“…In this study, all-cause, circulatory, and respiratory mortality were significantly influenced by combined events. The joint effects between in air pollution and cold spell for all-cause mortality, nonaccidental mortality, cardiovascular mortality, respiratory mortality, or mental disease were found in previous studies. ,,, When exposed to cold temperature or air pollution, the airway epithelium is irritated, which causes the body to respond with coughing, bronchoconstriction, and mucosal secretion. , Cold stress and PM 2.5 experiments in adulthood of mice showed that coexposure may promote the deterioration of asthma symptoms by increasing inflammatory cytokines, ROS formation, Th2/Th1 imbalance, and suppressing the differentiation of Th17 toward Treg cells. , Further deaths from respiratory disease will occur in sensitive individuals (e.g., elderly people, etc. ). , Although no joint effect research showed an association between combined events and circulatory mortality, the circulatory system remains one of the leading causes of death from cold spell events or air pollution events.…”