Air pollution kills nearly 1 million people per year in China. In response, the Chinese government implemented the Air Pollution Prevention and Control Action Plan (APPCAP) from 2013 to 2017 which had a significant impact on reducing PM_2.5 concentration. However, the health benefits of the APPCAP are not well understood. Here we examine the spatiotemporal dynamics of annual deaths attributable to PM_2.5 pollution (DAPP) in China and the contribution from the APPCAP using decomposition analysis. Despite a 36.1% increase in DAPP from 2000 to 2017, The APPCAP-induced improvement in air quality achieved substantial health benefits, with the DAPP in 2017 reduced by 64 thousand (6.8%) compared to 2013. However, the policy is unlikely to result in further major reductions in DAPP and more ambitious policies are required to reduce the health impacts of air pollution by 2030 and meet the United Nation’s Sustainable Development Goal 3.

The United Nations’ Sustainable Development Goal (SDG) 3.9 calls for a substantial reduction in deaths attributable to PM_2.5 pollution (DAPP). However, DAPP projections vary greatly and the likelihood of meeting SDG3.9 depends on complex interactions among environmental, socio-economic, and healthcare parameters. We project potential future trends in global DAPP considering the joint effects of each driver (PM_2.5 concentration, death rate of diseases, population size, and age structure) and assess the likelihood of achieving SDG3.9 under the Shared Socioeconomic Pathways (SSPs) as quantified by the Scenario Model Intercomparison Project (ScenarioMIP) framework with simulated PM_2.5 concentrations from 11 models. We find that a substantial reduction in DAPP would not be achieved under all but the most optimistic scenario settings. Even the development aligned with the Sustainability scenario (SSP1-2.6), in which DAPP was reduced by 19%, still falls just short of achieving a substantial (≥20%) reduction by 2030. Meeting SDG3.9 calls for additional efforts in air pollution control and healthcare to more aggressively reduce DAPP.

Since the reform and opening up, China’s urbanization level has increased rapidly, with the urbanization rate rising from 17.92% in 1978 to 63.89% in 2020. At the same time, the extreme expansion of urban space has gradually become a common phenomenon, and the problem of urban sprawl has become a stumbling block to the high-quality development of Chinese cities. The traditional single-indicator method and multi-indicator method have obvious shortcomings in the richness of index dimension and the subjectivity of indicator selection, respectively, when measuring urban sprawl quantitatively. In this study, based on the weighted urban proliferation (WUP) model, we integrated the three independent dimensions of urban permeation (UP), dispersion of built-up areas (DIS), and utilization density (UD) to verify the applicability and feasibility of the model for quantifying the spatiotemporal pattern of urban sprawl, taking the Bohai Rim region in China as an example. There were four main results. Most cities in the Bohai Rim region had a moderate-to-high level of urban sprawl, with obvious spatial heterogeneity by province. The average WUP of cities in the Bohai Rim region increased by 61.83% from 2000 to 2020, and cities with moderate urban sprawl became cities with high sprawl. The urban sprawl process in the Bohai Rim region accelerated during 2010−2015 and stabilized thereafter. The increase in WUP caused by the growth of built-up areas is the main driver of urban sprawl in the Bohai Rim region. This study found that the WUP model can be effectively applied to the Bohai Rim region of China, where it reflects the multidimensional features of urban sprawl and provides new insight into its spatiotemporal pattern.