| Summary: | The spatiotemporal characteristics of ozone pollution and increased human health risks in Central China were investigated using a long time series of ozone concentrations from 2014 to 2020. We found a gradual increase in ozone pollution, with the highest concentrations observed in the northeastern region. The spatial distribution of population density showed distinct patterns, with the northeastern and east-central regions coinciding with areas of high ozone concentrations. The study found an overall increasing trend in MDA8 ozone concentrations, with a regional average increase of 3.5 (μg m<sup>−3</sup>) per year, corresponding to a 4.4% annual increase. We observed a significant clustering of areas at a higher risk of premature mortality associated with long-term ozone exposure, particularly in the northeastern region. Estimated premature mortality due to ozone pollution in Central China between 2014 and 2020 shows an increasing trend from 2014 to 2019 and a decreasing trend in 2020 due to the occurrence of extreme ozone pollution and the subsequent recovery of ozone concentrations after the closures due to COVID-19. Premature mortality due to ozone exposure is affected by both ozone levels and the exposed population, with high correlation coefficients exceeding 0.95. The high total population (more than 220 million per year) and increasing ozone levels exacerbate the problem of premature mortality due to ozone pollution. This study improves our understanding of the impact of ozone pollution on human health and emphasizes the dynamic nature of ozone pollution and its impacts on human health over time. It underscores the need for further study and comprehensive action to mitigate these health risks.
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