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PM2.5 pollution has adverse health effects on humans. Urbanization and long-term meteorological variations play important roles in influencing the PM2.5 concentration and its associated health effects. Our results indicate that the urbanization process can enhance the PM2.5 concentration globally. The PM2.5-caused mortality density (deaths/100 km2) is also positively correlated with the urbanization degree in both developed and developing countries. The results from machine learning technique revealed that the meteorology-driven variati