1
Background1
According to statistics from China’s Ministry of Environmental Protection (MEP), cities in China’s Yangtze
River Delta, Pearl River Delta, and Beijing-Tianjin-Hebei region suffer over 100 haze days every year, with
PM2.5 (particles with an aerodynamic diameter less than 2.5 μm) concentration two to four times above
the World Health Organization guidelines. The effects of PM2.5-related air pollution extend beyond haze
days, also leading to systemic damage to the health of the human body. At the end of 2011 heated public
discussion and media attention over PM2.5 led to its installation as a new national indicator for air quality
monitoring, in an era of incredibly high pollution levels and an ever-increasing area of contamination.
However, the exact sources of, control approach, public health risks and economic loss due to PM2.5 had
yet to be verified and closely studied .
This study is the first of its kind, based on currently available research findings and data in relation to PM2.5
in Shanghai, Guangzhou, Xi’an and Beijing, respectively elected as four major cities in Eastern, Southern,
Western, and Northern China. It studies the health risks and economic loss linked to PM2.5 in these four
cities, and assesses the potential public health and economic benefits given effective improvement of
PM2.5 pollution control under different scenarios. Due to a lack of available data, we were only able to
estimate the health and economic loss brought upon by premature death. We did not include hospital
admissions numbers, nor lost work and school days, although PM2.5 would have also impacted these
numbers. We hope that this study can offer insight into evaluating the economic loss due to China’s PM2.5
pollution, and look forward to seeing more researchers and policy makers join the research into PM2.5 and
the discussion of pollution control.
PM2.5 concentrat ion levels
h a v e e n d a n g e re d p u b l i c
health in Beijing, Shanghai,
Guangzhou and Xi’an. The
PM2.5 concentration levels in
all four cities exceed World
Heath Organisation (WHO) air
quality guidelines (AQG). This
means higher health risks to
the cardiovascular system,
cerebrovascular system and
an increase in the probability of
cancer and premature death.
Supposing if pollution levels
remained the same as 2010,
8,572 premature deaths would
have been caused by PM2.5
in the four cities in 2012, with
a total economic loss of 1.08
billion USD .
Supposing if the four cities
effectively control led PM2.5
levels and met WHO air quality
guidelines in 2012, the number
of premature deaths would
have decreased by at least
81%, wh i le the economic
benef i ts of reducing these
premature deaths in the four
cities would amount to 875
million USD.
Key Points
2
The health risks of PM2.52
PM2.5 is small in particulate size but as pollution can reach a large surface area. Compared to other
particulate matter it is more prone to carrying a variety of toxic heavy metals, acid oxides, organic
pollutants and other chemicals, as well as microorganisms such as bacteria and viruses in the
air. Therefore, compared to PM10 it can be considered more hazardous to human health. Modern
toxicology research has proven that the heavy metals and PAHs (polycyclic aromatic hydrocarbons)
carried by PM2.5 can enter and deposit in human alveoli, causing inflammation and lung diseases.
It can also enter the human blood circulation and affect the normal functioning of the human
cardiovascular system. Therefore, exposure to PM2.5 can lead to significantly increased mortality
due to cardiovascular, cerebrovascular and respiratory diseases, as well as greater cancer risks.
(See table 1. WHO air quality guidelines and interim targets for particulate matter – annual mean
concentrations )
Table 1. WHO air quality guideline and interim targets for particulate matter – annual mean concentrations
PM10 (µg/m
3) PM2.5(µg/m
3) Basis for selected level
Interim target - 1 (IT-1) 70 35
These levels are associated with about a 15%
higher long-term mortality risk relative to the AQG
level.
Interim target - 2 (IT-2) 50 25
In addit ion to other health benef i ts, these
levels lower the risk of premature mortality by
approximately 6% [2-11%] relative to the IT-1 level
Interim target -3 (IT-3) 30 15
In addition to other health benefits, these levels
lower the mortality risk by approximately 6% [2-
11%] relative to the IT-2 level
Air quality guidel ine
(AQG)
20 10
These are the lowest levels at which total,
cardiopulmonary and lung cancer mortality have
been shown to increase with more than 95%
confidence in response to long-term exposure to
PM2.5
3
Key findings: the health and economic impacts
of PM2.5 on four major Chinese cities3
PM2.5 concentration
Changes in
health outcomes
Assessment of
health benefits
Exposure-response
function
Willingness to pay
(WTP)
Exposed population
3.1 Methodology
Step 1: Exposure response relationship modeling Step 2: Health losses modeling
The cities of Beijing, Xi’an, Shanghai and Guangzhou have been selected for this study. A
mathematical model was developed based on PM2.5 laboratory monitoring values over the past three
to four years in these four cities, as well as local CDC (Centers for Disease Control and Prevention)
statistics on related deaths and their causes over the same period. From this a PM2.5 exposure
relative risk coefficient (RR) was calculated. Total deaths related to PM2.5 pollution in 2010 was also
estimated based on population sizes and PM10 concentration statistics published in the National
Statistical Yearbook 2010.
Finally, the study also calculates mortality caused by PM2.5 in 2012, together with figures based on
potential PM2.5 improvement scenarios. Those figures include the projected health benefits to these
cities under different air pollution levels, according to national guidelines and the WHO AQG.
City Monitoring site
Monitored
period
Average daily PM2.5 concentration
during monitored period (µg/m3)
(standard deviation)
Beijing Peking University campus 2006 - 2008 83.96 (58.28)
Shanghai
Shanghai Environmental Monitoring
Center, Pudong District
2004 - 2005 56.4 (1.34)
Guangzhou
South China Environmental Sciences
Institute, Tianhe District
2006 - 2009 59.91 (32.57)
Xi’an Chinese Academy of Sciences 2004 - 2008 176.7 (103.8)
Table 2. PM2.5 concentration data used in the exposure response relationship model
4
City Health outcomes RR (95% CI) Sources of data
Beijing
Non-accidental deaths 1.002709 (1.000982, 1.004438)
Data for Beijing, 2006 - 2008:
Mortality data from National CDC,
PM2.5 data from Peking UniversityDeaths caused by
circulatory diseases
1.003465 (1.001034, 1.005903)
Guangzhou
Non-accidental deaths 1.005648 (1.002182, 1.009125)
Data for Guangzhou, 2006-2009
data: Mortality data from National
CDC, PM2.5 data from South China
Institute of Science
Deaths caused by
circulatory diseases
1.008009 (1.002098, 1.013955)
Deaths caused by
respiratory diseases
1.00867 (1.001341, 1.016052)
Shanghai
Non-accidental deaths 1.0036 (1.0011, 1.0061)
Kan Haidong, et al (2007)
Deaths caused by
circulatory diseases
1.0041 (1.0001, 1.0082)
Deaths caused by
respiratory diseases
1.0095 (0.0016, 0.0173)
Xi’an
Non-accidental deaths 1.002 (1.0007, 1.0033)
Huang Wei, et al (2012)
Deaths caused by
circulatory diseases
1.0027 (1.0008, 1.0046)
Table 3. Exposure response relationship coefficient in the four cities
The data in table 2 shows that the daily average PM2.5 concentration far exceeds the national level
two, and goes far beyond WHO guidelines. A look at the monitoring results of Xi’an shows levels
five times over the national level two standard.
From the RR matrix in table 3 we can see that the levels of hazardous impacts are both high in
these four cities.
5
Based on the exposure response relationship coefficient values in different cities, we were able to calculate
figures for related deaths in 2010 and economic loss based on population and PM2.5 concentration
numbers.
To calculate the number of residents in 2010 exposed to PM2.5 air pollution, we used statistics from the
population of permanent residents in Beijing, Shanghai, Guangzhou and Xi’an (see appendix table 1,
from annual statistics reports of each city). The PM2.5 data used is calculated from annual environment
communiqués published by the Ministry of Environmental Protection (MEP), with PM10 converted to PM2.5
concentration numbers using a factor of 0.60.
The 2010 estimation results are as following, seen in table 4. Detailed figures are listed in the appendix,
tables 2-5.
3.2 2010: the health and economic impacts of PM2.5 on four major Chinese cities.
3.3 2012: the health and economic impacts of PM2.5 on four major Chinese cities
Table 4. 2010: PM2.5 induced deaths and economic loss estimates
City
PM2.5 annual concentration
(µg/m3)
Number of deaths caused by
PM2.5
Economic loss
(million USD)
Beijing 72.6 2349 296
Shanghai 47.4 2980 377
Guangzhou 42 1715 217
Xi’an 78 726 92
PM2.5(µg/m
3)
10 40
Graph 1. PM2.5 concentration levels of Chinese major regions
6
We can also calculate the potential death and economic loss reduction of different air quality
improvement scenarios compared to no improvement in 2012 (graphs 2 and 3). The hypothetical air
quality levels accord with national standards and the WHO guideline. Detailed figures are listed in
the appendix, tables 6-9.
Based on the demographic changes of the four cities in 2012, we can calculate deaths and
economic loss caused by different levels of PM2.5 in 2012. Since PM10 statistics are taken from the
MEP annual environmental communiqués, and those from 2011 and 2012 have yet to be published,
we are using 2010 PM2.5 levels as a reference to calculate the impact in 2012. We are supposing
PM2.5 in these cities didn’t improve in the past two years.
Table 5. 2012: PM2.5 induced deaths and economic loss estimates if pollution remained at 2010 level
Graph 2. Reduction of premature death caused by PM2.5 pollution in 2012 under different improvement scenarios
City Number of deaths caused by PM2.5 Economic loss (million USD)
Beijing 2589 328
Shanghai 3317 420
Guangzhou 1926 244
Xi’an 739 94
BeiJing
National Ambient Air Quality Standards (Level2)
National Ambient Air Quality Standards (Level1)
WHO AQG
Reduced
Deaths
ShangHai GuangZhou XiAn
7
BeiJing ShangHai GuangZhou XiAn
National Ambient Air
Quality Standards (Secondary)
170 110 41 52
National Ambient Air
Quality Standards (Primary)
260 287 157 76
WHO AQG 283 331 186 82
Graph 3. Economic loss reductions under different PM2.5 improvement scenarios .scenarios
Economic
Benefits
millions USD
If the pollution level remains at the 2010 level, the total number of deaths resulted from PM2.5 pollution
in Beijing in 2012 would be 2,589, and related economic loss would reach nearly 328 million USD. If
Beijing can meet level 2 or level 1 of national AQG or the WHO AQG in 2012, such deaths would be
reduced by 1,341, 2,054, and 2,233 respectively. There would also be a decrease of 51.7%, 79% and
86.2% respectively over no PM2.5 concentration improvement made (2,589 deaths). And the economic
benefits would reach 170, 260 and 283 million USD respectively.A
If the pollution level remains at the 2010 level, the total number of deaths resulted from PM2.5 pollution
in Shanghai in 2012 would be 3,317, and related economic loss would reach nearly 420 million USD. If
Shanghai can meet level 2 or level 1 of national AQG or the WHO AQG in 2012, such deaths would be
reduced by 867, 2,267 and 2,617 respectively. There would also be a decrease of 26.1%, 68.3% and
78.9% respectively over no PM2.5 concentration improvement made (3,317 deaths). And the economic
benefits would reach 110, 287 and 331 million USD respectively. B
If the pollution level remains at the 2010 level, the total number of deaths resulted from PM2.5 pollution
in Guangzhou in 2012 would be 1,926, and related economic loss would reach nearly 244 million USD.
If Guangzhou can meet level 1 or level 2 of national AQG or the WHO AQG in 2012, such deaths would
be reduced by 321, 1,238 and 1,468 respectively. There would also be a decrease of 16.6%, 62.4% and
76.2% respectively over no PM2.5 concentration improvement made (1,926 deaths). And the economic
benefits would reach 41, 157 and 186 million USD respectively. C
If the pollution level remains at the 2010 level, the total number of deaths resulted from PM2.5 pollution in
Xi’an in 2012 would be 739, and related economic loss would reach nearly 94 million USD. If Xi’an can
meet level 1 or level 2 of national AQG or the WHO AQG in 2012, such deaths would be reduced by 407,
597 and 644 respectively. There would also be a decrease of 55.1%, 80.8% and 87.1% respectively
over no PM2.5 concentration improvement made (739 deaths). And the economic benefits would reach
52, 76 and 82 million USD respectively.D
0
150
200
250
300
350
100
50
In conclusion, if these cities can effectively lower their PM2.5 level and meet level one or two of
the national air quality guidelines, PM2.5-induced deaths would be reduced by a significant degree
compared to no improvement in 2012. If the cities can meet the WHO AQG such deaths would be
reduced by at least 81%, and the economic loss reduction of these four cities could reach in total of
up to 868 million USD .
Further detailed scenarios for each city
8
Graph 4. PM2.5 source analysis
PM2.5 source analysis and
control strategy4
PM2.5Sources
Coal combustion 19%
Nitrogen14%
Sulphate17%
Combustion of biomass 11%
Others 18%
Industry 6%
Traffic dust 9%
Vehicles 6%
4.1 Sources of PM2.5
The composition of PM2.5 is relatively complex, including direct emissions of fine particles of the
combustion process (primary PM2.5 particles), and secondary particles generated by multiphase
chemical reactions (ie. gases are converted into solids through chemical reactions, such as how
sulfur dioxide and nitrogen oxide are converted into sulfates and nitrates) of atmospheric pollutants.
Early PM2.5 research focused on PM2.5 sources apportionment for counter measures. A number of
studies show that the proportion of primary PM2.5 particles has been on the decrease while that
of secondary particles are on the rise.1 Graph 4 shows the analytical results of PM2.5 sources in
Beijing by the Chinese Academy of Sciences in 2006. We can see that the emissions of motor
vehicles contribute about 6%, the combustion of coal remains the most important source of primary
particulate matters, accounting for 19%, and that secondary particles carried by nitrates and
sulfates also take a large proportion with 14% and 17%, respectively. This illustrates the significance
of pollution caused by secondary particles, especially nitrates and sulfates.
9
4.2 The electric power sector and industrial sectors are the main sources of air pollution
Source apportionment method allows for a qualitative analysis of PM2.5 control, with the control of
secondary particulate matters being at its core. For pollution control measures, the most crucial
approach is to have an inventory of pollutants discharged by different sectors and enterprises.
Although there isn’t such an official inventory at the national level in China, scholars have tried
several ways to produce one such at both national and regional levels as an important basis for
regional joint prevention and control of air pollution. According to the findings published by Zhao
Yu et al in 20121 , the country’s emissions by sector are shown in graph 5, and the emissions in the
Pearl River Delta (PRD) and the Yangtze River Delta (YRD)shown in graph 62 and graph 73 . Both
the national and regional emission inventories indicate that the electric power sector and industrial
sectors are the main sources of SO2, NOx, which are precursors to primary and secondary PM2.5
particles. Such a phenomenon is largely attributed to China’s excessive dependence on coal
consumption.
1 Zhao, Y., Zhang, J., and Nielsen, C. P.: The effects of recent control policies on trends in emissions of anthropogenic
atmospheric pollutants and CO2 i in China, Atmos. Chem. Phys. Discuss. , 12, 24985-25036, doi:10.5194/acpd-12-
24985-2012, 2012
2 C.Huang et al:Emission inventory of anthropogenic air pollutants and VOC species in the Yangtze River Delta
region, China,Atmos. Chem. Phys., 11, 4105–4120, 2011
3 Junyu.Zheng et al:A highly resolved temporal and spatial air pollutant emission inventory for the Pearl River Delta
region, China and its uncertainty assessment, Atmospheric Environment 43 (2009) 5112–5122
Graph 5. National inventory of different air pollutants in 2010
SO2 NOx CO TSP PM10 PM2.5
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Residential and
commercial
Transportation
Industry
Power Plants
10
Graph 6. Yangtze River Delta inventory of different air pollutants in 2007
Graph 7. Pearl River Delta inventory of different air pollutants in 2006
11
A number of studies have shown that worsening urban air pollution and deteriorating regional air quality
is closely related to China’s over-reliance on coal consumption. Managing PM2.5 pollution must begin with
replacing urban coal consumption with clean alternative energy sources, control of regional total coal
consumption, as well as control and treatment of pollutants from coal combustion.
China has been making unremitting efforts to do end of pipe air pollution control while developing
its economy. However, in spite of such efforts, environmental pressures brought about by drastically
increased energy consumption are still looming large. For example, during the 11th Five-Year Plan period,
China’s coal consumption increased by 44% (graph 8), accounting for one quarter of the world’s total coal
consumption in 2010 . Although desulfurization efforts in the power sector have allowed China to meet its
sulfur dioxide emission reduction targets, it still failed to implement de-nitrification plans, which resulted
in a 20% increase of nitrogen oxide emission during the 11th Five-Year Plan. This means the only way
China’s total nitrogen oxide emissions can return to its 2005 level by 2020 is if the country meets its 10%
emission cut targets for both the 12th and 13th Five-Year Plan periods. Which would mean the timeline to
control NOx has been postponed by 15 years.
Graph 8. Energy consumption during 11th Five-Year Plan
4.3 Growing energy consumption is the main reason for worsening air pollution
12
To effectively combat PM2.5 pollution, to meet China’s new air quality standards, and to protect
China’s public health from experiencing further negative impacts due to PM2.5 pollution, we are
making the following policy recommendations:
To cope with severe air pollution, it would not be enough to simply do end of pipe pollution control. If
rapid coal consumption increases cannot be curbed, gains made by the effort to control end of pipe
pollutants such as sulfur dioxide and nitrogen oxides emissions during the 12th Five-Year Plan will
probably be offset. As China’s coal consumption continues to grow, other pollutants of coal combustion
will exacerbate air pollution and interfere with PM2.5 improvements in the long-term.
At present, leading cities like Beijing and Guangzhou have already announced their coal consumption
reduction target during the 12th Five-Year Plan. The coal consumption growth cap has been introduced
to Tianjin, Shanghai and s
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