Carbon mitigation and health effects of fleet electrification in China's Yangtze River Delta

Fleet electrification is one of the most promising strategies to mitigate carbon emissions and improve air quality. This study provides a comprehensive analysis of the currently unclear CO₂ mitigation and human health benefits from electric vehicle (EV) adoption and energy decarbonization in the Yangtze River Delta (YRD) region by integrating fleet modeling, emission projection, air quality modeling and health risk assessment. Based on future socioeconomic trajectories, we project that the total vehicle stock in the YRD region will peak at 107-117 million around 2045-2050. The transition to EVs combined with largely renewable energy in the YRD region can potentially reduce CO₂ emissions by 870 Tg in 2060 and brings along substantial health co-benefits with ∼360 avoided premature deaths per million from reduced PM_2.5 and O₃ concentrations. This study further explores the NO₂-attributable burden from road transportation and reveals that fleet electrification could yield greater NO₂-attributable health benefits than those from reduced PM_2.5 and O₃, especially in traffic-dense urban areas. Those findings indicate that China's near-term energy development plans (35% renewable energy) have created the conditions for large-scale EV adoption. Our results imply that the benefits of EVs exhibit substantial spatial heterogeneity, underscoring the importance of region-specific EV incentive policies, and hint that policymakers should prioritize densely populated megacities to maximize the potential for public health gains.