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The impacts of air pollution from motor vehicles are much higher than previously understood, causing health issues for thousands of people each year along with substantial social costs In 2019, human-made air pollution in the form of PM 2.5 and NO 2 was associated with 3,239 premature deaths, 13,237 hospitalisations, 12,653 cases of childhood asthma and over 1.771 million restricted activity days, when symptoms were sufficient to prevent usual activities, such as work or study (based on updated data from 2019 using the Health and Air Pollution New Zealand (HAPINZ) model, Metcalfe & Kuschel, 2023