Cycling in London I can tell you AVAS is very useful. EV's and Hybrids going at slow speeds are hard to hear at the best of times. AVAS helps a lot.
Have a blind friend who for him something like sound is his main safety mechanism when dealing with roads.
The alternative is we have to use the horn a lot to warn people, similar to how cyclists use their bells. I'd much rather have a subtle AVAS that having to use the horn as a potential warning in a built up area.
Potentially the noise pollution would be much worse.