Burning fossil fuels kills nearly 9 million people worldwide and an estimated 350,000 in the U.S. every year, according to a new study by scientists from Harvard and three British universities.

The staggering death toll is more than double the WHO’s 2017 estimate of deaths caused by air pollution. “There’s a perception in the United States that we have this under control, but that’s a mistake,” Joel Schwartz, a Harvard professor and one of the study’s authors, told the Boston Globe.

Based on data from 2018, the scientists found nearly one-in-five deaths that year — and nearly a third of deaths in eastern Asia — were caused by burning fossil fuels.

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