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@article{Chamberlain:2023:10.1016/S2468-2667(23)00120-2,
author = {Chamberlain, RC and Fecht, D and Davies, B and Laverty, AA},
doi = {10.1016/S2468-2667(23)00120-2},
journal = {The Lancet Public Health},
pages = {e559--e574},
title = {Health effects of Low Emission and Congestion Charging Zones: a systematic review},
url = {http://dx.doi.org/10.1016/S2468-2667(23)00120-2},
volume = {8},
year = {2023}
}
TY - JOUR
AB - Background: Low Emission Zones (LEZ) and Congestion Charging Zones (CCZ) have beenimplemented in several cities globally. We systematically reviewed the evidence on the impacts ofthese air pollution and congestion reduction schemes on a range of physical health outcomes.Methods: We searched MEDLINE, Embase, Web of Science, IDEAS, Greenfile, and TRID databasesthrough 4 January 2023. We included studies that evaluated the effect of the implementation of aLEZ or CCZ on air pollution-related health outcomes, including cardiovascular and respiratorydiseases, birth outcomes, dementia, lung cancer and diabetes, or road traffic injuries (RTI) usinglongitudinal study designs. We excluded studies without empirical health data. Two authorsindependently assessed papers for inclusion. Results were narratively synthesised and visualisedusing harvest plots. Risk of bias was assessed using the Graphic Appraisal Tool for Epidemiologicalstudies for correlation studies. The protocol was registered with PROSPERO (CRD42022311453).Findings: Of 2,279 studies screened, sixteen were included. Eight studies assessed LEZ in London,Milan, Tokyo, and several German cities, seven assessed the London CCZ and one the StockholmCCZ. Several LEZ studies identified positive effects on air pollution-related outcomes, with reductionsin at least some cardiovascular disease subcategories in five out of six studies investigating thisoutcome, although results for other health outcomes were less consistent. Six out of seven studieson the London CCZ reported reductions in total and/or car RTIs, although one reported an increasein cyclist/motorcyclist injuries and one reported an increase in serious/fatal injuries.Interpretation: Studies were limited in number and varied in design, intervention, and outcomes.Current evidence suggests LEZ schemes reduce air pollution related health outcomes, with thestrongest impact on cardiovascular disease. Evidence on CCZ is mainly limited to London butsuggests they reduce o
AU - Chamberlain,RC
AU - Fecht,D
AU - Davies,B
AU - Laverty,AA
DO - 10.1016/S2468-2667(23)00120-2
EP - 574
PY - 2023///
SN - 2468-2667
SP - 559
TI - Health effects of Low Emission and Congestion Charging Zones: a systematic review
T2 - The Lancet Public Health
UR - http://dx.doi.org/10.1016/S2468-2667(23)00120-2
UR - https://www.sciencedirect.com/science/article/pii/S2468266723001202?via%3Dihub
UR - http://hdl.handle.net/10044/1/104754
VL - 8
ER -
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