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The report 'Private Equity, Public Harm' estimates that private equity-backed fossil fuel infrastructure in the U.S. generates annual health costs between $11.3 billion and $15.1 billion, causing approximately 1,000 premature deaths and 1,500 emergency room visits yearly. Using the EPA's COBRA tool, the analysis identifies significant impacts from pollutants such as SO₂, NOₓ, VOCs, and PM2.5, noting that several individual private equity firms are responsible for over $1 billion in annual health impacts. The document calls for mandatory disclosures of fossil fuel exposure and emissions, a complete transition to a fossil-free portfolio by 2030, and the integration of environmental justice mechanisms to protect impacted communities.

The report details how climate change is increasing the frequency and severity of extreme weather in Oregon, leading to significant economic losses and infrastructure needs. Key risks include intense heatwaves, devastating wildfires, disrupted water supplies for agriculture, and coastal flooding. The document provides specific cost estimates for adaptations, such as school air conditioning and coastal protection, while outlining the broader systemic risks to public health, fisheries, and the state's $5.7 billion agricultural industry.

Climate change in Illinois is manifesting as increased precipitation, rising temperatures, and intensified summer droughts, leading to significant infrastructure damage and public health risks. Since the 20th century, average annual precipitation has risen by 12-15%, while extreme events have increased by 40%, causing frequent flooding and sewage overflows in cities like Chicago. Rising temperatures are most pronounced in winter, with a predicted average increase of up to 9°F by 2100, which threatens agricultural yields—potentially reducing corn yields by 23-34% by mid-century—and necessitates an estimated $6.1 billion for school air conditioning by 2025. Additionally, intensified summer droughts threaten crop yields and river navigation, notably impacting barge transportation on the Mississippi River, while increasing the risk of wildfires and health issues from Canadian wildfire smoke.

The report details how climate change is increasing the frequency and severity of extreme weather in Michigan, leading to significant infrastructure damage, public health risks, and economic losses in tourism and agriculture.

The report calculates that the planned expansion of the Afşin Elbistan A Thermal Power Plant will cause significant public health damage and economic losses. In the first year of operation (2028), the project is estimated to cause 42 deaths and cost the economy 58.1 million USD. Over a 35-year operational period (2028-2063), the cumulative impact is projected to be 2,268 deaths and an economic cost of 2.6 billion USD, which the authors equate to the cost of building 29 hospitals with 500 beds each.

The document evaluates the consequences of bypassing Flue Gas Desulfurization (FGD) systems at the Kusile power station. It projects a six-fold increase in SO2 emissions and a 40% increase in mercury emissions, leading to an estimated 670 excess deaths and R16.8 billion in societal costs.

The report examines the health and economic impacts of Alberta's heavy reliance on coal-fired electricity, which generated 64 per cent of the province's electricity in 2012. Using the Illness Cost of Air Pollution (ICAP) model and other data, the authors estimate that coal plants contribute to hundreds of premature deaths and thousands of emergency department visits annually. The report identifies a wide range of pollutants, including nitrogen oxides, sulphur dioxide, mercury, and particulate matter, which affect respiratory, cardiovascular, and neurological health. Economically, the report argues that the true societal cost of coal—including health damages and the social cost of carbon—ranges from 3.6 to 13.7 ¢/kWh, far exceeding the market pool price of 6.6 ¢/kWh. The authors conclude that the current system effectively subsidizes coal power at the expense of public health and recommend that Alberta accelerate the retirement of coal units beyond the 50-year limit allowed by federal regulations.