Estimating premature mortality attributable to PM2.5 exposure and benefit of air pollution control policies in China for 2020

Impacts of ship emissions and sea-land breeze on urban air quality using chemical characterization, source contribution and dispersion model simulation of PM2.5 at Asian seaport

Fine particulate matter (PM2.5) emitted from marine transportation, bulk materials handling at the docks, and dust dispersion has garnered increased attention, particularly in the interface between port and urban areas. This study explored the inter-transport of PM2.5 between Kaohsiung Harbor and neighboring Metro Kaohsiung. Chemical analyses of PM2.5 samples from four sites include water-soluble ions, metallic elements, carbons, anhydrosugars, and organic acids to establish PM2.5's chemical fingerprints. The CALPUFF air dispersion model is employed to simulate the spatiotemporal distribution of PM2.5 in Kaohsiung Harbor and adjacent urban areas. A clear seasonal and diurnal variation of PM2.5 concentrations and chemical composition was observed in both harbor and urban areas. The high correlation of nighttime PM2.5 levels between the port and urban areas suggests inter-transport phenomena. Sea salt spray, ship emissions, secondary aerosols, and heavy fuel-oil boilers exhibit higher levels in the port area than in the urban area. In Metro Kaohsiung, mobile sources, fugitive dust, and waste incinerators emerge as major PM2.5 contributors. Furthermore, sea breeze significantly influences PM2.5 dispersion from Kaohsiung Harbor to Metro Kaohsiung, particularly in the afternoon. The average contribution of PM2.5 from ships' main engines in Kaohsiung Harbor ranges from 2.9% to 5.3%, while auxiliary engines contribute 3.8%-8.3% of PM2.5 in Metro Kaohsiung.

Associations between short-term exposure to ambient PM2.5 and incident cases of cardiovascular disease in Yantai, China

There are limited studies investigating the association between short-term exposure to PM2.5 and incident cardiovascular disease (CVD) cases in China. This study aims to examine the short-term effects of PM2.5 on the incidence of cardiovascular diseases. A combination of Poisson-distribution generalized linear model and distributed lag non-linear model was used to examine the association between short-term exposure to PM2.5 and incident cases of CVD. The results revealed that per 10 µg/m3 increment of PM2.5 would increase the incident CVD cases by 0.147% (Relative Risk: 1.00147, 95% Confidence Interval: 1.00008-1.00286) at a lag of 2 days. The stratified analyses showed higher effects risk in females, older residents (aged 60-75 years), and acute myocardial infarction group (p-value for difference <0.05). This study indicates that short-term exposure to PM2.5 may increase the risk of CVD and highlights the necessity for a higher air quality standard in Yantai, China.

Modification of Food Allergy on the Associations between Early Life Exposure to Size-Specific Particulate Matter and Childhood Allergic Rhinitis

Previous studies have reported the association between particulate matter (PM) and childhood allergic rhinitis (AR). However, it is unclear whether food allergy (FA) modifies the PM-AR association. We aimed at evaluating the effect of the modification of FA on PM-AR association in preschool children. We adopted a cross-sectional study and conducted a questionnaire survey among preschool children aged 3-6 years in 7 cities in China from June 2019 to June 2020 to collect information on AR and FA. We used a combination of multilevel logistic regression and restricted cubic spline functions to quantitatively assess whether FA modifies the associations between size-specific PM exposure (1 × 1 km) and the risk of AR. The adjusted odds ratios (ORs) for AR among the children with FA as per a 10 μg/m3 increase in early life PM1, PM2.5, and PM10 were significantly higher than the corresponding ORs among the children without FA [e.g., OR: 1.58, 95% CI: (1.32, 1.90) vs 1.29, 95% CI: (1.18, 1.41), per 10 μg/m3 increase in PM1]. The interactions between FA and size-specific PM exposure and their effects on AR were statistically significant (all p-int < 0.001). FA, as an important part of the allergic disease progression, may modify the PM-AR association in preschool children.

Uptake and distribution of the inorganic components NH4+ and NO3- in PM2.5 by two Chinese conifers

Plants can effectively purify PM2.5 in the air, thereby improving air quality. Understanding the mechanisms of the uptake and distribution of PM2.5 in plants is crucial for enhancing their ecological benefits. In this study, the uptake and distribution of the water-soluble inorganic compounds ammonium (NH4+) and nitrate (NO3-) ions in PM2.5 by the two native Chinese conifers Manchurian red pine (Pinus tabuliformis) and Bunge's pine (P. bungeana) were investigated using a one-time aerosol treatment method combined with 15N tracing. The results showed the following: (1) Plants can efficiently uptake NH4+ (0.08-0.21 μg/g) and NO3- (0.03-0.68 μg/g) from PM2.5. Manchurian red pine uptakes these compounds more effectively with increases of 2.01-fold for NH4+ and 1.02-fold for NO3- compared with Bunge's pine. (2) The aboveground organs of the plants uptake and distribute more 15N than the belowground organs. The branches had the highest unit mass uptake (0.08-1.60 μg/g) and rate of distribution (16.91-53.60 %) for NH4+, while the leaves had the highest unit mass uptake (0.15-1.18 μg/g) and rate of distribution (50.78-84.88 %) for NO3-. (3) The ability of the aboveground organs to uptake 15N is influenced by the concentration of PM2.5, which showed an overall increase with increasing concentrations with some fluctuations in specific organs. However, the belowground organs were not affected by the concentration of PM2.5. (4) A larger specific leaf area, root-shoot ratio, branch biomass ratio, coarse root biomass ratio, and lower trunk biomass ratio favors the uptake of NH4+ from PM2.5, whereas these traits had a minimal influence on the uptake of NO3-. Manchurian red pine uptaked significantly more NH4+ compared with Bunge's pine, which benefited from the traits described above. These findings further revealed the mechanism of PM2.5 uptake by plants and its relationship with PM2.5 concentration and plant traits, and provided a scientific basis for how to effectively utilize plants to reduce PM2.5 pollution and purify the environment in areas with different pollution concentrations.

A Bibliometric Analysis of Comorbidity of COPD and Lung Cancer: Research Status and Future Directions

Objective

Although studies on the association between COPD and lung cancer are of great significance, no bibliometric analysis has been conducted in the field of their comorbidity. This bibliometric analysis explores the current situation and frontier trends in the field of COPD and lung cancer comorbidity, and to lay a new direction for subsequent research.

Methods

Articles in the field of COPD and cancer comorbidity were retrieved from Web of Science Core Collections (WoSCC) from 2004 to 2023, and analyzed by VOSviewer, CiteSpace, Biblimatrix and WPS Office.

Results

In total, 3330 publications were included. The USA was the leading country with the most publications and great influence. The University of Groningen was the most productive institution. Edwin Kepner Silverman was the most influential scholar in this field. PLOS One was found to be the most prolific journal. Mechanisms and risk factors were of vital importance in this research field. Environmental pollution and pulmonary fibrosis may be future research prospects.

Conclusion

This bibliometric analysis provided new guidance for the development of the field of COPD and lung cancer comorbidity by visualizing current research hotspots, and predicting possible hot research directions in the future.

China's air quality improvement strategy may already be having a positive effect: evidence based on health risk assessment

Aiming to investigate the health risk impact of PM2.5 pollution on a heavily populated province of China. The exposure response function was used to assess the health risk of PM2.5 pollution. Results shows that the total number of premature deaths and diseases related to PM2.5 pollution in Shandong might reach 159.8 thousand people based on the new WHO (2021) standards. The health effects of PM2.5 pollution were more severe in men than in women. Five of the 16 cities in Shandong had higher health risks caused by PM2.5 pollution, including LinYi, HeZe, JiNing, JiNan, and WeiFang. PM2.5 pollution resulted in nearly 7.4 billions dollars in healthy economic cost, which accounted for 0.57% of GDP in Shandong in 2021. HeZe, LiaoCheng, ZaoZhuang, and LinYi were the cities where the health economic loss was more than 1% of the local GDP, accounted for 1.30, 1.26, 1.08, and 1.04%. Although the more rigorous assessment criteria, the baseline concentration was lowered by 30 μg/m3 compared to our previous study, there was no significant increase in health risks and economic losses. China's air quality improvement strategy may already be having a positive effect.

Health benefits from risk information of air pollution in China

Risk-related information regarding air pollution can help people understand the risk involved and take preventive measures to reduce health loss. However, the health benefits through these protective behaviors and the health threat of information inequality have not been systematically measured. This article reports the health gains and losses caused by the interaction of "air pollution-air pollution information-human", and studies the heterogeneity and impact of this interaction. Based on field investigations and transfer learning algorism, this study compiled the first nationwide city-level risk-related information (ERI) response parameter set in China. Then, we developed a Information-Behavioral Equivalent PM2.5 Exposure Model (I-BEPEM) model to project the health benefits caused by the impact of environmental risk-related information on residents' protective behaviors under different scenarios. The protective behavior led by air pollution risk information reduces 5.7% PM2.5-related premature deaths per year. With a 1% increase in regional ERI reception, PM2.5-related premature mortality decreases by 0.1% on average; If the level of information perception and behavioral protection in all cities is the same as that in Beijing, PM2.5-related premature deaths will decrease by 6.9% annually in China. Further, changing the air quality standard issued by China to the American standard can reduce the overall PM2.5-related premature deaths by 9.9%. Meanwhile, compared with men, other age groups and rural residents, women, older persons, and urban residents are more likely to conceive risk information and adopt protective behaviors to reduce the risk of premature death from air pollution. Air pollution risk information can significantly reduce people's health loss. Changing the real-time air quality monitoring information indicator standard to a more stringent level can quickly and effectively enhance this effect. However, the uneven distribution of this information in regions and populations has resulted in the inequality of health gains and losses.

Long-term spatiotemporal evolution and coordinated control of air pollutants in a typical mega-mountain city of Cheng-Yu region under the "dual carbon" goal

Clarifying the spatiotemporal distribution and impact mechanism of pollution is the prerequisite for megacities to formulate relevant air pollution prevention and control measures and achieve carbon neutrality goals. Chongqing is one of the dual-core key megacities in Cheng-Yu region and as a typical mountain-city in China, environmental problems are complex and sensitive. This research aims to investigate the exceeding standard levels and spatio-temporal evolution of criteria pollutants between 2014 and 2020. The results indicated that PM10, PM2.5, CO and SO2 were decreased significantly by 45.91%, 52.86%, 38.89% and 66.67%, respectively. Conversely, the concentration of pollutant O3 present a fluctuating growth and found a "seesaw" phenomenon between it and PM. Furthermore, PM and O3 are highest in winter and summer, respectively. SO2, NO2, CO, and PM showed a "U-shaped", and O3 showed an inverted "U-shaped" seasonal variation. PM and O3 concentrations are still far behind the WHO, 2021AQGs standards. Significant spatial heterogeneity was observed in air pollution distribution. These results are of great significance for Chongqing to achieve "double control and double reduction" of PM2.5 and O3 pollution, and formulate a regional carbon peaking roadmap under climate coordination. Besides, it can provide an important platform for exploring air pollution in typical terrain around the world and provide references for related epidemiological research.Implications: Chongqing is one of the dual-core key megacities in Cheng-Yu region and as a typical mountain city, environmental problems are complex and sensitive. Under the background of the "14th Five-Year Plan", the construction of the "Cheng-Yu Dual-City Economic Circle" and the "Dual-Carbon" goal, this article comprehensively discussed the annual and seasonal excess levels and spatiotemporal evolution of pollutants under the multiple policy and the newest international standards (WHO,2021AQG) backgrounds from 2014 to 2020 in Chongqing. Furthermore, suggestions and measures related to the collaborative management of pollutants were discussed. Finally, limitations and recommendations were also put forward.Clarifying the spatiotemporal distribution and impact mechanism of pollution is the prerequisite for cities to formulate relevant air pollution control measures and achieve carbon neutrality goals. This study is of great significance for Chongqing to achieve "double control and double reduction" of PM2.5 and O3 pollution, study and formulate a regional carbon peaking roadmap under climate coordination and an action plan for sustained improvement of air quality.In addition, this research can advanced our understanding of air pollution in complex terrain. Furthermore, it also promote the construction of the China national strategic Cheng-Yu economic circle and build a beautiful west. Moreover, it provides scientific insights for local policymakers to guide smart urban planning, industrial layout, energy structure, and transportation planning to improve air quality throughout the Cheng-Yu region. Finally, this is also conducive to future scientific research in other regions of China, and even megacities with complex terrain in the world.

Long-Term Air Pollution Characteristics and Multi-scale Meteorological Factor Variability Analysis of Mega-mountain Cities in the Chengdu-Chongqing Economic Circle

Currently, air quality has become central to global environmental policymaking. As a typical mountain megacity in the Cheng-Yu region, the air pollution in Chongqing is unique and sensitive. This study aims to comprehensively investigate the long-term annual, seasonal, and monthly variation characteristics of six major pollutants and seven meteorological parameters. The emission distribution of major pollutants is also discussed. The relationship between pollutants and the multi-scale meteorological conditions was explored. The results indicate that particulate matter (PM), SO2 and NO2 showed a "U-shaped" variation, while O3 showed an "inverted U-shaped" seasonal variation. Industrial emissions accounted for 81.84%, 58% and 80.10% of the total SO2, NOx and dust pollution emissions, respectively. The correlation between PM2.5 and PM10 was strong (R = 0.98). In addition, PM only showed a significant negative correlation with O3. On the contrary, PM showed a significant positive correlation with other gaseous pollutants (SO2, NO2, CO). O3 is only negatively correlated with relative humidity and atmospheric pressure. These findings provide an accurate and effective countermeasure for the coordinated management of air pollution in Cheng-Yu region and the formulation of the regional carbon peaking roadmap. Furthermore, it can improve the prediction accuracy of air pollution under multi-scale meteorological factors, promote effective emission reduction paths and policies in the region, and provide references for related epidemiological research.

Graphical abstract

Supplementary Information

The online version contains supplementary material available at 10.1007/s11270-023-06279-8.

Air pollution and COPD: GOLD 2023 committee report

Exposure to air pollution is a major contributor to the pathogenesis of COPD worldwide. Indeed, most recent estimates suggest that 50% of the total attributable risk of COPD may be related to air pollution. In response, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Scientific Committee performed a comprehensive review on this topic, qualitatively synthesised the evidence to date and proffered recommendations to mitigate the risk. The review found that both gaseous and particulate components of air pollution are likely contributors to COPD. There are no absolutely safe levels of ambient air pollution and the relationship between air pollution levels and respiratory events is supra-linear. Wildfires and extreme weather events such as heat waves, which are becoming more common owing to climate change, are major threats to COPD patients and acutely increase their risk of morbidity and mortality. Exposure to air pollution also impairs lung growth in children and as such may lead to developmental COPD. GOLD recommends strong public health policies around the world to reduce ambient air pollution and for implementation of public warning systems and advisories, including where possible the use of personalised apps, to alert patients when ambient air pollution levels exceed acceptable minimal thresholds. When household particulate content exceeds acceptable thresholds, patients should consider using air cleaners and filters where feasible. Air pollution is a major health threat to patients living with COPD and actions are urgently required to reduce the morbidity and mortality related to poor air quality around the world.

Estimating future PM2.5-attributed acute myocardial infarction incident cases under climate mitigation and population change scenarios in Shandong Province, China

BACKGROUND

The effects of fine particulate matter (PM2.5) on acute myocardial infarction (AMI) have been widely recognized. However, no studies have comprehensively evaluated future PM2.5-attributed AMI burdens under different climate mitigation and population change scenarios. We aimed to quantify the PM2.5-AMI association and estimate the future change in PM2.5-attributed AMI incident cases under six integrated scenarios in 2030 and 2060 in Shandong Province, China.

METHODS

Daily AMI incident cases and air pollutant data were collected from 136 districts/counties in Shandong Province from 2017 - 2019. A two-stage analysis with a distributed lag nonlinear model was conducted to quantify the baseline PM2.5-AMI association. The future change in PM2.5-attributed AMI incident cases was estimated by combining the fitted PM2.5-AMI association with the projected daily PM2.5 concentrations under six integrated scenarios. We further analyzed the factors driving changes in PM2.5-related AMI incidence using a decomposition method.

RESULTS

Each 10 μg/m3 increase in PM2.5 exposure at lag05 was related to an excess risk of 1.3 % (95 % confidence intervals: 0.9 %, 1.7 %) for AMI incidence from 2017 - 2019 in Shandong Province. The estimated total PM2.5-attributed AMI incident cases would increase by 10.9-125.9 % and 6.4-244.6 % under Scenarios 1 - 3 in 2030 and 2060, whereas they would decrease by 0.9-5.2 % and 33.0-46.2 % under Scenarios 5 - 6 in 2030 and 2060, respectively. Furthermore, the percentage increases in PM2.5-attributed female cases (2030: -0.3 % to 135.1 %; 2060: -33.2 % to 321.5 %) and aging cases (2030: 15.2-171.8 %; 2060: -21.5 % to 394.2 %) would wholly exceed those in male cases (2030: -1.8 % to 133.2 %; 2060: -41.1 % to 264.3 %) and non-aging cases (2030: -41.0 % to 45.7 %; 2060: -89.5 % to -17.0 %) under six scenarios in 2030 and 2060. Population aging is the main driver of increased PM2.5-related AMI incidence under Scenarios 1 - 3 in 2030 and 2060, while improved air quality can offset these negative effects of population aging under the implementation of the carbon neutrality and 1.5 °C targets.

CONCLUSION

The combination of ambitious climate policies (i.e., 1.5 °C warming limits and carbon neutrality targets) with stringent clean air policies is necessary to reduce the health impacts of air pollution in Shandong Province, China, regardless of population aging.

Association between ambient air pollution and daily hospital visits for cardiovascular diseases in Wuhan, China: a time-series analysis based on medical insurance data

Although evidence showed the adverse effects of air pollution on cardiovascular disease (CVDs), few studies were based on medically insured populations. We applied a generalized additive Poisson model (GAM) to estimate the short-term effects of ambient air pollution on a group of medically insured population in Wuhan, China. We extracted daily air pollution data, meteorological data, and daily hospital visits for CVDs. We found that the ambient air pollutants sulfur dioxide (SO₂), nitrogen dioxide (NO₂), ground-level ozone (O₃) particulate matter (PM) with an aerodynamic diameter ≤10 μm (PM₁₀), and those ≤2.5 μm (PM_2.5) all increased the risk of daily hospital visits for CVDs. We also found that the effect of air pollution on daily hospital visits for CVDs is greater in the cold season than in the warm season. Our findings can be used as evidence that supports the formulation of policies for air pollution and CVDs.

Oxidative Potential Characterization of Different PM2.5 Sources and Components in Beijing and the Surrounding Region

With the implementation of air pollution control measures, the concentration of air pollutants in the North China Plain has exhibited a downward trend, but severe fine particulate matter (PM_2.5) pollution remains. PM_2.5 is harmful to human health, and the exploration of its source characteristics and potential hazards has become the key to mitigating PM_2.5 pollution. In this study, PM_2.5 samples were collected in Beijing and Gucheng during the summer of 2019. PM_2.5 components, its oxidative potential (OP), and health risks were characterized. The average PM_2.5 concentrations in Beijing and Gucheng during the sampling period were 34.0 ± 6.1 μg/m³ and 37.1 ± 6.9 μg/m³, respectively. The principal component analysis (PCA) results indicated that the main sources of PM_2.5 in Beijing were vehicle exhaust and secondary components and that the main sources in Gucheng were industrial emissions, dust and biomass combustion. The OP values were 91.6 ± 42.1 and 82.2 ± 47.1 pmol/(min·m³), respectively, at these two sites. The correlation between the chemical components and the OP values varied with the PM_2.5 sources at these two locations. The health risk assessment results demonstrated that Cr and As were potentially carcinogenic to all populations at both sites, and Cd posed a potential carcinogenic risk for adults in Gucheng. Regional cooperation regarding air pollution control must be strengthened to further reduce PM_2.5 pollution and its adverse health effects.

Size-specific particulate matter and outpatient visits for allergic conjunctivitis in children: a time-stratified case-crossover study in Guangzhou, China

This time-stratified case-crossover study aims to quantify the risk of allergic conjunctivitis (AC) associated with short-term exposure to PMs (i.e., PM₁, PM_2.5, PM_c, and PM₁₀) among children in Guangzhou, China. We collected data on children's daily AC outpatient visits from the Guangzhou Women and Children Medical Center during February 20, 2016 to December 31, 2018, and also extracted air pollution and meteorological data in the same time frame. We used conditional logistic regression model to estimate the associations between PMs and AC outpatient visits, and conducted subgroup analyses stratified by sex, age, and season. During the study period, we recorded 39,330 children's outpatient visits for AC, including 27,638 boys and 11,692 girls. The associations between PMs and AC were general linear with no clear threshold, which were largest at the current days but remained positive for lag 1 to 3 days. For every 10 μg/m³ increase in daily PM₁, PM_2.5, PM_c, and PM₁₀ concentrations, the estimated risks of AC outpatient visits at the current days increased by 2.5% (OR = 1.025, 95% CI: 1.011-1.039), 1.8% (OR = 1.018, 95% CI: 1.009-1.027), 2.1% (OR = 1.021, 95% CI: 1.004-1.039), and 1.3% (OR = 1.013, 95% CI: 1.007-1.020), respectively. In addition, our stratified analyses revealed that girls and children aged 1 to 6 years were more sensitive to PM exposure, and the PM-associated risks for AC were more apparent in autumn and winter. Our study suggests that short-term exposure to PMs may induce AC in children.

Characteristics and determinants of personal exposure to typical air pollutants: A pilot study in Beijing and Baoding, China

Personal exposure to fine particulate matter (PM_2.5), nitrogen oxides (NO_x, NO₂ and NO), ozone (O₃) and sulfur dioxide (SO₂) was repeatedly measured among fourteen office workers in Beijing and Baoding, China in summer, autumn and winter of 2019. Time-activity patterns were simultaneously recorded. Determinants of personal air pollution exposure were investigated for each pollutant via a linear mixed effect model. The personal concentrations of PM_2.5, NO₂, NO and O₃ were higher in autumn and winter than those in summer. A decreasing trend was found in the personal PM_2.5 level for a typical indoor population in Beijing, indicating that particulate pollution was effectively controlled in Beijing and its surrounding area. The personal levels of PM_2.5, NO₂, and O₃ were weakly correlated with those monitored at ambient stations and were lower than the respective ambient levels except for PM_2.5 in summer and NO₂ in winter. This pilot study showed that the indoor air environment, ambient pollution, traffic-related variables and temperature were significant exposure sources for office workers. Our study highlighted the significance of controlling traffic emissions and improving the workplace air quality to protect the health of office workers. More importantly, we demonstrated the feasibility of model development for personal air pollution exposure prediction.

Characteristics, health risks, and premature mortality attributable to ambient air pollutants in four functional areas in Jining, China

Air pollution is one of the leading causes for global deaths and understanding pollutant emission sources is key to successful mitigation policies. Air quality data in the urban, suburban, industrial, and rural areas (UA, SA, IA, and RA) of Jining, Shandong Province in China, were collected to compare the characteristics and associated health risks. The average concentrations of PM_2.5, PM₁₀, SO₂, NO₂, and CO show differences of -3.87, -16.67, -19.24, -15.74, and -8.37% between 2017 and 2018. On the contrary, O₃ concentrations increased by 4.50%. The four functional areas exhibited the same seasonal variations and diurnal patterns in air pollutants, with the highest exposure excess risks (ERs) resulting from O₃. More frequent ER days occurred within the 25-30°C, but much larger ERs are found within the 0-5°C temperature range, attributed to higher O₃ pollution in summer and more severe PM pollution in winter. The premature deaths attributable to six air pollutants can be calculated in 2017 and 2018, respectively. Investigations on the potential source show that the ER of O₃ (r of 0.86) had the tightest association with the total ER. The bivariate polar plots indicated that the highest health-based air quality index (HAQI) in IA influences the HAQI in UA and SA by pollution transport, and thus can be regarded as the major pollutant emission source in Jining. The above results indicate that urgent measures should be taken to reduce O₃ pollution taking into account the characteristics of the prevalent ozone formation regime, especially in IA in Jining.

Spatiotemporal variation of PM2.5-related preterm birth in China and India during 1990-2019 and implications for emission controls

Preterm birth is the leading threat to neonatal health. The variation of PM_2.5-associated preterm birth in China and India from 1990 through 2019 was estimated in this study. Meanwhile, four mitigation scenarios were proposed, and the corresponding PM_2.5-related preterm birth was projected for 2030. Owing to differences in emission control policies and the effects of various factors (e.g., differences in population-control policies), the PM_2.5 concentration and PM_2.5-associated preterm birth in the two countries presented disparate spatiotemporal characteristics and variation trends during 1990-2019. The 30-year average of annual PM_2.5-associated preterm birth in India was 1018 (95% confidence interval, 718-1289) thousand, which was much larger than in China (280 [196-358] thousand). To fight air pollution, China launched several control strategies in the past two decades, and the nationwide maternal exposure risk dramatically decreased after 2010. In contrast, India's air-pollution control measures and policies have not effectively mitigated the nationwide PM_2.5 pollution. Under current mitigation measures and policies, the projected decrease in maternal exposure risk by 2030 is greater for China than India, and the scope for controlling air pollutant emissions and reducing maternal exposure risk is much large for India. The results of all four scenarios revealed that the annual PM_2.5-associated preterm birth in the two countries is likely to decrease in the future. In particular, if China and India implement more robust emission control strategies than those currently, the number of associated preterm birth is projected to be more than 50% lower in 2030 compared with 2019 rates.

Comprehensive evaluation method of urban air quality statistics based on environmental monitoring data and its application

Air quality monitoring is effective for timely understanding of the current air quality status of a region or city. Currently, the huge volume of environmental monitoring data, which has reasonable real-time performance, provides strong support for in-depth analysis of air pollution characteristics and causes. However, in the era of big data, to meet current demands for fine management of the atmospheric environment, it is important to explore the characteristics and causes of air pollution from multiple aspects for comprehensive and scientific evaluation of air quality. This study reviewed and summarized air quality evaluation methods on the basis of environmental monitoring data statistics during the 13th Five-Year Plan period, and evaluated the level of air pollution in the Beijing-Tianjin-Hebei region and its surrounding areas (i.e., the "2+26" region) during the period of the three-year action plan to fight air pollution. We suggest that air quality should be comprehensively, deeply, and scientifically evaluated from the aspects of air pollution characteristics, causes, and influences of meteorological conditions and anthropogenic emissions. It is also suggested that a three-year moving average be introduced as one of the evaluation indexes of long-term change of pollutants. Additionally, both temporal and spatial differences should be considered when removing confounding meteorological factors.

Mechanisms of Lung Damage and Development of COPD Due to Household Biomass-Smoke Exposure: Inflammation, Oxidative Stress, MicroRNAs, and Gene Polymorphisms

Chronic exposure to indoor biomass smoke from the combustion of solid organic fuels is a major cause of disease burden worldwide. Almost 3 billion people use solid fuels such as wood, charcoal, and crop residues for indoor cooking and heating, accounting for approximately 50% of all households and 90% of rural households globally. Biomass smoke contains many hazardous pollutants, resulting in household air pollution (HAP) exposure that often exceeds international standards. Long-term biomass-smoke exposure is associated with Chronic Obstructive Pulmonary Disease (COPD) in adults, a leading cause of morbidity and mortality worldwide, chronic bronchitis, and other lung conditions. Biomass smoke-associated COPD differs from the best-known cigarette smoke-induced COPD in several aspects, such as a slower decline in lung function, greater airway involvement, and less emphysema, which suggests a different phenotype and pathophysiology. Despite the high burden of biomass-associated COPD, the molecular, genetic, and epigenetic mechanisms underlying its pathogenesis are poorly understood. This review describes the pathogenic mechanisms potentially involved in lung damage, the development of COPD associated with wood-derived smoke exposure, and the influence of genetic and epigenetic factors on the development of this disease.

The efforts of China to combat air pollution during the period of 2015-2018: A case study assessing the environmental, health and economic benefits in the Beijing-Tianjin-Hebei and surrounding "2 + 26" regions

During the period of 2015-2018, Chinese government had made great efforts to mitigate air pollutants, such as air quality monitoring, energy structure adjustment, and pollutant emission reduction from industry, transportation and household sectors. With the special investment of 152 billion Chinese Yuan (CNY) in the Beijing-Tianjin-Hebei (BTH) and surrounding "2 + 26" regions, the annual local concentrations of PM_2.5, PM₁₀, SO₂ and NO₂ decreased from 77, 132, 38 and 46 μg/m³ to 60, 109, 20 and 43 μg/m³. It was estimated that the improvement in air quality avoided 27,021 (95 % CIs 12,548-39,738) premature deaths attributed to air pollution exposure based on an exposure-response function, including 45 %, 17 % and 15 % of cardiopulmonary, lung cancer and respiratory morality cases. Air pollution reduction was also effective in reducing work time loss, which reduced the total working time loss by 3.8 × 10⁷ (95 % CIs 1.8 × 10⁷-5.6 × 10⁷) h, and the per capita working time loss by 0.28 (95 % CIs 0.13-0.41) h/capita by 2018. From the economic aspect, air pollution control actions in those regions saved 95.6 (95 % CIs 44.2-141) billion CNY economic loss by using the value of statistical life (VSL). The total benefit-cost ratio was 63.7 % (95 % CIs 29.4 %-93.7 %). The cost-effectiveness in Beijing and Tianjin were relatively low due to the regional contribution from other cities of the air pollution transmission channel. Despite the uncertainties, the results clearly show the significance of the environmental, health and economic benefits of actions in the BTH and surrounding "2 + 26" regions for combating air pollution.

Effect of air quality improvement by urban parks on mitigating PM2.5 and its associated heavy metals: A mobile-monitoring field study

Field mobile monitoring of PM_2.5, equipped with a highly accurate device, was performed for two types of urban parks in Taiwan. Measurements were taken in the morning and evening rush hours, on certain weekdays and weekends, every month over a year. We designed six calculation schemes of the rate of PM_2.5 mitigation by urban parks to comprehensively compare the average and maximum mitigation effects in relation to the vegetation barriers. The mitigation rate, from the lowest (2.51%) to the highest (35.57%) depended on the calculation schemes. The Taipei Botanical Garden (TBG) with a dense, multilevel forest has a stable PM_2.5 mitigation effect and strong ability to improve air quality inside the park under severe PM_2.5 pollution. In contrast, Zhonghe No.4 Park (ZHP), an open park with mostly a single-storied stand, has variable PM_2.5 mitigation effect, leading to either quick dissipation or accumulation of PM_2.5 inside the park. Furthermore, the dry deposition of PM and the associated heavy metals were investigated using camphor trees as bioaccumulators. Dry deposition flux of the leaf-deposited PM_2.5 exhibited similar results in ZHP; whereas, noticeable higher results were observed inside TBG. In addition, most of the PM_2.5 deposition flux from field estimations were similar to those in i-Tree Eco when considering the loss of mass due to the dissolution through water filtration, indicating that i-Tree Eco may be reliable to model the removal of PM_2.5 in the parks in Taiwan. Moreover, we examined nine heavy metals' content in the deposited PM, and most of the detectable elements were significantly higher outside both parks, demonstrating the mitigation effects of urban parks in reducing not only the PM_2.5 concentration but also the toxicity of the pollutant. This study provides direct evidence of the important ecosystem services, namely air quality improvement and biomonitoring effect, derived from urban parks.

Evaluating the effects of air pollution control policies in China using a difference-in-differences approach

Air pollution has caused wide concern in China, and many governance policies and plans have been implemented in recent years. Based on counterfactual quasi-natural experiments, we analyzed the implementation effects of autumn and winter air pollution control policies in the Jing-Jin-Ji region and surrounding areas using a difference-in-differences (DID) model. The control group was selected based on geographical and meteorological factors, and we analyzed the impact of the policies on six pollutants. The results show that the policies reduced air pollution overall, but not every pollutant. Due to the policy contribution, the concentrations of PM_2.5 and PM₁₀ in autumn and winter from 2017 to 2018 decreased by 6.9 % and 8.5 %, respectively. The numerical value of PM_2.5, PM₁₀, CO, and AQI in 2018-2019 decreased by 18.2 %, 7.2 %, 13.9 %, and 8.8 %, respectively. The role in the reduction of O₃, SO₂, and NO₂ was not obvious. This work provides a research paradigm for evaluating the effects of atmospheric environment policy which can be applied to other studies and provide references for formulating additional policies.

The dynamics of cardiovascular and respiratory deaths attributed to long-term PM2.5 exposures in global megacities

Exposure to ambient fine particulate matter (PM_2.5) air pollution is a significant driver of premature deaths. We estimate the number of cardiovascular and respiratory (CR) premature deaths attributed to long-term exposure to PM_2.5 in 33 global megacities based on long-term remotely sensed observations from 2000 to 2019. Our analysis uses high-resolution (0.01 degree) PM_2.5 concentration data and cause-specific integrated exposure-response (IER) functions developed for the Global Burden of Disease Project. From 2000 to 2019, PM_2.5-related CR death rates per 1000 people increased in 6 of 33 megacities, decreased in 9, and remained constant in 18 megacities. The increase in PM_2.5-related CR mortality in 11 megacities located in South and East Asia during the period 2000-2019 can be attributed to the increases in PM_2.5 concentrations. All 33 megacities could avoid 30,248 (9 %), 62,989 (20 %), 128,457 (40 %), 198,462 (62 %) and all of the estimated 322,515 CR deaths attributed to PM_2.5 pollution in 2019 if they were to attain the World Health Organization's four interim PM_2.5 targets (IT-1, IT-2, IT-3, and IT-4) and the new air quality guideline (AQG), respectively. Major improvements in air quality are needed to reduce the number of CR deaths attributed to PM_2.5 in South and East Asia, in addition to ny reductions that would likely follow shifts in the population structures of these megacities moving forward.

Evaluation of the Street Canyon Level Air Pollution Distribution Pattern in a Typical City Block in Baoding, China

Urban traffic pollution, which is strongly influenced by the complex urban morphology, has posed a great threat to human health. In this study, we performed a high-resolution simulation of traffic pollution in a typical city block in Baoding, China, based on the Parallelized Large-eddy simulation Model (PALM), to examine the distribution patterns of traffic-related pollutants and explore their relationship with urban morphology. Based on the model results, we conducted a multi-linear regression (MLR) analysis and found that the distribution of air pollutants inside the city block was dominated by both traffic emissions and urban morphology, which explained about 70% of the total variance in spatial distribution of air pollutants. Excluding the contribution of emissions, over 50% of the total variance can still be explained by the urban morphology. Among these urban morphological factors, the key factors determining the spatial distribution of air pollution are "Distance from the road" (DR), "Building Coverage Ratio" (BCR) and "Aspect Ratio" (H/W) of the street canyon. Specifically, urban areas with lower Aspect Ratio, lower BCR and larger DR are less affected by traffic pollution. Compiling these individual factors, we developed a complex Urban Morphology Pollution Index (UMPI). Each unit increase in UMPI is associated with a one percent increase of nearby traffic pollution contribution. This index can help urban planners to semi-quantitatively evaluate building groups which tend to trap or ventilate traffic pollution and thus help to reduce human exposure to street canyon level pollution through either traffic emission control or urban morphology amelioration.

Decadal changes in PM2.5-related health impacts in China from 1990 to 2019 and implications for current and future emission controls

In China, the rapid development of the economy and implementation of multiple emission control policies in recent decades have been accompanied by dramatic changes in air quality. In this study, PM_2.5 concentrations estimated by using MERRA-2 reanalysis data were integrated into the Global Exposure Mortality Model (GEMM) to explore the spatiotemporal variation of nationwide PM_2.5-related premature mortality from 1990 to 2019, and the driving factors behind decadal changes were evaluated. Since 2000, as a result of PM_2.5 pollution, air quality in China has deteriorated substantially, especially in the fast-developing eastern and southern parts. In 2009, the nationwide population-weighted (PW) PM_2.5 concentration peaked at 41.4 μg/m³ (95% confidence interval [CI], 36.7-46.2). Simultaneously, the GEMM results revealed that nationwide PM_2.5-related deaths increased remarkably from 1089 (95% CI, 965-1210) thousand in 1990 to 1795 (1597-1986) thousand in 2009. The implementation of the toughest-ever Air Pollution Prevention and Control Action Plan (APPCAP) in 2013 effectively controlled PM_2.5 pollution in China. By 2018, the nationwide PW PM_2.5 concentration had decreased to 34.0 (29.2-38.9) μg/m³. Dynamic trend prediction revealed that, although the APPCAP achieved substantial health benefits, the policy did not result in further remarkable reductions in PM_2.5-related deaths; in 2019, deaths peaked at 1932 (1716-2140) thousand. PM_2.5-related deaths in 2030 were projected for each of four emission control scenarios. The results of the driving factor analysis and the future projections indicated that the health benefits from improving air quality are likely to be counterbalanced by changes in the population age structure. Because population ageing is becoming more and more rapid in China and the challenge of climate change is increasing, the results of this study imply that policymakers need to implement more stringent measures and set more ambitious emission control targets to reduce nationwide PM_2.5-related premature mortality in the future.

Impact of air pollutants on COVID-19 transmission: a study over different metropolitan cities in India

India is affected strongly by the Coronavirus and within a short period, it becomes the second-highest country based on the infected case. Earlier, there was an indication of the impact of pollution on COVID-19 transmission from a few studies with early COVID-19 data. The study of the effect of pollution on COVID-19 in Indian metropolitan cities is ideal due to the high level of pollution and COVID-19 transmission in these cities. We study the impact of different air pollutants on the spread of coronavirus in different cities in India. A correlation is studied with daily confirmed COVID-19 cases with a daily mean of ozone, particle matter (PM) in size ≤ 10 μ m, carbon monoxide, sulfur dioxide, and nitrogen dioxide of different cities. It is found that particulate matter concentration decreases during the nationwide lockdown period and the air quality index improves for different Indian regions. A correlation between the daily confirmed cases with particulate matter (PM2.5 and PM10 both) is observed. The air quality index also shows a positive correlation with the daily confirmed cases for most of the metropolitan Indian cities. The correlation study also indicates that different air pollutants may have a role in the spread of the virus.

Spatio-Temporal Characteristics of PM2.5 Concentrations in China Based on Multiple Sources of Data and LUR-GBM during 2016–2021

Fine particulate matter (PM2.5) has a continuing impact on the environment, climate change and human health. In order to improve the accuracy of PM2.5 estimation and obtain a continuous spatial distribution of PM2.5 concentration, this paper proposes a LUR-GBM model based on land-use regression (LUR), the Kriging method and LightGBM (light gradient boosting machine). Firstly, this study modelled the spatial distribution of PM2.5 in the Chinese region by obtaining PM2.5 concentration data from monitoring stations in the Chinese study region and established a PM2.5 mass concentration estimation method based on the LUR-GBM model by combining data on land use type, meteorology, topography, vegetation index, population density, traffic and pollution sources. Secondly, the performance of the LUR-GBM model was evaluated by a ten-fold cross-validation method based on samples, stations and time. Finally, the results of the model proposed in this paper are compared with those of the back propagation neural network (BPNN), deep neural network (DNN), random forest (RF), XGBoost and LightGBM models. The results show that the prediction accuracy of the LUR-GBM model is better than other models, with the R2 of the model reaching 0.964 (spring), 0.91 (summer), 0.967 (autumn), 0.98 (winter) and 0.976 (average for 2016–2021) for each season and annual average, respectively. It can be seen that the LUR-GBM model has good applicability in simulating the spatial distribution of PM2.5 concentrations in China. The spatial distribution of PM2.5 concentrations in the Chinese region shows a clear characteristic of high in the east and low in the west, and the spatial distribution is strongly influenced by topographical factors. The seasonal variation in mean concentration values is marked by low summer and high winter values. The results of this study can provide a scientific basis for the prevention and control of regional PM2.5 pollution in China and can also provide new ideas for the acquisition of data on the spatial distribution of PM2.5 concentrations within cities.

Effects of the INDC and GGRMA Regulations on the Impact of PM2.5 Particle Emissions on Maritime Ports: A Study of Human Health and Environmental Costs

This study employs an activity-based model to estimate the PM2.5 particle emissions from ships, cargo-handling equipment, and heavy-duty vehicles in the Port of Kaohsiung, Taiwan. External health costs, the index of health impact (IHI), and external environmental costs are assessed to quantify the impact of PM2.5 particle emissions. The mitigation regulations applied in this study are the Intended Nationally Determined Contribution Act (INDC) and the Greenhouse Gas Reduction and Management Act (GGRMA). The provisions in these acts are incorporated into Scenario-INDC and Scenario-GGRMA. The results are as follows: from 2005 to 2017, PM2.5 particle emissions caused an external health cost of 3238.30 DALY (disability-adjusted life year), an IHI value of 8.53%, and environmental cost of USD 2176.04 million annually. For Scenario-INDC and Scenario-GGRMA, it is predicted that PM2.5-related external health costs, IHI value, and external environmental cost will decrease by 927.64 DALY, 2.45%, and USD 608.86 million and by 1736.28 DALY, 4.58%, and USD 1139.84 million, respectively, as compared to BAU-2030 and BAU-2050. The results indicate that compliance with INDC and GGRMA regulations will lead to a significant mitigation of PM2.5 particle emissions, resulting in a significant improvements in air quality and human health in addition to a reduction in environmental costs.

Coordinated health effects attributable to particulate matter and other pollutants exposures in the North China Plain

Hebei Province, located in the North China Plain (NCP) and encircling Beijing and Tianjin, has been suffering from severe air pollution. The monthly average fine particulate matter (PM_2.5) concentration was up to 276 μg/m³ in Hebei Province, which adversely affects human health. However, few studies evaluated the coordinated health impact of exposure to PM (PM_2.5 and PM₁₀) and other key air pollutants (SO₂, NO₂, CO, and surface ozone (O₃)). In this study, we systematically analyzed the health risks (both mortality and morbidity) due to multiple air pollutants exposures in Hebei Province. The economic loss associated with these health consequences was estimated using the value of statistical life (VSL) and cost of illness (COI) methods. Our results show the health burden and economic loss attributable to multiple ambient air pollutants exposures in Hebei Province is substantial. In 2017, the total premature mortality from multiple air pollutants exposures in Hebei Province was 69,833 (95% CI: 55,549-83,028), which was 2.9 times higher than that of the Pearl River Delta region (PRD). Most of the potential economic loss (79.65%) was attributable to premature mortality from air pollution. The total economic loss due to the health consequences of multiple air pollutants exposures was 175.16 (95% CI: 134.61-224.61) billion Chinese Yuan (CNY), which was 4.92% of Hebei Province's annual gross domestic product (GDP). Thus, the adverse health effects and economic loss caused by exposure to multiple air pollutants should be seriously taken into consideration. To alleviate these damages, Hebei's government ought to establish more stringent measures and regulations to better control air pollution.

Statistical Inference of Dynamic Conditional Generalized Pareto Distribution with Weather and Air Quality Factors

Air pollution is a major global problem, closely related to economic and social development and ecological environment construction. Air pollution data for most regions of China have a close correlation with time and seasons and are affected by multidimensional factors such as meteorology and air quality. In contrast with classical peaks-over-threshold modeling approaches, we use a deep learning technique and three new dynamic conditional generalized Pareto distribution (DCP) models with weather and air quality factors for fitting the time-dependence of the air pollutant concentration and make statistical inferences about their application in air quality analysis. Specifically, in the proposed three DCP models, a dynamic autoregressive exponential function mechanism is applied for the time-varying scale parameter and tail index of the conditional generalized Pareto distribution, and a sufficiently high threshold is chosen using two threshold selection procedures. The probabilistic properties of the DCP model and the statistical properties of the maximum likelihood estimation (MLE) are investigated, simulating and showing the stability and sensitivity of the MLE estimations. The three proposed models are applied to fit the PM2.5 time series in Beijing from 2015 to 2021. Real data are used to illustrate the advantages of the DCP, especially compared to the estimation volatility of GARCH and AIC or BIC criteria. The DCP model involving both the mixed weather and air quality factors performs better than the other two models with weather factors or air quality factors alone. Finally, a prediction model based on long short-term memory (LSTM) is used to predict PM2.5 concentration, achieving ideal results.

Research on the Spatial Heterogeneity and Influencing Factors of Air Pollution: A Case Study in Shijiazhuang, China

Rapid urbanization causes serious air pollution and constrains the sustainable development of society. The influencing factors of urban air pollution are complex and diverse. Multiple factors act together to interact in influencing air pollution. However, most of the existing studies on the influencing factors of air pollution lack consideration of the interaction mechanisms between the factors. Using multisource data and geographical detectors, this study analyzed the spatial heterogeneity characteristics of air pollution in Shijiazhuang City, identified its main influencing factors, and analyzed the interaction effects among these factors. The results of spatial heterogeneity analysis indicate that the distribution of aerosol optical depth (AOD) has obvious agglomeration characteristics. High agglomeration areas are concentrated in the eastern plain areas, and low agglomeration areas are concentrated in the western mountainous areas. Forests (q = 0.620), slopes (q = 0.616), elevation (q = 0.579), grasslands (q = 0.534), and artificial surfaces (q = 0.506) are the main individual factors affecting AOD distribution. Among them, natural factors such as topography, ecological space, and wind speed are negatively correlated with AOD values, whereas the opposite is true for human factors such as roads, artificial surfaces, and population. Each factor can barely affect the air pollution status significantly alone, and the explanatory power of all influencing factors showed an improvement through the two-factor enhanced interaction. The associations of elevation ∩ artificial surface (q = 0.625), elevation ∩ NDVI (q = 0.622), and elevation ∩ grassland (q = 0.620) exhibited a high explanatory power on AOD value distribution, suggesting that the combination of multiple factors such as low altitude, high building density, and sparse vegetation can lead to higher AOD values. These results are conducive to the understanding of the air pollution status and its influencing factors, and in future, decision makers should adopt different strategies, as follows: (1) high-density built-up areas should be considered as the key areas of pollution control, and (2) a single-factor pollution control strategy should be avoided, and a multi-factor synergistic optimization strategy should be adopted to take full advantage of the interaction among the factors to address the air pollution problem more effectively.

Oxidative potential and water-soluble heavy metals of size-segregated airborne particles in haze and non-haze episodes: Impact of the "Comprehensive Action Plan" in China

Air pollution is a major environmental health challenge in megacities, and as such a Comprehensive Action Plan (CAP) was issued in 2017 for Beijing, the capital city of China. Here we investigated the size-segregated airborne particles collected after the implementation of the CAP, intending to understand the change of oxidative potential and water-soluble heavy metal (WSHM) levels in 'haze' and 'non-haze' days. The DNA damage and the levels of WSHM were analyzed by Plasmid Scission Assay (PSA) and High-Resolution Inductively Coupled Plasma Mass Spectrometry (HR-ICP-MS) techniques. The PM mass concentration was higher in the fine particle size (0.43-2.1 μm) during haze days, except for the samples affected by mineral dust. The particle-induced DNA damage caused by fine sized particles (0.43-2.1 μm) exceeded that caused by the coarse sized particles (4.7-10 μm). The DNA damage from haze day particles significantly exceeded those collected on non-haze days. Prior to the instigation of the CAP, the highest value of DNA damage decreased, and DNA damage was seen in the finer size (0.43-1.1 μm). The Pearson correlation coefficient between the concentrations of water-soluble Pb, Cr, Cd and Zn were positively correlated with DNA damage, suggesting that these WSHM had significant oxidative potential. The mass concentrations of water-soluble trace elements (WSTE) and individual heavy metals were enriched in the finer particles between 0.43 μm to 1.1 μm, implying that smaller sized particles posed higher health risks. In contrast, the significant reduction in the mass concentration of water-soluble Cd and Zn, and the decrease of the maximum and average values of DNA damage after the CAP, demonstrated its effectiveness in restricting coal-burning emissions. These results have demonstrated that the Beijing CAP policy has been successful in reducing the toxicity of 'respirable' ambient particles.

Synthesis, modifications and applications of MILs Metal-organic frameworks for environmental remediation: The cutting-edge review

Ever-increasing anthropogenic activities are radically deteriorating the environment by causing severe pollution. Thus, curtailing the environmental pollution and promotion of sustainable development, are the hot issues confronted by scientists in this modern era. Metal-organic frameworks (MOFs) have been highly recognized as emerging promising materials for environmental remediation due to their versatile structure and extraordinary properties. Among them, MILs (MIL = Matérial Institute of Lavoisier) are the series of MOFs mostly known for their incredible stability, unique tailorable pore structures, and astounding versatile environmental applications. Their exclusive physiochemical properties and multifunctionality make them proficient for a wide range of pollutants removal in the exposure of versatile harsh environments, compared to other MOFs. This piece of research summarizes the state-of-the-art of development of MILs on the broad spectrum, highlighting their specificities, such as synthesis techniques, modifications and applications for environmental remediation. However, MILs wonderful properties and extraordinary applications in multiple fields, their deployment on practical and commercial-scale pollutants remediation is hindered by insufficient scientific research on underlying mechanisms and relationships. Henceforth, this review not only signifies the emerging importance of MILs for environmental applications but also indicates the urgency to maximize the scientific research for exploitation of MOFs on a practical level and promotion of green technologies for environmental remediation.

Characteristics of airborne particles retained on conifer needles across China in winter and preliminary evaluation of the capacity of trees in haze mitigation

To fully understand the characteristics of particulate matter (PM) retained on plant leaves (PMR) and the effect of vegetation on haze on a large spatial scale, we investigated needle samples collected from 78 parks and campuses in 31 cities (30 provincial cities) of China and developed a comprehensive method to characterise PMR. Both the PMR load (including water-insoluble particulate matter (WIPM), water-soluble inorganic ions (WSIS) and water-soluble organic matter (WSOM)), with a mean value of 554 ± 345 mg m^-2 leaf area, and component profiles of PMR showed obvious spatial variation across the cities. Though haze pollution levels vary greatly among the 31 cities, the PM retention capacity of needles does not depend on haze level because PMR generally reaches saturation before precipitation in winter. The water-soluble component (WSC, the sum of WSIS and WSOM) accounted for 52.3% of PMR on average, among which WSIS and WSOM contributed 21.4% and 30.9% to PMR, respectively. The dominant ions of WSIS in PMR in the cities were Ca²⁺, K⁺ and NO₃^-, indicating that raised dust, biomass combustion and traffic exhaust are significant sources of PM in China. Compared with previous reports, the particle size distributions of PMR and PM across China were consistent, with fine PM (PM_2.5) constituting a substantial proportion (43.8 ± 17.0%) of PMR. These results prove that trees can effectively remove fine particles from the air, thereby reducing human exposure to inhalable PM. We proposed a method to estimate the annual amount of PMR on Cedrus deodara, with an average value of 11.9 ± 9.6 t km^-2 canopy yr^-1 in China. Compared with the load of dust fall (atmospheric particles naturally falling on the ground, average of 138 ± 164 t km^-2 land area yr^-1 in China), we conclude that trees play a significant role in mitigating haze pollution.

PM Dimensional Characterization in an Urban Mediterranean Area: Case Studies on the Separation between Fine and Coarse Atmospheric Aerosol

Fine particulate matter (PM) is object of particular attention due to its health effects. It is currently regulated by adopting PM2.5 as an indicator to control anthropogenic combustion emissions. Therefore, it is crucial to collect aerosol samples representative of such sources, without including PM from natural sources. Thus, a clean separation between coarse and fine mode aerosol should be set. With this purpose, aerosol size mass distribution was taken in the aerodynamic diameter range from 0.5 to 10 µm. In comparison with a base scenario, characterized by local pollution sources, three case studies were considered, involving desert dust advection, sea salt advection and forest fire aerosol from a remote area. In the base scenario, PM2.5 represented a suitable fine-mode indicator, whereas it was considerably affected by coarse PM in case of desert dust and sea salt aerosol advection. Such interference was considerably reduced by setting the fine/coarse separation at 1.0 µm. Such separation underrepresented fine PM from forest fire long-range transport, nonetheless in the case studies considered, PM1 represented the best indicator of fine aerosol since less affected by coarse natural sources. The data presented clearly support the results from other studies associating the health effects of PM2.5 to PM1, rather than to PM1–2.5. Overall, there is a need to reconsider PM2.5 as an indicator of fine atmospheric aerosol.

Acute effect of particulate matter pollution on hospital admissions for cause-specific respiratory diseases among patients with and without type 2 diabetes in Beijing, China, from 2014 to 2020

BACKGROUND

Scientific studies have identified various adverse effects of particulate matter (PM) on respiratory disease (RD) and type 2 diabetes (T2D). However, whether short-term exposure to PM triggers the onset of RD with T2D, compared with RD without T2D, has not been elucidated.

METHODS

A two-stage time-series study was conducted to evaluate the acute adverse effects of PM on admission for RD and for RD with and without T2D in Beijing, China, from 2014 to 2020. District-specific effects of PM_2.5 and PM₁₀ were estimated using the over-dispersed Poisson generalized addictive model after adjusting for weather conditions, day of the week, and long-term and seasonal trends. Meta-analyses were applied to pool the overall effects on overall and cause-specific RD, while the exposure-response (E-R) curves were evaluated using a cubic regression spline.

RESULTS

A total of 1550,154 admission records for RD were retrieved during the study period. Meta-analysis suggested that per interquartile range upticks in the concentration of PM_2.5 corresponded to 1.91% (95% CI: 1.33-2.49%), 2.16% (95% CI: 1.08-3.25%), and 1.92% (95% CI: 1.46-2.39%) increments in admission for RD, RD with T2D, and RD without T2D, respectively, at lag 0-8 days, lag 8 days, and lag 8 days. The effect size of PM_2.5 was statistically significantly higher in the T2D group than in the group without T2D (z = 3.98, P < 0.01). The effect sizes of PM₁₀ were 3.86% (95% CI: 2.48-5.27%), 3.73% (95% CI: 1.72-5.79%), and 3.92% (95% CI: 2.65-5.21%), respectively, at lag 0-13 days, lag 13 days, and lag 13 days, respectively, and no statistically significant difference was observed between T2D groups (z = 0.24, P = 0.81). Significant difference was not observed between T2D groups for the associations of PM and different RD and could be found between three groups for effects of PM₁₀ on RD without T2D. The E-R curves varied by sex, age and T2D condition subgroups for the associations between PM and daily RD admissions.

CONCLUSIONS

Short-term PM exposure was associated with increased RD admission with and without T2D, and the effect size of PM_2.5 was higher in patients with T2D than those without T2D.

Spatial Distribution of PM2.5-Related Premature Mortality in China

PM2.5 is a major component of air pollution in China and has a serious threat to public health. It is very important to quantify spatial characteristics of the health effects caused by outdoor PM2.5 exposure. This study analyzed the spatial distribution of PM2.5 concentration (45.9 μg/m3 national average in 2016) and premature mortality attributed to PM2.5 in cities at the prefectural level and above in China in 2016. Using the Global Exposure Mortality Model (GEMM), the total premature mortality in China was estimated to be 1.55 million persons, and the per capita mortality was 11.2 per 10,000 persons in the year 2016, resulting in higher estimates compared to the integrated exposure-response model. We assessed the premature mortality attributed to PM2.5 through common diseases, including ischemic heart disease (IHD), cerebrovascular disease (CEV), chronic obstructive pulmonary disease (COPD), lung cancer (LC), and lower respiratory infections (LRI). The premature mortality due to IHD and CEV accounted for 68.5% of the total mortality, and the per capita mortality (per 10,000 persons) for all ages due to IHD was 3.86, the highest among diseases. For the spatial distribution of disease-specific premature mortality, the top two highest absolute numbers of premature mortality associated with IHD, CEV, LC, and LRI, respectively, were found in Chongqing and Beijing. In 338 cities of China, we have found a significant positive spatial autocorrelation of per capita premature mortality, indicating the necessity of coordinated regional governance for an efficient control of PM2.5.

Ambient air pollution and hospitalization for chronic obstructive pulmonary disease: Benefits from Three-Year Action Plan

BACKGROUND

Chronic obstructive pulmonary disease (COPD) hospitalization has been linked with ambient air pollution. However, the evidence on respiratory health benefits from air pollution control policy in China is limited.

OBJECTIVE

To investigate benefits from the Three-Year Action Plan to Win the Battle for a Blue Sky (TYAP) for tackling COPD hospitalization due to ambient air pollution.

METHODS

We conducted a time-stratified case-crossover study of 138,015 COPD hospitalizations aged ≥ 60 years in Guangdong province, China during 2016-2019 to investigate respiratory health benefits from TYAP. Inverse distance weighting method was used to assess daily individual-level exposures to ambient air pollutants including particulate matter with an aerodynamic diameter ≤ 2.5 µm (PM2.5), particulate matter with an aerodynamic diameter ≤ 10 µm (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone (O3). Conditional logistic regression model was applied to analyze the associations between ambient air pollutants and COPD hospitalization.

RESULTS

TYAP can modify the associations. Each 10 μg/m3 increase of exposure to PM2.5, PM10, and NO2 and 1 mg/m3 increase of exposure to CO were significantly associated with 2.5%, 2.0%, 3.0%, and 14.4% increase in odds of COPD hospitalization before TYAP, respectively; while 1.0%, 0.9%, 1.5%, and 5.8% increase in odds during TYAP. We found prominent declines in health burden of COPD hospitalizations due to air pollution among the elderly after TYAP implication when compared with that before TYAP.

CONCLUSION

Reduced levels of ambient air pollutants by TYAP can effectively lower the risk for COPD hospitalization among the elderly, which provides evidence on the respiratory health benefits from consistent and effective air pollution control policy.

Does the "Blue Sky Defense War Policy" Paint the Sky Blue?-A Case Study of Beijing-Tianjin-Hebei Region, China

Improving air quality is an urgent task for the Beijing-Tianjin-Hebei (BTH) region in China. In 2018, utilizing 365 days' daily concentration data of six air pollutants (including PM_2.5, PM₁₀, SO₂, NO₂, CO and O₃) at 947 air quality grid monitoring points of 13 cities in the BTH region and controlling the meteorological factors, this paper takes the implementation of the Blue Sky Defense War (BSDW) policy as a quasi-natural experiment to examine the emission reduction effect of the policy in the BTH region by applying the difference-in-difference method. Results show that the policy leads to the significant reduction of the daily average concentration of PM_2.5, PM₁₀, SO₂, O₃ by -1.951 μg/m³, -3.872 μg/m³, -1.902 μg/m³, -7.882 μg/m³ and CO by -0.014 mg/m³, respectively. The results of the robustness test support the aforementioned conclusions. However, this paper finds that the concentration of NO₂ increases significantly (1.865 μg/m³). In winter heating seasons, the concentration of SO₂, CO and O₃ decrease but PM_2.5, PM₁₀ and NO₂ increase significantly. Besides, resource intensive cities, non-key environmental protection cities and cities in the north of the region have great potential for air pollutant emission reduction. Finally, policy suggestions are recommended; these include setting specific goals at the city level, incorporating more cities into the list of key environmental protection cities, refining the concrete indicators of domestic solid fuel, and encouraging and enforcing clean heating diffusion.

Whether Urbanization Has Intensified the Spread of Infectious Diseases-Renewed Question by the COVID-19 Pandemic

The outbreak of the COVID-19 epidemic has triggered adiscussion of the relationship between urbanization and the spread of infectious diseases. Namely, whether urbanization will exacerbate the spread of infectious diseases. Based on 31 provincial data from 2002 to 2018 in China, the impact of urbanization on the spread of infectious diseases from the dimensions of "population" and "land" is analyzed in this paper by using the GMM (generalized method of moments) model. The empirical study shows that the population increase brought by urbanization does not aggravate the spread of infectious diseases. On the contrary, urban education, employment and entrepreneurship, housing, medical and health care, and other basic public services brought by population urbanization can help reduce the risk of the spread of infectious diseases. The increasing density of buildings caused by land urbanization increases the risk of the spread of infectious diseases. Moreover, the impact of urbanization on the spread of infectious diseases has regional heterogeneity. Therefore, the prevention and control of disease play a crucial role.

Consumption in the G20 nations causes particulate air pollution resulting in two million premature deaths annually

Worldwide exposure to ambient PM_2.5 causes over 4 million premature deaths annually. As most of these deaths are in developing countries, without internationally coordinated efforts this polarized situation will continue. As yet, however, no studies have quantified nation-to-nation consumer responsibility for global mortality due to both primary and secondary PM_2.5 particles. Here we quantify the global footprint of PM_2.5-driven premature deaths for the 19 G20 nations in a position to lead such efforts. G20 consumption in 2010 was responsible for 1.983 [95% Confidence Interval: 1.685–2.285] million premature deaths, at an average age of 67, including 78.6 [71.5–84.8] thousand infant deaths, implying that the G20 lifetime consumption of about 28 [24–33] people claims one life. Our results indicate that G20 nations should take responsibility for their footprint rather than focusing solely on transboundary air pollution, as this would expand opportunities for reducing PM_2.5-driven premature mortality. Given the infant mortality footprint identified, it would moreover contribute to ensuring infant lives are not unfairly left behind in countries like South Africa, which have a weak relationship with G20 nations.

Worldwide exposure to ambient PM_2.5 causes millions of premature deaths annually. Here the authors quantify the global footprint of PM_2.5-driven premature deaths for the G20 countries, which are in a position to lead internationally coordinated mitigation efforts.

Effects of air pollutant emission on the prevalence of respiratory and circulatory system diseases in Linyi, China

As a typical industrial city, Linyi has suffered severe atmospheric pollution in recent years. Meanwhile, a high incidence of respiratory and circulatory diseases has been observed in Linyi. The relationship between air pollutants and the prevalence of respiratory and circulatory system diseases in Linyi is still unclear, and therefore, there is an urgent need to assess the human health risks associated with air pollutants. In this study, the number of outpatient visits and spatial distribution of respiratory and circulatory diseases were first investigated. To clarify the correlation between diseases and air pollutant emissions, the residential intake fraction (IF) of air pollutants was calculated. The results showed that circulatory and respiratory diseases accounted for 62.32% of the total causes of death in 2015. The incidence of respiratory diseases was high in the winter, and outpatient visits were observed for more males (60.9%) than females (39.1%). The spatial distribution suggested that outpatient visits for respiratory and circulatory diseases were concentrated in the main urban area of Linyi, including the Hedong District, Lanshan District, and Luozhuang District, and especially at the junction of these three areas. After calculating the IF combined with the characteristics of pollution sources, meteorological conditions, and population data, a high IF value was concentrated in urban and suburban areas, which was consistent with the high incidence of diseases. Moreover, high R values and a significant correlation (R > 0.6, p < 0.05) between outpatient visits and residential IF of air pollutants imply similar spatial distributions of outpatient visits and IF value of residents. The spatial similarity of air pollution and outpatient visits suggested that future air pollution control policies should better reflect the health risks of spatial hotspots. This study can provide a potentially important reference for environmental management and air pollution-related health interventions.

Nexus between green logistic operations and triple bottom line: evidence from infrastructure-led Chinese outward foreign direct investment in Belt and Road host countries

The Belt and Road initiative (BRI) mainly relies on the traditional and underdeveloped logistical trade routes including the terrestrial and oceanic Silk Road. The poor logistic infrastructure across the BRI region not only restricts trade potential and economic progress but also creates several social and environmental challenges. Therefore, this study investigates the relationship between green logistic operations, economic, environmental, and social indicators of countries along with the BRI. This study provides three key findings using feasible generalized least squares (FGLS) and system generalized method of moments (Sys-GMM) estimation techniques. First, Chinese outward foreign direct investment significantly improves the quality and quantity of green logistic operations in terms of transport infrastructure, customs services, cost, time, tracking, and reliability of international shipments. Second, a higher quality of transport-related infrastructure, customs clearance efficiency, and competency of logistics services significantly mitigate the level of carbon emissions due to the energy conservation in the supply chain process. Moreover, the application of renewable energy resources significantly improves the quality of logistics operations. These results indicate that higher quality of green logistic operations provides efficient infrastructure and greater information sharing among supply chain partners that increase trade volume, growth opportunities, and environmental sustainability. Third, a higher institutional quality helps to mitigate social concerns through improvement in the efficiency of logistic operations. Although BRI regional estimates show significant variations, the overall results imply that BRI participating countries should integrate with ongoing investment projects to promote the quality and quantity of green logistic infrastructure and ensuring environmental stewardship.

Health and economic benefits of clean air policies in China: A case study for Beijing-Tianjin-Hebei region

Exposure to PM_2.5 is associated with many adverse health effects, leading to additional social costs. The Blue Sky Protection Campaign (BSPC) has been implemented in 2018 in the Beijing-Tianjin-Hebei (BTH) area to control air pollution. This study assesses PM_2.5-related health and economic benefits of the BSPC in the BTH region. Results show that by 2020, PM_2.5 reduction can avoid 3561 thousand morbidity cases (equivalent to a 24% reduction in the 2020 baseline scenario) and 24 thousand premature deaths (12%) in the BTH region, with the majority benefit in Hebei. By 2030, the avoided morbidity and mortality cases will be 2943 (18%) thousand and 20 (9%) thousand, respectively. PM_2.5 reductions are highly effective in reducing work time loss, which will decrease the total annual work time by 1.7 × 10⁸ h (24%) in the BTH region by 2020. From the economic aspect, the reduced PM_2.5 concentration will save 30 million USD (25%) health expenditures and avoid 60 billion USD (13%) economic loss by using the value of statistical life (VSL) by 2020. In 2030, the health expenditures and economic loss will also decrease significantly, with 17 million USD (18%) and 63 billion USD (10%), respectively, in the BTH region. Besides, the economic benefits far exceed the policy costs of the BSPC, and the Δ benefit/Δ cost ratios of Beijing are significantly higher than those of Hebei. The BSPC in BTH has significant positive health and economic impacts. This study can provide a basis for future PM_2.5-related health risk studies at an urban level in China.

The Impact of COVID-19 Lockdowns on Air Quality—A Global Review

The outbreak of the COVID-19 pandemic has emerged as a serious public health threat and has had a tremendous impact on all spheres of the environment. The air quality across the world improved because of COVID-19 lockdowns. Since the outbreak of COVID-19, large numbers of studies have been carried out on the impact of lockdowns on air quality around the world, but no studies have been carried out on the systematic review on the impact of lockdowns on air quality. This study aims to systematically assess the bibliographic review on the impact of lockdowns on air quality around the globe. A total of 237 studies were identified after rigorous review, and 144 studies met the criteria for the review. The literature was surveyed from Scopus, Google Scholar, PubMed, Web of Science, and the Google search engine. The results reveal that (i) most of the studies were carried out on Asia (about 65%), followed by Europe (18%), North America (6%), South America (5%), and Africa (3%); (ii) in the case of countries, the highest number of studies was performed on India (29%), followed by China (23%), the U.S. (5%), the UK (4%), and Italy; (iii) more than 60% of the studies included NO2 for study, followed by PM2.5 (about 50%), PM10, SO2, and CO; (iv) most of the studies were published by Science of the Total Environment (29%), followed by Aerosol and Air Quality Research (23%), Air Quality, Atmosphere & Health (9%), and Environmental Pollution (5%); (v) the studies reveal that there were significant improvements in air quality during lockdowns in comparison with previous time periods. Thus, this diversified study conducted on the impact of lockdowns on air quality will surely assist in identifying any gaps, as it outlines the insights of the current scientific research.

Modeling and forecasting of monthly PM2.5 emission of Paris by periodogram-based time series methodology

In this study, monthly particulate matter (PM_2.5) of Paris for the period between January 2000 and December 2019 is investigated by utilizing a periodogram-based time series methodology. The main contribution of the study is modeling the PM_2.5 of Paris by extracting the information purely from the examined time series data, where proposed model implicitly captures the effects of other factors, as all their periodic and seasonal effects reside in the air pollution data. Periodicity can be defined as the patterns embedded in the data other than seasonality, and it is crucial to understand the underlying periodic dynamics of air pollutants to better fight pollution. The method we use successfully captures and accounts for the periodicities, which could otherwise be mixed with seasonality under an alternative methodology. Upon the unit root test based on periodograms, it is revealed that the investigated data has periodicities of 1 year and 20 years, so harmonic regression is utilized as an alternative to Box-Jenkins methodology. As the harmonic regression displayed a better performance both in and out-of-sample forecasts, it can be considered as a powerful alternative to model and forecast time series with a periodic structure.

Health and economic impacts from PM2.5 pollution transfer attributed to domestic trade in China: a provincial-level analysis

In recent years, severe air pollution has had a serious impact on the health and economy of residents and has attracted great attention. Due to the spatial separation between consumption and production, the transfer of PM_2.5 pollution and its health and economic effects caused by interprovincial trade have not been taken seriously. In this study, economic, atmospheric, and epidemiological models were combined to assess air pollution transfer and its health and economic impacts that are attributed to provincial trade in China. The analyses were performed under the PM_2.5 transfer scenario in which economically developed areas in eastern China transferred many health and economic impacts to inland areas through interprovincial trade in 2012. As a result of interprovincial trade, 1980 (95% CI 0, 4114) extra deaths and 208,000 (95% CI 74.5, 395.6) additional illnesses accrued, but 0.184 (95% CI 0.017, 0.372) billion USD of residents' economic loss was avoided in China. The results illustrate the serious impact of domestic trade on regional health and economics. It is necessary to comprehensively consider supply chains in designing policies to mitigate the negative health and economic impacts of air pollution across China.

Exploring short term spatio-temporal pattern of PM2.5 and PM10 and their relationship with meteorological parameters during COVID-19 in Delhi

Present study aims to examine the impact of lockdown on spatio-temporal concentration of PM2.5 and PM10 - categorized and recorded based on its levels during pre-lockdown, lockdown and unlock phases while noting the relationship of these levels with meteorological parameters (temperature, wind speed, relative humidity, rainfall, pressure, sun hour and cloud cover) in Delhi. To aid the study, a comparison was made with the last two years (2018 to 2019), covering the same periods of pre-lockdown, lockdown and unlock phases of 2020. Correlation analysis, linear regression (LR) was used to examine the impact of meteorological parameters on particulate matter (PM) concentrations in Delhi, India. The findings showed that (i) substantial decline of PM concentration in Delhi during lockdown period, (ii) there were substantial seasonal variation of particulate matter concentration in city and (iii) meteorological parameters have close associations with PM concentrations. The findings will help planners and policy makers to understand the impact of air pollutants and meteorological parameters on infectious disease and to adopt effective strategies for future.

Particulate Matter and Premature Mortality: A Bayesian Meta-Analysis

BACKGROUND

We present a systematic review of studies assessing the association between ambient particulate matter (PM) and premature mortality and the results of a Bayesian hierarchical meta-analysis while accounting for population differences of the included studies.

METHODS

The review protocol was registered in the PROSPERO systematic review registry. Medline, CINAHL and Global Health databases were systematically searched. Bayesian hierarchical meta-analysis was conducted using a non-informative prior to assess whether the regression coefficients differed across observations due to the heterogeneity among studies.

RESULTS

We identified 3248 records for title and abstract review, of which 309 underwent full text screening. Thirty-six studies were included, based on the inclusion criteria. Most of the studies were from China (n = 14), India (n = 6) and the USA (n = 3). PM_2.5 was the most frequently reported pollutant. PM was estimated using modelling techniques (22 studies), satellite-based measures (four studies) and direct measurements (ten studies). Mortality data were sourced from country-specific mortality statistics for 17 studies, Global Burden of Disease data for 16 studies, WHO data for two studies and life tables for one study. Sixteen studies were included in the Bayesian hierarchical meta-analysis. The meta-analysis revealed that the annual estimate of premature mortality attributed to PM_2.5 was 253 per 1,000,000 population (95% CI: 90, 643) and 587 per 1,000,000 population (95% CI: 1, 39,746) for PM₁₀.

CONCLUSION

253 premature deaths per million population are associated with exposure to ambient PM_2.5. We observed an unstable estimate for PM₁₀, most likely due to heterogeneity among the studies. Future research efforts should focus on the effects of ambient PM₁₀ and premature mortality, as well as include populations outside Asia. Key messages: Ambient PM_2.5 is associated with premature mortality. Given that rapid urbanization may increase this burden in the coming decades, our study highlights the urgency of implementing air pollution mitigation strategies to reduce the risk to population and planetary health.