Health impact of China's Air Pollution Prevention and Control Action Plan: an analysis of national air quality monitoring and mortality data
Health impact of China's Air Pollution Prevention and Control Action Plan: an analysis of national air quality monitoring and mortality data
复制标题
中国空气污染防治行动计划对健康的影响：全国空气质量监测和死亡率数据分析。
DOI：
10.1016/s2542-5196(18)30141-4
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发表时间：
2018-07-01
影响因子：
25.7
通讯作者：
Li, Guoxing
中科院分区：
文献类型：
--
作者：
Huang, Jing;Pan, Xiaochuan;Li, Guoxing
为了缓解中国严重的空气污染，中国国务院于2013年发布了《大气污染防治行动计划》（APPCAP）。这项政策是中国空气质量控制的一个里程碑。我们的目的是评估APPCAP对中国长期空气质量管理和相关健康影响的影响。方法通过分析2013 - 2017年中国74个重点城市的国家空气质量监测和死亡率数据，估计APPCAP对健康的影响。计算了死亡率和寿命损失年数（一项考虑死亡时预期寿命的指标）的变化，以评估五年期间空气质量管理对健康的影响。结果2013 - 2017年，74个重点城市PM2.5年均浓度下降33.3% (95% CI 16.3 ~ 50.3)， PM10年均浓度下降27.8% (95% CI 8.0 ~ 47.5)，二氧化硫年均浓度下降54.1% (95% CI 28.2 ~ 80.0)，一氧化碳年均浓度下降28.2% （95% CI 3.1 ~ 53.3）。然而，二氧化氮（减少9.7%;95% CI -23.0至42.4）或臭氧（增加20.4%;-30.1至71.0）的年平均浓度没有显著变化。2017年，由于空气质量大幅改善，与2013年相比，中国74个重点城市的死亡人数减少了47240人（95% CI 25 870-69 990），死亡人数减少了710人（95% CI 420 230-1 025 460）。从2013年到2017年，中国实现了与环境空气污染控制相关的死亡率和死亡率的大幅下降，表明中国的APPCAP取得了可观的成效。然而，未来应加强对臭氧和二氧化氮的排放控制。版权所有(C) 2018作者。Elsevier Ltd.出版。
Background To mitigate the serious levels of air pollution in China, the State Council of China issued the Air Pollution Prevention and Control Action Plan (APPCAP) in 2013. This policy is a milestone in air quality control in China. We aimed to evaluate the effects of the APPCAP on long-term air quality management and the related health impacts in China.Methods We did an analysis of national air quality monitoring and mortality data to estimate the health impact of the APPCAP from 2013 to 2017 in 74 key cities in China. Changes in mortality and in years of life lost (YLL), an indicator that considers life expectancy at death, were calculated to assess the health impact of air quality management during the 5-year period.Findings Between 2013 and 2017, annual average concentrations of PM2.5 decreased by 33.3% (95% CI 16.3-50.3), PM10 by 27.8% (8.0-47.5), sulphur dioxide by 54.1% (28.2-80.0), and carbon monoxide by 28.2% (3.1-53.3) in the 74 key cities. However, no significant change was seen in annual average concentrations of nitrogen dioxide (9.7% reduction; 95% CI -23.0 to 42.4) or ozone (20.4% increase; -30.1 to 71.0). In 2017, as a result of substantial improvements in air quality, there were 47 240 (95% CI 25 870-69 990) fewer deaths and 710 020 (420 230-1 025 460) fewer YLL in the 74 key cities in China than in 2013.Interpretation Substantial reductions in mortality and YLL related to control of ambient air pollution were achieved from 2013 to 2017 in China, indicating appreciable effectiveness of China's APPCAP. However, emissions control efforts for ozone and nitrogen dioxide should be strengthened in the future. Copyright (C) 2018 The Author(s). Published by Elsevier Ltd.