Abstract

Background: Particulate air pollution, especially PM2.5, is highly correlated with various adverse health impacts and, ultimately, economic losses for society, however, few studies have undertaken a spatiotemporal assessment of PM2.5-related economic losses from health impacts covering all of the main cities in China. Methods: PM2.5 concentration data were retrieved for 190 Chinese cities for the period 2014–2016. We used a log-linear exposure–response model and monetary valuation methods, such as value of a statistical life (VSL), amended human capital (AHC), and cost of illness to evaluate PM2.5-related economic losses from health impacts at the city level. In addition, Monte Carlo simulation was used to analyze uncertainty. Results: The average economic loss was 0.3% (AHC) to 1% (VSL) of the total gross domestic product (GDP) of 190 Chinese cities from 2014 to 2016. Overall, China experienced a downward trend in total economic losses over the three-year period, but the Beijing–Tianjin–Hebei, Shandong Peninsula, Yangtze River Delta, and Chengdu-Chongqing regions experienced greater annual economic losses. Conclusions: Exploration of spatiotemporal variations in PM2.5-related economic losses from long-term health impacts could provide new information for policymakers regarding priority areas for PM2.5 pollution prevention and control in China.

Highlights

  • Rapid industrialization and urbanization have made China one of the fastest growing economies in the world [1], this growth is having negative effects on both the environment and public health

  • Beijing–Tianjin–Hebei region experienced the highest levels of PM2.5 pollution, followed by the and the Pearl River Delta region, which is consistent with the results reported in the “2016 China

  • The results of this study show that 21.7 million people suffered a health impact as a result of PM2.5 pollution and there were more than 0.28 million premature deaths in China in 2014, 18.1 million people suffered a health impact and there were 0.24 million premature deaths in 2015, and 16.1 million people suffered a health impact and there were 0.22 million premature deaths in 2016

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Summary

Introduction

Rapid industrialization and urbanization have made China one of the fastest growing economies in the world [1], this growth is having negative effects on both the environment and public health. Short-term and long-term exposure to PM2.5 is closely correlated with a range of acute and chronic health impacts, such as respiratory diseases [3], cardiovascular diseases [4,5], lung cancer [6,7,8], nervous system diseases [9], and congenital heart defects [10]. These negative health effects produce a heavy economic burden, including increased health expenditure, loss of working days, and reduced labor supply [11]. China experienced a downward trend in total economic losses over the three-year period, but the Beijing–Tianjin–Hebei, Shandong Peninsula, Yangtze River

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