Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Center of Excellence on Environmental Health and Toxicology, Bangkok, Thailand.
J Public Health (Oxf). 2018 Sep 1;40(3):527-532. doi: 10.1093/pubmed/fdx112.
Throughout Asia, smoking is commonplace at crowded public beaches. Evidence has clearly shown the dangers of secondhand smoke (SHS) indoors, but no naturalistic studies have determined levels of SHS in outdoor air.
We measured SHS exposure at two public beaches in Thailand where families lounge in beach chairs under beach umbrellas. Researchers unobtrusively collected PM2.5 in close proximity to smokers by placing instruments downwind from smokers. We collected 88 samples of second-by-second measurements over 10-min periods. The density of people, smokers and children in each sampling area was also recorded.
At the two beaches, mean levels were 260 and 504 µg/m3; peak levels reaching up to 716 and 1335 µg/m3. Five of the 88 samples were below the outdoor standard for Thailand of 50 µg/m3. Density counts in sampled zones were up to 4 smokers and 15 children under 12 years of age. Findings show high beach exposures suggesting regulatory protections, especially for children whose exposures can produce multiple health consequences.
Action should be taken to prohibit smoking on Thai beaches as in other outdoor settings because peak levels of PM2.5 almost always exceeded the outdoor standard in Thailand and pose a danger to health.
在整个亚洲,人们在拥挤的公共海滩上吸烟是很常见的。有确凿的证据表明,二手烟(SHS)在室内的危害,但尚无自然主义研究确定户外空气中的 SHS 水平。
我们在泰国的两个公共海滩上测量了 SHS 暴露水平,在那里,人们在沙滩躺椅上或沙滩伞下休息。研究人员在吸烟者下风处放置仪器,在靠近吸烟者的地方不引人注目地收集 PM2.5。我们收集了 88 个 10 分钟周期的逐秒测量样本。每个采样区域的人数、吸烟者和儿童的密度也都有记录。
在这两个海滩,平均水平分别为 260 和 504 µg/m3;峰值水平达到 716 和 1335 µg/m3。在 88 个样本中,有 5 个低于泰国的户外标准 50 µg/m3。采样区域的人数多达 4 名吸烟者和 15 名 12 岁以下的儿童。研究结果表明海滩上的暴露水平很高,这表明需要采取监管保护措施,特别是对儿童,因为儿童的暴露可能会产生多种健康后果。
应像在其他户外场所一样,禁止在泰国海滩吸烟,因为 PM2.5 的峰值水平几乎总是超过泰国的户外标准,对健康构成威胁。