Over the past decades, Beijing, the capital city of China, has encountered increasingly frequent persistent haze events (PHE). While the increased pollutant emissions are considered as the most important reason, changes in regional atmospheric circulations associated with large-scale climate warming also play a role. In this study, we find a significant positive trend of PHE in Beijing for the winters from 1980 to 2016 based on updated daily observations. This trend is closely related to an increasing frequency of extreme anomalous southerly episodes in North China, a weakened East Asian trough in the mid-troposphere and a northward shift of the East Asian jet stream in the upper troposphere. These conditions together depict a weakened East Asian winter monsoon (EAWM) system, which is then found to be associated with an anomalous warm, high-pressure system in the middle–lower troposphere over the northwestern Pacific. A practical EAWM index is defined as the seasonal meridional wind anomaly at 850 hPa in winter over North China. Over the period 1900–2016, this EAWM index is positively correlated with the sea surface temperature anomalies over the northwestern Pacific, which indicates a wavy positive trend, with an enhanced positive phase since the mid-1980s. Our results suggest an observation-based mechanism linking the increase in PHE in Beijing with large-scale climatic warming through changes in the typical regional atmospheric circulation.

Climate change is causing the surface temperature to rise and the extreme weather events to increase in frequency and intensity, which will pose potential threats to the survival and health of residents. Beijing is facing multiple challenges such as coping with climate change, urbanization, and population aging, which puts huge decision-making pressure on decision maker. However, few studies that systematically consider the health effects of climate change, urbanization, and population aging for China. Based on the distributed lag nonlinear model (DLNM) and 13 global climate models in the Coupled Model Intercomparison Project Phase 6 (CMIP6), this study obtained the temporal and spatial distribution of surface temperature through statistical downscaling methods, and comprehensively explored the independent and comprehensive effects of urbanization and population aging on the projection of future temperature-related cardiovascular disease (CVD) mortality in the context of climate and population change. The results showed that only improving urbanization can reduce future temperature-related CVD mortality by 1.7-18.3%, and only intensified aging can increase future temperature-related CVD mortality by 48.8-325.9%. Taking into account the improving urbanization and intensified aging, future temperature-related CVD mortality would increase by 44.1-256.6%, and the increase was slightly lower than that of only intensified aging. Therefore, the intensified aging was the biggest disadvantage in tackling climate change, which would obviously magnify the mortality risks of temperature-related CVD in the future. Although the advancement of urbanization would alleviate the adverse effects of the intensified aging population, the mitigation effects would be limited. Even so, Urbanization should be continued to reduce health risks for residents. These findings would contribute to formulate policies related to mitigate climate change and reduce baseline mortality rate (especially the elderly) in international mega-city - Beijing. In addition, relevant departments should improve the medical health care level and optimize the allocation of social resources to better cope with and adapt to climate change.