Exploring the link between ambient PM2.5 concentrations and respiratory diseases in the elderly: a study in the Muang district of Khon Kaen, Thailand.

The impact of air pollution is a major public health concern. However, there are few studies on the correlation between PM2.5 and respiratory infections. This study aimed to determine a link between PM2.5 and respiratory diseases among the elderly in Thailand. The data source for this study consisted of 43 electronic files from the Khon Kaen Provincial Health Office covering years 2020 and 2021 and surveyed a total of 43,534 people. The generalized linear mixed model (GLMM) was used to determine the adjusted odds ratio (AOR), and 95 % CI. We found that exposure to PM2.5 concentrations (in 10 µg m-3 increments) was associated with respiratory diseases (AOR: 3.98; 95 % CI [1.53-10.31]). Respondents who are male, aged less than 80 years, single, self-employed, or working as contractors, have a body mass index (BMI) not equal to the standard, have NCDs (hypertension, diabetes mellitus, and cardiovascular disease), are smokers, live in sub-districts where more than 5 % of the land is planted to sugarcane, or live in close proximity to a biomass power plant were at significantly higher risk of developing respiratory diseases (p<0.05). Therefore, environmental factors including ambient PM2.5 concentrations, the proportion of sugarcane plantation areas, and biomass power plants impact the occurrence of respiratory diseases among the elderly. Also, demographic factors and NCDs are serious issues. Systematic approaches to reducing PM2.5 levels in industrial and agricultural sectors are necessary for both the general population and vulnerable groups, including the elderly and NCD patients.

Human health risk assessment of PM2.5-bound heavy metal of anthropogenic sources in the Khon Kaen Province of Northeast Thailand.

The study aimed to assess the human health risk of PM2.5-bound heavy metals from anthropogenic sources in Khon Kaen Province, Thailand between December 2020 and February 2021. According to the findings, the geometric mean concentration of PM2.5 in the university area, residential area, industrial zone, and the agricultural zone was 32.78 µg/m3, 50.25 µg/m3, 44.48 µg/m3, and 29.53 µg/m3, respectively. The results showed that the estimated human health risk assessment, in terms of non-carcinogenic risks among children and adults in an urban area (residential and university), industrial zone, and the agricultural area, was of hazard index (HI) value of >1.0 indicating a greater chance of chronic effects occurring. This study showed that exposure to PM2.5-bound heavy metal may increase the likelihood that lasting effects will result in a very high carcinogenic risk (CR) in children in residential areas, and an industrial zone with total carcinogenic risk (TCR) values of 0.23 × 10 1 , and 0.12 × 10 1 , respectively while resulting in a high TCR of 3.34 × 10 - 2 and 4.11 × 10 - 2 within the university areas and agricultural zone, respectively. In addition, health risk assessments among adults demonstrate high TCR values of 4.40 × 10 - 1 (residential area), 2.28 × 10 - 1 (industrial zone), and 7.70 × 10 - 3 (agricultural zone), thus indicating a potential health risk to adults living in these areas while the university area was very low effects on carcinogenic risk ( CR ≤ 10 - 8 ) for adults. Therefore, lowering the risk of exposure to PM2.5 via the respiratory tract, for example, wearing a mask outside is a very effective self-defense strategy for people within and around the study site. This data study strongly supports the implementation of the air pollutant emission source reduction measures control and health surveillance.