The Public Health and Air Pollution in Asia (PAPA) Project: Estimating the Mortality Effects of Particulate Matter in Bangkok, Thailand
2008

Air Pollution and Mortality in Bangkok, Thailand

Sample size: 1822 publication 10 minutes Evidence: high

Author Information

Author(s): Vichit-Vadakan Nuntavarn, Vajanapoom Nitaya, Ostro Bart

Primary Institution: Faculty of Public Health, Thammasat University

Hypothesis

Is there a mortality risk from air pollution in Bangkok, Thailand?

Conclusion

The study found strong associations between various mortality outcomes and PM10 levels in Bangkok, with higher risks than typically reported in Western countries.

Supporting Evidence

  • PM10 levels in Bangkok are significantly higher than in most North American and Western European cities.
  • The excess risk for non-accidental mortality was 1.3% per 10 μg/m3 of PM10.
  • Cardiovascular mortality showed an even higher excess risk of 1.9% per 10 μg/m3 of PM10.
  • Mortality effects were consistent across multipollutant models.
  • Older adults and those with respiratory issues were particularly vulnerable to PM10 exposure.

Takeaway

This study shows that breathing dirty air in Bangkok can make people sick and even lead to death, especially for older folks and those with heart problems.

Methodology

The study analyzed mortality data from 1999 to 2003, using air pollution measurements and statistical models to assess the impact of PM10 on daily mortality.

Potential Biases

Potential misclassification of causes of death, especially among the elderly.

Limitations

The study may not account for all confounding factors, such as under-reporting of influenza deaths.

Participant Demographics

The study included residents of Bangkok, with a significant portion of mortality among males and individuals aged 65 and older.

Statistical Information

P-Value

0.008

Confidence Interval

95% CI, 0.8–1.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.10849

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