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Hung and Nghiem

                  Our results also demonstrated  that policy        and potential  resources for implementation.  Most
                interventions  can  effectively  reduce  pollution  even  in   importantly, the health and well-being of millions
                rapidly  developing  contexts.  This  finding,  combined   of  Vietnamese  urban residents depend on the policy
                with international  experience  from countries,  such as   choices made in the coming years.
                China that achieved dramatic air quality improvements   The  transition to sustainable  urban development
                through determined policy implementation, suggested   will require sustained political commitment, substantial
                that  Vietnam  can successfully address its air quality   financial   resources,   and   effective   institutional
                challenges  with  sufficient  political  commitment  and   coordination. However, the alternative  – continued
                appropriate policy design.                          deterioration of urban air quality with mounting health
                  The policy  implications  extend beyond pollution   and economic costs – represents a far more challenging
                control to encompass comprehensive urban development   long-term scenario. By acting decisively now, Vietnam
                strategies. Sustainable urban planning that promotes   can achieve the dual objectives of economic development
                compact,  transit-oriented  development;  transportation   and environmental  protection, creating  healthier  and
                systems that  reduce  vehicle  dependence;  industrial   more prosperous cities for future generations.
                policies  that  minimize  emissions; and healthcare
                systems adapted  to protect  vulnerable  populations  all   Acknowledgments
                represent essential components of an effective response.
                  Critically, addressing air pollution  provides    None.
                substantial co-benefits for climate change mitigation, as
                many pollution sources also generate greenhouse gases.   Funding
                This  alignment  enables  Vietnam  to  pursue local  air
                quality improvements and global climate commitments   The  authors  gratefully  acknowledge  the  financial
                simultaneously, potentially  unlocking additional   support from the Banking Academy of Vietnam.
                resources and international support for environmental
                improvements.                                       Conflict of interest
                  Our  findings  also  contribute  to  the  broader  global
                understanding  of   urbanization-environment-health  The authors declare they have no competing interests
                relationships in developing countries. The quantitative
                estimates  of these  relationships  in  Vietnam’s context   Author contributions
                provide valuable benchmarks for policy evaluation and
                international  comparisons, while our methodological   Conceptualization: All authors
                approach demonstrates how causal inference techniques   Formal analysis: All authors
                can generate more robust evidence for policy design.  Investigation: All authors
                  International  experience  demonstrates that this   Methodology: Bui Duy Hung
                challenge  is surmountable. Countries from the      Writing – original draft: All authors
                United Kingdom to Japan and China have successfully   Writing – review & editing: All authors
                reduced urban air pollution while maintaining economic
                growth, though the health and economic costs of delayed   Availability of data
                action proved substantial. Vietnam has the opportunity
                to learn from these experiences and implement effective   Data are available from the corresponding author upon
                policies earlier in its development process, potentially   reasonable request.
                avoiding the severe pollution episodes that other
                countries experienced.                              References
                  In conclusion, our analysis provided clear evidence
                that  Vietnam  faces  a  critical  choice  in  managing  its   1.  Wang Q, Kwan MP, Zhou K, Fan J, Wang Y, Zhan D. The
                urban development  trajectory.  The causal pathways     impacts of urbanization on fine particulate matter (PM2.5)
                                                                        concentrations: Empirical evidence from 135 countries
                from urbanization through pollution to health impacts   worldwide. Environ Pollut. 2019;247:989-998.
                are well-established and quantitatively significant. The      doi: 10.1016/j.envpol.2019.01.086
                effectiveness  of  policy  interventions  is  demonstrated   2.  Zhan C, Xie M, Lu H, et al. Impacts of urbanization on air
                but  requires  substantial  scaling  up.  The  co-benefits   quality and the related health risks in a city with complex
                with climate  action  provide additional  motivation    terrain. Atmos Chem Phys. 2023;23(1):771-786.



                Volume 22 Issue 3 (2025)                       208                           doi: 10.36922/AJWEP025130088
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