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ISBN 978-616-11-2728-2

: 0 2590 4393
: 0 2590 4388

: env-med@googlegroups.com

:

5 6

11000

..


2558

1-7

8-16

17-42

4 :

43-54


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-
- /

56-60
61-64
65

01

01

1.







2.
















(-)







(1)

24 10 (PM10)
(http://aqnis.pcd.go.th/)

02

8 1 - 30 .. 2558 14
2558 PM10
( PM10 121 234
( 120 ./..)

- PM10 1 2558
127
( 120 )

- PM10
381 18 2558
303 16 2558
299 17 2558

- PM10
20 (
1 30 2558)
20
..2558 24 10 (PM10)

PM10 2558 2557
1 PM10 14 8
2558 2557 2558
( 1)

03

1 PM10 14 8
2558 2557
: 2558, 10


(2)


2556



129
25 2556


26
PM10 80 27 PM10
49,37 29



-

- 2556




3. (1)

10

8 ()
4 17 4
826,247 14,533.03
8,291.62
5,218.89
521.05 501.47

04


21,526.02
19,776.58 18,620.50
( 1)
1 8
4 3 2558

05

1 8
4 3 2558 ()

: 2558, 10


2558 3 ( 2)


( 13,356.22 6,774.11
) (
982.14 795.91 )

2 1
8 ..2555 2558

06

..2558 ( 2558) 8
2557
( 13,356.22 6,774.11
)
( 982.14 795.91 )

07

02



(3)



1.




2

08


1.1)



(Spontaneous Combustion)

1.2)


.. 2528-2542 73,630
4


(4)

2.



(5)






.2541
29.1
58,200 407,400 ( 1
2-14 ) ( ,2548)
24
377.31 ./.. 10 24
148.09 ./.. (6)

09


3.


70-80 30



1 19 45.7
( 2-5 )(3)
14 1 35


4.




-





5.






10




(AQI)
5 (O3) 1 (NO2) 1
(CO) 8 (SO2) 24
10 (PM10) 24
2
(CO2) (PAH)


1. ( Particle Matter : PM )


0.001 ( 1 = 0.000001 ) 500
(7)



3

1.

2.

3.






...

7% 20%
5.5% 2% 5%
5.3% 17%
7.6%

11




2 3 4

(8)

2. (CO)

( CO )
2 4
(9)








8-10 (10)

3. (CO2)






12


4. (NO2)

46.01
1.58 21.2












5. (PAH)

PAH


PAH

(Premutagen) (Precarcinogen)

(11)

.

2-3
(PAH)
13 (12)

6. (SO2)



13









7. (O3)


Photochemical Oxidation

Peroxyacetyl Nitrate (PAN) Photochemical Smog


(Sensitive Populations)(13)





4


1.





- /


-

- ()

14




1 ppb ()
2.12 /
1 ppb 0.16 1.60
/ (14)
PM10, PM2.5, NO2, SO2 O3

(15)

2.


10:1,000



3.






4.



15

30-40%
65



(Chronic obstructive pulmonary disease : COPD)





(Asthma)

16

03


2
(Air Quality Index : AQI) 10
(Particulate Matter : PM10)

1. (Air Quality Index: AQI)(16)

17



5 (O 3) 1
(NO2) 1 (CO) 8
(SO2) 24 10 (PM10) 24


5 0 300
( 2)
100
100

(i)

18

( 3)

: United States Environmental Protection Agency, July 1999, Guideline for Reportng of Daily Air Quality - Air Quality Index (AQI), 40 CFR Part 58, Appendix G.


2. 10 (Particulate Matter : PM10)

10
16

19



2.5 PM2.5
PM10 24 24
PM10 5 ( 4)
4 10


1. http://air4thai.pcd.go.th/web/



PM10, O3, CO, NO2 SO2
(Air Quality Index : AQI)

(Geographic Information System : GIS)

http://air4thai.pcd.go.th/web/ ( 3)

20

3 air4thai

2. Application Air4Thai



(Smart Phone)
() 7


App store ( iOS) Play store (
Android OS) ( 4)

4 Application Air4Thai

21


3. http://fire.gistda.or.th


()

10 GISTDA
Terra Aqua MODIS
(Hotspot)
7
10

(GISTDA,2557)
http://fire.gistda.or.th ( 5)

5 fire.gistda.or.th

4. http://www.tmd.go.th/index.php



( 6)

22

6 www.tmd.go.th/index.php









2


1.
() 2555 (17)

(Short-term)



23


(1) ()
(PM) 24 <10, < 2.5 <0.1 (PM10 , PM2.5,
PM0.1)


(2)





(1)


(2)

(3)


(1)
( )




1.1 .. . . .



1.2
(OPD) (Admission) ICD10

24



1.3 (
1.2)


1.4 24 ()


- PM 10 (./..) <120
(./.)


- (AQI) (./..)
(AQI)
(Air Quality Index) ( 0 50)
( 51-100) ( 101-200)
( 201- 300) (> 300)

25


(2)


ICD10
(H10 H13) (J00 -J06,
J09 -J18, J20 -J22, J30 -J39, J40 -J47) (I20-I25, I26-I28, I30 -I52)


(3)
.. . . .

.. .
. .


/




.
. /

26


(4)



4.1
ICD10
(n2) (n1)

200
120 - 200 - 120 = 80
80

(n2) = 200/120 = 1.7
(n1)

1.7 > 1

< 1



X 100

27


4.2
(I20-I25, I26-I28, I30 -I52)
(J00 -J06, J09 -J18, J20 -J22, J30 -J39, J40 -J47)

/ X 100
/


/ X 100
/

28

8 ()

29

2. .. 2557
10 (18)

2557
2 1) ( -
2556)

2) ( 2557)

8
4
1-17 ( 5 3 2557)
././ . 100

:

1.

2.
:

1.

2.

1.

(Hospital Base surveillance)



30


(principle
diagnosis) (follow up) 4

(././.) 8
ICD 10

H1*

I*

I2*

I4*

I5*


J*

J0*



J1*
Influenza


J2*



J3*



J4*
COPD

L2* L3*
:

2

: 2
( ) ( )
( ) website


http://dpc10.ddc.moph.go.th/epinorth/


()


14.00 .




online .10

31

( )


43


10 15

:








10




2.
. .
website
http://dpc10.ddc.moph.go.th/epinorth/
6 4

32

.. 2557
1.

Web browser http://dpc10.ddc.moph.go.th
10


scrollbar 10
Click

33


http://dpc10.ddc.moph.go.th/epidpc10
10 search engine
google 10 , .10,

2.


Username Password Login
Banner Login

34


User name Password 10


Login

1.
2.
3.
4.
5.
6.
7.

35


1.


2.

3.

4.
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/
Submit

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(
) 10 MB.
Submit

40



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/

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(/)

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(19)
5
1

1.1

1.2

1.3
2

2.1

2.2

2.3

43

3

3.1

3.2
4

4.1


-


4.2


-
HIA


-

5

5.1


5.2

5.3

5.4

44

45

: ()

46

: ()

47

: ()

48

:







1

1.

(PM10) (SO2) (CO)


2.


3.


4.


49

. .

1. /

2.


3.


4. .


5. /

. / ..

1.

2.


3.

4. /


5. /

. .

1.

2.

50

2

1.
/
Body map


2. /
http://air4thai.com/


3.

-

4. (Family folder)

-

5.

51

3

1.


2. /
/


3.


4.
Biomarkers screening

52

4

1.


2.



3.



4. website Mobile
Application
Application Air4thai


5.


53

5

1.



2.



3.




4.
(R2R)

54

55

(20)

56

57

58

59

60


California Department of Public Health, US.EPA

(13)

1.





- Particulate respirator NIOSH N95
P100

-

-


- ()


-

-

-

-

61

N95

2.

/




70%-100%

/






3.



10 20

62


4.



125
10 4
644 ./..



5.



6. (Ozone generators)


California Air Resources Board EPA

63


7.


/


-

- (fresh air)


- /


-

-





( 5,000 ppm)




: California Department of Public Health, US.EPA

64

/
1.


02-590-4391 www.envocc.org
2.

(Hotspot)
02-940-7059 http://www.dnp.go.th/forestfire/index.htm
3.


AQI 02-298-2367, 2373 http://aqmthai.com/
http://air4thai.pcd.go.th/web/region.php?region=0
4. ()



http://fire.gistda.or.th
5. 10


8
053-140774 , http://dpc10.ddc.moph.go.th/pher/smog57.html
6.

053-112-725
http://chiangmai.mnre.go.th/more_news.php?cid=44
7. 16

074-313-419,
074-311-882 http://reo16.mnre.go.th/reo16/doc_announce/list/21/1

65

1. 10 .
2558. :; 2558.
2. ..
2556;9(16):3-4.
3. . . :
; 2554.
4. . []. 2557[ 11
2557].http://www.dnp.go.th/forestfire/FIRESCIENCE/lesson%201/lesson1_6.htm
5. . . : ; 2553.
6. .
. [
]. : ; 2551.
7. . : []. 2558 [
9 2558]. http://goo.gl/m873H7
8. .
4 []. 2012[ 30 2558]. http://thaipublica.
org/2012/03/haze-dust-risk-of-cancer/
9. SAFETY LIFE. . /
2550;73
10. . Carbon monoxide.: , , .
. 2. :; 2555. 49-51.
11. . . [].
2543[ 62558].http://webdb.dmsc.moph.go.th/ifc_toxic/a_tx_1_001c.
asp?info_id=77
12. .
.[]. 2555[ 6 2558]. http://www.
rihes.cmu.ac.th/rihes2010/th/home/news/printpreview.php?id=298
13. Michael Lipsett, Barbara Materna, Susan Lyon Stone, Shannon Therriault, Robert Blaisdell,
and Jeff Cook. 2008. Wildfire Smoke A Guide for Public Health Officials. Revised July 2008
(With 2012 AQI Values). Retrieved on 4 April 2014, from: http://www.epa.gov/ttnamti1/files/
ambient/smoke/wildgd.pdf

66

14. . . []. 2554[ 142558].


- http://www3.med.cmu.ac.th/etc/smog/modules/article/upload/attach_
file/10-12-09-fde92.pdf
15. . []. 2551[ 14 2558].
http://webdb.dmsc.moph.go.th/ifc_toxic/applications/files/S7_1.pdf
16. . (Air Quality Index : AQI)[].2555. [ 14
2558]. http://www.pcd.go.th/info_serv/air_aqi.htm
17. .
()[]. 2555. [ 16 2558].
http://www.boe.moph.go.th/files/urgent/smog.pdf
18. 10 .
.. 2557[].2557.[ 12557].
http://dpc10.ddc.moph.go.th/epidpc10
19. . [].2558.
[23 2558].http://envocc.ddc.moph.go.th/uploads/media/manual/1.30.04.58.pdf
20. .
[].2558.[23 2558].
http://envocc.ddc.moph.go.th/uploads//const.pdf

67

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: 88/21 11000
0 2590 4393 0 2590 4388
E-Mail: env-med@googlegroups.com

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