The lockdown response to coronavirus disease 2019 (COVID-19) has caused an unprecedented reduction in global economic and transport activity. We test the hypothesis that this has reduced tropospheric and ground-level air pollution concentrations, using satellite data and a network of >10,000 air quality stations. After accounting for the effects of meteorological variability, we find declines in the population-weighted concentration of ground-level nitrogen dioxide (NO ₂ : 60% with 95% CI 48 to 72%), and fine particulate matter (PM _2.5 : 31%; 95% CI: 17 to 45%), with marginal increases in ozone (O ₃ : 4%; 95% CI: −2 to 10%) in 34 countries during lockdown dates up until 15 May. Except for ozone, satellite measurements of the troposphere indicate much smaller reductions, highlighting the spatial variability of pollutant anomalies attributable to complex NO _x chemistry and long-distance transport of fine particulate matter with a diameter less than 2.5 µm (PM _2.5 ). By leveraging Google and Apple mobility data, we find empirical evidence for a link between global vehicle transportation declines and the reduction of ambient NO ₂ exposure. While the state of global lockdown is not sustainable, these findings allude to the potential for mitigating public health risk by reducing “business as usual” air pollutant emissions from economic activities. Explore trends here: https://nina.earthengine.app/view/lockdown-pollution .

Global warming is leading to increased heat stress in many regions around the world. An extensive number of heat stress indicators (HSIs) has been developed to measure the associated impacts on human health. Here we calculate eight HSIs for global climate models participating in the Coupled Model Intercomparison Project Phase 6 (CMIP6). We compare their future trends as function of global mean temperature, with particular focus on highly populated regions. All analyzed HSIs increase significantly (p < 0.01) in all considered regions. Moreover, the different HSIs reveal a substantial spread ranging from trends close to the rate of global mean temperature up to an amplification of more than a factor of two. Trends change considerably when normalizing the HSIs by accounting for the different scales on which they are defined, but the large spread and strong trends remain. Consistently, exceedances of impact‐relevant thresholds are strongly increasing globally, including in several densely populated regions, but also show substantial spread across the selected HSIs. The indicators with the highest exceedance rates vary for different threshold levels, suggesting that the large indicator spread is associated both to differences in trend magnitude and the definition of threshold levels. These results highlight the importance of choosing indicators and thresholds that are appropriate for the respective impact under consideration. Additionally, further validation of HSIs regarding their capability to quantify heat impacts on human health on regional‐to‐global scales would be of great value for assessing global impacts of future heat stress more reliably.

Previous health impact assessments of temperature-related mortality in Europe indicated that the mortality burden attributable to cold is much larger than for heat. Questions remain as to whether climate change can result in a net decrease in temperature-related mortality. In this study, we estimated how climate change could affect future heat-related and cold-related mortality in 854 European urban areas, under several climate, demographic and adaptation scenarios. We showed that, with no adaptation to heat, the increase in heat-related deaths consistently exceeds any decrease in cold-related deaths across all considered scenarios in Europe. Under the lowest mitigation and adaptation scenario (SSP3-7.0), we estimate a net death burden due to climate change increasing by 49.9% and cumulating 2,345,410 (95% confidence interval = 327,603 to 4,775,853) climate change-related deaths between 2015 and 2099. This net effect would remain positive even under high adaptation scenarios, whereby a risk attenuation of 50% is still insufficient to reverse the trend under SSP3-7.0. Regional differences suggest a slight net decrease of death rates in Northern European countries but high vulnerability of the Mediterranean region and Eastern Europe areas. Unless strong mitigation and adaptation measures are implemented, most European cities should experience an increase of their temperature-related mortality burden.

The lockdown response to COVID-19 has resulted in an unprecedented reduction in global economic activity and associated air pollutant levels, especially from a decline in land transportation. We utilized a network of >10,000 air quality stations distributed over 34 countries during lockdown dates up until 15 May 2020 to obtain lockdown related anomalies for nitrogen dioxide, ozone and particulate matter smaller than 2.5 μm in diameter (PM2.5). Pollutant anomalies were related to short-term health outcomes using empirical exposure-response functions. We estimate that there were a net total of 49,900 (11,000 to 90,000; 95% confidence interval) excess deaths and 89,000 (64,700 to 107,000) pediatric asthma emergency room visits avoided during lockdowns. In China and India alone, the PM2.5-related avoided excess mortality was 19,600 (15,300 to 24,000) and 30,500 (5700 to 68,000), respectively. While the state of COVID-19 imposed lockdown is not sustainable, these findings illustrate the potential health benefits gained by reducing “business as usual” air pollutant emissions from economic activities primarily through finding alternative transportation solutions.