Community-Level Practice Checklists for Health Protection During Cold Spells in China.

Communities play a crucial role in protecting the health of vulnerable populations such as the elderly, low-income groups, and high-risk individuals during cold spells. However, current strategies for responding to cold spells primarily consist of programmatic policies that lack practicality, specificity, and detailed implementation guidelines for community workers. Therefore, this study aims to identify and analyze the challenges faced by communities in responding to cold spells, review international experiences, and develop a set of practical checklists for community-level health protection. These checklists will assist community workers and volunteers in effectively preparing for, responding to, and recovering from cold spells.

Projections of future temperature-related cardiovascular mortality under climate change, urbanization and population aging in Beijing, China.

Climate change is causing the surface temperature to rise and the extreme weather events to increase in frequency and intensity, which will pose potential threats to the survival and health of residents. Beijing is facing multiple challenges such as coping with climate change, urbanization, and population aging, which puts huge decision-making pressure on decision maker. However, few studies that systematically consider the health effects of climate change, urbanization, and population aging for China. Based on the distributed lag nonlinear model (DLNM) and 13 global climate models in the Coupled Model Intercomparison Project Phase 6 (CMIP6), this study obtained the temporal and spatial distribution of surface temperature through statistical downscaling methods, and comprehensively explored the independent and comprehensive effects of urbanization and population aging on the projection of future temperature-related cardiovascular disease (CVD) mortality in the context of climate and population change. The results showed that only improving urbanization can reduce future temperature-related CVD mortality by 1.7-18.3%, and only intensified aging can increase future temperature-related CVD mortality by 48.8-325.9%. Taking into account the improving urbanization and intensified aging, future temperature-related CVD mortality would increase by 44.1-256.6%, and the increase was slightly lower than that of only intensified aging. Therefore, the intensified aging was the biggest disadvantage in tackling climate change, which would obviously magnify the mortality risks of temperature-related CVD in the future. Although the advancement of urbanization would alleviate the adverse effects of the intensified aging population, the mitigation effects would be limited. Even so, Urbanization should be continued to reduce health risks for residents. These findings would contribute to formulate policies related to mitigate climate change and reduce baseline mortality rate (especially the elderly) in international mega-city - Beijing. In addition, relevant departments should improve the medical health care level and optimize the allocation of social resources to better cope with and adapt to climate change.

The future urban growth under policies and its ecological effect in the Jing-Jin-Ji area, China.

Since 2016, the Chinese government has invoked some policies to make Jing-Jin-Ji (JJJ) a new urban agglomeration. However, there has been no research to study the effect of these new policies on future urban growth. This study assessed part of these new policies on JJJ urban growth in 2020-2050 using SLEUTH model. Then the ecological effects of the urban growth are evaluated. Results showed the policies had nearly no obvious impact on the whole JJJ urban growth, but affected sub-regional (Beijing, Tianjin and Hebei, respectively) urban growth. Under ecological protection in future, the value of ecological service in JJJ would increase to a maximum of 31.7×108 Yuan/km2 in 2031. The ecological elasticity also increased and the ecological risk was strongly reduced around the present urban area. This ecologically sustainable development is critical to the future urban growth, and should be considered more carefully by urban planners and managers. More policies should be evaluated for JJJ urban growth in future work.

Impacts of urbanization on the temperature-cardiovascular mortality relationship in Beijing, China.

The effect of temperature on cardiovascular disease (CVD) mortality has been extensively studied. However, it remains largely unknown over whether there is any difference between urban and suburban areas within the same city and how urbanization modifies the relationship between temperature and CVD mortality. In order to examine whether the association between temperature and CVD mortality existed difference in urban and suburban areas, and how urbanization modified this association, we used a distributed lag nonlinear model and a generalized additive model to investigate temperature-related CVD mortality in urban and suburban areas in Beijing, China, from 2006 to 2011. The age, gender, and educational attainment of the population were stratified to explore the modifying effect. We observed that the impacts of heat and cold temperature on CVD mortality were higher in suburban areas than in urban areas. In addition, the elderly and illiterate subjects in suburban areas were more vulnerable to both heat and cold than their counterparts in urban areas. Moreover, higher urbanization levels were significantly associated with districts having lower the excess risks for temperature- CVD mortality. Our findings provide evidence that populations in suburban Beijing have higher risk of temperature-related CVD mortality than those in urban areas. Therefore, greater attention should be paid to vulnerable groups in suburban areas to reduce temperature-related health burden.

Seasonal variation in health impacts associated with visibility in Beijing, China.

Visibility has been continuously and stably observed for more than half a century, while particulate matter with an aerodynamic diameter ≤ 2.5 µm (PM2.5) was not introduced to the national monitoring system in China until 2013. It is a scientific issue as to whether visibility can be used as an alternative to assess the health risks of air pollution in periods and areas without pollutant monitoring data. A generalized additive model (GAM) was adopted to estimate the impacts of seasonal changes in visibility on mortality in Beijing, China. Moreover, we estimated the contributions of particulate matter in the health effects of visibility by adjusting for dry extinction coefficient (ßdryext) and PM2.5 in the model, respectively. We found that the acute health impacts of visibility varied by season, with the highest risks in winter. For respiratory mortality, the effect estimates per 1 km decrease in visibility were 0.40% (95% CI: 0.17-0.62%) in spring, 0.10% (95% CI: -0.14-0.34%) in summer, 0.27% (95% CI: 0.09-0.45%) in autumn, and 0.62% (95% CI: 0.38-0.85%) in winter. For cardiovascular mortality, the effect estimates per 1 km decrease in visibility were 0.20% (95% CI: 0.08-0.31%) in spring, 0.16% (95% CI: 0.04-0.27%) in summer, 0.25% (95% CI: 0.13-0.37%) in autumn, and 0.24% (95% CI: 0.13-0.35%) in winter. The seasonal pattern of health impacts related to visibility reflected the seasonal variations in the characteristics of air pollution emission sources and meteorological conditions that are unfavorable for pollutant dispersion. Particulate matter, particularly PM2.5, made significant contributions to the health impacts of visibility. The results indicated that controlling pollutant emissions in winter would be of significant importance to improve air quality and mitigate the health hazard of air pollution in Beijing. Our study also provides further evidence on the feasibility of using visibility to assess the health impacts of particulate matter pollution.

Integrated urban hydrometeorological, climate and environmental services: Concept, methodology and key messages.

Integrated Urban hydrometeorological, climate and environmental Services (IUS) is a World Meteorological Organization (WMO) initiative to aid development of science-based services to support safe, healthy, resilient and climate friendly cities. Guidance for Integrated Urban Hydrometeorological, Climate and Environmental Services (Volume I) has been developed with the intent to provide an overview of the concept, methods and good practices for producing and providing these services to respond to urban hazards across a range of time scales (weather to climate). This involves combining (dense) heterogeneous observation networks, high-resolution forecasts, multi-hazard early warning systems and climate services to assist cities in setting and implementing mitigation and adaptation strategies for the management and building of resilient and sustainable cities. IUS includes research, evaluation and delivery with a wide participation from city governments, national hydrometeorological services, international organizations, universities, research institutions and private sector stakeholders. An overview of the IUS concept with key messages, examples of good practice and recommendations are provided. The research community will play an important role to: identify critical research challenges; develop impact forecasts and warnings; promote and deliver IUS internationally, and; support national and local communities in the implementation of IUS thereby contributing to the United Nations' Sustainable Development Goals at all scales.

[Impact of Mountain-Valley Wind Circulation on Typical Cases of Air Pollution in Beijing].

The impact of mountain-valley wind circulation on the typical examples of pollution was analyzed through the selected pollution process, combining with the hourly PM2.5 concentrations and meteorological data in Haidian, Shangdianzi and Lishuiqiao in Autumn and Winter from 2013 to 2015, and also the data of Tower of atmospheric, wind profile of Haidian and automatic meteorological stations in the same period. The analysis showed that the average wind speed of valley wind was greater than that of the mountain wind, and they both would be "broken" during the conversion time in the mountain-valley wind days. In contrast with the mountain wind, the average duration of valley wind in autumn was longer than that in winter, and the start time of valley wind in autumn was earlier than the same wind in winter; influenced by the topography of Beijing area, the direction boundary of the transformation between mountain-valley wind was northeast-southwest. The frontier of mountain wind in autumn could fall down to the South Second Ring Road, and it could be pressed to the South Third Ring Road in winter; the average thickness of valley wind was greater than the mountain wind. Whether the moment was in autumn or winter, in the south, the average time when the PM2.5 concentration began to rise, was earlier than in the north in a day; the time when concentration of pollutants began to rise in the fall was earlier than in the winter, but the time when the concentration began to decline showed the opposite trend. The transition zone of different PM2.5 concentration in Beijing in autumn or winter located in South Second Ring Road (South Third Ring Road), and it would move to south over time. Duration autumn and winter seasons, this phenomenon lasted about 4 and 2 hours, respectively. Furthermore, the positive and negative feedback effects may exist between pollutant concentrations and mountain-valley wind.

Influence of sky view factor on outdoor thermal environment and physiological equivalent temperature.

Sky view factor (SVF), which is an indicator of urban canyon geometry, affects the surface energy balance, local air circulation, and outdoor thermal comfort. This study focused on a continuous and long-term meteorological observation system to investigate the effects of SVF on outdoor thermal conditions and physiological equivalent temperature (PET) in the central business district (CBD) of Beijing (which is located within Chaoyang District), specifically addressed current knowledge gaps for SVF-PET relationships in cities with typical continental/microthermal climates. An urban sub-domain scale model and the RayMan model were used to diagnose wind fields and to calculate SVF and long-term PET, respectively. Analytical results show that the extent of shading contributes to variations in thermal perception distribution. Highly shaded areas (SVF <0.3) typically exhibit less frequent hot conditions during summer, while enduring longer periods of cold discomfort in winter than moderately shaded areas (0.3< SVF <0.5) and slightly shaded areas (SVF >0.5), and vice versa. Because Beijing has a monsoon-influenced humid continental climate with hot summers and long, cold, windy, and dry winters, a design project that ideally provides moderate shading should be planned to balance hot discomfort in summer and cold discomfort in winter, which effectively prolongs the comfort periods in outdoor spaces throughout the entire year. This research indicate that climate zone characteristics, urban environmental conditions, and thermal comfort requirements of residents must be accounted for in local-scale scientific planning and design, i.e., for urban canyon streets and residential estates.