Four year long simulation of carbonaceous aerosols in India: Seasonality, sources and associated health effects

India's air quality is in a dismal state, with many studies ascribing it to PM2.5. Most of these corroborate that carbonaceous aerosol (CA) constitute significant fraction of PM2.5. However, investigations on the effect of long-term meteorological or emission changes on PM2.5 and its components, and their associated health effects are rare. In this work, WRF-Chem simulations for three seasons over four years (2016-2019) were carried out to cogitate the spatial and temporal changes in PM2.5 and its components in India. Model predicted PM2.5 concentrations were in good agreement with the ground-based observations for 25 cities. PM2.5 was highest in winter and lowest in pre-monsoon. PM2.5 reduced by ∼8% in Indo-Gangetic Plain (IGP) but increased by ∼38% and ∼130% in south and northeast India, respectively, from 2016 to 2019. IGP witnessed three times higher average PM2.5 concentrations than south India. No significant interannual change in CA contributions was observed, however, it peaked in the winter season. Other inorganics (OIN) were the major component of PM2.5, contributing more than 40%. Primary organic aerosol (POA) fractions were higher in north India, while secondary inorganic aerosol (SIA) dominated south India. Transport and residential sectors were the chief contributors to CA across India. Biomass burning contributed up to ∼23% of PM2.5 in regions of IGP during post-monsoon, with CA fractions up to 50%. Associations between PM2.5 and its components with daily inpatient admissions from a tertiary care centre in Delhi showed that PM2.5 and OIN had lower associations with daily hospital admissions than CA. Every 10 μg/m3 increase in POA, black carbon (BC), and secondary organic aerosol (SOA) were associated with ∼1.09%, ∼3.07% and ∼4.93% increase in the risk of daily hospital admissions. This invigorates the need for more policies targeting CA rather than PM2.5 to mitigate associated health risks, in India.