# The Silent Killer: Tackling Air Pollution in East Asia and the Pacific

- Link: https://www.thailand-business-news.com/environment/193498-the-silent-killer-tackling-air-pollution-in-east-asia-and-the-pacific
- Published: 2025-02-08T08:12:00+07:00
- Author: Nicolas Merzouk

For 20-year-old student Chirawan Oranratmanee from Chiang Mai, Thailand, air pollution
is not just a distant environmental concern, it’s a devastating reality that changed
her life forever. Her mother, a once healthy professor, passed away to lung cancer,
not due to smoking, but from years of exposure to toxic PM2.5 particles.

What was once a seasonal haze in Chiang Mai has become a year-round crisis, turning
daily life into a struggle for clean air. Across Thailand, much of East Asia and
the Pacific, worsening air pollution is not only choking cities but also taking 
a vast toll on public health. 

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Air pollution is one of the most pressing, yet overlooked, threats to children’s
health in the region. It’s linked with about 100 child deaths every single day, 
and that’s about 38,000 over the course of the year. About one in four childhood
deaths in this region are linked to air pollution making it the second leading risk
factor for under 5 years old mortality in the region, after malnutrition.

During a press conference in Bangkok on February 6, 2025, UNICEF revealed alarming
statistics on the severe impact of toxic air pollution on millions of children, 
urging immediate and unified efforts to safeguard their health and future.

## The crisis at hand

**As Bangkok is facing a severe air pollution crisis, more than 350 schools have
been forced to close. Recently ranked the eight-most polluted city globally, authorities
have restricted traffic in some areas and encouraged remote work, though only about
100,000 of the city’s 10 million residents have enrolled in the program. **

All children in the region, amounting to 500 million individuals, live in countries
where air pollution levels are harmful. Over 325 million children live in places
where the annual average levels of PM2.5 exceed five times the levels recommended
by the World Health Organization (WHO). In 2020, 373 million children in eight countries
of the region were exposed to nitrogen dioxide (NO2) levels exceeding WHO guidelines,
while 91% of children in East Asia and the Pacific lived in countries where peak
seasonal ozone levels also surpassed these guidelines.

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> _“There isn’t a single country in East Asia and the Pacific that meets global 
> guidelines for safe air quality.”_
> **_Nick Rees, Climate Change Specialist _**

![](https://b2thbz.siamnews.network/2025/02/air-pollution-child-health.png)

The long term exposure to these pollutants can cause both immediate and long-term
health impacts. Children’s developing bodies are especially vulnerable, facing risks
like lung damage, asthma, developmental delays, cancer, and even death.

Economically, air pollution impacts children’s education through absences due to
illnesses and schools shutting down, and when parents stay home to care for sick
children, national productivity declines. A recent study from Mongolia revealed 
$7.5 million in losses due to air pollution-related absenteeism. Air pollution also
leads to substantial costs, with the World Bank estimating that PM2.5 pollution 
related deaths and diseases cost 9.3% of GDP in the region in 2019, amounting to
over $2.5 trillion.

Air pollution also highlights social inequalities, as vulnerable, low-income communities
face a higher exposure, living near factories or in areas with poor air quality.
These communities also lack the resources to reduce exposure, such as clean cooking
and heating methods or air purifiers. 

> “I was in Mongolia in December in Ulaanbaatar, the capital. It was extremely cold.
> And, a lot of homes are still using coal heat. There was a thick blanket of smog
> covering the city. PM2.5 levels were hazardous. And I met a little girl there,
> a ten years old called Naraa. (…) The family lives in a traditional home, a Ger,
> and they use a coal burning stove to keep warm during the winter. So Naraa is 
> breathing in dangerous pollutants while she’s sleeping, while she’s doing her 
> homework, and while she’s having her breakfast and her dinner. And when she leaves
> her home, because the entire neighborhood is also using coal for heating, she 
> is breathing dangerous pollutants on her way to school. Every winter she gets 
> sick with respiratory infections and sometimes her mother cannot afford to bring
> her to the doctor because it means losing wages”.  
> **_Eliane Luthi, UNICEF’s regional chief of communication_**

Throughout China, Thailand, Myanmar, Vietnam and Mongolia, the burning of fossil
fuels, biomass and agricultural waste causes half of the presence of particles, 
nitrogen dioxide and ozone in the air. While outdoor air pollution is an increasingly
significant issue, indoor air pollution accounts for the largest share of deaths
among children under 5. Indeed, 56% of air pollution-related deaths among children
in the region are linked to household air pollution, where the majority of the population
uses solid fuels for cooking and heating.

## UNICEF’s Call to Action

Governments in East Asia have made efforts to tackle air pollution. The Chinesechinese
government introduced stricter regulations for industries and transportation. These
include tightening emission standards for factories and power plants, as well as
transitioning to renewable energy sources such as wind and solar power to reduce
dependence on coal. China has also focused on expanding public transportation, particularly
electric buses, to reduce emissions from private vehicles. Thailand has introduced
air quality management policies aimed at reducing emissions from agricultural practices,
particularly on reducing open burning. In recent weeks, schools in Bangkok have 
been closed, and recommendations have been issued for people to work from home due
to dangerously high levels of PM2.5.

However, as outdoor and indoor air pollution levels remain high, UNICEF has issued
a call to action to combat air pollution, emphasizing the need for governments, 
businesses, the health sector, parents, and educators to take immediate steps to
protect children.

To fight this “silent killer”, UNICEF urges the governments to lead by example by
enforcing air quality standards matching with WHO guidelines and implementing national
policies regarding the burning of fossil fuels and biomass. The businesses should
ensure their practices and products prioritize non-polluting options to reduce emissions.
The healthcare sector, which has already undergone significant improvement in that
regard, should continue working on the detection and treatment of pollution-related
illnesses, such as pneumonia or bronchitis, even in the more secluded areas. Parents
and educators, as caregivers, should play a crucial role in raising awareness, advocating
for cleaner environments and taking actions to protect children from the hazards
of air pollution.

_“This is an urgent issue, but it’s still an invisible issue. The media has a critical
role to play in making this silent killer visible.”_ **Myo Zin-Nyunt, UNICEF Deputy
Regional Director**

## UNICEF’s Efforts to Combat Air Pollution

UNICEF is working with communities across East Asia and the Pacific to protect children
from the effects of air pollution. For instance, by implementing programmes that
reduce children’s exposure to household air pollution with solutions like chimney
ventilation and cleaner heating systems. In China, UNICEF introduced chimney ventilation,
fans, and air purifiers to reduce exposure to pollutants. In Mongolia, UNICEF supports
the Cooking, Heating and Insulation Products (CHIP) package for ger insulation, 
heating, and ventilation, which reduces indoor air pollution previously created 
by burning raw coal.

---

_“Young people have the power to push for change. And it’s really about equipping
them with the evidence and with the skills and the knowledge they need to be able
to take action to protect themselves and their peers, but also to demand change 
and to really be those agents of change that we know they can be.”_ 

**_Eliane Luthi, UNICEF’s regional chief of communication_**

---

In Mongolia, UNICEF helps young people become “clean air champions” by providing
them with affordable air quality monitors to collect, analyze, and share data. These
young advocates actively work to reduce exposure to air pollution and push for effective
policies at both national and local levels. In Thailand, UNICEF collaborates with
students like Chirawan to promote climate education and ensure their involvement
in discussions. UNICEF also works to connect young people to policymaking processes,
ensuring their voices are heard in policy forums and that decision-makers consider
the needs and rights of children. 
