Pollution from fossil fuel development, including the extraction, processing, and distribution of oil and gas, contributes to serious health problems including cardiovascular disease, respiratory disease, cancer, adverse births, and premature death.[1] The main pollutants are fine particulate matter (PM2.5), nitrogen oxides and hazardous organic compounds such as benzenes and formaldehyde, which cause oxidative stress, inflammation and chronic diseases.[1] Research in the US has shown that even low levels of PM2.5 and ozone exposure significantly increase the risk of death, and that these health impacts are not evenly distributed – there are ethnic and income-based inequalities.[1] Pollution from oil and gas development in the US causes approximately 91,000 premature deaths each year.[1] Methane escapes during the extraction and processing of fossil fuels and is a significant greenhouse gas.[1]