The impact of COVID-19 lockdown on air pollution in Europe and North America: a systematic review

• Published in: European journal of public health 2022-12, Vol.32 (6), p.962-968
• Main Authors: Bakola, Maria, Hernandez Carballo, Ireri, Jelastopulu, Eleni, Stuckler, David
• Format: Article
• Language: English
• Subjects: Air Pollutants - analysis; Air Pollution; Air quality; Ammonia; Atmospheric ozone; Benzene; Carbon dioxide; Carbon monoxide; Changes; Communicable Disease Control; COVID-19; COVID-19 - epidemiology; COVID-19 - prevention & control; Environmental aspects; Epidemics; Estimates; Europe; Health aspects; Human influences; Humans; Hydrocarbons; Nitrogen dioxide; Nitrogen Dioxide - analysis; Nitrogen oxides; North America; Original Manuscript; Outdoor air quality; Ozone; Ozone - analysis; Pandemics; Pandemics - prevention & control; Particulate emissions; Particulate matter; Particulate Matter - analysis; Photochemicals; Pollutants; Pollution index; Pollution levels; Population density; Public health; Shelter in place; Sulfur; Sulfur dioxide; Sulfur Dioxide - analysis; Systematic review
• ISSN: 1101-1262; 1464-360X
• DOI: 10.1093/eurpub/ckac118

Abstract Background Multiple studies report reductions in air pollution associated with COVID-19 lockdowns. Methods We performed a systematic review of the changes observed in hazardous air pollutants known or suspected to be harmful to health, including nitrogen dioxide (NO2), nitrogen oxides (NOx), carbon monoxide (CO), sulfur dioxide (SO2), ozone (O3) and particulate matter (PM). We searched PubMed and Web of Science for studies reporting the associations of lockdowns with air pollutant changes during the COVID-19 pandemic in Europe and North America. Results One hundred nine studies were identified and analyzed. Several pollutants exhibited marked and sustained reductions. The strongest was NO2 (93% of 89 estimated changes were reductions) followed by CO (88% of 33 estimated pollutant changes). All NOx and benzene studies reported significant reductions although these were based on fewer than 10 estimates. About three-quarters of PM2.5 and PM10 estimates showed reductions and few studies reported increases when domestic fuel use rose during COVID-19 lockdowns. In contrast, O3 levels rose as NOx levels fell. SO2 and ammonia (NH3) had mixed results. In general, greater reductions appeared when lockdowns were more severe, as well as where baseline pollutant levels were higher, such as at low-elevation and in densely populated areas. Substantial and robust reductions in NO2, NO, CO, CO2, PM2.5, PM10, benzene and air quality index pollution occurred in association with COVID-19 lockdowns. O3 levels tended to increase, while SO2 and NH3 had mixed patterns. Conclusions Our study shows the profound impact of human activity levels on air pollution and its potential avoidability.