Toxic air threatens children’s lives across East Asia and the Pacific, UNICEF warns

© UNICEF/Vlad Sokhin
A kindergarten teacher helps a child with a face mask before outdoor activities in Nalaikh, Mongolia.

This article is published in association with United Nations.


More than 100 children under the age of five die every day in East Asia and the Pacific due to air pollution, the UN Children’s Fund (UNICEF) warned in a new analysis released on Thursday, calling for urgent action to tackle the crisis.

The analysis underscores the devastating impact of toxic air on young lives, with air pollution now linked to nearly one in four deaths of under fives in the region.

Exposure begins in the womb, increasing risks of premature birth and low birth weight, and continues throughout childhood, impairing lung development, reducing cognitive function, and contributing to chronic diseases such as asthma and cardiovascular conditions.

Every breath matters but for too many children every breath can bring harm,said June Kunugi, UNICEF Regional Director for East Asia and the Pacific.

“The air they breathe, at a time when their bodies and minds are still developing, too often contains unhealthy levels of pollution that can comprise their growth, harm their lungs, and impair their cognitive development.”

Every child at risk

The report reveals that all 500 million children in the region live in countries with unhealthy air.

Over 325 million children are exposed to annual fine particulate matter (PM2.5) levels exceeding World Health Organization (WHO) guidelines by five times or more, while 373 million live in areas with dangerous levels of nitrogen dioxide, a gas emitted by vehicles and industrial processes.

Nearly half of PM2.5 pollution in the worst-affected countries comes from the burning of fossil fuels, biomass, and agricultural waste – also major contributors to climate change.

As extreme weather events worsen due to climate change, air pollution is expected to become an even greater threat, UNICEF warned.

Impacts beyond health

The impacts of the air pollution crisis go beyond health.

High pollution levels force school closures, disrupt learning, and increase medical expenses, straining already overwhelmed healthcare systems.

The World Bank estimates that in 2019, the economic cost of air pollution from PM2.5 in East Asia and the Pacific amounted to $2.5 trillion, or 9.3 percent of the region’s gross domestic product (GDP).

Students at a primary school in Bangkok wear masks during their morning lineup as air pollution levels soar.

© UNICEF/Patipat Janthong

Students at a primary school in Bangkok wear masks during their morning lineup as air pollution levels soar.

Urgent call for action

In response to the “silent killer,” UNICEF called on governments, businesses, healthcare professionals, parents, and educators to take immediate steps to reduce air pollution and protect children’s health.

Governments must enforce stronger environmental policies, transition to clean energy sources, and implement air quality standards aligned with WHO guidelines, alongside, businesses should adopt cleaner technologies, reduce emissions, and ensure their practices prioritize child safety.

Parents and educators also have a crucial role in raising awareness, advocating for cleaner environments, and empowering young people to take action, UNICEF highlighted.

Solutions exist

Furthermore, UNICEF is collaborating with governments, businesses, and communities on multiple initiatives to reduce children’s exposure to air pollution.

These include pushing for stronger environmental regulations, improving air quality monitoring by installing affordable sensors and implementing programmes to reduce household air pollution, such as cleaner cooking stoves and better ventilation.

The agency is also working to strengthen healthcare systems to better diagnose and treat pollution-related illnesses and is supporting young people to become clean air advocates, raising awareness, and pushing for stronger policies.

Addressing air pollution will lead to enormous improvements in children’s health, education, and well-being, with ripple effects across entire societies and economies,” Ms. Kunugi underscored.

Solutions exist, and our collective future depends on implementing them.


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