Spatial source, simulating improvement, and short-term health effect of high PM exposure during mutation event in the key urban agglomeration regions in China.

Air quality in China has significantly improved owing to the effective implementation of pollution control measures. However, mutation events caused by short-term spikes in PM in urban agglomeration regions continue to occur frequently. Identifying the spatial sources and influencing factors, as well as improving the prediction accuracy of high PM during mutation events, are crucial for public health. In this study, we firstly introduced discrete wavelet transform (DWT) to identify the mutation events with high PM concentration in the four key urban agglomerations, and evaluated the spatial sources for the polluted scenario using Hybrid Single Particle Lagrangian Integrated Trajectory (HYSPLIT) model. Additionally, DWT was combined with a widely used artificial neural network (ANN) to improve the prediction accuracy of PM concentration seven days in advance (seven-day forecast). Results indicated that mutation events commonly occurred in the northern regions during winter time, which were under the control of both short-range transportation of dirty airmass as well as negative meteorology conditions. Compared with the ANN model alone, the average band errors decreased by 9% when using DWT-ANN model. The average correlation coefficient (R) and root mean square error (RMSE) obtained using the DWT-ANN improved by 10% and 12% compared to those obtained using the ANN, indicating the efficiency and accuracy of simulating PM, by combining the DWT and ANN. The short-term mortality during mutation events was then calculated, with the total averted all-cause, cardiovascular, and respiratory deaths in the four regions, being 4751, 2554, and 582 persons, respectively. A declining trend in prevented deaths from 2018 to 2020 demonstrated that the pollution intensity during mutation events gradually decreased owing to the implementation of the Three-Year Action Plan to Win the Blue Sky Defense War. The method proposed in this study can be used by policymakers to take preventive measures in response to a sudden increase in PM, thereby ensuring public health.