environmental diseases: asthma, allergic rhinitis, and atopic dermatitis.
Methods: From 1 January 2013 to 31 December 2017, the towns (dongs) of South Korea in which a cogeneration plant started operation were selected as study sites. For comparison, a matched control dong with the most similar Gross Regional Domestic Product for each case dong was selected. The numbers of outpatient visits, inpatient admissions, and emergency visits provided by the National Health Insurance Sharing Service (NHISS) were analyzed using an interrupted time-series design. For air pollutants, the concentrations of 5 air pollutants from the AIRKOREA dataset were used.
Results: A total of 6 cogeneration plants in 6 case dongs started operation during the study period. For overall case dongs, the pre-CHP trend was 1.04 (95% confidence interval [CI]: 1.038–1.042), and the post-CHP trend was 1.248 (95% CI: 1.244–1.253). The intercept change due to the CHP plant was 1.15 (95% CI: 1.137–1.162). For overall control dongs, the pre-CHP trend was 1.133 (95% CI: 1.132–1.135), and the post-CHP trend was 1.065 (95% CI: 1.06– 1.069). The intercept change due to the CHP plant was 0.888 (95% CI: 0.878–0.899). Only for CO and NO2, the relative risk (RR) for overall case dongs was statistically significantly increased, and the RR for the overall control dongs was statistically insignificant.
Conclusions: Possible hazardous emissions, like CO and NO2, from cogeneration plants could induce environmental diseases in nearby community populations. The emissions from cogeneration plants should be investigated regularly by a governmental agency, and the longterm health outcomes of nearby community residents should be investigated.

참고문헌 (Reference)

1 Mathias A, "Wood Energy, Climate and Health International Expert Consultation" Food and Agriculture Organization of the United Nations 62-, 2000

2 Pavlas M, "Waste to energy – An evaluation of the environmental impact" 30 (30): 2326-2332, 2010

3 Singh S, "Toxic environmental releases from medical waste incineration : a review" 132 (132): 67-81, 2007

4 Lopez Bernal J, "The use of controls in interrupted time series studies of public health interventions" 47 (47): 2082-2093, 2018

5 Lueken R, "The climate and health effects of a USA switch from coal to gas electricity generation" 109 : 1160-1166, 2016

6 Teng B, "The association between ambient air pollution and allergic rhinitis: further epidemiological evidence from Changchun, Northeastern China" 14 (14): 226-, 2017

7 Fouladi Fard R, "The assessment of health impacts and external costs of natural gas-fired power plant of Qom" 23 (23): 20922-20936, 2016

8 Rifkin J, "The Green New Deal: Why the Fossil Fuel Civilization Will Collapse by 2028, and the Bold Economic Plan to Save Life on Earth" St. Martin's Press 2019

9 Hamer G, "Solid waste treatment and disposal : effects on public health and environmental safety" 22 (22): 71-79, 2003

10 Viel JF, "Soft-tissue sarcoma and non-Hodgkin's lymphoma clusters around a municipal solid waste incinerator with high dioxin emission levels" 152 (152): 13-19, 2000

11 Hiscock R, "Socioeconomic status and smoking : a review" 1248 : 107-123, 2012

12 Akella AK, "Social, economical and environmental impacts of renewable energy systems" 34 (34): 390-396, 2009

13 Adams PW, "Small-scale biomass gasification CHP utilisation in industry : Energy and environmental evaluation" 6 : 129-140, 2014

14 Cordier S, "Risk of congenital anomalies in the vicinity of municipal solid waste incinerators" 61 (61): 8-15, 2004

15 McCubbin D, "Quantifying the health and environmental benefits of wind power to natural gas" 53 : 429-441, 2013

16 Azid IA, "Predicting combined-cycle natural gas power plant emissions by using artificial neural networks" IEEE 512-517, 2000

17 Brewer E, "PM2.5 and ultrafine particulate matter emissions from natural gas-fired turbine for power generation" 131 : 141-149, 2016

18 Blondeel M, "Moving beyond coal : exploring and explaining the Powering Past Coal Alliance" 59 : 101304-, 2020

19 Wang SX, "Mercury emission and speciation of coal-fired power plants in China" 10 (10): 1183-1192, 2010

20 Huang SK, "Mechanistic impact of outdoor air pollution on asthma and allergic diseases" 7 (7): 23-33, 2015

21 Businelle MS, "Mechanisms linking socioeconomic status to smoking cessation : a structural equation modeling approach" 29 (29): 262-273, 2010

22 Bernal JL, "Interrupted time series regression for the evaluation of public health interventions : a tutorial" 46 (46): 348-355, 2017

23 Alvim-Ferraz MC, "Incineration of healthcare wastes : management of atmospheric emissions through waste segregation" 25 (25): 638-648, 2005

24 Alvim-Ferraz MC, "Incineration of different types of medical wastes : emission factors for particulate matter and heavy metals" 37 (37): 3152-3157, 2003

25 Franchini M, "Health effects of exposure to waste incinerator emissions : a review of epidemiological studies" 40 (40): 101-115, 2004

26 Hinshaw GD, "Hazardous waste incineration emissions in perspective" 21 (21): 471-475, 2001

27 Wang M, "Government incentives to promote renewable energy in the United States" 24 : 355-366, 2005

28 International Energy Agency, "Global Energy & CO2 Status Report 2017" International Energy Agency 2018

29 Sopian K, "Future directions in Malaysian environment friendly renewable energy technologies research and development" 1 : 30-36, 2005

30 Paolini V, "Environmental impact of biogas : a short review of current knowledge" 53 (53): 899-906, 2018

31 Ravina M, "Environmental analysis of a potential district heating network powered by a large-scale cogeneration plant" 24 (24): 13424-13436, 2017

32 Rosen MA, "Energy, environmental, health and cost benefits of cogeneration from fossil fuels and nuclear energy using the electrical utility facilities of a province" 13 (13): 43-51, 2009

33 Srivastava RK, "Emissions of sulfur trioxide from coal-fired power plants" 54 (54): 750-762, 2004

34 Takaoka M, "Emission of particulate matter 2.5 (PM2.5) and elements from municipal solid waste incinerators" 18 : 72-80, 2016

35 Canova A, "Emission characterization and evaluation of natural gas-fueled cogeneration microturbines and internal combustion engines" 49 (49): 2900-2909, 2008

36 Yoo JI, "Emission characteristics of particulate matter and heavy metals from small incinerators and boilers" 36 (36): 5057-5066, 2002

37 Kristensen PG, "Emission Factors For Gas Fired CHP Units < 25 MW" IGRC 2004

38 Di Ciaula A, "Emergency visits and hospital admissions in aged people living close to a gas-fired power plant" 23 (23): e53-e58, 2012

39 Deng Q, "Early life exposure to traffic-related air pollution and allergic rhinitis in preschool children" 121 : 67-73, 2016

40 Floret N, "Dioxin emissions from a solid waste incinerator and risk of non-Hodgkin lymphoma" 14 (14): 392-398, 2003

41 Ulutaş BH, "Determination of the appropriate energy policy for Turkey" 30 (30): 1146-1161, 2005

42 Shipley A, "DOE report : combined heat and power : effective energy solutions for a sustainable future" 24 (24): 71-74, 2009

43 Shafie SM, "Current energy usage and sustainable energy in Malaysia : a review" 15 (15): 4370-4377, 2011

44 AlRafea K, "Cost-analysis of health impacts associated with emissions from combined cycle power plant" 139 : 1408-1424, 2016

45 COGEN Europe, "Cogeneration 2050: the Role of Cogeneration in a European Decarbonised Energy System" COGEN Europe 2011

46 Chang MB, "Characteristics of heavy metals on particles with different sizes from municipal solid waste incineration" 79 (79): 229-239, 2000

47 Wang G, "Characteristics of filterable and condensable particulate matter emitted from two waste incineration power plants in China" 639 : 695-704, 2018

48 Guttikunda SK, "Atmospheric emissions and pollution from the coal-fired thermal power plants in India" 92 : 449-460, 2014

49 Kim HH, "Analysis of the association between air pollution and allergic diseases exposure from nearby sources of ambient air pollution within elementary school zones in four Korean cities" 20 (20): 4831-4846, 2013

50 Wang IJ, "Allergens, air pollutants, and childhood allergic diseases" 219 (219): 66-71, 2016

51 van Oers JA, "Alcohol consumption, alcohol-related problems, problem drinking, and socioeconomic status" 34 (34): 78-88, 1999

52 Hao J, "Air quality impacts of power plant emissions in Beijing" 147 (147): 401-408, 2007

53 Brandt EB, "Air pollution and allergic diseases" 27 (27): 724-735, 2015

54 Bhatia SC, "Advanced Renewable Energy Systems" WPI Publishing 2014

55 Agrawal KK, "A life cycle environmental impact assessment of natural gas combined cycle thermal power plant in Andhra Pradesh, India" 11 : 162-174, 2014