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2023 Effect of Lockdown on the air quality of four major cities in Pakistan during
the Covid 19 pandemic

Article in Journal of Environmental Health · January 2023

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A D V A N C E M E N T O F T H E SCIENCE

 I N T E R N AT I O N A L P E R S P E C T I V E S

Effect of Lockdown on the Air Mehreen Khan, PhD


Department of Environmental Science
and Policy, Lahore School of Economics
Quality of Four Major Cities in Muhammad Nawaz Chaudhry, PhD
Department of Environmental Science
Pakistan During the COVID-19 and Policy, Lahore School of Economics

Pandemic Mustafa Anwar, PhD


U.S.–Pakistan Center for Advanced
Studies in Energy, National University of
Sciences and Technology
Uzma Ashraf, PhD
Department of Environmental Science
and Policy, Lahore School of Economics
Haider Ali, MS
Lahore School of Economics
This study attempted to evaluate the effect of
lockdown on the air quality of four major cities in Pakistan: Karachi,
Lahore, Islamabad, and Peshawar. Particulate matter (PM 2.5) Global Response to Contain the
concentration and U.S. Environmental Protection Agency Air Quality Spread of COVID-19
Index (AQI) were used to determine air quality before and after The greatest danger the virus poses is its
capability of human-to-human transmis-
lockdown. We found that air quality in all the cities improved after
sion. The first 100,000 cases were reported
lockdown was imposed: PM 2.5 concentrations in Karachi and Lahore in 67 days, while the next 100,000 took only
decreased by 62% and in Peshawar and Islamabad by 57% and 55%, 11 days, and then only 4 days for the next
respectively. AQI in Karachi and Islamabad improved from Unhealthy to 100,000 (Tahir & Masood, 2020). To pre-
Moderate and in Peshawar and Lahore from Unhealthy to Unhealthy for vent the spread of virus, various countries
including but not limited to China, Brazil,
Sensitive Groups. Formal complete lockdown in Pakistan was imposed Italy, Spain, United Arab Emirates, Saudi
on March 24, 2020, and lasted until May 10, 2020, after which partial Arabia, Germany, U.S., Turkey, Australia,
or smart lockdown was still in place. Maximum improvement in air South Korea, Taiwan, India, Pakistan, and
quality was observed in April 2020, with concentrations starting to Kazakhstan imposed partial or complete
lockdowns. The lockdown allowed people to
increase in May 2020 following the ease of restrictions.
leave their homes only in case of emergencies
or as infrequently as possible (Chakraborty
& Maity, 2020; Dantas et al., 2020; Das &
Introduction a few weeks, the virus spread swiftly to doz- Paital, 2020; Kerimray et al., 2020; Nakada
On December 31, 2019, 27 pneumonia cases ens of countries. On January 20, 2020, the & Urban, 2020; Paital et al., 2020; Saadat et
of unknown etiology were reported in the city U.S. reported its first case and on January 24, al., 2020).
of Wuhan, which is the capital of Hubei Prov- 2020, Europe reported its first case (Dantas et Lockdown and social distancing have had
ince in the People’s Republic of China (Huang al., 2020). In a short time, the virus spread to a major negative impact on the economy,
et al., 2020; Jahangiri et al., 2020). Following almost the entire world. social life, and human psychology. One
sampling and testing, a novel coronavirus was In Pakistan, the Ministry of Health con- positive, unprecedented, and unexpected
detected and on January 7, 2020, the World firmed the first case of coronavirus on Febru- impact of lockdown was observed on the
Health Organization (WHO) named the dis- ary 26, 2020, in Karachi, which is in the Sindh environment in terms of improved air qual-
ease as severe acute respiratory syndrome coro- Province (Sarwar et al., 2020; Waris et al., ity indices, such as reduction of CO2, NO2,
navirus 2 (SARS-CoV-2), a coronavirus strain 2020). As expected, cases continued to rise at a and particulate matter (Gulseven et al.,
that causes COVID-19 (Sohrabi et al., 2020). rapid rate. On June 7, 2020, when we stopped 2020; Paital, 2020; Paital et al., 2020; Tahir
After only 1 month of the COVID-19 out- taking air quality measurements for this study, & Masood, 2020). Consequently, the risk of
break, WHO declared it a health emergency the number of confirmed cases in Pakistan diseases associated with air pollution—such
of international concern, as it could pose a was 98,943 and confirmed deaths was 2,002. as bronchitis, asthma, other lung diseases,
high risk to countries with compromised As of November 2022, Pakistan had reported and heart attack risks—also decreased
health systems (Sohrabi et al., 2020). Within 1,574,549 cases and 30,629 deaths. (Paital, 2020).

16 •
Pakistan is a developing economy with
limited resources to deal with a disease out-
FIGURE 1 break or pandemic. As the number of cases
Map of Pakistan Identifying the Selected Cities continued to increase, to prevent disaster in
terms of burden on the healthcare system
and massive loss of life, the government
slowly started imposing restrictions in dif-
ferent provinces on March 15, 2020. Ini-
tially, educational institutions were closed
and then restrictions on unnecessary move-
ments across cities were imposed (Sarwar et
al., 2020). Forced lockdown was imposed on
March 24, 2020, and work-from-home was
implemented, educational institutions went
to online learning, and shopping malls and
markets were closed except for essential gro-
cery stores and pharmacies.
Lockdown decisions are a trade-off
between people’s health and the economic
prosperity of a country. In Pakistan, 24%
of the country’s population lives below the
poverty line and according to the Multidi-
mensional Poverty Index, 39% of the popula-
tion is poor. During 2015–2017, 21% of the
country’s population was undernourished
(Mamun & Ullah, 2020). To help these pop-
ulations, especially “daily wagers,” and to
keep the economy from collapsing, the gov-
ernment slowly began easing the lockdown
around May 9, 2020 (Rasheed et al., 2021).
After this time, partial or smart lockdown
was in place, which meant that educational
institutions and the majority of offices were
closed, and markets were allowed to open
FIGURE 2
only during a specific time window in the
Comparison of the Monthly Average of PM2.5 for the Selected Cities daytime (Sarwar et al., 2020). All restric-
in Pakistan tions related to COVID-19 were lifted by the
government in March 2022 following the
185.8

vaccination of a majority of the population


Monthly Average of PM2.5 (µg/m3)

and a decline in active cases.


Pakistan is the most urbanized among all
119.7

countries in the South Asian region and its


101.7

ambient air quality is worsening. Air pollu-


90.7

tion has been reported to cause 11 million


77.0

premature deaths in the Pakistan (Ullah et


72.7
72.3

70.9
65.4

61.9

al., 2021). The country ranks third in the


51.4
43.4

41.9

38.4

most number of deaths due to air pollution,


35.7
33.3

29.1
27.8

25.8
23.5

after China and India (Iftikhar et al., 2018).


Particulate matter is a major atmospheric
pollutant responsible for adverse effects on
January 2020 February 2020 March 2020 April 2020 May 2020 human health, climate, and visibility. It is
Month produced through various processes such as
industrial emissions, fuel burning, and bio-
Karachi Lahore Islamabad Peshawar mass burning. With a vehicular growth rate
of 11% per year, the number of vehicles on

January/February 2023 • Journal of Environmental Health 17


A D V A N C E M E N T O F T H E SCIENCE

the roads increased from 2.7 to 9.1 million in


the last decade (Mehmood et al., 2020).
FIGURE 3
The World Economic Forum in 2012
reported Karachi and Peshawar to be among 24-Hour Average of PM2.5 Concentrations Pre- and Post-Lockdown
the top 20 highly polluted cities in the world in the Selected Cities in Pakistan
(Iftikhar et al., 2018). Lahore is currently the
most polluted city of Pakistan. The amount A: Karachi WHO Limit
of particulate matter in the atmosphere fre- 160

24-hr Average of PM2.5 (µg/m3)


Pre-Lockdown Post-Lockdown
quently exceeds WHO and national air qual- 140
ity guidelines: 25 μg/m3 24-hr mean and 35 120
μg/m3 24-hr mean, respectively (Ahmad et
100
al., 2020; Pakistan Environmental Protec-
tion Agency, 2008; World Health Organiza- 80
tion, 2021). 60
Various studies have been conducted in 40
different countries to identify the impacts of 20
lockdown on the environment and air quality.
0
This study focused on evaluating the impact
1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020
of the COVID-19 lockdown on air quality in
Date
terms of particulate matter (PM2.5) in four
major cities of Pakistan.
B: Lahore WHO Limit
Effect of Lockdown on Global 400
24-hr Average of PM2.5 (µg/m3)

Pre-Lockdown Post-Lockdown
Air Quality 350
Human health is greatly impacted by air qual- 300
ity. Thus, the unprecedented growth and
250
development in recent years and the subse-
quent impact on the environment—especially 200
in air quality—has attracted the attention of 150
global researchers. Short- and long-term expo- 100
sure to air pollution has been linked to health
50
issues such as chronic obstructive pulmo-
nary disease (COPD), asthma, inflammation, 0
and SARS (Xu et al., 2020). Fine particulate 1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020
matter emissions (e.g., NO2, CO2) from vari- Date
ous sources such as power plants, industrial continued 
manufacturing, coal burning, and vehicles are
known to cause severe health impacts.
According to WHO, 92% of the world’s pop- Following government-imposed lockdown ter. Similar results were reported in China,
ulation lives in areas with air quality below or as a personal response to COVID-19, trav- Spain, Italy, France, and India. Reduction of
specified limits. In 2016, 4.2 million deaths eling was majorly reduced (Muhammad et economic activity and road traffic in Rio de
worldwide were reported due to ambient al., 2020). Air travel decreased by 96% due Janeiro led to a decline in NO2 and CO levels
air pollution, which is approximately 8% of to COVID-19, the lowest ever rate in 75 years (Dantas et al., 2020). Similarly in São Paulo,
global deaths. Additionally, 29% of lung can- (Wang et al., 2020). In addition, manufactur- Brazil, during lockdown, reductions of up
cer deaths, 25% of heart disease deaths, 24% of ing, transport, and the industrial sector were to 77% in NO, 54% in NO2, and 65% in CO
stroke deaths, and 43% of lung diseases were affected. Global oil demand also was drasti- concentrations were reported (Nakada &
attributed to ambient air pollution. In addi- cally reduced (Muhammad et al., 2020). As Urban, 2020).
tion, 26% of deaths related to respiratory infec- a result, air pollution levels in New York In China, COVID-19 led to lockdown
tion, 25% of deaths due to COPD, and 17% of dropped by approximately 50% in March of major commercial and industrial activi-
deaths due to stroke and ischemic heart dis- 2020 as compared with March 2019 (Hen- ties and a reduction in travel, which led to a
ease were attributed to air pollution (Isaifan, riques, 2020; Saadat et al., 2020). remarkable reduction in air pollutant emis-
2020). A study conducted by Fang et al. (2016) In Rio de Janeiro, Brazil, in the first sions to levels that had not been recorded in
reported that air pollution was responsible for week of quarantine, public transportation years. Lockdown resulted in a 25% reduction
32% of reported deaths in China, with a 2% use decreased by 50%, accompanied by in carbon emissions by February 2020. A
mortality rate associated with PM2.5 in China. significant reductions in particulate mat- dramatic reduction in NO2 levels (i.e., 30%)

18 Volume 85 • Number 6
by approximately 60% and 40%, respectively,
while NO2 and CO decreased by 52.68% and
FIGURE 3 continued
30.35%, respectively, compared with the pre-
24-Hour Average of PM2.5 Concentrations Pre- and Post-Lockdown vious year (Mahato et al., 2020). Moreover, in
in the Selected Cities in Pakistan major cities in India such as Pune, Mumbai,
and Ahmedabad, NO2 emissions decreased
C: Peshawar WHO Limit by approximately 40–50% in March 2020
180 compared with March 2019 (Paital, 2020).
24-hr Average of PM2.5 (µg/m3)

Pre-Lockdown Post-Lockdown
160 In Almaty, Kazakhstan, a 30–34% reduction
140 in PM2.5 was observed during the lockdown
120 compared with the same time period in
100 2018–2019 (Kerimray et al., 2020).
80
Methods
60
40 Study Area
20 Four major cities of Pakistan were selected
0 for the study: Karachi, Lahore, Peshawar,
1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020 and Islamabad (Figure 1). These cities have
Date been reported to have very high concentra-
tions of particulate matter (Sanchez-Triana et
D: Islamabad WHO Limit al., 2014).
180
Karachi, the capital city of Sindh Prov-
24-hr Average of PM2.5 (µg/m3)

Pre-Lockdown Post-Lockdown
160 ince, is the biggest metropolitan city and
140 is located along the Arabian Sea (Chen et
120 al., 2020). It is the most industrialized and
100 urbanized city of Pakistan. The urbanization
80 rate of the city is approximately 3%. It is also
60
the most populated city of the country, with
a population of approximately 14,910,352
40
according to provisional summary results of
20
the Population and Housing Census (Gov-
0 ernment of Pakistan, 2017). Karachi has
1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020
a large industrial base, including cement
Date
factories, steel mills, oil refineries, found-
WHO = World Health Organization. ries, railroad yards, petrochemical indus-
tries, shipping, automobile assembly plants,
printing and publishing plants, food pro-
was also observed following lockdown (Myl- 20–30% due to lockdown (Muhammad et cessing plants, brick kilns, tanneries, solid
lyvirta, 2020; Tahir & Masood, 2020). al., 2020). waste incineration, open burning of munici-
According to the National Aeronau- In the northern U.S., NO2 concentrations pal waste, oil-fired power plants, metal recy-
tics and Space Administration, a decrease dropped by approximately 30% due to lock- cling plants, and some light industry (Chen
in NO2 concentrations was first observed down (Paital et al., 2020). And in the U.S. et al., 2020; Parekh et al., 2001; Shahid et
over Wuhan, China, which then spread overall, CO2 emissions dropped by approxi- al., 2016). In addition, Karachi has more
to the entire country and ultimately the mately 40%. Particulate matter concentra- than 3.6 million vehicles, the largest num-
whole world (Dutheil et al., 2020; Wang tions also decreased in the U.S. and UK com- ber in the country (Khan et al., 2018). These
& Su, 2020). In Shanghai, Beijing, Guang- pared with the previous year (Child, 2020; sources contribute to high particulate emis-
zhou, and Wuhan, reductions in PM2.5 were Paital, 2020). sions in the city and severe air quality, and
found to be 6.37, 9.23, 5.35, and 30.79 μg/ Air quality in India also improved due to thus pose health risks to residents of the
m3, respectively (Wang et al., 2020). Satel- lockdown: people from the northern Indian city (Chen et al., 2020; Gurjar et al., 2010;
lite images show a drop in NO2 emissions state of Punjab reported that they could see Parekh et al., 2001).
in UK, Spain, and Northern Italy (Saadat et the Himalayas from 100 mi away due to Lahore is the capital of Punjab Province
al., 2020). According to the European Space improved air quality (Ramasamy et al., 2020). and is situated along the Ravi River. It is the
Agency, NO2 concentrations in China, Spain, Air quality of Delhi, India, also improved dur- second most populated city of Pakistan with
France, and Italy dropped by approximately ing lockdown: PM10 and PM2.5 were reduced a population of approximately 11,126,285

January/February 2023 • Journal of Environmental Health 19


A D V A N C E M E N T O F T H E SCIENCE

(Government of Pakistan, 2017). The city


has approximately 2,150 registered indus-
FIGURE 4
tries and 3.9 million motor vehicles. The
major sources of particulate matter in the Air Quality Index (AQI) Pre- and Post-Lockdown in the Selected Cities
city include vehicles and road dust (72%), in Pakistan
industrial sources (16%), and combustion
and steel industries (12%) (Khanum et al., A: Karachi
250
2021). Major industries in the city produce Pre-Lockdown Post-Lockdown
products including motorcycles, chemicals,
pharmaceuticals, construction materials, 200
steel, and engineering equipment. The par-
ticulate matter in the city often surpasses 150
WHO limits (Khanum et al., 2017).
Peshawar is the capital of Khyber Pakh- AQI
100
tunkhwa, the smallest province of Pakistan.
The population of the city is 1,970,942 and
is continuously increasing due to migration 50
of people looking for employment and edu-
cational opportunities (Alam et al., 2015; 0
Government of Pakistan, 2017). The city 1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020
has a high urbanization rate, which con- Date
tributes to increased vehicles. Industries
in the city include paper, textiles, pharma- B: Lahore
450
ceuticals, cigarettes, food processing, card-
board, and furniture manufacturing. Conse- 400 Pre-Lockdown Post-Lockdown
quently, the PM10 and PM2.5 are 16 and 10 350
times higher, respectively, than WHO limits
300
(Zeb et al., 2018).
Islamabad is the capital of Pakistan and the 250
AQI

country’s ninth largest city. It is an urban city 200


with a population of 1,014,825. Some indus-
150
trial sectors (such as sectors I-9 and I-10)
and heavy traffic of approximately 48,000 100
vehicles/day at some places (e.g., Faizabad 50
interchange) are considered the main sources
0
of particulate matter emissions in the city.
1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020
Industries include steel mills, flour mills,
Date
marble factories, oil and ghee factories, cos- continued 
metic and pharmaceutical units, and pigment
and paint manufacturing plants (Government
of Pakistan, 2017; Mehmood et al., 2020). The network included both fixed and www.airnow.gov) but do not measure other
mobile monitoring stations, a data center, air quality parameters such as PM10, NO2,
Data Collection and Analysis and a central laboratory. Initially, JICA was ozone, and SO2 (U.S. Embassy and Consul-
Our study used secondary data to evaluate the responsible for the operations and then the ates in Pakistan, 2020).
effect of lockdown on air quality of four major responsibility shifted to the Provincial and The air quality parameter chosen for this
cities of Pakistan. Unfortunately, air quality Pakistan EPAs, but they could not sustain study is fine particulate matter, which is com-
data available for Pakistan are limited. The the operations due to budget and technical monly referred to as PM2.5. The data for air
responsibility of monitoring air pollution lies issues. PM2.5 was monitored infrequently and quality were taken from the U.S. Embassy and
with the Provincial Environmental Protection data reliability was suboptimal (Sanchez- Consulates from the AirNow website (U.S.
Agencies (EPA) and the Pakistan EPA. From Triana et al., 2014). Pakistani authorities do Environmental Protection Agency, 2020). To
2006–2009, a network of air quality monitor- not publish real-time air quality data (Sarfraz, explore the effect of lockdown on air quality
ing stations was installed in five major cities 2020). Since April 2019, the U.S. Embassy in terms of PM2.5, we took the following steps:
(i.e., Lahore, Karachi, Quetta, Islamabad, and and Consulates in Pakistan publish real-time 1. Raw PM2.5 per hr readings in μg/m3 were
Peshawar) with the support of the Japanese air quality data for PM2.5 for Islamabad, Kara- taken for each day from January 1, 2020, to
International Cooperation Agency (JICA). chi, Lahore, and Peshawar (data available at June 7, 2020, for Islamabad and from Janu-

20 Volume 85 • Number 6
24, 2020, so we used these date in our study. A
comparison of air quality of monthly and daily
FIGURE 4 continued
averages of PM2.5 concentrations and AQI was
Air Quality Index (AQI) Pre- and Post-Lockdown in the Selected Cities also performed for the four cities.
in Pakistan
Results
C: Peshawar
250
Air Quality of Selected Cities
Pre-Lockdown Post-Lockdown
Figure 2 shows a comparison of the monthly
200 average of PM2.5 concentrations of the four
cities. Lahore had the highest pollution lev-
150 els. The data also showed a visible decline
in concentrations during March 2020, prob-
AQI

ably because people started practicing social


100
distancing, activities were limited, and edu-
cational institutions and offices were closed.
50 The maximum decline was seen in April due
to the enforced lockdown. The concentra-
0
tions, however, were observed to rise in May
1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020 2020, which might be because the lockdown
Date was eased.

D: Islamabad Change in Air Quality Due to


250
Lockdown
Pre-Lockdown Post-Lockdown
200 Karachi
In Karachi, reduction in PM2.5 concentration
150
(24-hr average) was observed post-lockdown.
Average PM2.5 concentration in the pre-lock-
AQI

down period was 66.42 μg/m3, with a mini-


100 mum concentration of 19.50 μg/m3 and a
maximum concentration of 151.32 μg/m3.
50 Post-lockdown, however, the average con-
centration decreased to 25.34 μg/m3 (a 62%
reduction), with a minimum concentration
0
of 13.00 μg/m3 and a maximum concentra-
1/1/2020 2/1/2020 3/1/2020 4/1/2020 5/1/2020 6/1/2020
tion of 52.49 μg/m3. A strong negative corre-
Date
lation was found between time and PM2.5 at p
= .05. Figure 3A presents the change in PM2.5
pre- and post-lockdown in Karachi.
ary 1, 2020, to June 9, 2020, for Karachi, value, the higher the pollution level and the Corresponding to PM2.5, the AQI of Kara-
Lahore, and Peshawar. higher risk to health (see U.S. EPA AQI lev- chi also improved post-lockdown. Figure 4A
2. Invalid, missing, or erroneous readings els at www.airnow.gov/aqi/aqi-basics). presents the AQI pre- and post-lockdown in
were removed from the data. Linear regression was applied to find the Karachi: the minimum AQI pre-lockdown was
3. A 24-hr average was calculated for each day. statistical significance of the relationship 67 (Moderate) and the maximum AQI was
4. The 24-hr PM2.5 average was converted into between PM2.5 concentrations and time. The 202 (Very Unhealthy), with an average of 157
an Air Quality Index (AQI) value. This same steps of data collection and analysis (Unhealthy). Post-lockdown, the minimum
conversion was performed using the U.S. were repeated for each city. The results sec- AQI was 83 (Moderate) and the maximum AQI
EPA AQI calculator (www.airnow.gov). tion presents the change in PM2.5 concentra- was 143 (Unhealthy for Sensitive Groups),
The raw PM2.5 readings were converted to tions and AQI of each city before and after with an average AQI of 79 (Moderate).
actionable information using the U.S. EPA lockdown. Restrictions in movements such
NowCast algorithms. These algorithms use as closure of educational institutions and self- Lahore
raw PM2.5 readings and convert the readings social distancing started in all cities at the start The data show improvement in air qual-
into an AQI to inform health-related deci- of March 2020. Formal complete lockdown in ity of Lahore as PM2.5 concentrations (24-hr
sions (AirNow, 2020). The higher the AQI the country, however, was enforced on March average) decreased by 62% post-lockdown.

January/February 2023 • Journal of Environmental Health 21


A D V A N C E M E N T O F T H E SCIENCE

In the pre-lockdown period, the minimum concentration was 15.79 μg/m3 and the maxi- in various phases. All restrictions related to
PM2.5 concentration was 20.30 μg/m3 and the mum PM2.5 concentration was 170.66 μg/m3, COVID-19 were finally removed in March
maximum PM2.5 concentration was 340.36 with an average PM2.5 pre-lockdown of 61.43 2022. Thus, a decline in PM2.5 concentrations
μg/m3, with an average PM2.5 concentration μg/m3. Post-lockdown, the minimum PM2.5 and improved AQI was observed since the
of 132.00 μg/m3. Post-lockdown, the mini- concentration was 24.66 μg/m3 and the maxi- start of March 2020.
mum PM2.5 concentration was 15.00 μg/m3 mum PM2.5 concentration was 38.00 μg/m3, A maximum improvement in air quality
and the maximum PM2.5 concentration was with an average of 27.42 μg/m3. This finding was observed in April 2020 when complete
139.00 μg/m3, with an average concentration shows an approximately 55% reduction in lockdown was enforced. In May, as restric-
of 50.52 μg/m3. A strong negative correlation PM2.5 post-lockdown. A strong negative cor- tions were eased, PM2.5 started increasing. The
was found between time and PM2.5 at p = .05. relation was found between time and PM2.5 at PM2.5 concentrations were still less compared
Figure 3B shows PM2.5 concentrations pre- p = .05. Figure 3D presents PM2.5 concentra- with the pre-lockdown period because smart
and post-lockdown in Lahore. tion in the periods pre- and post-lockdown lockdown was in place. Our study shows
Similarly, the AQI was observed to improve in Islamabad. how reduced transportation and closure of
post-lockdown. The minimum AQI pre-lock- Corresponding to PM2.5, the AQI also industries led to improvement in air quality.
down was 68 (Moderate) and the maximum improved due to lockdown. Pre-lockdown, This finding is comparable to studies in other
AQI was 390 (Hazardous), with an average the minimum AQI was 59 (Moderate) and the countries that examined improvement of air
AQI pre-lockdown of 190 (Unhealthy). In maximum AQI was 221 (Very Unhealthy). quality caused by COVID-19 lockdowns.
the post-lockdown period, the minimum AQI Post-lockdown, the minimum AQI was 77 We understand that our study has limi-
was 57 (Moderate) and the maximum AQI (Moderate) and the maximum AQI was 107 tations. This study is compromised by the
was 194 (Unhealthy), with an average AQI (Unhealthy for Sensitive Groups). The aver- availability of data. We considered only one
improved to 138 (Unhealthy for Sensitive age AQI improved from 154 (Unhealthy) pre- parameter to evaluate air quality. Compari-
Groups). Figure 4B presents the AQI pre- and lockdown to 83 (Moderate) post-lockdown. son of air quality data with the same time
post-lockdown in Lahore. Figure 4D presents the change in AQI due to the previous year, however, could not be
lockdown in Islamabad. done due to the unavailability of data. Also,
Peshawar our study did not take into consideration
In Peshawar, the data also show an improve- Discussion and Conclusion seasonal variations. Moreover, the data gath-
ment in air quality post-lockdown. In the pre- Our study focused on identifying the change ered by the U.S. Embassy and Consulates in
lockdown period, the minimum PM2.5 concen- in air quality pre- and post-lockdown in four the four cities were from a single monitoring
tration was 20.70 μg/m3 and the maximum cities of Pakistan using PM2.5 concentrations station, which might not be representative
PM2.5 concentration was 155.10 μg/m3, with (24-hr average) and AQI levels from Janu- of the entire city.
an average PM2.5 concentration of 86.07 μg/m3. ary 1, 2020, to June 9, 2020. We also com- This article, however, serves as a baseline
Post-lockdown, the minimum PM2.5 concentra- pared the air quality of these cities. We found for research in Pakistan on air quality and
tion was 16.50 μg/m3 and the maximum PM2.5 Lahore to have the highest air pollution both the effect of COVID-19 lockdowns. Further
concentration was 63.75 μg/m3, with an aver- pre- and post-lockdown among the four cit- research is needed to identify changes in air
age PM2.5 concentration of 36.72 μg/m3. This ies studied. Air quality of all the cities was quality after lockdown has been lifted.
finding shows a 57% reduction in PM2.5 con- observed to improve following lockdown. One key aspect of air pollution that needs
centration post-lockdown. A strong negative Average PM2.5 concentration in the post- further evaluation is that the mortality rate of
correlation was found between time and PM2.5 lockdown period decreased (statistically COVID-19 is higher for people who also have
at p = .05. Figure 3C presents the PM2.5 concen- significant) by >50% compared with the pre- cardiovascular illness or chronic respiratory
tration pre- and post-lockdown in Peshawar. lockdown concentration in all four cities. For illness. These diseases are linked to air pollu-
Similar to PM2.5, the AQI also improved PM2.5, a 62% reduction was observed in Kara- tion, which implies that air pollution can be
post-lockdown in Peshawar. The AQI chi and Lahore, followed by 57% in Peshawar a secondary factor for mortalities associated
improved from 167 (Unhealthy) pre- and 55% in Islamabad. with COVID-19. A study by Zhu et al. (2020)
lockdown to 104 (Unhealthy for Sensitive The average AQI improved from Unhealthy showed a relationship between high air pol-
Groups) post-lockdown. Pre-lockdown, to Moderate in Karachi and Islamabad and lutant concentration and high probability of
the minimum AQI was 69 (Moderate) and from Unhealthy to Unhealthy for Sensitive COVID-19 cases.
the maximum AQI was 200 (Unhealthy). Groups in Lahore and Peshawar. Although Viruses are one of the smallest aerosol
Post-lockdown, the minimum AQI was 60 people started restricting their activities at particles, with a diameter as small as 20 nm.
(Moderate) and the maximum AQI was 155 the beginning of March 2020 and govern- Viruses are not usually airborne themselves,
(Unhealthy). Figure 4C presents the change ment enforcement of restrictions was also but rather they attach to other suspended
in AQI post-lockdown in Peshawar. slowly ramping up, on March 24, 2020, a particles (e.g., PM2.5). Thus, the concentra-
complete lockdown was enforced that was tion of air pollutants such as those of PM2.5
Islamabad then eased around May 10. Lockdown, how- and PM10 affect the transmission of SARS-
In Islamabad, the data show improved air ever, was not completely lifted and smart CoV-2. Smaller particles remain suspended
quality post-lockdown. The minimum PM2.5 lockdown was in place in various cities and in air for longer time periods because of their

22 •
low settling velocity (e.g., it takes 67 min for in Europe in terms of AQI based on five pol- the economy, health systems, and the mental
a 5 μm particle to fall 3 m). Fine particles lutants (i.e., PM2.5, PM10, O3, NO2, and SO2). health of people (Mahato et al., 2020).
with virus attached to them can be inhaled by Conticini et al. further argue that older adults Global emissions have nevertheless
humans and reach the epithelial cells of the who live in areas with a high concentration declined for the first time in the last 12 years.
respiratory system (Xu et al., 2020). SARS- of particulate matter for a long period of time One key lesson is that improved air quality
CoV-2 can remain viable for hours in aerosols have a high probability of contracting the is possible if we switch to renewable energy
(Zhu et al., 2020). virus because they have a weak upper airway sources, bring about systematic changes in
Conticini et al. (2020) explain how poor defense system. Detailed research is needed our energy infrastructure, and promote green
air quality can lead to innate immune sys- to correlate air pollution levels and COVID- commuting to be more sustainable (Bao &
tem hyperactivation, which has been found 19 cases across cities in Pakistan. Zhang, 2020).
in COVID-19 patients; the authors also argue This study and other similar studies from
that abnormally high death counts reported different countries show that by staying at Corresponding Author: Mehreen Khan, Depart-
in the Emilia-Romagna and Lombardia home, humans decreased pressure on the ment of Environmental Science and Policy,
regions in Italy could be due to poor air qual- global environment and especially lessened Lahore School of Economics, Barki Road,
ity. They state that these areas of Italy are their impact on the quality of air. COVID- Lahore, Pakistan.
among the most polluted areas in Italy and 19, however, has taken a grim toll on lives, Email: mehreen.haider26@gmail.com.

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