Fact Sheet | Climate, Environmental, and Health Impacts of Fossil Fuels (2021)

The use of fossil fuels—coal, oil, and natural gas—results in significant climate, environmental, and health costs that are not reflected in market prices. These costs are known as externalities. Each stage of the fossil fuel supply chain, from extraction and transportation to refining and burning, generates externalities. This fact sheet provides a survey of some of the externalities associated with fossil fuels.

Climate Externalities


When fossil fuels are burned, they emit greenhouse gases like carbon dioxide that trap heat in the earth’s atmosphere and contribute to climate change. In 2019, fossil fuels accounted for 74 percent of U.S. greenhouse gas emissions. Nearly 25 percent of emissions in the United States come from fossil fuels extracted from public lands. Some of the climate externalities of fossil fuels include:

Environmental Externalities


Fossil fuels have significant environmental externalities including:

Health Externalities


Air pollution from burning fossil fuels can cause multiple health issues, including asthma, cancer, heart disease, and premature death. Combusting the additives found in gasoline—benzene, toluene, ethylbenzene, xylene—produces cancer-causing ultra-fine particles and aromatic hydrocarbons. Globally, fossil fuel pollution is responsible for one in five deaths. In the United States, 350,000 premature deaths in 2018 were attributed to fossil fuel-related pollution, with the highest number of deaths per capita in states like Pennsylvania, Ohio, and West Virginia. The annual cost of the health impacts of fossil fuel-generated electricity in the United States is estimated to be up to $886.5 billion.

The environmental and health impacts of fossil fuels disproportionately harm communities of color and low-income communities. Black and Hispanic Americans are exposed to 56 and 63 percent more particulate matter pollution, respectively, than they produce. In a predominantly Black and low-income area of Louisiana known as “Cancer Alley,” the cancer risk is nearly 50 times higher than the national average due to 150 nearby chemical plants and oil refineries.

Policy Mechanisms to Reduce Fossil Fuel Externalities


Several policy mechanisms have been proposed to reduce fossil fuel externalities, including:

Editor: Anna McGinn

Graphic: Emma Johnson

For the endnotes, please download the PDF version of this issue brief.