The casual effects of COVID-19 lockdown on air quality and short-term health impacts in China

Environ Pollut. 2021 Dec 1:290:117988. doi: 10.1016/j.envpol.2021.117988. Epub 2021 Aug 20.

Abstract

The outbreak of coronavirus (COVID-19) has forced China to lockdown many cities and restrict transportation, industrial, and social activities. This provides a great opportunity to look at the impacts of pandemic quarantine on air quality and premature death due to exposure to air pollution. In this study, we applied the difference-in-differences (DID) model to quantify the casual impacts of COVID-19 lockdown on air quality at 278 cities across China. A widely used exposure-response function was further utilized to estimate the short-term health impacts associated with changes in PM2.5 due to lockdown. Results show that lockdown has caused drastic reduction in air pollution level in terms of all criteria pollutants except ozone. On average, concentrations of PM2.5, PM10, NO2, SO2 and CO are estimated to drop by 14.3 μg/m3, 22.2 μg/m3, 17.7 μg/m3, 2.9 μg/m3, and 0.18 mg/m3 as the result of lockdown. Cities with more confirmed cases of COVID-19 are related to stronger responses in air quality, despite that similar lockdown measures were implemented by the local governments. The improvement of air quality caused by COVID-19 lockdown in northern cities is found to be smaller than that of southern cities. Avoided premature death associated with PM2.5 exposures over the 278 cities was estimated to be 50.8 thousand. Our results re-emphasize the effectiveness of emission controls on air quality and associated health impacts. The high cost of lockdown, still high level of air pollution during lockdown and smaller effects in northern cities implies that source-specific mitigation policies are needed for continuous and sustainable reduction of air pollution.

Keywords: Criteria air pollutants; Difference-in-differences (DID) model; Premature death.

MeSH terms

  • Air Pollutants* / analysis
  • Air Pollution* / analysis
  • COVID-19*
  • China
  • Cities
  • Communicable Disease Control
  • Environmental Monitoring
  • Humans
  • Particulate Matter / analysis
  • SARS-CoV-2

Substances

  • Air Pollutants
  • Particulate Matter