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Ambient PM 2.5 and PM 10 Exposure and Respiratory Disease Hospitalization in Kandy, Sri Lanka

Author

Listed:
  • Sajith Priyankara

    (Department of Mathematics & Statistics, Texas Tech University, Lubbock, TX 79409, USA)

  • Mahesh Senarathna

    (National Institute of Fundamental Studies, Hantana Road, Kandy 20000, Sri Lanka
    Postgraduate Institute of Science, University of Peradeniya, Peradeniya 20400, Sri Lanka)

  • Rohan Jayaratne

    (International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, QLD 4000, Australia)

  • Lidia Morawska

    (International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, QLD 4000, Australia)

  • Sachith Abeysundara

    (Department of Statistics and Computer Science, Faculty of Science, University of Peradeniya, Peradeniya 20400, Sri Lanka)

  • Rohan Weerasooriya

    (National Institute of Fundamental Studies, Hantana Road, Kandy 20000, Sri Lanka
    National Center for Water Quality Research, University of Peradeniya, Peradeniya 20400, Sri Lanka)

  • Luke D. Knibbs

    (School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia)

  • Shyamali C. Dharmage

    (Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3053, Australia)

  • Duminda Yasaratne

    (Department of Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya 20400, Sri Lanka)

  • Gayan Bowatte

    (National Institute of Fundamental Studies, Hantana Road, Kandy 20000, Sri Lanka
    Allergy and Lung Health Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3053, Australia
    Department of Basic Sciences, Faculty of Allied Health Sciences, University of Peradeniya, Peradeniya 20400, Sri Lanka)

Abstract

Evidence of associations between exposure to ambient air pollution and health outcomes are sparse in the South Asian region due to limited air pollution exposure and quality health data. This study investigated the potential impacts of ambient particulate matter (PM) on respiratory disease hospitalization in Kandy, Sri Lanka for the year 2019. The Generalized Additive Model (GAM) was applied to estimate the short-term effect of ambient PM on respiratory disease hospitalization. As the second analysis, respiratory disease hospitalizations during two distinct air pollution periods were analyzed. Each 10 μg/m 3 increase in same-day exposure to PM 2.5 and PM 10 was associated with an increased risk of respiratory disease hospitalization by 1.95% (0.25, 3.67) and 1.63% (0.16, 3.12), respectively. The effect of PM 2.5 or PM 10 on asthma hospitalizations were 4.67% (1.23, 8.23) and 4.04% (1.06, 7.11), respectively ( p < 0.05). The 65+ years age group had a higher risk associated with PM 2.5 and PM 10 exposure and hospital admissions for all respiratory diseases on the same day (2.74% and 2.28%, respectively). Compared to the lower ambient air pollution period, higher increased hospital admissions were observed among those aged above 65 years, males, and COPD and pneumonia hospital admissions during the high ambient air pollution period. Active efforts are crucial to improve ambient air quality in this region to reduce the health effects.

Suggested Citation

  • Sajith Priyankara & Mahesh Senarathna & Rohan Jayaratne & Lidia Morawska & Sachith Abeysundara & Rohan Weerasooriya & Luke D. Knibbs & Shyamali C. Dharmage & Duminda Yasaratne & Gayan Bowatte, 2021. "Ambient PM 2.5 and PM 10 Exposure and Respiratory Disease Hospitalization in Kandy, Sri Lanka," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:18:p:9617-:d:634005
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    References listed on IDEAS

    as
    1. Pier Mannuccio Mannucci & Massimo Franchini, 2017. "Health Effects of Ambient Air Pollution in Developing Countries," IJERPH, MDPI, vol. 14(9), pages 1-8, September.
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    Cited by:

    1. McCarron, Amy & Semple, Sean & Braban, Christine F. & Gillespie, Colin & Swanson, Vivien & Price, Heather D., 2023. "Personal exposure to fine particulate matter (PM2.5) and self-reported asthma-related health," Social Science & Medicine, Elsevier, vol. 337(C).

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