To tackle the problem of severe air pollution, China has implemented active clean air policies in recent years. As a consequence, the emissions of major air pollutants have decreased and the air quality has substantially improved. Here, we quantified China's anthropogenic emission trends from 2010 to 2017 and identified the major driving forces of these trends by using a combination of bottom-up emission inventory and index decomposition analysis (IDA) approaches. The relative change rates of China's anthropogenic emissions during 2010–2017 are estimated as follows: −62 % for SO₂, −17 % for NO_x, +11 % for nonmethane volatile organic compounds (NMVOCs), +1 % for NH₃, −27 % for CO, −38 % for PM₁₀, −35 % for PM_2.5, −27 % for BC, −35 % for OC, and +16 % for CO₂. The IDA results suggest that emission control measures are the main drivers of this reduction, in which the pollution controls on power plants and industries are the most effective mitigation measures. The emission reduction rates markedly accelerated after the year 2013, confirming the effectiveness of China's Clean Air Action that was implemented since 2013. We estimated that during 2013–2017, China's anthropogenic emissions decreased by 59 % for SO₂, 21 % for NO_x, 23 % for CO, 36 % for PM₁₀, 33 % for PM_2.5, 28 % for BC, and 32 % for OC. NMVOC emissions increased and NH₃ emissions remained stable during 2010–2017, representing the absence of effective mitigation measures for NMVOCs and NH₃ in current policies. The relative contributions of different sectors to emissions have significantly changed after several years' implementation of clean air policies, indicating that it is paramount to introduce new policies to enable further emission reductions in the future.

From 2013 to 2017, with the implementation of the toughest-ever clean air policy in China, significant declines in fine particle (PM _2.5 ) concentrations occurred nationwide. Here we estimate the drivers of the improved PM _2.5 air quality and the associated health benefits in China from 2013 to 2017 based on a measure-specific integrated evaluation approach, which combines a bottom-up emission inventory, a chemical transport model, and epidemiological exposure-response functions. The estimated national population–weighted annual mean PM _2.5 concentrations decreased from 61.8 (95%CI: 53.3–70.0) to 42.0 µg/m ³ (95% CI: 35.7–48.6) in 5 y, with dominant contributions from anthropogenic emission abatements. Although interannual meteorological variations could significantly alter PM _2.5 concentrations, the corresponding effects on the 5-y trends were relatively small. The measure-by-measure evaluation indicated that strengthening industrial emission standards (power plants and emission-intensive industrial sectors), upgrades on industrial boilers, phasing out outdated industrial capacities, and promoting clean fuels in the residential sector were major effective measures in reducing PM _2.5 pollution and health burdens. These measures were estimated to contribute to 6.6- (95% CI: 5.9–7.1), 4.4- (95% CI: 3.8–4.9), 2.8- (95% CI: 2.5–3.0), and 2.2- (95% CI: 2.0–2.5) µg/m ³ declines in the national PM _2.5 concentration in 2017, respectively, and further reduced PM _2.5 -attributable excess deaths by 0.37 million (95% CI: 0.35–0.39), or 92% of the total avoided deaths. Our study confirms the effectiveness of China’s recent clean air actions, and the measure-by-measure evaluation provides insights into future clean air policy making in China and in other developing and polluting countries.

Air pollution has altered the Earth’s radiation balance, disturbed the ecosystem, and increased human morbidity and mortality. Accordingly, a full-coverage high-resolution air pollutant data set with timely updates and historical long-term records is essential to support both research and environmental management. Here, for the first time, we develop a near real-time air pollutant database known as Tracking Air Pollution in China (TAP, http://tapdata.org.cn/) that combines information from multiple data sources, including ground observations, satellite aerosol optical depth (AOD), operational chemical transport model simulations, and other ancillary data such as meteorological fields, land use data, population, and elevation. Daily full-coverage PM_2.5 data at a spatial resolution of 10 km is our first near real-time product. The TAP PM_2.5 is estimated based on a two-stage machine learning model coupled with the synthetic minority oversampling technique and a tree-based gap-filling method. Our model has an averaged out-of-bag cross-validation R² of 0.83 for different years, which is comparable to those of other studies, but improves its performance at high pollution levels and fills the gaps in missing AOD on daily scale. The full coverage and near real-time updates of the daily PM_2.5 data allow us to track the day-to-day variations in PM_2.5 concentrations over China in a timely manner. The long-term records of PM_2.5 data since 2000 will also support policy assessments and health impact studies. The TAP PM_2.5 data are publicly available through our website for sharing with the research and policy communities.

Based on the exposure data sets from the Tracking Air Pollution in China (TAP, http://tapdata.org.cn/), we characterized the spatiotemporal variations in PM_2.5 and O₃ exposures and quantified the long- and short-term exposure related premature deaths during 2013–2020 with respect to the two-stage clean air actions (2013–2017 and 2018–2020). We find a 48% decrease in national PM_2.5 exposure during 2013–2020, although the decrease rate has slowed after 2017. At the same time, O₃ pollution worsened, with the average April–September O₃ exposure increased by 17%. The improved air quality led to 308 thousand and 16 thousand avoided long- and short-term exposure related deaths, respectively, in 2020 compared to the 2013 level, which was majorly attributed to the reduction in ambient PM_2.5 concentration. It is also noticed that with smaller PM_2.5 reduction, the avoided long-term exposure associated deaths in 2017–2020 (13%) was greater than that in 2013–2017 (9%), because the exposure–response curve is nonlinear. As a result of the efforts in reducing PM_2.5-polluted days with the daily average PM_2.5 higher than 75 μg/m³ and the considerable increase in O₃-polluted days with the daily maximum 8 h average O₃ higher than 160 μg/m³, deaths attributable to the short-term O₃ exposure were greater than those due to PM_2.5 exposure since 2018. Future air quality improvement strategies for the coordinated control of PM_2.5 and O₃ are urgently needed.