Mapping Climate and Air Quality Risks for Acute Respiratory Infections in Eastern Priangan, Indonesia
Abstract
Climate change has become a significant public health concern, particularly through its influence on air quality and the incidence of respiratory diseases. Variations in temperature, precipitation, humidity, and wind speed have been shown to exacerbate health vulnerabilities, especially in climate-sensitive regions. This study examines the relationship between climatic parameters, air quality, and respiratory disease admissions in East Priangan, Indonesia, using observational data from 2022 to 2023. Findings reveal a distinct increase in respiratory infections during periods of climatic extremes—specifically, high rainfall and temperature during September–November (SON) 2022, and low rainfall and temperature from July to October 2023. Although air quality in the region generally meets national standards, the Air Quality Index (AQI) deteriorated during prolonged dry periods, correlating with a rise in hospital admissions for respiratory illness. Children were identified as the most affected age group, emphasizing the demographic sensitivity to environmental change. These findings highlight the multifactorial nature of respiratory disease risks, shaped by both direct and indirect effects of climate variability. The study recommends integrated mitigation strategies that combine engineering measures, healthcare preparedness, and local government action to address future climate-related health risks.
Downloads
References
Badan Pusat Statistik Kota Tasikmalaya. (2024). Jumlah Kasus 10 Penyakit Terbanyak Menurut Jenis Penyakit di Kota Tasikmalaya, 2021 dan 2022. https://tasikmalayakota.bps.go.id/id/statistics-table/1/MTUxNCMx/jumlah-kasus-10-penyakit-terbanyak-menurut-jenis-penyakit-di-kota-tasikmalaya-2021-dan-2022.html
BPS Kota Tasikmalaya. (2019). Kota Tasikmalaya dalam Angka 2019 (Number 112).
BPS Kota Tasikmalaya. (2024). Kota Tasikmalaya Dalam Angka 2024 (Vol. 18, Number August).
Connolly, C., Day, R., & Goodall, H. (2021). The Effect of Climate Change on Respiratory Diseases. Journal of Pulmonary & Respiratory Medicine, 11.
Di Napoli, C., McGushin, A., Romanello, M., Ayeb-Karlsson, S., Cai, W., Chambers, J., Dasgupta, S., Escobar, L. E., Kelman, I., Kjellstrom, T., Kniveton, D., Liu, Y., Liu, Z., Lowe, R., Martinez-Urtaza, J., McMichael, C., Moradi-Lakeh, M., Murray, K. A., Rabbaniha, M., … Robinson, E. J. (2022). Tracking the impacts of climate change on human health via indicators: Lessons from the Lancet Countdown. BMC Public Health, 22(1), 663. https://doi.org/10.1186/s12889-022-13055-6
EC Department, Parul Institute of Engineering & Technology, Limda, Vadodara, India, Prajapati, J., Patel, A., & Raninga, P. (2014). Facial Age Group Classification. IOSR Journal of Electronics and Communication Engineering, 9(1), 33–39. https://doi.org/10.9790/2834-09123339
Fathmawati, F., Rauf, S., & Indraswari, B. W. (2021). Factors related with the incidence of acute respiratory infections in toddlers in Sleman, Yogyakarta, Indonesia: Evidence from the Sleman Health and Demographic Surveillance System. PLoS ONE, 16(9 September), 1–13. https://doi.org/10.1371/journal.pone.0257881
Haines, A., Kovats, R. S., Campbell-Lendrum, D., & Corvalan, C. (2006). Climate change and human health: Impacts, vulnerability and public health. Public Health, 120(7), 585–596. https://doi.org/10.1016/j.puhe.2006.01.002
IOM UN Migration. (2023). Climate Change Impacts on Health Affecting Development and Human Mobility.
Irawan, A., Sutomo, A. H., & Sukandarrumidi. (2017). Indeks standar pencemaran udara, faktor metereologi dan infeksi saluran pernapasan akut di Pekanbaru. Berita Kedokteran Masyarakat (BKM Journal of Community Medicine and Public Health), 33(5), 225–232.
Khalida Akmatul Arsyad, Y. P. (2023). Studi Kausalitas antara Polusi Udara dan Kejadian Penyakit Saluran Pernapasan pada Penduduk Kota Bogor, Jawa Barat, Indonesia. Jurnal Multidisiplin West Science, 02(06), 462–472.
Kinney, P. L. (2008). Climate Change, Air Quality, and Human Health. American Journal of Preventive Medicine, 35(5), 459–467. https://doi.org/10.1016/j.amepre.2008.08.025
Manyullei, S. (2010). Basheer, Mohamed Khadeer Ahamed, and Amin Malik Shah Abdul Majid. “Medicinal potentials of Orthosiphon stamineus Benth.” (2010). Asia-Pacific Journal of Public Health / Asia-Pacific Academic Consortium for Public Health, 22(3), 310–319.
National Institute of Environmental Health Sciences. (2024). Climate Change and Human Health (Number February).
OECD/EU. (2018). Health at a Glance: Europe 2018: State ofHealth in the EU Cycle. https://doi.org/10.1787/fd41e65f-es
Pandya-Wood, R., Azhari, A., Johar, H., Johns-Putra, A., Muhamad, N., & Su, T. T. (2024). Systematic review of climate change induced health impacts facing Malaysia: Gaps in research. Environmental Research: Health, 2(3), 032002. https://doi.org/10.1088/2752-5309/ad6208
Rocha, J., Oliveira, S., Viana, C., & Ribeiro, A. I. (2022). Climate change and its impacts on health, environment and economy (pp. 253–279). https://doi.org/10.1016/B978-0-12-822794-7.00009-5
Salman, N., Taqwa, F. M. L., Alimuddin, A., & Arthono, A. (2023). Air Quality Monitoring and Analysis in Tasikmalaya City. Journal of Community Based Environmental Engineering and Management, 7(1), 25–32. https://doi.org/10.23969/jcbeem.v7i1.7187
Santika, T., Muhidin, S., Budiharta, S., Haryanto, B., Agus, F., Wilson, K. A., Struebig, M. J., & Po, J. Y. T. (2023). Deterioration of respiratory health following changes to land cover and climate in Indonesia. One Earth, 6(3), 290–302. https://doi.org/10.1016/j.oneear.2023.02.012
Soriano, J. B., Kendrick, P. J., Paulson, K. R., Gupta, V., Abrams, E. M., Adedoyin, R. A., Adhikari, T. B., Advani, S. M., Agrawal, A., Ahmadian, E., Alahdab, F., Aljunid, S. M., Altirkawi, K. A., Alvis-Guzman, N., Anber, N. H., Andrei, C. L., Anjomshoa, M., Ansari, F., Antó, J. M., … Vos, T. (2020). Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet Respiratory Medicine, 8(6), 585–596. https://doi.org/10.1016/S2213-2600(20)30105-3
Susilarini, N. K., Haryanto, E., Praptiningsih, C. Y., Mangiri, A., Kipuw, N., Tarya, I., Rusli, R., Sumardi, G., Widuri, E., Sembiring, M. M., Noviyanti, W., Widaningrum, C., Lafond, K. E., Samaan, G., & Setiawaty, V. (2018). Estimated incidence of influenza-associated severe acute respiratory infections in Indonesia, 2013-2016. Influenza and Other Respiratory Viruses, 12(1), 81–87. https://doi.org/10.1111/irv.12496
Wellid, I., Simbolon, L. M., Falahuddin, M. A., Nurfitriani, N., Sumeru, K., Bin Sukri, M. F., & Yuningsih, N. (2024). Evaluasi Polusi Udara PM2.5 dan PM10 di Kota Bandung serta Kaitannya dengan Infeksi Saluran Pernafasan Akut. Jurnal Kesehatan Lingkungan Indonesia, 23(2), 128–136. https://doi.org/10.14710/jkli.23.2.128-136
Windi, R., Efendi, F., Qona’ah, A., Adnani, Q. E. S., Ramadhan, K., & Almutairi, W. M. (2021). Determinants of Acute Respiratory Infection Among Children Under-Five Years in Indonesia. Journal of Pediatric Nursing, 60(xxxx), e54–e59. https://doi.org/10.1016/j.pedn.2021.03.010
World Health Organization (WHO). (2020). Global health estimates: Leading causes of death. https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death
Yoo, J.-M., Lee, Y.-R., Kim, D., Jeong, M.-J., Stockwell, W. R., Kundu, P. K., Oh, S.-M., Shin, D.-B., & Lee, S.-J. (2014). New indices for wet scavenging of air pollutants (O3, CO, NO2, SO2, and PM10) by summertime rain. Atmospheric Environment, 82, 226–237. https://doi.org/10.1016/j.atmosenv.2013.10.022
Yunus, F., Ariawan, W. P., & Nurwidya, F. (2019). Smoking behaviors and related factor in indonesian patients with chronic obstructive pulmonary disease in national reference hospital for respiratory diseases. Pakistan Journal of Chest Medicine, 25(1), 6–10.
Zheng, Z., Xu, G., Li, Q., Chen, C., & Li, J. (2019). Effect of precipitation on reducing atmospheric pollutant over Beijing. Atmospheric Pollution Research, 10(5), 1443–1453. https://doi.org/10.1016/j.apr.2019.04.001
Zoran, M. A., Savastru, R. S., Savastru, D. M., & Tautan, M. N. (2020). Assessing the relationship between surface levels of PM2.5 and PM10 particulate matter impact on COVID-19 in Milan, Italy. Science of The Total Environment, 738, 139825. https://doi.org/10.1016/j.scitotenv.2020.139825
Copyright (c) 2026 Andhy Romdani, Mudatsir Mudatsir, Fahmi Rahmat Amanulloh, Muhammad Raka El Ghifari, Revianti Coenraad, Daniel Bara Padang Allo, Haniful Birri Ramdani

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright Ⓒ Author

https://orcid.org/0000-0003-1726-3651
