Air quality changes during the COVID-19 in YRD region are analyzed. • The WRF-CAMx modelling system is applied to investigate impact of lowered human activities on air quality changes. • Sources of the residual pollution are figured out for policy implications for future air pollution control.

The world is currently going through the COVID-19 pandemic which has caused hundreds of thousands of deaths in just a few months. Considering the need for lockdown measures, most countries, including Malaysia, have implemented 'Movement Control Orders' (MCOs) as a prevention step to reduce the deadly spread of this disease. Local and worldwide media have reported the immediate improvement of air quality due to this event. Nevertheless, data on the effects of MCOs on air quality at local scales are still sparse. Here, we investigate changes in air quality during the MCO at an urban area using the air sensor network AiRBOXSense which measures monoxide (CO) and particulate matter (PM 2.5 and PM 10). In this study, air pollutant data during normal days were compared with MCO days using a reference analyser and AiRBOXSense. The results showed that the levels of the measured pollutants dropped by ~20 to 60% during the MCO days at most locations. However, CO in Kota Damansara (KD) dropped to 48.7%, but PM 2.5 and PM 10 increased up to 60% and 9.7% respectively during MCO days. Local burning activities in the residential area of KD are believed to be the main cause of the increased PM levels. This study has proven that air pollutant levels have significantly fallen due to the MCO. This air quality level information showed that the reduction of air pollutants can be achieved if traffic and industry emissions are strictly controlled.

The outbreak of COVID-19 in China has led to massive lockdowns in order to reduce the spread of the epidemic and control human-to-human transmission. Subsequent reductions in various anthropogenic activities have led to improved air quality during the lockdown. In this study, we apply a widely used exposure-response function to estimate the short-term health impacts associated with PM 2.5 changes over the Yangtze River Delta (YRD) region due to COVID-19 lockdown. Concentrations of PM 2.5 during lockdown period reduced by 22.9% to 54.0% compared to pre-lockdown level. Estimated PM 2.5related daily premature mortality during lockdown period is 895 (95% confidential interval: 637-1,081), which is 43.3% lower than pre-lockdown period and 46.5% lower compared with averages of 2017-2019. According to our calculation, total number of avoided premature death aassociated with PM 2.5 reduction during the lockdown is estimated to be 42.4 thousand over the YRD region, with Shanghai, Wenzhou, Suzhou (Jiangsu province), Nanjing, and Nantong being the top five cities with largest health benefits. Avoided premature mortality is mostly contributed by reduced death associated with stroke (16.9 thousand, accounting for 40.0%), ischemic heart disease (14.0 thousand, 33.2%), and chronic obstructive pulmonary disease (7.6 thousand, 18.0%). Our calculations do not support or advocate any idea that pandemics produce a positive note to community health. We simply present health benefits from air pollution improvement due to large emission reductions from lowered human and industrial activities. Our results show that continuous efforts to improve air quality are essential to protect public health, especially over city-clusters with dense population. Plain Language Summary The outbreak of COVID-19 is tragic and has caused tremendous impacts on people's life across the world. In late January 2020, massive lockdown was taken in China in order to prevent the spread of the pandemic and control human-to-human transmissions. As a result of reduced human activities, air quality was shown to improve substantially over China. A natural follow-up question would be what is the short-term health impact associated with the changes of air quality during the lockdown. This study attempted to quantify the number of avoided death due to reduced PM 2.5 concentrations over the Yangtze River Delta Region in China, a region with dense population and used to suffer from severe air pollution problems in the past.