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Evaluation of the health risk of air pollution in major Chinese cities using a risk-based, multi-pollutant air quality health index during 2014–2018

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Abstract

Combined air pollution in eastern China is becoming increasingly pronounced, and the air quality index (AQI), which represents the condition of the primary pollutant, can no longer sufficiently evaluate the health risk of air pollutants to humans. In this study, the temporal and spatial distributions of the health risk values (percentage of excess risk, %ER) of four principal air pollutants in six representative cities in China (Beijing, Shanghai, Guangzhou, Chengdu, Shenyang, and Xi’an) from 2014 to 2018 are calculated using an air quality health index (AQHI) that is based on environmental epidemiological research results developed by Hong Kong. The results show that the 90th percentile of the corresponding annual average %ER in these cities decreased by varying degrees. The health risk attributed to air pollution was lower in cities of southern China than those of northern China. The average contributions of PM10 and O3 exceeded 25% and 30%, respectively, which indicates that the combined pollution was severe in the six cities. However, the AQI evaluation method usually underestimates the health risk of air pollution in spring and summer because this method only considers one primary pollutant. In the early spring period (March–May) of Beijing, AQI fell by −24%, but %ER rose by 4% while considering the combined pollution. This substantial difference suggests an urgent demand for corporations and data sharing between the Chinese environmental protection administration and medical authorities to establish and develop a more accurate, scientific, and localized air quality evaluation system. The system developed by China can better assess the health risk caused by combined pollution, which is more adapted to different regions, and provide the public with more accurate advice regarding health risks from air pollution.

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Data availability

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  • Beelen R, Raaschou-Nielsen O, Stafoggia M et al (2014) Effects of long-term exposure to air pollution on natural-cause mortality: an analysis of 22 European cohorts within the multicentre ESCAPE project[J]. Lancet 383(9919):785

    Article  CAS  Google Scholar 

  • Beijing City Government. Action plan for 2013–2017 to reduce coal use and increase clean energy, 2013

  • Cairncross EK, John J, Zunckel M (2007) A novel air pollution index based on the relative risk of daily mortality associated with short-term exposure to common air pollutants. Atmos Environ 41:8442–8454

    Article  CAS  Google Scholar 

  • Chen TM, Gokhale J, Shofer S, Kuschner WG (2007) Outdoor air pollution: ozone health effects[J]. Am J Med Sci 333(4):244–248

    Article  Google Scholar 

  • Cheng Z, Wang S, Jiang J et al (2013) Long-term trend of haze pollution and impact of particulate matter in the Yangtze River Delta, China[J]. Environ Pollut 182(6):101–110

    CAS  Google Scholar 

  • Fan Q, Lan J, Liu Y et al (2015) Process analysis of regional aerosol pollution during spring in the Pearl River Delta region, China[J]. Atmos Environ 122:829–838

    Article  CAS  Google Scholar 

  • Gao F (2013) Evaluation of the Chinese New Air Quality Index (GB3095–2012) : based on comparison with the US AQI System and the WHO AQGs[J]. Yrkeshögskolan Novia

  • Goran K (2011) Apparent Temperature and Air Pollution vs. Elderly Population Mortality in Metro Vancouver[J]. PLoS One 6(9):e25101

    Article  CAS  Google Scholar 

  • Jáuregui E, Luyando E (2015) Global radiation attenuation by air pollution and its effects on the thermal climate in Mexico City[J]. Int J Climatol 19(6):683–694

    Article  Google Scholar 

  • Jochner S, Markevych I, Beck I, Traidl-Hoffmann C, Heinrich J, Menzel A (2015) The effects of short- and long-term air pollutants on plant phenology and leaf characteristics[J]. Environ Pollut 206:382–389

    Article  CAS  Google Scholar 

  • Kan H, Chen R, Tong S (2012) Ambient air pollution, climate change, and population health in China[J]. Environ Int 42(1):10

    Article  CAS  Google Scholar 

  • Kermani M, Dowlati M, Jonidi jaffari A, Rezaei kalantari R (Winter 2015) A study on the comparative investigation of air quality health index (AQHI) and its application in Tehran as a megacity since 2007 to 2014. Iranian Journal of Research in Environmental Health 1(4):275–284

    Google Scholar 

  • Lam KS, Wang TJ, Wu CL et al (2005) Study on an ozone episode in hot season in Hong Kong and transboundary air pollution over Pearl River Delta region of China[J]. Atmos Environ 39(11):1967–1977

    Article  CAS  Google Scholar 

  • Li SS, Cheng N, Pan T et al (2016) Analysis of a heavy air pollution event in Beijing-Tianjin-Hebei region in October 2014[J]. Environ Sci Technol

  • Li L, Tan Q, Zhang Y et al (2017a) Characteristics and source apportionment of PM2.5 during persistent extreme haze events in Chengdu, Southwest China[J]. Environ Pollut 230:718

    Article  CAS  Google Scholar 

  • Li X, Xiao JP, Lin HL et al (2017b) The construction and validity analysis of AQHI based on mortality risk: a case study in Guangzhou, China[J]. Environ Pollut 220:487–494

    Article  CAS  Google Scholar 

  • Liao T, Wang S, Ai J, Gui K, Duan B, Zhao Q, Zhang X, Jiang W, Sun Y (2017a) Heavy pollution episodes, transport pathways and potential sources of PM2.5 during the winter of 2013 in Chengdu (China)[J]. Sci Total Environ 584-585:1056–1065

    Article  CAS  Google Scholar 

  • Liao Z, Gao M, Sun J et al (2017b) The impact of synoptic circulation on air quality and pollution-related human health in the Yangtze River Delta region[J]. Sci Total Environ 607–608:838–846

    Article  CAS  Google Scholar 

  • Liao T, Gui K, Jiang W, Wang S, Wang B, Zeng Z, Che H, Wang Y, Sun Y (2018) Air stagnation and its impact on air quality during winter in Sichuan and Chongqing, southwestern China. Sci Total Environ 635:576–585

    Article  CAS  Google Scholar 

  • Ling ZH, Zhao J, Fan SJ, Wang XM (2017) Sources of formaldehyde and their contributions to photochemical O3 formation at an urban site in the Pearl River Delta, southern China[J]. Chemosphere 168:1293–1301

    Article  CAS  Google Scholar 

  • Lu F, Xu D, Cheng Y, Dong S, Guo C, Jiang X, Zheng X (2015) Systematic review and meta-analysis of the adverse health effects of ambient PM2.5 and PM10 pollution in the Chinese population[J]. Environ Res 136:196–204

    Article  CAS  Google Scholar 

  • Lu X, Yao T, Fung JCH et al (2016) Estimation of health and economic costs of air pollution over the Pearl River Delta region in China[J]. Sci Total Environ 566–567:134–143

    Article  CAS  Google Scholar 

  • Ma Y, Chen R, Pan G, Xu X, Song W, Chen B, Kan H (2011) Fine particulate air pollution and daily mortality in Shenyang, China[J]. Sci Total Environ 409(13):2473–2477

    Article  CAS  Google Scholar 

  • Ma Z, Deng J, Li Z et al (2016) Characteristics of NOx emission from Chinese coal-fired power plants equipped with new technologies[J]. Atmos Environ 131:164–170

    Article  CAS  Google Scholar 

  • Ministry of Environmental Protection of the People's Republic of China. Technical regulation on ambient air quality index (on trial); 2012

  • Ning G, Wang S, Ma M et al (2017) Characteristics of air pollution in different zones of Sichuan Basin, China[J]. Sci Total Environ 612:975

    Article  CAS  Google Scholar 

  • Parrish DD, Zhu T (2009) Clean air for megacities. Science 326:674–675

    Article  CAS  Google Scholar 

  • Peng W, Yang J, Wagner F et al (2017) Substantial air quality and climate co-benefits achievable now with sectoral mitigation strategies in China[J]. Sci Total Environ 598:1076

    Article  CAS  Google Scholar 

  • Pope RC, Dockery DW (2006) Health effects of fine particulate air pollution: lines that connect[J]. Air & Waste Manage Assoc 56(6):709–742

    Article  CAS  Google Scholar 

  • Quan J, Tie X, Zhang Q, Liu Q, Li X, Gao Y, Zhao D (2014) Characteristics of heavy aerosol pollution during the 2012–2013 winter in Beijing, China[J]. Atmos Environ 88(5):83–89

    Article  CAS  Google Scholar 

  • Schwartz J, Coull B, Laden F et al (2018) The effect of dose and timing of dose on the association between airborne particles and survival. Environ Health Perspect 116:64–69

    Article  Google Scholar 

  • Stieb D, Burnett R, MarcSmith-Doiron et al (2008) A new multipollutant, no-threshold air quality health index based on short-term associations observed in daily time-series analyses[J]. J Air Waste Manage Assoc 58(3):435–450

    Article  CAS  Google Scholar 

  • Tang L, Yu H, Ding A et al (2016) Regional contribution to PM1 pollution during winter haze in Yangtze River Delta, China[J]. Sci Total Environ 541:161–166

    Article  CAS  Google Scholar 

  • Tao J, Zhang L, Engling G et al (2013) Chemical composition of PM2.5, in an urban environment in Chengdu, China: importance of springtime dust storms and biomass burning[J]. Atmos Res 122(3):270–283

    Article  CAS  Google Scholar 

  • Wang YQ, Zhang XY, Arimoto R (2006) The contribution from distant dust sources to the atmospheric particulate matter loadings at Xi’An, China during spring[J]. Sci Total Environ 368(2–3):875–883

    Article  CAS  Google Scholar 

  • Wang T, Wei XL, Ding AJ et al (2009) Increasing surface ozone concentrations in the background atmosphere of southern China, 1994–2007[J]. Atmos Chem Phys 9(16):6217–6227

    Article  CAS  Google Scholar 

  • Wang Y, Liu Z, Xu Z (2013) An empirical study on coal consumption, GDP and SO2 pollution relationship in China[J]. International Journal of Applied Environmental Sciences 8(13):1607–1615

    Google Scholar 

  • Wang M, Cao C, Li G et al (2015a) Analysis of a severe prolonged regional haze episode in the Yangtze River Delta, China[J]. Atmos Environ 102:112–121

    Article  CAS  Google Scholar 

  • Wang YQ, Zhang XY, Sun JY et al (2015b) Spatial and temporal variations of the concentrations of PM10, PM2.5 and PM1 in China[J]. Atmos Chem Phys 15(23):13585–13598

    Article  CAS  Google Scholar 

  • Wang Z, Li Y, Chen T et al (2016) Science-policy interplay: improvement of air quality from 2008 to 2014 in Beijing and the scientific approach to achieve APEC blue[J]. Bull Am Meteorol Soc 97(4):553–559

    Article  Google Scholar 

  • Weinmayr G, Romeo E, De SM et al (2010) Short-term effects of PM10 and NO2 on respiratory health among children with asthma or asthma-like symptoms: a systematic review and meta-analysis[J]. Environ Health Perspect 118(4):449–457

    Article  CAS  Google Scholar 

  • WHO (2018) Climate change and Health. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health. Accessed 15 Mar 2019

  • Wong TW, Tam WWS, Yu ITS et al (2013) Developing a risk-based air quality health index[J]. Atmos Environ 76(3):52–58

    Article  CAS  Google Scholar 

  • World Bank. Institute for Health Metrics and Evaluation (2016) The cost of air pollution: strengthening the economic case for action. https://openknowledge.worldbank.org/handle/10986/25013. Accessed 15 Mar 2019

  • Xu W, Song W, Zhang Y et al (2017) Air quality improvement in a megacity: implications from 2015 Beijing parade blue pollution control actions[J]. Atmos Chem Phys 17(1):1–45

    Article  CAS  Google Scholar 

  • Xue Y, Tian H, Yan J, Zhou Z, Wang J, Nie L, Pan T, Zhou J, Hua S, Wang Y, Wu X (2016) Temporal trends and spatial variation characteristics of primary air pollutants emissions from coal-fired industrial boilers in Beijing, China[J]. Environ Pollut 213:717–726

    Article  CAS  Google Scholar 

  • Zhao S, Yu Y, Yin D, He J, Liu N, Qu J, Xiao J (2016) Annual and diurnal variations of gaseous and particulate pollutants in 31 provincial capital cities based on in situ air quality monitoring data from China National Environmental Monitoring Center[J]. Environ Int 86:92–106

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work has been supported by the National Key Research and Development Plan of China on Joint Demonstration Technology and Integration Demonstration of Air Pollution Prevention and Control in Chengyu Area (2018YFC0214003), the National Key Research Project of China-Strategy on Black Carbon Reduction and Evaluation of Health Effects of Climate Change (2016YFA0602004), and the National Natural Science Foundation of China (91644226).

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Authors and Affiliations

  1. Plateau Atmospheric and Environment Key Laboratory of Sichuan Province, College of Atmosphere Sciences, Chengdu University of Information Technology, Chengdu, 610225, China

    Tingting Liao, Zhengwu Ouyang, Shixiong Hu, Jiaqi Wu, Bihan Wang & Shigong Wang

  2. Chengdu Key Laboratory of Air Pollution Research, Chengdu Academy of Environmental Sciences, Chengdu, 610072, China

    Wanting Jiang

  3. Daxing District Municipal Ecology and Environment Bureau, Beijing, 102600, China

    Bin Zhao

  4. Huainan Academy of Atmospheric Sciences, Institute of Atmospheric Physics, Chinese Academy of Science, Beijing, 100029, China

    Yang Sun

  5. Huainan Academy of Atmospheric Sciences, Huainan, 232001, China

    Yang Sun

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  1. Tingting Liao
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  2. Wanting Jiang
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  3. Zhengwu Ouyang
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  4. Shixiong Hu
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  6. Bin Zhao
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  7. Bihan Wang
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  8. Shigong Wang
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  9. Yang Sun
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Contributions

Tingting Liao: conceptualization, methodology, formal analysis, funding acquisition, writing—review and editing. Wanting Jiang: conceptualization, methodology, data curation, formal analysis, writing—original draft. Zhengwu Ouyang: data curation, formal analysis. Shixiong Hu: data curation, formal analysis. Jiaqi Wu: visualization. Bin Zhao: formal analysis. Bihan Wang: validation. Shigong Wang: supervision. Yang Sun: Investigation.

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Correspondence to Yang Sun.

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Tingting Liao and Wanting Jiang are joint first authors, contributing equally to the work.

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Liao, T., Jiang, W., Ouyang, Z. et al. Evaluation of the health risk of air pollution in major Chinese cities using a risk-based, multi-pollutant air quality health index during 2014–2018. Air Qual Atmos Health 14, 1605–1617 (2021). https://doi.org/10.1007/s11869-021-01042-6

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  • DOI: https://doi.org/10.1007/s11869-021-01042-6

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