With rapid economic growth, China has witnessed increasingly frequent and severe haze and smog episodes over the past decade, posing serious health impacts to the Chinese population, especially those in densely populated city clusters. Quantification of the spatial and temporal variation of health impacts attributable to ambient fine particulate matter (PM2.5) has important implications for China's policies on air pollution control. In this study, we evaluated the spatial distribution of premature deaths in China between 2000 and 2010 attributable to ambient PM2.5 in accord with the Global Burden of Disease based on a high resolution population density map of China, satellite retrieved PM2.5 concentrations, and provincial health data. Our results suggest that China's anthropogenic ambient PM2.5 led to 1,255,400 premature deaths in 2010, 42% higher than the level in 2000. Besides increased PM2.5 concentration, rapid urbanization has attracted large population migration into the more developed eastern coastal urban areas, intensifying the overall health impact. In addition, our analysis implies that health burdens were exacerbated in some developing inner provinces with high population density (e.g. Henan, Anhui, Sichuan) because of the relocation of more polluting and resource-intensive industries into these regions. In order to avoid such national level environmental inequities, China's regulations on PM2.5 should not be loosened in inner provinces. Furthermore policies should create incentive mechanisms that can promote transfer of advanced production and emissions control technologies from the coastal regions to the interior regions.

With most eastern Chinese cities facing major air quality challenges, there is a strong need for city-scale emission inventories for use in both chemical transport modeling and the development of pollution control policies. In this paper, a high-resolution emission inventory of air pollutants and CO₂ for Nanjing, a typical large city in the Yangtze River Delta, is developed incorporating the best available information on local sources. Emission factors and activity data at the unit or facility level are collected and compiled using a thorough onsite survey of major sources. Over 900 individual plants, which account for 97% of the city's total coal consumption, are identified as point sources, and all of the emission-related parameters including combustion technology, fuel quality, and removal efficiency of air pollution control devices (APCD) are analyzed. New data-collection approaches including continuous emission monitoring systems and real-time monitoring of traffic flows are employed to improve spatiotemporal distribution of emissions. Despite fast growth of energy consumption between 2010 and 2012, relatively small inter-annual changes in emissions are found for most air pollutants during this period, attributed mainly to benefits of growing APCD deployment and the comparatively strong and improving regulatory oversight of the large point sources that dominate the levels and spatial distributions of Nanjing emissions overall. The improvement of this city-level emission inventory is indicated by comparisons with observations and other inventories at larger spatial scale. Relatively good spatial correlations are found for SO₂, NO_X, and CO between the city-scale emission estimates and concentrations at 9 state-opertated monitoring sites (R = 0.58, 0.46, and 0.61, respectively). The emission ratios of specific pollutants including BC to CO, OC to EC, and CO₂ to CO compare well to top-down constraints from ground observations. The inter-annual variability and spatial distribution of NO_X emissions are consistent with NO₂ vertical column density measured by the Ozone Monitoring Instrument (OMI). In particular, the Nanjing city-scale emission inventory correlates better with satellite observations than the downscaled Multi-resolution Emission Inventory for China (MEIC) does when emissions from power plants are excluded. This indicates improvement in emission estimation for sectors other than power generation, notably industry and transportation. High-resolution emission inventory may also provide a basis to consider the quality of instrumental observations. To further improve emission estimation and evaluation, more measurements of both emission factors and ambient levels of given pollutants are suggested; the uncertainties of emission inventories at city scale should also be fully quantified and compared with those at national scale.