A dense wave of smog began in the Central and Eastern part of China on 2 December 2013 across a distance of around 1,200 kilometres (750 mi), including Tianjin, Hebei, Shandong, Jiangsu, Anhui, Shanghai and Zhejiang. A lack of cold air flow, combined with slow-moving air masses carrying industrial emissions, collected airborne pollutants to form a thick layer of smog over the region. The heavy smog heavily polluted central and southern Jiangsu Province, especially in and around Nanjing, with its AQI pollution Index at "severely polluted" for five straight days and "heavily polluted" for nine. On 3 December 2013, levels of PM2.5 particulate matter average over 943 micrograms per cubic metre, falling to over 338 micrograms per cubic metre on 4 December 2013. Between 3:00 pm, 3 December and 2:00pm, 4 December local time, several expressways from Nanjing to other Jiangsu cities were closed, stranding dozens of passenger buses in Zhongyangmen bus station. From 5 to 6 December, Nanjing issued a red alert for air pollution and closed down all kindergarten through middle schools. Children's Hospital outpatient services increased by 33 percent; general incidence of bronchitis, pneumonia, upper respiratory tract infections significantly increased. The smog dissipated 12 December. Officials blamed the dense pollution on lack of wind, automobile exhaust emissions under low air pressure, and coal-powered district heating system in North China region. Prevailing winds blew low-hanging air masses of factory emissions (mostly SO2) towards China's east coast.