Children's exposure to lead is a global health problem, especially in low- and middle-income countries. However, research on the relationship between children's blood lead levels (BLLs) and the development of the lead industry is still limited. This study examined whether children's BLLs were associated with the development of lead industry in different regions. Using survey data on the BLLs of children living in 250 prefectures in China with corresponding data on their economic factors and lead industries, we explored the regional variation of children's BLLs using statistical methods. The results show that the level of economic development in leaded areas was associated with inequity in children's BLLs and met the environmental Kuznets hypothesis. In areas without lead industries, there was little correlation between the level of economic development and the BLLs of children and thus the environmental Kuznets hypothesis was not supported. Lead mines, lead smelting and chemical companies are major sources of blood lead in children living in leaded areas. This study demonstrated the success of control policies for lead-acid battery manufacturers in promoting the prevention and control of childhood lead poisoning in China. China should consciously support the improvement of children's BLLs in undeveloped areas with lead industries through national financing and policies to avoid the continuous effects of the regional inequality problem of high children's BLLs.

Ambient air pollution is one of the leading environmental risk factors to human health, largely offsetting economic growth. This study evaluated health burden and cost associated with the short-term and long-term exposure of major air pollutants (fine particulate matter [PM₂.₅] and ozone [O₃]) during 2013–2018. We developed a database of gridded daily and annual PM₂.₅ and O₃ exposure in China at 15 km × 15 km resolution. Then, we estimated the age- and cause-specific premature deaths and quantified related health damage with an age-adjusted value of statistical life (VSL) measure. The health cost estimated in this study captured direct cost, indirect cost and intangible cost of the premature death attributable to ambient PM₂.₅ and O₃. We found that the national premature deaths attributable to long-term and short-term exposure to PM₂.₅ decreased by 15% and 59%, whereas the national premature deaths attributable to long-term and short-term exposure to O₃ increased by 36% and 94%. Despite a 15% reduction of attributable deaths, the health cost attributable to long-term exposure to PM₂.₅ did not change significantly as a result of GDP growth and population aging. On the other hand, the long-term O₃ related health cost in 2018 doubled that in 2013. Our study suggests that while premature deaths fell as a result of China’s clean air actions, the health costs of air pollution remained high. The growing trends of O₃ highlighted the needs for strategies to reduce both PM₂.₅ and O₃ emissions, for the sake of public health and social well-being in China.

With the technological advances and economic development, the multiplicity and wide variety of applications of electrical and electronic equipment have increased, as well as the amount of end-of-life products (waste of electrical and electronic equipment, WEEE). Accompanying their increasing application, there is an increasing risk to aquatic ecosystems and inhabiting organisms. Among the most common elements present in WEEE are rare earth elements (REE) such as Dysprosium (Dy). The present study evaluated the metabolic and oxidative stress responses of mussels Mytilus galloprovincialis exposed to an increasing range of Dy concentrations, after a 28 days experimental period. The results obtained highlighted that Dy was responsible for mussel’s metabolic increase associated with glycogen expenditure, activation of antioxidant and biotransformation defences and cellular damage, with a clear loss of redox balance. Such effects may greatly impact mussel’s physiological functions, including reproduction capacity and growth, with implications for population conservation. Overall the present study pointed out the need for more research on the toxic impacts resulting from these emerging pollutants, especially towards marine and estuarine invertebrate species.

Microplastics (MPs) in the environment have become an issue worldwide. However, data about MPs in freshwater systems are still limited so far. This study investigated sources, fate, and seasonal and spatial distribution of MPs in the main stream Pearl River and its tributaries, as well as in the Pearl River Estuary (PRE), China. MPs were widely detected in the river water, river bed sediment, and estuarine sediment, with abundances of 0.57 ± 0.71 items L⁻¹, 685 ± 342 items kg⁻¹ dry weight (dw), and 258 ± 133 items kg⁻¹ dw, respectively. Sheet, fragmental, and fibrous polyethylene, polypropylene, and ethylene-propylene copolymers were predominant, suggesting that MPs in the Pearl River catchment be mainly derived from fragmentation of discarded plastic wastes. In addition, municipal wastewater was also an important MPs source, especially for polyethylene terephthalate (PET) fibers. Polymers of higher density, such as PET and polyvinyl alcohol were relatively more abundant in the sediment than in the river water, especially in the estuarine sediment. Upward increase of the MP abundance was observed in the sedimentary core, probably indicating increasing release of plastic wastes due to growing production and uses of plastic products. On the other hand, percentage of finer MPs increased with increasing depth. The results revealed persistence and potential downward dispersion of the fine MPs. The MPs abundance was positively related with population density and gross domestic product, demonstrating impacts of human activities and economic development on the MPs contamination. Higher MPs abundance was detected in dry season than in wet season in the river water, suggesting dilution effect of precipitation. It's estimated that 15963 tons of MPs could be released annually into the PRE from the main stream Pearl River and its tributaries.

The adsorption of polycyclic aromatic hydrocarbons (PAHs) by components such as elemental carbon (EC), total organic carbon (TOC), and particles is different, and EC and PAHs are good materials for reconstructing historical human activity patterns and pollution conditions. In this study, the effects of EC (soot and char), TOC and particles of different grain size on PAHs in surface sediments were quantitatively analysed, and their historical concentrations in a sediment core from western Taihu Lake were reconstructed. The contents of soot, TOC, clay, EC and char explained 57.2%, 27.6%, 26.0%, 24.0% and 16.4%, respectively, of the PAH concentrations in surface sediments. The correlation between the soot and PAH levels was significantly higher than that between the char, TOC, and clay contents and PAH levels, and PAHs were mainly affected by the local economic development and human activity, as indicated by metrics of population, highway mileage, coal burning, and industrial output. With the development of the economy of the Taihu Lake Basin, the composition of PAHs in the sediments has changed: the proportion of low-molecular-weight PAHs decreased from 42.4% to 17.5%, and that of high-molecular-weight PAHs increased from 58.7% to 82.5%. The concentration of PAHs in pore water from Taihu Lake over the past 100 years was reconstructed and ranged from 43.1 to 961.2 μg L−1, with an average of 180.7 μg L−1. After China's reform and opening up, the concentrations of various PAHs in Taihu Lake changed from safe to chronic pollution levels. The ratios of lead (Pb) isotopes and the diagnostic ratios of PAHs showed that the main sources of PAHs in western Taihu Lake sediments were human activities such as coal and petroleum combustion.

Long-term trends of sediment compositions are important for assessing the impact of human activities on the sediment and protecting the sediment environment. In this study, based on the contents of heavy metals and the Pb isotope ratios in lake sediments, atmospheric dustfall and soil in Yixing, China, the representative heavy metals (Zn, Pb, Cr and Cd) in lake sediments from western Taihu Lake were studied. The evolution history of heavy metals in the local environment was constructed for the past 100 years. From 1892 to the 1990s, the anthropogenic fluxes of the representative heavy metals were negligible, indicating minimal anthropogenic emissions of heavy metals. Since the 1990s, anthropogenic fluxes of the representative heavy metals began to increase, concurrent with the economic growth and development in the western Taihu Lake Basin after the Chinese economic reform. The maximum flux percentage of the heavy metals in the sediments, caused by human activities, is 23.0% for Zn, 31.6% for Pb, 39.5% for Cr and 85.3% for Cd, indicating that most of the Cd comes from human activities. The Cd content in the western Taihu Lake Basin was significantly higher than that in the other areas, and the rapid development of the industry in the western Taihu Lake Basin and ceramics in Yixing led to the enrichment of heavy metals in local sediments. Since the 21st century, measures have been taken to control the pollution of heavy metals, including the increase in local government attention and the deployment of environmental monitoring technology. However, heavy metal content remains high, and the Pb content is still increasing. The ratios of Pb isotopes show that the main sources of heavy metals in the western Taihu Lake sediments, the local soil of Yixing and the atmospheric dustfall are coal combustion, leaded gasoline combustion, industrial wastewater and domestic sewage.

Historical records of polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) were analyzed in two dated sediment cores (DH05 and DH11) collected from the continental shelf of the East China Sea (ECS) to investigate the influence of anthropogenic activities on marine sediment over the past century. The concentrations and fluxes of 15 PAHs were in the range of 28.6–96.5 ng g−1 and 7.6–35.2 ng cm−2 yr−1 in DH05 (1920s–2009), 18.8–76.4 ng g−1 and 13.9–30.9 ng cm−2 yr−1 in DH11 (1860s–2009). The sedimentary records of PAHs in the two cores generally reflected the economic development and energy consumption change in China. Identification of sources suggested that PAHs in ECS were predominantly from petrogenic origin and various combustion sources. A change of source from low- and moderate-temperature combustion to high-temperature combustion process was observed. Although a production ban of technical HCH and DDT was imposed in China in 1983, their sedimentary fluxes display increasing trends or strong rebounds from 1980s to 1990s as recorded in the core profiles. High proportions of DDD + DDE and γ-HCH suggested those OCPs mainly derived from early residuals. Temporal trends of PCBs presented relative high levels from 1970s to 1980s and high proportions of PCB congeners with 3–6 chlorines atoms indicated industrial sources.

With the rapid economic development, a better living condition leads to longer life expectancy, which increased the total population, in particular the elderly group. It may result in increase in the demand of pharmaceuticals for people in domestic use or in hospital. Although most sewage treatment plants or waste water treatment plantsmet the regulatory requirement, there are still many pharmaceuticals removed incompletely and thus discharged to the environment. Therefore, the pharmaceuticals residue draws the public concern because they might cause adverse effects on the organism even human beings. Recently, many studies have published on the source and occurrence as well as the fate of pharmaceuticals all over the world. This paper summarized and reviewed the recent studies on the sources, occurrence, fate and the effects of the most common pharmaceuticals. Finally, it gave the suggestion and risk management for controlling the pharmaceuticals.

The low value of nitrogen use efficiency (NUE) (around 30%) of crop production in China highlights the necessity to adopt reasonable N managements in national scale. After the implementation of ‘National Soil Testing and Formulated Fertilization’ program in 2005, many field experiments have reported an increase of NUE for crop productions in China. This has prompted discussion regarding the extent to which NUE in crop production has been improved. Here, we analyzed the temporal and spatial changes in NUE (crop N uptake/total N input) and cumulative synthetic and non-synthetic N fertilizer recovery efficiency of crop production in China during 1980–2014, and evaluated the relationship between NUE and economic growth (purchasing power parity, PPP) at national and provincial scale. The results showed that the overall NUE of crop production in China clearly increased from 35 to 42% during 2003–2014, and an increase in NUE was further evidenced by increases in cumulative recovery efficiency of both synthetic and non-synthetic N fertilizer. The relationship between NUE and PPP can be described by an environmental Kuznets curve at the national scale, with NUE first decreasing then increasing with PPP. However, this relationship exhibited large spatial variation: 1) In economically developed (e.g., Guangdong and Zhejiang) and undeveloped provinces (e.g., Yunnan and Guizhou), NUE generally decreased and then remained at low levels (20–35%) as PPP increased. 2) In major agricultural provinces with high (e.g., Shandong and Jiangsu) or intermediate levels (e.g., Hunan and Hebei) of economic development, a pronounced increasing trend in NUE with PPP was observed. These results highlight the necessity of developing region-oriented N management strategies to further increase the NUE of crop production in China, particularly in the economically developed and undeveloped provinces.

In the past decade, particulate matter with aerodynamic diameter less than 2.5 μm (PM₂.₅) has reached unprecedented levels in China and posed a significant threat to public health. Exploring the long-term trajectory of the PM₂.₅ attributable health burden and corresponding disparities across populations in China yields insights for policymakers regarding the effectiveness of efforts to reduce air pollution exposure. Therefore, we examine how the magnitude and equity of the PM₂.₅-related public health burden has changed nationally, and between provinces, as economic growth and pollution levels varied during 2005–2017. We derive long-term PM₂.₅ exposures in China from satellite-based observations and chemical transport models, and estimate attributable premature mortality using the Global Exposure Mortality Model (GEMM). We characterize national and interprovincial inequality in health outcomes using environmental Lorenz curves and Gini coefficients over the study period. PM₂.₅ exposure is linked to 1.8 (95% CI: 1.6, 2.0) million premature deaths over China in 2017, increasing by 31% from 2005. Approximately 70% of PM₂.₅ attributable deaths were caused by stroke and IHD (ischemic heart disease), though COPD (chronic obstructive pulmonary disease) and LRI (lower respiratory infection) disproportionately affected poorer provinces. While most economic gains and PM₂.₅-related deaths were concentrated in a few provinces, both gains and deaths became more equitably distributed across provinces over time. As a nation, however, trends toward equality were more recent and less clear cut across causes of death. The rise in premature mortality is due primarily to population growth and baseline risks of stroke and IHD. This rising health burden could be alleviated through policies to prevent pollution, exposure, and disease. More targeted programs may be warranted for poorer provinces with a disproportionate share of PM₂.₅-related premature deaths due to COPD and LRI.