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162 <br /> walkable communities are also associated with numerous mental health benefits, such as <br /> reducing emotional stress and symptoms of depression.'I Moreover, in terms of general public <br /> health,public transit use is safer than private automobile use, with a much lower fatality rate than <br /> automobile travels.'As one researcher has observed, "[p]eople who live or work in transit <br /> oriented communities tend to drive fewer annual miles, drive at lower speeds, and have better <br /> travel options that allow them to avoid high risk driving, such as after drinking alcohol or when <br /> ill."13 Light rail, as a fixed public transportation system, will lay the foundation for such healthier <br /> and safer transit-oriented communities in the D-O Corridor. <br /> Additionally, light rail's resulting reduction in tailpipe emissions corresponds to <br /> significant human health effects. As noted above, driving individual automobiles creates toxic <br /> particulate matter pollution and ozone-producing chemicals that can have a wide range of <br /> adverse health effects. A recent study published in the journal Nature suggests that air pollution <br /> was responsible for 3.3 million premature deaths worldwide in 2010.14 Air pollution exacerbates <br /> asthma, which was the leading medical cause for school absences in North Carolina during the <br /> 2009-2010 school year.15 It is also linked to low birth weight,premature birth, miscarriage, <br /> autism, ADHD, obesity, diabetes, compromised immune response, increased susceptibility to <br /> allergies, stroke, liver disease, dementia, anxiety, and depression.16 Particulate matter pollution is <br /> created not only by burning fossil fuels, but also by road wear, brake wear, and tire wear. The <br /> cleanest electric car will still cause particulate matter pollution because it cannot avoid friction <br /> with the petroleum-based asphalt comprising our roads. However, light rail avoids these <br /> friction-based sources of pollution by not using the petroleum-based asphalt. Moreover, light <br /> rail can avoid or mitigate these many adverse health impacts by providing a high-capacity public <br /> transit alternative to driving private vehicles. Fewer cars on the road equates to cleaner air for <br /> North Carolinians. <br /> increasing the access to LRT transit for individuals to commute to work may help overcome some of the barriers to <br /> engaging in daily utilitarian exercise."Id.at 110. <br /> 11 LITMAN,supra note 9,at 17. <br /> 12 Id. at 8-9. <br /> 13 Id. at 8. <br /> 14 J Lelieveld et al. The Contribution of Outdoor Air Pollution Sources to Premature Mortality on a Global Scale, <br /> 525 NATURE,367—371 (2015). <br /> 15 N.C.DEPT.OF HEALTH&HUMAN SERVS.,ASTHMA IN NORTH CAROLINA FACT SHEET 1 (2011),available at <br /> http://www.asthma.ncdhhs.gov/docs/factsheets/2011/AsthmalnNorthCarolina.pdf;N.C.DEPT.OF HEALTH&HUMAN <br /> SERVS.,THE NORTH CAROLINA ASTHMA PLAN 2013-2018 2(2013),available at <br /> http://www.asthma.ncdhhs.gov/docs/NorthCarolinaAsthmaPlan-2013-2018.pdf(identifying Reducing school <br /> absences due to asthma as one of four priorities of the North Carolina Asthma Plan). <br /> 16 E.g.Ambient(Outdoor)Air Quality and Health,WORLD HEALTH ORG., <br /> http://www.who.int/mediacentre/factsheets/fs313/en/(last updated Mar.2014);ARB Fact Sheet:Air Pollution and <br /> Health,AIR RES.BD.,http://www.arb.ca.gov/research/health/fs/fsl/fs1 htm(last updated Dec.2,2009);Bradley S. <br /> Peterson,et al.,Effects of Prenatal Exposure to Air Pollutants (Polycyclic Aromatic Hydrocarbons)on the <br /> Development of Brain White Matter, Cognition, and Behavior in Later Childhood,72 JAMA PSYCHIATRY 531 <br /> (2015);W.James Gauderman, et al.Association of Improved Air Quality with Lung Development in Children,372 <br /> N.ENG.J.MED.905 (2015). <br /> 4 <br />