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This ICCT report reviews China’s existing efforts to rein in air pollution from vehicles and has conducted a cost-benefit analysis of the introduction of stringent new vehicle emissions and fuel quality standards. The analysis estimates future emissions, health and climate impacts, and costs according to different policy pathways, including an aggressive timetable for standards adoption (known as “World Class”). Key regions—the so-called Jing-Jin-Ji (agglomeration surrounding the capital, Beijing, the city of Tianjin, and Hebei province), the Yangtze River delta, and the Pearl River delta—are expected to lead this process.