How Bangkok Used Public Health Data to Improve Air Quality
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Civic Exchange 2009 The Air We Breathe Conference - Experts Symposium 9 January 2009 The Bangkok Experience presented by Prof. Nuntavarn Vichit-Vadakan http://air.dialogue.org.hk
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How Bangkok Used Public Health Data to Improve Air Quality
- 1. The Air We Breathe A Public Health Dialogue Presented by Nuntavarn Vichit‐Vadakan, Dr.P.H. Presented at Hong Kong Conven@on and Exhibi@on Centre, Hong Kong January 9, 2009
- 2. How has Bangkok used public health informa8on in formula8ng policy for be:er air quality? • Phasing out leaded gasoline • Phasing out leaded gasoline Policy Maker • Mi@ga@on measures for PH par@culate maMer Information (World-wide Studies) Government Community Sector Dr. Wasi’s Policy development model “Triangle that moves the mountain”
- 3. Blood Lead Levels in Thai Population 1980 -1996 35 Gasoline lead content .84 .45 .40 Complete phase out 30 Pb Levels (ug/dl) 25 Adults Children 20 bus driver police men 15 cord blood Threshold level 10 5 0 80 82 84 86 88 90 92 94 96 98 100 Year
- 4. Current State and Trends of the Air Quality in BKK PM10 Annual standard 50 µg/m3
- 5. Mi8ga8on measures for par8culate ma:er Policy Maker PH Information Policy (BMA Commissioned study ) 1996 Government Community Sector Dr. Wasi’s Policy development model “Triangle that moves the mountain”
- 6. Comparison of PM10 Health Effects in Bangkok (Mortality) RR per 10 ug/m3 PM 10 Annual PM10 Level (ug/m3) All Causes Cardiovascular Respiratory Vichit‐Vadakan et.al, (1992 to 1995) 1.0 % 3.0% 1.6% 65 Vichit‐Vadakan et.al,(PAPA) 1.3% 1.9% 1.0% 52 (1999 – 2003)
- 7. Drivers for Policy Development: Better Air Quality Policy Maker Economics • Economics • Technological Feasibility • Health Government Sector Community Technological Feasibility Health Dr. Wasi’s Policy development model “Triangle that moves the mountain”