Future deaths from non-optimal temperature and cost-effectiveness of stratospheric aerosol injection

By Vasco Grilo🔸 @ 2024-07-25T16:50 (+20)

The views expressed here are my own, not those of my employers.

Summary

Future deaths from non-optimal temperature

I estimated the variation in the annual deaths and death rate from non-optimal temperature from 1986-2005 to 2030, 2050 and 2090 by region and income group of The World Bank. I relied on:

The data and results are in this Sheet. Below I only show results for the variation in the annual deaths and death rate from non-optimal temperature from 1986-2005 to 2050. I chose this year because 2030 felt too early to capture concerns about a warming world, and 2090 too late for predictions to be reliable.

For a global warming of 2 ºC by 2050, I concluded the annual deaths from non-optimal temperature:

It is also unclear to me whether global warming has so far increased/decreased global deaths from non-optimal temperature. Zao et. al 2021 found a decrease studying 750 locations in 43 countries:

From 2000–03 to 2016–19, the global cold-related excess death ratio changed by −0·51 percentage points (95% eCI −0·61 to −0·42) and the global heat-related excess death ratio increased by 0·21 percentage points (0·13–0·31), leading to a net reduction in the overall ratio.

The disease burden per capita of non-optimal temperature has been decreasing.

On this overall topic, I liked Our World in Data’s (OWID's) 2 posts on how many people die from extreme temperatures, and how this could change in the future. Particularly, the graph below showing global warming mostly affects lower and lower middle income countries.

I shared a draft of this post with Johannes Ackva. He commented that the sophisticated case for caring about climate change has to do with the indirect effects of global warming, like increased risk of conflicts. I suspect such indirect effects are very overrated:

Cost-effectiveness of stratospheric aerosol injection

SAI is “a proposed method of solar geoengineering (or solar radiation modification [SRM]) to reduce global warming. This would introduce aerosols into the stratosphere to create a cooling effect via global dimming and increased albedo, which occurs naturally from volcanic winter”.

I determined a cost-effectiveness for SAI of 2.95*10^-4 DALY/$ (= 6.44*10^6/(21.8*10^9)). I got this from the ratio between:

My estimate for the cost-effectiveness of SAI is:

I speculate a leveraged intervention like research on or advocacy for SAI can be up to 100 times as cost-effective as directly implementing it, which would bring the cost-effectiveness up to 0.0295 DALY/$ (= 100*2.95*10^-4), i.e. roughly the same level as that of CCF. However, I do not see how such leveraged interventions could be more cost-effective than the best animal welfare interventions.

Acknowledgements

Thanks to Johannes Ackva for feedback on the draft. Johannes noted he is “not really the right person to review the climate science part of this” nor “a peer reviewer in the sense of having reviewed everything thoroughly”.

  1. ^

     This metric would be 1 if annual deaths increased in every single entity, in which case sign uncertainty would be minimal.

jackva @ 2024-07-25T18:31 (+9)

Thanks for this, Vasco, thought-provoking as always!

I do not have too much time to discuss this, but I want to point out that I am pretty unconvinced by the argument for why indirect effects should be easy to discount by the type of the argument you make. So, to be clear, I am not arguing that the conclusion is necessarily wrong (I think this would require stronger arguments), but rather that the argumentation strategy here does not work.

As far as I understand it your argument for "indirect effects cannot be very large" is something like:

1. Deaths from heat are very overstated and not that significant and they capture the most important direct effect.

2. A claim for strong indirect effects is then implausible because onto that direct effect you need to sequence a bunch of very uncertain additional effects with uncertain signs.

Insofar as is this a correct representation of your argument -- please let me know -- I think it has a couple of problems:

1.

a. Dying from heat stress is a very extreme outcome and people will act in response to climate change much earlier than dying. For example, before people die from heat stress, they might abandon their livelihoods and migrate, maybe in large numbers.

b. More abstractly, the fact that an extreme impact outcome (heat death) is relatively rare is not evidence for low impact in general. Climate change pressures are not like a disease that kills you within days of exposure and otherwise has no consequence.

2.

a. You seem to suggest we are very uncertain about many of the effect signs. I think the basic argument why people concerned about climate change would argue that changes will be negative and that there be compounding risks is because natural and human systems are adapted to specific climate conditions. That doesn't mean they cannot adapt at all, but that does mean that we should expect it is more likely that effects are negative, at least as short-term shocks, than positive for welfare. Insofar as you buy a story where people migrate because of climate impacts, for example, I don't think it is unreasonable to say that increased migration pressures are more likely to increase tensions than to reduce them, etc.

b. I think a lot of the other arguments on the side of "indirect risks are low" you cite are ultimately of the form (i) "indirect effects in other causes are also large" or (ii) "pointing to indirect effects make things inscrutable and unverifiable".  (i) might be true but doesn't matter, I think, for the question of whether warming is net-bad and (ii) is also true, but does nothing by itself on whether those indirect effects are real -- we can live in a world where indirect effects are rhetorically abused and still exist and indeed dominate in certain situations!
 

Vasco Grilo🔸 @ 2024-07-25T19:52 (+2)

Thanks for this, Vasco, thought-provoking as always!

Likewise! Thanks for the thoughtful comment.

Insofar as is this a correct representation of your argument

It seems like a fair representation.

a. Dying from heat stress is a very extreme outcome and people will act in response to climate change much earlier than dying. For example, before people die from heat stress, they might abandon their livelihoods and migrate, maybe in large numbers.

b. More abstractly, the fact that an extreme impact outcome (heat death) is relatively rare is not evidence for low impact in general. Climate change pressures are not like a disease that kills you within days of exposure and otherwise has no consequence.

Agreed. However:

  • I think migration will tend to decrease deaths because people will only want to migrate if they think their lives will improve (relative to the counterfactual of not migrating).
  • The deaths from non-optimal temperature I mentioned are supposed to account for all causes of death, not just extreme heat and cold. According to GBD, in 2021, deaths from environmental heat and cold exposure were 36.0 k (I guess this is what you are referring to by heat stress), which was just 1.88 % (= 36.0*10^3/(1.91*10^6)) of the 1.91 M deaths from non-optimal temperature. My post is about how these 1.91 M deaths would change.

a. You seem to suggest we are very uncertain about many of the effect signs. I think the basic argument why people concerned about climate change would argue that changes will be negative and that there be compounding risks is because natural and human systems are adapted to specific climate conditions. That doesn't mean they cannot adapt at all, but that does mean that we should expect it is more likely that effects are negative, at least as short-term shocks, than positive for welfare.

This makes sense. On the other hand, one could counter global warming will be good because:

  • There are more deaths from low temperature than from high temperature.
  • The disease burden per capita from non-optimal temperature has so far been decreasing (see 2nd to last graph).

b. I think a lot of the other arguments on the side of "indirect risks are low" you cite are ultimately of the form (i) "indirect effects in other causes are also large" or (ii) "pointing to indirect effects make things inscrutable and unverifiable".  (i) might be true but doesn't matter, I think, for the question of whether warming is net-bad and (ii) is also true, but does nothing by itself on whether those indirect effects are real -- we can live in a world where indirect effects are rhetorically abused and still exist and indeed dominate in certain situations!

Agreed. I would just note that i) can affect prioritisation across causes.

jackva @ 2024-07-26T09:11 (+4)

Thanks!

I think I remain confused as to what you mean with "all deaths from non-optimal temperature".

It is clear that the data source you cite (GBD, focused on current deaths) will not feature nor proxy what people concerned about compounding risks from climate are concerned about.

So to me it seems you are saying "I don't trust arguments about compounding risks and the data is evidence for that" whereas the data is inherently not set up to include that concern and does not really speak to the arguments that people most concerned about climate risk would make.

As said before, I think it is fine to say "I don't trust arguments about compounding risks" and I am probably with you there to a large degree at least compared to people most concerned about this, but I don't think the data from GBD is additional evidence for that mistrust, as far as I can tell.

By crude analogy, if you believed that COVID restrictions had a big toll on the young and this will affect long-run impacts somehow, pointing to few COVID deaths amongs this age cohort would not be evidence against this concern.

Vasco Grilo🔸 @ 2024-07-26T09:38 (+4)

I think I remain confused as to what you mean with "all deaths from non-optimal temperature".

I mean the difference between the deaths for the predicted and ideal temperature. From OWID:

Schematic figure showing how temperature relates to mortality risk. Risk increases at extreme cold and hot temperatures.

The deaths from non-optimal temperature are supposed to cover all causes (temperature is a risk factor for death rather than a cause of death in GBD), not just extreme heat and cold (which only account for a tiny fraction of the deaths; see my last comment). I say "supposed" because it is possible the mortality curves above are not being modelled correctly, and this applies even more to the mortality curves in the future.

So to me it seems you are saying "I don't trust arguments about compounding risks and the data is evidence for that" whereas the data is inherently not set up to include that concern and does not really speak to the arguments that people most concerned about climate risk would make.

My understanding is that (past/present/future) deaths from non-optimal temperature are supposed to include conflict deaths linked to non-optimal temperature. However, I am not confident these are being modelled correctly.

I was not clear, but in my last comment I mostly wanted to say that deaths from non-optimal temperature account for the impact of global warming not only on deaths from extreme heat and cold, but also on cardiovascular or kidney disease, respiratory infections, diabetes and all others (including conflicts). Most causes of death are less heavy-tailed than conflict deaths, so I assume we have a better understanding of how they change with temperature.

jackva @ 2024-07-26T11:55 (+4)

Ok, so I think we converge pretty much then -- essentially what I am saying is that people concerned about compounding risks would argue that these are not modeled correctly in GBD and that there is much more uncertainty there (and that the estimate is probably an underestimate, from the perspective of taking the compounding risk view seriously).

Vasco Grilo🔸 @ 2024-07-26T13:32 (+2)

Makes sense. Just to clarify, the data on deaths and disease burden from non-optimal temperature until now are from GBD, but the projections for the future death rates from non-optimal temperature are from Human Climate Horizons.

Bradley Wilson @ 2024-07-29T17:47 (+10)

I'm not sure it would change your underlying conclusions, but for what it's worth I took a quick look at the data/methods from Human Climate Horizons and think that it is likely an underestimate of future heat-related mortality. 

This paper underlies the Human Climate Horizons/OWID estimates. A few quick assumptions I think are worth highlighting:

1. The authors (by admission) do not consider the effects of humidity. Accurate humidity data is much harder to come by than temperature, and it's often not included in the down-scaled versions of the climate models, though some exceptions apply. However, it's potentially quite relevant for heat-related mortality, though there is some debate in the literature. Given that it is unlikely that incorporating humidity would decrease heat-related mortality, my own view here is that this pushes current estimates towards a lower bound. 

2. The authors use climate model data that are downscaled with a technique called Bias-Correction Spatial Disaggregation (BCSD). This approach has two key assumptions in it: (1) it assumes that the relative spatial patterns in the training data will remain constant under future climate change, and (2) it is calibrated to monthly data, not day to day changes, which has the effect of dampening extreme values. In practice, these assumptions limit the ability to model things like extreme heat waves and heat domes, which can cause large fatality spikes (e.g. figure below from Washington State in 2021). Missing these features in some locations might be akin to missing almost all the possible heat related mortality in cooler climates. 

Again, I don't think these are significant enough to fundamentally change your conclusions, but I do think it's worth highlighting that these types of results can be quite sensitive to specifics of the climate modeling approaches that are used. 

Vasco Grilo🔸 @ 2024-07-29T21:48 (+2)

Thanks, Bradley, and welcome to the EA Forum! Strongly upvoted.

Given that it is unlikely that incorporating humidity would decrease heat-related mortality, my own view here is that this pushes current estimates towards a lower bound.

If adequately modelling humidity would increase heat deaths, I wonder whether it would also decrease cold deaths, such that the net effects is unclear.

In practice, these assumptions limit the ability to model things like extreme heat waves and heat domes, which can cause large fatality spikes (e.g. figure below from Washington State in 2021). Missing these features in some locations might be akin to missing almost all the possible heat related mortality in cooler climates.

As illustrated below, deaths from extreme cold and heat accounted for only a tiny fraction of the deaths from non-optimal temperature in 2015 in some countries, which attenuates the effect you are describing.