In the context of this symposium, this article reviews social science research in the emerging field of environment and health in China, with a particular focus on the impacts of pollution. It begins with a discussion of the particular nature of China’s environment-related health problems, distinguishing the different challenges presented by diseases of poverty, affluence and transition. It then reviews recent developments in policy and civil society with regard to environment and health, and the extent to which work in the social sciences has advanced our knowledge of these and of state–society interactions. The article concludes with some reflections on the need for and challenges of interdisciplinary and international collaboration in this area.