The urban agglomeration of Yangtze River Delta (YRD) is emblematic of China's rapid urbanization during the past decades. Based on homogenized daily maximum and minimum temperature data, the contributions of urbanization to trends of summer extreme temperature indices (ETIs) in YRD are evaluated. Dynamically classifying the observational stations into urban and rural, this study presents unexplored changes in temperature extremes during the past four decades in YRD and quantifies the amplification of the positive trends in ETIs by the urban heat island effect. Overall, urbanization contributes to more than one third of the increase of intensity of extreme heat events in the region, which is comparable to the contribution of greenhouse gases. Compared to rural stations, more notable shifts to the right in the probability distribution of temperature and ETIs are found in urban stations. The rapid urbanization in YRD has resulted in large increases in the risk of heat extremes.

It is well known that urban areas are typically hotter than the surrounding (vegetated) rural areas. However, the contribution of urbanization to the trends of extreme temperature events such as heat waves (HWs) is less understood. Using a homogenized meteorological dataset drawn from nearly 2,000 stations in China, we find that urban and rural areas have different HW trends and the urban‐rural contrast of HW trends varies across climate regimes. In wet climates, the increasing trends of HWs in urban areas are greater than those in rural areas, suggesting a positive contribution of urbanization to HW trends. In arid regions, the urbanization contribution to HW trends is smaller and even negative. The stronger urbanization contribution to HW trends in wet climates is linked to the smaller variability of urban heat island intensity. This study highlights the important role of local hydroclimate in modulating the urbanization contribution to extreme temperatures.

Environmental Health Perspectives is an Open Access journal published by the National Institute of Environmental Health Sciences. Environmental Health Perspectives is an Open Access journal published by the National Institute of Environmental Health Sciences.

Limited evidence is available on the health effects of particulate matter with an aerodynamic diameter of <1 μm (PM1), mainly due to the lack of its ground measurement worldwide. To identify and examine the mortality risks and mortality burdens associated with PM1, PM2.5, and PM10 in Zhejiang province, China. We collected daily data regarding all-cause (stratified by age and gender), cardiovascular, stroke, respiratory, and chronic obstructive pulmonary disease (COPD) mortality, and PM1, PM2.5, and PM10, from 11 cities in Zhejiang province, China during 2013 and 2017. We used a quasi-Poisson regression model to estimate city-specific associations between mortality and PM concentrations. Then we used a random-effect meta-analysis to pool the provincial estimates. To show the mortality burdens of PM1, PM2.5, and PM10, we calculated the mortality fractions and deaths attributable to these PMs. Daily concentrations of PM1, PM2.5, and PM10 ranged between 0-199 μg/m3, 0-218 μg/m3, and 0-254 μg/m3, respectively; Mortality effects were significant in lag 0-2 days. The relative risks for all-cause mortality were 1.0064 (95% CI: 1.0034, 1.0094), 1.0061 (95% CI: 1.0034, 1.0089), and 1.0060 (95% CI: 1.0038, 1.0083) associated with a 10 μg/m3 increase in PM1, PM2.5, and PM10, respectively. Age- and gender-stratified analysis shows that elderly people (aged 65+) and females are more sensitive to PMs. The mortality fractions of all-cause mortality were estimated to be 2.39% (95% CI: 1.28, 3.48) attributable to PM1, 2.53% (95% CI: 1.42, 3.63) attributable to PM2.5, and 3.08% (95% CI: 1.95, 4.19) attributable to PM10. The ratios of attributable cause-specific deaths for PM1/PM2.5, PM1/PM10, and PM2.5/PM10 were higher than the ratios of their respective concentrations. PM1, PM2.5 and PM10 are risk factors of all-cause, cardiovascular, stroke, respiratory, and COPD mortality. PM1 accounts for the vast majority of short-term PM2.5- and PM10-induced mortality. Our analyses support the notion that smaller size fractions of PM have a more toxic mortality impacts, which suggests to develop strategies to prevent and control PM1 in China, such as to foster strict regulations for automobile and industrial emissions.