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Leonetti A, Peansukwech U, Charnnarong J, Cha'on U, Suttiprapa S, Anutrakulchai S. Effects of particulate matter (PM2.5) concentration and components on mortality in chronic kidney disease patients: a nationwide spatial-temporal analysis. Sci Rep 2024; 14:16810. [PMID: 39039106 PMCID: PMC11263396 DOI: 10.1038/s41598-024-67642-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Accepted: 07/15/2024] [Indexed: 07/24/2024] Open
Abstract
Chronic kidney disease (CKD) is a major global public health issue and the leading cause of death in Thailand. This study investigated the spatial-temporal association between PM2.5 and its components (organic carbon, black carbon, dust, sulfate, and sea salt) and CKD mortality in Thailand from 2012 to 2021. The Modern-Era Retrospective analysis for Research and Application version 2 (MERRA-2), a NASA atmospheric satellite model, was assessed for the temporal data of PM2.5 concentration and aerosol components. Spatial resources of 77 provinces were integrated using the Geographical Information System (GIS). Multivariate Poisson regression and Bayesian inference analyses were conducted to explore the effects of PM2.5 on CKD mortality across the provinces. Our analysis included 718,686 CKD-related deaths, resulting in a mortality rate of 1107 cases per 100,000 population where was the highest rate in Northeast region. The average age of the deceased was 72.43 ± 13.10 years, with males comprising 50.46% of the cases. Adjusting for age, sex, underlying diseases, co-morbidities, CKD complications, replacement therapy, population density, and income, each 1 µg/m3 increase in PM2.5, black carbon, dust, sulfate, and organic carbon was significantly associated with increased CKD mortality across 77 provinces. Incidence rate ratios were 1.04 (95% CI 1.03-1.04) for PM2.5, 1.11 (95% CI 1.10-1.13) for black carbon, 1.24 (95% CI 1.22-1.25) for dust, 1.16 (95% CI 1.16-1.17) for sulfate, and 1.05 (95% CI 1.04-1.05) for organic carbon. These findings emphasize the significant impact of PM2.5 on CKD mortality and underscore the need for strategies to reduce PM emissions and manage CKD co-morbidities effectively.
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Affiliation(s)
- Alessia Leonetti
- Department of Tropical Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Udomlack Peansukwech
- Chronic Kidney Disease Prevention in the Northeast of Thailand (CKDNET), Khon Kaen University, Khon Kaen, Thailand
| | | | - Ubon Cha'on
- Chronic Kidney Disease Prevention in the Northeast of Thailand (CKDNET), Khon Kaen University, Khon Kaen, Thailand
- Department of Biochemistry, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Sutas Suttiprapa
- Department of Tropical Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
| | - Sirirat Anutrakulchai
- Chronic Kidney Disease Prevention in the Northeast of Thailand (CKDNET), Khon Kaen University, Khon Kaen, Thailand.
- Anandamahidol Foundation, Bangkok, Thailand.
- Division of Nephrology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
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Siudek P. Chemical composition and source apportionment of ambient PM2.5 in a coastal urban area, Northern Poland. CHEMOSPHERE 2024; 356:141850. [PMID: 38582160 DOI: 10.1016/j.chemosphere.2024.141850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 03/27/2024] [Accepted: 03/28/2024] [Indexed: 04/08/2024]
Abstract
Coastal urban areas impact atmospheric chemistry and air quality through various sources, interactions, and processes. This study examines the mass concentrations of fine mode (PM2.5) aerosol and its major and trace components (Al, As, Ba, Bi, Ca, Cd, Co, Cr, Cu, Fe, K, Mg, Mo, Mn, Na, Ni, Pb, Sb, Se, Sr, Te, Ti, Tl, V, Zn). The comprehensive field measurements were conducted in Poland between September 2019 and May 2020. Seasonal distribution and drivers of these pollutants showed considerable variability. In winter, higher concentrations were observed for Pb, Co, and As due to the higher contribution of pyrogenic emission. The Principal Component Analysis provided evidence of anthropogenic sources of trace species associated with coal combustion by industry/power plants, brake wear-related emissions, vehicle emissions, shipping activities, road-resuspended dust, and urban construction activities. These results showed that major chemical elements (Ca, Na, Fe, Mg, Al, and K) contributed to 4.07-34.0% of all components. Se, Zn, and Br contributed 1.29%, 1.25%, and 1.04%, respectively, while other tracers ranged between 0.07% and 0.95%. The diagnostic ratio of V/Ni remained stable between 0.45 and 0.46 during the cold season, then increased in spring, indicating that ship emissions were an important source of these metals during the warm season.
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Affiliation(s)
- Patrycja Siudek
- Institute of Meteorology and Water Management, PL 80-342 Gdynia, Waszyngtona 42, Poland.
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Pisithkul T, Pisithkul T, Lao-Araya M. Impact of Air Pollution and Allergic Status on Health-Related Quality of Life among University Students in Northern Thailand. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:452. [PMID: 38673363 PMCID: PMC11050436 DOI: 10.3390/ijerph21040452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/25/2024] [Revised: 03/29/2024] [Accepted: 04/06/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND Global awareness of ambient air pollution has heightened due to its detrimental impact on health, particularly in regions with elevated PM2.5 levels. Chiang Mai has emerged as an area experiencing the highest PM2.5 levels in Thailand. OBJECTIVES to examine the prevalence of respiratory allergies and assess the impact of air pollution on the health-related quality of life (QoL) among university students in Chiang Mai. METHODS Chiang Mai University (CMU) and Maejo University (MJU) students were recruited. The Global Asthma Network (GAN) questionnaire screened for respiratory allergies (RAs). The disease-specific QoL questionnaire (Rcq-36) was administered twice during low-PM2.5 and high-PM2.5 seasons to evaluate air pollution's impact on health-related QoL. Those showing potential RAs underwent a skin prick test (SPT) to investigate allergic sensitization. RESULTS Out of 406 participants, 131 (32%) reported respiratory allergies. Among those undergoing SPT, a high rate (82.54%) had positive results. Across both universities, students reported significantly lower QoL in multiple domains, particularly respiratory, eye, sleep, and emotional well-being, during the high-PM2.5 season. This aligned with their poorer self-reported health on a visual analog scale (VAS; p-value < 0.01). PM2.5 levels significantly impacted social functioning for CMU students (p-value = 0.001) and role limitations for MJU students (p-value < 0.001). Notably, participants without respiratory allergies (non-RAs) were more significantly affected by PM2.5 than RA participants in almost all parameters, despite experiencing fewer baseline symptoms. CONCLUSIONS Respiratory allergies, particularly allergic rhinitis, are prevalent among university students in Chiang Mai. This study underscores the substantial negative impact of ambient air pollution on QoL for both allergic and non-allergic students.
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Affiliation(s)
- Tipanan Pisithkul
- Division of Allergy and Clinical Immunology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand;
| | - Tippapha Pisithkul
- Program in Biotechnology, Faculty of Science, Maejo University, Chiang Mai 50290, Thailand;
| | - Mongkol Lao-Araya
- Division of Allergy and Clinical Immunology, Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand;
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Suriyawong P, Chuetor S, Samae H, Piriyakarnsakul S, Amin M, Furuuchi M, Hata M, Inerb M, Phairuang W. Airborne particulate matter from biomass burning in Thailand: Recent issues, challenges, and options. Heliyon 2023; 9:e14261. [PMID: 36938473 PMCID: PMC10018570 DOI: 10.1016/j.heliyon.2023.e14261] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 02/28/2023] [Accepted: 02/28/2023] [Indexed: 03/08/2023] Open
Abstract
Many of the current atmospheric environmental problems facing Thailand are linked to air pollution that is largely derived from biomass burning. Different parts of Thailand have distinctive sources of biomass emissions that affect air quality. The main contributors to atmospheric particulate matter (PM), especially the PM2.5 fraction in Thailand, were highlighted in a recent study of PM derived from biomass burning. This review is divided into six sections. Section one is an introduction to biomass burning in Thailand. Section two covers issues related to biomass burning for each of the four main regions in Thailand, including Northern, Northeastern, Central, and Southern Thailand. In northern Thailand, forest fires and the burning of crop residues have contributed to air quality in the past decade. The northeast region is mainly affected by the burning of agricultural residues. However, the main contributor to PM in the Bangkok Metropolitan Region is motor vehicles and crop burning. In Southern Thailand, the impact of agoindustries, biomass combustion, and possible agricultural residue burning are the primary sources, and cross-border pollution is also important. The third section concerns the effect of biomass burning on human health. Finally, perspectives, new challenges, and policy recommendations are made concerning improving air quality in Thailand, e.g., forest fuel management and biomass utilization. The overall conclusions point to issues that will have a long-term impact on achieving a blue sky over Thailand through the development of coherent policies and the management of air pollution and sharing this knowledge with a broader audience.
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Affiliation(s)
- Phuchiwan Suriyawong
- Research Unit for Energy, Economic, And Ecological Management (3E), Science and Technology Research Institute, Chiang Mai University, Chiang Mai, 50200 Thailand
| | - Santi Chuetor
- Department of Chemical Engineering, Faculty of Engineering, King Mongkut's University of Technology North Bangkok, Bangkok, 10800 Thailand
| | - Hisam Samae
- Research Unit for Energy, Economic, And Ecological Management (3E), Science and Technology Research Institute, Chiang Mai University, Chiang Mai, 50200 Thailand
| | - Suthida Piriyakarnsakul
- Office of National Higher Education Science Research and Innovation Policy Council, Bangkok 10330 Thailand
| | - Muhammad Amin
- Faculty of Geosciences and Civil Engineering, Institute of Science and Engineering, Kanazawa University, Kakuma-machi, Kanazawa, Ishikawa, 920-1192 Japan
- Faculty of Engineering, Maritim University of Raja Ali Haji, Tanjung Pinang, Kepulauan Riau 29115, Indonesia
| | - Masami Furuuchi
- Faculty of Geosciences and Civil Engineering, Institute of Science and Engineering, Kanazawa University, Kakuma-machi, Kanazawa, Ishikawa, 920-1192 Japan
- Faculty of Environmental Management, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
| | - Mitsuhiko Hata
- Faculty of Geosciences and Civil Engineering, Institute of Science and Engineering, Kanazawa University, Kakuma-machi, Kanazawa, Ishikawa, 920-1192 Japan
| | - Muanfun Inerb
- Faculty of Environmental Management, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand
| | - Worradorn Phairuang
- Faculty of Geosciences and Civil Engineering, Institute of Science and Engineering, Kanazawa University, Kakuma-machi, Kanazawa, Ishikawa, 920-1192 Japan
- Department of Geography, Faculty of Social Sciences, Chiang Mai University, Muang, Chiang Mai 50200 Thailand
- Corresponding author. Faculty of Geosciences and Civil Engineering, Institute of Science and Engineering, Kanazawa University, Kakuma-machi, Kanazawa, Ishikawa, 920-1192 Japan.
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