Northern Italy [19] |
24 February 2020–13 March 2020 |
Recursive binary partitioning tree approach |
Daily PM10 exceeding 50 µg/m3 with a 15-day lag was a significant predictor for COVID-19 incidence |
Chinese cities (Wuhan, Xiaogan and Huanggang) [20] |
25 January 2020–29 February 2020 |
Poison regression adjusting for other air pollutants and meteorological variables in each city |
Daily PM2.5 was positively associated with COVID-19 incidence with RR from 1.036 to 1.144. The association with PM10 was negative with RR between 0.915 and 0.964. Results for other pollutants (SO2, CO, NO2, and 8-hour O3) were not consistent among the study sites. |
Chinese cities (Wuhan and Xiaogan) [21] |
26 January 2020–29 February 2020 |
Univariate linear regression |
PM2.5 and NO2 were positively associated with COVID-19 incidence 4 days later in both cities, while PM10 and CO were inconsistent between cities. |
120 Chinese cities [22] |
23 January 2020–29 February 2020 |
Generalized additive model adjusting for meteorological variables with city fixed effects |
PM2.5, PM10, NO2 and O3 with a 2-week lag were positively associated with COVID-19 incidence, while SO2 was negatively associated. A 10µg/m3 increase in PM2.5 with a 2-week lag was associated with a 2.24% increase in COVID-19 incidence. |
49 Chinese cities [23] |
As of 22 March 2020 |
Multivariate linear regression model adjusting for GDP per capita and hospital beds per capita |
Both short-term (01/15/2020 – 02/29/2020) and long-term (2015–2019) exposure to elevated PM2.5 and PM10 were associated with increased COVID-19 fatality. A 0.24% and a 0.61% increase in COVID-19 fatality were associated with 10-µg/m3 increase in short-term and long-term PM2.5, respectively. |
7 metropolitan cities and 9 provinces in Korea [24] |
3 February 2020–5 May 2020 |
Generalized additive model adjusting for meteorological variables, location and date |
Significantly temporal associations were observed between COVID-19 incidence and daily NO2, CO and SO2, but not with PM2.5, PM10 or O3. |
3089 counties in the United States [25] |
As of 18 June 2020 |
Negative binomial fixed model adjusting for 20 covariates |
Each 1-µg/m3 increase in long-term PM2.5 exposure (2000–2016 annual average) was associated with 11% increase in COVID-19 mortality. |
3223 counties in the United States [26] |
As of 11 July 2020 |
Negative binomial fixed model adjusting for other pollutants as well as county characteristics |
HAPs was associated with increase COVID-19 mortality. Each 1-µg/m3 increase in long-term PM2.5 exposure (2000–2014 annual average) was associated with 7% increase in COVID-19 mortality |
355 municipalities in the Netherlands [27] |
As of 5 June 2020 |
Linear regression controlling for covariates |
Long-term exposure to PM2.5 and NO2 were positively associated with COVID-19 outcomes, including incidence and mortality, but not with SO2. Each 1-µg/m3 increase in long-term PM2.5 exposure (2015–2019) was associated with 9.4 more COVID-19 cases, 3.0 more hospital admissions, and 2.3 more deaths. |
71 Italian provinces [28] |
As of 27 April 2020 |
Spatial correlation |
Positive correlations were observed between COVID-19 incidence and long-term exposure (2016–2019) to NO2, PM2.5, PM10 and O3. |
20 Italian regions and up to 110 provinces [29] |
As of 31 March 2020 |
Multiple linear regression |
Both long-term exposure (2017 annual mean) to PM2.5 and PM10 were associated with COVID-19 incidence. Each 1-µg/m3 increase in PM2.5 was associated with 0.26 increase in base-10 transformed COVID-19 incidence. |
3108 counties in the United States [30] |
As of 31 May 2020 |
Linear regression with adjusting for county-level covariates |
PM2.5 (2016 annual mean) and diesel PM were associated with both COVID-19 incidence and mortality. Additional 23.5 cases and 1.08 deaths were associated with each 1-µg/m3 increase in PM2.5. |