To mitigate the problems associated with climate change, the low-carbon economy concept is now being championed around the world in an effort to reduce greenhouse gas emissions and ensure sustainable economic growth. Therefore, to reduce the dependence on traditional energy sources, the Organization for Economic Co-operation and Development (OECD) has been actively promoting the use of renewable energy. Past research has tended to neglect the influence of other pollutants such as fine particulate matter (PM_2.5) and sulfur dioxide (SO₂) and have mainly been based on static analyses. To make up for these research gaps, this study examined OECD country data from 2010–2014, with labor, fixed assets, new energy, and traditional energy as the inputs, and Gross Domestic Product (GDP), carbon dioxide (CO₂), and PM_2.5 as the outputs, from which it was found: (1) the overall efficiency of the individual countries varied significantly, with nine countries being found to have efficiencies of 1 for all five years, but many others having efficiencies below 0.2; (2) in countries where there was a need for improvements in traditional energy (which here refers to coal, petroleum and other fossil energy sources), there was also a significant need for improvement in new energy sources (which here refers to clean energy which will produce pollutant emissions and can be directly used for production and life, including resources like nuclear energy and “renewable energy”); (3) countries with poor traditional energy and new energy efficiencies also had poor CO₂ and PM_2.5 efficiencies; (4) many OECD countries have made progress towards sustainable new energy developments

The rapid economic growth of China in the last twenty years has caused a commensurate rise in atmospheric pollution which has had an impact on both the environment and public health. Since 2013, SO₂, CO₂ and nitrogen oxide levels have reached a level that may cause climate change and have adverse effects on the health of the local residents. Past environmental efficiency analyses have rarely examined economic development, air pollution and health as interacting systems; therefore, this study used a new two-stage DEA model, the Modified Undesirable EBM Two Stage DEA (Epsilon-Based Measure) to explore the environmental, economic and health efficiencies in thirty-one major cities in China. The results were as follows: while all cities needed to improve their GDP, the environmental efficiencies were continuing to rise in most cities. The health efficiency index indicated that disease efficiency had increased in most cities but declined in one third; therefore, it is necessary to strengthen treatment. The respiratory disease treatment efficiency in most cities was rising, and the room for improvement had significantly reduced. There were improvements in the mortality rate in 15 cities; however, the mortality rate treatment efficiency declined in 11 cities.

Environmental pollution and the associated societal health issues have attracted recent research attention. While most research has focused on the effect of air pollution on human health and local economies, few articles have discussed the environment, health, and economic development in in an integrated analysis. This paper used a Dynamic Network SBM Model to evaluate production and health efficiencies in Chinese cities and found that the production efficiency scores were slightly higher than the health efficiency scores, with the two-stage efficiency scores in most cities having significant fluctuations. Labor, fixed assets, energy, GDP, and lung disease and mortality reduction efficiencies in the first stage were generally high; however, the medical input efficiencies in the second stage were low, indicating that there was there significant room for improvement in many cities.

China has become the second-largest economy in the world; however, the price of its rapid economic development has been a rise in serious environmental pollution, with air quality being a major public issue in many regions. However, few previous energy and environmental sustainability studies have included the Air Quality Index (AOI) and in particular CO₂ and PM_2.5 emissions in their calculations and few have included regional differences, as these are difficult to describe using radial and non-radial methods. In this paper, DEA (Data Envelopment Analysis) is used to assess the energy and economic efficiencies of Chinese provinces and cities, in which the environmental pollution source variable is CO₂, and the main methods applied are radial (CCR or BCC) and non-radial SBM (Slacks Based Measures). Different from past studies, this study used both a Meta Undesirable EBM (Epsilon-Based measure) method to overcome the radial and non-radial errors and geographical differences and AQI environmental pollution indicators to accurately assess the economic, energy, and environmental efficiencies. It was found that: (1) Guangzhou and Shanghai had the best four-year efficiencies, (2) the energy efficiency differences in each city were large and there was a significant need for improvements, (3) the GDP efficiencies in each city were high, indicating that all cities had strong economic development, (4) the CO₂ efficiencies indicated that around half the cities had had sustained improvements, (5) the AQI efficiencies in each city were low and there was a significant need for improvement, and (6) the technological differences between the cities were large, with the efficiencies in the high-income cities being much higher than in the low-income cities.

Environmental protection and health issues have always been of great concern. This study employed modified Meta-Frontier Dynamic Network Data Envelopment Analysis to explore the environmental pollution effects from energy consumption on the mortality of children and adults, tuberculosis rate, survival rate, and health expenditure efficiencies in 15 old EU states and 13 new EU states from 2010 to 2014. We calculated the overall efficiency scores and technology gap ratios for each old EU and new EU states as well as the efficiencies of non-renewable energy, renewable energy, PM2.5, CO₂, labor, GDP, tuberculosis, child mortality, adult mortality, health expenditure efficiency, and survival efficiency at the health stage. The average annual overall efficiencies of the old EU states are higher than that of the new EU states. Whether in terms of energy efficiencies or health efficiencies, the inputs and outputs of the old EU states are always higher than that of the new EU states. Overall, developing countries in Eastern Europe are lagging behind in terms of energy and health efficiencies. At the same time, the efficiency of child mortality is lower than that of adult mortality, and the efficiency of PM2.5 is higher than that of CO₂ in both old and new EU states.