From January 1, 2020, the International Maritime Organization (IMO) regulation about the limit of fuel sulfur content to 0.5 % become effective, and ships commonly install sulfur scrubbers or use low-sulfur fuel or liquefied natural gas to replace sulfur-rich heavy fuel oil. In this study, the 4-year PM2.5 sampling in the coastal suburbs of Kitakyushu, Japan clearly indicated the significant effects of relevant regulation and countermeasures on particle emissions in this receptor site. From the perspective of air quality, an obvious decrease in the mass concentration of ship-emitted particles was observed in 2020, and the contribution of sulfate could reach 60 %. The ammonium concentration was mainly controlled by sulfate and nitrate, and its reduction also could not be ignored, accounting for about 17 %. In terms of public health, the particle exposure risk also changed greatly, mainly due to the reduction of risk levels for As, W, Sb, V, Ni, and Cd; the lowest non-carcinogenic risk and carcinogenic risk for both adults (HI = 1.2 and CR = 5.7 × 10-5) and children (HI = 9.9 and CR = 1.1 × 10-4) all occurred in 2020. However, these reduced health risks were still not within the safe level (except for the carcinogenic risk for adults), a fact that requires continued attention. This result exposed the deficiency of current countermeasures regarding the IMO's fuel sulfur content limit in Kitakyushu City, and increasing the proportion of ships using clean fuels (liquefied natural gas, methanol, etc.) would surely alleviate the particle pollution caused by ship emissions.