Health burdens of ambient PM2.5 pollution across Chinese cities during 2006–2015.

With frequent severe haze and smog episodes in Chinese cities, an increasing number of studies have focused on estimating the impact of fine particulate matter (PM 2.5) on public health. However, the current use of national and provincial demographic data might mask regional differences and lead to inaccurate estimations of pollution-related health impacts across cities. We applied the Global Burden of Disease methodology to develop a dataset of premature deaths attributed to ambient PM 2.5 in 129 Chinese cities in 2006, 2010 and 2015, based on the information of baseline mortality rates and population densities at the city level. Our results suggested that ambient PM 2.5 pollution led to 631,230 (95% confidence interval: 281,460–873,800) premature deaths in those cities in 2015, which was similar to that in 2010, but 42.8% higher than that in 2006. The reduction of premature deaths was not as obvious as the improvement in air quality in recent years, primarily owing to the aging Chinese population. For large and medium/small cities, the effects of PM 2.5 abatement on alleviating public health burdens were lower than those for megalopolises and metropolises; however, such large and medium/small cities are at risk of increasing future PM 2.5 pollution levels due to rapid development. Significant differences in PM 2.5 -induced premature deaths indicated the need for specific policies to mitigate the health burden of air pollution in different types of Chinese cities. • Health burdens of PM2.5 in 129 Chinese cities during 2006-2015 were calculated. • Ageing population hinders improvement of health benefit from pollution control. • Characteristics of health burden for different types of cities were analyzed. • Regional characteristics should be considered when developing policies. [ABSTRACT FROM AUTHOR]