The Unpaid Toll: Quantifying the Public Health Impact of AI

The surging demand for AI has led to a rapid expansion of energy-intensive data centers, impacting the environment through escalating carbon emissions and water consumption. While significant attention has been paid to AI's growing environmental footprint, the public health burden, a hidden toll of AI, has been largely overlooked. Specifically, AI's lifecycle, from chip manufacturing to data center operation, significantly degrades air quality through emissions of criteria air pollutants such as fine particulate matter, substantially impacting public health. This paper introduces a methodology to model pollutant emissions across AI's lifecycle, quantifying the public health impacts. Our findings reveal that training an AI model of the Llama3.1 scale can produce air pollutants equivalent to more than 10,000 round trips by car between Los Angeles and New York City. The total public health burden of U.S. data centers in 2030 is valued at up to more than $20 billion per year, double that of U.S. coal-based steelmaking and comparable to that of on-road emissions of California. Further, the public health costs unevenly impact economically disadvantaged communities, where the per-household health burden could be 200x more than that in less-impacted communities. We recommend adopting a standard reporting protocol for criteria air pollutants and the public health costs of AI, paying attention to all impacted communities, and implementing health-informed AI to mitigate adverse effects while promoting public health equity.