At the start of the Industrial Revolution, it was discovered that the energy in fossil fuels can be unlocked to make work more productive. This finding transformed human development: for most of history, living conditions across the world were equally poor. This began to change, rapidly, once we learnt how to use coal, oil, and gas. In more recent years, we have also gained access to modern renewables and nuclear power.
The increasing availability of cheap energy has been integral to the progress we’ve seen over the past few centuries. Energy access is one of the fundamental driving forces of development. The United Nations says that “energy is central to nearly every major challenge and opportunity the world faces today.”
But energy production has downsides as well as benefits. There are three main categories:
- Air pollution: An estimated five million people die prematurely every year as a result of air pollution; fossil fuels and biomass burning are responsible for most of those deaths.
- Accidents: As well as deaths caused by the byproducts of energy production, people die in accidents in supply chains, whether in the mining of coal, uranium or rare metals; oil and gas extraction; the transport of raw materials and infrastructure; construction; or their deployment.
- Greenhouse gas emissions: Perhaps the most widely discussed downside is the greenhouse gases emitted by energy production, which are a key driver of climate change.
All energy sources have negative effects. But they differ enormously in the size of those effects. That difference can be easily summed up: by all metrics, fossil fuels are the dirtiest and most dangerous, while nuclear and modern renewable energy sources are vastly safer and cleaner.
From the perspectives of both human health and climate change, it matters less whether we use nuclear power or renewable energy, and more that we change to one or both of them rather than fossil fuels.
For most of the past 50 years, our energy systems have been dominated by fossil fuels, traditional biomass, hydropower and nuclear energy.1
In the future we expect renewable energy sources to contribute a rising share of total energy, but before we take a closer look at how renewables compare, let’s first see how fossil fuels stack up against nuclear energy in terms of safety.
Anil Markandya and Paul Wilkinson (2007) published an analysis in the medical journal The Lancet, which compared the death rates from the major energy sources.2 In this study they considered deaths from accidents, such as the Chernobyl nuclear disaster, occupational accidents in mining or power plant operations, and premature deaths from air pollution.3
This study was published in 2007, before the 2011 Fukushima Daiichi nuclear disaster in Japan. You might assume that the figures from this analysis therefore understate the death toll from nuclear energy, but in fact the opposite is true. Later in this article we look at a more recent study on the safety of low-carbon energy sources, published in 2016 which includes Fukushima impacts, and in fact reports a lower death rate than Markandya and Wilkinson (2007).4 There were no direct deaths from the Fukushima Daiichi disaster. The official death toll was 573 people, all of which were premature deaths from evacuation and displacement of populations in the surrounding area.5 In 2018, the Japanese government reported that one worker has since died from lung cancer as a result of exposure from the event.
To compare the safety of different energy sources, the researchers compared the number of deaths per unit of energy that is produced by them.6 In the visualization we see the safety comparison of fossil fuels, nuclear and biomass, measured as the number of deaths per terawatt-hour of energy production. One terawatt-hour of energy is about the same as the annual energy consumption of 27,000 citizens in the European Union.7
Nuclear energy is by far the safest energy source in this comparison – it results in more than 442 times fewer deaths than the ‘dirtiest’ forms of coal; 330 times fewer than coal; 250 times less than oil; and 38 times fewer than gas. To be clear: the figures in this analysis was based on energy production in Europe where anti-pollution regulation and technologies are already well ahead of many countries in the world; in this case the death rate from fossil fuels may even be understated.
Let’s put this into the context of the 27,000 Europeans that one terawatt-hour would provide for. Here we are taking a very simplistic example, but imagine we have a village of 27,000 people.8 If they produced all of their energy from coal, we’d expect 25 people to die prematurely every year as a result (most from the impacts of air pollution). If they generated their energy from oil we’d expect 18 to die every year; and 3 to die if they relied on natural gas.
If they got their energy from nuclear power, in most years there would be no deaths. In fact, it would take at least 14 years before you would expect a single death. It may even be the case that this figure is an overestimate – later in the article we look at a more recent analysis of nuclear safety which suggests this is closer to one death every 100 years.
Fossil fuels have therefore killed many more people than nuclear energy.
In many countries, however, public opinion on nuclear energy is very negative and, as a consequence, policy decisions have in some places turned harshly against it.
In the wake of the 2011 Fukushima nuclear disaster, Germany announced plans to phase out nuclear power generation: over the period from 2011 to 2017 it shut down 10 of its 17 nuclear facilities, and plans to close the remaining reactors in 2022.9
These policy decisions can cost lives. In a study published in the journal Environmental Science and Technology, Pushker Kharecha and James Hansen (2013) reversed the conventional question of ‘how many people have died from nuclear power?’ into ‘how many lives has nuclear power saved?’.10 They analysed how many additional people would have died over the period from 1971 to 2009 if nuclear energy had been replaced by fossil fuels. The human cost would have depended on the mix of fossil fuels used to replace nuclear – more would have died if more coal was used than oil or gas – but they estimate an average figure of two million lives saved.11
Replacing nuclear energy with fossil fuels kills people. This is likely to be the case in the recent example of Germany. Most of Germany’s energy deficit from scrapping nuclear was filled by increased coal production – the most polluting source with the largest health impacts. Analysis by Stephen Jarvis, Olivier Deschenes, and Akshaya Jha (2020) estimates that Germany’s nuclear phase-out has come at the cost of more than 1,100 additional deaths each year as a result of air pollution.12 Its plans to make its energy systems safer have done exactly the opposite.
Renewable energy sources will in future make up an increasing share of energy supply. How does the safety of renewable energy compare?
Most of us have heard stories of hydropower dams flooding; people falling from roofs when installing solar panels; or wind turbines collapsing. And it’s true, these events happen. But just how common are they? Are the safety concerns about renewable energy exaggerated?
Benjamin Sovacool and colleagues (2016) investigated the safety of low-carbon energy sources in a study published in the Journal of Cleaner Production.13 In this analysis the authors compiled a database of as many energy accidents as possible over the period from 1950 to 2014 based on an extensive search of academic databases (including ScienceDirect and EBSCO host) and news reports via Google.14 The full list of accidents is made available in the underlying study; in the results below the authors compare death rates over the period from 1990 to 2013 only.
In the visualization I have combined the two studies described above so we can compare fossil fuels, nuclear and renewable energy. Again, death rates are given per unit of energy to allow a comparison. If you want to compare only low-carbon energy sources, you can find this data here.
You will notice two values for both nuclear and biomass – these represent the slightly different estimates from the two different studies: the earlier work of Markandya and Wilkinson (2007) and recent analysis by Sovacool et al. (2016). I explain why these figures differ, and also how deaths from nuclear energy are estimated in the dropdown box at the end of this post.
We see a massive difference in death rates from fossil fuels versus nuclear and modern renewable technologies. Nuclear and renewable sources are similarly safe: in the range of 0.005 to 0.07 deaths per TWh. Both nuclear and renewable energy sources have death rates hundreds of times lower than coal and oil, and are tens to hundreds of times safer than gas.
This conclusion holds true regardless of whether you choose the higher (conservative) or lower death rate for nuclear energy. It is comparable to renewable energy technologies in both cases.
Let’s again put this into the context of our town of 27,000 EU citizens, who would collectively consume around one terawatt-hour of energy a year. These are the impacts if they got all of their energy from a given source:
- Coal: 25 people would die prematurely every year;
- Oil: 18 people would die prematurely every year;
- Gas: 3 people would die prematurely every year;
- Nuclear: it would take between 14 and 100 years before someone died;
- Wind: 29 years before someone died;
- Hydropower or solar: 42 years before someone died;
- Solar: 53 years before someone died.
So far we’ve only considered the short-term health and social impacts of these energy sources. But we should also take into consideration their potential for future, longer-term impacts in their contribution to climate change.
The good news is that the safest sources are those which are low-carbon.
In the visualization I have plotted the death rates per unit energy data we looked at previously (on the y-axis) versus each source’s greenhouse gas emissions per energy unit (on the x-axis).
This measure of greenhouse gas emissions considers the total carbon footprint over the full lifecycle; figures for renewable technologies, for example, take into consideration the footprint of the raw materials, transport and their construction. I have adopted these figures as reported in the IPCC’s 5th Assessment Report (AR5), and more recent life-cycle figures by Pehl et al. (2017) which look at the emissions intensities of technologies in ‘2°C-compatible’ energy transitions to 2050.15,16,17
The size of each bubble represents its share of global primary energy production in 2018 (including traditional biomass in the total).18
There are few trade-offs here – the safer energy sources are also the least polluting. Coal performs poorly on both metrics: it has severe health costs in the form of air pollution, and emits large quantities of greenhouse gas emissions per unit of energy. Oil, then gas, are better than coal, but are still much worse than nuclear and renewables on both counts.
Nuclear, wind, hydropower and solar energy all cluster in the bottom-left of the chart. They are all safe, low-carbon options. But they still account for a very small share of global energy consumption – less than 10% of primary energy – as we see from the bubble size.
There is fierce debate about which low-carbon energy technologies we should pursue. And there are of course other aspects to consider, such as cost, construction times, and location-specific resource availability. But on the basis of human health, safety and carbon footprint, nuclear and modern renewables are both winners. A number of studies have found the same: there are large co-benefits for human health and safety in transitioning away from fossil fuels, regardless of whether you replace them with nuclear or renewables.19
Fossil fuels are killing millions of people every year, and endanger many more from the future risks of climate change. We must shift away from them, drawing on all of our available options to do so.