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Antagonism between ambient ozone increase and urbanization-oriented population migration on Chinese cardiopulmonary mortality

  • Haitong Zhe Sun
  • , Junchao Zhao
  • , Xiang Liu
  • , Minghao Qiu
  • , Huizhong Shen
  • , Serge Guillas
  • , Chiara Giorio
  • , Zosia Staniaszek
  • , Pei Yu
  • , Michelle W.L. Wan
  • , Man Mei Chim
  • , Kim Robin van Daalen
  • , Yilin Li
  • , Zhenze Liu
  • , Mingtao Xia
  • , Shengxian Ke
  • , Haifan Zhao
  • , Haikun Wang
  • , Kebin He
  • , Huan Liu
  • Yuming Guo, Alexander T. Archibald
  • University of Cambridge
  • Johns Hopkins University
  • Tsinghua University
  • Nanjing University
  • Southern University of Science and Technology
  • University College London
  • Alan Turing Institute
  • Monash University
  • Department of Earth Sciences
  • Nanjing University of Information Science & Technology
  • University of California at Los Angeles

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

Ever-increasing ambient ozone (O3) pollution in China has been exacerbating cardiopulmonary premature deaths. However, the urban-rural exposure inequity has seldom been explored. Here, we assess population-scale O3 exposure and mortality burdens between 1990 and 2019 based on integrated pollution tracking and epidemiological evidence. We find Chinese population have been suffering from climbing O3 exposure by 4.3 ± 2.8 ppb per decade as a result of rapid urbanization and growing prosperity of socioeconomic activities. Rural residents are broadly exposed to 9.8 ± 4.1 ppb higher ambient O3 than the adjacent urban citizens, and thus urbanization-oriented migration compromises the exposure-associated mortality on total population. Cardiopulmonary excess premature deaths attributable to long-term O3 exposure, 373,500 (95% uncertainty interval [UI]: 240,600–510,900) in 2019, is underestimated in previous studies due to ignorance of cardiovascular causes. Future O3 pollution policy should focus more on rural population who are facing an aggravating threat of mortality risks to ameliorate environmental health injustice.

Original languageEnglish
Article number100517
JournalInnovation
Volume4
Issue number6
DOIs
StatePublished - Nov 13 2023

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