The burning of fossil fuels is responsible for 4.5 million premature deaths worldwide annually and costs the world $8 billion daily, research released Tuesday found, underscoring the cruelty and fiscal folly of the Trump administration’s energy agenda.

The report from Greenpeace Southeast Asia and the Center for Research on Energy and Clean Air (CREA) concerns air pollution from fossil fuel combustion including fine particulate matter (abbreviated to PM2.5), ozone (O3), and nitrogen dioxide (or NO2), with particulate matter causing the biggest health risks and greatest financial costs.

Exposure to those pollutants has previously been linked to diseases including including ischaemic heart disease (IHD), chronic obstructive pulmonary disease (COPD), lung cancer, lower respiratory infections, premature birth (preterm birth), type II diabetes, stroke, and asthma, the report notes.