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The document outlines the risks associated with hydraulic fracturing, specifically focusing on water and air pollution, reproductive health issues, pediatric cancers, and seismic activity. It highlights the role of methane leaks in undermining climate goals and advocates for a phased elimination of fracking wells in Canada to meet Paris Agreement commitments.

The report examines the risks associated with unconventional oil and gas extraction (PGNC), specifically hydraulic fracturing. It details significant health concerns, including adverse birth outcomes, asthma exacerbation, and potential links to childhood leukemia. Environmental risks identified include water contamination, air pollution (specifically benzene and ozone precursors), and induced seismicity. The document highlights the disproportionate impact on Indigenous populations and argues that methane leaks undermine the role of natural gas as a transition fuel, calling for a moratorium on new projects and a strategic phase-out to meet Paris Agreement goals.

The Canadian Association of Physicians for the Environment (CAPE) argues that Canada's post-COVID-19 economic recovery should prioritize decarbonization to protect human health and ensure economic stability. The report outlines a path to net-zero emissions by 2050, projecting that meeting climate targets would save approximately 112,000 lives between 2030 and 2050 due to air quality improvements and increase clean jobs from 210,000 in 2020 to 1.5 million by 2050. Key recommendations include legislating a net-zero 2050 target, decarbonizing electricity and transit by 2040, and transitioning buildings and healthcare to net-zero by 2050. The report also emphasizes the health risks of fossil fuel investments, the need for a just transition for workers, and the importance of nature-based solutions for climate mitigation and mental health.

The Centre for Environmental Rights (CER) asserts that South Africa's Minimum Emission Standards (MES) for sulphur dioxide (SO2) are already weak compared to other developing nations and should be strictly enforced. The CER disputes claims by Eskom and Sasol that compliance is too expensive, citing expert analysis that suggests Eskom's capital cost estimates for flue gas desulphurisation (FGD) and low NOx burners are significantly inflated. The document highlights that failure to comply with the MES could lead to approximately 16,000 avoidable premature deaths, while doubling the SO2 limit to 1000mg/Nm3 would cause an additional 3,300 premature deaths. It recommends the use of FGD as the best available technology for long-term operation and dry sorbent injection (DSI) only for plants nearing decommissioning.

The Centre for Environmental Rights (CER), representing the Life After Coal campaign and several environmental justice alliances, formally objects to a proposed amendment by the Department of Environment, Forestry and Fisheries to double the Sulphur Dioxide (SO2) Minimum Emission Standard (MES) for new plants in sub-category 1.1 from 500 mg/Nm3 to 1000 mg/Nm3. The CER argues that this weakening of standards is unlawful, violates the South African Constitution's right to a healthy environment, and would lead to significant premature deaths and exacerbated air pollution in priority areas.

The report argues that doubling the SO2 emissions limit would lead to significant increases in PM2.5 exposure and mercury deposition, resulting in approximately 3,300 premature deaths, with a high concentration of impacts in the Gauteng region.

Professor Peter Orris reviews Dr. Andrew Gray's modeling of emissions from 12 coal-fired power plants, a Synfuels facility, and a NatRef refinery in South Africa. Orris concludes that these facilities create a significant public health hazard, contributing to hundreds of premature deaths annually via PM2.5 exposure. He notes that while implementing the 2020 Minimum Emission Standards (MES) would significantly reduce PM2.5-related deaths, it would not eliminate all WHO guideline exceedances for SO2 and NO2. The review emphasizes the vulnerability of children and the elderly at sensitive sites like schools and hospitals.

The analysis finds that Latino, Asian American, and African American residents in the Northeast and Mid-Atlantic are exposed to significantly higher levels of vehicle-related PM2.5 pollution than white residents. The report highlights that white residents comprise 85% of those in the lowest pollution areas, while people of color are overrepresented in the most polluted census tracts, often located near major highways in urban centers. The document argues for targeted investments in clean transportation, such as electric vehicles and buses, to reduce these environmental inequities.

The report argues that transitioning away from fossil fuels through carbon pricing, energy efficiency, active transportation, and plant-based diets can simultaneously reduce greenhouse gas emissions and improve public health outcomes. It highlights that in Canada, air pollution from fossil fuels causes 14,400 premature deaths annually, and that shifting to low-carbon energy and urban design can significantly reduce chronic diseases and healthcare costs.

The report finds that granting Eskom's requests for non-compliance with Minimum Emission Standards would lead to significant excess emissions of SO2, NOx, particulate matter, and mercury, resulting in an estimated 16,000 avoidable premature deaths across South Africa, with 3,100 of those in the Gauteng region.

The review concludes that the Eskom report significantly underestimates the health impacts and economic benefits of pollution abatement due to flawed modelling, incorrect response function selection, and an inappropriately high discount rate. The reviewers estimate that the benefits of action would exceed costs by a factor of 5 or more, which would reverse the original conclusions of the Eskom CBA.

The Canadian Association of Physicians for the Environment (CAPE) submitted a brief to the City of Edmonton arguing that the current Integrated Pest Management (IPM) policy fails to adequately address human health risks. CAPE highlights that children are particularly vulnerable to pesticide exposure, which is linked to developmental deficits and childhood cancers, while adults face risks of Parkinson's disease and various cancers. The document criticizes Health Canada's Pest Management Regulatory Agency (PMRA) for relying on industry-supplied data and failing to conduct timely re-evaluations of registered pesticides. CAPE recommends that Edmonton formalize a policy to eliminate routine toxic pesticide use in city-managed parks and for mosquito control, and implement a bylaw restricting non-essential pesticide use on residential and private lawns.

The document argues that climate change is the greatest health threat of the 21st century, citing specific impacts on Canadians such as respiratory issues from wildfires, heat-related deaths in Quebec, and food insecurity in the Canadian Arctic. It calls for federal action to reduce greenhouse gas emissions, phase out coal and fossil fuel subsidies, and invest in public health resilience and a just transition for workers.

The Life After Coal campaign argues that Eskom's applications to delay or suspend compliance with Minimum Emission Standards (MES) are unlawful under the 2017 National Framework for Air Quality Management. The campaign asserts that the required condition for such applications—that the surrounding area be in compliance with National Ambient Air Quality Standards (NAAQS)—is not met in the Highveld Priority Area (HPA) or Vaal Triangle Airshed Priority Area (VTAPA). Furthermore, the document highlights severe health impacts, claiming that excess emissions could result in approximately 23,000 premature deaths. It criticizes Eskom's decommissioning schedules as vague and its air quality offset programs as ineffective, while providing international benchmarks to refute Eskom's claims that retrofitting older plants is infeasible.

The report details how plastic creates a global health crisis through a complex life cycle. It identifies toxic emissions during fossil fuel extraction (fracking) and refining, the leaching of endocrine disruptors and carcinogens from consumer products, and the release of hazardous metals and dioxins during waste incineration. It further examines the pervasive presence of microplastics in the food chain, drinking water, and human tissues, linking them to inflammation, oxidative stress, and various chronic diseases. The document emphasizes that marginalized communities bear a disproportionate burden of these risks and calls for a transition away from plastic production based on human rights and the precautionary principle.

CAPE submits that Calgary's current Integrated Pest Management (IPM) plan is insufficient to protect residents from the health risks of toxic pesticides. The organization highlights specific vulnerabilities of children and adults, criticizes the federal PMRA regulatory process, and recommends a corporate ban on routine toxic pesticide use alongside a municipal bylaw for private properties.

The document reports a significant increase in hazardous toxic air pollution and cancer risks in Pennsylvania linked to the oil and gas industry between 2011 and 2014, highlighting the vulnerability of over 1.6 million residents and 300,000 students living near operations.

The 2018 Lancet Countdown identifies extreme heat as the primary health concern globally, noting that 157 million more vulnerable people were exposed to heat waves in 2017 compared to 2000. In Canada, the report links air pollution from human activity to 7,142 premature deaths in 2015, with health impacts valued at $53.5 billion. The document advocates for carbon pricing, the phase-out of coal-fired power plants by 2030, and the integration of climate health into medical curricula.

The report finds that ten companies were responsible for an estimated two-thirds of the health damage caused by EU coal power plants in 2016, including 7,600 premature deaths. RWE is identified as the most harmful company, with health costs of €5.4 billion in 2016. The analysis highlights that for many companies, the health costs imposed on society are similar in magnitude to the revenues they earn from selling coal-fired electricity. The report argues that companies are 'clinging to coal' through lack of retirement plans, continued investment in old plants, and lobbying for subsidies, and recommends a full phase-out of coal by 2030.

Health professionals argue that the Trans Mountain pipeline expansion (TMX) poses significant risks to public health and the environment, claiming that the National Energy Board's review process was flawed and failed to account for climate-related health impacts and the toxicity of diluted bitumen.