China saw the smog coming and last week issued its first red alert of the year for 23 cities.
As of Saturday, the smog covered 10.1 million square kilometers (3.9 million square miles), according to the country's Ministry of Environmental Protection.
That's roughly the area of the United States.
Tianjin Binhai International Airport, a major air cargo center, suspended service from Sunday evening to mid-morning Monday, resulting in the cancellation of 131 flights and 75 delays, Xinhua said.
Beijing, the capital, also restricted automobile traffic, while in Shandong Province, down the coast from Tianjin, officials closed toll gates on four expressways. Flights were also delayed in Shandong.
Other measures undertaken by affected cities include suspending construction projects, canceling classes for kindergartens and primary schools and closing or reducing production at some factories. The measure affected 1,200 factories in the capital alone, the Ministry of Environmental Protection reported, citing the China Securities Journal.
Major cities affected
Beijing issues red alerts when pollutants are forecast to push the air-quality index higher than 200 for at least four days, above 300 for two or more days or higher than 500 for 24 hours.
Some cities had pockets where air pollution was off the charts. Literally.
While the air-quality index used by the US Environmental Protection Agency stops at 500, several Chinese cities had readings that far surpassed that number as of early Tuesday.
Not over yet
To put those numbers in perspective, India, Kosovo and Macedonia had areas where pollution levels topped 300 late Monday (and Sanliurfa, Turkey, and three cities in Mexico had scores higher than 860), but nowhere monitored by the World Air Quality Index Project had numbers anywhere near China's.
The highest UK score Monday was a 142 in Stanford-le-Hope, east of London, and the highest U.S. score was a 168 in Seeley, Montana, according to the project map, which focuses more heavily on North America, Europe and Asia than it does other continents.
While China's Ministry of Environmental Protection reported improvements in air quality in some cities, the red alerts are expected to stay in effect until Wednesday because of weather conditions that are preventing the pollution from dissipating.
CNN's Dave Hennen contributed to this report.