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Outpatient Department Visits and Mortality with Various Causes Attributable to Ambient Air Pollution in the Eastern Economic Corridor of Thailand.
Thongphunchung, Khanut; Charoensuk, Panita; U-Tapan, Sutida; Loonsamrong, Wassana; Phosri, Arthit; Mahikul, Wiriya.
Affiliation
  • Thongphunchung K; Health Impact Assessment Division, Department of Health, Ministry of Public Health, Nonthaburi 11000, Thailand.
  • Charoensuk P; Health Impact Assessment Division, Department of Health, Ministry of Public Health, Nonthaburi 11000, Thailand.
  • U-Tapan S; Health Impact Assessment Division, Department of Health, Ministry of Public Health, Nonthaburi 11000, Thailand.
  • Loonsamrong W; Health Impact Assessment Division, Department of Health, Ministry of Public Health, Nonthaburi 11000, Thailand.
  • Phosri A; Department of Environmental Health Sciences, Faculty of Public Health, Mahidol University, Bangkok 10400, Thailand.
  • Mahikul W; Center of Excellence on Environmental Health and Toxicology, Bangkok 10400, Thailand.
Article in En | MEDLINE | ID: mdl-35805343
ABSTRACT
The Eastern Economic Corridor in Thailand is undergoing development, but industrial activities are causing serious air pollution. This study aimed to examine the effects of particulate matter (PM10), fine particulate matter (PM2.5), SO2, NO2, O3, and CO on outpatient department (OPD) visits and mortality with various causes in the Eastern Economic Corridor, Thailand between 2013 and 2019 using a case-crossover design and conditional Poisson model. The corresponding burden of disease due to air pollution exposure was calculated. A 1 µg/m3 increase in the PM10 was associated with significant increases in OPD visits for circulatory diseases (0.22, 95% CI 0.01, 0.34), respiratory diseases (0.21, 95% CI 0.13, 0.28), and skin and subcutaneous tissue diseases (0.18, 95% CI 0.10, 0.26). By contrast, a 1 µg/m3 increase in the PM10 was associated with significant increases in mortality from skin and subcutaneous tissue diseases (0.79, 95% CI 0.04, 1.56). A 1 µg/m3 increase in PM2.5 was associated with significant increases in mortality from circulatory diseases (0.75, 95% CI 0.20, 1.34), respiratory diseases (0.82, 95% CI 0.02, 1.63), and skin and subcutaneous tissue diseases (2.91, 95% CI 0.99, 4.86). The highest OPD burden was for circulatory diseases. Respiratory effects were attributed to PM10 exceeding the national ambient air quality standards (NAAQS) of Thailand (120 µg/m3). The highest morbidity burden was for skin and subcutaneous tissue diseases attributed to PM2.5 concentrations that exceeded the NAAQs (50 µg/m3). PM pollution in the EEC could strongly contribute to OPD visits and morbidity from various diseases. Preventing PM10 concentrations from being higher than 60 µg/m3 could decrease OPD visits by more than 33,265 and 29,813 for circulatory and respiratory diseases, respectively. Our study suggests that such pollution increases the risks of OPD visits and mortality in various causes in the Thai EEC. Reducing the ambient air pollution concentration of NAAQSs in Thailand could reduce the health effect on the Thai population.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cardiovascular Diseases / Air Pollutants / Air Pollution Type of study: Clinical_trials / Etiology_studies / Health_economic_evaluation Limits: Humans Country/Region as subject: Asia Language: En Journal: Int J Environ Res Public Health Year: 2022 Document type: Article Affiliation country: Tailandia

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cardiovascular Diseases / Air Pollutants / Air Pollution Type of study: Clinical_trials / Etiology_studies / Health_economic_evaluation Limits: Humans Country/Region as subject: Asia Language: En Journal: Int J Environ Res Public Health Year: 2022 Document type: Article Affiliation country: Tailandia