The cities of Chengdu, Deyang, and Mianyang in the northwest Sichuan Basin are part of a rapidly developing urban agglomeration adjoining the eastern slopes of the Tibetan Plateau. Heavy air pollution events have frequently occurred over these cities in recent decades, but the effects of meteorological conditions on these pollution events are unclear. We explored the effects of weather systems on winter heavy air pollution from 1 January 2006 to 31 December 2012 and from 1 January 2014 to 28 February 2017. A total of 10 heavy air pollution events occurred during the research period and 8 of these took place while the region was affected by a dry low-pressure system at 700 hPa. When the urban agglomeration was in front of the low-pressure system and the weather conditions were controlled by a warm southerly air flow, a strong temperature inversion appeared above the atmospheric boundary layer acting as a lid. Forced by this strong inversion layer, the local secondary circulation was confined to the atmospheric boundary layer, and the horizontal wind speed in the lower troposphere was low. As a result, vertical mixing and horizontal dispersion in the atmosphere were poor, favoring the formation of heavy air pollution events. After the low-pressure system had transited over the region, the weather conditions in the urban agglomeration were controlled by a dry and cold air flow from the northwest at 700 hPa. The strong inversion layer gradually dissipated, the secondary circulation enhanced and uplifted, and the horizontal wind speed in the lower troposphere also increased, resulting in a sharp decrease in the concentration of air pollutants. The strong inversion layer above the atmospheric boundary layer induced by the low-pressure system at 700 hPa thus played a key role in the formation of heavy air pollution during the winter months in this urban agglomeration. This study provides scientific insights for forecasting heavy air pollution in this region of China.

Objective: Adverse health effects of fine particles (particulate matter _2.5 ) have been well documented by a series of studies. However, evidences on the impacts of black carbon (BC) or elemental carbon (EC) on health are limited. The objectives were (1) to explored the effects of BC and EC on cardiovascular and respiratory morbidity and mortality, and (2) to verified the reliability of the meta-analysis by drawing p value plots. Design: The systematic review and meta-analysis using adapted Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and p value plots approach. Data sources: PubMed, Embase and Web of Science were searched from inception to 19 July 2021. Eligibility criteria for selecting studies: Time series, case cross-over and cohort studies that evaluated the associations between BC/EC on cardiovascular or respiratory morbidity or mortality were included. Data extraction and synthesis: Two reviewers independently selected studies, extracted data and assessed risk of bias. Outcomes were analysed via a random effects model and reported as relative risk (RR) with 95% CI. The certainty of evidences was assessed by adapted GRADE. The reliabilities of meta-analyses were analysed by p value plots. Results: Seventy studies met our inclusion criteria. (1) Short-term exposure to BC/EC was associated with 1.6% (95% CI 0.4% to 2.8%) increase in cardiovascular diseases per 1 µg/m ³ in the elderly; (2) Long-term exposure to BC/EC was associated with 6.8% (95% CI 0.4% to 13.5%) increase in cardiovascular diseases and (3) The p value plot indicated that the association between BC/EC and respiratory diseases was consistent with randomness. Conclusions: Both short-term and long-term exposures to BC/EC were related with cardiovascular diseases. However, the impact of BC/EC on respiratory diseases did not present consistent evidence and further investigations are required. PROSPERO registration number: CRD42020186244.