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Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
Innocenti Report Card 17

Places and Spaces
                Environments
     and children’s well-being
Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
The Innocenti Report Card series is designed to monitor and compare the performance
of economically advanced countries in securing the rights of their children.
Innocenti Report Card 17 was written by Eszter Timar, Anna Gromada, Gwyther Rees
and Alessandro Carraro with contributions from Dominic Richardson, Gunilla Olsson,
Celine Little, Dagna Rams, Gro Dehli Villanger, Nicole Quattrini, Tim Huijts, Mirza Balaj
and Terje Eikemo.
The United Nations Children’s Fund Office of Research – Innocenti (UNICEF Innocenti)
would like to acknowledge the generous support for Innocenti Report Card 17
provided by the Government of Italy.
Any part of this Innocenti Report Card may be freely reproduced using the following
reference:
UNICEF Office of Research (2022). Places and Spaces: Environments and children’s
well-being, Innocenti Report Card 17, UNICEF Office of Research – Innocenti,
Florence.

About the UNICEF Office of Research – Innocenti
In 1988, the United Nations Children’s Fund (UNICEF) established a research centre
to support its advocacy for children worldwide and to identify and research current
and future areas of UNICEF work. The prime objectives of the UNICEF Office of
Research – Innocenti are to improve international understanding of issues relating to
children’s rights, to help facilitate full implementation of the Convention on the Rights
of the Child, and to support advocacy worldwide. The Office aims to set out a
comprehensive framework for research and knowledge within the organization,
in support of its global policies and programmes. Through strengthening research
partnerships with leading academic institutions and development networks in both
the North and the South, UNICEF Innocenti seeks to leverage additional resources
and influence in support of efforts towards policy reform, in favour of children.
The Office of Research – Innocenti receives financial support from the Government
of Italy, while funding for specific projects is also provided by other governments,
international institutions and private sources, including UNICEF National Committees.
Publications produced by the Office are contributions to a global debate on children
and may not necessarily reflect UNICEF policies or approaches. The views expressed
are those of the authors.
The designations employed in this publication and the presentation of the material do
not imply on the part of UNICEF the expression of any opinion whatsoever
concerning the legal status of any country or territory, or of its authorities or the
delimitations of its frontiers.

Cover photo © Yukiko Noritake - garance illustration llc
©United Nations Children’s Fund (UNICEF), 2022
ISBN: 9788865220641

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Via degli Alfani 58 - 50121 Florence, Italy
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Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
Innocenti Report Card 17

Places and Spaces
                Environments
     and children’s well-being
Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
2   I N N O C E N T I   R E P O R T   C A R D   1 7
Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
FOREWORD

Home. In a good childhood, home        children and our planet. The level        making children’s journeys to
is a safe and stable place, with       of consumption in most rich               school safer – and can reduce
healthy food to eat, clean water to    countries would require at least          carbon dioxide (CO2) emissions. Or
drink and a loving family.             three planet earths if replicated in      transitioning towards sustainable
                                       all countries. E-waste – the fastest-     agriculture can improve children’s
Yet, many children – even in the
                                       growing type of domestic waste            diets and reduce the environmental
world’s richer countries – lack
                                       – contains hazardous substances           damage of current food
these necessities of life. They are
                                       that damage bodies and brains,            production. These synergies are
surrounded by toxic air, lead
                                       and it takes its highest toll on          well recognized in the Sustainable
pollution, loud noise or mouldy
                                       children.                                 Development Goals, where
walls. Others live in homes that are
                                                                                 meeting one goal is essential to
too dark, too cold or too crowded.     Through global efforts to achieve
                                                                                 meeting another.
                                       sustainable development and
Unhealthy living conditions
                                       a more equitable world, the               Conversely, if we, as a global
irretrievably harm children’s mental
                                       international community has               community, do not improve the
and physical well-being, their
                                       for decades been calling on               environments in which children live
cognitive development, and their
                                       governments, the private sector,          and develop, what hope is there for
prospects for a happy and healthy
                                       civil society and individuals to          a better future? We can do better,
life. For a child living with high
                                       protect our planet. Children and          and we must. How? By listening
levels of road traffic or without
                                       young people have also sounded            to children and young people; by
enough green space in which to
                                       the alarm, with millions globally         making discerning choices about
play, the options to escape or
                                       participating in climate strikes          how we consume and how we
offset these dangers are few.
                                       and demanding transformative              dispose of what we discard; by
Environmental risks are also           action to save their own future on        designing our neighbourhoods and
unequally distributed. Children        the planet. The United Nations            homes with children in mind; by
from poorer families and               Secretary-General’s report Our            supporting children’s involvement
marginalized groups face greater       Common Agenda presents “a                 in environmental debates and
exposure to severe housing             stark and urgent choice: a                decisions; by ensuring that the
deprivation, which deepens             breakdown or a breakthrough”.             distinct needs of children are built
disadvantage and perpetuates           The first option is characterized         into environmental policies; and
cycles of poverty.                     by “a perpetual crisis”, while the        by pursuing policies and practices
                                       second offers the “prospect of a          that safeguard the natural
Beyond the doorstep of children’s
                                       greener, safer, better future”.1          environment, on which children
homes, schools and communities,
                                                                                 and young people depend.
our collective home – the planet       The good news is that, by tackling
– is also in jeopardy. Rising          one challenge, we improve the
temperatures, loss of biodiversity     chances of solving another. Put
and extreme weather events             differently, what provides a child
threaten both livelihoods and          with a safe and healthy home              Gunilla Olsson
lives themselves. The pressure         also protects the environment.
                                                                                 Director
that our natural resources are         Reducing motorized traffic,
                                                                                 UNICEF Office of Research –
coming under and the mounting          for example, can have a positive
                                                                                 Innocenti
waste are harmful to both our          impact on road safety –

                                                                    I N N O C E N T I   R E P O R T   C A R D   1 7   3
Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
4   I N N O C E N T I   R E P O R T   C A R D   1 7
Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
SECTION 1
  INTRODUCTION

                                                                       © Séverine Assous - garance illustration llc

                 I N N O C E N T I   R E P O R T   C A R D   1 7   5
Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
SECTION 1
  INTRODUCTION

Environmental changes taking                 hygiene or chemicals.2 Children        Rich countries, and rich people,
place around the world find their            are especially vulnerable – partly     can often try to buy their way out
way into the bodies and minds of             because their bodies and immune        of a crisis; but an environmental
children. Through polluted air, water        systems are still developing, but      crisis is different. Buying an air
and food, we each inadvertently              also because of their behaviour        purifier does not obviate the need
consume a quarter of a kilogram              (for example, they are more likely     to breathe public air. Even
of plastic per year – equivalent to          to put their fingers in their mouths   if countries reduce their own
eating a credit card every week.             than adults). The consequences         carbon footprint, they still face
In nine of the world’s richest               of climate change will persist         the problems created by those
countries, more than 1 child in 20           throughout the lives of today’s        that do not.
have elevated levels of lead in their        children, requiring them to
                                                                                    In October 2021, the United
blood. The environmental ‘problem’           adapt to, and mitigate, the risks
                                                                                    Nations Human Rights Council
is not an abstract concept about             associated with a warming planet.
                                                                                    recognized the right to a
a distant future: it is affecting
                                             Yet, the environment influences not    clean, healthy and sustainable
children – right here, right now.
                                             only whether today’s children grow     environment,5 while the United
The results of climate change                up to be healthy and happy adults,     Nations Committee on the
are already clear and present.               but also their current mental          Rights of the Child decided that a
Rising temperatures, higher sea              well-being. A survey covering six      country can be held responsible
levels, air and soil pollution and           high-income countries3 reported        for the impact of its emissions on
extraordinary-turned-ordinary                that nearly half of all young          children both within and beyond
weather events affect not only               people feel distressed about the       its territory.6 Yet, more effort is
the world we leave for future                environment to an extent that is       needed to avert the most dire
generations, but also the brains,            affecting their daily functioning.4    consequences of environmental
lungs and hearts of us all today.            Some 6 in 10 believe that their        neglect. The importance of having
                                             governments have failed them, as       all countries work towards the
Globally, one death in four among
                                             regards the environment. Two in        goals set out in the 2030 Agenda
children aged under 5 years
                                             five have doubts about becoming        for Sustainable Development is
could be averted by improving
                                             a parent in the future, due to the     becoming ever more apparent.
environmental factors, such as
                                             climate crisis.
air pollution, water, sanitation,

6      I N N O C E N T I   R E P O R T   C A R D   1 7
Places and Spaces Environments and children's well-being - Innocenti Report Card 17 - Unicef
S E C T I O N   1   I N T R O D U C T I O N

Definitions and scope                 and outside UNICEF; and focus            to the planet as a whole. Some
In English, the word ‘environment’    group discussions with young             participants also mentioned that
can be linked to many concepts –      people aged 10–17 years from             culture and religion shape what
e.g., the ‘economic environment’      Canada, Chile, Mexico, Spain and         the environment is and how we
or the ‘digital environment’. For     Sweden. When asked to define             see it.
the purposes of this report, we       the environment, young people
                                                                               This report covers the 43
adopt a narrower focus on ‘the        tended to list both natural and
                                                                               countries that are members of
environment’ and use the term         man-made elements; and to
                                                                               the Organisation for Economic
to cover the physical aspects of      agree that nature, the landscape
                                                                               Co-operation and Development
natural and built environments that   and all living things are part
                                                                               (OECD) and/or the European Union
children experience and that affect   of the environment. Children
                                                                               (EU), because their harmonized
their well-being.                     highlighted the connections
                                                                               data infrastructures allow for a
                                      between all living things – flora,
This definition, and the conceptual                                            comparative analysis of children’s
                                      fauna and humans – and the need
framework that is presented                                                    environmental well-being. There
                                      for a balance between humans
below, were developed on the                                                   are some data limitations relating
                                      and nature. Other definitions
basis of a literature review;                                                  to countries that have recently
                                      of the environment included
consultations with research and                                                joined the OECD, particularly
                                      “everything that surrounds us”,
policy professionals both within                                               Colombia and Costa Rica.
                                      from the home that we live in

      AIMS

      The report focuses on the following questions:

      1. How do environmental factors affect children’s well-being?

      2. How are many of the world’s richest countries faring in terms of providing a healthy
         environment in which children can live, develop and thrive?

      3. What actions can these countries take to improve the environments in which children live?

                                                                  I N N O C E N T I   R E P O R T   C A R D   1 7      7
S E C T I O N   1   I N T R O D U C T I O N

Figure 1: Broad conceptual framework                                             Our framework
                                                                                 Over the past two decades,
                                                                                 UNICEF Innocenti Report Cards
                                                                                 have led the way in comparing
                                     world at large                              children’s well-being across rich
                                 The                                             countries. Innocenti Report Card 16
                                                                                 introduced a multi-level framework
                                                                                 that put the child at the centre.
                                                                                 Child outcomes – physical health,
                                        around th                                mental well-being and skills – are
                                  world          ec
                                e                  hi                            affected by the world of the child,
                               h                     l
                                                                                 the world around the child and the
                           T

                                                             d

                                                                                 world at large. Innocenti Report
                                                                                 Card 17 takes this approach a
                                          rld of the
                                        wo           c                           step further (see Figure 1). As the
                                    e                                            current state of the environment
                                                      hi
                               Th

                                                        ld

                                                                                 is shaped by past actions, and is
                                                                                 already shaping what lies ahead,
                                         The child                               we add a time perspective to the
                                                                                 model: the world we inherit and
                                                                                 the world we leave behind. And
                                                                                 because the environmental actions
                                                                  The world      of one country can affect children
     The world
                                                                 we will leave   in others, we also consider the
     we inherit
                                                                   behind        impact that countries have beyond
                                                                                 their own borders.
                                                                                 Three crosscutting themes run
                                                                                 through our framework:
                                                                                 interlinkages, inequalities and
                                                                                 children’s influence. Interlinkages
                                                                                 mean that many factors that cause
                                                                                 climate change in the long run
                                                                                 are also harming children now.
                                                                                 For example, cars emit CO2, but
                                                                                 also cause noise and air pollution,
                                                                                 take up space, create risks and
                                                                                 limit children’s activities, such as
                                                                                 playing outside.

8      I N N O C E N T I    R E P O R T     C A R D   1 7
S E C T I O N   1   I N T R O D U C T I O N

Inequalities mean that                 Children, often the worst affected        Yet, young people are aware and
environmental factors affect           by environmental problems, will           are calling for action. In 2019,
people in different ways,              not only inherit them in the future,      at the World Economic Forum
depending on their resources –         but are also the least able to            in Davos, Greta Thunberg told
as we have seen during the             influence the course of events.           delegates: “I want you to act as
COVID-19 pandemic. Some                Choices that affect their lives are       you would in a crisis. I want you
countries and individuals are better   taken by parents, governments             to act as if our house is on fire.
able to protect themselves than        and businesses. Many of the               Because it is.”8
are others. Environmental risks are    national climate plans submitted
also spread both geographically        ahead of the 26th United Nations
– from rich countries to poor          Climate Change Conference of
countries – and temporally,            the Parties (COP26) were neither
with today’s choices causing           child sensitive nor created with
tomorrow’s disasters.                  children’s participation.7

       THE CONCEPTUAL FRAMEWORK IS APPLIED IN THIS REPORT AS FOLLOWS:

       1. Child outcomes are grouped into three broad categories – physical health, mental well-being
          and skills – as in Innocenti Report Card 16.

       2. The world of the child focuses on children’s direct experiences of the environment, in terms
          of their consumption of air, water and food, and their exposure to light, noise, heat, cold and
          hazardous substances.

       3. The world around the child covers the physical aspects of the environments that the child
          encounters directly, such as housing, green space, schools, traffic and environmental hazards.

       4. The world at large refers to the broader context within which these physical environments are
          created and maintained. This can include the impact of government policy and expenditure.
          Here, we include the impact of a country’s actions not only within its borders, but also
          externally.

       5. The world we inherit refers to a country’s historical environmental record and actions, the
          cumulative results of which are still being felt today.

       6. The world we leave behind refers to a country’s current actions and progress, which will
          influence the environment in the future.

                                                                    I N N O C E N T I   R E P O R T   C A R D   1 7      9
S E C T I O N             1   I N T R O D U C T I O N

Figure 2 depicts key topics that are                             The design of the framework lends                       Finally, underpinning this analysis,
covered in this report within each                               itself to exploring interlinkages                       it is important to consider the
of these parts of the framework.                                 within and between levels, as will                      potential role of the United Nations
                                                                 be shown through an example                             Convention on the Rights of the
                                                                 later in the report. Two other                          Child and of the 2030 Agenda
                                                                 cross-cutting themes – children’s                       for Sustainable Development in
                                                                 influence and inequalities – are                        providing opportunities for strong
                                                                 relevant in each of the nested                          advocacy on environmental issues
                                                                 circles.                                                (see also Spotlight 1).

Figure 2: Topics covered in this Report Card

                                                                                   Management
                                                                              of natural environment

                                                            Housing and                                 Climate change
                                                          transport policy                            and natural disasters

                                             Waste/                                                                    Renewable
                                            recycling                          Basic home services                      energy

                                       Emissions             School                Housing quality           Space                 Food
          Participation

                                                                                                                                                           Inequalities

                                                          playgrounds                                       at home                policy

                                                                                                                     Public
                                                     Play                                                          transport
                                                                                     Heat/cold
                                                   facilities
                                                                      Toxicants                  Water quality         Walkability

                                              Green
                                                                     Pesticides                    Air pollution
                                              spaces
                                                                                                                         Traffic
                                                                 Light                                      Noise
                                                                pollution                                  pollution

                                                                                   Physical health

                                                                                  Mental well-being

                                                                                        Skills

                                                                                                                                             Footprint
                          Historical
                                                                                                                                              Loss of
                          pollution
                                                                                                                                            biodiversity

1 0    I N N O C E N T I                R E P O R T        C A R D      1 7
SECTION 2
  A LEAGUE TABLE OF ENVIRONMENTAL
  CONDITIONS

                      I N N O C E N T I   R E P O R T   C A R D   1 7   1 1
S E C T I O N   2   A   L E A G U E   T A B L E     O F     E N V I R O N M E N T A L   C O N D I T I O N S

SECTION 2
  A LEAGUE TABLE OF ENVIRONMENTAL
  CONDITIONS

Figure 3 presents a league table                  Spain is at the top of the league              The picture in Romania and Costa
based on the best available                       table – despite not being at the               Rica is remarkably different from
indicators to represent the aspects               top position in any of the individual          that in the United States. In the
of environmental conditions set                   dimensions (it is ranked 8th for               first two, children’s immediate
out in Figures 1 and 2. It contains               the ‘world of the child’, and 13th             environments are lacking (visible
three indicators in each of three                 for both the ‘world around the                 from their low scores in the ‘world
groupings – the world of the child,               child’ and the ‘world at large’).              of the child’ and ‘world around the
the world around the child and the                This is illustrative of the pattern            child’), but the countries are among
world at large. Box 1 describes                   that no country does consistently              the least responsible for harming
the criteria we used in selecting                 well or consistently badly across              the environment at large. The
the indicators for the league                     all dimensions. Spain is followed              United States, in contrast, performs
table. Table 1 provides details of                by Ireland, a country with good                poorly in the ‘world at large’, while
the definition and source of each                 performance in the indicators                  there is also room for improvement
indicator, and also refers to the                 closest to the child but an average            in the ‘world of the child’ and the
figure in the report that shows                   record at the macro-level. Romania             ‘world around the child’.
country statistics for the indicator.             lies at the bottom of the table,
                                                  where it is preceded by Costa Rica
                                                  and the United States of America.

       BOX 1: HOW INDICATORS WERE SELECTED FOR THE LEAGUE TABLE

       League table indicators were chosen to reflect different aspects of the framework presented in
       Figure 1. The following criteria were used to select indicators.

       Quality: Data had to meet high standards of quality, drawn either from national and internationally
       recognized data sources, or from peer-reviewed publications.

       Coverage: Data should be available for all, or the great majority, of the Innocenti Report Card 17
       countries.

       Recency: Data should be available for 2018 or later.

       Relevance: Data should be relevant to cross-national comparisons.

       Variability: There should be enough cross-national variability to be informative.

       Comparability: The indicators should have comparable meanings across cultures.

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S E C T I O N     2   A   L E A G U E      T A B L E     O F    E N V I R O N M E N T A L         C O N D I T I O N S

Figure 3: A league table of environmental conditions that affect children’s well-being

 Overall ranking      Country                                  World of the child              World around the child          World at large
 1                    Spain                                    8                              13                               13
 2                    Ireland                                  6                              4                                20
 3                    Portugal                                 25                             9                                9
 4                    Cyprus                                   15                             17                               10
 5                    Finland                                  1                              2                                30
 6                    Italy                                    7                              16                               14
 7                    Iceland                                  3                              1                                32
 8                    Slovenia                                 19                             14                               16
 9                    Germany                                  13                             6                                22
 10                   Sweden                                   4                              10                               26
 11                   United Kingdom                           11                             12                               23
 12                   Netherlands                              12                             8                                27
 13                   Japan                                    2                              21                               25
 14                   Norway                                   5                              5                                35
 15                   New Zealand                              24                             15                               17
 16                  France                                    14                             27                               18
 17                  Switzerland                               21                             3                                33
 18                  Hungary                                   34                             22                               6
 19                  Austria                                   9                              19                               29
 20                  Czechia                                   26                             23                               21
 21                  Estonia                                   27                             11                               28
 22                  Lithuania                                 32                             24                               15
 23                  Croatia                                   29                             33                               5
 24                  Denmark                                   18                             26                               34
 25                  Slovakia                                  31                             29                               11
 26                  Greece                                    22                             35                               8
 27                  Poland                                    30                             31                               7
 28                  Canada                                    17                             7                                38
 29                  Malta                                     33                             18                               24
 30                  Australia                                 10                             20                              37
 31                  Latvia                                    36                             30                              12
 32                  Republic of Korea                         16                             32                              31
 33                  Chile                                     35                             37                              3
 34                  Israel                                    23                             36                              19
 35                  Bulgaria                                  37                             34                              4
 36                  Belgium                                   28                             25                              36
 37                  United States                             20                             28                              39
 38                  Costa Rica                                38                             38                              1
 39                  Romania                                   39                             39                              2

Note: The ranking is calculated as follows: (1) a z-score for each indicator was calculated (reversed where necessary so that a higher score represents a
more positive condition); (2) the mean of the z-scores within each dimension was calculated; (3) the z-score for each mean was calculated and served as a
basis for ranking a given dimension; (4) the mean of the three ranks was calculated and served as a basis for the final ranking. If two countries had the same
average of three ranks, the average of z-scores was used to determine their position. Countries are ranked on a dimension if they have data for at least two
of the three indicators. Four OECD/EU countries are not included in the ranking: Colombia is excluded due to missing data on the ‘world around the child’
dimension, while Turkey, Mexico and Luxembourg are excluded as they are extreme outliers on at least one indicator (z-scores below -4.0).

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S E C T I O N   2   A       L E A G U E   T A B L E     O F     E N V I R O N M E N T A L       C O N D I T I O N S

Many countries perform quite                          prosperity is no guarantee                         The league table therefore
differently across the three                          that children will grow up in a                    presents a complex and multi-
dimensions, and not one nation                        healthy environment. In Canada                     faceted picture, which will be
shows consistently high or                            and Australia, present-day                         explored more fully in the following
low scores across them. The                           environments appear relatively                     sections. Overall, no country does
presence of wealthy countries                         child friendly, but the countries’                 well across the board. There is
in some of the bottom positions                       unsustainable consumption                          substantial room for improvement,
(such as the United States and                        patterns threaten the future.                      even among those at the top of
Belgium) indicates that national                                                                         the table.

Table 1: Details of indicators included in the league table

 Dimension              Figure     Indicator                  Indicator definition                        Source

                                                                                                          Global Burden of Disease Collaborative
                                                              Disability-adjusted life years (DALYs)      Network (2021). The Global Burden of
                        6          Air pollution              lost to unsafe air per 1,000 children       Disease Study 2019. Seattle, Institute
                                                              (
S E C T I O N   2   A   L E A G U E   T A B L E   O F   E N V I R O N M E N T A L    C O N D I T I O N S

Spotlight 1 Children’s environments, children’s
rights and sustainable development

The United Nations Convention                                  A very important development in terms of the
on the Rights of the Child                                     environment and children’s rights is the decision
                                                               by the United Nations Committee on the Rights
There is a strong connection between the question
                                                               of the Child to draft a general comment (No.
of how the natural and the built environments
                                                               26) on children’s rights and the environment,
affect children and the promotion of children’s
                                                               with a special focus on climate change. The
rights under the United Nations Convention on the
                                                               general comment has the objective of providing
Rights of the Child (CRC).
                                                               “authoritative guidance on how children’s rights
1. First, there are clear direct links with article 6 of       are impacted by the environmental crisis and what
   the CRC (right to life, survival and development)           governments must do to uphold these rights”. This
   and article 24 (health), which references “a                is a “major step to hold governments accountable
   clean environment”.                                         for ensuring children live in a clean, green, healthy
                                                               and sustainable world”.9 At the time of writing
2. In a broader sense, article 3 of the Convention
                                                               (January 2022), the consultation on this general
   requires all actions “concerning children” to
                                                               comment is under way.
   consider the best interests of the child. Many
   Report Card countries have implemented
   this broadly, in requiring child rights impact
                                                               The 2030 Agenda for Sustainable
   assessments for legislation, while others
                                                               Development
   have incorporated the CRC into law. These are
   important measures that can be used to ensure               A second global instrument that is highly relevant
   that the impact of environment on children is               to the content of this report is the 2030 Agenda
   fully considered in decision making and policy.             for Sustainable Development. A majority of the
                                                               17 Sustainable Development Goals (SDGs) have
3. Another link with the CRC is the non-
                                                               an environmental focus. While many aspects on
   discrimination principle embedded in article 2.
                                                               the agenda that focus on environment relate to all
   This report has highlighted how environmental
                                                               age groups, sustainable development will naturally
   risks are distributed unequally and weigh most
                                                               benefit children, and it provides a framework by
   heavily on children living in poverty and other
                                                               which progress on reducing the adverse effects of
   already disadvantaged groups.
                                                               environmental risks on children can be monitored.
4. This report has also highlighted the need and               A relevant example from the list of SDG indicators
   potential to involve children in environmental              is the level of air pollution. As discussed in Section
   debates and decisions. Article 12 requires                  3, children are more vulnerable than adults to the
   that a child “who is capable of forming his or              negative impacts of air pollution.
   her own views” has the right to express them,
   and for these views to be given due weight
   “in all matters affecting the child”. Children have
   amply demonstrated their ability to form and
   express their views on environmental issues,
   and these are certainly matters that affect
   them.

                                                                           I N N O C E N T I   R E P O R T   C A R D   1 7    1 5
S E C T I O N                                   2   A   L E A G U E   T A B L E   O F     E N V I R O N M E N T A L   C O N D I T I O N S

  Spotlight 1 Children’s environments, children’s
  rights and sustainable development

      Figure 4 shows how much improvement there has                                                    Rica, Japan, the Republic of Korea and Turkey.
      been in air quality over the past three decades                                                  While Australia, New Zealand and Iceland have
      in Report Card countries. Countries are ordered                                                  comparatively low levels of air pollution, they have
      according to their most recent level of air pollution.                                           made only small improvements in recent decades.
      While many countries have made substantial                                                       The chart illustrates how much has still to be done
      progress, the chart shows that there is still much                                               to ensure healthy air for all children (and adults) to
      to do. Compared to 1990, air quality has remained                                                breathe.
      broadly the same or worsened in Chile, Costa

           Figure 4: Over the last decades, air quality has improved in 38 out of 43 OECD/EU countries
           Mean population exposure to fine particulate matter PM2.5 (1990–2019)

                                           35

                                           30
        PM2.5 micrograms per cubic metre

                                           25

                                           20

                                           15

                                           10

                                            5

                                            0
                                                          Finland
                                                         Sweden
                                                          Estonia
                                                    New Zealand
                                                          Iceland
                                                         Australia
                                                          Norway
                                                          Canada
                                                   United States
                                                           Ireland
                                                         Portugal
                                                        Denmark
                                                             Spain
                                                     Switzerland
                                                 United Kingdom
                                                    Luxembourg
                                                        Lithuania
                                                           France
                                                        Germany
                                                     Netherlands
                                                           Austria
                                                         Belgium
                                                             Latvia
                                                             Malta
                                                            Japan
                                                          Greece
                                                        Romania
                                                               Italy
                                                           Cyprus
                                                         Hungary
                                                          Czechia
                                                         Slovenia
                                                      Costa Rica
                                                         Slovakia
                                                             Israel
                                                         Bulgaria
                                                          Mexico
                                                        Colombia
                                                          Croatia
                                                           Poland
                                                              Chile
                                                            Turkey
                                                Republic of Korea

                                                                                                2019     1990

           Source: OECD, ,
           accessed 16 February 2022.

1 6        I N N O C E N T I                                R E P O R T   C A R D       1 7
SECTION 3
  THE WORLD
  OF THE CHILD

                                                                         © Lainey Molnar

                 I N N O C E N T I   R E P O R T   C A R D   1 7   1 7
S E C T I O N   3   T
                     H E   W O R L D       O F   T H E    C H I L D

SECTION 3
  THE WORLD OF THE CHILD

Children’s well-being and                         considering children’s
development are directly and                      consumption of air, water and
tangibly affected by their interface              food, and their exposure to heat/
with the environments around                      cold, light, noise and hazardous
them. This section presents                       substances.
evidence on those pathways –

                                    world at large
                                The

                                             lduant d
                                        waorro      lartge
                                 Tohreld                he
                               w                                 ch
                            he                                     il
                      T

                                                                    d

                                        around
                                   orld of the c
                                  w    ld the hil
                                he wor         c
                                 e
                            T

                                                           d
                                                             hi
                            Th

                                                               ld

                                           rld of the
                                         wo           c
                                     e
                                                          hi

                                         The child
                                Th

                                                            ld

                                          The child

                                                                         The world
      The world
                                                                        we will leave
      we inherit
                                                                          behind

1 8     I N N O C E N T I   R E P O R T      C A R D      1 7
S E C T I O N         3     T
                                                                                             H E       W O R L D        O F    T H E       C H I L D

Air                                   Figure 5: Many children in OECD/EU countries live with high levels of
                                      air pollution
Air pollution from chemicals and
gases released through energy         Mean population exposure to PM2.5 (2019)
use and production directly affects
our health. In Europe, polluted air             Finland                 5.6
contributes to more deaths than                Sweden                   5.7
                                                Estonia                 5.9
tobacco.10
                                          New Zealand                    6.1
Children are more vulnerable to air             Iceland                  6.4
pollution than are adults, because             Australia                  6.7
they have a smaller lung capacity               Norway                    6.7
and a less-developed immune                     Canada                        7.1
system. Being shorter than adults,        United States                        7.7
they are also closer to ground                  Ireland                        7.8
level, where pollution typically               Portugal                         8.2
                                              Denmark                                 9.8
accumulates. Air pollution starts
                                                  Spain                               10.0
to harm children even before they
                                            Switzerland                               10.0
are born – toxic air inhaled by a
                                       United Kingdom                                 10.0
pregnant woman can lead to faster
                                           Luxembourg                                 10.1
cell ageing of the foetus.11                  Lithuania                                   10.5
Fine particulate matter in outdoor               France                                     11.4
air is a common indicator of air              Germany                                        11.9
quality: the small diameter of such        Netherlands                                       12.0
                                                Austria                                      12.2
matter allows it to penetrate deep
                                               Belgium                                           12.7
into the respiratory tract.
                                                 Latvia                                          12.7
                                                  Malta                                          13.1
                                                 Japan                                             13.6
                                                Greece                                              14.3
                                              Romania                                                   15.1
                                                Cyprus                                                    15.8
                                                   Italy                                                  15.8
                                               Hungary                                                      16.6
                                               Czechia                                                         17.0
                                               Slovenia                                                        17.1
                                             Costa Rica                                                         17.4
                                               Slovakia                                                           18.5
                                                  Israel                                                               19.4
                                               Bulgaria                                                                 19.9
                                                Mexico                                                                   20.1
                                              Colombia                                                                          22.5
                                                Croatia                                                                         22.5
                                                 Poland                                                                         22.8
                                                  Chile                                                                           23.7
                                                 Turkey                                                                                          26.9
                                      Republic of Korea                                                                                          27.4

                                                           0        5                10             15                 20             25                30

                                                                                    Micrograms per cubic metre

                                      Source: OECD, ,
                                      accessed 16 February 2022.

                                                                        I N N O C E N T I               R E P O R T         C A R D        1 7      1 9
S E C T I O N   3   T
                     H E   W O R L D     O F   T H E    C H I L D

Outdoor air quality is not the                  Figure 6: In the average country, a child is 10 times more likely to suffer from
only issue. The quality of indoor               outdoor than indoor air pollution
air is affected by factors such                 Air-related morbidity of children under the age of 15 (2019)
as cooking and smoking. This
                                                               Finland
presents fundamental risks to                                   Japan
children’s health and survival.                                Estonia
Child morbidity attributable to                                Norway
air pollution shows substantial                                Iceland
variation across Report Card                                     Spain
countries (see Figure 6). We use                              Portugal
disability adjusted life years                                Sweden
(DALYs) to account for the number                              Ireland
of years of ‘healthy’ life lost due                     Luxembourg
to pollution. Ambient particulate                             Slovenia
matter and household air pollution                        Lithuania

from solid fuels (used for heating                            Australia
                                                                  Italy
or cooking) are jointly responsible
                                                     New Zealand
for a substantial loss of years of
                                                              Belgium
healthy life among children under
                                                               Austria
the age of 15. Overall, Colombia
                                                                France
(3.7) and Mexico (3.7) had the                            Germany
highest number of years of ‘healthy                           Czechia
life’ lost due to air pollution, while          Republic of Korea
Japan (0.2) and Finland (0.2)                                  Cyprus
have the lowest values.                                 Switzerland
                                                        Netherlands
                                                                Latvia
Water                                                     Denmark
Water is one of the essential                     United Kingdom
building blocks of human life,                                 Greece
but universal access to safe and                               Canada
clean water is not yet a reality in                           Hungary
all Report Card countries. This is                               Israel
                                                               Croatia
reflected in years of healthy life
                                                     United States
lost per per 1,000 children (aged
                                                                Poland
0-14) attributable to an unsafe
                                                              Slovakia
water source, unsafe sanitation,
                                                                 Malta
or no handwashing facilities in
                                                                 Chile
the home (see Figure 7). Safe                            Costa Rica
water, sanitation and handwashing                             Bulgaria
facilities are far from being fully                        Romania
implemented in 13 countries. Most                               Turkey
years of healthy life lost are in                              Mexico
Mexico (3.8 years lost per 1,000                          Colombia
children), Colombia (3.7) and Turkey
                                                                      0,0   0,5     1,0      1,5      2,0     2,5      3,0         3,5   4,0
(2.7). The quality of essential
services in these countries remains                                               Outdoor air pollution     Indoor air pollution
an important threat to children’s                                                         DALYs per 1,000 children
health and survival.
                                                Source: OECD Environment Database, ‘Mortality, morbidity and welfare cost from exposure to
                                                environment-related risks’  accessed
                                                on 20 March 2022

2 0     I N N O C E N T I   R E P O R T    C A R D      1 7
S E C T I O N      3     T
                                                                                                              H E   W O R L D     O F   T H E    C H I L D

Figure 7: Children lose more years of life from unsafe water than from inadequate sanitation and handwashing
facilities put together
Water-related morbidity of children under the age of 15 (2019)

Republic of Korea
             Japan
           Norway
      Netherlands
      Switzerland
 United Kingdom
           Finland
         Germany
          Sweden
           Iceland
             Spain
         Denmark
     Luxembourg
            Ireland
             Malta
           Greece
          Belgium
            France
               Italy
    United States
             Israel
           Cyprus
           Austria
           Canada
         Australia
          Portugal
     New Zealand
          Slovenia
          Czechia
              Chile
          Slovakia
            Poland
           Croatia
          Hungary
           Estonia
          Bulgaria
             Latvia
         Lithuania
       Costa Rica
         Romania
            Turkey
         Colombia
           Mexico

                       0.0          0.5              1.0              1.5             2.0              2.5              3.0              3.5           4.0

                                          Unsafe water source            Unsafe sanitation         No access to handwashing facility
                                                                            DALYs per 1,000 children
Source: OECD Environment Database, ‘Mortality, morbidity and welfare cost from exposure to environment-related risks’  accessed on 20 March 2022

                                                                                             I N N O C E N T I       R E P O R T    C A R D      1 7    2 1
S E C T I O N   3   T
                     H E   W O R L D     O F   T H E    C H I L D

Heat and cold                                   Figure 8: In six countries, at least 1 family in 10 with children finds it difficult
                                                to heat their home
The ability to control the indoor
temperature is important in                     Percentage of households with children that have difficulty heating their
                                                homes (2019)
maintaining safe temperatures in
locations with cold winters and/                     Switzerland
or hot summers. There are also
                                                              Iceland
safety issues: burning solid fuels
like wood may generate adequate                           Norway

warmth but can also pollute the air                       Estonia
indoors.                                                 Slovenia
Many households in high-income                                Finland
countries struggle to keep the                                Austria
house warm in winter, and this
                                                          Sweden
issue is strongly linked to socio-
economic inequalities. Among                             Germany
31 European countries, poor                          Luxembourg
households with children were                             Czechia
more than twice as likely to have
                                                     Netherlands
difficulties keeping their home
warm as non-poor households with                              Poland
children (see Figure 8).                                 Denmark

                                                         Belgium

                                                              Croatia

                                                         Hungary

                                                              Ireland

                                                              France

                                                United Kingdom

                                                               Malta

                                                          Slovakia

                                                               Latvia

                                                               Spain

                                                         Romania

                                                                 Italy

                                                          Portugal

                                                              Greece

                                                         Lithuania

                                                              Cyprus

                                                          Bulgaria

                                                                         0     10            20           30           40           50            60

                                                                                    All households (%)          Poor households (%)

                                                                                      Percentage of households with children

                                                Note: Chart refers to 2019, except Iceland and United Kingdom (2018). Poor households defined as below
                                                60 per cent of median equivalized income.
                                                Source: European Union Statistics on Income and Living Conditions (EU-SILC) (indicator ilc_mdes01).

2 2    I N N O C E N T I    R E P O R T    C A R D      1 7
S E C T I O N     3    T
                                                                                                H E     W O R L D     O F    T H E    C H I L D

Light                                     Figure 9: In nine countries, over a tenth of poor children live without
                                          sufficient light
A bright home, with plenty of
daylight, can support the mood            Percentage of children living in homes that are too dark, by poverty status
                                          (2019)
of children.12 Outdoor spaces
at home, such as gardens or
                                                   Italy
balconies, make it easier for
children to enjoy direct sunlight,             Norway
which improves their immune                     Iceland
systems (via the production
                                          Netherlands
of vitamin D) and reduces the
                                               Slovakia
likelihood of chronic conditions,
such as multiple sclerosis, in                Denmark
adulthood.13                                   Czechia
However, nocturnal light pollution              Estonia
(exposure to artificial light at night)
                                                Finland
has adverse effects on children’s
                                                Cyprus
sleep.14 Sleep quality and duration
are key predictors of the three               Slovenia
child outcomes at the heart of                Germany
our model: well-being, health and
                                                Croatia
skills. Therefore, sleep disruption
should not be taken lightly. The                Poland
combination of nocturnal light                  Greece
pollution and underexposure
                                                Austria
to daylight is associated with
higher risks of cancer and other              Romania

diseases.15                                Switzerland

In European countries, many                    Sweden
homes do not have adequate                        Spain
lighting (see Figure 9). The
                                          Luxembourg
proportion of children living in such
conditions ranges from less than              Lithuania

3 per cent in Italy, Norway, Iceland,          Bulgaria
the Netherlands and Slovakia,                   France
to almost 20 per cent in Turkey.
                                               Belgium
In almost all countries, children
living in relative household income             Ireland
poverty are noticeably more likely             Portugal
to be living in homes that are too
                                                 Latvia
dark.
                                              Hungary

                                                  Malta

                                                 Turkey

                                                           0           5             10             15            20            25               30

                                                                   Children in all households            Children in poor households

                                                                                       Percentage of children
                                          Note: Chart refers to 2019 (2018 for Iceland and Turkey). The United Kingdom is excluded as data was
                                          marked as ‘unreliable’. Poor defined as below 60 per cent of median equivalized income.
                                          Source: EU-SILC (indicator ilc_mdho04c).

                                                                                 I N N O C E N T I       R E P O R T     C A R D      1 7        2 3
S E C T I O N   3   T
                     H E   W O R L D     O F   T H E     C H I L D

Noise                                           Figure 10: In many European countries, over a tenth of families with children
                                                are affected by noise
Noise – both indoor and outdoor
– is an environmental hazard that               Percentage of households with children affected by noise, by poverty status
                                                (2019)
can have serious consequences for
children. Noise pollution is linked
to various adverse health effects,                            Croatia

including poor birth outcomes,                                Estonia
stress, cognitive functioning and                             Ireland
school performance. Traffic and
                                                           Bulgaria
aircraft noise increases stress
responses in children.16 There is                             Iceland
also a relationship between noise                          Hungary
and cardiovascular disease in                                 Finland
both children and adults.17 Figure
                                                           Slovakia
10 shows the percentage of
households in European countries                           Norway
that are affected by noise. In most                           Poland
countries, the rate is higher among
                                                                 Italy
poorer households.
                                                           Slovenia

                                                               Latvia

                                                          Lithuania

                                                               Spain

                                                           Czechia

                                                              Cyprus

                                                           Belgium

                                                           Sweden

                                                          Denmark

                                                        Switzerland

                                                              Austria

                                                          Romania

                                                              France

                                                              Greece

                                                     Luxembourg

                                                United Kingdom

                                                          Germany

                                                           Portugal

                                                     Netherlands

                                                               Malta

                                                                         0   5         10        15        20        25         30        35        40

                                                                                  All households (%)             Poor households (%)

                                                                                     Percentage of households with children

                                                Note: Chart refers to 2019, except Iceland and United Kingdom (2018). Poor defined as below 60 pr cent
                                                of median equivalized income.
                                                Source: EU-SILC (indicator ilc_mddw01).

2 4     I N N O C E N T I   R E P O R T    C A R D      1 7
S E C T I O N    3   T
                                                                                    H E   W O R L D     O F   T H E    C H I L D

Hazardous substances                    Children can encounter lead at
Hazardous substances can affect         home from various sources –
children before they are even born      cosmetics, paints and pigments,
(see Spotlight 2).                      toys, clothing, jewellery, dishes
                                        and cookware, and even water
While there are many hazardous          pipes and fixtures may all contain
and toxic substances, suitable,         lead.25 Lead can even enter our
comparative data on health              food supplies through the soil
impacts for Report Card countries       or water.26 Historical pollution
are only available for lead and         from leaded petrol can still be
pesticide pollution.                    found in soils around the world.27
Lead pollution                          In the past, lead was present
                                        in children’s products, such as
Lead poisoning affects hundreds
                                        painted toys. Today, it can still
of millions of children globally.18
                                        feature in lead-glazed ceramics
Lead is a neurological and
                                        (e.g., in Mexico), lead pellets used
cardiovascular toxicant, which
                                        in hunting (a major source of lead
is globally responsible for more
                                        among children who eat wild game
deaths than malaria, war and
                                        in Norway), new paint, and in
terrorism, or natural disasters.19
                                        spices that are mixed with lead to
Not only does it affect children’s
                                        increase the weight or add colour
bodily functions, but it also has
                                        (often produced in South Asia, but
adverse effects on attention
                                        imported around the world).28
span, memory (both long and
short term) and the ability to plan     There are no safe levels of lead
and solve problems.20 It can also       – the detrimental effects of lead
increase aggression and antisocial      exposure appear even at very low
behaviour.21 Boys are especially        levels of lead concentration in the
vulnerable to brain damage and          bloodstream.29 In all Report Card
cognitive impairment due to lead        countries, at least 1 child in a 100
poisoning,22 probably because           had elevated levels of lead in the
higher levels of oestrogen              blood (see Figure 12). In most
and oestradiol in girls act as          countries, the proportion is more
neuroprotectants.23 The exposure        than 1 in 50; and in Costa Rica
of girls to lead early on in life, or   and Mexico, 13 per cent and 31
even in the womb, may disrupt           per cent of children, respectively,
their hormonal patterns and has         have elevated levels of lead in
been associated with delayed            their blood. Explanations for the
puberty.24                              high figure in Mexico could include
                                        the use of lead-glazed ceramic
                                        tableware and the less-stringent
                                        regulation of lead content in paints
                                        used in the home.30

                                                                     I N N O C E N T I     R E P O R T    C A R D      1 7    2 5
S E C T I O N     3       T
                           H E   W O R L D      O F   T H E    C H I L D

Figure 11: In nine OECD/EU countries, more than 1 child in 20 is being                                  Pesticide pollution
poisoned by lead
                                                                                                        Agricultural activities interact
Percentage of children with levels of lead in the blood of over 5 μg/decilitre                          with the environment in a myriad
(2019)
                                                                                                        of ways. First, and perhaps most
                                                                                                        obviously, agricultural activities
          Finland          1.0%
                                                                                                        require land: according to recent
          Iceland          1.1%
         Sweden            1.2%
                                                                                                        estimates, 37 per cent of the
    Luxembourg             1.3%                                                                         global land surface is used for
 United Kingdom             1.4%                                                                        agriculture.31 The clearing of
            Japan           1.5%                                                                        land for crops and grazing, and
              Italy         1.5%                                                                        poor agricultural practices, are
   United States            1.5%                                                                        major drivers of environment
          Austria           1.5%                                                                        degradation.32 Moreover,
     Netherlands            1.6%                                                                        agriculture, forestry and other
          Canada            1.6%
                                                                                                        land use are responsible for 24
          Norway             1.8%
                                                                                                        per cent of global greenhouse gas
        Australia            1.8%
                                                                                                        emissions.33
          Cyprus             1.9%
         Slovenia            2.0%                                                                       Agricultural activities can also
           Ireland           2.0%                                                                       release toxic materials that
        Germany               2.1%
                                                                                                        have a direct impact on physical
           France             2.2%
                                                                                                        health. Children are at higher risk
        Denmark               2.2%
                                                                                                        than adults of suffering serious
            Turkey            2.4%
Republic of Korea              2.5%
                                                                                                        health effects from exposure
             Israel            2.8%                                                                     to pesticides. Such pollution
             Spain             2.8%                                                                     has been linked to damage to
              Chile             2.9%                                                                    children’s nervous, cardiovascular,
       Switzerland              3.2%                                                                    genitourinary, digestive,
          Czechia               3.2%                                                                    reproductive, endocrine, blood and
           Greece                3.4%                                                                   immune systems. It has also been
          Slovakia               3.6%                                                                   associated with cancer, including
            Poland               3.6%                                                                   childhood leukaemia. And it can
           Croatia               3.6%
                                                                                                        cause harm to skin and eyes, as
         Colombia                 3.8%
                                                                                                        well as developmental delays.34
           Estonia                3.8%
                                  3.8%
                                                                                                        Early exposure to pesticides may
      New Zealand
         Lithuania                3.9%                                                                  likewise be linked to attention
          Bulgaria                  5.0%                                                                deficit disorder and autism
          Portugal                   5.3%                                                               spectrum disorder, although more
          Hungary                    5.4%                                                               research is needed on this topic.35
             Latvia                  5.6%
             Malta                       7.6%
          Belgium                        7.8%
         Romania                             10.1%
        Costa Rica                                     13.4%
           Mexico                                                                            31.1%

                      0           5         10         15            20     25          30         35

                                  Percentage of children with elevated lead blood levels

Source: Own calculations based on number of children with elevated levels of lead in the blood from
Rees and Fuller (2021) and United Nations Department of Economic and Social Affairs (2021) population
projections.

2 6      I N N O C E N T I         R E P O R T    C A R D      1 7
S E C T I O N      3    T
                                                         H E   W O R L D       O F   T H E    C H I L D

Figure 12: In most OECD/EU countries, more than 1 child in 20 lives in an
area of high pesticide risk
Percentage of children under 18 living in areas with high pesticide pollution
risk (2019)

        Denmark           0%
          Estonia         0%
          Finland         0%
          Iceland         0%
             Latvia       0%
             Malta        0%
         Slovakia         0%
         Slovenia         0%
         Sweden           0%
          Austria         0.1%
          Croatia         0.1%
        Germany           0.1%
        Lithuania         0.1%
    Luxembourg            0.1%
        Romania            0.2%
         Bulgaria          0.3%
        Australia              1.0%
    New Zealand                    1.7%
           Ireland                 1.8%
   United States                           2.7%
          Norway                            2.9%
          Mexico                                       4.2%
         Hungary                                          4.7%
              Chile                                          5.4%
          Greece                                             5.4%
            Japan                                            5.4%
           France                                              5.8%
 United Kingdom                                                  6.2%
          Canada                                                  6.3%
          Cyprus                                                    6.7%
             Spain                                                  6.7%
         Portugal                                                          7.6%
Republic of Korea                                                           7.7%
              Italy                                                         7.8%
           Turkey                                                           7.8%
        Colombia                                                              8.1%
       Costa Rica                                                              8.3%
      Switzerland                                                               8.4%
      Netherlands                                                                8.6%
         Belgium                                                                   8.9%
            Israel                                                                 8.9%
           Poland                                                                   9.1%
          Czechia                                                                      9.7%

                      0             2            4              6           8           10           12

                          Percentage of children living in areas with high pesticide pollution risk

Source: UNICEF (2021).

                                         I N N O C E N T I      R E P O R T      C A R D      1 7    2 7
S E C T I O N   3   T
                     H E   W O R L D     O F   T H E    C H I L D

      Spotlight 2 Child brain development in the
      womb is particularly sensitive to environmental
      chemicals – results from the NeuroTox study

      Chemical pollution is a continuously increasing                pregnant women’s blood and urine, and the later
      problem and among the largest threats to child                 risks to their children of ADHD, ASD and cognitive
      health and development worldwide. Since the                    impairment.
      1950s, over 140,000 chemicals and pesticides
                                                                     The findings show a number of connections:
      have been produced, 36 most of which have never
      been tested for child safety or for any toxic effect           1. Elevated maternal levels of some phthalates 40
      on the developing brain. Meanwhile, since the                     and per- and polyfluoroalkyl substances
      1980s, attention deficit hyperactivity disorder                   (PFASs) 41 were associated with a reduction in
      (ADHD) and autistic spectrum disorder (ASD) have                  cognitive functions (such as working memory)
      come to be diagnosed increasingly frequently                      in the child (see Figure 13).
      in developed countries, leading to concerns
                                                                     2. Elevated maternal levels of several toxic
      that hazardous substances in the environment
                                                                        metals (cadmium, lead and arsenic) 42 and of
      may be among the causes of these disorders.37
                                                                        PFASs (e.g. perfluorooctanoic acid (PFOA) and
      Environmental toxicants in our food and drinking
                                                                        perfluorooctane sulfonic acid (PFOS)) 43 were
      water, in appliances, cosmetics and the air may
                                                                        associated with increased risk of ADHD and/or
      adversely affect child brain development, even as
                                                                        ASD in the child.
      the foetus grows in the womb.
                                                                     3. Some plastic toxicants (organophosphate esters
      Expectant mothers are exposed to chemicals
                                                                        (OPEs) and phthalates) were associated with
      daily, and some of them are stored in the body
                                                                        increased risk of ADHD.44
      for long periods of time. During pregnancy and
      breastfeeding, toxicants can pass from mother                  These toxic chemicals are found in food, drinking
      to child. Infants are also exposed to toxicants                water as well as in everyday items that we cook
      through the food, water and consumer products                  with and store our food in, put on our bodies and
      they come into contact with. Young children’s                  consume: packaging, utensils, pots and pans,
      bodies are less able than those of adults to                   cosmetics, fabrics and even medical products.
      protect themselves from toxic chemicals, and                   The burden of mental health conditions
      their brains are particularly sensitive to the                 attributable to pollution, and in particular
      impact of these. Levels that would be considered               hazardous chemicals in the environment, is hugely
      tolerable for adults may be harmful for children, 38           underestimated.45 The results from the NeuroTox
      and may cause irreversible effects that emerge                 study indicate the need for stronger global action
      in later childhood and adolescence, including                  to increase knowledge of the harmful impact
      mental health and behavioural problems, learning               of chemical exposure, and to prevent early life
      disabilities and cognitive impairments.39                      exposure to toxicants.
      The NeuroTox study investigated pregnant
      women’s exposure to toxins and the subsequent
      development of their children, using 3,500
      mother–child pairs from the Norwegian Mother,
      Father and Child Cohort study. On the basis of
      these data, the study explored the potential link
      between the levels of environmental toxicants in

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Figure 13: Impact of hazardous chemicals in the environment on child brain development

                             Metals            Organophosphate                 Phthalates                     Per- and polyfluoroalkyl
                                                    esters                                                          substances

   Cognitive
    function

        ASD

      ADHD

                   Cadmium              Lead             BDCIPP              DEHP               MBzP               PFOS              PFOA
                             Arsenic             DPHP               DiNP               DBPs              PFAS            Carboxylate
                                                                                                        mixture             PFAS

                                                                   Toxicants

Note: Toxicants are colour-coded by group: metals in green; OPEs in orange; phthalates in navy blue; and PFASs in turquoise. Darker filled
boxes denote an adverse effect, while a lighter shade indicates no finding or not yet investigated. Grey boxes indicate that the relationship
was not tested.
DPHD = diphenyl phosphate; BDCIPP = bis(1,3-dichloro-2-propyl) phosphate; DiNP = diisononyl phthalate; DEHP = di(2-ethylhexyl)
phthalate; DBP = Dibutyl phthalate (including mono-n-butyl phthalate and mono-iso-butyl phthalate); MBzP = mono-benzyl phthalate.

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3 0    I N N O C E N T I    R E P O R T    C A R D      1 7
SECTION 4
  THE WORLD AROUND THE CHILD
                                                                             © Kari Moden

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SECTION 4
  THE WORLD AROUND THE CHILD

                                                                                     This section looks at the aspects
                                                                                     of the natural and built
                                    world at large
                                The
                                                                                     environment with which children
                                                                                     interact directly. The quality,
                                                                                     enjoyability and safety of homes
                                                                                     and surrounding public spaces
                                                                                     influence children’s daily lives.
                                                                                     They have implications for the
                                             lduant d
                                        waorro      lartge
                                 Tohreld                he                           children’s physical and mental
                               w                              ch                     health, as well as for their
                            he                                  il
                                                                                     cognitive, emotional and social
                     T

                                                                 d

                                                                                     development. Interactions
                                                                                     between housing quality and
                                        around
                                   orld of the c                                     the quality of local surroundings
                                  w    ld the hil
                                he wor         c                                     further shape children’s well-
                                 e
                            T

                                                          d

                                                                                     being. Issues to do with transport
                                                            hi
                            Th

                                                              ld

                                                                                     systems and mobility likewise
                                           rld of the                                have many implications for
                                         wo           c                              children’s well-being and
                                     e
                                                       hi

                                         The child
                                Th

                                                                                     development. Our focus is on the
                                                         ld

                                                                                     links between these factors and
                                                                                     children’s outcomes: mental
                                          The child                                  well-being, physical health
                                                                                     and skills.

                                                                      The world
      The world
                                                                     we will leave
      we inherit
                                                                       behind

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The home                                 Figure 14: In 22 countries, over a tenth of children live in a damp house
Children, especially in the early        Percentage of children living in a dwelling with damp or mould (2019)
years, spend much of their time
indoors at home.46 They are                        Finland            4.2%
particularly susceptible to the
                                                  Slovakia               5.6%
effects of the home environment
– not only because of the amount                     Malta                 7.1%

of time they spend in it, but                      Norway                    8.0%
also because of their unique                      Sweden                     8.3%
physiological, biological and social
                                                   Czechia                    8.4%
characteristics. Their immune
systems are still developing, they                  Croatia                     9.5%
tend to breathe more rapidly and                    Austria                        10.1%
have more hand-to-mouth activity
                                                    Poland                         11%
than adults, rendering them more
                                                  Romania                          11%
exposed to pollutants.47 Therefore,
better conditions inside the home                  Greece                              11.5%
can go a long way in promoting                      France                              12.8%
children’s health and development.
                                                       Italy                            12.8%
Section 3 discussed the way in                    Bulgaria                              12.9%
which the presence and quality of
                                                   Estonia                               13.5%
facilities in the home can affect
children’s well-being. For example,                 Ireland                              13.8%
a lack of safe cooking or heating             Switzerland                                13.8%
facilities forces families to burn
                                                 Germany                                   14.6%
solid fuels, which pollute indoor air.
                                                 Lithuania                                 15.2%
Similarly, even if the infrastructure
of water is adequate, basic                          Spain                                 15.5%
facilities need to be present in the         Netherlands                                    15.9%
home for children to benefit fully
                                                 Denmark                                        17.6%
from them.
                                             Luxembourg                                          18.4%
Damp
                                                  Belgium                                        18.8%
Damp and mould are major
                                                  Slovenia                                         19.3%
environmental risk factors within
the home. Upper respiratory                          Latvia                                           20.5%
infections, asthma and bronchitis        United Kingdom                                                21.7%
are substantially and significantly
                                                   Iceland                                                 23.9%
associated with mould and damp
in the dwelling.48 For instance,                  Portugal                                                 24.7%

estimates of the proportion of                      Cyprus                                                    25.7%
asthma cases attributable to these                Hungary                                                        28.3%
factors ranges from 6 per cent in
                                                    Turkey                                                                          39.8%
one study in the Netherlands to
20 per cent in another study in                                0              10                 20               30              40                50
the United States.49 According to
                                                                   Percentage of children living in a dwelling with damp or mould
European data, even in Finland –
the highest-ranked country –
                                         Notes: Indicator refers to the child population living in a dwelling with a leaking roof, damp walls, floors or
more than 1 child in 25 lives in         foundation, or rot in window frames or doors. Data refer to 2019 (2018 for Iceland and Turkey).
                                         Source: EU-SILC (indicator ilc_mdho01c).

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a home with wet walls, mould or                Figure 15: In the average country, one household in nine is overcrowded
rotting doors or window frames.                Percentage of households living in an overcrowded dwelling (2019)
In Turkey, Hungary, Cyprus,
Portugal, Iceland, the United
                                                            Canada          0.7%
Kingdom and Latvia, more than
                                                     New Zealand            0.8%
one child in five is exposed to
                                                              Malta          1.6%
damp and mould.
                                                              Japan          1.6%
Space in the home can affect                                 Cyprus          1.7%
various aspects of children’s lives,
                                                             Ireland         1.8%
including their health, social
                                                              Spain            3.0%
relationships, privacy and
                                                     United States                 4.2%
academic performance.
Overcrowding in the home creates                      Netherlands                  4.3%
social tension (including between                           Portugal                   5.0%
adult members and children) and                         Switzerland                    5.1%
has a negative effect on the quality           Republic of Korea                       5.2%
of parent–child relationships and                           Belgium                     5.9%
household members’ physical                      United Kingdom                         5.9%
and mental health. Surveys have                           Germany                       6.1%
found overcrowding to be related
                                                             France                     6.5%
to socio-economic status, meaning
                                                     Luxembourg                          7.2%
that lower-income households are
                                                            Norway                        7.3%
more likely to have inadequate
living space.50 Insufficient space                          Slovenia                          8.7%

at home can contribute to the                                Finland                          8.9%
intergenerational transmission of                         Denmark                              9.1%
social inequalities.                                         Iceland                           9.2%
                                                               Chile                           9.3%
The home environment also plays
an important role in children’s                             Estonia                             9.9%

education – particularly since                              Hungary                                11.3%
the COVID-19 pandemic forced                                Czechia                                11.6%
schools to close and students to                             Austria                                  12.4%
study at home. Overcrowding has                             Sweden                                      14.4%
strong adverse effects on learning                        Lithuania                                     14.7%
outcomes.51,52 In Latvia and                                 Greece                                           18.1%
Mexico, more than one household
                                                                Italy                                           18.9%
in three, and in Slovakia, Bulgaria,
                                                            Slovakia                                                         25.7%
Croatia, Romania and Poland,
                                                            Bulgaria                                                          27.0%
more than one in four, suffers
                                                             Croatia                                                            28.1%
from overcrowding (see Figure
15). Households in Canada and                             Romania                                                                29.2%
New Zealand have the most space                              Poland                                                              29.4%
available at home, with less than                             Latvia                                                                    33.1%
1 per cent of them experiencing                             Mexico                                                                       33.2%
overcrowding.
                                                                        0          5          10       15       20      25       30      35

                                                                             Percentage of households living in an overcrowded dwelling

                                               Source: OECD Affordable Housing Database, , accessed 16 February 2022.

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Having a quiet space of one’s own       Figure 16: In an average country, one in seven 15-year-olds lacks facilities
provides both privacy and a good        for studying
environment in which to study.          Percentage of schoolchildren aged 15 with their own desk and a quiet place
On average, almost 9 adolescents        to study (2018)
in 10 (86 per cent, unweighted
average) in Report Card countries               Lithuania                                                                           94%
said they had their own desk and             Switzerland                                                                           93%
a quiet place to study in 2018 (see             Romania                                                                            93%
Figure 16). However, more than                     Austria                                                                        92%
30 per cent of 15-year-olds in                    Norway                                                                          92%
Chile, Mexico and Colombia did                     Poland                                                                         92%
not have these facilities. In all the            Slovenia                                                                         92%
countries included in the OECD                  Germany                                                                           92%
Programme for International                      Portugal                                                                         92%
                                                   France                                                                         92%
Student Assessment (PISA),
                                                 Hungary                                                                          92%
children who had a quiet place
                                                     Latvia                                                                      91%
to study at home registered
                                             Netherlands                                                                         91%
higher science test scores than
                                                  Iceland                                                                        91%
children who did not. However,
                                            Luxembourg                                                                           91%
this difference in test scores is
                                                     Israel                                                                      91%
probably not caused solely by                     Estonia                                                                        91%
having a quiet place to study.                   Belgium                                                                         91%
The socio-economic position of                       Spain                                                                       91%
the family, for instance, could                   Finland                                                                       90%
affect both student performance                   Czechia                                                                      89%
and the space available in the                         Italy                                                                   89%
home. In other words, some of                   Denmark                                                                       88%
the relationship between test                    Sweden                                                                      87%
scores and private space could                    Greece                                                                    86%
be explained away by household                   Slovakia                                                                 84%
socio-economic status.                               Malta                                                                84%
                                                  Croatia                                                                 83%
This issue of educational                          Ireland                                                                83%
inequalities related to the home                    Japan                                                                 83%
learning environment has come           Republic of Korea                                                                 83%
to the fore during the lockdowns                  Canada                                                                 82%
triggered by the COVID-19                United Kingdom                                                                  82%
pandemic. Children have been                     Australia                                                               82%
educated at a distance for lengthy                  Turkey                                                              81%
periods of time, and many                   New Zealand                                                                79%
households, particularly poorer                  Bulgaria                                                             77%
ones, have lacked the space and            United States                                                            73%
equipment for this to happen                  Costa Rica                                                            73%
effectively.                                          Chile                                                       69%
                                                  Mexico                                                        66%
                                                Colombia                                                  57%

                                                               0             20             40            60           80             100

                                                                   Percentage of adolescents with a desk and a quiet place to study

                                        Source: PISA 2018.

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