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Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Air pollution and health in Sri Lanka: a review of epidemiologic studies

Authors: Yatagama Lokuge S Nandasena, Ananda R Wickremasinghe, Nalini Sathiakumar

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Air pollution is increasingly documented as a threat to public health in most developing countries. Evaluation of current air quality levels, regulatory standards and scientific literature on outdoor and indoor air pollution, and health effects are important to identify the burden, develop and implement interventions and to fill knowledge gaps in Sri Lanka.

Methods

PUBMED and Medline databases, local journals and conference proceedings were searched for epidemiologic studies pertaining to air pollution and health effects in Sri Lanka. All the studies pertaining to air pollution and health effects were considered.

Results

Sixteen studies investigated the association between exposure to ambient or indoor air pollution (IAP) and various health outcomes ranging from respiratory symptoms, low birth weight and lung cancers. Of the sixteen, three used a case control design. Half of the studies collected exposure data only through questionnaires. There were positive associations between air pollution and adverse health effects in all studies. Methodological limitations in most of the studies resulted in poor quantification of risk estimates.

Conclusion

A limited number of epidemiological studies in Sri Lanka have investigated the health effects of air pollution. Based on findings of studies and reported air quality levels, air pollution may be considered a neglected public health problem in Sri Lanka.
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Literature
1.
go back to reference Bruce N, Perez-Padilla R, Albalak R: The health effects of indoor air pollution exposure in developing countries. 2002, Geneva: World Health Organization, 11- Bruce N, Perez-Padilla R, Albalak R: The health effects of indoor air pollution exposure in developing countries. 2002, Geneva: World Health Organization, 11-
2.
go back to reference Senevirathne SRDA: Air pollution: a case study of environmental pollution. Journal of College of Community Physicians of Sri Lanka. 2003, 8 (1): 1-9. Senevirathne SRDA: Air pollution: a case study of environmental pollution. Journal of College of Community Physicians of Sri Lanka. 2003, 8 (1): 1-9.
3.
go back to reference American Thoracic Society: What Constitutes an Adverse Health Effect of Air Pollution?. American Journal of Respiratory Critical Care Medicine. 2000, 161: 665-673.CrossRef American Thoracic Society: What Constitutes an Adverse Health Effect of Air Pollution?. American Journal of Respiratory Critical Care Medicine. 2000, 161: 665-673.CrossRef
4.
go back to reference HEI: Special Report 15, Health Effects of Outdoor Air Pollution in Developing Countries of Asia: A literature Review. 2004, Health Effects Institute HEI: Special Report 15, Health Effects of Outdoor Air Pollution in Developing Countries of Asia: A literature Review. 2004, Health Effects Institute
5.
go back to reference WHO: Health Aspects of Air Pollution: Results from the WHO project " Systematic Review of Health Aspects of Air Pollution in Europe". 2004, Europe: World Health Organization WHO: Health Aspects of Air Pollution: Results from the WHO project " Systematic Review of Health Aspects of Air Pollution in Europe". 2004, Europe: World Health Organization
6.
go back to reference Batagoda B, Sugathapala A, Yalegama M, Jayasinghe B: Urban Air Quality Management in Sri Lanka. 2004, Colombo: Air Resource Management Center (AirMAC), Ministry of Environment and Natural Resources, Sri Lanka, iii- Batagoda B, Sugathapala A, Yalegama M, Jayasinghe B: Urban Air Quality Management in Sri Lanka. 2004, Colombo: Air Resource Management Center (AirMAC), Ministry of Environment and Natural Resources, Sri Lanka, iii-
7.
go back to reference The National Environmental Act, No. 47 of 1980: Amendment to the National Environmental (Ambient Air Quality) Regulations, No 817/6-Tuesday, May 03, 1994. Volume No 817/6-Tuesday, May 03, 1994. 1994, Government Notification: The Gazette of the Democratic Socialist Republic of Sri Lanka The National Environmental Act, No. 47 of 1980: Amendment to the National Environmental (Ambient Air Quality) Regulations, No 817/6-Tuesday, May 03, 1994. Volume No 817/6-Tuesday, May 03, 1994. 1994, Government Notification: The Gazette of the Democratic Socialist Republic of Sri Lanka
8.
go back to reference WHO: WHO Air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide, Global update 2005, Summary of risk assessment. 2005, Geneva: World Health Organization WHO: WHO Air quality guidelines for particulate matter, ozone, nitrogen dioxide and sulfur dioxide, Global update 2005, Summary of risk assessment. 2005, Geneva: World Health Organization
9.
go back to reference The National Environmental Act, No. 47 of 1980: Amendment to the National Environmental (Ambient Air Quality) Regulations, No 1562/22-Friday, August 15,2008. 2008, Government Notification: The Gazette of the Democratic Socialist Republic of Sri Lanka The National Environmental Act, No. 47 of 1980: Amendment to the National Environmental (Ambient Air Quality) Regulations, No 1562/22-Friday, August 15,2008. 2008, Government Notification: The Gazette of the Democratic Socialist Republic of Sri Lanka
10.
go back to reference Hopke PK, Cohen DD, Begum BA, Biswas SK, Ni B, Pandit GG, Santoso M, Chung YS, Davy P, Markwitz A, et al: Urban air quality in the Asian region. Sci Total Environ. 2008, 404 (1): 103-112. 10.1016/j.scitotenv.2008.05.039.CrossRefPubMed Hopke PK, Cohen DD, Begum BA, Biswas SK, Ni B, Pandit GG, Santoso M, Chung YS, Davy P, Markwitz A, et al: Urban air quality in the Asian region. Sci Total Environ. 2008, 404 (1): 103-112. 10.1016/j.scitotenv.2008.05.039.CrossRefPubMed
12.
go back to reference Jayaratna RNR, Ileperuma OA: Air Quality Trends and Variation Pattern of Air Pollutants in the City of Colombo. "Air That We Breath", Third National Symposium on air resource management in Sri Lanka: 2007; Colombo. 2007 Jayaratna RNR, Ileperuma OA: Air Quality Trends and Variation Pattern of Air Pollutants in the City of Colombo. "Air That We Breath", Third National Symposium on air resource management in Sri Lanka: 2007; Colombo. 2007
13.
go back to reference Jayawardana KGS, Jayaratna RNR: What Colombo's Air Quality Tell Us. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka 2004; Colombo. 2004 Jayawardana KGS, Jayaratna RNR: What Colombo's Air Quality Tell Us. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka 2004; Colombo. 2004
14.
go back to reference Samarakkody RP, Premasiri HDS, Annakkage CJ, Basnayake GBMA: Identification of Critical and Shrinking Areas in Colombo by Means of Spatial Air Quality Monitoring. "Air That We Breathe", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004 Samarakkody RP, Premasiri HDS, Annakkage CJ, Basnayake GBMA: Identification of Critical and Shrinking Areas in Colombo by Means of Spatial Air Quality Monitoring. "Air That We Breathe", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004
15.
go back to reference Mallikarachchi BS, Manawadu L, Samarakkody RP: Identification of Air Pollution Potential Areas and Its Temporal and Partial Pattern of the City of Colombo - Applying GIS. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka 2004: 2004; Colombo. 2004 Mallikarachchi BS, Manawadu L, Samarakkody RP: Identification of Air Pollution Potential Areas and Its Temporal and Partial Pattern of the City of Colombo - Applying GIS. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka 2004: 2004; Colombo. 2004
16.
go back to reference Manawadu L, Wijesekara KASS: Understanding Air Pollution Dynamics and Exploring Reasons for Aggravation of Air Pollution in the City of Colombo Using Geo-Statistical Techniques. "Geo-Informatics For National Development", The Sixth National Symposium on Geo-Informatics: 2009; Colombo. 2009, 17-32. Manawadu L, Wijesekara KASS: Understanding Air Pollution Dynamics and Exploring Reasons for Aggravation of Air Pollution in the City of Colombo Using Geo-Statistical Techniques. "Geo-Informatics For National Development", The Sixth National Symposium on Geo-Informatics: 2009; Colombo. 2009, 17-32.
17.
go back to reference Mitchell CS, Zhang J, Sigsgaard T, Jantunen M, Lioy PJ, Samson R, Karol MH: Current State of the Science: Health Effects and Indoor Environmental Quality. Environmental Health Perspectives. 2007, 115 (6): 958-964. 10.1289/ehp.8987.CrossRefPubMedPubMedCentral Mitchell CS, Zhang J, Sigsgaard T, Jantunen M, Lioy PJ, Samson R, Karol MH: Current State of the Science: Health Effects and Indoor Environmental Quality. Environmental Health Perspectives. 2007, 115 (6): 958-964. 10.1289/ehp.8987.CrossRefPubMedPubMedCentral
18.
go back to reference WHO: Monitoring ambient air quality for health impact assessment. European Series. 1999, Copenhagen: Regional Office for Europe, 9-14,19 WHO: Monitoring ambient air quality for health impact assessment. European Series. 1999, Copenhagen: Regional Office for Europe, 9-14,19
19.
go back to reference Samarakkody RP, Fernando ATR: Measuring of Nitrogen Dioxide Exposure Levels - A Quick Test for Air Pollution. "Air That We Breath", Third National Symposium on air resource management in Sri Lanka: 2007; Colombo. 2007 Samarakkody RP, Fernando ATR: Measuring of Nitrogen Dioxide Exposure Levels - A Quick Test for Air Pollution. "Air That We Breath", Third National Symposium on air resource management in Sri Lanka: 2007; Colombo. 2007
20.
go back to reference Lankathilaka KN, Seneviratne SRDA, Fernando DN: Indoor air quality and respiratory symptoms among children and women. Sri Lanka Association for the Advancement of Science - 56th Annual Session. Volume Part - 1 abstract. Colombo. 2000 Lankathilaka KN, Seneviratne SRDA, Fernando DN: Indoor air quality and respiratory symptoms among children and women. Sri Lanka Association for the Advancement of Science - 56th Annual Session. Volume Part - 1 abstract. Colombo. 2000
21.
go back to reference Bruce N, Perez-Padilla R, Albalak R: Indoor air pollution in developing countries: a major environmental and public health challenge. Bulletin of the World Health Organization. 2000, 78 (9): 1078-1092.PubMedPubMedCentral Bruce N, Perez-Padilla R, Albalak R: Indoor air pollution in developing countries: a major environmental and public health challenge. Bulletin of the World Health Organization. 2000, 78 (9): 1078-1092.PubMedPubMedCentral
23.
go back to reference Nandasena YLS, Wickremasinghe AR, Sathiakumar N: Socio-demographic characteristics and principal cooking fuel type in Sri Lanka: Comparison of data from two Demographic and Health surveys. 14th Annual Academic Sessions of College of Community Physicians of Sri Lanka: 2009; Colombo. 2009 Nandasena YLS, Wickremasinghe AR, Sathiakumar N: Socio-demographic characteristics and principal cooking fuel type in Sri Lanka: Comparison of data from two Demographic and Health surveys. 14th Annual Academic Sessions of College of Community Physicians of Sri Lanka: 2009; Colombo. 2009
24.
go back to reference Amerasekera RM: Proven interventions to reduce indoor air pollution due to cooking with biomass. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004 Amerasekera RM: Proven interventions to reduce indoor air pollution due to cooking with biomass. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004
25.
go back to reference Senanayaka MP, Samarakkody RP: Impact of outdoor and Indoor air pollution on personal exposure of 5 - 8 year old children living in low income settlements in Colombo. "Air That We Breathe", First National Symposium on Air Resource Management in Sri Lanka. Colombo. 2004 Senanayaka MP, Samarakkody RP: Impact of outdoor and Indoor air pollution on personal exposure of 5 - 8 year old children living in low income settlements in Colombo. "Air That We Breathe", First National Symposium on Air Resource Management in Sri Lanka. Colombo. 2004
27.
go back to reference Gunasekara P, Rahman K, Warren C, Lee J, Lea V, Asma S: Tobacco use among students aged 13-15 years--Sri Lanka, 1999-2007. MMWR Morbidity and Mortality Weekly Report. 2008, 57 (20): 545-549. Gunasekara P, Rahman K, Warren C, Lee J, Lea V, Asma S: Tobacco use among students aged 13-15 years--Sri Lanka, 1999-2007. MMWR Morbidity and Mortality Weekly Report. 2008, 57 (20): 545-549.
28.
go back to reference Sirithunga TLJC, Kumarasiri RPK, Illeperuma OA: Effects of outdoor air pollution on the respiratory health of children in a rural and an urban area in the Kandy district. "Air That We Breath", Second National Symposium on Air Resource Management in Sri Lanka: 2006; Colombo. 2006 Sirithunga TLJC, Kumarasiri RPK, Illeperuma OA: Effects of outdoor air pollution on the respiratory health of children in a rural and an urban area in the Kandy district. "Air That We Breath", Second National Symposium on Air Resource Management in Sri Lanka: 2006; Colombo. 2006
29.
go back to reference Premaratna R, Pathmeswaran A, Chandrasekara B, Dissanayake AS, Silva HJD: Effects of Pollution on Health of Residents in an Industrial Area in Sri Lanka. Archives of Environmental Health. 2002, 57 (6): 579-583. 10.1080/00039890209602091.CrossRefPubMed Premaratna R, Pathmeswaran A, Chandrasekara B, Dissanayake AS, Silva HJD: Effects of Pollution on Health of Residents in an Industrial Area in Sri Lanka. Archives of Environmental Health. 2002, 57 (6): 579-583. 10.1080/00039890209602091.CrossRefPubMed
30.
go back to reference Nandasena YLS, Perera GBS, Emmanuel R, Premasiri HDS: Exposure to aerosol pollution and reported respiratory symptoms among school children in segments of urban and rural settings in Sri Lanka. "Air That We Breath", Third National Symposium on air resource management in Sri Lanka: 2007; Colombo, Sri Lanka. 2007 Nandasena YLS, Perera GBS, Emmanuel R, Premasiri HDS: Exposure to aerosol pollution and reported respiratory symptoms among school children in segments of urban and rural settings in Sri Lanka. "Air That We Breath", Third National Symposium on air resource management in Sri Lanka: 2007; Colombo, Sri Lanka. 2007
31.
go back to reference Elangasinghe MA, Shanthini R: Traffic Related Air Pollution And Respiratory Related Health of Students Attending School in Kandy. "Air That We Breath", Second National Symposium on Air Resource Management in Sri Lanka: 2006; Colombo. 2006 Elangasinghe MA, Shanthini R: Traffic Related Air Pollution And Respiratory Related Health of Students Attending School in Kandy. "Air That We Breath", Second National Symposium on Air Resource Management in Sri Lanka: 2006; Colombo. 2006
32.
go back to reference Mistry R, Wickramasingha N, Ogston S, Singh M, Devasiri V, Mukhopadhyay S: Wheeze and urban variation in South Asia. Eur J Pediatr. 2004, 163 (3): 145-147. 10.1007/s00431-003-1393-6.CrossRefPubMed Mistry R, Wickramasingha N, Ogston S, Singh M, Devasiri V, Mukhopadhyay S: Wheeze and urban variation in South Asia. Eur J Pediatr. 2004, 163 (3): 145-147. 10.1007/s00431-003-1393-6.CrossRefPubMed
33.
go back to reference Senanayake MP, Samarakkody RP, Sumanasena SP, Kudalugodaarachchi J, Jayasinhe SR, Hettiarachchi AP: A relational analysis of acute wheezing and air pollution. Sri Lanka Journal of Child Health. 2001, 30 (2): 66-68. Senanayake MP, Samarakkody RP, Sumanasena SP, Kudalugodaarachchi J, Jayasinhe SR, Hettiarachchi AP: A relational analysis of acute wheezing and air pollution. Sri Lanka Journal of Child Health. 2001, 30 (2): 66-68.
34.
go back to reference Thishan Dharshana KG, Coowanitwong N: Ambient PM(10) and respiratory illnesses in Colombo City, Sri Lanka. J Environ Sci Health A Tox Hazard Subst Environ Eng. 2008, 43 (9): 1064-1070.CrossRefPubMed Thishan Dharshana KG, Coowanitwong N: Ambient PM(10) and respiratory illnesses in Colombo City, Sri Lanka. J Environ Sci Health A Tox Hazard Subst Environ Eng. 2008, 43 (9): 1064-1070.CrossRefPubMed
35.
go back to reference Perera GBS, Emmanuel R, Nandasena YLS, Premasiri HDS: Exposure to aerosol pollution and reported respiratory symptoms among segments of urban and rural population in Sri Lanka. Built - Environment Sri Lanka. 2007, 7 (2): 31-39. Perera GBS, Emmanuel R, Nandasena YLS, Premasiri HDS: Exposure to aerosol pollution and reported respiratory symptoms among segments of urban and rural population in Sri Lanka. Built - Environment Sri Lanka. 2007, 7 (2): 31-39.
36.
go back to reference NBRO: Changing atmospheric lead levels in Colombo with discontinuation of leaded petrol in Sri Lanka. Division of Environment. 2003, Colombo: NBRO NBRO: Changing atmospheric lead levels in Colombo with discontinuation of leaded petrol in Sri Lanka. Division of Environment. 2003, Colombo: NBRO
37.
go back to reference Senanayake MP, Rodrigo MDA, Malkanthi R: Blood lead levels of children before and after introduction of unleaded petrol. Ceylon Medical Journal. 2004, 49 (2): 60-61.PubMed Senanayake MP, Rodrigo MDA, Malkanthi R: Blood lead levels of children before and after introduction of unleaded petrol. Ceylon Medical Journal. 2004, 49 (2): 60-61.PubMed
38.
go back to reference Amarasinghe JNP: Blood lead levels of traffic policeman in the city of Colombo. 2002, University of Colombo, Postgraduate Institute of Colombo Amarasinghe JNP: Blood lead levels of traffic policeman in the city of Colombo. 2002, University of Colombo, Postgraduate Institute of Colombo
39.
go back to reference Karunasekara KAW, Jayasinhe JA, Alwis LW: Risk factors of childhood asthma: a Sri Lankan study. Journal of Tropical Pediatrics. 2001, 47 (3): 142-145. 10.1093/tropej/47.3.142.CrossRef Karunasekara KAW, Jayasinhe JA, Alwis LW: Risk factors of childhood asthma: a Sri Lankan study. Journal of Tropical Pediatrics. 2001, 47 (3): 142-145. 10.1093/tropej/47.3.142.CrossRef
40.
go back to reference Karunasekara KAW, Perera KPJ, Perera MTPR, Abeynarayana J: Genetic and environmental risk for asthma in children aged 5-11 years. Sri Lanka Journal of Child Health. 2005, 34: 79-83.CrossRef Karunasekara KAW, Perera KPJ, Perera MTPR, Abeynarayana J: Genetic and environmental risk for asthma in children aged 5-11 years. Sri Lanka Journal of Child Health. 2005, 34: 79-83.CrossRef
41.
go back to reference Ranasinghe MH, Mahanama KRR: Risk of Cataract Formation with Exposure to Biomass Smoke. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004 Ranasinghe MH, Mahanama KRR: Risk of Cataract Formation with Exposure to Biomass Smoke. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004
42.
go back to reference Perera MAKKP, Mahanama KRR: Investigation of Lung Cancer to Human Activities in Sri Lanka. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004 Perera MAKKP, Mahanama KRR: Investigation of Lung Cancer to Human Activities in Sri Lanka. "Air That We Breath", First National Symposium on Air Resource Management in Sri Lanka: 2004; Colombo. 2004
43.
go back to reference Pathirane SM, Mahanama KRR: Low Birth Weights of Infants and Exposure to Smoke from Biomass Fuel during Pregnancy. "Air That We Breath", Second National Symposium on Air Resource Management in Sri Lanka 2006: 2006; Colombo. 2006 Pathirane SM, Mahanama KRR: Low Birth Weights of Infants and Exposure to Smoke from Biomass Fuel during Pregnancy. "Air That We Breath", Second National Symposium on Air Resource Management in Sri Lanka 2006: 2006; Colombo. 2006
Metadata
Title
Air pollution and health in Sri Lanka: a review of epidemiologic studies
Authors
Yatagama Lokuge S Nandasena
Ananda R Wickremasinghe
Nalini Sathiakumar
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-300

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