FIGURE 1.

FIGURE 2.

FIGURE 3.

FIGURE 4.

FIGURE 5.

Characteristics of PM2_5 monitoring stations included in the study
| Station code | Monitoring site | Nearby sources |
|---|---|---|
| 28T | Pluakdaeng District Health Office, Rayong, Thailand | industrial estate, port activities |
| 29T | Health Promotion Hospital Maptaphut, Rayong, Thailand | petrochemical complex, traffic |
| 30T | Rayong Provincial Agricultural Office, Rayong, Thailand | traffic, mixed land use |
| 31T | Field Crop Research Center, Rayong, Thailand | agricultural activities, open areas |
| 74T | Government Center, Rayong, Thailand | residential traffic, commercial area |
Average concentrations of PM2_5 by monitoring station and year at the pollution control zone of Rayong Province in Thailand during 2020–2023 [μg·m−3]
| Year | Station | Mean (all stations) | Max | Min | ||||
|---|---|---|---|---|---|---|---|---|
| 28T | 29T | 30T | 31T | 74T | ||||
| 2020 | 20.94 | 16.43 | 17.75 | 16.75 | 19.07 | 18.19 | 20.94 | 16.43 |
| 2021 | 20.02 | 19.42 | 16.49 | 17.51 | 17.41 | 18.17 | 20.02 | 16.49 |
| 2022 | 16.74 | 19.91 | 19.16 | 18.63 | 16.83 | 18.25 | 19.91 | 16.74 |
| 2023 | 18.79 | 21.93 | 20.30 | 21.72 | 19.99 | 20.55 | 21.93 | 18.79 |
| Average | 19.12 | 19.92 | 18.43 | 18.65 | 18.33 | 18.89 | 21.93 | 16.43 |
Full Spearman correlation matrix across all lag periods (N = 45–52)
| Disease | Station | lag 0 | lag 1 | lag 2 | lag 3 | lag 4 | lag 5 | lag 6 | lag 7 | Strongest correlation |
|---|---|---|---|---|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease (COPD) | 28T | 0.072 | 0.098 | –0.009 | –0.107 | –0.142 | –0.130 | –0.268 | –0.296* | –0.296* (lag 7) |
| 29T | –0.006 | 0.194 | 0.067 | –0.029 | –0.039 | 0.017 | –0.227 | –0.241 | NS | |
| 30T | 0.057 | 0.240 | 0.080 | –0.102 | –0.019 | –0.004 | –0.209 | –0.209 | NS | |
| 31T | 0.042 | 0.195 | 0.125 | 0.013 | –0.006 | 0.050 | –0.172 | –0.233 | NS | |
| 74T | 0.075 | 0.206 | 0.095 | –0.020 | –0.068 | –0.001 | –0.210 | –0.245 | NS | |
| Asthma | 28T | 0.052 | –0.016 | –0.145 | –0.240 | –0.304* | –0.278 | –0.252 | –0.230 | –0.304* (lag 4) |
| 29T | 0.208 | 0.252 | 0.153 | –0.024 | –0.125 | –0.140 | –0.027 | –0.087 | NS | |
| 30T | 0.153 | 0.160 | 0.072 | –0.019 | –0.047 | 0.002 | 0.050 | 0.056 | NS | |
| 31T | 0.255 | 0.283* | 0.172 | 0.025 | –0.079 | –0.062 | –0.003 | –0.052 | 0.283* (lag 1) | |
| 74T | 0.259 | 0.230 | 0.101 | –0.042 | –0.151 | –0.078 | –0.050 | –0.073 | NS | |
| Influenza | 28T | –0.023 | –0.080 | –0.215 | –0.268 | –0.259 | –0.189 | –0.164 | –0.101 | NS |
| 29T | 0.203 | 0.225 | 0.116 | –0.019 | –0.033 | 0.030 | 0.062 | 0.102 | NS | |
| 30T | 0.129 | 0.141 | 0.012 | –0.043 | –0.055 | 0.043 | 0.100 | 0.157 | NS | |
| 31T | 0.256 | 0.262 | 0.155 | 0.025 | 0.007 | 0.094 | 0.092 | 0.086 | NS | |
| 74T | 0.204 | 0.172 | 0.083 | –0.060 | –0.074 | 0.024 | 0.019 | 0.027 | NS | |
| Acute pharyngitis | 28T | –0.110 | –0.184 | –0.295* | –0.337* | –0.310* | –0.163 | –0.065 | –0.075 | –0.337* (lag 3) |
| 29T | 0.104 | 0.146 | 0.077 | –0.044 | –0.078 | 0.048 | 0.186 | 0.172 | NS | |
| 30T | 0.031 | 0.069 | –0.003 | –0.077 | –0.100 | 0.039 | 0.159 | 0.156 | NS | |
| 31T | 0.134 | 0.168 | 0.087 | –0.041 | –0.062 | 0.101 | 0.210 | 0.140 | NS | |
| 74T | 0.069 | 0.085 | 0.007 | –0.158 | –0.184 | –0.005 | 0.099 | 0.060 | NS | |
| Chronic rhinitis | 28T | –0.041 | 0.121 | 0.127 | 0.149 | 0.097 | 0.055 | 0.011 | –0.118 | NS |
| 29T | –0.175 | 0.059 | 0.152 | 0.060 | 0.016 | 0.090 | 0.043 | –0.059 | NS | |
| 30T | –0.099 | 0.137 | 0.167 | 0.082 | 0.119 | 0.075 | 0.066 | –0.091 | NS | |
| 31T | –0.189 | 0.048 | 0.106 | 0.038 | 0.017 | 0.113 | 0.057 | –0.089 | NS | |
| 74T | –0.151 | 0.110 | 0.107 | 0.043 | –0.010 | 0.122 | 0.078 | –0.071 | NS | |
| Bronchitis | 28T | 0.153 | 0.007 | –0.182 | –0.354* | –0.419 | –0.317* | –0.233 | –0.112 | –0.419** (lag 4) |
| 29T | 0.199 | 0.160 | 0.066 | –0.211 | –0.331* | –0.296* | –0.194 | –0.077 | –0.331* (lag 4) | |
| 30T | 0.166 | 0.135 | –0.020 | –0.206 | –0.229 | –0.099 | –0.005 | 0.063 | NS | |
| 31T | 0.258 | 0.240 | 0.122 | –0.152 | –0.273 | –0.193 | –0.117 | –0.038 | NS | |
| 74T | 0.276* | 0.217 | 0.083 | –0.181 | –0.303* | –0.180 | –0.117 | –0.008 | 0.276* (lag 0) | |
| All diseases combine | 28T | 0.024 | –0.067 | –0.224 | –0.333* | –0.349* | –0.242 | –0.164 | –0.117 | –0.349* (lag 4) |
| 29T | 0.186 | 0.207 | 0.094 | –0.110 | –0.183 | –0.096 | 0.016 | 0.061 | NS | |
| 30T | 0.110 | 0.140 | 0.023 | –0.098 | –0.121 | –0.007 | 0.109 | 0.158 | NS | |
| 31T | 0.239 | 0.260 | 0.142 | –0.061 | –0.128 | –0.010 | 0.071 | 0.070 | NS | |
| 74T | 0.212 | 0.203 | 0.074 | –0.126 | –0.200 | –0.057 | 0.011 | 0.029 | NS |
Number of patients with respiratory diseases by category and year at the pollution control zone of Rayong Province in Thailand during 2020–2023
| Disease | 2020 | 2021 | 2022 | 2023 | Total (4 years) | Mean (1 year) | Max | Min |
|---|---|---|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease (COPD) | 722 | 566 | 704 | 688 | 2,680 | 670.0 | 722 | 566 |
| Asthma | 1,384 | 1,222 | 1,360 | 1,784 | 5,750 | 1,437.5 | 1,784 | 1,222 |
| Pneumonia | 707 | 413 | 571 | 1,127 | 2,818 | 704.5 | 1,127 | 413 |
| Influenza | 274 | 6 | 194 | 2,530 | 3,004 | 751.0 | 2,530 | 6 |
| Acute pharyngitis | 1,255 | 578 | 1,554 | 2,235 | 5,622 | 1,405.5 | 2,235 | 578 |
| Chronic rhinitis | 31 | 27 | 21 | 22 | 101 | 25.3 | 31 | 21 |
| Bronchitis | 1,141 | 367 | 706 | 1,090 | 3,304 | 826.0 | 1,141 | 367 |
| All diseases combined | 5,514 | 3,179 | 5,110 | 9,476 | 23,279 | 5,819.8 | – | – |
Spearman correlation coefficients (r) between PM2_5 concentrations and respiratory diseases by monitoring station at the pollution control zone of Rayong Province in Thailand during 2020–2023
| Disease | Station | Mean (r) | ||||
|---|---|---|---|---|---|---|
| 28T | 29T | 30T | 31T | 74T | ||
| Chronic obstructive pulmonary disease (COPD) | 0.072 | –0.006 | 0.057 | 0.042 | 0.075 | 0.062 |
| Asthma | 0.052 | 0.208 | 0.153 | 0.255 | 0.259 | 0.206 |
| Pneumonia | 0.062 | 0.260 | 0.159 | 0.276* | 0.242 | 0.223 |
| Influenza | –0.023 | 0.203 | 0.129 | 0.256 | 0.204 | 0.170 |
| Acute pharyngitis | –0.110 | 0.104 | 0.031 | 0.134 | 0.069 | 0.051 |
| Chronic rhinitis | –0.041 | –0.175 | –0.099 | –0.189 | –0.151 | –0.153 |
| Bronchitis | 0.153 | 0.199 | 0.166 | 0.258 | 0.276* | 0.232 |
| All diseases combined | 0.024 | 0.186 | 0.110 | 0.239 | 0.212 | 0.169 |
Statistically significant Spearman correlations (r) between daily PM2_5 concentrations and respiratory diseases across lag periods (0–7 days) at pollution control zone of Rayong Province in Thailand during 2020–2023 (approximately 1,461 daily observations)
| Disease | Station | lag | r | Significance |
|---|---|---|---|---|
| Chronic obstructive pulmonary disease (COPD) | 28T | lag 7 | –0.296 | * |
| Asthma | 28T | lag 4 | –0.304 | * |
| Asthma | 31T | lag 1 | 0.283 | * |
| Acute pharyngitis | 28T | lag 2 | –0.295 | * |
| Acute pharyngitis | 28T | lag 3 | –0.337 | * |
| Acute pharyngitis | 28T | lag 4 | –0.310 | * |
| Bronchitis | 28T | lag 3 | –0.354 | * |
| Bronchitis | 28T | lag 5 | –0.317 | * |
| Bronchitis | 28T | lag 4 | –0.419 | ** |
| Bronchitis | 29T | lag 4 | –0.331 | * |
| Bronchitis | 29T | lag 5 | –0.296 | * |
| Bronchitis | 74T | lag 0 | 0.276 | * |
| Bronchitis | 74T | lag 4 | –0.303 | * |
| All diseases combined | 28T | lag 3 | –0.333 | * |
| All diseases combined | 28T | lag 4 | –0.349 | * |
