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China’s Environmental Crisis

China’s environmental crisis is one of the most pressing challenges to emerge from the country’s rapid industrialization. Its economic rise, in which GDP grew on average 10 percent each year for more than a decade, has come at the expense of its environment and public health. China is the world’s largest source of carbon emissions, and the air quality of many of its major cities fails to meet international health standards. Life expectancy north of the Huai River is  5.5 years lower than in the south due to air pollution (life expectancy in China is 75.3 according to 2013 UN figures).

Severe water contamination and scarcity have compounded land deterioration. Environmental degradation threatens to undermine the country’s growth and exhausts public patience with the pace of reform. It has also bruised China’s international standing and endangered domestic stability as the ruling party faces increasing scrutiny and public discontent. More recently, amid waning economic growth, leaders in Beijing appear more determined to institute changes to stem further degradation.
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A History of Pollution
While China’s economic boom has greatly accelerated the devastation of its land and resources, the roots of its environmental problem stretch back centuries. Dynastic leaders who consolidated territory and developed China’s economy exploited natural resources in ways that contributed to famines and natural disasters, writes CFR’s Elizabeth C. Economy in The River Runs Black: The Environmental Challenge to China's Future. “China’s current environmental situation is the result not only of policy choices made today but also of attitudes, approaches, and institutions that have evolved over centuries,” Economy writes.

It wasn’t until the 1972 United Nations Conference on the Human Environment that China began to develop environmental institutions. It dispatched a delegation to the conference in Stockholm, but by then the country’s environment was already in dire straits. Economic reforms in the late 1970s that encouraged development in rural industries further exacerbated the problem.
Chinese leader Deng Xiaoping implemented a series of reforms that diffused authority to the provinces, creating a proliferation of township and village enterprises (TVEs). By 1997, TVEs generated almost a third of national GDP, though TVEs have since declined in relative importance to the Chinese economy. But local governments were difficult to monitor and seldom upheld environmental standards. Today, with a transitioning Chinese economy fueled by large state-owned enterprises, environmental policies remain difficult to enforce at the local level, where officials often priotize hitting economic targets over environmental concerns.

Despite the government’s stated goals, actual change to environmental policies and effective implementation will require revisiting state-society and state-market relations and China’s bureaucratic power structure, writes CFR’s Yanzhong Huang.

China’s modernization has lifted hundreds of millions out of poverty and created a booming middle class. In some ways, the country’s trajectory of industrialization is not unlike those of other modernizing nations, such as the UK in the early nineteenth century. But experts say China's environmental footprint is far greater than that of any other single country.
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How Bad Is It?
China is the world’s largest emitter of greenhouse gases, having overtaken the United States in 2007, and was responsible for 27 percent of global emissions in 2014.

The country’s energy consumption has ballooned, with reports from late 2015 implying that it consumed up to 17 percent more coal than previously reported. In January 2013, Beijing experienced a prolonged bout of smog so severe that citizens dubbed it an “airpocalypse”; the concentration of hazardous particles was forty times the level deemed safe by the World Health Organization (WHO).

In December 2015, Beijing issued red alerts for severe pollution—the first since the emergency alert system was established. The municipal government closed schools, limited road traffic, halted outdoor construction, and paused factory manufacturing.  At least 80 percent of China’s 367 cities with real-time air quality monitoring failed to meet national small-particle pollution standards during the first three quarters of 2015, according to a Greenpeace East Asia report.  In December 2015, the Asian Development Bank approved a $300 million loan to help China address the capital region’s choking smog.
Coal is largely to blame for the degradation of air quality. China is the world’s largest coal producer and accounts for about half of global consumption. Mostly burned in the north, coal provides around two thirds of China’s energy mix, however demand for it appears to be declining. China’s National Energy Agency claimed that coal use dropped to 64.2 percent of the mix in 2014, down almost two percent from 2012.

This drop in coal demand also comes as China’s economy is slowing, with its central bank forecasting that annual growth  will only expand by 6.8 percent in 2016, down from 6.9 percent a year earlier. Still, doubts linger of China’s commitment to wean itself from coal. In 2015, China’s coal power plant capacity increased by 55 percent in the first six months, 155 new coal-fired plants were approved, and China admitted that it had underreported its annual coal consumption since 2000.

There were  a record 17 million new cars  on the road in 2014, further contributing to China’s high emissions.  Car ownership was up to 154 million, according to China’s Ministry of Public Security,with compared to roughly 27 million in 2004, according to China’s National Bureau of Statistics. Another trend compounding air problems has been the country’s staggering pace of urbanization, a national priority. The government aims to have more than 60 percent of the Chinese population living in cities by 2020, up from 36 percent in 2000 (53.7 percent of the population in 2015 lived in urban areas). Rapid urbanization increases energy demands to power new manufacturing and industrial centers.
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Experts also cite water depletion and pollution as among the country’s biggest environmental challenges. China is home to 20 percent of the world’s population but only 7 percent (PDF) of its fresh water sources. Overuse and contamination have produced severe shortages, with nearly 70 percent of the country’s water supplies dedicated to agriculture and and 20 percent of supplies used in the coal industry, according to Choke Point: China, an environmental NGO initiative. Approximately two-thirds of China’s roughly 660 cities suffer from water shortages. Former Chinese premier Wen Jiabao has said that water shortages challenge “the very survival of the Chinese nation.”

Industry along China’s major water sources has polluted water supplies: in 2014, groundwater supplies in more than 60 percent of major cities were categorized as “bad to very bad” and  more than a quarter of China’s key rivers are “unfit for human contact.” And lack of waste removal and proper processing has exacerbated problems. Combined with negligent farming practices, overgrazing, and the effects of climate change, the water crisis has turned much of China’s arable land into desert. About 1.05 million square miles of China’s landmass are undergoing desertification, affecting more than 400 million people, according to the deputy head of China’s State Forestry Administration. Water scarcity, pollution, and desertification are reducing China’s ability to sustain its industrial output and produce food and drinkable water for its large population.
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Cost of Environmental Damage
Environmental depredations pose a serious threat to China’s economic growth, costing the country roughly 3 to 10 percent of its gross national income, according to various estimates. China’s Ministry of Environmental Protection calculates estimates the cost of pollution at around 1.5 trillion RMB ($227 billion), or roughly 3.5 percent of GDP, according to 2010 figures. Due to the sensitivity of the topic, the ministry only releases such figures intermittently.

Data on the toll of China’s pollution on public health paint a devastating picture. Air pollution contributes to an estimated 1.2 million premature deaths in China annually. Epidemiological studies conducted since the 1980s in northern China suggest that poor air quality in Chinese cities causes significant health complications, including respiratory, cardiovascular, and cerebrovascular diseases. Pollution has also been linked to the proliferation of acute and chronic diseases; estimates suggest that around 11 percent of digestive-system cancers in China may stem from unsafe drinking water.

Recent studies have reported that emissions from China’s export industries are worsening air pollution as far as the western United States. China’s neighbors, including Japan and South Korea, have also expressed concern over acid rain and smog affecting their populations. Environmental ministers from the three northeast Asian countries agreed to boost cooperative efforts to curb air pollution and to protect water quality and the maritime environment in 2014. 

The damage has also affected China’s economic prospects as it continues to pursue extractive resources abroad, such as oil and other fossil fuels. Its economic partners, particularly in the developing world, face costly environmental burdens attached with doing business with China, write CFR’s Economy and Michael Levi in By All Means Necessary, their book on China’s quest for resources.
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Citizen Outrage
Environmental damage has cost China dearly, but the greatest collateral damage for the ruling Communist Party has likely been growing social unrest. Demonstrations have proliferated as citizens gain awareness of the health threats and means of organized protest (often using social media). In 2013, Chen Jiping, former leading member of the party’s Committee of Political and Legislative Affairs said that environmental issues are a major reason for “mass incidents” in China—unofficial gatherings of one hundred or more that range from peaceful protest to rioting. Environmental protests in rural and urban areas alike—such as those in Guangdong, Shanghai, Ningbo, and Kunming—are increasing in frequency. The number of “abrupt environmental incidents”, including protests,  in 2013 rose to 712 cases, a 31 percent uptick from the previous year.
CFR’s Economy points out that one of the most important changes in China’s environmental protest movement has been a shift, beginning in the late 2000s, from predominantly rural-based protests to urban-based movements. The issue has worried the top leadership, which views the unrest as a threat to the party’s legitimacy. “Air pollution in China has turned into a major social problem and its migitation has become a crucial political challenge for the country’s political leadership,” write Center for Strategic and International Studies’s Jane Nakano and Hong Yang.  

Yet the government has responded to public outcries: Chinese Premier Li Keqiang declared a “war on pollution” in March 2014; in May of the same year the government strengthened the country’s Environmental Protection Law for the first time in twenty-five years. Such moves reflect “a changing understanding within China about the relationship between economic development and societal wellbeing,” Economy and Levi write.

The Internet has played a crucial role in allowing citizens to spread information about the environment, placing additional political pressure on the government. In March 2015 Under the Dome, a TED Talk-style documentary on China’s air pollution went viral, attracting hundreds of thousands of views before Internet censors blocked access, and in 2013 the discovery of thousands of dead pigs in the Huangpu river also spread rapidly online. However, experts say the jury is still out on the current government will implement meaningful reforms, which has shown more resolve in cracking down on public dissent than implementing environmental measures.
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What's Being Done?
The government has mapped out ambitious environmental initiatives in recent five-year plans, although experts say follow-through has been flawed. In December 2013, China’s National Development and Reform Commission, the top economic planning agency, issued its first nationwide blueprint (PDF) for climate change, outlining an extensive list of objectives for 2020. Since January 2014, the central government has required fifteen thousand factories, including large state-owned enterprises, to publicly report real-time figures on air emissions and water discharges.

The government also pledged to spend $275 billion over the next five years to clean up the air and $333 billion for water pollution. In a November 2014 joint statement on climate change with the United States, China committed to hit its peak carbon emissions by 2030 and to have renewables account for 20 percent of its energy mix by 2030. More recently, President Xi Jinping, on a state visit to Washington, announced that China would initiate a national cap-and-trade program in 2017.

China is one of the biggest investors in renewables, investing nearly $90 billion in 2014 as part of its pledge to cut its carbon intensity (far outspending the United States’ $51.8 billion). Some analysts have predicted that China is on track to overtake the United States as the world’s leading producer of wind energy by 2016. Meanwhile, Chinese firms continue to invest in and partner with international companies to develop renewable energy technologies.

Though policy implementation has been inconsistent, the environmental NGO community has grown to push the government to stay on track. Thousands of these groups—often working with U.S. and foreign counterparts—push for transparency, investigate corruption, and head grassroots campaigns. Friends of Nature is one of its oldest; Global Village and Green Home are among other well-known NGOs. Despite state support, these organizations inevitably face constraints from government fear that their activities could catalyze democratic social change.

Despite the political reforms needed to catalyze any real change in the environmental sphere, the response to China’s crisis has triggered some optimism about the future. “What we’re seeing now is an entirely new administration with an entirely different outlook on climate change,” writes Greenpeace East Asia’s Li Shuo. China, once reluctant to take a stand on environmental issues and climate change, emerged as a leader in negotiations at the 2015 UN Climate Conference in Paris where 195 countries signed a breakthrough accord. While China deserves due credit for its ambitious efforts to curtail its own environmental crisis, Economy says it cannot be assumed that Beijing will follow through on its promises. “The proof will be on the ground—and of course, in the atmosphere.” - Source
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Greenpeace East Asia report - Heavy metal pollution of China's rice crops - pdf 

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 Lead poisoning in China.

Mental Health and Environmental Exposures - exposures to toxic substances leads not only to cancer and other physical medical conditions, but can also lead to both temporary and long-term psychiatric symptoms and illness - pdf

Aluminum exposure - Aluminum in water has been correlated with dementing diseases, including dialysis dementia. While aluminum has been studied as a possible contributor to Alzheimer’s Disease, there is controversy regarding a connection. Recent research indicates that the connection may be real.
Psychiatric symptoms (aluminum):

agitation
anxiety
bizarre behavior
confusion
depression
hallucinations
homicidal
insomnia
memory loss
mood lability
paranoia
personality change
poor concentration
suicidal
violence

Arsenic exposure - Arsenic poisoning may appear as major depressive or psychotic disorders. 
Psychiatric symptoms (arsenic):

agitation
anxiety
disordered thinking
irritability
muttering
paranoia
personality change
poor memory and concentration
psychosis
singing
suicidal ideation
visual hallucinations

Lead exposure - Considerable evidence connects childhood lead exposure, including prenatal exposure, to diagnoses of conduct disorder, criminal behavior and attention deficit hyperactivity disorder (ADHD).
Psychiatric symptoms (lead):

academic problems or behavior changes
aggression
agitation
anger
antisocial behavior
anxiety
confusion
decreased libido
delinquent behavior
delusions
dementia
depression
hallucinations
impulsivity
insomnia
irritability
mania
mood lability
nervousness
paranoia
personality change
poor concentration
poor memory or memory loss
suicidal ideation
tension
In children, also:
antisocial
crying
distractibility
hyperactivity
impulsivity
lack of attention

Manganese exposure - Manganese is present in pesticides that may be used around the home, so try less toxic pest-control methods first. If you use toxic pesticides, follow the precautions on the package during use and keep children away from pesticides.
Psychiatric symptoms (manganese): 

aggression
compulsive running or walking
depression (rare)
hallucinations
hypersexuality
hypersomnia or insomnia
irritability
mild euphoria
minor criminal acts
nervousness or anxiety
nightmares
paranoia
personality change
poor memory and concentration
silliness
social withdrawal
uncontrollable laughing and/or crying
Mercury exposure -  Mercury poisoning has been connected in adults with erethism, a syndrome whose psychiatric symptoms include irritability, excitability, timidity and excessive embarrassment, depression and anxiety. Fetuses, infants and children are more susceptible to mercury exposures than adults. Exposures that may cause no symptoms in a mother can cross the placenta and concentrate in her breast milk, injuring her child.
Psychiatric symptoms (mercury):

abusive language
academic decline
anhedonia
anxiety/nervousness
apathy
crying
depression
excessive
embarrassment
excitability
explosive speech
fatigue
hallucinations
inability to take orders
insomnia
irritability
loss of libido
memory loss
mood lability
nightmares
paranoia
personality change
phobic avoidance
poor attention
poor concentration
shyness
social withdrawal
suicidal/homicidal
timidity
violence

Pesticides exposure - to any of several different types of chemicals that are used to kill insects may cause psychiatric symptoms.
Psychiatric symptoms (pesticides):

CH Insecticides:
academic decline
agitation
anxiety
confusion
depression
fatigue
hallucinations
insomnia
irritability
loss of libido
memory loss
mood lability
nervousness
nightmares
personality change
poor appetite
somatic complaints
Methyl Bromide:
(Fumigant)
anxiety
apathy
confusion
decreased libido
delusions
depression
euphoria
hallucinations
homicidal/suicidal
ideation
hypersomnia
impotence
insomnia
irritability
mania
melancholia
neurosis
paranoia
poor concentration
violence
OP Insecticides:
academic decline
anxiety
apathy
change in libido
confusion
depression
dissociation
excessive dreaming
fatigue
giddiness
hallucinations
hyperactivity
insomnia
irritability
memory loss
mood lability
nightmares
paranoia
poor appetite
poor concentration
restlessness
somatic complaints
suicidal ideation
Carbamates:
confusion
irritability
memory loss
mood lability
PBBs and PCBs exposure - Polybrominated biphenyls (PBBs) and polychlorinated biphenyls (PCBs) were used in a variety of electrical and chemical applications including capacitors, transformers, machine oils, plastics, carbonless copy paper and sealants.
Psychiatric symptoms (PBB/PCB):  

decreased libido
fatigue
irritability
nervousness
poor concentration
poor memory
somatic complaints
somnolence
depression
impotence
insomnia

Solvents exposure - Solvents are a range of chemicals that extract, dissolve or suspend insoluble materials such as fats and polymers. Solvents include alcohols, ketones, ethers, esters, glycols, aldehydes, saturated and unsaturated aliphatic and aromatic hydrocarbons, halogenated hydrocarbons, carbon disulfide, and a variety of petroleum byproducts.
Psychiatric symptoms (solvents): 

agitation
anxiety
bizarre behavior
catalepsy
delusions
depression
irritability
hallucinations
hilarity/weeping
insomnia
lack of initiative
lethargy
loss of libido
mania
memory loss
mood lability
poor concentration
psychosis
restlessness
suicidal or homicidal attempts
violence
sexual problems
sleep apnea or other sleep disturbances

Thallium exposure - Thallium was used for several decades in the 20th century in medical treatments and in pesticides and was the source of hundreds of poisonings. Chronic or subacute poisonings are associated with prominent psychiatric symptoms. 
Psychiatric symptoms (thallium): 

anxiety
confusion
crying spells
delirium
dementia
depression
diffuse electroencephalogram (EEG)
abnormalities
hysteria
insomnia
irritability
Korsakoff’s syndrome
nervousness
paranoia
personality changes
poor memory
psychosis
rage
restlessness
sleep-wake reversal

Tin exposure - Tin was used for a brief time in medical treatments before its toxic properties were discovered. Organotin poisoning is now rare and is mostly seen in industrial or laboratory settings among chemists, chemical engineers and other chemical workers.
Psychiatric symptoms (tin):

aggression (physical and sexual) and rage
cognitive dysfunction
depression
disorientation
fatigue/weakness
hyperactivity
hyperphagia or anorexia
inappropriate affect
indifference
insomnia and other
sleep disturbances
irritability
loss of libido
loss of motivation
loss of vigilance
memory loss
psychotic behavior
rapid cycles of depression and rage
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