Research on resilience assessment method of train control on-board system.

To address the problem of difficult performance assessment of train control on-board system after recovery from failures, we have proposed a resilience assessment methodology that uses reliability as an indicator of system resilience. Since the system failures are time-dependent, we adopted the Discrete Time Bayesian Network method to obtain the system's reliability before and after failure. Subsequently, we used an exponential recovery model to quantify the system's performance curve during the recovery phase, and finally utilized the resilient triangle area method to quantify its resilience size. Analyzing the CTCS3-300T train control on-board system, we found that the resilience of the system with cold standby redundancy design and hot standby redundancy design were 89.44 % and 87.34 %, respectively, indicating a slight decrease in system performance after recovery from failures compared to pre-failure levels. At that time, it was necessary to adjust operational plans based on actual conditions to avoid greater impact on the railway network. This paper realizes performance resilience of train control on-board system after failure recovery, which can be applied to similar systems and provide theoretical references for realizing intelligent maintenance of the high-speed train.

An improved global resilience assessment method for urban drainage systems: A case study of Haidian Island, south China.

Resilience assessment for urban drainage systems is a fundamental aspect of building resilient cities. Recently, some scholars have proposed the Global Resilience Analysis (GRA) method, which assesses resilience based on the functional performance of different system failure scenarios. Compared to traditional system dynamics methods, the GRA method considers the impact of internal structural failure on resilience but requires a large amount of computation. This research proposed an improved GRA method to enhance computational efficiency and practicality by reducing the number of system scenario simulations. Firstly, a hydrodynamic model of the drainage network of Haidian Island has been constructed using the Storm Water Management Model (SWMM) and Python. Secondly, the GRA method was improved using cluster analysis and convergence analysis to reduce the simulation scenarios. Thirdly, a resilience assessment index was established through system function functions, and two types of resilience enhancement measures, centralized and distributed, were proposed. The results show: (i) resilience assessment increases the computational efficiency by 25% compared to the traditional GRA method; (ii) the resilience index of the existing drainage network within Haidian Island is less than the design value (0.7) in all failure scenarios, indicating a lower level of recovery capability; (iii) compared to the centralized strategy, which is only effective when the system failure level is less than 9%, the distributed strategy enhances the resilience of the urban drainage system at a higher failure level (77%).

A psychometric study of the revised Chinese version of the family resilience assessment scale among children disadvantaged due to family migration.

OBJECTIVE: The family system is important for children's development. Previous research has demonstrated that some families are able to maintain good adaptability or resilience in the face of stressors. This study aimed to develop the revised Chinese version of the Family Resilience Assessment Scale and examine the psychometric properties of the scale among children disadvantaged in adversity due to family migration. METHODS: A total of 1487 children (47.6 % girls) from disadvantaged families participated in this study, whom completed the revised Chinese version of the Family Resilience Assessment Scale, the Chinese version of the Connor-Davidson Resilience Scale, and the Center for Epidemiologic Studies Depression Scale for Children. RESULTS: (1) Good language equivalency was found (Intraclass Correlation Coefficient = 0.96); (2) Item analysis indicated that the critical ratio values of all 45 items were above 0.30 (p < 0.001), except for 7 items that were dropped from further analysis; (3) The exploratory factor analysis indicated that the best model was four-factor model; (4) The confirmatory factor analysis showed that the four-factor model had good model fit; (5) Family resilience was significantly correlated with personal resilience and depression; (6) The internal consistency reliability of the scale was 0.95. CONCLUSIONS: This study confirmed that the revised Chinese version of the Family Resilience Assessment Scale was a reliable and valid instrument to assess family resilience of Chinese children who are disadvantaged.

Index-based tools for livelihood security and resilience assessment (LiSeRA) in lower Mekong Basin.

This paper presents a framework and toolkit for assessment of multi-hazard livelihood security and resilience in the Lower Mekong Basin (LMB) communities. The LMB is a subsidiary region of the Mekong region in South East Asia, and is frequently exposed to hydrometeorological hazards and anthropogenic stressors that expose and directly affect the livelihoods of more than sixty-five million people living in the region. The main purpose of the study is to support decision-making and risk management planning through integration of the concepts of livelihood security and resilience into a holistic framework, and subsequently developing an index-based toolkit for conducting assessments. Firstly, dimensions, sub-dimensions and indicators for measurement of livelihood security and resilience in the LMB were identified through comprehensive literature review and expert consultation. Then, several local workshops were conducted with various stakeholders (researchers, government officials, community people) in the LMB region to validate the indicators and generate weightages. The indicators were then arranged in a matriculated form, and the weightages were used to generate the algorithm for computing the quantitative outputs of livelihood security and resilience in study area. An Excel toolkit and a 'R' programming package were developed using the algorithm for visualization of the assessment outcomes. The proposed framework and toolkit are expected to assist researchers, government officials and development professionals in generating robust resilience assessment indices for risk informed decision-making and planning. Brief outline of the method •Livelihood security and resilience concepts were integrated to generate a holistic assessment framework and an indicator library.•Weightages for indicators were generated using the Analytical Hierarchical Process (AHP) through consultation with relevant stakeholders.•The indicator library was developed into an algorithm-based Excel and 'R' programming toolkit that provides quantitative assessment outputs.

Resilience assessment of the nitrogen flow system in food production and consumption for sustainable development on the Qinghai-Tibet Plateau.

A robust and resilient nitrogen (N) flow system can effectively ensure consistent food production and consumption activities while preserving environmental quality. In this study, we constructed an indicator system to evaluate N flow system resilience including food production and consumption, at the county scale on the Qinghai-Tibet Plateau (QTP) from 1998 to 2018. The subsystem coupling coordination degree (CCD) and the effect of N losses on N flow system resilience were subsequently explored. The results indicated that despite the overall N flow system resilience remaining low and exhibiting spatiotemporal disparities from 1998 to 2018, over 90 % of the counties experienced improvements. High resilience areas (>0.15) were mainly concentrated in some counties in Sichuan Province, where N losses were positively correlated with system resilience. The level of resilience depended on agricultural and livestock development, and the CCD of subsystems was also high (>0.5) in this region, with the most balanced environmental and socioeconomic development. The low system resilience areas were concentrated in the eastern part of the QTP, where human activities caused substantial disturbances. The fragmentation of the agro-pastoral system coupled with the low system resilience of the food production and driving pressure subsystems led to low CCD between subsystems. In contrast, the western regions, characterized by a stable food production system, high food self-sufficiency, and weak dependence on external systems, showed a higher degree of system resilience and resistance. Our findings provide a reference for N resource management and policy formulation for food production and consumption in the agricultural and pastoral areas of the QTP.

Bioprotection of Transportation and Facilities from SARS-CoV-2 (COVID-19).

The recent COVID-19 pandemic has led to a nearly world-wide shelter-in-place strategy. This raises several natural concerns about the safe relaxing of current restrictions. This article focuses on the design and operation of heating ventilation and air conditioning (HVAC) systems in the context of transportation. Do HVAC systems have a role in limiting viral spread? During shelter-in-place, can the HVAC system in a dwelling or a vehicle help limit spread of the virus? After the shelter-in-place strategy ends, can typical workplace and transportation HVAC systems limit spread of the virus? This article directly addresses these and other questions. In addition, it also summarizes simplifying assumptions needed to make meaningful predictions. This article derives new results using transform methods first given in Ginsberg and Bui. These new results describe viral spread through an HVAC system and estimate the aggregate dose of virus inhaled by an uninfected building or vehicle occupant when an infected occupant is present within the same building or vehicle. Central to these results is the derivation of a quantity called the "protection factor"-a term-of-art borrowed from the design of gas masks. Older results that rely on numerical approximations to these differential equations have long been lab validated. This article gives the exact solutions in fixed infrastructure for the first time. These solutions, therefore, retain the same lab validation of the older methods of approximation. Further, these exact solutions yield valuable insights into HVAC systems used in transportation.

Organizational resilience in healthcare: a review and descriptive narrative synthesis of approaches to resilience measurement and assessment in empirical studies.

BACKGROUND: The coronavirus pandemic has had a profound impact on organization and delivery of care. The challenges faced by healthcare organizations in dealing with the pandemic have intensified interest in the concept of resilience. While effort has gone into conceptualising resilience, there has been relatively little work on how to evaluate organizational resilience. This paper reports on an extensive review of approaches to resilience measurement and assessment in empirical healthcare studies, and examines their usefulness for researchers, policymakers and healthcare managers. METHODS: Various databases (MEDLINE, EMBASE, PsycINFO, CINAHL (EBSCO host), Cochrane CENTRAL (Wiley), CDSR, Science Citation Index, and Social Science Citation Index) were searched from January 2000 to September 2021. We included quantitative, qualitative and modelling studies that focused on measuring or qualitatively assessing organizational resilience in a healthcare context. All studies were screened based on titles, abstracts and full text. For each approach, information on the format of measurement or assessment, method of data collection and analysis, and other relevant information were extracted. We classified the approaches to organizational resilience into five thematic areas of contrast: (1) type of shock; (2) stage of resilience; (3) included characteristics or indicators; (4) nature of output; and (5) purpose. The approaches were summarised narratively within these thematic areas. RESULTS: Thirty-five studies met the inclusion criteria. We identified a lack of consensus on how to evaluate organizational resilience in healthcare, what should be measured or assessed and when, and using what resilience characteristic and indicators. The measurement and assessment approaches varied in scope, format, content and purpose. Approaches varied in terms of whether they were prospective (resilience pre-shock) or retrospective (during or post-shock), and the extent to which they addressed a pre-defined and shock-specific set of characteristics and indicators. CONCLUSION: A range of approaches with differing characteristics and indicators has been developed to evaluate organizational resilience in healthcare, and may be of value to researchers, policymakers and healthcare managers. The choice of an approach to use in practice should be determined by the type of shock, the purpose of the evaluation, the intended use of results, and the availability of data and resources.

Resilience analysis of cyber-physical systems: A review of models and methods.

Cyber-physical systems (CPSs) are monitored and controlled by a computing and communicating core. This cyber layer enables better management of the controlled subsystem, but it also introduces threats to the security and protection of CPSs, as demonstrated by recent cyberattacks. The resulting governance and policy emphasis on cybersecurity is reflected in the academia by a vast body of literature. In this article, we systematize existing knowledge on CPS analysis. Specifically, we focus on the quantitative assessment of CPSs before and after the occurrence of a disruption. Through the systematic analysis of the models and methods adopted in the literature, we develop a CPS resilience assessment framework consisting of three steps, namely, (1) CPS description, (2) disruption scenario identification, and (3) resilience strategy selection. For each step of the framework, we suggest established methods for CPS analysis and suggest four criteria for method selection. The framework proposes a standardized workflow to assess the resilience of CPSs before and after the occurrence of a disruption. The application of the proposed framework is exemplified with reference to a power substation and associated communication network.The case study shows that the proposed framework supports resilience decision making by quantifying the effects of the implementation of resilience strategies.

Responding to everyday problems and crises: Measuring community resilience.

Resilience is of the upmost importance to deal with everyday problems faced by communities. The concept of community resilience is gaining prominence in disaster management policy and practice, and it has been shown to be an important factor during pandemic recovery such as during the SARS-CoV-2 outbreak. We present an instrument for community resilience assessment adapted for disasters like the pandemics. The instrument was based on the theory-based and evidence-informed Communities Advancing Resilience Toolkit (CART) Assessment Survey, adapted for the first time to Portuguese. Another strong feature of this study relates to the targeted participants, namely human service workers (598). They are key informants for their close involvement with communities. This version of the CART was reliable. A confirmatory factor analysis indicated a good relationship between the observed variables and their underlying latent constructs. Moreover, tests for measurement invariance across participants showed that differences in factor variances and covariances were not attributable to age-based differences in the properties of the scales themselves. Our findings support the fundamental idea that it is worthwhile to have an instrument to measure community resilience. Thus, our study adds to the evaluation of the CART, supporting its value as a robust instrument to measure resilience at the community level in different countries.

Research on UAV Swarm Network Modeling and Resilience Assessment Methods.

The traditional UAV swarm assessment indicator lacks the whole process description of the performance change after the system is attacked. To meet the realistic demand of increasing resilience requirements for UAV swarm systems, in this paper, we study the modeling and resilience assessment methods of UAV swarm self-organized networks. First, based on complex network theory, a double layer coupled UAV swarm network model considering the communication layer and the structure layer is constructed. Then, three network topological indicators, namely, the average node degree, the average clustering factor, and the average network efficiency, are used to characterize the UAV swarm resilience indicators. Finally, the UAV swarm resilience assessment method, considering dynamic evolution, is designed to realize the resilience assessment of the UAV swarm under different strategies in multiple scenarios. The simulation experiments show that the UAV swarm resilience assessment, considering dynamic reconfiguration, has a strong correlation with the network structure design.

Assessing family resilience for African American college students: Confirmatory factor analysis of the Family Resilience Assessment Scale.

ObjectivePsychometric properties of the Family Resilience Assessment Scale and its utility for use with African American college students were examined. Participants: Subjects were 440 university students (M age = 21.65, SD = 6.17) who were enrolled during the 2018-2019 academic year and recruited during the fall and spring semesters. Methods: A single-group confirmatory factor analysis was employed to determine the best model for assessing family resilience in an African American college student population. Results: The model fit was poor and could not be respecified due to numerous item cross-loadings. Conclusions: Further research is needed to validate a measure that adequately assesses family resilience for African American students.

Evidence of climate-driven regime shifts in the Aegean Sea's demersal resources: A study spanning six decades.

Climate change (CC) can alter the configuration of marine ecosystems; however, ecosystem response and resilience to change are usually case-specific. The effect of CC on the demersal resources of the Aegean Sea (east Mediterranean Sea) was investigated during the past six decades applying a combination of multivariate analysis, non-additive modeling and the Integrated Resilience Assessment (IRA) framework. We focused on the study of: (i) the biological "system" complex, using proxies of biomass (landings per unit of capacity) for 12 demersal taxa, and (ii) the environmental "stressor" complex, described by 12 abiotic variables. Pronounced changes have occurred in both the environmental and biological system over the studied period. The majority of the environmental stressors exhibited strikingly increasing trends (temperature, salinity, primary production indices) with values started exceeding the global historical means during late 1980s-early 1990s. It is suggested that the biological system exhibited a discontinuous response to CC, with two apparently climate-induced regime shifts occurring in the past 25 years. There is evidence for two-fold bifurcations and four tipping points in the system, forming a folded stability landscape with three basins of attraction. The shape of the stability landscape for the Aegean Sea's biological system suggests that while the initial state (1966-1991) was rather resilient to CC, absorbing two environmental step-changes, this was not the case for the two subsequent ones (intermediate: 1992-2002; recent: 2003-2016). Given the current trajectory of environmental change, it is highly unlikely that the biological system will ever return to its pre-1990s state, as it is entering areas of unprecedented climatic conditions and there is some evidence that the system may be even shifting toward a new state. Our approach and findings may be relevant to other marine areas of the Mediterranean and beyond, undergoing climate-driven regime shifts, and can assist to their adaptive management.

Data on predictive resilience of interdependent water and transportation infrastructures: A sociotechnical approach.

Interdependent infrastructure systems are vulnerable to the cascading effect of failures resulting from random failures and natural disasters. The data provided in this work is the processed data used for the proposed resilience assessment framework for interdependent water and transportation networks dealing with both types of failure [1]. The case study is the interconnected networks of water and transportation in Tampa, Florida. The data for the random failure is obtained from the developed algorithmic framework and the land use and social vulnerability data provided by the U.S. Census datasets. We then used a subset of this produced data to construct predictive models for the network resilience to random failures. As for the natural disaster scenario, we focused on hurricane Irma in 2017 as it directly affected the focused region in Florida. We used the specific guidelines and the raw flooding data for this hurricane, provided by FEMA, to estimate the standing water for each geographical area (polygons) and the associated network components. We labeled the areas as failed and undamaged based on the estimated water levels. Finally, we used this data for developing a geospatial Geographical Weighted Regression (GWR) model to predict the resilience in each polygon. We present the final dataset for water and transportation networks to facilitate reusability for any future resilience study in the selected urban area.

Methodological Framework for Resilience Assessment of Electricity Infrastructure in Conditions of Slovak Republic.

The quality of the environment as well as public health is convincingly coupled with the functioning of a power subsector. The power subsector plays a pivotal role in the sense that it emerges as the key cross-sectional element for the society's functioning (production, services, healthcare, education and others). A modern society consists of infrastructure systems that are primarily dependent on continuous electricity supplies. Each and every element of the electric power infrastructure is unique, and thus, its malfunction can disrupt the functioning of an important part of the electric power infrastructure. In conjunction with ensuring the functioning of electric power infrastructure, our attention must be drawn to the resilience issue. As far as the resilience of electric power infrastructure is concerned, it can resist weather-related events ensuring there are no disruptions in continuous electricity supplies. First, in the introductory part, the article presents the legal framework in the Slovak Republic. Second, it describes the current state of the electric power infrastructure of Slovakia. Third, it handles the state of the level of security risk assessment. Later on, in the literature review, besides turning to the issue of resilience assessment, the authors focused on the area of resilience of power engineering. Furthermore, the article scrutinizes resilience assessment in Slovakia, and it briefly examines approaches towards natural threats. In addition, the article demonstrates several approaches towards flood resilience. Having used different methods, the primary concern is to devise a framework for resilience assessment. Therefore, the included case study examines aspects of the proposed framework for resilience assessment. In conclusion, our aim was, in most respects, to outline an innovative methodological framework for increasing the resilience of electricity infrastructure.

Critical transitions and ecological resilience of large marine ecosystems in the Northwestern Pacific in response to global warming.

Natural systems can undergo critical transitions, leading to substantial socioeconomic and ecological outcomes. "Ecological resilience" has been proposed to describe the capacity of natural systems to absorb external perturbation and reorganize while undergoing change so as to still retain essentially the same function, structure, identity, and feedbacks. However, the mere application of ecological resilience in theoretical research and the lack of quantitative approaches present considerable obstacles for predicting critical transitions and understanding their mechanisms. Large marine ecosystems (LMEs) in the Northwestern Pacific are characterized by great biodiversity and productivity, as well as remarkable warming in recent decades. However, no information is available on the critical transitions and ecological resilience of LMEs in response to warming. Therefore, we applied an integrated resilience assessment framework to fisheries catch data from seven LMEs covering a wide range of regions, from tropical to subarctic, in the Northwestern Pacific to identify critical transitions, assess ecological resilience, and reconstruct folded stability landscapes, with a specific focus on the effects of warming. The results provide evidence of the occurrence of critical transitions, with fold bifurcation and hysteresis in response to increasing sea surface temperatures (SSTs) in the seven LMEs. In addition, these LMEs show similarities and synchronies in structure variations and critical transitions forced by warming. Both dramatic increases in SST and small fluctuations at the corresponding thresholds may trigger critical transitions. Ecological resilience decreases when approaching the tipping points and is repainted as the LMEs shift to alternative stable states with different resilient dynamics. Folded stability landscapes indicate that the responses of LMEs to warming are discontinuous, which may be caused by the reorganization of LMEs as their sensitivity to warming changes. Our study clarifies the nonlinear responses of LMEs to anthropogenic warming and provides examples of quantifying ecological resilience in empirical systems at unprecedented spatial and temporal scales.

A Scientometric Review of Urban Disaster Resilience Research.

Natural disasters and human-made disasters are threatening urban areas globally. The resilience capacity of the urban system plays an important role in disaster risk response and recovery. Strengthening urban disaster resilience is also fundamental to ensuring sustainable development. Various practices and research for enhancing urban disaster resilience have been carried out worldwide but are yet to be reviewed. Accordingly, this paper gives a scientometric review of urban disaster resilience research by using CiteSpace. The time span (January 2001-January 2021) was selected and divided into three phases based on the number of publications. In addition, according to keyword statistics and clustering results, the collected articles are grouped into four hotspot topics: disaster risk reduction, specific disaster resilience research, resilience assessment, and combination research. The results show that most of the existing research is in the first two categories, and articles in the second and fourth categories both show a high growth rate and could be further research directions. The review indicates that urban disaster resilience is essential for a city's sustainable development. Moreover, the findings provide scholars a full picture of the existing urban disaster resilience research which can help them identify promising research directions. The findings can also help urban government officials and policymakers review current urban disaster management strategies and make further improvements.

Using resilience assessments to inform the management and conservation of coral reef ecosystems.

Climate change is causing the decline of coral reef ecosystems globally. Recent research highlights the importance of reducing CO2 emissions in combination with implementing local management actions to support reef health and recovery, particularly actions that protect sites which are more resilient to extreme events. Resilience assessments quantify the ecological, social, and environmental context of reefs through the lens of resilience, i.e., the capacity of a system to absorb or withstand stressors such that the system maintains its structure and functions and has the capacity to adapt to future disturbances and changes. Resilience assessments are an important tool to help marine managers and decision makers anticipate changes, identify areas with high survival prospects, and prioritize management actions to support resilience. While being widely implemented, however, there has not yet been an evaluation of whether resilience assessments have informed coral reef management. Here, we assess the primary and gray literature and input from coral reef managers to map where resilience assessments have been conducted. We explore if and how they have been used to inform management actions and provide recommendations for improving the likelihood that resilience assessments will result in management actions and positive conservation outcomes. These recommendations are applicable to other ecosystems in which resilience assessments are applied and will become increasingly important as climate impacts intensify and reduce the window of opportunity for protecting natural ecosystems.

Resilience Assessment of Complex Urban Public Spaces.

Risk events frequently occur in "complex urban public spaces" (CUPSs) and cause serious economic losses and casualties. To reduce the risks and enhance the system resilience, this paper formulates a theoretical framework to assess the resilience of CUPSs. Resilience is defined as the ratio of preparedness to vulnerability, according to the implication of the concept. Three-level practical indicator systems were established for these two dimensions, respectively. Furthermore, a hybrid approach combining the Analytic Network Process (ANP) and the Decision-Making Trial and Evaluation Laboratory (DEMATEL) was adopted. The Chongqing West Railway Station (the Station (W)) and the Lianglukou Rail Transit Station (the Station (L)) were used for a case study. The results showed that the Chongqing West Railway Station was more resilient to risks than the Lianglukou Rail Transit Station. Therefore, the proposed theoretical framework could be applied in assessing the resilience level of CUPSs. Resilience improvement strategies can be formulated according to the assessment results. Furthermore, the practical indicators could also provide references for urban disaster management.

Developing a family resilience assessment tool for health visiting/public health nursing practice using virtual commissioning, high-fidelity simulation and focus groups.

UK public health nurse assessment of family resilience is a necessary component of monitoring family health and children's development and identifying areas for change. This research was part of an exploration of Welsh public health nurses' understanding of 'family resilience' as a concept underpinning their practice. From it, the Family Resilience Assessment Instrument Tool (FRAITTM www.frait.wales/) was developed for public health nurses use. We report on a virtual commissioning process using focus groups and an immersive simulation suite to test a FRAIT prototype in a safe environment before field testing. Virtual commissioning design: Hydra-Minerva Immersive Simulation Suite - individual public health nurses presented with a multi-media scenario as they used the prototype FRAIT. Follow-up focus groups for usability insights before field testing. Virtual commissioning raised real-world issues which public health nurses discussed in focus groups. Issues were scoring, absence of information, focusing on family resilience, identifying adults caring for children, potential for use, identifying need and monitoring change, potential impact of using FRAIT and fitting it to everyday practice. Prototype testing like this allowed us to fine tune the FRAIT for field testing.

Health Risk and Resilience Assessment with Respect to the Main Air Pollutants in Sichuan.

Rapid urbanization and industrialization in developing countries have caused an increase in air pollutant concentrations, and this has attracted public concern due to the resulting harmful effects to health. Here we present, through the spatial-temporal characteristics of six criteria air pollutants (PM2.5, PM10, SO2, NO2, CO, and O3) in Sichuan, a human health risk assessment framework conducted to evaluate the health risk of different age groups caused by ambient air pollutants. Public health resilience was evaluated with respect to the risk resulting from ambient air pollutants, and a spatial inequality analysis between the risk caused by ambient air pollutants and hospital density in Sichuan was performed based on the Lorenz curve and Gini coefficient. The results indicated that high concentrations of PM2.5 (47.7 µg m-3) and PM10 (75.9 µg m-3) were observed in the Sichuan Basin; these two air pollutants posed a high risk to infants. The high risk caused by PM2.5 was mainly distributed in Sichuan Basin (1.14) and that caused by PM10 was principally distributed in Zigong (1.01). Additionally, the infants in Aba and Ganzi had high health resilience to the risk caused by PM2.5 (3.89 and 4.79, respectively) and PM10 (3.28 and 2.77, respectively), which was explained by the low risk in these two regions. These regions and Sichuan had severe spatial inequality between the infant hazard quotient caused by PM2.5 (G = 0.518, G = 0.493, and G = 0.456, respectively) and hospital density. This spatial inequality was also caused by PM10 (G = 0.525, G = 0.526, and G = 0.466, respectively), which is mainly attributed to the imbalance between hospital distribution and risk caused by PM2.5 (PM10) in these two areas. Such research could provide a basis for the formulation of medical construction and future air pollution control measures in Sichuan.