LAUSR

In recent years, severe air pollution has had a serious impact on the health and economy of residents and has attracted great attention. Due to the spatial separation between consumption and production, the transfer of PM2.5 pollution and its health and economic effects caused by interprovincial trade have not been taken seriously. In this study, economic, atmospheric, and epidemiological models were combined to assess air pollution transfer and its health and economic impacts that are attributed to provincial trade in China. The analyses were performed under the PM2.5 transfer scenario in which economically developed areas in eastern China transferred many health and economic impacts to inland areas through interprovincial trade in 2012. As a result of interprovincial trade, 1980 (95% CI 0, 4114) extra deaths and 208,000 (95% CI 74.5, 395.6) additional illnesses accrued, but 0.184 (95% CI 0.017, 0.372) billion USD of residents’ economic loss was avoided in China. The results illustrate the serious impact of domestic trade on regional health and economics. It is necessary to comprehensively consider supply chains in designing policies to mitigate the negative health and economic impacts of air pollution across China.