what could be

New Houston study shows health impacts of full vehicle electrification in major U.S. cities

Switching fully to electric vehicles could prevent 157 premature deaths each month in Houston. Photo courtesy

A new study from the University of Houston shows that there's no one-size-fits-all strategy for full vehicle electrification in America's largest U.S. cities.

The study by Ali Mousavinezhad and Yunsoo Choi considered changes in air pollution, specifically PM2.5 and ozone levels, in Houston, Los Angeles, New York and Chicago under different electrification scenarios and how the changes could impact public health.

“Our findings indicate vehicle electrification generally contributes to reducing greenhouse gas emissions, improving air quality, and lowering the mortality rate associated with exposure to toxic air pollutants,” Mousavinezhad said in a statement.

However, Mousavinezhad and Choi found that full electrification in Los Angeles could have negative impacts on public health.

Switching fully to electric vehicles could prevent 157 premature deaths each month in Houston, 796 deaths in New York and 328 in Chicago, according to the study. But in Los Angeles, full electrification would increase mortality.

Additionally, full electrification would save between $51 million to $249 million per day for New York, Chicago, and Houston in health-related costs. But Los Angeles would face economic losses of up to $18 million per day.

This was largely due to the unique weather and geography in Los Angeles that can trap air pollutants that harm the lungs. The study found that full electrification would lead to increases in PM2.5 and MDA8 ozone. According to UH, the study reveals the importance and "complexity of air quality management."

“The four largest U.S. cities have distinct anthropogenic sources of air pollutants and greenhouse gases, “Choi added. “Each city requires unique regulations or strategies, including different scenarios for the adoption of electric vehicles, to reduce concentrations of these pollutants and greenhouse gases effectively.”

Mousavinezhad, lead author, is a recent Ph.D. graduate from UH. Choi is a professor of atmospheric chemistry, AI deep learning, air quality modeling and satellite remote sensing. The study, titled “Air quality and health co-benefits of vehicle electrification and emission controls in the most populated United States urban hubs: insights from New York, Los Angeles, Chicago and Houston,” was published in the journal Science of the Total Environment earlier this year.

Earlier this year, Texas ranked low in a study that looked at the closest EV charging stations equivalent to a trip to the gas station. However, another study showed that Texas is among the top of the pack for states with the most electric vehicle registrations, but Houston fell behind other large metros in the state for EV friendliness. Click here to read more about both reports.

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A View From HETI

Greenhouse gases continue to rise, and the challenges they pose are not going away. Photo via Getty Images

For the past 40 years, climate policy has often felt like two steps forward, one step back. Regulations shift with politics, incentives get diluted, and long-term aspirations like net-zero by 2050 seem increasingly out of reach. Yet greenhouse gases continue to rise, and the challenges they pose are not going away.

This matters because the costs are real. Extreme weather is already straining U.S. power grids, damaging homes, and disrupting supply chains. Communities are spending more on recovery while businesses face rising risks to operations and assets. So, how can the U.S. prepare and respond?

The Baker Institute Center for Energy Studies (CES) points to two complementary strategies. First, invest in large-scale public adaptation to protect communities and infrastructure. Second, reframe carbon as a resource, not just a waste stream to be reduced.

Why Focusing on Emissions Alone Falls Short

Peter Hartley argues that decades of global efforts to curb emissions have done little to slow the rise of CO₂. International cooperation is difficult, the costs are felt immediately, and the technologies needed are often expensive. Emissions reduction has been the central policy tool for decades, and it has been neither sufficient nor effective.

One practical response is adaptation, which means preparing for climate impacts we can’t avoid. Some of these measures are private, taken by households or businesses to reduce their own risks, such as farmers shifting crop types, property owners installing fire-resistant materials, or families improving insulation. Others are public goods that require policy action. These include building stronger levees and flood defenses, reinforcing power grids, upgrading water systems, revising building codes, and planning for wildfire risks. Such efforts protect people today while reducing long-term costs, and they work regardless of the source of extreme weather. Adaptation also does not depend on global consensus; each country, state, or city can act in its own interest. Many of these measures even deliver benefits beyond weather resilience, such as stronger infrastructure and improved security against broader threats.

McKinsey research reinforces this logic. Without a rapid scale-up of climate adaptation, the U.S. will face serious socioeconomic risks. These include damage to infrastructure and property from storms, floods, and heat waves, as well as greater stress on vulnerable populations and disrupted supply chains.

Making Carbon Work for Us

While adaptation addresses immediate risks, Ken Medlock points to a longer-term opportunity: turning carbon into value.

Carbon can serve as a building block for advanced materials in construction, transportation, power transmission, and agriculture. Biochar to improve soils, carbon composites for stronger and lighter products, and next-generation fuels are all examples. As Ken points out, carbon-to-value strategies can extend into construction and infrastructure. Beyond creating new markets, carbon conversion could deliver lighter and more resilient materials, helping the U.S. build infrastructure that is stronger, longer-lasting, and better able to withstand climate stress.

A carbon-to-value economy can help the U.S. strengthen its manufacturing base and position itself as a global supplier of advanced materials.

These solutions are not yet economic at scale, but smart policies can change that. Expanding the 45Q tax credit to cover carbon use in materials, funding research at DOE labs and universities, and supporting early markets would help create the conditions for growth.

Conclusion

Instead of choosing between “doing nothing” and “net zero at any cost,” we need a third approach that invests in both climate resilience and carbon conversion.

Public adaptation strengthens and improves the infrastructure we rely on every day, including levees, power grids, water systems, and building standards that protect communities from climate shocks. Carbon-to-value strategies can complement these efforts by creating lighter, more resilient carbon-based infrastructure.

CES suggests this combination is a pragmatic way forward. As Peter emphasizes, adaptation works because it is in each nation’s self-interest. And as Ken reminds us, “The U.S. has a comparative advantage in carbon. Leveraging it to its fullest extent puts the U.S. in a position of strength now and well into the future.”

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Scott Nyquist is a senior advisor at McKinsey & Company and vice chairman, Houston Energy Transition Initiative of the Greater Houston Partnership. The views expressed herein are Nyquist's own and not those of McKinsey & Company or of the Greater Houston Partnership. This article originally appeared on LinkedIn.

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