Fine particulate matter pollution in the Sichuan Basin of China from 2013 to 2020: Sources, emissions, and mortality burden.

Fine particulate matter (PM) pollution is a critical air quality concern which poses threats to public health. Despite strict air pollution control measures implemented in China since 2013, PM exceedances and region-wide PM episodes are still frequently observed in the Sichuan Basin (SCB) located in southwestern China. Here, we examine ambient PM pollution within the SCB from 2013 to 2020, focusing on emission sources, trends, and health outcomes. By integrating ambient measurements, emission inventories, and the health impact model, our findings reveal a notable decrease in PM levels across the basin, with the Chengdu Plain showing a significant reduction of 56 μg/m in 2020 compared to 2013. Despite these improvements, it is still challenging for densely populated cities to attain the national air quality standards. We highlight a 46.8 % reduction in PM emissions from 2013 to 2020, driven largely by decreased emissions from residential and industrial sources, which accounted for an average of 38.6 % and 50.3 % of total reduced emissions, respectively. In contrast, the decreases of NO emissions (26.0 %) were less pronounced compared to PM due to modest reductions from industrial and transportation sectors. Health impact assessments at 1 km × 1 km using the GEMM model attributes 157,637 deaths to long-term PM exposure in the SCB for 2017, with stroke and ischemic heart disease identified as leading causes. Further analysis indicates that significant variations in population density could greatly amplify the health impacts of long-term PM exposure, highlighting the need to prioritize PM reduction strategies specifically targeting megacities to maximize health benefits. These findings underscore the critical need for ongoing emission reduction efforts and the implementation of targeted pollution control measures to further improve air quality and reduce mortality burden in the SCB.