North China is among the most polluted
regions in the country,
and human exposure to PM2.5 (particulate matter with an
aerodynamic diameter less than 2.5 μm) in this region has led
to severe health consequences. The region has also benefited the most
from emission reductions in recent years. It is of interest to understand
to what extent and through which paths emissions from different sectors
cause adverse health impacts. Here, we present the results of a full
evaluation of the health benefits of emission control actions implemented
in recent years based on segregated emission inventories with an emphasis
on residential emissions. Two major causal paths, one from residential
emissions to indoor air pollution, exposure, and premature deaths,
and the other from nonresidential emissions to ambient air pollution
and psychophysical impacts, were identified and quantified. From 2014
to 2019, both ambient (33%) and indoor (39%) PM2.5 decreased
significantly, leading to decreasing trends in exposure (36%), premature
deaths (10%), and psychophysical impacts (21%). The Air Pollution
Prevention and Control Action Plan, the Clean Heating Campaign, and
spontaneous residential shifts to clean energy contributed significantly
to these reductions when the effects of other drivers, such as population
and economic growth, were excluded.