Temporal variations and spatial distributions of gaseous and particulate air pollutants and their health risks during 2015–2019 in China

Air quality has been significantly improved in China in recent years; however, our knowledge of the long-term changes in health risks from exposure to air pollutants remain less understood. Here we investigated the temporal variations and spatial distributions of six criteria pollutants (SO₂, NO₂, O₃, CO, PM₂.₅ and PM₁₀) in Beijing-Tianjin-Hebei (BTH), Yangtze River Delta (YRD) and Pearl River Delta (PRD) during 2015–2019. SO₂ showed 36−60% reductions in three regions, comparatively, NO₂ decreased by 3–17% in BTH and YRD and had a 5% increase in PRD. PM₂.₅ and PM₁₀ showed the largest reductions in BTH (30−33%) and the lowest in PRD (7−13%), while O₃ increased by 9% during 2015–2019 particularly in BTH and YRD. Assuming that only air pollutants above given thresholds exert excess risk (ERₜₒₜₐₗ) of mortality, we found that the different variations of pollutants have caused ERₜₒₜₐₗ in BTH decreasing significantly from 4.8% in 2015 to 2.0% in 2019, while from 1.9% to 1.0% in YRD, and a small change in PRD. These results indicate substantially decreased health risks of mortality from exposure to air pollutants as a response to improved air quality. Overall, PM₂.₅ dominated ERₜₒₜₐₗ accounting for 42−53% in BTH and 58−64% in YRD with steadily increased contributions, yet ERₜₒₜₐₗ presented strong seasonal dependence on air pollutants with largely increased contribution of O₃ in summer. The ERₜₒₜₐₗ caused by SO₂ was decreased substantially and became negligible except in winter in BTH, while NO₂ only played a role in winter. We also found that ERPM₂.₅ was compositional dependent with organics being the major contributor at low ERPM₂.₅ while nitrate was more important at high ERPM₂.₅. Our results highlight that evaluation of public health risks of air pollution needs to consider chemical differences of PM in different regions in addition to dominant air pollutants in different seasons.