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Establishing criminal liability for indoor air pollution is difficult. While chronic exposure to indoor air pollution (IAP) is linked to mortality, medico-legal causation is challenging due to non-specific findings.

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Area of Science:

  • Environmental Health
  • Forensic Medicine
  • Public Health Law

Background:

  • Humans in high-income nations face constant exposure to indoor and outdoor air pollution.
  • Chronic exposure to airborne pollutants from various sources is associated with increased mortality rates.

Purpose of the Study:

  • To critically evaluate if the link between indoor air pollution and mortality supports strong causal inference from a medico-legal standpoint.
  • To examine the role of indoor air pollution in criminal liability within Western countries.

Main Methods:

  • A narrative review of existing literature was performed.
  • The review focused on health consequences, autopsy/histopathological findings, and dose-response relationships related to indoor air pollution exposure.
  • The study assessed the relevance of these factors in establishing criminal liability.

Main Results:

  • Establishing criminal liability for indoor air pollution (IAP) is challenging, even with existing regulations.
  • Epidemiological evidence is often associative, and autopsy findings can be non-specific.
  • Translational biases between exposure and observed health effects complicate causal links.

Conclusions:

  • Robust causal inference for indoor air pollution's link to death is difficult from a medico-legal perspective.
  • Further research is needed, focusing on non-linear models and specialized forensic investigations.
  • Current evidence makes proving criminal liability for IAP beyond a reasonable doubt arduous.