Clean Air Initiative: GlobalClean Air Initiative: AsiaIniciativa del Aire Limpio: América LatinaClean Air Initiative: Sub-Saharan Africa
Advanced Search
Dialogue room
Mailing List


Health Effects Institute
Public Health and Air Pollution in Asia Program (PAPA)


The Health Effects Institute (HEI) is an independent, nonprofit corporation chartered in 1980 to provide high-quality, impartial, and relevant science on the health effects of pollutants from motor vehicles and from other sources in the environment. Supported jointly by the U.S. Environmental Protection Agency (EPA) and industry, HEI has funded over 170 studies and published over 100 Research Reports, and several Special Reports, producing important research findings on the health effects of a variety of pollutants, including carbon monoxide, methanol and aldehydes, nitrogen oxides, diesel exhaust, ozone, and most recently, particulate air pollution.

HEI has also been called upon periodically to produce special reports reviewing an entire area of scientific literature on topics such as the health effects of asbestos, diesel exhaust, and oxygenates in fuel.

To accomplish its mission, HEI:

  • identifies the highest priority areas for health effects research
  • funds and oversees the conduct of high-quality research in these priority areas
  • provides intensive, independent review of HEI-supported and related research
  • integrates HEI's research results with those of other institutions into coherent, broader evaluations of health effects
  • communicates the results of HEI research and analyses to public and private decision makers

[_] Air quality monitoring
[_] Air quality management
[_] Stationary sources of air pollution
[_] Mobile sources of air pollution
[x ] Others: Air Pollution, Poverty and Health

  1. China
  2. India
  3. Thailand
  4. Potential Projects in Vietnam, Indonesia, the Philippines, Malaysia

Public Health and Air Pollution in Asia Program (PAPA) is a program of the Health Effects Institute (HEI) being implemented in collaboration with CAI-Asia and supported by funding from the Hewlett Foundation, USAID and industry in order to build the Asian air pollution and health science basis for air quality decisions. It is being implemented by HEI, an independent, nonprofit organization providing high-quality, impartial, and relevant science on the health effects of pollutants from motor vehicles and from other sources in the environment.

Key priorities of the PAPA program:

  1. Completing the first systematic summary of the nearly 140 existing studies of air pollution and health in Asia, published in May 2004 as: "Health Effects of Outdoor Air Pollution in Developing Countries in Asia", a literature review and meta-analysis.

  2. Initiating in 2004 a first coordinated set of four studies of health effects of air pollution in Asia in Bangkok, Hong Kong, Shanghai and Wuhan City, with the expectation of a fifth study to begin shortly in Chennai, India.

  3. Identifying and developing teams of scientist in additional potential cities in India, Indonesia, Malaysia, Vietnam, and the Philippines to more fully represent the region. Most recently this has included releasing a Request for Proposals seeking out submissions from scientists in India.

  4. Identifying as well potential population cohort studies of longer term effects of air pollution (PAPA is currently funding a pilot study in an elderly population in Guangzhou)

  5. Identifying targeted opportunities to examine the connection between air pollution, poverty, and health.

  6. Providing capacity building opportunities for Asian Scientists.

  7. At the conclusion of the studies publishing a comprehensive assessment of air pollution and health in Asia.

PAPA is overseen by an International Scientific Oversight Committee and advised by a PAPA Advisory Committee, which include international experts and stakeholders from Asia (China, India, Thailand), Europe, and North America.


Robert O’Keefe
Vice President
Tel: +1 617 886 9330
Fax: +1 617 886 9335
Email: [email protected]

Go to the BAQ 2004 website
Go to
Activities > Regional Cooperation and Harmonization

Secretariat: The World Bank & Asian Development Bank