Quantifying health benefits of sustainable aviation fuels: Modeling decreased ultrafine particle emissions and associated impacts on communities near the Seattle-Tacoma International Airport
Exposure to ultrafine particles (UFP, ≤100 nm) is an emerging health concern linked to premature mortality, with jet fuel combustion identified as a significant source of UFPs near airports. Sustainable aviation fuel (SAF) adoption has the potential to reduce aviation-related UFPs and may particularly benefit populations who reside nearby. However, assessing aviation-specific impacts on health remains challenging due to the lack of tools capable of addressing: fine-scale exposure evaluation, novel ambient pollutants, and groups with increased exposure or susceptibility. We develop and apply a method to estimate reductions in mortality associated with aviation-related UFP reductions at the Seattle-Tacoma (SEA-TAC) International Airport under SAF adoption scenarios, with a focus on near-airport communities. Using UFP exposure surfaces generated from AERMOD modeling, flight count data, and UFP measurements, we evaluated UFP reductions under various control scenarios. We estimated mortality reductions by combining this with population data, baseline mortality, and a hazard ratio of 1.012 (95 % confidence interval: 1.010, 1.015) per interquartile range increment of 2723 particles/cm 3 . Our analysis included 412 census tracts representing almost 1.5 million adults. Baseline aviation-related UFP exposures averaged 1145 (SD: 277) particles/cm 3 . The highest baseline concentrations and subsequent reductions under SAF scenarios were near SEA-TAC. Mortality case reductions averaged between 3.1 (95 % range: 2.5–3.7) for a 5 % UFP reduction to 31.0 (24.6–37.4) for a 50 % reduction, with corresponding mortality rate reductions of 0.2 (0.2–0.3) to 2.1 (1.7–2.5) cases per 100,000 people per year. Mortality rate reductions were larger among populations residing closer to SEA-TAC, including those that were Hispanic or Latino, below-poverty, and did not identify as White. Reducing aviation-related UFPs through SAF adoption could lead to lower mortality, particularly in near-airport communities. This reproducible approach can be adapted to other settings to evaluate health benefits from aviation-related UFP reductions.