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Worsening outdoor air pollution and toxic lead poisoning have kept global deaths from environmental contamination at an estimated 9 million per year since 2015.

Air pollution from industry processes along with urbanization drove a 7% increase in pollution-related deaths from 2015 to 2019, according to the scientists’ analysis of data on global mortality and pollution levels.

That puts pollution on par with smoking in terms of global deaths. COVID-19, by comparison, has killed about 6.7 million people globally since the pandemic began. Tainted water and soil and dirty indoor air put Chad, the Central African Republic and Niger as the three countries with the most pollution-related deaths, according to data adjusted for population.

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