Ground-level ozone pollution and its health impacts in China

In recent years, ground-level ozone pollution in China has become an increasingly prominent problem. This study simulated and analyzed spatiotemporal distribution of ozone and exposure level by the Weather Research and Forecasting (WRF)-Community Multiscale Air Quality (CMAQ) models and monitoring data from 1516 national air quality monitoring stations in China during 2015. The simulation results show that the Sichuan Basin, Shandong, Shanxi, Henan, Anhui, Qinghai-Tibetan Plateau, Yangtze River Delta (YRD), Pearl River Delta (PRD) and Beijing-Tianjin-Hebei (BTH) region had relatively high average annual concentrations of ozone. The regions with more than 10% nonattainment days of 160 mu g/m(3) (daily maximum 8-h) are mainly concentrated in BTH, Shandong Peninsula and YRD, where large seasonal variations were also found. Exposure levels were calculated based on population data and simulated ozone concentrations. The cumulative population exposed to daily maximum 8-h concentration greater than or equal to 100 mu g/m(3) was 816.04 million, 61.17% of the total. Three methods were used to estimate the mortality of chronic obstructive pulmonary disease (COPD) attributable to ozone. A comparative study using different exposure concentrations and threshold concentrations found large variations among these methods, although they were all peer-reviewed methods. The estimated mortality of COPD caused by ozone in China in 2015 ranged from 55341 to 80280, which mainly distributed in Beijing, Shandong, Henan, Hubei and Sichuan Province, the YRD and PRD region.