Time series of the average annual Palmer drought severity index (PDSI) and standardized precipitation index (SPI) were calculated for 483 meteorological stations in China using monthly data from 1961 to 2005. The time series were analyzed for 10 large regions covering the territory of China and represented by seven river basins and three areas in the southeast, southwest, and northwest. Results show that the frequencies of both dry and wet years for the whole period are lower for southern basins than for the northern ones when estimated by PDSI but very similar for all basins when calculated by SPI. The frequencies of dry and wet years calculated for 5- and 15-yr subperiods by both indices show the upward dry trends for three northeastern basins, Songhuajiang, Liaohe, and Haihe; a downward dry trend for the northwest region; a downward wet trend for the Yellow River basin; and an upward wet trend for the northwest region. Trend detection using PDSI indicates statistically significant negative trends for many stations in the northeastern basins (Songhuajiang, Liaohe, Haihe, and Yellow) and in the middle part of the Yangtze, whereas statistically significant positive trends were found in the mountainous part of the northwest region and for some stations in the upper and lower Yangtze. A moderately high and statistically significant correlation between the percentage of runoff anomaly (PRA) and the annual average PDSI and SPI was found for six large rivers. The results confirm that PDSI and SPI indices can be used to describe the tendency of dryness and wetness severity and for comparison in climate impact assessment.

The increase in surface air temperature in China has been faster than the global rate, and more high temperature spells are expected to occur in future. Here we assess the annual heat-related mortality in densely populated cities of China at 1.5 °C and 2.0 °C global warming. For this, the urban population is projected under five SSPs, and 31 GCM runs as well as temperature-mortality relation curves are applied. The annual heat-related mortality is projected to increase from 32.1 per million inhabitants annually in 1986–2005 to 48.8–67.1 per million for the 1.5 °C warming and to 59.2–81.3 per million for the 2.0 °C warming, taking improved adaptation capacity into account. Without improved adaptation capacity, heat-related mortality will increase even stronger. If all 831 million urban inhabitants in China are considered, the additional warming from 1.5 °C to 2 °C will lead to more than 27.9 thousand additional heat-related deaths, annually.